We use a variety of third-party laboratory services to ensure the most accurate and comprehensive snapshot of patient health. Among them, LabCorp is the lab we use the most.

When dealing with Chronic Inflammatory Response Syndrome (CIRS), there are many labs that most physicians have never heard of–as well as a lot of tests that are commonly known by other practitioners. Below are some of the tests we use for diagnosing CIRS, designing treatment plans, and monitoring progress:

Initial CIRS Profile

  • Trans. Growth Fact. beta 1*
  • Antidiuretic Hormone Profile
  • Cortisol
  • ACTH, Plasma
  • Melanocyte Stimulating Hormone
  • Osmolality
  • TestT+E2+TestF+DHEA
  • Complement C4a
  • HNK1 (CD57) Panel
  • Plasminogen Act Inhibitor-1
  • Lipase
  • Vitamin D, 25-Hydroxy
  • HLA DRB1,3,4,5,DQB1 (IR)
  • TSH+T3+T4F
  • Lipid Panel
  • Urinalysis, Routine
  • CMP14+CBC/D/Plt
  • CK
  • Sedimentation Rate-Westergren
  • Ferritin
  • Iron and TIBC
  • Leptin
  • Magnesium
  • Phosphorus
  • CD4
  • T-Cell Activation, CD8 Subsets
  • CMP14
  • ImmuKnow (R)
  • MMP-9 (Matrix metalloprot.-9)

We need to formulate a broad “differential diagnosis”; this is a list of all of the various things that may be wrong with you, causing your symptoms.  Numerous labs are required to “rule out” these various illnesses that we’re thinking may be causing your problems.   LabCorp is covered by all insurance plans, unfortunately, not all of the other labs are covered by insurance.

Mast Cell Activation Syndrome (MCAS) Profile

  • Heparin Anti-Xa
  • N-Methylhistamine, Urine
  • Histamine Determination, Blood
  • Tryptase
  • Prostaglandins: D2, S
  • HCV NAA Qualitative (rfx Geno)

Whenever possible, we try to concentrate on using labs that ARE covered by your insurance carrier.

Dr. Raymond Oenbrink