Available Allergy Tests

Food Allergy and Sensitivity Panels

Food allergies and food sensitivities are abnormal responses to a food component triggered by the immune system in the form of immunoglobulins (IgE, IgG, IgA, IgM), representing either an immediate or delayed response.

Specific IgE food panels include the major food allergens known to be responsible for immediate type reactions and are grouped for adult, basic or comprehensive panels. Individual specific IgE foods can be ordered from the lab’s inventory of over 100 different foods as needed.

Specific IgG, IgA ELISA food panels are arranged in comprehensive panels of 96 foods consumed in the typical western diet or 184 foods, many of the substitute foods typically found in rotation/elimination diets.

Basic 12 IgE Foods
Almond
Beef
Egg, Whole
Milk, Cow
Orange
Peanut
Sesame
Shrimp
Soybean
Tomato
Tuna
Wheat

Applicable Tests:
Regional Inhalant Panel
Total IgE
96 IgG Food Panel
Component Panels
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Pediatric 12 IgE Foods
Almond
Apple
Chicken
Egg, Whole
Haddock
Milk, Cow
Orange
Peanut
Rice
Shrimp
Soybean
Wheat

Applicable Tests:
Regional Inhalant Panel
Total IgE
96 IgG Food Panel
Component Panels
Order a Test Kit

25 IgE Foods
Almond
Apple
Banana
Barley
Bean, Navy
Beef
Buckwheat
Celery
Corn
Egg, Whole
Garlic
Hazelnut
Lentil
Milk, Cow
Mussels/Mollusk
Orange
Peach
Peanut
Sesame
Shrimp
Soybean
Strawberry
Tomato
Tuna
Wheat

Applicable Tests:
Regional Inhalant Panel
Total IgE
184 IgG Food Panel
Component Panels
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Component Panels

Many parents and children live restricted lives because of allergies.  They live day to day with the fear and uncertainty of an allergic reaction.  Did you know that studies have shown that three out of four children who are sensitized to peanuts may only be at risk for mild symptoms?

We offer the first and only FDA-cleared allergen component tests, developed by Thermo Scientific®, to help physicians assess the risk of an allergic reaction and may help reassure patients when the risk for an allergic reaction is low and may help guide relevant dietary modifications to prevent unnecessary dietary restrictions.

Component Panel Options:

  • Egg

Egg Allergen Component tests can help determine the likelihood of reaction to products baked with egg as well as the likelihood of allergy persistence.

Egg White
Ovomucoid
Ovalbumin
  • Milk

Milk Allergen Component tests can help determine the likelihood of outgrowing the allergy as well as the likelihood of a reaction to milk in baked goods (ex, waffles, muffins, cheese pizza).

Milk, Cow
Bos d 4
Bos d 5
Bos d 6
Bos d 8
Bos d lactoferrin
  • Peanut

Peanut Allergen Component testing can help identify which proteins your patient is sensitized to which in turn will allow the physician to prescribe the necessary precautions.  Studies show that 77.6% of patients sensitized to peanut may not be at risk for a systemic reaction.

Peanut
Ara h 1
Ara h 2
Ara h 3
Ara h 8
Ara h 9
  • Soybean

Soybean Allergen Component testing will help determine if the IgE-mediated reaction is the result of primary sensitization or the result of cross-reactivity to tree pollen or legumes.

Soybean
Gly m 4
Gly m 5
Gly m 6
  • Tree Nut

Tree Nut Allergen Component testing can help determine exactly which proteins you patient is sensitized to.  Tree nut allergy is the second most common allergy in infants and young children effecting approximately 0.5% of children in America.

Brazil Nut
Ber e 1
Cashew Nut
Ana o 3
Hazelnut
Cor a 1
Cor a 8
Cor a 9
Cor a 14
Walnut
Jug r 1
Jug r 3

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96 Comprehensive Food Panel, IgG, IgA
Almond
Apple
Asparagus
Avocado
Banana
Barley
Basil
Bay Leaf
Bean, Green
Bean, Lima
Beef
Blueberry
Bran
Broccoli
Cabbage
Cantaloupe
Carrot
Cashew
Cauliflower
Celery
Cheese, Cheddar
Cheese, Cottage
Cheese, Mozzarella
Chia
Chicken
Cinnamon
Clam
Cocoa
Coconut
Codfish
Coffee
Cola
Corn
Crab
Cucumber
Dill
Eggplant
Egg White
Egg Yolk
Garlic
Ginger
Gluten
Grape
Grapefruit
Haddock
Honey
Kale
Lamb
Lemon
Lettuce
Lobster
Malt
Milk, Cow’s
Mushrooms
Mustard
Oats
Olive, Green
Onion, White
Orange
Oregano
Pea, Green
Peach
Peanut
Pear
Pepper, Bell
Pepper, Black
Pineapple
Pork
Potato, Sweet
Potato, White
Rice, Brown
Rye
Safflower
Salmon
Scallop
Seaweed
Sesame
Shrimp
Sole
Soybean
Spinach
Squash
Strawberry
Sunflower
Swordfish
Tarragon
Tea, Black
Tomato
Tuna
Turkey
Walnut, Black
Watermelon
Wheat
Yeast, Baker’s
Yeast, Brewer’s
Yogurt

Applicable Tests:
12 IgE Foods (Basic)
Candida Profile
Mold Panel

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184 Comprehensive Food Panel, IgG, IgA
Almond
Amaranth
Anchovy
Apple
Apricot
Arrowroot
Artichoke
Asparagus
Avocado
Banana
Barley
Basil
Bass (Black)
Bay Leaf
Bean, Green
Bean, Lima
Bean, Kidney
Beef
Beet, Red
Blackberry
Blueberry
Bran
Brazil Nut
Broccoli
Brussel Sprouts
Buckwheat
Buffalo
Cabbage
Canola
Cantaloupe
Carob
Carrot
Casein
Cashew
Cauliflower
Celery
Cheese, Blue
Cheese, Cheddar
Cheese, Cottage
Cheese, Mozzarella
Cheese, Swiss
Cherry
Chestnut
Chia
Chicken
Chickpea (Garbanzo)
Cilantro
Cinnamon
Clam
Cloves
Cocoa
Coconut
Codfish
Coffee
Cola
Corn
Crab
Cranberry
Cucumber
Date
Dill
Duck
Eggplant
Egg White
Egg Yolk
Fennel
Fig
Flaxseed
Flounder
Garlic
Ginger
Ginseng
Gluten
Grape
Grapefruit
Haddock
Halibut
Hazelnut (Filbert)
Hemp
Herring
Honey
Hops
Horseradish
Kale
Kelp
Kiwi
Lamb
Lemon
Lentil
Lettuce
Licorice
Lime
Lobster
Macadamia
Mackerel
Malt
Mango
Melon, Honeydew
Milk, Cow’s
Milk, Goat’s
Milk, Sheep’s
Millet
Mushrooms
Mussel
Mustard
Navy Bean
Nutmeg
Oats
Okra
Olive, Green
Onion, White
Orange
Oregano
Oyster
Papaya
Paprika
Parsley
Parsnip
Pea, Black Eyed
Pea, Green
Peach
Peanut
Pear
Pecan
Pepper, Bell
Pepper, Black
Peppermint
Perch, Sea
Pike, Walleye
Pineapple
Pine Nut
Pistachio
Plum
Poppy Seed
Pork
Potato, Sweet
Potato, White
Pumpkin
Quinoa
Radish
Raspberry
Red Snapper
Rhubarb
Rice, Brown
Rosemary
Rye
Safflower
Sage
Salmon
Scallop
Sesame
Shrimp
Sole
Sorghum
Soybean
Spinach
Squash
Squid
Strawberry
Sunflower
Swordfish
Tangerine
Tapioca
Tarragon
Tea, Black
Tea, Green
Teff
Thyme
Tomato
Trout
Tuna
Turkey
Turmeric
Turnip
Vanilla Bean
Venison
Walnut, Black
Watermelon
Wheat
Whey
Yeast, Baker’s
Yeast, Brewer’s
Yogurt
Zucchini

Applicable Tests:
25 IgE Food Panel
Mold Panel
Candida Profile

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Additive and Exposure Profile

We are exposed to many substances, natural and man-made in our everyday lives.  The Additives and Exposure Panel tests IgE and IgG responses to eleven common substances that are known to be problematic.  Some items are FDA approved food additives, other substances are used in the manufacturing of everyday items used in the home or at work.

Comprehensive Additive and Exposure Profile:
Carob
Cochineal Extract
Cottonseed
Formaldehyde
Guar Gum
Gum Arabic
Latex
Linseed
Ispaghula
Anisakis
Tragacanth

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Yeast & Intestinal Immunity Panels

Yeast and intestinal immunity panels are used to help identify the cause of patients suffering from the effects of gut dysbiosis, a disturbance of the gut microbiome.  Microbial dysregulation within the gut is an important contributing factor in a wide range of disorders.  Food sensitivities, environmental toxins, stress, prolonged use of antibiotics and genetic predisposition may contribute to gut dysbiosis.

Intestinal Distress Profile

Allergic responses can cause intestinal problems, however intestinal distress is common in adults and children who do not have allergies.  Our Intestinal Distress Panel, ImmunoCAP® Specific IgG Assays includes the most common foods that have been linked to intestinal discomfort. It also includes our Celiac Panel as well.

Comprehensive Intestinal Distress Profile:

  • 12 IgG Allergens with Celiac Profile
Celiac Profile
Cod Fish
Egg White
Gluten
Hazelnut
Casein
Peanut
Sesame
Shrimp
Soybean
Walnut
Wheat
Yeast

Applicable Tests:
Candida Profile
96/184 IgG Food Panel(s)

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Celiac Disease Profile

Serologic testing is the first step to confirm the diagnosis of Celiac Disease and differentiate CD from non-celiac gluten enteropathy.  The assay measures serum concentrations of IgA and IgG antibodies specific tTG, Gliadin and Deamdidated Gliadin Peptide.  Accurate and early identification of CD patients is important to ensure early treatment.

Screening for celiac disease consists of the following tests.

  • Gluten – IgG & IgA
  • Gliadin – IgG & IgA
  • Tissue Transglutaminase (tTG) IgA & IgG
  • Deamidated Gliadin Peptide (DGP) IgA & IgG

Applicable Tests:
96 or 184 IgG/IgA Food Panel

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F-Actin (IgA)

Actin, a family of globular multi-functional proteins that form microfilaments, can be present as G-Actin or F-Actin (filamentous).  The presence of anti-F-Actin IgA antibodies may assist in assessing the extent of villous atrophy.

Applicable Tests:

  • Gastrointestinal Panel
  • Celiac Disease Profile

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Gastrointestinal Panel

“All disease begins in the gut” – Hippocrates

In theory, we should be able to digest just about any type of food we put in our mouths.  But changes in food processing and preparation not to mention lifestyle and stress mean our stomachs don’t always react well to everything we eat.  Moreover, the overuse of antibiotics expose our digestive tract to chemicals that alter this delicate balance between good bacteria and bad bacteria.  This is called dysbiosis, a bacterial imbalance and overgrowth of the wrong kinds of bacteria in the gut.  The Gastrointestinal Panel identifies food sensitivities, yeast and gut imbalance.

It is a comprehensive assessment for overall gut health.

GI Panel includes:

  • 96 or 184 IgG Food Sensitivity Panel with Wellness Plan
  • Candida Profile
  • Helicobacter-pylori

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Helicobacter – Pylori

Helicobacter pylori (H. pylori) is a common spiral shaped bacterium commonly found in the mucus layer of the stomach.  It is associated with chronic inflammation of the stomach lining.  H-pylori is considered the most common cause of gastric ulcers. It is presumed to be spread by hand to mouth transmission or the ingestion of contaminated food or water. It is often asymptomatic.  Eradication of the bacterium is not always associated with cessation of symptoms.  Interestingly, the presence of the bacteria may decrease the presence of esophagitis by decreasing the amount of stomach acid that refluxes back into the esophagus.  This in turn leads to a decreased risk of esophageal cancer in those infected with H. pylori. Further, H. pylori seems to decrease the risk of developing allergies and asthma.

H-pylori is a causative player in small intestinal overgrowth.  H-pylori lives in biofilms in the mouth and is therefore difficult to eradicate due to constant swallowing of saliva. H-pylori can survive an acidic environment in the gut contributing to small intestinal bacterial overgrowth (SIBO).

Quantification of IgG against H. pylori is useful in determining the active or prior H-pylori infection.

Applicable Tests:

  • Gastrointestinal Panel
  • Candida Profile

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Candida Profile

Candida overgrowth is the most common cause of systemic fungal infection and accounts for 80% of all major systemic fungal infections.  Symptoms may be attributed to food sensitivity because the invasive fungi can increase rapidly in number and permeate the digestive tract.  Diets high in simple carbohydrates have been found to increase rates of oral candidiasis.  Mild, chronic and polysystemic candidiasis can be positively diagnosed by the determination of high serum levels of IgG, IgA and IgM antibodies against Candida antigens.  Immune complexes are clusters of interlocking antigens and antibodies.  Normally, immune complexes are rapidly removed from the bloodstream.  Sometimes, however, they continue to circulate, and eventually become trapped in the tissues of the kidneys, the lungs, skin, joints, or blood vessels.  There they set off reactions with complement that lead to inflammation and tissue damage.

Test results include an interpretation and positive results are accompanied by The Candida Diet.

Comprehensive Panel:

  • Candida Immunoglobulin’s IgG, IgA, IgM
  • Candida Immune Complex
  • Candida Profile

Applicable Tests:
Mold Panel(s)
96/184 IgG & IgA Food Panel(s)

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Environmental IgE Allergy Tests and Panels

Inhalant allergy IgE test selection is based on regional allergen prevalence, allergen cross-reactivity, home or occupational exposure with special consideration of symptoms and history.  Individual inhalant allergens include airborne pollens from grasses, trees, and weeds; animal danders, molds, dust mites and occupational allergens are available.

Mold Panels

Mold allergy and sensitivity is more prevalent due to our environment and other toxic exposures.  People who suffer from allergies may be more sensitive to mold.  Other susceptible populations may include asthmatics, children and infants, the elderly, or individuals with existing respiratory conditions or weakened immune systems.  The Mold Elimination Plan, environmental management and sublingual immunotherapy have shown to be effective in alleviating symptoms.

Comprehensive Mold Panel Options:

  • 6 Mold Panel IgE & IgG
Alternaria
Aspergillus
Candida
Cladosporium
Penicillium
Stemphylium
  • 15 Mold Panel IgE & IgG
Alternaria
Aspergillus
Aureobasidium
Candida
Chaetomium
Cladosporium
Epicoccum
Fusarium
Mucor
Penicillium
Phoma
Rhizopus
Setomelanomma
Stemphylium
Tricoderma

Applicable Tests:
Regional Inhalant Panel IgE
Candida Profile
96/184 IgG Food Panel(s)

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Regional Screens

Over 40 million Americans are living with inhalant allergies.  Unfortunately, allergens sufficient to cause a reaction can be found extensively in the environment.  Prominent grasses, trees, weeds, including ragweed, plus indoor and outdoor molds have the potential to cause an allergic response.  Your doctor may ask you at which time of the year are you most troubled by allergies.  For example, pollen travels the most easily in hot, dry, windy weather, so these conditions can worsen your allergy symptoms.  Dust mites, pets and cockroaches are some of the most common indoor allergy triggers.  In order to get relief from allergy, patient history, early diagnosis and treatment is very important. Also be aware that environmental allergens often have cross-reacting food allergies.

Regional Screen Options:

  • Northeast Regional Screen

CT, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VT

Birch Tree, (Common Silver)
Maple Tree (Box Elder)
Oak Tree (White)
Cocksfoot (Orchard Grass)
Timothy Grass
Kentucky Blue Grass
Common Pigweed (Redroot)
Common Ragweed (Short)
Sheep Sorrel
D. Farinae/House Dust Mite
House Dust
Cockroach
  • Southwestern Regional Screen

AZ, CA, CO, NM, NV, UT

Alder Tree (Gray)
Juniper Tree, Mountain
Maple Tree (Box Elder)
Meadow Fescue
Kentucky Blue Grass
Timothy Grass
Western Ragweed
Dock, Yellow/Curly
Common Pigweed
House Dust
D. Farinae/House Dust Mite
Cockroach
  • Midwest Regional Screen

IA, IL, IN, KS, MI, MN, MO, NE, ND, OH, SD, WI, WV

Ash Tree (White)
Elm Tree (American)
Maple Tree (Box Elder)
Oak Tree (White)
Meadow Fescue
Rye Grass (Perennial)
Timothy Grass
Common Ragweed (Short)
English Plantain
House Dust
D. Farinae/House Dust Mite
Cockroach
  • Northwest Regional Screen

ID, MT, OR, WA, WY

Birch Tree
Cottonwood Tree (Black)
Maple Tree (Box Elder)
Canarygrass, Reed
Kentucky Blue Grass
Timothy Grass
English Plantain
Goldenrod
Ragweed, False
House Dust
D. Farinae/House Dust Mite
Cockroach
  • Southern Regional Screen

AL, DC, FL, GA, KY, NC, SC, TN, VA

Ash Tree (White)
Maple Tree (Box Elder)
Red Cedar Tree (Eastern)
Bermuda Grass
Rye Grass (Perennial)
Johnson Grass
Common Ragweed (Short)
English Plantain
Dock, Yellow/Curly
House Dust
D. Farinae/House Dust Mite
Cockroach
  • South Central Plains Regional Screen

AR, LA, MS, OK, TX

Ash Tree (White)
Elm Tree (American)
Maple Tree (Box Elder)
Bermuda Grass
Johnson Grass
Kentucky Blue Grass
Dock, Yellow/Curly
Common Pigweed (Redroot)
Ragweed (Giant)
House Dust
D. Farinae/House Dust Mite
Cockroach

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Regional Comprehensive Panels

Regional Screen Options:

  • Northeast

CT, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VT

Elm Tree (American)
Red Cedar Tree (Eastern)
Bermuda Grass
English Plantain
Goosefoot, (Lamb’s Quarter’s)
Alternaria alternata
Aspergillus fumigatus
Cladosporium herbarum
Penicillium chrysogenum
Stephylium herbarum
Cat Dander
Dog Dander
Total IgE
  • Southwestern

AZ, CA, CO, NM, NV, UT

Walnut Tree
Bermuda Grass
Redtop, Bent Grass
Rye Grass, Perennial
Russian Thistle (Saltwort)
Alternaria alternata
Aspergillus fumigatus
Cladosporium herbarum
Penicillium chrysogenum
Stephylium herbarum
Cat Dander
Dog Dander
Total IgE
  • Midwest

IA, IL, IN, KS, MI, MN, MO, NE, ND, OH, SD, WI, WV

Cottonwood Tree
Hazelnut Tree
Kentucky Blue Grass
Dock, Yellow/Curly
Goosefoot (Lamb’s Quarters)
Alternaria alternata
Aspergillus fumigatus
Cladosporium herbarum
Penicillium chrysogenum
Stephylium herbarum
Cat Dander
Dog Dander
Total IgE
  • Northwest

ID, MT, OR, WA, WY

Juniper Tree, Mountain
Mulberry Tree, White
Brome Grass
Nettle
Wormwood/Sagebrush
Alternaria alternata
Aspergillus fumigatus
Cladosporium herbarum
Penicillium chrysogenum
Stephylium herbarum
Cat Dander
Dog Dander
Total IgE
  • Southern

AL, DC, FL, GA, KY, NC, SC, TN, VA

Beech Tree, American
Mulberry Tree, Red
Kentucky Blue Grass
Cocklebur
Goosefoot (Lamb’s Quarters)
Alternaria alternata
Aspergillus fumigatus
Cladosporium herbarum
Penicillium chrysogenum
Stephylium herbarum
Cat Dander
Dog Dander
Total IgE
  • South Central Plains

AR, LA, MS, OK, TX

Bald Cypress Tree
Mountain Juniper Tree
Pecan/Hickory Tree
Bahia Grass
Cocklebur
Alternaria alternata
Aspergillus fumigatus
Cladosporium herbarum
Penicillium chrysogenum
Stephylium herbarum
Cat Dander
Dog Dander
Total IgE

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Total IgE

IgE plays an essential role in allergic disease and also protects against parasitic worms.  Elevated Total IgE levels are an indication of allergies, atopic disorders, parasitic disorders or IgE Myeloma.  Typical symptoms include asthma, eczema, rhinitis, and sinusitis.  Total IgE measurements are not specific for the allergen causing the symptoms, but are used by some providers to screen patients for IgE related allergic disease.

Applicable Tests:
Total IgE (Quantitative)

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