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BTD Forums  /  Eat Right 4 Your Type  /  Getting a blood test in the U.S.
Posted by: Bob, Monday, September 20, 2010, 10:10pm
I have attempted to contact various labs in my area and have not had any luck.  Each company said basically I had to get a doctors order and insurance papers.  Evidently I am asking the wrong question.
Any help would be appreciated.
Posted by: Lola, Monday, September 20, 2010, 10:13pm; Reply: 1
a blood test or a lewis test?
what exactly are you after?
Posted by: Sharon, Monday, September 20, 2010, 10:15pm; Reply: 2
Quest Labs does the sereotyping panel but it takes them a while to find the code in their books. When I got my blood taken at Quest to find my Lewis, Secretor, etc...they had to call many supervisors until someone knew the code. They told me they couldn't do it but I kept persisting and asked for them to call their manager or another lab to write the right code in to be processed. Eventually they found it. Good luck!
Posted by: Dr. Pepper, Monday, September 20, 2010, 10:18pm; Reply: 3
Bob,

I think in most places you do need a doc's order to have the lab do the testing.  In many states, like MA where I live, the lab is not even allowed legally to release the test report or results to the patient if you can believe it; it must go directly to a doc's office or hospital.  I think there are about 1/3 of the US states where this is still true.  

I have had very good success in asking my primary care doc (PCP) to order specialty tests for me, even if he doesn't know what I want them for or exactly what to do with the results.  I'm lucky to have a good PCP who is actually interested in why I'm getting them done.  Might be worth a try.  Other option is to schedule an appt w/ Dr. D., or a naturopathic physician certified by Dr. D. who can order the tests for you, and who will know what to do with the results once they're in!  

Good luck! :)
Posted by: Dr. Pepper, Monday, September 20, 2010, 10:24pm; Reply: 4
Quoted from Sharon
Quest Labs does the sereotyping panel but it takes them a while to find the code in their books. When I got my blood taken at Quest to find my Lewis, Secretor, etc...they had to call many supervisors until someone knew the code. They told me they couldn't do it but I kept persisting and asked for them to call their manager or another lab to write the right code in to be processed. Eventually they found it. Good luck!



I was just there today for a Lewis B test.  The Quest codes (at least those that they used for me) for Blood type, Rh Factor and Lewis B test are as follows:



My order didn't list a code for the Anti-A Lectin test for folks that are Type A's; I'm a Type O so it didn't matter for me.

Quest told me it would be 3 days turn around for the RBC Antigen test.
Posted by: Lloyd, Tuesday, September 21, 2010, 12:16am; Reply: 5
http://www.personalabs.com/blood-testing-labs/maryland.aspx

For Maryland. Doctors orders and insurance not needed.
Posted by: Lola, Tuesday, September 21, 2010, 5:16am; Reply: 6
Lewis phenotype
permits inference of secretor status
don t let them perform just a B....ask for both
a and b
results should read
Le(a-b+) always secretors
Le(a+b-) always a non-secretor
Le(a-b-) can be secretors or non-secretors, this phenotype is
         only about 5%-6% of caucasians, in my particular case I had to perform the saliva test as well to corroborate my non secretor status
Le(a+b+) these people are always weak secretors, This phenotype
         is very rare and occurs almost exclusively in Asians.
don t let the lab get away with what they consider ......show them this text
Posted by: Dr. Pepper, Tuesday, September 21, 2010, 1:06pm; Reply: 7
In my case, the lab would only do what was on the order, which came direcly from Dr. D's office.  The Quest lab order read just as I listed it above.  I wondered about the Lewis A portion too, but figured it was just a part of the overall test.  The lab would not do anything other than what was explicitly stated on the order...We'll see!  I may have to go back for the A portion later--don't know...
Posted by: Bob, Wednesday, September 22, 2010, 10:33pm; Reply: 8
Okay;

I see I am not the only one having this problem?  Thank goodness.  
Now before I go in and ask a doctor to get a blood test can anyone tell me what specifice test I wish to have done other than cholestoral, the test for prostate cancer blood test.  I would like to know about the secretor or non and can that be included in the test.  Approximately what is the cost.  And what is a Lewis phenotype
Posted by: C_Sharp, Wednesday, September 22, 2010, 11:00pm; Reply: 9
You can determine secretor status either using blood or saliva.

If you prefer to use blood,
then your determine Lewis phenotype by measuring whether the blood reacts when exposed to Lewis antigens:

Le(a-b+) always secretors
Le(a+b-) always a non-secretor
Le(a-b-) can be secretors or non-secretors


Lewis system explained (Additional information not necessary for getting the test):

http://www.drpeterjdadamo.com/wiki/wiki.pl/Lewis_Blood_Group


Posted by: ecaines, Thursday, September 23, 2010, 12:54am; Reply: 10
I don't know the law or ways in Maryland; if you donate blood or plasma you can get your blood type as well as STD and HIV/AIDS test will give you your blood type on the results.  :)
Posted by: Captain_Janeway, Thursday, September 23, 2010, 3:23am; Reply: 11
The best way to get a Lewis blood group phenotype is to go through a blood donation center. If you are already a regular blood donor then you can ask the center if these tests have already been done as part of your extended blood typing. If they have not been performed, then it would be worth asking the blood donor center to perform those tests. They will charge a fee for performing the tests, but at least they understand what you are asking for and you can also be assured that the results will be accurate. Blood donor centers are required by the FDA to have trained technicians to perform these tests. In some cases the results have to be verified by another technician in order to verify results. And any results they get are documented on any blood donor.

You must ask to be tested for Lewis a and b blood group antigens on a blood sample or you can ask for a Lewis blood group phenotype and they will know what you are talking about.
Posted by: Captain_Janeway, Thursday, September 23, 2010, 3:29am; Reply: 12
Quoted from ecaines
I don't know the law or ways in Maryland; if you donate blood or plasma you can get your blood type as well as STD and HIV/AIDS test will give you your blood type on the results.  :)


True, but it may not necessarily include Lewis phenotype.
Posted by: Captain_Janeway, Thursday, September 23, 2010, 3:38am; Reply: 13
Quoted from Dr. Pepper



I was just there today for a Lewis B test.  The Quest codes (at least those that they used for me) for Blood type, Rh Factor and Lewis B test are as follows:

  • 7788 ABO Group and Rh Type
  • 8626 RBC Antigen Typing (Lewis B)


My order didn't list a code for the Anti-A Lectin test for folks that are Type A's; I'm a Type O so it didn't matter for me.

Quest told me it would be 3 days turn around for the RBC Antigen test.


If all they did was a Lewis b and not both Lewis a and b then the results are inconclusive. This does not tell us anything about your secretor status. If you tested Lewis b negative then you could be either
Le(a+b-) nonsecretor or Le(a-b-) in which case you could be either secretor or non-secretor. If you tested Lewis b positive, then you could be Le(a-b+) secretor or Le(a+b+) which is a weak secretor and very rare.
Posted by: Lola, Thursday, September 23, 2010, 6:04am; Reply: 14
Dr D mentioned however during the last CT conference, that
performing the Lewis b antigen test exclusively is however
better that non at all....
roughly if b turns up negative, the nonnie trait is there,
be it a light secretor or a definite nonnie.....
my LDN status confirmed my weirdness.....at least I have a license to
be weird!!! ;) ;D
that title was given to us LDNs by Dr D himself
Posted by: Dr. Pepper, Thursday, September 23, 2010, 12:12pm; Reply: 15
Quoted from Captain_Janeway


If all they did was a Lewis b and not both Lewis a and b then the results are inconclusive. This does not tell us anything about your secretor status. If you tested Lewis b negative then you could be either
Le(a+b-) nonsecretor or Le(a-b-) in which case you could be either secretor or non-secretor. If you tested Lewis b positive, then you could be Le(a-b+) secretor or Le(a+b+) which is a weak secretor and very rare.


Hopefully Quest did both.  I didn't question the lab requisition order since it came from Dr. D's office.  I should know by tomorrow or Monday and will report back.  My saliva test results were definitely nonnie, so if the Lewis blood test comes back as b negative, I suspect that will be a strong confirmation of my nonniness.
Posted by: Andrea AWsec, Thursday, September 23, 2010, 12:46pm; Reply: 16
Got this from D'Adamo Personalized Nutrition.. Seems simple enough.



Determining Secretor Status Through Blood Work Tests:

The following blood work will determine secretor status:
Run lab test for: RBC Antigen Typing - Lewis B antigen
Results:
          positive = secretor
          negative = non-secretor  
Add the following notation to bottom of blood work request form:
"If unfamiliar with this test, consult with your blood banking personnel."
Posted by: Bob, Thursday, September 23, 2010, 6:09pm; Reply: 17
So give blood ask for the Lewis a and b test and than go see the doc and get the normal battery of test ie cholestoral and prostate
Posted by: Frosty, Thursday, September 23, 2010, 6:45pm; Reply: 18
Bob,

I had this same trouble getting the tests done.  I know my blood type and that I am a secretor but, for Dr. D to do a phone consult I had to have the tests done through a lab.  What a mess that was trying to get that done.  They would do the blood typing but, the other lewis B antigen test I couldn't find anyone to do it or who even knew what the test was.  ::) It was a joke.  

So, I made an appoinment with the good doctor at the University of Bridgeport.  They do the testing there all I have to do is fill out my paper work and show up.  They are booked pretty far out at his office in Wilton, I couldn't get in for months, but I was lucky and got an appt for the end of October at the University and if I need to there are shuttles available from the airport to the university.  I would prefer to drive myself unless there is snow on the ground.

If you continue to have trouble you could do like I did and book an appointment. ;)
Posted by: Andrea AWsec, Thursday, September 23, 2010, 10:40pm; Reply: 19
Nope-- ask for a Lewis B antigen and you know that if it is negative you are a nonnie, if it is positive you are a secretor.

Not need to do both tests.
Posted by: Lola, Friday, September 24, 2010, 2:39am; Reply: 20
:)
http://www.dadamo.com/cgi-bin/Blah/Blah.pl?m-1285020614/s-19/#num14
Posted by: ecaines, Friday, September 24, 2010, 4:28pm; Reply: 21
Quoted from Captain_Janeway


True, but it may not necessarily include Lewis phenotype.


No, they won't do the Lewis test that requires a doctor.  :)
Posted by: Bob, Friday, September 24, 2010, 8:46pm; Reply: 22
I am sorry I had missed one of the post.  I know after being in the military that I am O positive blood type so that part I am not to concerned with.  The reason I wish to get a blood test is to monitor how my cholesterol level will be after trying the BTD for 60 to 90 days.  I just want to get a base line so that I can adjust before going to far along with no adjustments.  I am intending to contact my primary doctor and ask about if she can request just the Lewis B and the cholesterol and repeat the cholesterol check after about 90 days.  The Lewis B will help I assume to determine the neutrals that could be avoids in this program.
Posted by: Dr. Pepper, Saturday, September 25, 2010, 7:40pm; Reply: 23
Quoted from Bob
I am sorry I had missed one of the post.  I know after being in the military that I am O positive blood type so that part I am not to concerned with.  The reason I wish to get a blood test is to monitor how my cholesterol level will be after trying the BTD for 60 to 90 days.  I just want to get a base line so that I can adjust before going to far along with no adjustments.  I am intending to contact my primary doctor and ask about if she can request just the Lewis B and the cholesterol and repeat the cholesterol check after about 90 days.  The Lewis B will help I assume to determine the neutrals that could be avoids in this program.


The Lewis B will tell you your secretor status.  B- (non-secretor); B+ (secretor).
Posted by: shawn_marie, Friday, November 5, 2010, 11:16pm; Reply: 24
Quoted from Frosty
If you continue to have trouble you could do like I did and book an appointment. ;)


How do you go about getting an appointment? I would travel knowing that I am getting complete and accurate results. Also, what is the approx. cost for the appointment and tests?

Thanks!
Posted by: C_Sharp, Friday, November 5, 2010, 11:45pm; Reply: 25
For appointments at D'Adamo clinic:

http://www.dadamo.com/clinic/contact.htm

For an appointment at University of Bridgeport:

http://www.drpeterjdadamo.com/UB_shift/contact.shtml
Posted by: shawn_marie, Saturday, November 6, 2010, 12:27am; Reply: 26
Thanks! I appreciate the info C_sharp  :D
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