What we test

    The depth is the point.

    A routine physical asks whether you are sick today. Answering the harder question, what is most likely to take years from you, takes testing routine care does not run.

    This is a sample, not a fixed list. Every panel is built around your history, your risks, and what earlier results reveal, so nothing is ordered because it comes bundled.

    Heart and arteries

    A standard cholesterol panel finds people already in trouble. These find the process decades earlier.

    Apolipoprotein B
    Counts the particles that drive plaque, not just the cholesterol inside them
    Lipoprotein(a)
    Inherited risk, set for life, measured once, and rarely tested anywhere else
    Lipid panel
    The familiar baseline: LDL, HDL, and triglycerides
    Cholesterol balance
    Whether your body absorbs or overproduces cholesterol, which changes the treatment
    Oxidized LDL
    Damaged particles, the form most likely to injure an artery wall
    Lp-PLA2 activity
    Inflammation inside the artery wall itself
    High sensitivity CRP
    Low grade inflammation throughout the body
    Fibrinogen
    How readily your blood clots
    Homocysteine
    Vessel damage that B vitamins often correct
    Omega-3 and omega-6 status
    The fats built into your cells, and a risk marker you can move with diet

    Blood sugar and metabolism

    Insulin climbs roughly a decade before blood sugar does. Routine care rarely looks that early.

    Glucose tolerance test, four timepoints
    Your response measured over hours, not one fasting snapshot
    Insulin response, four timepoints
    Insulin measured at every timepoint, the earliest warning available
    Fasting insulin
    Rarely ordered elsewhere, and one of the most useful early markers there is
    Hemoglobin A1c
    Average blood sugar over about three months
    Comprehensive metabolic panel
    Kidney, liver, electrolytes, and fasting glucose
    Uric acid
    Linked to gout, blood pressure, and metabolic disease
    GGT
    A liver enzyme that moves before the others do

    Hormones

    Most clinics measure hormones by immunoassay, which is meaningfully less accurate, and least accurate at the low and high levels where decisions actually get made. We use mass spectrometry and equilibrium dialysis, the gold standard methods, so your plan is built on the most accurate number available.

    Testosterone, total
    By mass spectrometry, the gold standard, not immunoassay
    Testosterone, free
    By equilibrium dialysis, the gold standard, not a calculated estimate
    Estradiol, ultrasensitive
    Accurate at the low levels found in men and postmenopausal women
    Progesterone
    Read alongside estradiol and where you are in your cycle
    Sex hormone binding globulin
    Determines how much hormone actually reaches your tissues
    DHEA sulfate
    An adrenal hormone and a building block for others
    FSH and LH
    Whether a hormone problem starts in the brain or the gland
    Prolactin
    Can suppress other hormones when elevated
    Morning cortisol
    Your stress hormone, measured at its natural peak
    IGF-1
    Growth hormone activity, tied to muscle and long term risk

    Thyroid

    Most testing stops at one number. Problems are often visible years earlier in the fuller picture.

    Thyroid panel with TSH
    The pituitary signal plus circulating hormone
    Free T3
    The active hormone your cells actually use
    Reverse T3
    An inactive form that can blunt thyroid signaling
    Thyroid antibodies
    Autoimmune thyroid disease, often years before levels change

    Kidney and urine

    Kidney damage stays silent until much of the function is already gone.

    Cystatin C with filtration rate
    More accurate than creatinine, especially if you carry muscle
    Urine albumin with creatinine
    The earliest sign of kidney and blood vessel damage
    Complete urinalysis
    Infection, blood, protein, and sugar

    Vitamins and minerals

    Where it matters, we measure inside the cell. Serum can read normal on top of a real deficiency.

    Vitamin D
    Bone strength, immune function, and muscle
    Vitamin B12
    Nerve function and blood formation
    Methylmalonic acid
    Catches the B12 deficiency a normal B12 level hides
    Folate, red blood cell
    Your stores over months, not what you ate this week
    Magnesium, red blood cell
    Measured inside the cell, where nearly all magnesium lives
    Copper, serum and red blood cell
    Circulating and cellular, and the balance with zinc
    Iron, binding capacity, and ferritin
    Your iron stores. Too little and too much both matter

    Inherited risk

    Genetics are fixed. Biology is not. Knowing early changes how hard we work on prevention.

    ApoE genotype
    Alzheimer's risk and fat handling, tested once, and discussed with you before we order it

    Blood count and cancer screening

    The foundation panel, read against everything else rather than in isolation.

    Complete blood count with differential
    Anemia, infection, clotting, and blood disorders
    PSA, total
    Prostate screening for men, read in context rather than as one number

    Blood work is one input. Imaging, body composition, cancer screening, and genetic testing are matched to your risks the same way, and every result feeds one written risk assessment that ranks what matters most for you. See how we work across all seven systems.

    Health compounds. Start early.

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