PTS Pod PSA/TSH/Cotinine/A1C

PTS Pod PSA/TSH/Cotinine/A1C

Samples are collected at the point-of-care and sent to a lab. Within 3 to 5 days after lab receives the pod, results are available for download from a secure website. This pod is a combo test for PSA, TSH, Cotinine, and A1C levels

Professional use only
Pods must be drop-shipped from PTS Diagnostics.
Account with CoreMedical Labs is necessary.
CoreMedical Labs will send pre-printed/bar coded requisition forms.

Our Price:$36.03/unit
Tests/box: 1 unit/box
Minimum order: 1

PTS Pod PSA/TSH/Cotinine/A1C

This is a PROFESSIONAL product ONLY. It is not meant to be used by consumers.

The PTS Pod system offers a variety of different lab-based tests. Prostate-specific antigen, or PSA, is a protein produced by cells of the prostate gland. The PSA test measures the level of PSA in a manís blood. The blood level of PSA is often elevated in men with prostate cancer. The thyroid-stimulating hormone (TSH) test is often the test of choice for evaluating thyroid function and/or symptoms of a thyroid disorder, including hyperthyroidism or hypothyroidism. The Serum Nicotine/Cotinine Pod tests for the presence of cotinine in the blood. Cotinine is a by-product of tobacco use. The Hemoglobin A1C panel is used as part of a diabetic treatment plan after you've been diagnosed with diabetes and as part of a diabetic risk assessment.

Prostate Specific Antigen (PSA)

Prostate cancer is the most common nonskin cancer in men, and it's the second leading cause of cancer-related death in men after lung cancer. Early detection may be an important tool in getting appropriate and timely treatment.

Men with prostate cancer may have elevated levels of PSA. Many noncancerous conditions also can increase a man's PSA level. Although the PSA test can detect high levels of PSA in the blood, the test doesn't provide precise diagnostic information about the condition of the prostate.

The PSA test is only one tool used to screen for early signs of prostate cancer. Another common screening test, usually done in addition to a PSA test, is a digital rectal exam. In this test, your doctor inserts a lubricated, gloved finger into your rectum to reach the prostate. By feeling or pressing on the prostate, the doctor may be able to judge whether it has abnormal lumps or hard areas.

Neither the PSA test nor the digital rectal exam provides enough information for your doctor to diagnose prostate cancer. Abnormal results in these tests may lead your doctor to recommend a prostate biopsy. During this procedure, samples of tissue are removed for laboratory examination. A diagnosis of cancer is based on the biopsy results.

Thyroid Stimulating Hormone (TSH)

A health practitioner may order a TSH test when someone has symptoms of hyperthyroidism or hypothyroidism and/or when a person has an enlarged thyroid gland (goiter).TSH may be ordered at regular intervals when an individual is being treated for a known thyroid disorder. When a person's dose of thyroid medication is adjusted, the American Thyroid Association recommends waiting 6-8 weeks before testing the level of TSH again. TSH screening is routinely performed in the United States on newborns soon after birth as part of each state's newborn screening program. In 2004, the U.S. Preventive Services Task Force found insufficient evidence to recommend for or against routine screening for thyroid disease in asymptomatic adults. However, the American Thyroid Association and the American Association of Clinical Endocrinologists released clinical practice guidelines in 2012 that recommend that screening for hypothyroidism should be considered in people over the age of 60. Because the signs and symptoms of both hypothyroidism and hyperthyroidism are so similar to those seen in many common disorders, health practitioners often need to rule out thyroid disease even though the patient has another problem.


Tobacco use is the leading cause of death in the United States. Nicotine, coadministered in tobacco products such as cigarettes, pipe, cigar, or chew, is an addicting substance that causes individuals to continue use of tobacco despite concerted efforts to quit. Nicotine stimulates dopamine release and increases dopamine concentration in the nucleus accumbens, a mechanism that is thought to be the basis for addiction for drugs of abuse.

Nicotine-dependent patients use tobacco products to achieve a peak serum nicotine value of 30 ng/mL to 50 ng/mL, the concentration at which the nicotine high is maximized. Nicotine is metabolized in the liver to cotinine. Cotinine accumulates in serum in proportion to dose and hepatic metabolism (which is genetically determined); most tobacco users accumulate cotinine in the range of 200 ng/mL to 800 ng/mL. Serum concentrations of nicotine and metabolites in these ranges indicate the patient is using tobacco or is receiving high-dose nicotine patch therapy.

Nicotine is rapidly metabolized, exhibiting an elimination half-life of 2 hours. Cotinine exhibits an apparent elimination half-life of 15 hours. Heavy tobacco users who abstain from tobacco for 2 weeks exhibit serum nicotine values < 2.0 ng/mL and cotinine < 2.0 ng/mL.

Passive exposure to tobacco smoke can cause accumulation of nicotine metabolites in nontobacco users. Serum cotinine has been observed to accumulate up to 8 ng/mL from passive exposure.

Tobacco users engaged in programs to abstain from tobacco require support in the form of counseling, pharmacotherapy, and continuous encouragement. Occasionally, counselors may elect to monitor abstinence by biochemical measurement of nicotine and metabolites in serum to verify abstinence. If results of biologic testing indicate the patient is actively using a tobacco product during therapy, additional counseling or intervention may be appropriate.


After a diabetes diagnosis, the A1C test is used to monitor your diabetes treatment plan. Since the A1C test measures your average blood sugar level for the past two to three months instead of your blood sugar level at a point in time, it is a better reflection of how well your diabetes treatment plan is working overall. Your doctor will likely use the A1C test when you're first diagnosed with diabetes. This also helps establish a baseline A1C level. The test may then need to be repeated while you're learning to control your blood sugar. Later, how often you need the A1C test depends on the type of diabetes you have, your treatment plan and how well you're managing your blood sugar.

For example, the A1C test may be recommended:

  • Twice a year if you have type 2 diabetes, you don't use insulin, and your blood sugar level is consistently within your target range
  • Three to four times a year if you have type 1 diabetes
  • Four times a year if you have type 2 diabetes, you use insulin to manage your diabetes, or you have trouble keeping your blood sugar level within your target range
You may need more frequent A1C tests if your doctor changes your diabetes treatment plan or you begin taking a new diabetes medication.


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