Sample results. Actual results may vary. PATIENT INFORMATION DOB: AGE: GENDER: FASTING: Clinical Info: Test Name Result Flag Reference Range Lab
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1 Sample results. Actual results may vary. SPECIMEN INFORMATION SPECIMEN: REQUISITION: LAB REF NO: PATIENT INFORMATION DOB: AGE: GENDER: FASTING: REPORT STATUS: FINAL ORDERING PHYSICIAN CLIENT INFORMATION COLLECTED: Clinical Info: RECEIVED: REPORTED: Test Name Result Flag Reference Range Lab FASTING:NO TURKEY MEAT (F284) IGE TURKEY MEAT (F284) IGE <0.10 ku/l 01 WHEAT (F4) IGE WHEAT (F4) IGE 0.10 HIGH ku/l 01 CLASS 0/1 01 TOMATO (F25) IGE TOMATO (F25) IGE <0.10 ku/l 01 TUNA (F40) IGE TUNA (F40) IGE <0.10 ku/l 01 YEAST (F45) IGE YEAST (F45) IGE 0.61 HIGH ku/l 01 CLASS 1 01 WATERMELON (RF329) IGE ** WATERMELON (RF329) IGE ** <0.10 ku/l 01 VANILLA (F234) IGE ** VANILLA (F234) IGE ** <0.10 ku/l 01 WHEY (F236) IGE WHEY (F236) IGE <0.10 ku/l 01 WALNUT (F256) IGE WALNUT (F256) IGE <0.10 ku/l Specific Level of Allergen IGE Class ku/l Specific IGE Antibody <0.10 Absent/Undetectable 0/ Very Low Level Low Level Moderate Level High Level Very High Level Very High Level 6 >100 Very High Level The clinical relevance of allergen results of ku/l are undetermined and intended for specialist use. Order Today 1 of 6
2 Sample results. Actual results may vary. HONEY (F247) IGE HONEY (F247) IGE <0.10 ku/l 02 CLASS 0 02 SPECIFIC LEVEL OF ALLERGEN IGE CLASS ku/l SPECIFIC IGE ANTIBODY <0.10 ABSENT/UNDETECTABLE 0/ VERY LOW LEVEL LOW LEVEL MODERATE LEVEL HIGH LEVEL VERY HIGH LEVEL VERY HIGH LEVEL 6 >100 VERY HIGH LEVEL The clinical relevance of allergen results of ku/l are undetermined and intended for specialist use. SCALLOP (F338) IGE SCALLOP (F338) IGE <0.10 ku/l 01 GRAPE (F259) IGE GRAPE (F259) IGE <0.10 ku/l 01 LEMON (F208) IGE LEMON (F208) IGE <0.10 ku/l 01 LIME (F306) IGE ** LIME (F306) IGE ** <0.10 ku/l 01 COW'S MILK (F2) IGE COW'S MILK (F2) IGE <0.10 ku/l 01 RYE (F5) IGE RYE (F5) IGE <0.10 ku/l 01 OAT (F7) IGE OAT (F7) IGE <0.10 ku/l 01 RICE (F9) IGE RICE (F9) IGE <0.10 ku/l 01 SESAME SEED (F10) IGE SESAME SEED (F10) IGE <0.10 ku/l 01 PEA (F12) IGE PEA (F12) IGE <0.10 ku/l 01 PEANUT (F13) IGE PEANUT (F13) IGE <0.10 ku/l 01 2 of 6
3 SOYBEAN (F14) IGE SOYBEAN (F14) IGE <0.10 ku/l 01 SHRIMP (F24) IGE SHRIMP (F24) IGE 0.29 HIGH ku/l 01 CLASS 0/1 01 PORK (F26) IGE PORK (F26) IGE <0.10 ku/l 01 ORANGE (F33) IGE ORANGE (F33) IGE <0.10 ku/l 01 POTATO (F35) IGE POTATO (F35) IGE <0.10 ku/l 01 SALMON (F41) IGE SALMON (F41) IGE <0.10 ku/l 01 STRAWBERRY (F44) IGE STRAWBERRY (F44) IGE <0.10 ku/l 01 ONION (F48) IGE ONION (F48) IGE <0.10 ku/l 01 LOBSTER (F80) IGE LOBSTER (F80) IGE <0.10 ku/l 01 PARSLEY (F86) IGE PARSLEY (F86) IGE <0.10 ku/l 01 LETTUCE (F215) IGE LETTUCE (F215) IGE <0.10 ku/l 01 LAMB (F88) IGE LAMB (F88) IGE <0.10 ku/l 01 MUSTARD (F89) IGE MUSTARD (F89) IGE <0.10 ku/l 01 GOAT MILK (F300) IGE ** GOAT MILK (F300) IGE ** <0.10 ku/l 01 GRAPEFRUIT (F209) IGE GRAPEFRUIT (F209) IGE <0.10 ku/l 01 HALIBUT (F303) IGE ** HALIBUT (F303) IGE ** <0.10 ku/l 01 OREGANO (F283) IGE ** OREGANO (F283) IGE ** <0.10 ku/l 01 PINEAPPLE (F210) IGE PINEAPPLE (F210) IGE <0.10 ku/l 01 SPINACH (F214) IGE Sample results. Actual results may vary. SPINACH (F214) IGE <0.10 ku/l 01 PEACH (F95) IGE PEACH (F95) IGE <0.10 ku/l 01 MUSHROOM (F212) IGE ** MUSHROOM (F212) IGE ** 0.51 HIGH ku/l 01 CLASS 1 01 BRUSSEL SPROUTS (RF217) IGE 3 of 6
4 Sample results. Actual results may vary. BRUSSEL SPROUTS (RF217) IGE <0.10 ku/l 02 CLASS 0 02 CRANBERRY (RF341) IGE CRANBERRY (RF341) IGE <0.10 ku/l 02 CLASS 0 02 SPECIFIC LEVEL OF ALLERGEN IGE CLASS ku/l SPECIFIC IGE ANTIBODY <0.10 ABSENT/UNDETECTABLE 0/ VERY LOW LEVEL LOW LEVEL MODERATE LEVEL HIGH LEVEL VERY HIGH LEVEL VERY HIGH LEVEL 6 >100 VERY HIGH LEVEL The clinical relevance of allergen results of ku/l are undetermined and intended for specialist use. EGGPLANT (F262) IGE ** EGGPLANT (F262) IGE ** <0.10 ku/l 03 CLASS 0 03 SWEET POTATO (F54) IGE SWEET POTATO (F54) IGE <0.10 ku/l 01 BLACK PEPPER (F280) IGE BLACK PEPPER (F280) IGE <0.10 ku/l 01 BASIL (F269) IGE ** BASIL (F269) IGE ** <0.10 ku/l 01 BLUEBERRY (F288) IGE ** BLUEBERRY (F288) IGE ** <0.10 ku/l 01 CASHEW NUT (F202) IGE CASHEW NUT (F202) IGE <0.10 ku/l 01 CHERRY (F242) IGE CHERRY (F242) IGE <0.10 ku/l 01 ASPARAGUS (F261) IGE ** ASPARAGUS (F261) IGE ** <0.10 ku/l 01 CABBAGE (F216) IGE CABBAGE (F216) IGE <0.10 ku/l 01 4 of 6
5 CAULIFLOWER (F291) IGE ** CAULIFLOWER (F291) IGE ** <0.10 ku/l 01 CINNAMON (F220) IGE ** CINNAMON (F220) IGE ** <0.10 ku/l 01 CUCUMBER (F244) IGE CUCUMBER (F244) IGE <0.10 ku/l 01 GINGER (F270) IGE ** GINGER (F270) IGE ** <0.10 ku/l 01 EGG WHITE (F1) IGE EGG WHITE (F1) IGE 0.28 HIGH ku/l 01 CLASS 0/1 01 CODFISH (F3) IGE CODFISH (F3) IGE <0.10 ku/l 01 BARLEY (F6) IGE BARLEY (F6) IGE <0.10 ku/l 01 BUCKWHEAT (F11) IGE BUCKWHEAT (F11) IGE <0.10 ku/l 01 ALMOND (F20) IGE ALMOND (F20) IGE <0.10 ku/l 01 CRAB (F23) IGE CRAB (F23) IGE <0.10 ku/l 01 BEEF (F27) IGE BEEF (F27) IGE <0.10 ku/l 01 CARROT (F31) IGE CARROT (F31) IGE <0.10 ku/l 01 GARLIC (F47) IGE GARLIC (F47) IGE <0.10 ku/l 01 APPLE (F49) IGE APPLE (F49) IGE <0.10 ku/l 01 CASEIN (F78) IGE CASEIN (F78) IGE <0.10 ku/l 01 GLUTEN (F79) IGE GLUTEN (F79) IGE <0.10 ku/l 01 EGG YOLK (F75) IGE EGG YOLK (F75) IGE <0.10 ku/l 01 CHICKEN MEAT (F83) IGE CHICKEN MEAT (F83) IGE <0.10 ku/l 01 CELERY (F85) IGE Sample results. Actual results may vary. CELERY (F85) IGE <0.10 ku/l 01 COCOA (F93) IGE COCOA (F93) IGE <0.10 ku/l 01 COFFEE (F221) IGE ** COFFEE (F221) IGE ** <0.10 ku/l 01 BANANA (F92) IGE BANANA (F92) IGE <0.10 ku/l 01 5 of 6
6 AVOCADO (F96) IGE AVOCADO (F96) IGE <0.10 ku/l 01 CLAM (F207) IGE CLAM (F207) IGE <0.10 ku/l Specific Level of Allergen IGE Class ku/l Specific IGE Antibody <0.10 Absent/Undetectable 0/ Very Low Level Low Level Moderate Level High Level Very High Level Very High Level 6 >100 Very High Level The clinical relevance of allergen results of ku/l are undetermined and intended for specialist use. Performing Laboratory Information: Sample results. Actual results may vary. 6 of 6
588G: Dietary Antigen Testing: Sensitivity and Complement 1/5. Dietary Antigen Exposure by Food Group
PATIENT NAME: CLINIC: DOB: SAMPLE DATE: RECEIVE DATE: REPORT DATE: R //2 /28/27 /29/27 /3/27 Dunwoody Labs 9 Dunwoody Park Suite 2 Dunwoody, GA 3338 USA Phone: 6787366374 Fax: 776747 Nine Dunwoody Park,
LAST NAME FIRST NAME MIDDLE NAME DATE OF BIRTH GENDER PHYSICIAN ID. TESTNAME PATIENT Female For doctor's reference
FINAL REPORT DATE: ACCESSION ID: 05-04-2017 16:24 SPECIMEN COLLECTED: 11-03-2016 1611040000 SPECIMEN RECEIVED: 11-04-2016 00:00 LAST NAME FIRST NAME MIDDLE NAME DATE OF BIRTH GENDER PHYSICIAN ID TESTNAME
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