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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 pollock - - - - 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 Crab 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 - - - - Eel - - - - 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 Flounder - - - - 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 - - - - Carp - - - - 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 - - - - Page 2 of 6 47 MK-0017-20 Page 2 of 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 - - - - Scallops 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 - - - - Tuna L <0.10 L 1 L 1 Orange L <0.10 13 L 5 Turkey L <0.10 L 6 L 3 Oregano - - - - Turnip - - - - Oyster 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 - - - - Page 3 of 6 47 MK-0017-20 Page 3 of 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 prawn - - - - Lobster - - - - Bass - - - - Louisiana crawfish - - - - Brazil Nut - - Bay Scallop - - - - Mackerel and Tuna - - - - Cashew - - Bighead carp - - - - Manila Clam - - - - Corn Zoomer - - Blue Mussel - - - - Masu salmon - - - - Dairy Zoomer - - Blue catfish - - - - Monkfish - - - - Blue crab - - - - Mud crab - - - - Egg White - - Bream - - - - Mussel - - - - Egg Yolk - - Brisling sardine - - - - Northern red shrimp - - - - Intestinal 0.1 2.0 4.0 6.0 3.7 Brown shrimp - - - - Ocean Quahog - - - - Peanut Zoomer - - Calico Scallop - - - - Octopus - - - - 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 spiny lobster - - - - Oyster - - - - LECTIN AND Chinese white shrimp - - - - Pacific Oyster - - - - IgG IgA AQUAPORIN Chinook salmon - - - - Pacific cod - - - - Bell pepper aquaporin - - - - Chub mackerel - - - - Pacific herring - - - - Corn aquaporin - - - - Chum salmon - - - - Patagonian toothfish - - - - Potato aquaporin - - - - Clam - - - - Penaeid shrimp - - - - Soybean aquaporin - - - - Cod and Pollock - - - - Peruvian anchoveta - - - - Spinach aquaporin - - - - Coho salmon - - - - Pink Scallop - - - - Tobacco aquaporin - - - - Common carp - - - - Pink salmon - - - - Tomato aquaporin - - - - Crab - - - - Prussian carp - - - - Barley lectin - - - - Croaker - - - - Pufferfish - - - - Bell pepper lectin - - - - Donax Clam - - - - Queen Scallop - - - - Chickpea lectin - - - - Dover sole - - - - Rabbitsfoot Mussel - - - - Corn lectin - - - - European Flat - - - - Rainbow trout - - - - Cucumber lectin - - - - European anchovy - - - - Razor Clam - - - - Kidney bean lectin - - - - European lobster - - - - Red king crab - - - - Lentil lectin - - - - European pilchard - - - - Roman snail - - - - Lima bean lectin - - - - European plaice - - - - Salmon and Trout - - - - Mung lectin - - - - European snail - - - - Sand shrimp - - - - Flatfish (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 - - - - Silver carp - - - - Giant fresh water Soybean lectin - - - - prawn - - - - Skipjack tuna - - - - Tomato lectin - - - - Giant tiger prawn - - - - Snail - - - - Greasyback shrimp - - - - Snuffbox Mussel - - - - SEAFOOD ZOOMER IgG IgA Alaska pollock - - - - Haddock - - - - Sockeye salmon - - - - Albacore Tuna - - - - Hake - - - - Soft-Shell Clam - - - - South African spiny Alewife - - - - Hard-Shell Clam - - - - lobster - - - - American lobster - - - - Horse Mussel - - - - Squid - - - - Anchovies - - - - Icelandic Scallop - - - - Striped bass - - - - Anisakis simplex - - - - Indian mackerel - - - - Surf Clam - - - - Argentine anchoita - - - - Indian oil sardine - - - - Swordfish - - - - Asian sea bass - - - - Japanese Scallop - - - - Tilapia - - - - Japanese jack Atlantic Oyster - - - - mackerel - - - - Weathervane Scallop - - - - Atlantic cod - - - - Kumamoto Oyster - - - - Whiteleg shrimp - - - - Atlantic herring - - - - Kuruma prawn - - - - Yellowfin tuna - - - - Atlantic mackerel - - - - Largemouth bass - - - - Zebra Mussel - - - - Atlantic salmon - - - - Page 4 of 6 47 MK-0017-20 Page 4 of 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 -