Vibrant America 1021 Howard Ave, Ste B. San Carlos, CA 94070 1(866) 364-0963 | [email protected] | www.vibrant-america.com

Final Report Date: 07-12-2019 06:46 Specimen Collected: 06-19-2019

Accession ID: Specimen Received: 06-20-2019 15:53

LAST NAME FIRST NAME GENDER DATE OF BIRTH ACCESSION ID DATE OF SERVICE

O B MALE 06-19-2019

PATIENT PROVIDER Gender: Male Age: 21 Height: 5'9'' Weight: 195 lbs

Fasting: FASTING No. of hours: 10.0

The comments in this report are meant only for potential risk mitigation. Please consult your physician for medication, treatment or life style management.

MK-0017-20 Page Page 1 1of of 6 47 Vibrant America | 1021 Howard Ave, Ste B. San Carlos, CA 94070 1(866) 364-0963 | [email protected] | www.vibrant-america.com

PATIENT PROVIDER AGE: 21 HEIGHT: 5'9'' WEIGHT: 195 lbs P

PHONE NUMBER: ADDRESS:

ACCESSION ID: SPECIMEN COLLECTION TIME: 06-19-2019 SPECIMEN RECEIVED TIME: 06-20-2019 15:53 FINAL REPORT TIME: 07-12-2019 06:46 FASTING: FASTING NO. OF HOURS: 10.0

SUMMARY 1-4 L Low High Risk Moderate N/A - Not Ordered

ALLERGEN SENSITIVITIES ALLERGEN SENSITIVITIES DIETARY ANTIGEN DIETARY ANTIGEN IgE (kU/L) IgG IgA IgE (kU/L) IgG IgA Alaska - - - - Cherry L <0.10 L 2 L 2 Almond L <0.10 14 L 6 Chicken L <0.10 L 9 L 3 Amaranth L <0.10 L 2 L 1 Chickpea - - - - Anchovy - - - - Cinnamon L 0.26 L 2 L 3 Anise - - - - Clam L <0.10 L 5 L 3 Apple L <0.10 L 5 L 3 Cocoa L <0.10 L 1 L 1 Apricot L <0.10 13 20 Coconut L <0.10 L 3 L 3 Artichoke - - - - Codfish L <0.10 12 L 7 Asparagus - - - - Coffee L <0.10 14 L 3 Avocado L <0.10 L 2 L 5 Common thyme - - - - Bamboo shoots - - - - Coriander seed - - - - Banana L <0.10 L 8 L 1 Corn 3.78 L 6 L 4 Barley L <0.10 L 6 L 10 Cous Cous - - - - Bay leaf - - - - Cow's Milk L <0.10 >30 14 Beef 5.83 L 4 L 3 L <0.10 L 3 L 2 Beet root - - - - Cranberry L <0.10 27 L 3 Beta-Casein L <0.10 20 23 Crayfish - - - - Black Walnut L <0.10 12 L 10 Cucumber L <0.10 L 1 L 1 Black pepper L <0.10 L 7 L 2 Curry powder - - - - Black tea - - - - Dill - - - - Blackberry L <0.10 L 2 L 2 Duck meat - - - - Blue mussel - - - - - - - - Blueberry L <0.10 L 1 L 1 Egg White L <0.10 14 11 Broad bean - - - - Egg Yolk L <0.10 >30 L 6 Broccoli L <0.10 19 24 Eggplant - - - - Brown Rice L <0.10 L 5 L 5 Endive - - - - Buckwheat L <0.10 L 4 L 4 English Walnut L <0.10 L 1 L 1 Buffalo milk - - - - Fig - - - - Buttermilk - - - - Flax seed - - - - Cabbage L 0.28 L 3 L 5 - - - - Cane sugar - - - - Garlic L <0.10 L 9 L 5 Cantaloupe L <0.10 17 L 2 Ginger L <0.10 L 4 L 3 Capers - - - - Goat's Milk L <0.10 30 L 9 Caraway - - - - Goose meat - - - - - - - - Grape L <0.10 L 2 L 2 Carrot L <0.10 L 1 L 1 Grapefruit L <0.10 L 7 17 Cashews L <0.10 L 4 L 7 Grapevine snail - - - - Casomorphin L <0.10 L 1 L 1 Green Bean L <0.10 L 4 L 5 Catfish L <0.10 L 2 L 9 Green Peas 0.88 L 3 L 3 Cauliflower L <0.10 L 9 15 Green Pepper L <0.10 L 2 L 1 Cayenne pepper - - - - Guava - - - - Celery L <0.10 18 L 2 Halibut L <0.10 L 2 L 1 Chard - - - - Hazelnut - - - - Cheddar cheese - - - - Honeydew melon - - - -

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MK-0017-20 Page 2 of 47 Vibrant America | 1021 Howard Ave, Ste B. San Carlos, CA 94070 1(866) 364-0963 | [email protected] | www.vibrant-america.com

FULL NAME: ACCESSION ID: DATE OF SERVICE: 06-19-2019

SUMMARY 2-4 L Low High Risk Moderate N/A - Not Ordered

ALLERGEN SENSITIVITIES ALLERGEN SENSITIVITIES DIETARY ANTIGEN DIETARY ANTIGEN IgE (kU/L) IgG IgA IgE (kU/L) IgG IgA Hops L <0.10 L 10 L 4 Pork 0.35 L 10 L 9 Hot paprika powder - - - - Rabbit - - - - Kale - - - - Rape seed - - - - Kefir - - - - Raspberry L <0.10 L 5 L 3 Kidney Bean L <0.10 L 4 L 4 Roquette - - - - Kiwi fruit - - - - Rosemary L <0.10 L 2 L 3 Lake Trout L <0.10 13 15 Rye L <0.10 26 L 7 Lamb 0.52 L 5 L 1 Salmon L <0.10 L 10 L 10 Leek - - - - Sardine - - - - Lemon L 2 L 1 Savoy cabbage - - - - Lemon grass - - - - L <0.10 L 5 L 3 Lettuce L <0.10 L 5 L 1 Sea bass - - - - Lima Bean L <0.10 L 4 L 2 Seaweed(Kelp) L 0.24 L 7 L 3 Litchi - - - - Sesame L <0.10 L 7 L 8 Lobster L <0.10 L 1 L 1 Sheep's milk - - - - Mackerel L <0.10 L 3 L 4 Shiitake mushroom - - - - Malt L <0.10 L 1 L 1 Shrimp L <0.10 L 2 L 1 Mandarin - - - - Sole - - - - Mango - - - - Soybean L <0.10 L 10 L 8 Millet - - - - Spelt - - - - Molasses - - - - Spinach L <0.10 L 8 L 2 Mung beans - - - - Squash L <0.10 13 L 5 Mushrooms L <0.10 L 6 L 3 Squid - - - - Mustard L <0.10 >30 26 Strawberry L <0.10 L 3 L 6 Navy Bean L <0.10 L 4 L 7 Sunflower seed - - - - Nutmeg L <0.10 L 3 L 3 Sweet Potato L <0.10 L 3 L 2 Oats L <0.10 16 18 Sweet chestnut - - - - Octopus - - - - Tempeh - - - - Olive L <0.10 L 2 L 2 Tofu - - - - Onion L <0.10 23 L 5 Tomato L <0.10 >30 L 6 Oolong tea - - - - L <0.10 L 1 L 1 Orange L <0.10 13 L 5 Turkey L <0.10 L 6 L 3 Oregano - - - - Turnip - - - - L <0.10 12 L 7 Vanilla Bean L <0.10 14 L 5 Pacific squid - - - - Veal - - - - Papaya - - - - Vegan Cheese - - - - Parsley - - - - Vine leaf - - - - Peach L 0.27 12 L 10 Watermelon L <0.10 30 L 4 Peanut L 0.11 L 7 L 9 Wheat L <0.10 Pear L <0.10 L 5 L 1 Whey Protein 3.26 >30 11 Pecan 12.07 16 L 7 White Potato L <0.10 L 8 L 4 Perch L <0.10 13 L 7 White radish - - - - Pine nut - - - - Woo-hsiang powder - - - - Pineapple L <0.10 15 12 Yeast L <0.10 L 3 L 3 Pistachio nut - - - - Yoghurt - - - - Plum - - - - Zucchini - - - - Poppy seed - - - -

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MK-0017-20 Page 3 of 47 Vibrant America | 1021 Howard Ave, Ste B. San Carlos, CA 94070 1(866) 364-0963 | [email protected] | www.vibrant-america.com

FULL NAME: ACCESSION ID: DATE OF SERVICE: 06-19-2019

SUMMARY 3-4 L Low High Risk Moderate N/A - Not Ordered

FOOD ZOOMER SCORE SEAFOOD ZOOMER IgG IgA SEAFOOD ZOOMER IgG IgA Almond - - Banana - - - - - - - - Bass - - - - Louisiana crawfish - - - - Brazil Nut - - Bay - - - - and Tuna - - - - Cashew - - - - - - Manila Clam - - - - Corn Zoomer - - Blue - - - - Masu - - - - Dairy Zoomer - - Blue - - - - Monkfish - - - - Blue crab - - - - Mud crab - - - - Egg White - - Bream - - - - Mussel - - - - Egg Yolk - - Brisling - - - - Northern red - - - - Intestinal 0.1 2.0 4.0 6.0 3.7 Brown shrimp - - - - Ocean Quahog - - - - Peanut Zoomer - - Calico Scallop - - - - - - - - Carp - - - - Olive flounder - - - - Soy - - Catfish - - - - Olympia Oyster - - - - Walnut - - Channel catfish - - - - Orange mud crab - - - -

Wheat Zoomer 0.0 2.0 4.0 6.0 4.1 Chinese - - - - Oyster - - - -

LECTIN AND Chinese white shrimp - - - - Pacific Oyster - - - - IgG IgA AQUAPORIN - - - - - - - - Bell pepper aquaporin - - - - Chub mackerel - - - - Pacific - - - - Corn aquaporin - - - - Chum salmon - - - - Patagonian toothfish - - - - Potato aquaporin - - - - Clam - - - - Penaeid shrimp - - - - Soybean aquaporin - - - - Cod and Pollock - - - - Peruvian anchoveta - - - - Spinach aquaporin - - - - - - - - Pink Scallop - - - - Tobacco aquaporin - - - - - - - - Pink salmon - - - - Tomato aquaporin - - - - Crab - - - - Prussian carp - - - - Barley lectin - - - - Croaker - - - - Pufferfish - - - - Bell pepper lectin - - - - Donax Clam - - - - Queen Scallop - - - - Chickpea lectin - - - - Dover - - - - Rabbitsfoot Mussel - - - - Corn lectin - - - - European Flat - - - - Rainbow - - - - Cucumber lectin - - - - European - - - - Razor Clam - - - - Kidney bean lectin - - - - European lobster - - - - Red - - - - Lentil lectin - - - - European pilchard - - - - Roman snail - - - - Lima bean lectin - - - - European - - - - Salmon and Trout - - - - Mung lectin - - - - European snail - - - - Sand shrimp - - - - (Plaice, Sole, Sardine, Herring, Pea lectin - - - - Flounder) - - - - Pilchard - - - - Peanut lectin - - - - Flathead lobster - - - - Scallop - - - - Potato lectin - - - - Freshwater crab - - - - Sea Scallop - - - - Rice lectin - - - - Garden snail - - - - Shrimp and Prawn - - - - Rye lectin - - - - Geoduck - - - - - - - - Giant fresh water Soybean lectin - - - - prawn - - - - - - - - Tomato lectin - - - - Giant tiger prawn - - - - Snail - - - - Greasyback shrimp - - - - Snuffbox Mussel - - - - SEAFOOD ZOOMER IgG IgA - - - - - - - - Sockeye salmon - - - - Tuna - - - - Hake - - - - Soft-Shell Clam - - - - South African spiny Alewife - - - - Hard-Shell Clam - - - - lobster - - - - - - - - Horse Mussel - - - - Squid - - - - - - - - Icelandic Scallop - - - - Striped bass - - - - Anisakis simplex - - - - Indian mackerel - - - - Surf Clam - - - - Argentine anchoita - - - - Indian oil sardine - - - - - - - - Asian sea bass - - - - Japanese Scallop - - - - - - - - Japanese jack Atlantic Oyster - - - - mackerel - - - - Weathervane Scallop - - - - - - - - Kumamoto Oyster - - - - - - - - Atlantic herring - - - - Kuruma prawn - - - - - - - - Atlantic mackerel - - - - Largemouth bass - - - - Zebra Mussel - - - - - - - - Page 4 of 6

MK-0017-20 Page 4 of 47 Vibrant America | 1021 Howard Ave, Ste B. San Carlos, CA 94070 1(866) 364-0963 | [email protected] | www.vibrant-america.com

FULL NAME: ACCESSION ID: DATE OF SERVICE: 06-19-2019

SUMMARY 4-4 L Low High Risk Moderate N/A - Not Ordered

INHALANT IGE INHALANT IGE INHALANT IGE INHALANT IGE Acacia L <0.10 Cocklebur - - Lenscale/Scale - - Ragweed, Short L <0.10 Alternaria alternata L <0.10 Cockroach L <0.10 Meadow Fescue - - Red alder L <0.10 Dermatophagoides American Beech - - farinae L <0.10 Mesquite Tree - - Red cedar - - Dermatophagoides American Sycamore L <0.10 pteronyssinus L <0.10 Mite Mix L <0.10 Red mulberry L <0.10 American elm L <0.10 Dog Epithelia L <0.10 Mountain cedar L <0.10 Redtop L <0.10 Ash mix L 0.27 Eastern Cottonwood - - Mouse Epithelia - - Rhizopus stolonifer L <0.10 Aspergillus fumigatus L <0.10 English Plaintain - - Mucor racemosus L <0.10 Rough Marshelder - - Australian Pine L 0.29 Epicoccum nigrum L <0.10 Mugwort L <0.10 Russian Thistle L <0.10 Bahia Grass L <0.10 Eucalyptus - - Nettle L <0.10 Sagebrush - - Bermuda L <0.10 Firebush/burning bush - - Olive Tree - - Sheep sorrel L <0.10 Black oak L <0.10 Fusarium moniliforme L <0.10 Orchard/cocksfoot - - Sweet Vernal Grass - - Black walnut L 0.33 German Cockroach - - Pecan 3.79 Timothy L <0.10 Helminthosporium Penicillium Blomia tropicalis L <0.10 solani L <0.10 chrysogenum L <0.10 Trichoderma harzianum L <0.10 Box elder L <0.10 Johnson Grass L <0.10 Perennial ryegrass L <0.10 White Oak L <0.10 Candida albicans L <0.10 Kentucky Blue/June L 0.28 Phoma betae L <0.10 White Pine - - White birch 1.33 Cat Epithelia L <0.10 Lamb's Quarters - - Pigweed L 0.24 Willow - - Wormwood - -

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FULL NAME: ACCESSION ID: DATE OF SERVICE: 06-19-2019

Risk and Limitations

This test has been developed and its performance characteristics determined by Vibrant America LLC., a CLIA certified lab. These assays have not been cleared or approved by the U.S. Food and Drug Administration.

Allergen-specific IgE assays do not demonstrate absolute positive and negative predictive values for allergic disease. Clinical history must be incorporated into the diagnostic determination. Quantification of specific IgG and IgA antibodies is not FDA-recognized diagnostic indicator of allergy.

Food allergen, Inhalant, Food Sensitivity and Food Zoomers testing is performed at Vibrant America, a CLIA certified laboratory and utilizes ISO-13485 developed technology. Vibrant America has effective procedures in place to protect against technical and operational problems. However, such problems may still occur. Examples include failure to obtain the result for a specific antigen due to circumstances beyond Vibrant’s control. Vibrant may re-test a sample in order to obtain these results but upon re- testing the results may still not be obtained. As with all medical laboratory testing, there is a small chance that the laboratory could report incorrect results. A tested individual may wish to pursue further testing to verify any results.

The information in this report is intended for educational purposes only. While every attempt has been made to provide current and accurate information, neither the author nor the publisher can be held accountable for any errors or omissions.

Vibrant Wellness makes no claims as to the diagnostic or therapeutic use of its tests or other informational materials. Vibrant Wellness reports and other information do not constitute medical advice and are not a substitute for professional medical advice. Please consult your healthcare practitioner for questions regarding test results, or before beginning any course of supplementation or dietary changes.

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