Interpreting My Results

health screening resultsFirst of all, we would like to thank everyone who decided to own their health this year by attending one of our 9Health Fairs. Now that you have your results, the next thing you should do is take them to your health practitioner so they can help you understand exactly what your results mean for your health.

By keeping your results from year to year, your health care provider can compare your results to previous year results and notice any trends that may need attention. If you don’t have results from previous years, that’s okay too. We still suggest taking them to your doctor so they can keep copies in your medical records.

You can also go to any King Soopers or City Market pharmacy or call 9Health Fair for help understanding your results.

Zeroing in on Your Results

Now that you have your results back, take a look at them. Do you see any areas in bold? Those are areas you will want to look at and most likely discuss with your health care provider. Here are a few areas you may want to focus on:

  1. Areas that have already been identified as concerns. Maybe you already know that you have high cholesterol, thyroid issues, etc. If you know that you have certain health concerns, take a look at those first. If anything has changed since your previous test, you’ll want to discuss those changes with a medical professional. Hopefully, when you look at your results, you’ll see improvement and know that whatever changes you’ve made have been working.
  2. Cholesterol. Take a look this area, particularly your numbers for HDL (the good cholesterol) and LDL (bad cholesterol). If you have any results in bold, you’ll want to get with your doctor to discuss strategies to correct it. High cholesterol is a major risk factor for heart disease.
  3. Glucose and A1c. These tests will let you know if you may be at risk for developing diabetes. Diabetes is a preventable disease. If you detect it early enough you can reverse your risk of developing the disease. (Diabetes Screenings: Which One is Right for You)

If anything extremely serious or urgent is found in your results, you will receive a phone call from a 9Health Fair nurse within 24-72 hours. If you haven’t received a phone call, but still have results that are noted in bold, you should schedule an appointment with a medical professional to discuss those results in more detail. Your test results are a great way to get a snapshot of your health and work to reverse anything concerning before it becomes a serious and costly issue.

Do You Still Have Questions About Your Results?

You’ve attended a 9Health Fair, but you have some questions. Here are the answers to frequently‐ asked questions from participants.

Q: It’s been more than 4 weeks since I attended the 9Health Fair and I still have not received my blood screening results. What should I do?

A: Call our office (303‐698‐4455 or 800‐332‐3078) and ask to speak to someone in the Client Services Department. They will be able to help you. If you have the yellow copy of your participant form from the fair, please have that available when you call.

Q: Can I get another copy of my report?

A: Yes. Call our office (303‐698‐4455 or 800‐332‐3078) and ask to speak to someone in the Client Services Department. They will be able to help you. If you have the yellow copy of your participant form from the fair, please have that available when you call.

Q: I lost my receipt. Can you mail me a copy?

A: Yes. Call our office (303‐698‐4455 or 800‐332‐3078) and ask to speak to someone in the Client Services Department. They will be able to help you. If you have your results, please have them available when you call.

Q: Does Medicare or my insurance cover the costs of screening?

A: Medicare does not cover the cost of screenings provided by a 9Health Fair. Since insurance companies have different requirements for coverage, you should consult your insurance provider regarding reimbursement of screening costs.

Q: Does 9Health Fair have procedure/diagnostic/CPT codes so I can get reimbursed by my insurance?

A: No. 9Health Fair does not perform any procedures or provide any diagnoses.

Q: I’m concerned about the security of my results. Do you provide my screening results to insurance providers or the medical information bureau?

A: No. 9Health Fair does not provide results to anyone other than the participant unless the participant signs an “Authorization to Release Confidential Information” authorizing us to do so.

What Is a Blood Cell Count Screening?

Blood Cell Count is one of the most commonly ordered blood screenings at 9Health Fair. It can help to provide a general picture of one’s overall health. It tests four main components:
1. White Blood Cell Count – White blood cells are your body’s protectors. When you have an infection, these cells will attack it.
2. Hemoglobin Concentration – Hemoglobin is an iron-containing protein found in red blood cells. It enables the cells to carry oxygen and carbon dioxide in the blood.
3. Hematocrit Value – Your percentage of red blood cells in your blood.
4. Platelet Count – Platelets are the smallest type of cell found in the blood. They help stop bleeding after injury.

What Diseases/Conditions can be Identified in Your Blood Cell Count?
An increased number of white cells may occur with infections, appendicitis, pregnancy, leukemia, strenuous exercise, emotional distress and anxiety. Low white blood cell counts make it hard for your body to fight infections, meaning you’re likely to be more prone to catch colds or other infectious diseases. It can also indicate mumps, lupus, cirrhosis of the liver and certain cancers.
Low levels of hemoglobin can indicate anemia. Interesting to note, females typically have lower levels of hemoglobin values than men. The same is true for the hematocrit value, but it can also indicate the presence of liver disease.

Who May Want to Have a Blood Cell Count?
You may want to get this screening if you are experiencing:
• Paleness
• Shortness of breath
• Fatigue
• Prone to bruising
• About to have surgery

Always seek the advice of your doctor if you have questions about your results.

What Is a Blood Chemistry Screening?

Blood Chemistry Screening is a comprehensive blood test that gives a general overview of your health. You can learn a lot about your health from this one test, such as cholesterol levels, thyroid issues, the chance of becoming diabetic, etc.

What is the Blood Chemistry Screening Telling Me About My Body?

This test provides 28 levels of information regarding several aspects of your body, including heart health, diabetes risk, liver and kidney function and more.

Heart Health

Cholesterol – An essential blood fat found in nearly every body tissue. Elevated levels have been shown to be associated with a higher risk of heart disease and clogged blood vessels. If elevated, the result should be discussed with your health care provider.

Cholesterol/HDL Ratio – Obtained by comparing the total cholesterol level to the HDL cholesterol level. The higher this number is, the higher your risk is of developing a cardiac disease and/or having a cardiac event such as a stroke or heart attack.

HDL (High Density Lipoprotein) – One of several types of fats. It is referred to as the “good cholesterol” because it acts as a scavenger, removing excess cholesterol from artery walls. It has been shown that the higher the level of HDL cholesterol the lower the risk of developing heart disease.

LDL (Low Density Lipoprotein) – Part of the “total cholesterol.” This is the cholesterol that forms deposits on artery walls. The lower the amount of LDL cholesterol, the lower the risk of developing heart disease.

Triglycerides – A fatty substance in the body which acts as a major form of stored energy. This is a blood fat that may be related to a higher risk of heart disease. Elevated levels may be caused by food and alcohol. It is recommended that you not eat for at least 12 hours to obtain accurate results for this test. Low values are not generally considered significant.

Muscle Bone Function

Calcium – One of the most important elements in the body, essential for the maintenance and repair of bone and teeth, heart function and blood clotting. Of the calcium contained in your body, 99% is in your bones, with the remaining 1% in your blood. Low levels of calcium in the blood are associated with malnutrition. High levels can be caused by bone disease, excessive use of antacids and milk, cancer, overdosing on Vitamin D and some hormone disorders. Any elevated calcium level should be evaluated by your health care provider.

Magnesium – Helps regulate energy production in the cell. It is one of the most abundant metals in the body. A low magnesium level in the blood may indicate alcoholism, severe malnutrition, vomiting or diarrhea. High values may indicate kidney disease. As with all other abnormal results, any value outside the reference range should be reported to your health care provider.

Phosphate – Closely related to calcium in bone development, with most phosphates in the body found in bones. Very low levels of phosphate can be associated with starvation or malnutrition, leading to muscle weakness. High levels of phosphate are associated with kidney disease. Values outside the specified reference range should be reported to your doctor.

Electrolytes

Chloride – One of the body’s minerals. Involved with water balance, most body chloride comes from salt in the diet. A high chloride level may mean severe dehydration, certain kidney disorders or hyperventilation. A low chloride level may result from excessive vomiting, diarrhea, severe burns, excessive sweating or kidney failure. Borderline low or high levels of chloride have very little significance.

Potassium – One of the body’s principal minerals, found primarily inside cells. It helps maintain water balance as well as proper function of nerves and muscles. Low or high levels in the blood are of critical significance and should be evaluated by your healthcare provider. This is especially important if you are taking a diuretic or heart medication. A high level may indicate kidney or liver disease, too much medication or bodily injury, such as a burn. A low level of potassium can develop rapidly, most frequently produced as a side effect of drugs that cause increased urination.

Sodium – One of the body’s principal minerals, regulated by the kidneys. It plays an important role in water balance in your body. A high level can be caused by dehydration, excessive salt intake in your diet or certain diseases. A low level of sodium can be caused by diarrhea, vomiting or excessive sweating. Numerous drugs, including diuretics, certain blood pressure medications and steroids, may alter sodium level. Any abnormal value should be evaluated by your doctor.

Diabetes

Glucose – The primary energy source for all body tissues. The sugars and carbohydrates you eat are ordinarily converted into glucose, which can be used to either produce immediate energy or be stored in the liver or as fat throughout the body. High blood glucose levels (hyperglycemia) after fasting for 12 hours might indicate you have diabetes. Your doctor may want to do further testing. A low glucose level (hypoglycemia) accompanied by symptoms such as weakness, nausea, sweating and difficulty thinking clearly, is suggestive of hypoglycemia. Even if you know you have diabetes, it is important to report any abnormal levels to your health care provider.

Thyroid Function

TSH (Thyroid Stimulating Hormone) – The pituitary hormone that controls thyroid gland function. It stimulates the thyroid to produce the thyroid hormone. When the thyroid gland fails due to primary disease of the thyroid, pituitary TSH increases. This condition is called hypothyroidism. In contrast, when the thyroid gland is overactive and producing too much thyroid hormone, the serum TSH decreases. This is called primary hyperthyroidism. Both primary hypothyroidism and hyperthyroidism can be detected by the sensitive TSH method. In addition, the TSH test can tell if your dose of thyroid hormone is correct, should you be taking that medication. Thus, the most accurate way for 9Health Fair to assess abnormalities of thyroid gland function is by a measurement of TSH, technology with superior performance and decreased cost allows us to offer this test.

Red Blood Cell Function

Iron – The body must have iron to make hemoglobin and to help transfer oxygen to the cells. If the body is low in iron, all body cells, particularly muscles in adults and brain cells in children, do not function up to par. On the other hand, too much iron in the body can cause injury to the heart, pancreas, joints, testicles, ovaries, etc. Iron excess is found in the hereditary disease called hemochromatosis, which occurs in about 3 out of every 1,000 people. Any value outside the specified reference range should be evaluated by your doctor.

Gout

Uric Acid – A byproduct of the breakdown of the body’s own cells and certain proteins. A high level of uric acid in your blood may cause gout, arthritis or kidney stones. Kidney disease, stress, alcohol and certain diuretics may also raise the level. High levels should be evaluated by your healthcare provider, whereas low values are not generally considered significant.

Liver & Kidney Function

*Albumin – This is the most plentiful protein in the blood. Approximately two-thirds of the total protein circulating in your blood is albumin. It is produced primarily in the liver and helps keep the fluid protein of the blood within the blood vessels. When your albumin level is too low, water can leak into other parts of your body and cause swelling. This can be caused by malnutrition, too much water in the body, liver or kidney disease, severe injury or major bone fractures and slow bleeding over a long period.

*Alkaline Phosphatase – An enzyme found in many body tissues, but the most important sites are bone, liver, bile ducts and gut. A high level of alkaline phosphatase in your blood may indicate bone, liver or bile duct disease. Certain drugs may also cause increased levels. Low values are not generally considered significant.

ALT (Alaminine Aminotransference) – The ALT enzyme is found mainly in the liver. Damage from alcohol, strenuous exercise and several diseases can cause high values for both AST (SGOT) and ALT (SGPT) and should be evaluated by your health care provider. Low values are not generally considered significant.

AST (Apartate Aminotransference (SGOT) – This is an enzyme that is found in many body tissues, but the most important sites are bone, liver, bile ducts and gut. A high level of alkaline phosphatase in your blood may indicate bone, liver or bile duct disease. Certain drugs may also cause increased levels. Low values are not generally considered significant.

Bilirubin, Direct – A specific form of bilirubin that is formed in the liver and excreted in the bile. Normally, very little of this form of bilirubin is found in the blood. However, in liver disease, this form of bilirubin leaks into the blood, so a high level of direct bilirubin may indicate a problem with the liver cells.

Bilirubin, Total – This is the pigment in the blood that makes the plasma or serum part of your blood yellow. When the bilirubin level in the blood is very high for a period of time, the whites of your eyes and your skin may become yellow – this is known as jaundice. Bilirubin comes from the breakdown of old red cells in the blood. A high bilirubin level in the blood can be caused by too many red blood cells being destroyed by liver disease or by a blockage of bile ducts.

BUN (Blood Urea Nitrogen) – A waste product from protein breakdown in the liver. It is excreted by the kidneys. If kidney function is impaired, or if a person is dehydrated, the BUN level will increase. Internal blood loss, high protein diets, and/or strenuous exercise can also cause a high BUN level. A low BUN level may be the result of liver disease, poor diet, pregnancy or drinking too much water.

Creatinine – The main job of the kidney is to filter the blood, excreting waste products into the urine while preserving essential elements. One way to measure kidney function is to determine how well the kidney can filter and excrete creatinine, an easily measured waste product of muscle metabolism. In certain types of kidney disease, the ability of the kidneys to clear the blood of creatinine decreases and blood levels of creatinine increase. High values require medical evaluation by your doctor, especially when associated with high BUN results.

eGFR (Estimated Glomerular Filtration Rate) – The best overall measure of how your kidneys are functioning. It is a calculation incorporating risk factors such as age, gender and ethnicity, and can screen for early kidney disease or associated cardiovascular disease. For a significant percentage of participants with mildly abnormal eGFR results, no underlying disease is present. Minimally abnormal eGFR should be retested in 4-6 weeks.

GGT (Gamma-Glutamyltransferase) – An enzyme that is primarily found in the liver. Drinking too much alcohol, certain drugs, liver disease, stress, physical exertion, some common medications and bile duct disease can cause high levels of GGT in the blood. High values should be evaluated by your health care provider.

*Globulins – Proteins that can be formed in the liver or the immune system. Globulins have many functions, transporting a variety of things such as fats and hormones and acting as infection fighters to help the body defend itself. If your globulin level is abnormal, your doctor may want to measure some of the individual proteins that make up this group.

*Lactate Dehydrogenase (LDH or LD) – An enzyme found in all tissues in the body. A high level in the blood can result from several different diseases. Slightly elevated levels in the blood are common and usually do not indicate disease. The most common sources of LD are the heart, liver, muscles and red blood cells. Any damage to cells will raise the LD level in the blood.

*Protein, Total – A measure of the total amount of protein in your blood. A low or high total protein does not indicate a specific disease, but it does mean some additional tests may be required to determine if there is a problem.

*These also have multiple functions throughout the body.

Who May Want to Have a Blood Chemistry Screening?

Everyone! Whether you are feeling a little off or completely fine, this is always a good screening to get each year. By getting this screening every year and sharing your results with your medical provider, you both can keep track of your numbers from year to year. Even a slight change in your numbers can detect a health issue early on, and early detection is key.

Also, if you don’t already know your numbers, such as your cholesterol, you might want to think about getting this screening. And if diabetes runs in your family, this screening is a good way to monitor your glucose.

Always seek the advice of your doctor if you have questions about your results.

What Is a Colon Cancer Screening Kit?

The Insure FIT (Fecal Immunochemical Test) is a take-home kit that detects human blood in the stool. The kit is an easy-to-use package that you use in the privacy of your own home and mail the samples to a lab.  To get a reliable sample, patients only need to gently brush the surface of the stool in water for about 5 seconds with the convenient, long-handled blue brush.

It has demonstrated an 87% sensitivity for colorectal cancer and is one of the screening options recommended by the guidelines from the American Cancer Society.

What Diseases/Conditions is Colon Cancer Screening Kit Linked To?

Blood in the stool can sometimes be a symptom of colon cancer. Colon cancer is a common form of cancer that can usually be cured if diagnosed and treated early enough.

Many conditions could cause blood in your stool, such as:

Symptoms of Colon Cancer

Symptoms often appear only after colon cancer has grown or spread. That’s why it’s best to be tested for colon cancer before ever having any symptoms. Colon cancer that’s found through screening – testing that’s done on people with no symptoms – is usually easier to treat.

Some common symptoms of colon cancer may include:

  • A change in bowel habits, such as diarrhea, constipation, or narrowing of the stool, that lasts for more than a few days
  • A feeling that you need to have a bowel movement that is not relieved by doing so
  • Rectal bleeding
  • Dark stools, or blood in the stool
  • Cramping or abdominal (belly) pain
  • Weakness and fatigue
  • Unintended weight loss

Who May Want to take the Colon Cancer Screening Kit?

People with an average risk of colon cancer can consider screening beginning at age 50. But people with an increased risk, such as those with a family history of colon cancer, should consider screening sooner. African-Americans and American Indians may consider beginning colon cancer screening at age 45.

When colon cancer is found early, before it has spread, the 5-year relative survival rate is 90%. This means 9 out of 10 people with early-stage cancer survive at least 5 years. But if the cancer has had a chance to spread outside the colon, survival rates are lower.

Risk Factors

  • Being overweight or obese
  • Physical inactivity
  • Certain types of diets – high in red meats, processed meats; cooking meats at very high temperatures
  • Smoking
  • Heavy Alcohol use
  • Age – more common after the age of 50
  • History of colorectal polyps or colorectal cancer
  • History of inflammatory bowel disease
  • Family history of Colorectal Cancer or Adenomatous polyps
  • Inherited gene syndrome
  • Racial background – African Americans have the highest incidence; Jews of Eastern European descent
  • Type 2 Diabetes

Always seek the advice of your doctor if you have questions about your results.

What Is Hemoglobin A1c?

Hemoglobin A1c is a blood screening that measures average blood sugar control for the past 2 to 3 months.

What Diseases/Conditions is Hemoglobin A1c Linked To?

Hemoglobin A1c is a good indication of your risk for type 2 diabetes, and for people living with type 2 diabetes, it indicates how well your treatment plan is working.

Symptoms of High Levels

The normal range for Hemoglobin A1c is between 4% and 5.6%.

If your Hemoglobin A1c is between 5.7% and 6.4%, you are pre-diabetic, meaning you are at an increased risk of developing type 2 diabetes in the future. Generally, there are no symptoms of pre-diabetes, but some common risk factors are:

  • Physical inactivity
  • Family history of diabetes
  • High-risk race (African American, Latino, Native American, Asian American, Pacific Islander)
  • High blood pressure
  • Low HDL cholesterol, and/or high triglycerides
  • History of cardiovascular disease

If your Hemoglobin A1c is 6.5% or higher, you are considered diabetic. Some common symptoms you may be experiencing are:

  • Increased thirst
  • Frequent urination
  • Increased appetite
  • Fatigue
  • Blurred vision
  • Slow-healing infections
  • Tingling, pain or numbness in the hands/feet

Who May Want to Have Their Hemoglobin A1c Levels Tested?

The American Diabetes Association recommends that people who fall into the “prediabetic” category (A1c between 5.7% and 6.4%) have their Hemoglobin A1c tested every one to two years to check for type 2 diabetes.

If you are experiencing any of the above risk factors or symptoms, you may want to have your Hemoglobin A1c levels checked.

Always seek the advice of your doctor if you have questions about your results.

What Is PSA?

Prostate Specific Antigen is a protein that is only produced by the prostate gland. The PSA test measures the amount of PSA in an individual’s blood.

What Diseases/Conditions is PSA Linked To?

An elevated level of PSA in the blood may indicate prostate cancer. In addition to prostate cancer, other conditions can cause a PSA level to rise, including prostatitis (inflammation of the prostate) and benign prostatic hyperplasia (enlargement of the prostate).

Symptoms of High Levels of PSA

There may be no symptoms when high levels of PSA are present. However, high levels of PSA can be caused by prostate cancer which may have symptoms such as:

  • Trouble urinating
  • Decreased force in the stream of urine
  • Blood in the semen
  • Discomfort in the pelvic area
  • Bone pain
  • Erectile dysfunction

What is a Normal Level of PSA?

As is the case with PSA screening, there is also no agreement in the medical community about what constitutes a normal PSA level. However, most doctors consider 4.0 ng/mL and lower to be a normal level of PSA. In general, the higher the PSA level, the more likely prostate cancer exists. Perhaps even more importantly, a continuous rise in a PSA levels over time may also be a sign of prostate cancer. However, a normal PSA level does not rule out the possibility of prostate cancer. A traditional manual screening performed by a medical professional is strongly encouraged.

Who May Want to Have Their PSA Level Tested?

There is quite a debate about who should get the PSA test, and medical organizations differ on their recommendations. Individuals are encouraged to consider their risk factors and speak with their health care provider to make the decision about getting screened for PSA. Some medical providers recommend screening beginning at age 50 for individuals with a prostate that have no risk factors.

As of April 2017, the United States Preventive Services Task Forces is reviewing its guidelines for PSA screening and is recommending consideration for PSA testing for individuals with a prostate 55-69 years of age based on their family history, race, etc.  They continue to recommend against screening in individuals with a prostate over 70.

Risk Factors to Consider:

  • Age – Your risk of prostate cancer increases as you age. Currently, Medicare provides PSA coverage for persons with a prostate that are 50 and older and Medicare eligible. Many private insurers cover PSA screening as well.
  • Race –  African-Americans have a greater risk of prostate cancer than other races. Prostate cancer is also more likely to be aggressive or advanced in African Americans, though it’s not clear why this is.
  • Family history of prostate or breast cancer. If people in your family have had prostate cancer, your risk may be increased. Also, if you have a family history of genes that increase the risk of breast cancer (BRCA1 or BRCA2) or a very strong family history of breast cancer, your risk of prostate cancer may be higher.
  • Obese individuals diagnosed with prostate cancer may be more likely to have advanced disease that’s more difficult to treat.

Always seek the advice of your doctor if you have questions about your results.

What Is Vitamin B12?

Vitamin B12 is important to produce DNA as well as to maintain proper functioning in your nervous system. It’s found in animal products such as meat, shellfish, milk, cheese and eggs.

What Diseases/Conditions is Vitamin B12 Linked To?

Low levels of Vitamin B12 have been linked to anemia. Anemia can affect the ability of the body to deliver oxygen to nourish organs and cells. High levels of Vitamin B12 have been linked to a type of leukemia and cirrhosis (advanced scarring of the liver).

Symptoms of Low Levels

You want your Vitamin B12 levels to be no lower than 200. If it is, the most common cause is an inadequate vitamin B12 in the diet, insufficient production of a binding protein produced in the stomach and inadequate absorption of vitamin B12 and its binding protein from food into the body from the small intestine. The latter can cause enlargement of red blood cells and deficiency of red blood cells, called “anemia.”

Symptoms

You may want to have your levels tested if you are experiencing any of the following:

  • Numbness in hands, legs or feet
  • Trouble walking
  • Swollen tongue
  • Jaundice
  • Mental Difficulties
  • Paranoia
  • Weakness
  • Exhaustion
  • People who take heartburn medicines over a long period.

Who May Want to Have Their Vitamin B12 Levels Tested?

Anyone who follows a vegetarian or vegan diet should consider having their Vitamin B12 levels tested. Otherwise, if you are experiencing any of the above symptoms, you may want to consider having your levels tested.

Always seek the advice of your doctor if you have questions about your results.

What Is Testosterone?

Testosterone is a hormone produced primarily in the testicles of men and ovaries of women. In men, testosterone is a key player in the development of reproductive tissues.

What Diseases/Conditions is Testosterone Linked To?

Research into the relationship between low or high testosterone and certain health conditions like metabolic syndrome, heart disease and obesity is ongoing.

However, a link between diabetes and low testosterone is well established. Many men with diabetes are also found to have low testosterone.

Additionally, low testosterone often exists with depression and erectile dysfunction (ED)

Symptoms of Low/High Levels

Symptoms of low or high levels of testosterone can have a similar impact on men and women:

  • Decreased sex drive
  • Decreased bone density
  • Depression
  • Low energy
  • Difficulty sleeping
  • Thinning hair
  • Obesity/an apple-shaped body
  • Thinning hair

For women specifically, low or high testosterone can result in menstrual irregularity. For men specifically, low or high testosterone can result in decreased sperm production and decreased muscle strength/mass.

Who May Want to Have Their Testosterone Tested?

If you are experiencing any of the following conditions, you may want to have your levels tested:

  • An apple-shaped body
  • Low energy
  • Depression
  • Difficulty sleeping
  • Thinning hair
  • Changes in sex drive

Always seek the advice of your doctor if you have questions about your results.

What Is Vitamin D?

Vitamin D helps the body absorb calcium to form and maintain strong bones, and is primarily obtained through sun exposure and diet.

What Diseases/Conditions is Vitamin D Linked To?

Low levels of Vitamin D have been linked to older people and those who have digestive problems, such as Crohn’s or celiac disease, as well as liver and kidney disease.

Symptoms of Low Levels

Most people don’t get enough Vitamin D. Your body uses the sunshine to make it. In the winter, people often spend more time indoors and don’t get enough sun. Also, using sunscreen, which helps prevent skin cancer, reduces the amount of sun your body gets.

How can I make sure I have enough Vitamin D?

  1. Sunshine: Exposure without sunscreen of arms and legs to the sun for 10-15 minutes a few days a week permits the body to make the vitamin D it needs. Darker skinned people require more sun exposure to make adequate vitamin D.
  2. Diet: The following foods contain vitamin D – egg yolk, liver, oily fish such as tuna, mackerel, salmon and foods with added vitamin D.
  3. Supplements

What is the recommended daily amount of Vitamin D?

Recommendations vary, but experts have suggested that people need to get more Vitamin D than listed in the dietary reference intakes (DRIs) guideline. The amount of Vitamin D you need changes as you get older.

  • Infants starting by age 2 months, children and teens need 200 to 400 International Units (IU) a day.
  • Adults up to age 50 need 400 to 800 IU a day.
  • Adults age 50 or older need 800 to 1,000 IU a day.

Symptoms of High Levels

Too much Vitamin D is rare, but can happen and is serious when it does. Usually, Vitamin D toxicity is caused by mega-doses of Vitamin D supplements. This can cause too much calcium to build up in your blood. If that happens, you may begin to experience a lack of appetite, nausea, vomiting, weakness, frequent urination and/or kidney problems.

Who May Want to Have Their Vitamin D Levels Tested?

You may want to have your levels tested if you are experiencing any of the following:

  • Lack of exposure to the sun
  • Loss of appetite
  • Dark skinned
  • Nausea
  • Older than 65
  • Weakness
  • Experiencing digestive problems
  • Frequently urinating
  • Have liver or kidney disease

Always seek the advice of your doctor if you have questions about your results.

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

The ordering physicians and Quest Diagnostics who are associated with 9Health Fairs (collectively “Health Fair Providers” in this Notice) are committed to protecting the privacy of your personal and health information. This protected health information (PHI) includes test results and other patient identifiable information that we collect or create as part of offering testing at the 9Health Fairs.

We urge you to read this Joint Notice of Privacy Practices carefully so that you will understand both our commitment to the privacy of your PHI, and how you can participate in that commitment. Should you have any questions about this Notice or our privacy practices, please call us at: (800) 849-7321 x6703 or write to us at the following address:
Quest Diagnostics Incorporated
Attn: Health Fair Program – Privacy Officer
695 South Broadway Denver, CO 80209

Health Fair Providers Privacy Policy
Health Fair Providers and our employees are committed to obtaining, maintaining, using and disclosing PHI in a manner that protects patient privacy. We will only use or disclose the minimum amount of your PHI we consider necessary to perform a job or complete an activity. This Notice applies to all PHI that we use, maintain or share between us associated with health fairs offered by 9Health Fair.

If the ordering physicians or Quest Diagnostics are providing services to you separate and apart from such health fairs, these persons or companies may have different Notices regarding their use and disclosure of your PHI created in their offices. Health Fair Providers are sharing PHI in jointly providing health fair services to you, however, they are separate legal entities and are not responsible for the medical or professional judgments of the other.

Health Fair Providers are required by law to provide you with this Joint Notice of Privacy Practices with respect to PHI, to maintain the privacy of PHI, to state the uses and disclosures of PHI that Health Fair Providers may make, and to list your rights and our legal duties with respect to your PHI.

  • Your PHI at Health Fair Providers includes personal and medical information (such as your name, address, date of birth, test ordered, etc.) that we obtain from you or other sources.
  • Your PHI also includes the laboratory testing results that we create. An example of PHI is as follows: Jane Smith, Date of Birth: 2/15/68, resides at 123 Main Street, Anytown, NJ, cholesterol result of 215 mg/dL.

Health Fair Providers are required to abide by the terms of the Joint Notice of Privacy Practices currently in effect.

How We May Use and Disclose Your Protected Health Information

Your PHI will be used or disclosed for treatment, payment, or healthcare operations purposes and for other purposes permitted or required by law. Not every use or disclosure is listed; however, all of the ways we use or disclose your PHI will fall into one of the categories listed below.

If we wanted to use or disclose your PHI for other purposes, we would have to obtain your written authorization. You have the right to revoke your authorization at any time, except if we have already made a disclosure based on that authorization. We do not need your authorization or permission to use or disclose your PHI for the following purposes:
For Treatment – As a health care provider that provides laboratory testing for ordering physicians, Quest Diagnostics uses your PHI as part of our testing process and discloses your PHI to ordering physicians and other authorized health care professionals who need access to your laboratory results to treat you. In addition to your ordering physician, we may provide a specialist consulting physician with information about your results to further validate the results before release to your physician. Occasionally, we may contact you to arrange for a redraw of your specimens.
For Payment – We will use your PHI in our billing departments and disclose your PHI to 9Health Fair for payment purposes, or to third parties to assist us in creating bills, claim forms, or getting paid for our services. In some cases, we may have to contact you to obtain billing information or for other billing purposes.
For Healthcare Operations – We may use or disclose your PHI in the course of activities necessary to support our health care operations, such as performing quality checks on our testing, for teaching purposes, or for developing normal reference ranges for tests that we perform.
Disclosures to Business Associates – Health Fair Providers may disclose your PHI to other companies or individuals, including 9Health Fair, who need your PHI in order to provide specific services to us. These other entities, known as “business associates,” must maintain the privacy and security of PHI. Our business associates must only use your PHI for designated treatment, payment, or health care operations purposes that they perform on our behalf. If 9Health Fair instructs us to further disclose your PHI to its business associates, then 9Health Fair shall enter into a contract with those entities to require that they also maintain the privacy and security of your PHI. As Permitted or Required by Law – We may use or disclose your PHI for various public policy purposes that are authorized or required by federal or state law. For example, we are required to disclose your PHI to the Secretary of the U.S. Department of Health and Human Services (“HHS”) upon request. We must provide you with copies of your PHI at your request, except where restricted or prohibited by state law.
Public Safety – When the appropriate conditions apply, we may use or disclose PHI to prevent or lessen a serious and imminent threat to the health or safety of a person or the public.
To Avert a Serious Threat to Health or Safety – We may use or disclose your PHI when necessary to prevent a serious threat to your health and safety or that of another person or the general public. Any use or disclosure for this purpose would only be made to someone able to help prevent the threat. For example, we may disclose your PHI in an investigation regarding the licensing of healthcare providers.
Health Oversight – We may disclose your PHI in connection with governmental oversight, licensure, auditing, and other purposes. For example, governmental agencies periodically review our records to ensure that Health Fair Providers are complying with the rules of various regulatory and licensing agencies. HHS and State Health Departments are examples of agencies that oversee aspects of Health Fair Providers’ operations. Other agencies may audit our billing and laboratory records to verify that the services were provided as claimed.
Judicial and Administrative Proceedings – We may disclose your PHI as required to comply with court orders, discovery requests or other legal process in the course of a judicial or administrative proceeding.
Law Enforcement – We may also disclose PHI for law enforcement purposes. For example, we may be required to release PHI as required by law or in compliance with a court order, warrant, investigative demand or similar legal process. We may provide your PHI in response to a subpoena, discovery request or other legal process in the course of an administrative or judicial proceeding, but only if efforts have been made to tell you about the request or to obtain an order of protection for the requested information. We may release PHI for other law enforcement purposes, such as to identify or locate a suspect, fugitive, material witness, or missing person. Specialized Government Functions – We may disclose your PHI for military and veterans activities, national security or intelligence purposes, or to correctional institutions, or to law enforcement officials having custody of an inmate.
Research – We may disclose health information for research purposes when an Institutional Review Board or privacy board has reviewed the research proposal and established protocols to ensure the privacy of your PHI and determined that the researcher does not need to obtain your authorization prior to using your PHI for research purposes. We may also disclose information about decedents to researchers under certain circumstances.
Note Regarding State Law – For all of the above purposes, in cases where state law is more restrictive than federal law, we are required to follow the more restrictive state law. 2 3 4
Fundraising – 9Health Fair may use your PHI to communicate with you to raise funds to support health fair services and educational programs it provides to the community. You may opt out of receiving such communications by contacting 9Health Fair at (303) 698-4455 or 1139 Delaware, Denver, CO 80204.

Your Rights Concerning Privacy and Confidentiality
Access – You or your authorized or designated personal representative has the right to inspect and copy your PHI. Health Fair Providers will deny access to certain information for specific reasons, for example, where state law prohibits such patient access. If your request is denied, you may request that the denial be reviewed.
Amendments – You have the right to request amendments to your PHI (but we are not required to make the requested amendments). If we deny your written request to change your PHI we will provide you with a written explanation of the reason for the denial and additional information regarding further actions that you may take.
Accounting – You have the right to receive an accounting of disclosures of your PHI that were made by Health Fair Providers for a period of up to six years prior to the date of your written request. Under the law, this accounting does not include disclosures made for purposes of treatment, payment, health care operations, or certain other excluded purposes, but includes other types of disclosures, including disclosures for public health reporting or in response to a court order.
Restrictions – You have the right to ask us if we will agree to restrictions on certain uses and disclosures of your PHI, but we are not required to agree to your request.
Confidential Communications – We may contact you by phone or by mail based on information you provide to us. You have the right to request that we send your PHI by alternate means or to an alternate address and we will accommodate reasonable requests.
Joint Notice of Privacy Practices – A copy of our current Joint Notice will be posted in the participant registration area at the health fair. You have the right to request a paper copy of this Joint Notice.
Complaints – If you believe your privacy rights have been violated, you have the right to register a complaint with Health Fair Providers or the Secretary of the U.S. Department of Health and Human Services. Health Fair Providers will not retaliate against any individual for filing a complaint. You may file a complaint by calling us or by writing to us at the address indicated in this Joint Notice.
How to Exercise Your Rights – Write to us with your specific written request and be sure to include sufficient information for us to identify all of your records. You may also contact us at the toll-free telephone number below to request an access form. Health Fair Providers will consider your request and provide you a response within a reasonable timeframe. For additional details, or for instructions regarding how to exercise these rights, call us at the number indicated below.

You may request a copy of this Joint Notice by calling (800) 849-7321, extension 6703

How To Contact Us – If you have questions or concerns regarding the privacy or confidentiality of your PHI, or you wish to register a complaint, please write us at the address located at the beginning of this notice or contact:
Quest Diagnostics, Health Fair Program – Privacy Officer: (800) 849-7321, x6703

Note: Health Fair Providers reserves the right to amend this Joint Notice of Privacy Practices, at any time, to reflect changes in our privacy practices, and to make these changes applicable to and effective for all PHI that we maintain, including PHI that we created or received prior to the effective date of the Joint Notice revision. Revised February, 2013