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Submitted URL: https://23andme.com/
Effective URL: https://www.23andme.com/en-int/
Submission: On October 10 via api from US — Scanned from DE
Effective URL: https://www.23andme.com/en-int/
Submission: On October 10 via api from US — Scanned from DE
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Skip to main content Toggle navigation Close navigation Register Kit Sign in * Our Service USD$99 * How it works * Stories * Our science * Your Privacy * Research participation * Location: International * Help Cart 0 buy 23 pairs of chromosomes. One unique you. * Sign in * Register Kit * Help * FAQs * Email * 1-800-239-5230 * Our Service * How It Works * How it works * Our science * Data protection * Research participation * Stories * Buy * Cart 0 * Sign In * Register Kit * Help * FAQs * Email * 1-800-239-5230 JOURNEY THROUGH YOUR DNA. JOURNEY THROUGH YOUR DNA. EXPERIENCE YOUR ANCESTRY IN A WHOLE NEW WAY. get ancestry Get ancestry for USD$99 Exclusive Offer: Buy one kit, get 20% OFF each additional kit. See cart for details. Buy now Only ancestry service that enables you to get FDA-authorized health reports FIND OUT WHAT YOUR DNA SAYS ABOUT YOU AND YOUR FAMILY. * See how your DNA breaks out across 2000+ regions worldwide * Discover DNA relatives from around the world * Share reports with family and friends * Learn how your DNA influences your facial features, taste, smell and other traits order now USD$99 23 PAIRS OF CHROMOSOMES. ONE UNIQUE YOU. START EXPERIENCING YOUR 23 PAIRS OF CHROMOSOMES. You are made of cells. And the cells in your body have 23 pairs of chromosomes. Your chromosomes are made of DNA, which can tell you a lot about you. Explore your 23 pairs today. Find out what your 23 pairs of chromosomes can tell you. HOW IT WORKS. IT'S JUST SALIVA. Provide your saliva sample from home. Mail it back to our lab in the same kit it came in—the postage is pre-paid. We bring your genetics to you. Learn more about how it works. OUR LAB. CLIA-CERTIFIED. Your DNA analysis is performed in US laboratories that are certified to meet CLIA standards—the Clinical Laboratory Improvement Amendments of 1988. A CLIA-certified lab must meet certain quality standards, including qualifications for individuals who perform the test and other standards that ensure the accuracy and reliability of results. We use leading technology to genotype your DNA—a custom version of the lllumina Global Screening Array. Learn more about our process. this is me® CUSTOMER STORIES. GENETIC JOURNEYS. We hear from thousands of customers around the world who write in to tell us about their 23andMe experience—and the impact it has had on their life. See stories that inspire us. HI. STILL HAVE QUESTIONS? Here are just a few of the things people frequently ask about 23andMe. If you don't see your question here, get in touch with us. WHAT IS THE HISTORY OF THE COMPANY? 23andMe was founded in 2006 to help people access, understand and benefit from the human genome. We have more than five million genotyped customers around the world. WHAT SERVICE DO YOU PROVIDE? Due to applicable regulations, 23andMe only offers an Ancestry + Traits Personal Genetic Service in international markets and health reports are not available. The service is in English only. It requires submitting a saliva sample using our saliva collection kit that you send to the lab for analysis. Our Ancestry + Traits Service helps you understand who you are, where your DNA comes from and your family story. We analyze, compile and distill your DNA information into reports on your Ancestry Composition, Ancestry Detail Reports, Traits, Haplogroups, and Neanderthal Ancestry. We also provide a DNA Relatives tool to enable you to connect with relatives who share similar DNA, and an automatic Family Tree builder. HOW ACCURATE ARE THE REPORTS? Our rigorous quality standards include: * All saliva samples are processed in CLIA-certified and CAP-accredited labs * Genotyping is a well-established and reliable platform for analyzing DNA * Our team of scientists and medical experts uses a robust process to develop reports to ensure validity * Your personalized reports are based on well-established scientific research * Ancestry percentages are derived from our powerful, well-tested system that provides you with ancestry estimates down to the 0.1% HOW IS MY PRIVACY PROTECTED? You choose how your genetic information is used and shared with others. We tell you how those choices are implemented and how we collect, use and disclose your information. * We will not share your individual-level information with any third party without your explicit consent * We have been long-time supporters of legislative efforts intended to prevent genetic discrimination and to safeguard individuals' genetic privacy and will not provide your information or results to employers or health insurance companies. In the US, we were active in the development of the Genetic Information Nondiscrimination Act (GINA) enacted in 2008. In addition, we were an active supporter of S-201 in Canada * We have guidelines and policies in place to protect the personal information of children as well as incapacitated or deceased individuals * We do not provide information to law enforcement unless we are required to comply with a valid subpoena or a court-ordered request * Our service USD$99 * How it works * Stories * Our science FOOTER SERVICES * Ancestry COMPANY * Investors * About Us * Reporter Inquiries * Blog * Genetics Learning Hub * Careers * Return Policy * Customer Care * Site Map LEGAL * Terms of Service updated * Privacy Statement updated * Data Protection * Research Consent * Biobanking Consent * Cookie Policy updated * Cookie Settings * Ad Choices * Report a Security Issue DOWNLOAD APP * * International | Change CHANGE LOCATION CONNECT * * * * * * * * © 2022 23andMe, Inc. All rights reserved. close ANCESTRY REPORTS 50+ reports * Ancestry Composition * Ancestry Detail Reports (48 reports) Population-specific reports with maps covering 2000+ regions, offering a granular view of your ancestry, plus immersive educational content. Reports included: Americas (Caribbean, Mexico & Central America, Indigenous American, South America); East Asia (Chinese, Chinese Dai, Filipino & Austronesian, Indonesian, Thai, Khmer & Myanma, Japanese, Korean, Manchurian & Mongolian, Siberian, Vietnamese); Europe (Ashkenazi Jewish, British & Irish, Eastern European, Finnish, French & German, Greek & Balkan, Italian, Sardinian, Scandinavian, Spanish & Portuguese); Oceania (Melanesian); Central & South Asia (Bengali & Northeast Indian, Central Asian, Gujarati Patidar, Malayali Subgroup, Northern Indian & Pakistani, Southern Indian & Sri Lankan, Southern Indian Subgroup); Sub-Saharan Africa (African Hunter-Gatherer, Angolan & Congolese, Ethiopian & Eritrean, Ghanaian, Liberian & Sierra Leonean, Nigerian, Senegambian & Guinean, Somali, Southern East African, Sudanese); Western Asia & North Africa (Anatolian, Coptic Egyptian, Cypriot, Egyptian, Iranian, Caucasian & Mesopotamian, Levantine, North African, Peninsular Arab) * Family Tree * Maternal Haplogroup * Paternal Haplogroup * Neanderthal Ancestry See sample report See sample report TRAIT REPORTS 30+ traits * Ability to Match Musical Pitch * Asparagus Odor Detection * Back Hair (available for men only) * Bald Spot (available for men only) * Bitter Taste * Bunions * Cheek Dimples * Cilantro Taste Aversion * Cleft Chin * Dandruff * Earlobe Type * Early Hair Loss (available for men only) * Earwax Type * Eye Color * Fear of Heights * Fear of Public Speaking * Finger Length Ratio * Flat Feet * Freckles * Hair Photobleaching (hair lightening from the sun) * Hair Texture * Hair Thickness * Ice Cream Flavor Preference * Light or Dark Hair * Misophonia (hatred of the sound of chewing) * Mosquito Bite Frequency * Motion Sickness * Newborn Hair * Photic Sneeze Reflex * Red Hair * Skin Pigmentation * Stretch Marks * Sweet vs. Salty * Toe Length Ratio * Unibrow * Wake-Up Time * Widow's Peak See sample report See sample report HEALTH PREDISPOSITION REPORTS* 10+ reports * TYPE 2 DIABETES ( POWERED BY 23ANDME RESEARCH ) Learn more Genetic likelihood for a disorder of blood sugar regulation 1,000+ variants in many genes; variants found in many ethnicities * AGE-RELATED MACULAR DEGENERATION Genetic risk for a form of adult-onset vision loss 2 variants in the ARMS2 and CFH genes; relevant for European descent * ALPHA-1 ANTITRYPSIN DEFICIENCY Genetic risk for lung and liver disease 2 variants in the SERPINA1 gene; relevant for European descent * BRCA1/BRCA2 (SELECTED VARIANTS) Learn more Genetic risk based on a limited set of variants for breast, ovarian and other cancers 3 variants in the BRCA1 and BRCA2 genes; relevant for Ashkenazi Jewish descent * CELIAC DISEASE Genetic risk for gluten-related autoimmune disorder 2 variants near the HLA-DQB1 and HLA-DQA1 genes; relevant for European descent * CHRONIC KIDNEY DISEASE (APOL1-RELATED) Genetic risk for a form of chronic kidney disease 2 variants in the APOL1 gene; relevant for African descent * FAMILIAL HYPERCHOLESTEROLEMIA Genetic risk for very high cholesterol, which can increase the risk for heart disease 24 variants in the LDLR and APOB genes; relevant for European, Lebanese, Old Order Amish descent * G6PD DEFICIENCY Genetic risk for a form of anemia 2 variants in the G6PD gene; relevant for African, Southern European, Kurdish Jewish, Middle Eastern, Central Asian, South Asian descent * HEREDITARY AMYLOIDOSIS (TTR-RELATED) Genetic risk for a form of nerve and heart damage 3 variants in the TTR gene; relevant for African American, West African, Portuguese, Northern Swedish, Japanese, Irish, British descent * HEREDITARY HEMOCHROMATOSIS (HFE‑RELATED) Genetic risk for iron overload 2 variants in the HFE gene; relevant for European descent * HEREDITARY THROMBOPHILIA Genetic risk for harmful blood clots 2 variants in the F2 and F5 genes; relevant for European descent * LATE-ONSET ALZHEIMER'S DISEASE Genetic risk for a form of dementia 1 variant in the APOE gene; variant found and studied in many ethnicities * MUTYH-ASSOCIATED POLYPOSIS Genetic risk for a specific colorectal cancer syndrome 2 variants in the MUTYH gene; relevant for Northern European descent * PARKINSON'S DISEASE Genetic risk for a form of movement impairment 2 variants in the LRRK2 and GBA genes; relevant for European, Ashkenazi Jewish, North African Berber descent See sample report See sample report WELLNESS REPORTS 5+ reports * Alcohol Flush Reaction * Caffeine Consumption * Deep Sleep * Genetic Weight * Lactose Intolerance * Muscle Composition * Saturated Fat and Weight * Sleep Movement See sample report See sample report CARRIER STATUS REPORTS* 40+ reports * ARSACS 1 variant in the SACS gene; relevant for French Canadian descent * AGENESIS OF THE CORPUS CALLOSUM WITH PERIPHERAL NEUROPATHY 1 variant in the SLC12A6 gene; relevant for French Canadian descent * AUTOSOMAL RECESSIVE POLYCYSTIC KIDNEY DISEASE 3 variants in the PKHD1 gene * BETA THALASSEMIA AND RELATED HEMOGLOBINOPATHIES 10 variants in the HBB gene; relevant for Sardinian, Cypriot, Italian/Sicilian, Greek descent * BLOOM SYNDROME 1 variant in the BLM gene; relevant for Ashkenazi Jewish descent * CANAVAN DISEASE 3 variants in the ASPA gene; relevant for Ashkenazi Jewish descent * CONGENITAL DISORDER OF GLYCOSYLATION TYPE 1A (PMM2-CDG) 2 variants in the PMM2 gene; relevant for Ashkenazi Jewish, Danish descent * CYSTIC FIBROSIS 29 variants in the CFTR gene; relevant for Ashkenazi Jewish, European, Hispanic/Latino descent * D-BIFUNCTIONAL PROTEIN DEFICIENCY 2 variants in the HSD17B4 gene * DIHYDROLIPOAMIDE DEHYDROGENASE DEFICIENCY 1 variant in the DLD gene; relevant for Ashkenazi Jewish descent * FAMILIAL DYSAUTONOMIA 1 variant in the ELP1 gene; relevant for Ashkenazi Jewish descent * FAMILIAL HYPERINSULINISM (ABCC8-RELATED) 3 variants in the ABCC8 gene; relevant for Ashkenazi Jewish descent * FAMILIAL MEDITERRANEAN FEVER 7 variants in the MEFV gene; relevant for Arab, Armenian, Sephardic Jewish, Turkish descent * FANCONI ANEMIA GROUP C 3 variants in the FANCC gene; relevant for Ashkenazi Jewish descent * GRACILE SYNDROME 1 variant in the BCS1L gene; relevant for Finnish descent * GAUCHER DISEASE TYPE 1 3 variants in the GBA gene; relevant for Ashkenazi Jewish descent * GLYCOGEN STORAGE DISEASE TYPE IA 1 variant in the G6PC gene; relevant for Ashkenazi Jewish descent * GLYCOGEN STORAGE DISEASE TYPE IB 2 variants in the SLC37A4 gene * HEREDITARY FRUCTOSE INTOLERANCE 4 variants in the ALDOB gene; relevant for European descent * HERLITZ JUNCTIONAL EPIDERMOLYSIS BULLOSA (LAMB3-RELATED) 3 variants in the LAMB3 gene * LEIGH SYNDROME, FRENCH CANADIAN TYPE 1 variant in the LRPPRC gene; relevant for French Canadian descent * LIMB-GIRDLE MUSCULAR DYSTROPHY TYPE 2D 1 variant in the SGCA gene * LIMB-GIRDLE MUSCULAR DYSTROPHY TYPE 2E 1 variant in the SGCB gene; relevant for Amish descent * LIMB-GIRDLE MUSCULAR DYSTROPHY TYPE 2I 1 variant in the FKRP gene * MCAD DEFICIENCY 4 variants in the ACADM gene; relevant for European descent * MAPLE SYRUP URINE DISEASE TYPE 1B 2 variants in the BCKDHB gene; relevant for Ashkenazi Jewish descent * MUCOLIPIDOSIS TYPE IV 1 variant in the MCOLN1 gene; relevant for Ashkenazi Jewish descent * NEURONAL CEROID LIPOFUSCINOSIS (CLN5-RELATED) 1 variant in the CLN5 gene; relevant for Finnish descent * NEURONAL CEROID LIPOFUSCINOSIS (PPT1-RELATED) 3 variants in the PPT1 gene; relevant for Finnish descent * NIEMANN-PICK DISEASE TYPE A 3 variants in the SMPD1 gene; relevant for Ashkenazi Jewish descent * NIJMEGEN BREAKAGE SYNDROME 1 variant in the NBN gene * NONSYNDROMIC HEARING LOSS AND DEAFNESS, DFNB1 (GJB2-RELATED) 8 variants in the GJB2 gene; relevant for many ethnicities, including Ashkenazi Jewish, East/Southeast Asian, European, and Ghanaian descent. May also be relevant for Hispanic/Latino, Northern African/Middle Eastern, and South Asian descent * PENDRED SYNDROME AND DFNB4 HEARING LOSS (SLC26A4-RELATED) 6 variants in the SLC26A4 gene * PHENYLKETONURIA AND RELATED DISORDERS 23 variants in the PAH gene; relevant for Irish, Northern European descent * PRIMARY HYPEROXALURIA TYPE 2 1 variant in the GRHPR gene * PYRUVATE KINASE DEFICIENCY 1 variant in the PKLR gene * RHIZOMELIC CHONDRODYSPLASIA PUNCTATA TYPE 1 1 variant in the PEX7 gene * SALLA DISEASE 1 variant in the SLC17A5 gene; relevant for Finnish, Swedish descent * SICKLE CELL ANEMIA 1 variant in the HBB gene; relevant for African American, African, Middle Eastern, South Asian, Caribbean, Mediterranean, Central and South American descent * SJÖGREN-LARSSON SYNDROME 1 variant in the ALDH3A2 gene; relevant for Swedish descent * TAY-SACHS DISEASE 4 variants in the HEXA gene; relevant for Ashkenazi Jewish, Cajun descent * TYROSINEMIA TYPE I 4 variants in the FAH gene; relevant for French Canadian, Finnish descent * USHER SYNDROME TYPE 1F 1 variant in the PCDH15 gene; relevant for Ashkenazi Jewish descent * USHER SYNDROME TYPE 3A 1 variant in the CLRN1 gene; relevant for Ashkenazi Jewish descent * ZELLWEGER SYNDROME SPECTRUM (PEX1-RELATED) 1 variant in the PEX1 gene See sample report See sample report close Ancestry USD$99 ANCESTRY REPORTS 50+ reports * Ancestry Composition * Ancestry Detail Reports (48 reports) Population-specific reports with maps covering 2000+ regions, offering a granular view of your ancestry, plus immersive educational content. Reports included: Americas (Caribbean, Mexico & Central America, Indigenous American, South America); East Asia (Chinese, Chinese Dai, Filipino & Austronesian, Indonesian, Thai, Khmer & Myanma, Japanese, Korean, Manchurian & Mongolian, Siberian, Vietnamese); Europe (Ashkenazi Jewish, British & Irish, Eastern European, Finnish, French & German, Greek & Balkan, Italian, Sardinian, Scandinavian, Spanish & Portuguese); Oceania (Melanesian); Central & South Asia (Bengali & Northeast Indian, Central Asian, Gujarati Patidar, Malayali Subgroup, Northern Indian & Pakistani, Southern Indian & Sri Lankan, Southern Indian Subgroup); Sub-Saharan Africa (African Hunter-Gatherer, Angolan & Congolese, Ethiopian & Eritrean, Ghanaian, Liberian & Sierra Leonean, Nigerian, Senegambian & Guinean, Somali, Southern East African, Sudanese); Western Asia & North Africa (Anatolian, Coptic Egyptian, Cypriot, Egyptian, Iranian, Caucasian & Mesopotamian, Levantine, North African, Peninsular Arab) * Family Tree * Maternal Haplogroup * Paternal Haplogroup * Neanderthal Ancestry See sample report See sample report TRAIT REPORTS 30+ traits * Ability to Match Musical Pitch * Asparagus Odor Detection * Back Hair (available for men only) * Bald Spot (available for men only) * Bitter Taste * Bunions * Cheek Dimples * Cilantro Taste Aversion * Cleft Chin * Dandruff * Earlobe Type * Early Hair Loss (available for men only) * Earwax Type * Eye Color * Fear of Heights * Fear of Public Speaking * Finger Length Ratio * Flat Feet * Freckles * Hair Photobleaching (hair lightening from the sun) * Hair Texture * Hair Thickness * Ice Cream Flavor Preference * Light or Dark Hair * Misophonia (hatred of the sound of chewing) * Mosquito Bite Frequency * Motion Sickness * Newborn Hair * Photic Sneeze Reflex * Red Hair * Skin Pigmentation * Stretch Marks * Sweet vs. Salty * Toe Length Ratio * Unibrow * Wake-Up Time * Widow's Peak See sample report See sample report Health + Ancestry USD$ ANCESTRY REPORTS 50+ reports * Ancestry Composition * Ancestry Detail Reports (48 reports) Population-specific reports with maps covering 2000+ regions, offering a granular view of your ancestry, plus immersive educational content. Reports included: Americas (Caribbean, Mexico & Central America, Indigenous American, South America); East Asia (Chinese, Chinese Dai, Filipino & Austronesian, Indonesian, Thai, Khmer & Myanma, Japanese, Korean, Manchurian & Mongolian, Siberian, Vietnamese); Europe (Ashkenazi Jewish, British & Irish, Eastern European, Finnish, French & German, Greek & Balkan, Italian, Sardinian, Scandinavian, Spanish & Portuguese); Oceania (Melanesian); Central & South Asia (Bengali & Northeast Indian, Central Asian, Gujarati Patidar, Malayali Subgroup, Northern Indian & Pakistani, Southern Indian & Sri Lankan, Southern Indian Subgroup); Sub-Saharan Africa (African Hunter-Gatherer, Angolan & Congolese, Ethiopian & Eritrean, Ghanaian, Liberian & Sierra Leonean, Nigerian, Senegambian & Guinean, Somali, Southern East African, Sudanese); Western Asia & North Africa (Anatolian, Coptic Egyptian, Cypriot, Egyptian, Iranian, Caucasian & Mesopotamian, Levantine, North African, Peninsular Arab) * Family Tree * Maternal Haplogroup * Paternal Haplogroup * Neanderthal Ancestry See sample report See sample report TRAIT REPORTS 30+ traits * Ability to Match Musical Pitch * Asparagus Odor Detection * Back Hair (available for men only) * Bald Spot (available for men only) * Bitter Taste * Bunions * Cheek Dimples * Cilantro Taste Aversion * Cleft Chin * Dandruff * Earlobe Type * Early Hair Loss (available for men only) * Earwax Type * Eye Color * Fear of Heights * Fear of Public Speaking * Finger Length Ratio * Flat Feet * Freckles * Hair Photobleaching (hair lightening from the sun) * Hair Texture * Hair Thickness * Ice Cream Flavor Preference * Light or Dark Hair * Misophonia (hatred of the sound of chewing) * Mosquito Bite Frequency * Motion Sickness * Newborn Hair * Photic Sneeze Reflex * Red Hair * Skin Pigmentation * Stretch Marks * Sweet vs. Salty * Toe Length Ratio * Unibrow * Wake-Up Time * Widow's Peak See sample report See sample report HEALTH PREDISPOSITION REPORTS* 10+ reports * TYPE 2 DIABETES ( POWERED BY 23ANDME RESEARCH ) Learn more Genetic likelihood for a disorder of blood sugar regulation 1,000+ variants in many genes; variants found in many ethnicities * AGE-RELATED MACULAR DEGENERATION Genetic risk for a form of adult-onset vision loss 2 variants in the ARMS2 and CFH genes; relevant for European descent * ALPHA-1 ANTITRYPSIN DEFICIENCY Genetic risk for lung and liver disease 2 variants in the SERPINA1 gene; relevant for European descent * BRCA1/BRCA2 (SELECTED VARIANTS) Learn more Genetic risk based on a limited set of variants for breast, ovarian and other cancers 3 variants in the BRCA1 and BRCA2 genes; relevant for Ashkenazi Jewish descent * CELIAC DISEASE Genetic risk for gluten-related autoimmune disorder 2 variants near the HLA-DQB1 and HLA-DQA1 genes; relevant for European descent * CHRONIC KIDNEY DISEASE (APOL1-RELATED) Genetic risk for a form of chronic kidney disease 2 variants in the APOL1 gene; relevant for African descent * FAMILIAL HYPERCHOLESTEROLEMIA Genetic risk for very high cholesterol, which can increase the risk for heart disease 24 variants in the LDLR and APOB genes; relevant for European, Lebanese, Old Order Amish descent * G6PD DEFICIENCY Genetic risk for a form of anemia 2 variants in the G6PD gene; relevant for African, Southern European, Kurdish Jewish, Middle Eastern, Central Asian, South Asian descent * HEREDITARY AMYLOIDOSIS (TTR-RELATED) Genetic risk for a form of nerve and heart damage 3 variants in the TTR gene; relevant for African American, West African, Portuguese, Northern Swedish, Japanese, Irish, British descent * HEREDITARY HEMOCHROMATOSIS (HFE‑RELATED) Genetic risk for iron overload 2 variants in the HFE gene; relevant for European descent * HEREDITARY THROMBOPHILIA Genetic risk for harmful blood clots 2 variants in the F2 and F5 genes; relevant for European descent * LATE-ONSET ALZHEIMER'S DISEASE Genetic risk for a form of dementia 1 variant in the APOE gene; variant found and studied in many ethnicities * MUTYH-ASSOCIATED POLYPOSIS Genetic risk for a specific colorectal cancer syndrome 2 variants in the MUTYH gene; relevant for Northern European descent * PARKINSON'S DISEASE Genetic risk for a form of movement impairment 2 variants in the LRRK2 and GBA genes; relevant for European, Ashkenazi Jewish, North African Berber descent See sample report See sample report WELLNESS REPORTS 5+ reports * Alcohol Flush Reaction * Caffeine Consumption * Deep Sleep * Genetic Weight * Lactose Intolerance * Muscle Composition * Saturated Fat and Weight * Sleep Movement See sample report See sample report CARRIER STATUS REPORTS* 40+ reports * ARSACS 1 variant in the SACS gene; relevant for French Canadian descent * AGENESIS OF THE CORPUS CALLOSUM WITH PERIPHERAL NEUROPATHY 1 variant in the SLC12A6 gene; relevant for French Canadian descent * AUTOSOMAL RECESSIVE POLYCYSTIC KIDNEY DISEASE 3 variants in the PKHD1 gene * BETA THALASSEMIA AND RELATED HEMOGLOBINOPATHIES 10 variants in the HBB gene; relevant for Sardinian, Cypriot, Italian/Sicilian, Greek descent * BLOOM SYNDROME 1 variant in the BLM gene; relevant for Ashkenazi Jewish descent * CANAVAN DISEASE 3 variants in the ASPA gene; relevant for Ashkenazi Jewish descent * CONGENITAL DISORDER OF GLYCOSYLATION TYPE 1A (PMM2-CDG) 2 variants in the PMM2 gene; relevant for Ashkenazi Jewish, Danish descent * CYSTIC FIBROSIS 29 variants in the CFTR gene; relevant for Ashkenazi Jewish, European, Hispanic/Latino descent * D-BIFUNCTIONAL PROTEIN DEFICIENCY 2 variants in the HSD17B4 gene * DIHYDROLIPOAMIDE DEHYDROGENASE DEFICIENCY 1 variant in the DLD gene; relevant for Ashkenazi Jewish descent * FAMILIAL DYSAUTONOMIA 1 variant in the ELP1 gene; relevant for Ashkenazi Jewish descent * FAMILIAL HYPERINSULINISM (ABCC8-RELATED) 3 variants in the ABCC8 gene; relevant for Ashkenazi Jewish descent * FAMILIAL MEDITERRANEAN FEVER 7 variants in the MEFV gene; relevant for Arab, Armenian, Sephardic Jewish, Turkish descent * FANCONI ANEMIA GROUP C 3 variants in the FANCC gene; relevant for Ashkenazi Jewish descent * GRACILE SYNDROME 1 variant in the BCS1L gene; relevant for Finnish descent * GAUCHER DISEASE TYPE 1 3 variants in the GBA gene; relevant for Ashkenazi Jewish descent * GLYCOGEN STORAGE DISEASE TYPE IA 1 variant in the G6PC gene; relevant for Ashkenazi Jewish descent * GLYCOGEN STORAGE DISEASE TYPE IB 2 variants in the SLC37A4 gene * HEREDITARY FRUCTOSE INTOLERANCE 4 variants in the ALDOB gene; relevant for European descent * HERLITZ JUNCTIONAL EPIDERMOLYSIS BULLOSA (LAMB3-RELATED) 3 variants in the LAMB3 gene * LEIGH SYNDROME, FRENCH CANADIAN TYPE 1 variant in the LRPPRC gene; relevant for French Canadian descent * LIMB-GIRDLE MUSCULAR DYSTROPHY TYPE 2D 1 variant in the SGCA gene * LIMB-GIRDLE MUSCULAR DYSTROPHY TYPE 2E 1 variant in the SGCB gene; relevant for Amish descent * LIMB-GIRDLE MUSCULAR DYSTROPHY TYPE 2I 1 variant in the FKRP gene * MCAD DEFICIENCY 4 variants in the ACADM gene; relevant for European descent * MAPLE SYRUP URINE DISEASE TYPE 1B 2 variants in the BCKDHB gene; relevant for Ashkenazi Jewish descent * MUCOLIPIDOSIS TYPE IV 1 variant in the MCOLN1 gene; relevant for Ashkenazi Jewish descent * NEURONAL CEROID LIPOFUSCINOSIS (CLN5-RELATED) 1 variant in the CLN5 gene; relevant for Finnish descent * NEURONAL CEROID LIPOFUSCINOSIS (PPT1-RELATED) 3 variants in the PPT1 gene; relevant for Finnish descent * NIEMANN-PICK DISEASE TYPE A 3 variants in the SMPD1 gene; relevant for Ashkenazi Jewish descent * NIJMEGEN BREAKAGE SYNDROME 1 variant in the NBN gene * NONSYNDROMIC HEARING LOSS AND DEAFNESS, DFNB1 (GJB2-RELATED) 8 variants in the GJB2 gene; relevant for many ethnicities, including Ashkenazi Jewish, East/Southeast Asian, European, and Ghanaian descent. May also be relevant for Hispanic/Latino, Northern African/Middle Eastern, and South Asian descent * PENDRED SYNDROME AND DFNB4 HEARING LOSS (SLC26A4-RELATED) 6 variants in the SLC26A4 gene * PHENYLKETONURIA AND RELATED DISORDERS 23 variants in the PAH gene; relevant for Irish, Northern European descent * PRIMARY HYPEROXALURIA TYPE 2 1 variant in the GRHPR gene * PYRUVATE KINASE DEFICIENCY 1 variant in the PKLR gene * RHIZOMELIC CHONDRODYSPLASIA PUNCTATA TYPE 1 1 variant in the PEX7 gene * SALLA DISEASE 1 variant in the SLC17A5 gene; relevant for Finnish, Swedish descent * SICKLE CELL ANEMIA 1 variant in the HBB gene; relevant for African American, African, Middle Eastern, South Asian, Caribbean, Mediterranean, Central and South American descent * SJÖGREN-LARSSON SYNDROME 1 variant in the ALDH3A2 gene; relevant for Swedish descent * TAY-SACHS DISEASE 4 variants in the HEXA gene; relevant for Ashkenazi Jewish, Cajun descent * TYROSINEMIA TYPE I 4 variants in the FAH gene; relevant for French Canadian, Finnish descent * USHER SYNDROME TYPE 1F 1 variant in the PCDH15 gene; relevant for Ashkenazi Jewish descent * USHER SYNDROME TYPE 3A 1 variant in the CLRN1 gene; relevant for Ashkenazi Jewish descent * ZELLWEGER SYNDROME SPECTRUM (PEX1-RELATED) 1 variant in the PEX1 gene See sample report See sample report close SELECT REPORT CATEGORY Learn more about Genetic Health Risks and Carrier Status reports, genetic counseling and what to know about test results. For more information about other reports included in our Health + Ancestry Service, including Wellness, Traits and Ancestry, click here. GENETIC HEALTH RISKS Genetic Health Risk reports tell you about genetic variants associated with increased risk for certain health conditions. learn more CARRIER STATUS Carrier Status tests tell you whether you carry genetic variants that may not affect your health, but could affect the health of your family. learn more Genetic Health Risks Carrier Status 23ANDME GENETIC HEALTH RISK REPORTS The following information applies to Genetic Health Risk reports only. WHAT YOU SHOULD KNOW 23ANDME GENETIC HEALTH RISK REPORTS: WHAT YOU SHOULD KNOW Genetic Health Risk reports tell you about genetic variants associated with increased risk for certain health conditions. They do not diagnose cancer or any other health conditions or determine medical action. Having a risk variant does not mean you will definitely develop a health condition. Similarly, you could still develop the condition even if you don't have a variant detected. It is possible to have other genetic risk variants not included in these reports. Factors like lifestyle and environment can also affect whether a person develops most health conditions. Our reports cannot tell you about your overall risk for these conditions, and they cannot determine if you will or will not develop a condition. These reports do not replace visits to a healthcare professional. Consult with a healthcare professional for help interpreting and using genetic results. Results should not be used to make medical decisions. Expand content WE ENCOURAGE YOU TO SPEAK TO A GENETIC COUNSELOR WE ENCOURAGE YOU TO SPEAK TO A GENETIC COUNSELOR There are many things to think about when deciding whether genetic testing is right for you. Although these tests can provide important information about health risks, they can also be upsetting or raise questions about what the results mean. Genetic tests also have certain limitations that are important to understand. Your personal and family medical history, as well as your goals for testing, should all factor into your decisions about whether and how to test. A genetic counselor, a healthcare professional with special training in genetic conditions, will be able to answer your questions and help you make an informed choice. We recommend that you speak with a genetic counselor before testing, and also after testing to help you understand your results and what actions you should take. This is especially important for health conditions that are preventable or treatable. GENETIC COUNSELORS CAN HELP YOU NAVIGATE COMMON QUESTIONS, SUCH AS: * What are the risks and benefits of genetic testing? * Are there diseases that run in the family? * How do you handle potentially distressing information? * What are you hoping to find out from genetic testing? Talk to your healthcare provider or click here to search for a genetic counselor near you (this link takes you to a page managed by the National Society of Genetic Counselors: http://www.aboutgeneticcounselors.com/). Expand content WHAT TO KNOW ABOUT GENETIC HEALTH RISK REPORTS WHAT TO KNOW ABOUT GENETIC HEALTH RISK REPORTS POSSIBLE TEST RESULTS Variant(s) not detected You do not have the variant(s) we tested. Since these tests do not include all variants that may impact your risk of developing a condition, you may still have another variant that could affect your risk. Non-genetic factors may also affect your risk. Variant(s) detected You have one or more of the variants we tested. You may be at increased risk for the condition based on this result. This does not mean you will definitely develop the condition. Other factors may also affect your risk. Result not determined Your test result could not be determined. This can be caused by random test error or other factors that interfere with the test. In some cases, the laboratory may not be able to process your sample. If this happens, we will notify you by email and you may request one free replacement kit. Other companies offering genetic risk tests may include different variants for the same health condition. This means that it's possible to get different results using a test from a different company. -------------------------------------------------------------------------------- WHAT TO DO WITH THE RESULTS If your report says you have variants associated with increased risk * Consider sharing the result with a healthcare professional. * Certain results, such as having a variant detected for the BRCA1/ BRCA2 (Selected Variants) report, may warrant prompt follow-up with a healthcare professional, since effective options may exist to prevent or reduce risk for disease. Each report will provide more specific guidance. * Consider sharing your results with relatives. They may also have these variants. Keep in mind that some people may not want to know information about genetic health risks. If your report says you do not have any risk variants detected * Continue to follow screening and other healthy behaviors recommended by your healthcare provider. This is because our reports do not cover all factors that might influence risk. Concerned about your risk? * If you have other risk factors for the condition, you should discuss the condition with a doctor. * You can also discuss your results with a genetic counselor (this link takes you to a page managed by the National Society of Genetic Counselors to find a genetic counselor near you: http://www.aboutgeneticcounselors.com/). Genetic Health Risk reports are intended to provide you with genetic information to inform conversations with a healthcare professional. These reports should not be used to make medical decisions. Always consult with a healthcare professional before taking any medical action. Expand content YOU WILL BE ASKED WHETHER YOU WANT TO RECEIVE CERTAIN GENETIC HEALTH RISK REPORTS YOU WILL BE ASKED WHETHER YOU WANT TO RECEIVE CERTAIN GENETIC HEALTH RISK REPORTS Some of our reports are about serious diseases that may not have an effective treatment or cure. Others may have effective treatment or prevention options, but these actions may carry their own health risks. You may be upset by learning about genetic risks for these diseases, and about genetic risks for family members who share DNA. If you tend to feel anxious or have a personal history of depression or anxiety, this information may be more likely to be upsetting. Knowing about genetic risks could also affect your ability to get some kinds of insurance. You can choose to exclude the following reports individually from your account before your results are returned to you: * BRCA1/BRCA2 (Selected Variants) * MUTYH-Associated Polyposis * Late-Onset Alzheimer’s Disease * Parkinson’s Disease If you are interested in receiving these reports, we recommend that you consult with a genetic counselor before purchasing. Additional relevant information about these reports will be provided when you go through the process of setting your report preferences, after registering your kit. Expand content WHAT TO KNOW ABOUT OUR GENETIC HEALTH RISK REPORTS WHAT TO KNOW ABOUT OUR GENETIC HEALTH RISK REPORTS Age-Related Macular Degeneration Alpha-1 Antitrypsin Deficiency BRCA1/BRCA2 (Selected Variants) Celiac Disease Chronic Kidney Disease (APOL1-Related) Familial Hypercholesterolemia G6PD Deficiency Hereditary Amyloidosis (TTR-Related) Hereditary Hemochromatosis (HFE‑Related) Hereditary Thrombophilia Late-Onset Alzheimer's Disease MUTYH-Associated Polyposis Parkinson's Disease Select a Condition Age-Related Macular Degeneration Alpha-1 Antitrypsin Deficiency BRCA1/BRCA2 (Selected Variants) Celiac Disease Chronic Kidney Disease (APOL1-Related) Familial Hypercholesterolemia G6PD Deficiency Hereditary Amyloidosis (TTR-Related) Hereditary Hemochromatosis (HFE‑Related) Hereditary Thrombophilia Late-Onset Alzheimer's Disease MUTYH-Associated Polyposis Parkinson's Disease * View sample report here * View package insert here WHAT TO KNOW ABOUT: AGE-RELATED MACULAR DEGENERATION AND OUR TEST Age-related macular degeneration (AMD) is the most common cause of irreversible vision loss among older adults. The disease results in damage to the central part of the retina (the macula), impairing vision needed for reading, driving, or even recognizing faces. This test includes the two most common variants associated with an increased risk of developing the condition. Typical signs and symptoms * Blurred or distorted vision * Vision loss * Yellow fatty deposits in the retina called "drusen" * Blood or fluid leakage in the retina Other factors that influence risk * Smoking * Age * Family history * Ethnicity * Diet When symptoms develop AMD is rarely diagnosed in people under the age of 50. Vision loss related to AMD usually becomes noticeable in a person's 60s or 70s and tends to worsen over time. How it's treated There is currently no known prevention or cure for AMD. Having regular eye exams can help detect early signs of the condition. Progression of AMD can be slowed with the use of certain treatments and medications. What do we test? * Tests for the Y402H variant in the CFH gene and the A69S variant in the ARMS2 gene associated with an increased risk of developing AMD. * Genetic testing for AMD is not currently recommended by any healthcare professional organizations. Relevant ethnicities * The variants included in this test are common in many ethnicities, but are best studied in people of European descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: ALPHA-1 ANTITRYPSIN DEFICIENCY AND OUR TEST AAT deficiency is a genetic condition that can lead to lung and liver disease. It is caused by decreased levels of the alpha-1 antitrypsin (AAT) protein. This test includes the two most common variants linked to this deficiency. Potential signs and symptoms of AAT deficiency * Shortness of breath and wheezing * Chronic cough * Recurrent lung infections * Lung disease, including emphysema * Liver disease, including cirrhosis Other factors that increase risk Genetic variants are the only risk factor for AAT deficiency. In people with genetic risk variants, the chances of developing symptoms of AAT deficiency depend on lifestyle, environment, and other factors. * Smoking * Occupational and other exposures * Personal or family history of lung disease * Certain infections When symptoms develop Because it is a genetic condition, AAT deficiency is present at birth. Symptoms of lung disease usually appear later in life, and age of onset is strongly affected by smoking. Some people may never have symptoms of lung disease, especially if they don't smoke. Liver problems may develop anytime from infancy to adulthood. How it's treated There is currently no known cure. People with AAT deficiency are encouraged to avoid smoking and consider getting certain vaccinations. For those with symptoms, treatment focuses on management of lung and liver problems. Direct replacement of the AAT protein into the blood may be used to slow the progression of lung disease. Lung and liver transplants may be beneficial in some cases. What do we test? * Tests for the PI*Z and PI*S variants in the SERPINA1 gene linked to AAT deficiency. * Testing for genetic variants associated with AAT deficiency is recommended under certain circumstances by several health professional organizations, including the American Thoracic Society. Relevant ethnicities * The variants included in this test are most common and best studied in people of European descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: BRCA1/BRCA2 (SELECTED VARIANTS) AND OUR TEST Specific genetic variants in the BRCA1 and BRCA2 genes are associated with an increased risk of developing certain cancers, including breast cancer (in women and men) and ovarian cancer. These variants may also be associated with an increased risk for prostate cancer and certain other cancers. This test includes three genetic variants in the BRCA1 and BRCA2 genes that are most common in people of Ashkenazi Jewish descent. BRCA1- and BRCA2-associated cancer risks * Women with a variant have a 45-85% chance of developing breast cancer by age 70 and up to a 46% chance of developing ovarian cancer by age 70. * Men with a variant have up to an 8% lifetime risk of developing male breast cancer and may have an increased risk for prostate cancer. * Men and women with a variant may also have an increased risk for pancreatic cancer and melanoma. * Learn more about these cancer risks Other factors that affect cancer risk * Age * Family history * Obesity * Lifestyle factors When cancers develop In general, the chances of developing cancer increase as a person gets older. However, women with a BRCA1 or BRCA2 variant have an increased risk for early-onset breast cancer. Men with a variant may develop earlier and more aggressive prostate cancer. Screening and prevention Guidelines recommend that women with a BRCA1 or BRCA2 variant should be screened for breast cancer earlier and more often. Risk-reducing surgery or medication may also be offered. Men with a variant should be screened for breast cancer. Screening guidelines for prostate cancer vary. People with a BRCA1 or BRCA2 variant and a family history of pancreatic cancer may also be offered pancreatic cancer screening. This test is not a substitute for visits to a healthcare professional for recommended screenings. Results should be confirmed in a clinical setting before taking any medical action. It is important to talk with a healthcare professional before taking any medical action. What do we test? * We test for three specific genetic variants: the 185delAG and 5382insC variants in the BRCA1 gene and the 6174delT variant in the BRCA2 gene. These variants are associated with an increased risk of developing certain cancers. * We do not test for all possible variants in the BRCA1 and BRCA2 genes. More than 1,000 variants in these genes are known to increase cancer risk. * This test does not include variants in other genes linked to hereditary cancers. * Genetic testing for BRCA1 and BRCA2 variants in the general population is not currently recommended by any healthcare professional organizations. Important ethnicities * The three variants included in this test are most commonly found in people of Ashkenazi Jewish descent. * In 23andMe customers of other ethnicities, between 0% and 0.1% of individuals has one of the three variants in this report. * This test does not include most of the BRCA1 and BRCA2 variants found in people of other ethnicities. Therefore, a "variants not detected" result is less informative for people with no Ashkenazi Jewish ancestry. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. View Frequently Asked Questions about this report here WHAT TO KNOW ABOUT: CELIAC DISEASE AND OUR TEST Celiac disease is an autoimmune condition in which the consumption of gluten (found in wheat, barley, and rye) can result in damage to the small intestine. Celiac disease can lead to both digestive and non-digestive problems. This test includes two common variants associated with an increased risk of developing this condition. Typical signs and symptoms * Diarrhea, gas, and bloating * Poor appetite * Skin rashes * Fatigue * Anemia * Headache Other factors that influence risk * Gluten * Family history * Other conditions When symptoms develop Celiac disease can develop anytime from infancy to adulthood, most commonly between the ages of 10 and 40. In people with celiac disease, symptoms occur after consuming gluten. How it's treated Celiac disease can be effectively treated by removing all sources of gluten from the diet. This includes foods and drinks made with wheat, barley, and rye. What do we test? * Tests for variants near the HLA-DQA1 and HLA-DQB1 genes linked to the HLA-DQ2.5 and HLA-DQ8 haplotypes. These haplotypes are associated with celiac disease. * Genetic testing for celiac disease is recommended under certain circumstances by several health professional organizations, including the American College of Gastroenterology. Relevant ethnicities * The variants included in this test are common in many ethnicities, but are best studied in people of European descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: CHRONIC KIDNEY DISEASE (APOL1-RELATED) AND OUR TEST Chronic kidney disease is a condition in which the kidneys stop working properly over time. Because the kidneys serve as filters for our blood, chronic kidney disease can cause excess fluid and waste from the blood to build up in the body. This can lead to health problems including bone damage, heart disease, and stroke. This test includes two variants in the APOL1 gene that can increase the risk of developing chronic kidney disease. These variants are most common in people of African descent. Typical signs and symptoms * Chronic kidney disease often has no symptoms at first. Early chronic kidney disease is often diagnosed using blood and urine tests that look for loss of kidney function (called reduced glomerular filtration rate) and the presence of protein in the urine (called albuminuria). * Symptoms such as nausea, fatigue, high blood pressure, and swelling of the feet and ankles (called edema) can occur as the condition progresses. * Complications of chronic kidney disease include heart disease or stroke, anemia, bone problems, a weakened immune system, and kidney failure. Other factors that influence risk for chronic kidney disease * High blood pressure * Diabetes * Age * Ethnicity * Family history * Other health conditions When symptoms develop In general, the risk of developing chronic kidney disease increases with age. Most cases of chronic kidney disease are diagnosed in people age 65 and over. However, people with APOL1-related chronic kidney disease tend to develop the condition at an earlier age. Their kidney function also tends to decline more quickly than people whose chronic kidney disease is due to other factors. How it's treated Treatment for chronic kidney disease depends on the severity of the condition. When detected early, chronic kidney disease may be treated in part through lifestyle changes to slow progression. Medications may also be prescribed to treat symptoms. If the condition progresses to end-stage kidney disease (also called kidney failure), patients may require ongoing dialysis (a procedure that artificially filters waste and extra fluid from the blood) or a kidney transplant. What do we test? * Tests for the S342G and N388_Y389del variants in the APOL1 gene, which are used to define the G1 and G2 haplotypes, respectively. These haplotypes are linked to an increased risk for chronic kidney disease. * Genetic testing for APOL1 variants in the general population is not currently recommended by any healthcare professional organizations. * Most cases of chronic kidney disease are not caused by the APOL1 variants in this report. Relevant ethnicities * The variants included in this test are most common and best studied in people of African descent. * These variants are also found in people with African ancestry, including people of Hispanic or Latino descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: FAMILIAL HYPERCHOLESTEROLEMIA AND OUR TEST Familial hypercholesterolemia (FH) is a genetic condition associated with very high levels of cholesterol in the blood, specifically low-density lipoprotein (LDL), or "bad" cholesterol. High cholesterol due to FH increases the risk for early cardiovascular disease, which can lead to a heart attack. This test includes 24 genetic variants linked to FH. Typical signs and symptoms * Elevated total and LDL cholesterol levels * Heart disease, heart attack, or chest pain * In some cases, cholesterol deposits may build up in the skin or tendons (xanthomas), under the skin in the eyelids (xanthelasmas), or around the cornea of the eye (corneal arcus) Other factors that influence risk * Family history * Age * High blood pressure * Smoking * Other genetic factors * Lifestyle When symptoms develop Because it is a genetic condition, FH is present at birth, meaning most people with this condition have high LDL cholesterol levels from a young age. Since many people with FH show no physical symptoms, this condition is typically diagnosed with a blood test for cholesterol. However, some people with FH may not be diagnosed until after experiencing symptoms related to early heart disease, including chest pain or heart attack. How it's treated Early and active treatment of FH can substantially reduce the risk for heart disease. FH treatment focuses on lowering LDL cholesterol levels, and FH is usually treated with cholesterol-lowering medications. Lifestyle modifications, including diet, exercise, and weight control can help lower LDL cholesterol levels. But these changes are generally not enough to effectively manage the condition. In extreme cases of FH, LDL-apheresis, a procedure that filters cholesterol out of the blood, can be used when other treatments have failed. What do we test? * Tests for one variant in the APOB gene and 23 variants in the LDLR gene. These variants are linked to having very high LDL cholesterol levels, which is associated with an increased risk for heart disease. * Genetic testing for FH in the general population is not currently recommended by any healthcare professional organizations. * However, the U.S. CDC recommends that screening using cholesterol testing with or without DNA analysis should be conducted on relatives of people with familial high cholesterol. * Heart disease risk associated with FH variants varies from person to person. Overall risk depends on family history and other factors. Relevant ethnicities * The majority of the variants included in this test are most commonly found in people of European and Lebanese descent, as well as in the Old Order Amish. In addition, some of these variants have also been found in other ethnicities. * However, more than 1,000 variants have been linked to FH in people of European descent, as well as in people of other ethnicities. This test does not include the majority of those variants. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: G6PD DEFICIENCY AND OUR TEST G6PD deficiency is a common genetic condition caused by defects in an enzyme called glucose-6-phosphate dehydrogenase, or G6PD. The G6PD enzyme helps protect red blood cells from damage. In people with G6PD deficiency, red blood cells are destroyed upon exposure to certain environmental triggers, which can lead to episodes of anemia. This test includes two common variants linked to G6PD deficiency. Typical signs and symptoms * Anemia * Dark urine * Fatigue * Pale skin * Shortness of breath * Jaundice (yellowing of the skin and eyes), especially in newborns Other factors that influence risk * Certain medications * Certain infections * Certain foods When symptoms develop Because it is a genetic condition, G6PD deficiency is present at birth. However, people with this condition typically don't develop symptoms unless they are exposed to certain triggering factors. Many people with G6PD deficiency never develop symptoms. How it's treated Most people with G6PD deficiency do not require treatment. People with G6PD deficiency often manage their condition by avoiding certain medications and foods that may trigger symptoms. If a person is exposed to a trigger and develops anemia, symptoms usually clear up on their own. However, in some cases patients may require a blood transfusion. What do we test? * Tests for the V68M and S188F variants in the G6PD gene linked to G6PD deficiency. * Genetic testing for G6PD deficiency in adults in the general population is not currently recommended by any healthcare professional organizations. Relevant ethnicities * The V68M variant included in this test is most common and best studied in people of African descent. This variant is also found in people with African ancestry, including people of Hispanic or Latino descent. * The S188F variant included in this test is most common and best studied in people of Southern European, Kurdish Jewish, Middle Eastern, Central Asian, and South Asian descent. * This test does not include variants that are more common in people of East and Southeast Asian descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: HEREDITARY AMYLOIDOSIS (TTR-RELATED) AND OUR TEST TTR-related hereditary amyloidosis is a genetic condition caused by the buildup of a protein called transthyretin (TTR) in the body's tissues and organs. This protein buildup, called amyloidosis, can damage the nerves, the heart, and other parts of the body. This test includes three of the most common genetic variants linked to TTR-related hereditary amyloidosis. Typical signs and symptoms Symptoms can vary widely depending on which TTR variant a person has and the location(s) of TTR protein buildup. Symptoms can vary even among people with the same variant. People with TTR-related hereditary amyloidosis may experience: * Cardiomyopathy (heart damage), characterized by thickening of the walls of the heart, which can lead to heart failure. * Peripheral neuropathy (damage to the nerves that connect the spinal cord to the rest of the body, including the arms and legs), characterized by symptoms including carpal tunnel syndrome as well as tingling, numbness, or burning in the hands, legs, or feet. * Autonomic neuropathy (damage to the nerves that help control the internal organs), characterized by symptoms including constipation, diarrhea, sexual dysfunction, and dizziness. Other factors that influence risk * Age * Sex * Ethnicity * Other genetic variants When symptoms develop TTR-related hereditary amyloidosis typically develops in adulthood, but age of onset can vary widely. People with the V122I variant typically develop symptoms after the age of 60. People with the V30M variant can develop symptoms as early as their 20s or as late as their 90s, depending on ethnicity and family history. People with the T60A variant typically develop symptoms between 45 and 80 years of age. How it's treated TTR-related hereditary amyloidosis is often managed by treating the symptoms through medications or surgical intervention. However, some recently approved medications work by decreasing the production of the TTR protein, which makes it less likely to build up in the body's tissues and organs. In addition, most of the TTR protein is produced in the liver, and liver transplants have been beneficial for some patients. Scientists are currently working on other treatment options for this condition. What do we test? * Tests for three variants in the TTR gene linked to TTR-related hereditary amyloidosis. * Genetic testing for TTR-related hereditary amyloidosis in the general population is not currently recommended by any healthcare professional organizations. Relevant ethnicities * V122I: Most common and best studied in African Americans and people of West African descent. * V30M: Most common and best studied in people of Portuguese, Northern Swedish, and Japanese descent. * T60A: Most common and best studied in people of Irish descent and also found in people of British descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: HEREDITARY HEMOCHROMATOSIS (HFE‑RELATED) AND OUR TEST Hereditary hemochromatosis is a genetic condition characterized by absorption of too much dietary iron. This may lead to iron overload, which can cause damage to the joints and certain organs, such as the liver, skin, heart, and pancreas. This test includes the two most common variants linked to this condition. Typical signs and symptoms * Joint and abdominal pain * Fatigue and weakness * Darkening of the skin * Liver disease * Heart disease * Diabetes Other factors that influence risk * Age * Sex * Alcohol consumption * Diet When symptoms develop Because it is a genetic condition, hereditary hemochromatosis is present at birth. Many people with this condition never develop iron overload. Of those who do develop iron overload, only a small number develop symptoms. If men develop symptoms, they typically appear between 40 and 60 years of age. Women rarely develop symptoms, and when they do it tends to be after menopause. How it's treated People with hereditary hemochromatosis are typically monitored for symptoms or complications. Iron overload related to hereditary hemochromatosis is a treatable condition. In some patients, having blood drawn on a regular basis can help lower iron levels. People with iron overload are encouraged to avoid drinking alcohol to minimize liver damage and to limit intake of iron-rich food. What do we test? * Tests for the C282Y and the H63D variants in the HFE gene linked to hereditary hemochromatosis. * Genetic testing for hereditary hemochromatosis is recommended under certain circumstances by several health professional organizations, including the American Association for the Study of Liver Diseases and the European Association for the Study of the Liver. Relevant ethnicities * The variants included in this test are best studied in people of European descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: HEREDITARY THROMBOPHILIA AND OUR TEST Hereditary thrombophilia is a predisposition to developing harmful blood clots. These harmful blood clots most commonly form in the legs and can travel to the lungs. This test includes the two most common variants linked to hereditary thrombophilia. Typical signs and symptoms of harmful blood clots * Pain, tenderness, swelling, or redness in one or both legs * Chest pain * Difficulty breathing * Hereditary thrombophilia may also be associated with recurrent late pregnancy loss in some women. Other risk factors for harmful blood clots * Major surgery * Age * Prolonged immobility * Oral contraceptives * Obesity When symptoms develop Hereditary thrombophilia is genetic, but the risk of developing harmful blood clots increases with age and other factors. How it's treated Hereditary thrombophilia typically does not require any ongoing treatment. In some cases medications can be used to prevent harmful blood clots from forming. Medications and surgery can also be used to break up existing clots. What do we test? * Tests for the Factor V Leiden variant in the F5 gene and the Prothrombin G20210A variant in the F2 gene linked to hereditary thrombophilia. * Testing for genetic variants associated with hereditary thrombophilia is recommended by ACMG under certain circumstances. This test includes the two variants recommended for testing by ACMG. Relevant ethnicities * The variants included in this test are most common and best studied in people of European descent. * These variants are also found in populations with European ancestry, like African Americans and Hispanics or Latinos. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: LATE-ONSET ALZHEIMER'S DISEASE AND OUR TEST Alzheimer's disease is characterized by memory loss, cognitive decline, and personality changes. Late-onset Alzheimer's disease is the most common form of Alzheimer's disease, developing after age 65. Many factors, including genetics, can influence a person's chances of developing the condition. This test includes the most common genetic variant associated with late-onset Alzheimer's disease. Typical signs and symptoms * Memory loss that worsens over time * Mood and personality changes * Trouble planning or solving problems * Confusion with place or time * Difficulty performing daily life activities Other factors that influence risk * Age * Sex * Family history * Heart health * Lifestyle * Intellectual activity When symptoms develop Late-onset Alzheimer's disease develops after 65 years of age. How it's treated There is currently no known prevention or cure for Alzheimer's disease. Medication may be used to delay or ease symptoms. What do we test? * Tests for the ε4 variant in the APOE gene associated with an increased risk of developing late-onset Alzheimer's disease. * This test does not identify or report on the ε2 and ε3 variants of the APOE gene. These variants are not associated with an increased risk of developing Alzheimer's disease. * Genetic testing for late-onset Alzheimer's disease is not currently recommended by any healthcare professional organizations. Relevant ethnicities * The ε4 variant included in this test is found and has been studied in many ethnicities. Detailed risk estimates have been studied the most in people of European descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: MUTYH-ASSOCIATED POLYPOSIS AND OUR TEST MUTYH-associated polyposis (MAP) is one of the three main hereditary colorectal cancer syndromes. People with two variants or two copies of a variant in the MUTYH gene tend to develop colon and rectal polyps and have an increased risk of developing colorectal cancer. They may also have a slightly increased risk of developing certain other cancers. This test includes two genetic variants in the MUTYH gene that are most common and best studied in people of Northern European descent. When it develops Most colorectal cancers start as abnormal growths on the inner lining of the colon or rectum, called polyps. People with MAP tend to develop between ten and a hundred polyps by age 50. These polyps can become cancerous. However, some people with MAP may develop colorectal cancer in the absence of colon or rectal polyps. Lifetime cancer risks * Without appropriate surveillance, people with two MUTYH variants or two copies of a MUTYH variant have a 43-100% chance of developing colorectal cancer in their lifetime. They may also have a slightly increased risk for certain other cancers. * Scientists are uncertain as to how having one MUTYH variant may influence a person’s colorectal cancer risk. Some studies suggested a slightly increased risk, particularly if the person has a family history of colorectal cancer. Other factors that influence cancer risk * Age * Family history * Ethnicity * Lifestyle factors * Other genetic factors not included in this test Screening and prevention Professional guidelines recommend that individuals with two MUTYH variants or two copies of a MUTYH variant should be screened for colon and rectal polyps earlier and more often, and undergo surveillance for small bowel polyps. Current U.S. guidelines recommend that individuals with one MUTYH variant follow colorectal screening recommendations for the general population. However, for people who have had a first-degree relative with colorectal cancer and people who have a personal history of colorectal polyps (regardless of whether they have a MUTYH variant), these guidelines have different recommendations, which may include screening earlier and more often than the general population. What do we test? * We test for the Y179C and G396D variants in the MUTYH gene. People with two variants or two copies of a variant have an increased risk of developing colorectal cancer. They may also have a slightly increased risk for certain other cancers. * We do not test for all possible variants in the MUTYH gene. More than 100 MUTYH variants are known to increase colorectal cancer risk. * This test does not include variants in other genes that are linked to other hereditary colorectal cancer syndromes, such as Lynch syndrome and familial adenomatous polyposis (FAP). * Genetic testing for MUTYH variants in the general population is not currently recommended by any healthcare professional organizations. * Cancer risk associated with MUTYH variants varies from person to person. Overall risk depends on family history and other factors. Relevant ethnicities * The variants included in this test are most common and best studied in people of Northern European descent. However, these two variants have also been found in other ethnicities. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: PARKINSON'S DISEASE AND OUR TEST Parkinson's disease is characterized by tremor, muscle stiffness, and problems with movement. Many factors, including genetics, can influence a person's chances of developing Parkinson's disease. This test includes two genetic variants associated with increased risk of developing the condition. Typical signs and symptoms * Tremor * Muscle stiffness * Slow movements * Problems with balance * Memory loss in some cases Other factors that influence risk * Age * Sex * Family history * Exposure to certain chemicals When symptoms develop Parkinson's disease typically develops in adulthood, after 55 years of age. How it's treated There is currently no known prevention or cure for Parkinson's disease. Certain medications may be used to delay or ease symptoms. Speech, physical, and occupational therapies may also help with symptom management. What do we test? * Tests for the G2019S variant in the LRRK2 gene and the N370S variant in the GBA gene associated with an increased risk of developing Parkinson's disease. * Genetic testing for Parkinson's disease is not currently recommended by any healthcare professional organizations. Relevant ethnicities * The variants included in this test are most common and best studied in people of European, Ashkenazi Jewish, and North African Berber descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. -------------------------------------------------------------------------------- View sample report here View sample report here View package insert here Expand content 23ANDME CARRIER STATUS TESTS The following information applies to Carrier Status reports only. WHAT YOU SHOULD KNOW 23ANDME CARRIER STATUS TESTS: WHAT YOU SHOULD KNOW Carrier status tests detect genetic variants that can cause inherited conditions. These variants are often found primarily in certain ethnicities. Being a carrier means you have one variant for the condition. Carriers typically don't have the condition but can pass the variant to their children. Knowing your carrier status is important when having children. If you and your partner are both carriers, you may have a child with the condition. Genetic counseling can help you understand your results and options. It is recommended before testing, and also if you are a carrier. Expand content SHOULD YOU SPEAK TO A GENETIC COUNSELOR? SHOULD YOU SPEAK TO A GENETIC COUNSELOR? We encourage you to learn more so you can decide whether testing is right for you. A genetic counselor, a healthcare professional with special training in genetic conditions, will be able to answer your specific questions and help you make an informed decision. GENETIC COUNSELORS CAN HELP YOU NAVIGATE COMMON QUESTIONS, SUCH AS: * What are the risks and benefits of testing? * Are there diseases that run in the family? * How do you handle potentially distressing information? * What are you hoping to find out from genetic testing? Talk to your healthcare provider or click here to search for a genetic counselor near you (this link takes you to a page managed by the National Society of Genetic Counselors: http://www.aboutgeneticcounselors.com/). Expand content WHAT TO KNOW ABOUT TEST RESULTS WHAT TO KNOW ABOUT TEST RESULTS POSSIBLE TEST RESULTS* 0 Variants You do not have the variant(s) we tested. There is still a chance that you could have a variant not covered by this test. 1 Variant** You are a carrier and could pass the variant on to each of your children. 2 Variants*** You will most likely pass a variant on to each of your children. Result not determined Your result could not be determined. * For some reports, a customer may receive a result indicating that they have two copies of a variant. In these cases, the customer will pass a variant on to each of his or her children. ** For some reports, customers with one copy of a variant will also be told that they are at risk for developing symptoms of the condition. *** For some reports, customers with two variants (or two copies of a variant) will also be told that they are at risk for developing symptoms of the condition. -------------------------------------------------------------------------------- WHAT TO DO WITH THE RESULTS: Have a family history of a genetic condition? Planning to have children? * Share your results with your doctor and discuss further testing options. * You can also discuss your results with a genetic counselor (this link takes you to a page managed by the National Society of Genetic Counselors to find a genetic counselor near you: http://www.aboutgeneticcounselors.com/). -------------------------------------------------------------------------------- Consider sharing your results with relatives. * Your information – as well as knowing their own carrier status – may be useful to them. Expand content WHAT TO KNOW ABOUT OUR CARRIER STATUS TESTS WHAT TO KNOW ABOUT OUR CARRIER STATUS TESTS ARSACS Agenesis of the Corpus Callosum with Peripheral Neuropathy Autosomal Recessive Polycystic Kidney Disease Beta Thalassemia and Related Hemoglobinopathies Bloom Syndrome Canavan Disease Congenital Disorder of Glycosylation Type 1a (PMM2-CDG) Cystic Fibrosis D-Bifunctional Protein Deficiency Dihydrolipoamide Dehydrogenase Deficiency Familial Dysautonomia Familial Hyperinsulinism (ABCC8-Related) Familial Mediterranean Fever Fanconi Anemia Group C GRACILE Syndrome Gaucher Disease Type 1 Glycogen Storage Disease Type Ia Glycogen Storage Disease Type Ib Hereditary Fructose Intolerance Herlitz Junctional Epidermolysis Bullosa (LAMB3-Related) Leigh Syndrome, French Canadian Type Limb-Girdle Muscular Dystrophy Type 2D Limb-Girdle Muscular Dystrophy Type 2E Limb-Girdle Muscular Dystrophy Type 2I MCAD Deficiency Maple Syrup Urine Disease Type 1B Mucolipidosis Type IV Neuronal Ceroid Lipofuscinosis (CLN5-Related) Neuronal Ceroid Lipofuscinosis (PPT1-Related) Niemann-Pick Disease Type A Nijmegen Breakage Syndrome Nonsyndromic Hearing Loss and Deafness, DFNB1 (GJB2-Related) Pendred Syndrome and DFNB4 Hearing Loss (SLC26A4-Related) Phenylketonuria and Related Disorders Primary Hyperoxaluria Type 2 Pyruvate Kinase Deficiency Rhizomelic Chondrodysplasia Punctata Type 1 Salla Disease Sickle Cell Anemia Sjögren-Larsson Syndrome Tay-Sachs Disease Tyrosinemia Type I Usher Syndrome Type 1F Usher Syndrome Type 3A Zellweger Syndrome Spectrum (PEX1-Related) Select a Condition ARSACS Agenesis of the Corpus Callosum with Peripheral Neuropathy Autosomal Recessive Polycystic Kidney Disease Beta Thalassemia and Related Hemoglobinopathies Bloom Syndrome Canavan Disease Congenital Disorder of Glycosylation Type 1a (PMM2-CDG) Cystic Fibrosis D-Bifunctional Protein Deficiency Dihydrolipoamide Dehydrogenase Deficiency Familial Dysautonomia Familial Hyperinsulinism (ABCC8-Related) Familial Mediterranean Fever Fanconi Anemia Group C GRACILE Syndrome Gaucher Disease Type 1 Glycogen Storage Disease Type Ia Glycogen Storage Disease Type Ib Hereditary Fructose Intolerance Herlitz Junctional Epidermolysis Bullosa (LAMB3-Related) Leigh Syndrome, French Canadian Type Limb-Girdle Muscular Dystrophy Type 2D Limb-Girdle Muscular Dystrophy Type 2E Limb-Girdle Muscular Dystrophy Type 2I MCAD Deficiency Maple Syrup Urine Disease Type 1B Mucolipidosis Type IV Neuronal Ceroid Lipofuscinosis (CLN5-Related) Neuronal Ceroid Lipofuscinosis (PPT1-Related) Niemann-Pick Disease Type A Nijmegen Breakage Syndrome Nonsyndromic Hearing Loss and Deafness, DFNB1 (GJB2-Related) Pendred Syndrome and DFNB4 Hearing Loss (SLC26A4-Related) Phenylketonuria and Related Disorders Primary Hyperoxaluria Type 2 Pyruvate Kinase Deficiency Rhizomelic Chondrodysplasia Punctata Type 1 Salla Disease Sickle Cell Anemia Sjögren-Larsson Syndrome Tay-Sachs Disease Tyrosinemia Type I Usher Syndrome Type 1F Usher Syndrome Type 3A Zellweger Syndrome Spectrum (PEX1-Related) * View sample report here * View package insert here WHAT TO KNOW ABOUT: ARSACS AND OUR TEST ARSACS is a rare genetic disorder characterized by loss of sensation and muscle control, as well as muscle stiffness that worsens over time. A person must have two variants in the SACS gene in order to have this condition. Typical signs and symptoms * Muscle stiffness that worsens over time * Loss of sensation in hands and feet that worsens over time * Impaired movement and balance that worsens over time When symptoms develop Symptoms typically develop during early childhood. How it's treated: There is currently no known cure. Treatment focuses on managing symptoms and providing supportive care through speech, physical, and occupational therapy. What do we test? 1 variant in the SACS gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of French Canadian descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: AGENESIS OF THE CORPUS CALLOSUM WITH PERIPHERAL NEUROPATHY AND OUR TEST ACCPN is a rare genetic disorder. It is characterized by an incomplete connection between the two sides of the brain. This causes developmental disability, weakness, and loss of sensation. A person must have two variants in the SLC12A6 gene in order to have this condition. Typical signs and symptoms * Weakness and sensory loss that worsens over time * Poor or absent reflexes * Tremors * Developmental disability * Shortened lifespan When symptoms develop Symptoms typically develop during infancy. How it's treated: There is currently no known cure. Treatment focuses on physical and occupational therapy as well as other forms of supportive care as symptoms worsen, often into adulthood. What do we test? 1 variant in the SLC12A6 gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of French Canadian descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: AUTOSOMAL RECESSIVE POLYCYSTIC KIDNEY DISEASE AND OUR TEST ARPKD is a rare genetic disorder. It is characterized by kidney, liver, and lung problems as well as urinary tract infections and high blood pressure. A person must have two variants in the PKHD1 gene in order to have this condition. Typical signs and symptoms * Kidney disease * Liver disease * Respiratory problems * High blood pressure * Urinary tract infections When symptoms develop Symptoms typically develop before birth or during infancy. How it's treated: There is currently no known cure. Treatment focuses on managing the symptoms of kidney, lung, and liver disease, as well as managing blood pressure. What do we test? 3 variants in the PKHD1 gene. * This test does not include a large fraction of PKHD1 variants that cause ARPKD in any ethnicity. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test does not include a large fraction of PKHD1 variants that cause ARPKD in any ethnicity. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: BETA THALASSEMIA AND RELATED HEMOGLOBINOPATHIES AND OUR TEST Beta thalassemia is a genetic disorder characterized by anemia and fatigue as well as bone deformities and organ problems. A person must have two variants in the HBB gene in order to have this condition. Typical signs and symptoms * Anemia * Fatigue * Enlarged liver and spleen * Poor growth and weight gain * Bone deformities * Iron buildup in multiple organs When symptoms develop Symptoms typically develop any time from late infancy (severe form) into adulthood (intermediate form). How it's treated: Treatment focuses on managing symptoms and preventing complications. Some individuals may require frequent blood transfusions. What do we test? 10 variants in the HBB gene. * Symptoms of beta thalassemia may vary between people with the condition depending on the variants involved. * Carrier screening for beta thalassemia and related hemoglobinopathies is recommended by ACOG via complete blood count and hemoglobin electrophoresis for people of African, Southeast Asian, Mediterranean, Middle Eastern, and West Indian descent considering having children. Relevant ethnicities: * This test is most relevant for people of Cypriot, Greek, Italian, and Sardinian descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: BLOOM SYNDROME AND OUR TEST Bloom syndrome is a rare genetic disorder characterized by impaired growth and increased risk of infections and cancer. A person must have two variants in the BLM gene in order to have this condition. Typical signs and symptoms * Small body size * Recurring infections * Cancer at a young age * Sun-sensitive skin * Infertility in men * Early menopause in women When symptoms develop Symptoms typically develop during infancy. How it's treated: There is currently no known cure. Treatment focuses on managing symptoms and preventing complications such as infection and cancer. What do we test? 1 variant in the BLM gene. * Symptoms of Bloom syndrome may vary between people with the condition even if they have the same genetic variants. * Carrier testing for Bloom syndrome is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes the variant recommended for testing by ACMG. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: CANAVAN DISEASE AND OUR TEST Canavan disease is a rare genetic disorder characterized by a loss of nerve cell function in the brain that worsens over time. A person must have two variants in the ASPA gene in order to have this condition. Typical signs and symptoms * Developmental disability * Gradual loss of muscle tone * Seizures * Difficulty swallowing When symptoms develop Symptoms typically develop during infancy. How it's treated: There is currently no known cure. Treatment focuses on preventing complications by monitoring diet, treating infectious diseases, and managing seizures. What do we test? 3 variants in the ASPA gene. * Carrier testing for Canavan disease is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes the two variants recommended for testing by ACMG. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: CONGENITAL DISORDER OF GLYCOSYLATION TYPE 1A (PMM2-CDG) AND OUR TEST PMM2-CDG is a rare genetic disorder that affects the nervous system and other parts of the body. It is characterized by developmental delay, muscle weakness, and failure to gain weight. A person must have two variants in the PMM2 gene in order to have this condition. Typical signs and symptoms * Developmental delay * Muscle weakness * Failure to gain weight * Small head size and distinct facial features When symptoms develop Symptoms typically develop in infancy. How it's treated: There is currently no known cure. Treatment focuses on nutritional, occupational, speech, and physical therapy. What do we test? 2 variants in the PMM2 gene. * Severity of symptoms can vary in people with this disorder, even when the same variants are involved. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish and Danish descent. * This test does not include a large fraction of PMM2 variants that cause PMM2-CDG in people of Dutch descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: CYSTIC FIBROSIS AND OUR TEST Cystic fibrosis is a rare genetic disorder characterized by impaired lung and digestive function. A person must have two variants in the CFTR gene in order to have this condition. Typical signs and symptoms * Chronic cough * Lung infections * Pancreatic insufficiency * Malnutrition * Infertility in males When symptoms develop Symptoms typically develop during infancy. How it's treated: There is currently no known cure. Treatment focuses on managing symptoms and preventing complications such as lung infections and malnutrition. What do we test? 29 variants in the CFTR gene. * Symptoms of cystic fibrosis may vary depending on the variants involved. * the American College of Medical Genetics (ACMG) recommends carrier testing for cystic fibrosis for people of all ethnicities considering having children. This test includes 22 of 23 variants recommended for testing by ACMG. Relevant ethnicities: * This test is most relevant for people of European, Hispanic/Latino, and Ashkenazi Jewish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: D-BIFUNCTIONAL PROTEIN DEFICIENCY AND OUR TEST DBPD is a rare genetic disorder. It is characterized by abnormal muscle tone, developmental disability, seizures, and early death. A person must have two variants in the HSD17B4 gene in order to have this condition. Typical signs and symptoms * Abnormal muscle tone * Seizures * Developmental disability * Hearing and vision loss * Distinctive facial features * Early death When symptoms develop Symptoms typically develop at birth or during infancy. How it's treated: There is currently no known cure. Treatment focuses on managing symptoms and preventing complications. What do we test? 2 variants in the HSD17B4 gene. * This test does not include the majority of HSD17B4 variants that cause DBPD in any ethnicity. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test does not include the majority of HSD17B4 variants that cause DBPD in any ethnicity. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: DIHYDROLIPOAMIDE DEHYDROGENASE DEFICIENCY AND OUR TEST DLD deficiency is a rare genetic disorder. It is typically characterized by low muscle tone and episodes of brain injury accompanied by liver disease. A person must have two variants in the DLD gene in order to have this condition. Typical signs and symptoms * Buildup of lactic acid in the body * Episodes of brain injury * Developmental disabilities * Decreased muscle tone * Liver disease * Abdominal pain and vomiting When symptoms develop Symptoms can develop anytime from infancy to adulthood How it's treated: There is currently no known cure. Treatment focuses on maintaining a stable metabolic state through diet. Blood tests can be used for routine monitoring and to guide dietary recommendations. What do we test? 1 variant in the DLD gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: FAMILIAL DYSAUTONOMIA AND OUR TEST Familial dysautonomia is a rare genetic disorder that affects many different parts of the body. It is characterized by severe dysfunction in different parts of the nervous system involved in movement, the senses, and involuntary (autonomic) functions. A person must have two variants in the ELP1 gene in order to have this condition. Typical signs and symptoms * Episodes of involuntary nerve impairment * Motor and sensory nerve impairment * Poor growth * Developmental delay When symptoms develop Symptoms are typically present at birth. How it's treated: There is currently no known cure. Treatment focuses on managing nerve dysfunction by providing medications and supportive care. What do we test? 1 variant in the ELP1 gene. * Carrier testing for familial dysautonomia is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes one of two variants recommended for testing by ACMG. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: FAMILIAL HYPERINSULINISM (ABCC8-RELATED) AND OUR TEST ABCC8-related familial hyperinsulinism is a rare genetic disorder. It is characterized by very high levels of insulin production. This leads to episodes of low blood sugar, which can cause low energy, seizures, and brain damage if left untreated. People with ABCC8-related familial hyperinsulinism most often have two variants in the ABCC8 gene. Typical signs and symptoms * High levels of insulin * Low blood sugar * Low energy * Irritability * Seizures * Brain damage When symptoms develop Symptoms typically develop during infancy or in early childhood. How it's treated: There is currently no known cure. Treatment depends on the severity of the condition. Some people can maintain healthy blood glucose levels through medication or diet. Other people may require surgery to remove part of the pancreas. What do we test? 3 variants in the ABCC8 gene. * Symptoms of familial hyperinsulinism may vary between people with the condition even if they have the same genetic variants. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. However, the American College of Obstetricians and Gynecologists (ACOG) notes that testing for familial hyperinsulinism may be considered for people of Ashkenazi Jewish descent who are considering having children. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: FAMILIAL MEDITERRANEAN FEVER AND OUR TEST Familial Mediterranean fever (FMF) is a genetic disorder. It is characterized by recurring short episodes of fever, as well as inflammation in the abdomen, chest, and joints. In some cases, there may be abnormal protein buildup in the kidneys. People with FMF most often have two variants in the MEFV gene. Typical signs and symptoms * Periodic episodes of fever * Inflammation in the abdomen, chest, and joints * Skin rash * Abnormal protein buildup in the kidneys When symptoms develop FMF can develop anytime from early childhood to adulthood. For most people with the condition, the first episode occurs before the age of 20. How it's treated: During a fever episode, anti-inflammatory drugs may be used to manage fever and inflammation. In addition, medication can be prescribed by doctors to prevent fever attacks and kidney damage, especially for people who have the M694V variant. What do we test? 7 variants in the MEFV gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. * Symptoms of FMF may vary between people with the condition even if they have the same genetic variants. * In some cases, people with only a single MEFV variant can experience symptoms of FMF. In addition, some studies have identified individuals who meet clinical criteria for FMF but do not have any MEFV variants. Relevant ethnicities: * This test is most relevant for people of Arab, Armenian, Sephardic Jewish, and Turkish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: FANCONI ANEMIA GROUP C AND OUR TEST Fanconi anemia group C is a rare genetic disorder. It is characterized by a decreased production of blood cells, birth defects, and an increased risk of infections and cancer. A person must have two variants in the FANCC gene in order to have this condition. Typical signs and symptoms * Skeletal and organ malformations at birth * Increased risk of cancer * Frequent infections * Decreased blood cell production * Very short height * Areas of lighter or darker skin color When symptoms develop Symptoms can develop anytime from birth to adulthood. How it's treated: There is currently no known cure. Treatment focuses on increasing the number of blood cells, managing disabilities, and screening for cancer. Stem cell transplants may correct blood cell problems in some cases. What do we test? 3 variants in the FANCC gene. * Carrier testing for Fanconi anemia group C is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes the one variant recommended for testing by ACMG. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: GRACILE SYNDROME AND OUR TEST GRACILE syndrome is a rare genetic disorder. It is characterized by impaired growth before birth, iron buildup, liver damage, and death in infancy. A person must have two variants in the BCS1L gene in order to have this condition. Typical signs and symptoms * Small size at birth * Poor growth and weight gain * Iron buildup in the liver * Buildup of lactic acid in the body * Kidney and liver problems * Death in infancy When symptoms develop Symptoms typically develop before birth. How it's treated: There is currently no known cure. Treatment focuses on managing symptoms and ultimately providing end-of-life supportive care. What do we test? 1 variant in the BCS1L gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of Finnish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: GAUCHER DISEASE TYPE 1 AND OUR TEST Gaucher disease type 1 is a rare genetic disorder that can affect many organs. It often leads to an enlarged liver and spleen, as well as bone abnormalities. A person must have two variants in the GBA gene, or two copies of a variant, in order to have Gaucher disease type 1. Typical signs and symptoms * Enlargement of the liver and spleen * Bone weakness and pain * Growth impairment * Anemia and low platelet count When symptoms develop Symptoms can develop anytime from childhood to adulthood and can vary from mild to severe. Some people may never develop symptoms. How it's treated: There is currently no known cure. Treatment varies depending on the severity of symptoms, but often includes enzyme replacement therapy. What do we test? 3 variants in the GBA gene. * The severity of symptoms, and when they develop, can vary greatly in people with Gaucher disease type 1. Some people may never develop symptoms. * The 84GG and V394L variants can occasionally be found in people with the more severe, type 2 or type 3 forms of Gaucher disease. People with two copies of the N370S variant, or one copy of N370S and one copy of another variant, typically have the less severe, type 1 form of the disease. * Carrier testing for Gaucher disease type 1 is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes two of four variants recommended for testing by ACMG. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: GLYCOGEN STORAGE DISEASE TYPE IA AND OUR TEST GSDIa is a rare genetic disorder. It is characterized by low blood sugar, liver and kidney problems, and poor growth. A person must have two variants in the G6PC gene in order to have this condition. Typical signs and symptoms * Low blood sugar * Liver enlargement * Very short height * Kidney and liver problems * Anemia When symptoms develop Symptoms typically develop during infancy. How it's treated: There is currently no known cure. Treatment focuses on managing diet to control blood sugar levels and prevent problems with metabolism. What do we test? 1 variant in the G6PC gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. However, the American College of Obstetricians and Gynecologists (ACOG) notes that testing for glycogen storage disease type I may be considered for people of Ashkenazi Jewish descent who are considering having children. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: GLYCOGEN STORAGE DISEASE TYPE IB AND OUR TEST GSDIb is a rare genetic disorder. It is characterized by low blood sugar, liver and kidney problems, and frequent infections. A person must have two variants in the SLC37A4 gene in order to have this condition. Typical signs and symptoms * Low blood sugar * Liver enlargement * Kidney and liver problems * Frequent infections * Very short height When symptoms develop Symptoms typically develop during infancy. How it's treated: There is currently no known cure. Treatment focuses on managing diet in order to control blood sugar levels and prevent problems with metabolism. Medication can help prevent infections. What do we test? 2 variants in the SLC37A4 gene. * This test does not include the majority of SLC37A4 variants that cause GSDIb in any ethnicity. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test does not include the majority of SLC37A4 variants that cause GSDIb in any ethnicity. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: HEREDITARY FRUCTOSE INTOLERANCE AND OUR TEST Hereditary fructose intolerance is a rare genetic disorder. It is characterized by low blood sugar levels, stomach pain, and vomiting after eating fructose. A person must have two variants in the ALDOB gene in order to have this condition. Typical signs and symptoms * Nausea and vomiting * Low blood sugar * Stomach pain * Failure to gain weight * Liver disease * Kidney disease When symptoms develop Symptoms typically develop during infancy. How it's treated: There is currently no known cure. Maintaining a fructose-free diet may reduce or prevent symptoms. What do we test? 4 variants in the ALDOB gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of European descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: HERLITZ JUNCTIONAL EPIDERMOLYSIS BULLOSA (LAMB3-RELATED) AND OUR TEST LAMB3-related JEB is a rare genetic disorder. The Herlitz form is characterized by severe blistering of the skin and mucous membranes and, typically, death in infancy. A person must have two variants in the LAMB3 gene in order to have this condition. Typical signs and symptoms * Fragile skin and mucous membranes * Severe blistering * Recurrent infections * Difficulty swallowing, speaking, and breathing When symptoms develop Symptoms of Herlitz JEB are typically present at birth. How it's treated: There is currently no known cure. Treatment focuses on protecting the skin, wound care, and managing infections and other complications. What do we test? 3 variants in the LAMB3 gene. * This test does not include the majority of LAMB3 variants that cause LAMB3-related JEB in any ethnicity. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test does not include the majority of LAMB3 variants that cause LAMB3-related JEB in any ethnicity. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: LEIGH SYNDROME, FRENCH CANADIAN TYPE AND OUR TEST LSFC is a rare genetic disorder. It is characterized by life-threatening periods of lactic acid buildup and brain injury as well as failure to gain weight. A person must have two variants in the LRPPRC gene in order to have this condition. Typical signs and symptoms * Buildup of lactic acid in the body * Episodes of brain injury * Failure to gain weight * Poor muscle control and muscle spasms * Distinctive facial features * Early death When symptoms develop Symptoms typically develop during infancy. How it's treated: There is currently no known cure. Treatment focuses on providing nutritional support, managing symptoms, and preventing complications. What do we test? 1 variant in the LRPPRC gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of French Canadian descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: LIMB-GIRDLE MUSCULAR DYSTROPHY TYPE 2D AND OUR TEST LGMD2D is a rare genetic disorder. It is characterized by muscle weakness that worsens over time as well as heart and lung problems. A person must have two variants in the SGCA gene in order to have this condition. Typical signs and symptoms * Wasting of arm and leg muscles closest to the torso * Large calf muscles * Curvature of the spine * Heart and lung problems * Shortened lifespan When symptoms develop Symptoms typically develop between early childhood and adolescence. How it's treated: There is currently no known cure. Therapy focuses on maintaining muscle function, preventing skeletal problems, and monitoring heart and lung function. What do we test? 1 variant in the SGCA gene. * Symptoms can vary greatly in people with this condition, and can be mild in some cases. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is expected to identify the majority of carriers of Finnish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: LIMB-GIRDLE MUSCULAR DYSTROPHY TYPE 2E AND OUR TEST LGMD2E is a rare genetic disorder. It is characterized by muscle weakness that worsens over time as well as heart and lung problems. A person must have two variants in the SGCB gene in order to have this condition. Typical signs and symptoms * Wasting of arm and leg muscles closest to the torso * Large calf muscles * Curvature of the spine * Heart and lung problems * Shortened lifespan When symptoms develop Symptoms typically develop between early childhood and adolescence. How it's treated: There is currently no known cure. Therapy focuses on maintaining muscle function, preventing skeletal problems, and monitoring heart and lung function. What do we test? 1 variant in the SGCB gene. * Symptoms can vary greatly in people with this condition, and can be mild in some cases. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of Southern Indiana Amish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: LIMB-GIRDLE MUSCULAR DYSTROPHY TYPE 2I AND OUR TEST LGMD2I is a rare genetic disorder. It is characterized by muscle weakness that worsens over time as well as heart and lung problems. A person must have two variants in the FKRP gene in order to have this condition. Typical signs and symptoms * Wasting of arm and leg muscles closest to the torso * Heart and lung problems * Large calf muscles * Curvature of the spine * Shortened lifespan When symptoms develop Symptoms typically develop between early childhood and early adulthood. How it's treated: There is currently no known cure. Therapy focuses on maintaining muscle function, preventing skeletal problems, and monitoring heart and lung function. What do we test? 1 variant in the FKRP gene. * Symptoms can vary greatly in people with this condition, and can be mild in some cases. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is expected to identify the majority of carriers of European descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: MCAD DEFICIENCY AND OUR TEST MCAD deficiency is a rare genetic disorder characterized by episodes of very low blood sugar while fasting or under stress. A person must have two variants in the ACADM gene in order to have this condition. Typical signs and symptoms * Severely low blood sugar * Fatigue * Vomiting * Seizures * Liver problems When symptoms develop Symptoms typically develop during infancy or early childhood. How it's treated: There is currently no known cure. Early diagnosis, avoiding fasting, and making certain diet modifications can help limit symptoms and prevent complications. What do we test? 4 variants in the ACADM gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of European descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: MAPLE SYRUP URINE DISEASE TYPE 1B AND OUR TEST MSUD 1B is a rare genetic disorder. It is characterized by poor growth and feeding, slowed mental and physical processes, and urine with a distinct, sweet odor. A person must have two variants in the BCKDHB gene in order to have this condition. Typical signs and symptoms * Sweet-smelling urine * Poor feeding and growth * Lethargy * Developmental delay * Coma and death if untreated When symptoms develop Symptoms typically develop during infancy or in early childhood. How it's treated: There is currently no known cure. Strict diet management, and in some cases liver transplantation, may reduce symptoms and slow or stop disease progression. What do we test? 2 variants in the BCKDHB gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. However, the American College of Obstetricians and Gynecologists (ACOG) notes that testing for maple syrup urine disease may be considered for people of Ashkenazi Jewish descent who are considering having children. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: MUCOLIPIDOSIS TYPE IV AND OUR TEST Mucolipidosis IV is a rare genetic disorder characterized by developmental delay and gradual vision loss in childhood. A person must have two variants in the MCOLN1 gene in order to have this condition. Typical signs and symptoms * Developmental disability * Vision impairment that worsens over time * Decreased muscle tone When symptoms develop Symptoms typically develop during infancy. How it's treated: There is currently no known cure. Treatment focuses on managing symptoms and providing supportive care through speech, physical, and occupational therapy. What do we test? 1 variant in the MCOLN1 gene. * Carrier testing for mucolipidosis IV is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes one of two variants recommended for testing by ACMG and does not include the second most common variant found in people of Ashkenazi Jewish descent. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish descent. * This test does not include the second most common variant found in people of Ashkenazi Jewish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: NEURONAL CEROID LIPOFUSCINOSIS (CLN5-RELATED) AND OUR TEST CLN5-related NCL is a rare genetic disorder. It is characterized by seizures, vision loss, and intellectual disability. A person must have two variants in the CLN5 gene in order to have this form of NCL. Typical signs and symptoms * Intellectual decline * Seizures * Loss of ability to control muscles * Muscle spasms * Vision loss leading to blindness * Shortened lifespan When symptoms develop Symptoms typically develop in early childhood. How it's treated: There is currently no known cure. Treatment focuses on managing symptoms, providing physical therapy, and using seizure medications as needed. What do we test? 1 variant in the CLN5 gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of Finnish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: NEURONAL CEROID LIPOFUSCINOSIS (PPT1-RELATED) AND OUR TEST PPT1-related NCL is a rare genetic disorder. It is characterized by seizures, vision loss, and intellectual disability. A person must have two variants in the PPT1 gene in order to have this form of NCL. Typical signs and symptoms * Intellectual decline * Seizures * Loss of ability to control muscles * Muscle spasms * Vision loss leading to blindness * Death in childhood When symptoms develop Symptoms typically develop during infancy or in early childhood. How it's treated: There is currently no known cure. Treatment focuses on managing symptoms, providing physical therapy, and using seizure medications as needed. What do we test? 3 variants in the PPT1 gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of Finnish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: NIEMANN-PICK DISEASE TYPE A AND OUR TEST Niemann-Pick disease type A is a rare genetic disorder. It is characterized by an enlarged liver and spleen, developmental disability, recurring lung infections, and early death. A person must have two variants in the SMPD1 gene in order to have this condition. Typical signs and symptoms * Enlarged liver and spleen * Severe developmental disability * Recurring lung infections * Poor weight gain * Death in early childhood When symptoms develop Symptoms typically develop during infancy. How it's treated: There is currently no known cure. Treatment focuses on managing symptoms and preventing complications through physical and occupational therapy. What do we test? 3 variants in the SMPD1 gene. * Carrier testing for Niemann-Pick disease type A is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes the three variants recommended for testing by ACMG. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: NIJMEGEN BREAKAGE SYNDROME AND OUR TEST Nijmegen breakage syndrome is a rare genetic disorder. It is characterized by developmental delay, recurring infections, and an increased risk of cancer. A person must have two variants in the NBN gene in order to have this condition. Typical signs and symptoms * Small head size * Developmental delay * Recurring infections * Increased risk for cancer When symptoms develop Symptoms typically develop before birth. How it's treated: There is currently no known cure. Treatment focuses on managing symptoms and preventing complications such as infection and cancer. What do we test? 1 variant in the NBN gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is expected to identify the majority of carriers in people of Eastern European descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: NONSYNDROMIC HEARING LOSS AND DEAFNESS, DFNB1 (GJB2-RELATED) AND OUR TEST DFNB1 is an inherited condition characterized by mild to severe hearing loss that is present from birth. People with GJB2-related DFNB1 most often have two variants in the GJB2 gene. Typical signs and symptoms * Mild to profound hearing loss at birth When symptoms develop Symptoms are typically present at birth. How it's treated: There is currently no known cure. Treatment options include hearing aids, cochlear implants, and educational programs for people with hearing loss. What do we test? 2 variants in the GJB2 gene. * The severity of hearing loss can vary, but there are no other symptoms associated with this condition. * Most people with DFNB1 have two variants in the GJB2 gene. However, some people with the condition have one variant in the GJB2 gene and a second variant not tested (a deletion) in the GJB6 gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish and European descent. * This test does not include the majority of GJB2 variants that cause DFNB1 in people of East Asian descent and does not include many of the GJB2 variants that cause DFNB1 in people of South Asian descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: PENDRED SYNDROME AND DFNB4 HEARING LOSS (SLC26A4-RELATED) AND OUR TEST Pendred syndrome and DFNB4 are inherited conditions characterized by deafness and structural problems with the inner ear. Pendred syndrome is sometimes characterized by an enlarged thyroid. People with Pendred syndrome or DFNB4 most often have two variants in the SLC26A4 gene. Typical signs and symptoms * Hearing loss at birth or in early childhood * Abnormal inner ear development * Enlarged thyroid * Poor balance When symptoms develop Symptoms typically develop at birth or during childhood. How it's treated: There is currently no known cure. Early intervention is recommended to teach alternative communication skills. Hearing aids or cochlear implants may treat hearing loss. Medication can treat low thyroid hormone levels. What do we test? 6 variants in the SLC26A4 gene. * Symptoms of Pendred syndrome and DFNB4 vary in severity depending on which variants are causing the condition. * This test does not include a large fraction of SLC26A4 variants that cause Pendred syndrome or DFNB4 in any ethnicity. * There are currently no professional guidelines in the U.S. for carrier testing for these conditions. Relevant ethnicities: * This test does not include a large fraction of SLC26A4 variants that cause Pendred syndrome or DFNB4 in any ethnicity. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: PHENYLKETONURIA AND RELATED DISORDERS AND OUR TEST PKU is part of a spectrum of related genetic disorders. These disorders are characterized by intellectual disability, seizures, and skin problems. A person must have two variants in the PAH gene in order to have one of these disorders. Typical signs and symptoms * Intellectual disability * Seizures * Behavioral problems * Eczema When symptoms develop Symptoms typically develop soon after birth. How it's treated: There is currently no known cure. Diet management throughout life may help reduce common PKU symptoms. For some people, use of medication can prevent phenylalanine levels from becoming too high. What do we test? 23 variants in the PAH gene. * PKU and related disorders can be managed with appropriate treatment. * Symptoms of these disorders vary in severity depending on which variants are causing the condition. * There are currently no professional guidelines in the U.S. for carrier testing for these conditions. Relevant ethnicities: * This test is most relevant for people of Northern European descent, particularly those of Irish ancestry. * This test does not include a large fraction of PAH variants that cause PKU and related disorders in people of other ethnicities. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: PRIMARY HYPEROXALURIA TYPE 2 AND OUR TEST PH2 is a rare genetic disorder. It is characterized by frequent kidney stones that can lead to kidney failure if left untreated. A person must have two variants in the GRHPR gene in order to have this condition. Typical signs and symptoms * Frequent kidney stones * Kidney failure if untreated When symptoms develop Symptoms typically develop during childhood. How it's treated: There is currently no known cure. Treatment focuses on managing oxalate levels and hydration in order to slow the development of kidney disease. Kidney transplantation is considered in some cases. What do we test? 1 variant in the GRHPR gene. * This test does not include a large fraction of GRHPR variants that cause PH2. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is expected to identify the majority of carriers in people of European descent. * This test does not include the most common variant found in people of Asian descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: PYRUVATE KINASE DEFICIENCY AND OUR TEST Pyruvate kinase (PK) deficiency is a rare genetic disorder in which red blood cells break down too quickly, leading to chronic anemia. A person must have two variants in the PKLR gene, or two copies of a variant, in order to have this condition. Typical signs and symptoms * Chronic anemia * Extreme fatigue and difficulty exercising * Jaundice (yellowing of the skin and eyes) * Cognitive difficulties such as difficulty concentrating * Enlarged spleen * Iron overload * Gallstones When symptoms develop Symptoms can develop anytime from before birth to adulthood and can vary from mild to severe. Symptoms may worsen with age. How it's treated: There is currently no known cure. Treatment depends on the severity of the symptoms and may include blood transfusions, medications to remove excess iron from the blood, and removal of the spleen and gallbladder. In newborns, phototherapy (light therapy) is often used to treat jaundice. Medications that increase the activity of the PK enzyme in red blood cells are also in development, as a way to treat the underlying cause of the condition. What do we test? 1 variant in the PKLR gene. * Symptoms of PK deficiency may vary widely among people with the condition. * This test does not include the majority of PKLR variants that cause PK deficiency in any ethnicity. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test does not include the majority of PKLR variants that cause PK deficiency in any ethnicity. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: RHIZOMELIC CHONDRODYSPLASIA PUNCTATA TYPE 1 AND OUR TEST RCDP1 is a rare genetic disorder. It is characterized by bone abnormalities, cataracts, and intellectual disability. A person must have two variants in the PEX7 gene in order to have this condition. Typical signs and symptoms * Skeletal problems * Childhood cataracts * Intellectual disability * Frequent lung infections When symptoms develop Symptoms are typically present at birth or develop during infancy. How it's treated: There is currently no known cure. Treatment focuses on managing symptoms and providing supportive care through physical therapy. Treatment may include cataract removal. What do we test? 1 variant in the PEX7 gene. * This test does not include a large fraction of PEX7 variants that cause RCDP1 in any ethnicity. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test does not include a large fraction of PEX7 variants that cause RCDP1 in any ethnicity. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: SALLA DISEASE AND OUR TEST Salla disease is a rare genetic disorder. It is characterized by a gradual loss of muscle tone and coordination, as well as impaired growth, intellectual disability, and seizures. A person must have two variants in the SLC17A5 gene in order to have this condition. Typical signs and symptoms * Intellectual disability * Loss of muscle tone and coordination over time * Seizures When symptoms develop Symptoms typically develop during infancy or childhood. How it's treated: There is currently no known cure. Treatment focuses on managing seizures and providing supportive care through speech, physical, and occupational therapy. What do we test? 1 variant in the SLC17A5 gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of Finnish and Swedish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: SICKLE CELL ANEMIA AND OUR TEST Sickle cell anemia is a genetic disorder characterized by anemia, episodes of pain, and frequent infections. A person must have two HbS variants in the HBB gene in order to have this condition. Typical signs and symptoms * Anemia * Fatigue * Episodes of pain * Frequent infections * Stroke * Injury to multiple organs When symptoms develop Symptoms typically develop by early childhood. How it's treated: Treatment focuses on managing pain and preventing complications. Certain medications or blood transfusions may improve symptoms. What do we test? 1 variant in the HBB gene. * Carrier screening for hemoglobinopathies such as sickle cell anemia is recommended by the American Congress of Obstetricians and Gynecologists (ACOG) via complete blood count and hemoglobin electrophoresis for people of African, Southeast Asian, Mediterranean, Middle Eastern, and West Indian descent considering having children. Relevant ethnicities: * This test is most relevant for people of African descent, because the HbS variant is most common in people with African ancestry. * In addition, because this test covers the only variant that causes sickle cell anemia, it is also relevant for other ethnicities in which the HbS variant is found, including people of Middle Eastern and South Asian descent, as well as people from the Caribbean, the Mediterranean, and parts of Central and South America. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: SJÖGREN-LARSSON SYNDROME AND OUR TEST Sjögren-Larsson syndrome is a rare genetic disorder. It is characterized by scaly dry skin, intellectual disability, and persistent muscle stiffness. A person must have two variants in the ALDH3A2 gene in order to have this condition. Typical signs and symptoms * Dry scaly skin * Persistent muscle stiffness * Intellectual disability When symptoms develop Symptoms typically develop in infancy or early childhood. How it's treated: There is currently no known cure. Treatment focuses on managing symptoms and providing supportive care through speech and physical therapy as well as skin care. What do we test? 1 variant in the ALDH3A2 gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of Swedish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: TAY-SACHS DISEASE AND OUR TEST Tay-Sachs disease is a rare genetic disorder. It is characterized by a loss of strength and coordination over time as well as developmental disability, seizures, and early death. A person must have two variants in the HEXA gene in order to have this condition. Typical signs and symptoms * Loss of strength and coordination that worsens over time * Severe developmental disability * Vision loss * Seizures * Death in early childhood in severe cases When symptoms develop Symptoms typically develop during infancy. How it's treated: There is currently no known cure. Treatment focuses on managing symptoms, providing nutritional support, and using seizure medications as needed. What do we test? 4 variants in the HEXA gene. * Symptoms of this disorder vary in severity depending on which variants are causing the condition. * Carrier testing for Tay-Sachs disease is recommended by the American College of Medical Genetics and Genomics (ACMG) and the American College of Obstetricians and Gynecologists (ACOG) for people of Ashkenazi Jewish descent considering having children. This test includes the three variants recommended for testing by ACMG. In addition, ACOG recommends offering carrier testing for Tay-Sachs disease to individuals of Cajun and French Canadian descent who are considering having children. * When carrier testing for Tay-Sachs disease is indicated in people who are not of Ashkenazi Jewish descent, ACMG recommends biochemical carrier screening as a first step. Genetic testing can then be used to confirm carrier status in people with a positive result. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish and Cajun descent. * This test does not include the most common variant found in people of French Canadian descent with Tay-Sachs disease. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: TYROSINEMIA TYPE I AND OUR TEST Tyrosinemia type I is a rare genetic disorder. It is characterized by high levels of the amino acid tyrosine that can lead to liver and kidney disease. A person must have two variants in the FAH gene in order to have tyrosinemia type I. Typical signs and symptoms * High levels of tyrosine in the blood * Liver and kidney problems * Growth delay * Episodes of pain, weakness, and mental distress * Increased risk of liver cancer When symptoms develop Symptoms typically develop during infancy or in childhood. How it's treated: There is currently no known cure. Medication and a low protein diet may decrease liver and kidney damage. Liver transplantation is considered in some cases. What do we test? 4 variants in the FAH gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test is most relevant for people of French Canadian and Finnish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: USHER SYNDROME TYPE 1F AND OUR TEST Usher 1F is a rare genetic disorder. It is characterized by deafness at birth, poor balance, and vision loss that worsens over time. A person must have two variants in the PCDH15 gene in order to have this condition. Typical signs and symptoms * Deafness in both ears at birth * Loss of vision beginning in childhood * Poor balance * Delays in walking When symptoms develop Symptoms typically develop at birth. How it's treated: There is currently no known cure. Deafness may be treated with cochlear implants. Vision loss may be monitored with routine eye exams. Early intervention is recommended to teach alternative communication skills. What do we test? 1 variant in the PCDH15 gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. However, the American College of Obstetricians and Gynecologists (ACOG) notes that testing for Usher syndrome may be considered for people of Ashkenazi Jewish descent who are considering having children. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish descent. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: USHER SYNDROME TYPE 3A AND OUR TEST Usher 3A is a rare genetic disorder. It is characterized by hearing and vision loss that begins in late childhood and worsens over time. A person must have two variants in the CLRN1 gene in order to have this condition. Typical signs and symptoms * Hearing loss in childhood or early teens * Gradual vision loss * Night blindness by mid-teens * Blindness by mid-adulthood When symptoms develop Symptoms typically develop during late childhood or adolescence. How it's treated: There is currently no known cure. Hearing loss may be treated with hearing aids. Vision loss may be monitored with routine eye exams. Early intervention is recommended to teach alternative communication skills. What do we test? 1 variant in the CLRN1 gene. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. However, the American College of Obstetricians and Gynecologists (ACOG) notes that testing for Usher syndrome may be considered for people of Ashkenazi Jewish descent who are considering having children. Relevant ethnicities: * This test is most relevant for people of Ashkenazi Jewish descent. * This test does not include variants commonly found in people of Finnish descent with Usher 3A. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. WHAT TO KNOW ABOUT: ZELLWEGER SYNDROME SPECTRUM (PEX1-RELATED) AND OUR TEST ZSS is a group of rare genetic disorders. The form of ZSS covered by this report is characterized by impaired hearing, vision, and organ function, as well as developmental disability and early death. A person must have two variants in the PEX1 gene in order to have this form of ZSS. Typical signs and symptoms * Decreased muscle tone * Seizures * Failure to gain weight * Impaired vision and hearing * Developmental disability * Early death (severe form) When symptoms develop Symptoms are typically present at birth or develop during infancy. How it's treated: There is currently no known cure. Treatment focuses on managing symptoms and preventing complications. What do we test? 1 variant in the PEX1 gene. * This test does not include the majority of PEX1 variants that cause ZSS in any ethnicity. * There are currently no professional guidelines in the U.S. for carrier testing for this condition. Relevant ethnicities: * This test does not include the majority of PEX1 variants that cause ZSS in any ethnicity. Test performance summary Accuracy was determined by comparing results from this test with results from sequencing. Greater than 99% of test results were correct. While unlikely, this test may provide false positive or false negative results. For more details on the analytical performance of this test, refer to the package insert. -------------------------------------------------------------------------------- View sample report here View sample report here View package insert here Expand content close SEE OUR 2000+ REGIONS WORLDWIDE EUROPEAN ASHKENAZI JEWISH EASTERN EUROPEAN * Belarus (6+ regions) * Czech Republic (14+ regions) * Estonia (15+ regions) * Hungary (19+ regions) * Latvia (1+ regions) * Lithuania (13+ regions) * Poland (16+ regions) * Russia (77+ regions) * Slovakia (8+ regions) * Slovenia (40+ regions) * Ukraine (25+ regions) NORTHWESTERN EUROPEAN BRITISH & IRISH * Ireland (26+ regions) * United Kingdom (164+ regions) * Guernsey FRENCH & GERMAN * Austria (9+ regions) * Belgium (3+ regions) * France (13+ regions) * Germany (15+ regions) * Luxembourg (3+ regions) * Netherlands (11+ regions) * Switzerland (23+ regions) SCANDINAVIAN * Denmark (5+ regions) * Iceland (5+ regions) * Norway (18+ regions) * Sweden (21+ 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