“NutrEval” Test Preparation Guide

IMPORTANT: The instructions for the NutrEval test are very specific. Read all instructions thoroughly before taking your test. Due to certain restrictions, you may need to wait several days before collecting an accurate sample. 

The NutrEval test is completed in two parts.

1. The urinalysis is performed at home then frozen using a collection kit that is mailed to you by the lab.
2. The blood draw is completed at the Any Lab Test Now location of your choice. This is a fasting blood draw! For a simple and effective experience, follow the instructions below.

WHAT YOU WILL NEED

• Collection kit. Mailed to you by the lab. 
• Clean cup. To catch urine. Must be thoroughly clean and dry.
• Test Requisition Form. Mailed to you by the lab. This must be completed in its entirety and brought to the lab with your urine sample.
• Lab Fee. Approximately $25-$35 paid directly to the lab upon your arrival. 
• A Lab Appointment. Blood draws are by appointment. Appointments should be made by phone, not online.

INFORM THE PHYSICIAN IF

• You have a kidney disorder: abnormal kidney function, use of diuretics or impacted creatinine levels.
• You are using the following medications: antibiotics, amphetamines, acid blockers, anti-diabetics, fibrates medication or corticosteroids.

PREPARE FOR YOUR TESTS

4 Days Before The Test:

• Make your blood draw appointment. Call the Any Lab Test Now location of your choice to schedule your appointment (their online appointment system is faulty). Due to COVID 19 procedures, you MUST have an appointment.  Aim for a mid morning or lunch appointment. This is a fasting draw. You do not want to wait until the afternoon to eat. However your urine sample, taken first thing in the morning, needs to be frozen prior to your blood draw appointment.
• Discontinue non essential over-the-counter medications and supplements. This includes acetaminophen, over-the-counter cold remedies, vitamins, minerals, amino acids, protein powders, creatinine supplements, enhanced sports drinks, energy drinks, and vitamin waters.
• Discontinue products containing artificial sweeteners and MSG.
• Note: Female patients should not collect urine during a menstrual period.

24 Hours Before The Test:

• Eat your usual diet. Over-consuming any single food or extreme diets should be avoided.
• Drink eight 8-ounce glasses of water. Do not under or over hydrate.

The Night Before The Test:

• Fast. Abstain from eating or drinking any non-water liquids at least 8 hours prior to your blood draw.
• Freeze the included ice pack. Place the provided ice pack in your freezer so that it is frozen prior to urine transport.
• Complete all forms and labels. Write your date of birth on all provided labels and attach as detailed below. Accurately complete the provided Lab Requisition Form. 
• Prepare collection container. Place a sterile collection container or a clean and bone dry disposable container near your toilet so that it is available in the night or morning.

The Day Of The Test:

• Collect your first urination of the day. See below for full instructions.
• Ensure enough time for freezing. Both urine tubes must be completely frozen prior to transporting to Any Lab Test Now for blood draw appointment. This means you must plan to have your blood drawn at least 2-3 hours after your first urination of the day.

COLLECT YOUR URINE SPECIMEN (at home)

When To Collect:

• For cycling women: Do not collect urine during your menstrual cycle. 
• Collect your first urination of the day. See instructions below if you wake in the night to urinate.

 How To Collect

1. Label. Ensure all tubes are labeled with your date of birth. Do not discard tube fluid.
2. Check Requisition Form. Ensure your Test Requisition form is completed with your first and last name, date of birth, gender and date of collection.
3. Collect. Collect your first urine of the day into a sterile collection container or a clean, disposable container. Fill the container, and pass any additional urine into the toilet. *If you wake up to urinate during the night (within six hours of waking) collect that urine into your container and refrigerate it. Upon waking, collect your morning urine into the same container until full.
4. Transfer. Use the provided syringe to transfer urine from the collection container into the Green-top Preservative Tube, Blue-top Amber Tube, and Green-top Urine Tube until all are nearly full.
5. Package. Recap the tubes tightly and shake. Place the tubes into the biohazard bag labeled "BAG ONE".
6. Freeze. Freeze for a minimum of 2 hours or until completely frozen. 
7. Transport. Place the frozen ice pack in the biohazard bag with your frozen urine. Bring your frozen urine to your blood draw appointment. Some thawing in transit is expected however the urine should be as frozen as possible.

HAVE YOUR BLOOD DRAWN

• Ensure urine is frozen. Your urine must be completely frozen before transporting it to the lab.
• Ensure proper fasting. You must not eat any food or drink any non-water liquids for 8 hours prior to your blood draw.
• Present to the lab. Take your frozen urine and completed requisition form to the Any Lab Test Now location of your choice. You will pay the required lab fee of $25-35. They will take your urine samples for processing. They will then complete a blood draw in lab.
• Tip: Aim for a late morning or lunch time collection to allow your morning urine enough time to complete freeze before transport to the lab but keep you from going hungry due to fasting requirements.

REVIEW

4 Days Before The Test:

• Discontinue non essential over-the-counter medications and supplements. 
• Discontinue products containing artificial sweeteners and MSG.
• Make lab appointment.

The Day Before The Test:

• Eat your usual diet. 
• Drink eight 8-ounce glasses of water. 

The Night Before The Test:

• Abstain from eating or drinking any non-water liquids at least 8 hours prior to your blood draw.
• Freeze the included ice pack. 
• Complete all forms and labels. 
• Place a sterile, bone dry collection container in your bathroom. 

The Day Of The Test:

• Do not eat. Abstain from eating or drinking any non-water liquids at least 8 hours prior to your blood draw.
• Collect your first urination of the day (see instructions for night urinations).
• Transfer urine into the (3) tubes until full, cap tightly, and shake. Place in the bag labeled “BAG ONE” with the included frozen ice pack.
• Freeze urine completely. About 2-3 hours. 
• Take frozen urine and completed requisition form to your blood draw appointment.
• Pay the required lab fee of $25-35.
• Give them your urine sample.
• Have your blood drawn.

Please contact Dr. Zitt or Melissa (patient concierge) through chat in your patient portal if you have any questions regarding the lab procedures.