Risk Assessment
Dr. Farag reviews your personal and family cancer history, existing screenings, and risk factors to confirm test appropriateness.

Screen for 50+ Cancers
Your Galleri Multi-Cancer Early Detection Test at a glance:
The Detection Gap
Despite advances in medicine, cancer remains the second leading cause of death in the United States. The challenge: most cancers are detected only after symptoms appear, when the disease has often already spread and treatment becomes more difficult. Standard cancer screenings exist for only five cancer types - breast (mammogram), cervical (Pap/HPV), colorectal (colonoscopy), lung (low-dose CT for smokers), and prostate (PSA). The remaining 70+ cancer types have no recommended screening test, meaning they're typically found incidentally or at advanced stages when survival rates drop significantly.
The Galleri multi-cancer early detection test at RegalMed Clinic addresses this screening gap. Developed by GRAIL using genomic technology, the Galleri test analyzes cell-free DNA (cfDNA) methylation patterns in your blood to detect cancer signals from over 50 cancer types - including pancreatic, liver, ovarian, esophageal, and head and neck cancers that currently have no standard screening. When a cancer signal is detected, the test also predicts the cancer signal origin (where in the body the cancer likely originated) to guide follow-up diagnostic workup. Dr. Farag integrates this alongside standard screenings for comprehensive cancer surveillance.
Multi-Cancer Blood Screening
The Galleri test is a multi-cancer early detection (MCED) blood test developed by GRAIL, Inc. It works by analyzing cell-free DNA (cfDNA) - fragments of DNA shed by cells (including tumor cells) into the bloodstream. Rather than looking for specific gene mutations, the Galleri test uses targeted methylation analysis to detect patterns of DNA methylation that are characteristic of cancer versus normal tissue. DNA methylation is a chemical modification that affects gene expression and is significantly altered in cancer cells.
The test screens for signals from over 50 cancer types, many of which lack standard screening options. In clinical validation studies (CCGA, PATHFINDER, SYMPLIFY), the Galleri test demonstrated a specificity of 99.5% (very low false positive rate) and the ability to detect cancer signals across all stages, with higher sensitivity for later-stage cancers and a clinically significant detection rate for stage I-III cancers. When a signal is detected, the test provides a Cancer Signal Origin (CSO) prediction, identifying the tissue of origin with approximately 88% accuracy to direct subsequent diagnostic evaluation. The Galleri test received FDA Breakthrough Device designation and is intended as a complement to - not a replacement for - standard cancer screening guidelines.
Proactive Cancer Screening
One blood draw screens for signals from over 50 cancer types simultaneously
99.5% specificity means minimal unnecessary follow-up procedures
Predicts where in the body the cancer signal originated with 88% accuracy
Detects cancers that have no other recommended early detection method
Standard blood draw with results in approximately 2-3 weeks
Designed to work alongside existing cancer screenings for maximum coverage
Compare Your Options
| Treatment | Mechanism | Time | Results | Duration | Downtime | Best For |
|---|---|---|---|---|---|---|
| Galleri Test | cfDNA methylation analysis from blood | 10-15 min draw | 2-3 weeks | Annual screening | None | Multi-cancer screening for 50+ types including those with no standard screening |
| Telomere Length Analysis | Quantitative PCR of chromosome telomeres | 10-15 min draw | 2-3 weeks | Annual assessment | None | Measuring biological aging and overall longevity trajectory |
| Standard Cancer Screenings | Mammogram, colonoscopy, Pap, PSA, low-dose CT | Varies by test | Days to weeks | Per guidelines | Varies | Established screening for breast, cervical, colon, lung, prostate cancers |
Candidacy Assessment
The Galleri test is recommended for adults with an elevated risk of cancer who want comprehensive screening beyond what standard guidelines cover. GRAIL recommends the test for adults aged 50 and older, though younger patients with elevated risk factors may also benefit.
Dr. Farag will evaluate your age, family history, and risk factors to determine whether the Galleri test is appropriate for your cancer prevention strategy.
Dr. Farag reviews your personal and family cancer history, existing screenings, and risk factors to confirm test appropriateness.
A standard venipuncture collects two tubes of blood, which are shipped to GRAIL's CLIA-certified laboratory for processing.
GRAIL's lab extracts cell-free DNA from your blood and analyzes methylation patterns using next-generation sequencing technology.
Dr. Farag discusses your results: either 'No Cancer Signal Detected' or 'Cancer Signal Detected' with predicted signal origin.
If a signal is detected, Dr. Farag coordinates diagnostic workup and specialist referrals guided by the Cancer Signal Origin prediction.
What to Know
The Galleri test is a standard blood draw with no systemic side effects. However, understanding the test's clinical limitations is essential for informed decision-making.
Dr. Farag will thoroughly explain these limitations during your pre-test consultation, ensuring you have realistic expectations and understand how the Galleri test fits within your complete cancer screening strategy.
The Galleri multi-cancer early detection test is an investment in comprehensive cancer surveillance that goes far beyond what standard screenings alone can provide.
The Galleri test is priced at approximately $949 per test, set by GRAIL. This is a single, transparent price that includes the blood collection kit, laboratory analysis using next-generation sequencing of cfDNA methylation patterns, and the comprehensive results report with Cancer Signal Origin prediction if applicable.
The Galleri test is not currently covered by most insurance plans, including Medicare. GRAIL offers payment plan options for eligible patients. RegalMed Clinic accepts major credit cards and can provide documentation for HSA/FSA reimbursement. Contact our Fort Myers office at (239) 395-2434 to discuss pricing and payment options.
Fort Myers Cancer Screening
Dr. Farag personally evaluates your risk profile and guides result interpretation
Positive signals receive immediate coordination of diagnostic workup and specialist referrals
Galleri testing combined with standard screenings and longevity assessments
Results discussed with clarity, context, and a clear action plan regardless of outcome
Answers to Your Questions
The Galleri test analyzes cell-free DNA (cfDNA) in your blood - fragments of DNA shed by cells throughout your body. It uses targeted methylation analysis to detect DNA methylation patterns characteristic of cancer cells. When a cancer signal is detected, the test also predicts the Cancer Signal Origin to guide your doctor's next steps.
No. The Galleri test is designed to complement, not replace, standard cancer screenings. You should continue all recommended screenings (mammography, colonoscopy, Pap smear, etc.) in addition to the Galleri test. Together, they provide the most comprehensive cancer surveillance available.
Dr. Farag will review your results and the predicted Cancer Signal Origin. She will then coordinate confirmatory diagnostic testing - which may include imaging, biopsy, or specialist referral - to determine if cancer is present and its exact location. Early detection significantly improves treatment outcomes for most cancers.
A 'No Cancer Signal Detected' result means the test did not identify methylation patterns consistent with cancer in your blood sample at the time of testing. This is reassuring but does not guarantee the absence of cancer. Some cancers may not shed enough cfDNA to be detected, which is why maintaining standard screenings remains important.
GRAIL recommends annual testing for ongoing cancer surveillance. Cancer can develop between tests, so annual screening provides the best opportunity for early detection. Dr. Farag will recommend a testing schedule based on your individual risk profile.
The Galleri test has received FDA Breakthrough Device designation and is available as a laboratory-developed test (LDT) through GRAIL's CLIA-certified lab. It has been validated in multiple large clinical studies including the CCGA, PATHFINDER, and SYMPLIFY trials, demonstrating strong clinical performance.