1148 Fifth Avenue, Suite 1B New York, NY 10128

Vitamin & Mineral Testing

THE PATIENT:

Anya B. Age 49 accountant from New York, realized she was feeling very bad for months. She was terrified that it could be a really bad sickness. Anya had often colds, chronic fatigue, back pain, night sweats, bad cramps, and depression.

THE SEARCH FOR A SOLUTION:

Anya had enough and was determined to find out what was going on with her body as she had seen her regular Doctor to no avail. Anya decided to search online for alternative Doctors or treatments, she came upon Patients Medical Holistic Center It’s run by Dr. Gulati, a very famous Holistic Doctor. Dr. Gulati is a Board Certified Holistic Internal Medicine Practitioner with two MD's - one each in Internal Medicine and Pathology. Dr. Gulati has over 20 years of medical experience and has hospital privileges at Mt. Sinai Hospital in Manhattan.

Anya also looked at several other centers but decided to go with Patients Medical because Dr. Gulati was the only Doctor Board Certified and she loved Dr. Gulati credentials. Anya eagerly made an appointment with Dr. Gulati.

THE SOLUTION:

Anya met with Dr. Gulati for over 1 hour. Anya was given a complete Blood test, urine test, and a new Genetic DNA test. All tests were back within two weeks, Anya came back for her second visit with Dr. Gulati. Dr. Gulati sat Anya down for over 2 hours and went over all results of her test. Anya was dangerously low in a number of Vitamins, hormones problems, pre-diabetic and had a severe case of anemia. Dr. Gulati came up with a wellness plan just for Anya. She was put on high dose IV vitamin and mineral infusions drips and a regimen of pharmaceutical grade supplements.

THE RESULT:

Let's hear in Anya own words what the results were as she left us "Patients Medical" a very long review.

"Most" supplements" and "vitamins" on the market that you buy for "1/2 price" are not what they say they are, don't have the efficacy of some supplements, and in many cases, are no more than potato starch/not what they say they are on the bottle so it is VERY important to know your source and what is actually in the bottle/who is making it. Doubtful the supplements at Duane Read have what are in the proprietary blends that have DEFINITELY helped me bring down my cholesterol 27 points in less than three months.

Dr. Gulati IS A LIFE SAVER. She is a WONDERFUL doctor, she may not be for everyone, but she literally has helped bring me back from the brink of serious health issues I had no idea I had and further more had been told by my endocrinologist who did nothing that I was "normal"- for almost 15 years. I had ***9%*** iron levels and my toe was approaching necrosis. This woman saved me from a case of severe anemia and thyroid issues and pre-diabetes in three months. Hell yes it cost- because mainstream medical establishments think what she is doing is "quackery" when in fact the only "quackery" that was happening was listening to my do-nothing endocrinologist before her and all I wound getting was more sick.

The IV infusions I receive at PM definitely have helped me and given me energy back that I did not know I even had anymore. I feel 25 years younger and I owe it all to Patients Medical- I feel like a normal person again! I also have lost almost 25 pounds in 5 months due to their excellent care and I have hardly changed my lifestyle beyond taking the supplements and doing what they ask of me re: IV treatments and checkups. If the public, mainstream media and medial establishments (and government) actually researched what is going on here, they would realize that what they do at PM is the opposite of a scam. They saved my life, and I am eternally grateful. If you don't want to pay out of pocket for GOOD QUALITY supplements instead of some drug store brand, then blame the government, not the price points that have to be charged/paid for out of pocket to actually get the supplements that they say they are on the bottle/the efficacy is what it is.

I think the people who visited here and left negative reviews really don't understand health and nutrition very well nor do they want to take the time and effort it takes to get well-- I think they are much more comfortable with, rather than have a doctor work with them, having a doctor just shove a prescription in their hand and not really investigate/get to the bottom of any underlying issues they know nothing about. Dr. Gulati really takes the time to investigate what is going on here, and that involves tests and time- tests and time that ARE NOT frivolous. In my case, the medical tests were lifesavers. I am completely baffled by someone complaining that a doctor's appointment took two hours- it was not spent waiting in the waiting room! The average physician spends 7 minutes on a client. *7 minutes* -- what do you think can be achieved in that amount of time to get to the heart of the problem? My experiences with Dr. Gulati is that she wants to really investigate underlying causes of things to actually get to the heart of the problem and really cares about the well being and health of her clients. Thank you, Dr. Gulati, and thank you Patients Medical!"

Wow, thank you, Anya, for the great review as we do care about our patients. We care about finding the root and cause of your problem we don’t treat symptoms we treat the whole body and the root of the cause. Doctors at Patient Medical will always make a plan of action just for YOU we never treat two patients the same.

To make an appointment with one of our physicians, please call us at 1-212-794-8800. We look forward to hearing from you.

Definition

Vitamin tests measure the levels of certain vitamins in an individual's blood. They are generally used to aid in the diagnosis of vitamin deficiencies or in detecting toxic amounts of a vitamin in a patient's system.

Purpose

Vitamins are components of food that are needed for growth, reproduction, and maintaining good health. The vitamins include vitamin D, vitamin E, vitamin A, and vitamin K, which are the fat-soluble vitamins, and folate, vitamin B12, biotin, vitamin B6, niacin, thiamine, riboflavin, pantothenic acid, and ascorbic acid, which are the water-soluble vitamins.

Vitamins are required in the diet in only tiny amounts, in contrast to the energy components of the diet, such as sugars, starches, and fats. However, not receiving sufficient quantities of a certain vitamin can be devastating, resulting in vitamin deficiency diseases such as scurvy, pellagra, or rickets. Conversely, consuming too much of a certain vitamin can be toxic to a person's system. Vitamin tests are used to assess the level of certain vitamins in an individual's blood so that doctors can more accurately diagnose vitamin deficiency diseases or vitamin overdoses and devise effective therapy. The vitamins that are most commonly measured by doctors are folate, vitamin B12, vitamin D, and vitamin A.

Description

Most of the vitamin tests are conducted by acquiring a sample of blood, and then preparing plasma or serum from the blood sample. Each vitamin occurs at extremely small concentrations when compared to levels of most other molecules in the blood. Blood contains a great number of chemicals and molecules, and many of these tend to interfere with the vitamin tests. For this reason, a procedure that separates the vitamin from contaminating substances is usually performed immediately prior to conducting the actual test. Most laboratories use high pressure liquid chromatography (HPLC), also called high performance liquid chromatography, as this purification step. In HPLC, the sample is pumped at high pressure through a tube lined with an absorbent material, to which the different molecules cling at different rates. Following separation or purification by HPLC, the vitamin is detected by a color reaction or fluorescence reaction. In these reactions, the amount of color or fluorescence that is formed is proportional to the amount of vitamin in the sample, allowing the analyst to calculate the amount of vitamin present in the original sample. In the case of some vitamins, the purified vitamin is reacted with a special chemical (reagent) prior to detection.

Levels of some vitamins may be measured indirectly by a biological test that mimics the actual function of the vitamin in the body. Riboflavin status is often measured by a test in which the rate by which a certain enzyme converts one molecule into another indicates how much Vitamin B2 is present in a person's blood. Vitamin K is indirected measured by looking at blood clot formation. Vitamin E status is often measured by placing the red blood cells in a test tube, adding hydrogen peroxide, and assessing the resulting breakdown of the red blood cells. When a vitamin E deficiency exists, the red blood cells have a greater tendency to break.

Preparation

Most vitamin tests require no preparation; however, some may require that the patient fast for at least eight hours before giving a blood sample, or stop using some medications.

Normal results

The values that are considered to be normal for each vitamin can vary slightly. This variability can arise from different testing machines or from different types of chemistry that are used in conducting the vitamin assays. In interpreting data on plasma vitamin levels, it should also be noted that different normal ranges may exist for different age groups and genders. For example, the normal range for plasma vitamin B6 for males is 7-52 nanograms per milliliter (ng/mL) for males and 2-26 ng/mL for females.

The normal ranges for levels of certain vitamins are as follows. Please note that, by convention, the units referring to the levels of each of the vitamins may differ from each other. The units picogram/milliliter (pg/mL), nanogram/milliliter (ng/mL), and micrograms per deciliter (micrograms/dL) refer to the weight of vitamin in the specified volume. The units nanomoles/liter (nmol/L) and micromoles/liter (M/L) refer to the concentration of vitamin in the specified volume.

Abnormal results

In all cases, abnormal results fall below or above the normal concentration range. However, as noted above, values that are considered to be borderline or severely abnormal can differ according to the discretion of the medical laboratory or physician.

  • folate (folic acid): 3.1-18.0 ng/mL
  • vitamin B12: 200-1100 pg/mL
  • thiamin: 9-44 nmol/L
  • riboflavin: 6.2-39 nmol/L
  • vitamin B6: 7-52 ng/mL
  • vitamin C (asorbic acid): 28-84 M/L
  • vitamin A: 28-94 micrograms/dL
  • vitamin D (25-hydroxy-vitamin D): 40-100ng/mL
  • vitamin K: 80-1160 pg/mL

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