150+ biomarkers across 20 specialty organ system tests. Comprehensive analysis chosen by physicians to give you the most complete picture of your health. No compromises.
Comprehensive heart health and vascular function markers
This is the cholesterol that builds up in your artery walls over time. When it’s elevated, your risk of heart attack and stroke goes up—often silently. The good news? It responds well to lifestyle changes and treatment. Knowing your number puts you in control.
Think of HDL as your body’s cleanup crew—it removes harmful cholesterol from your arteries. Higher levels mean better protection. If yours is low, targeted interventions like exercise, diet changes, and specific treatments can help raise it.
This gives us the big picture of your cholesterol status. But the total number alone doesn’t tell the whole story—that’s why we look at the breakdown. It’s your starting point for understanding cardiovascular risk.
Elevated triglycerides are often the first sign that your metabolism isn’t running efficiently. They’re closely tied to diet, insulin resistance, and cardiovascular risk. The upside: they typically respond quickly to lifestyle changes and GLP-1 therapy.
This is the marker most cardiologists wish everyone knew about. ApoB counts the actual particles that cause plaque buildup—making it more accurate than standard cholesterol tests. If your LDL looks fine but ApoB is elevated, you still have work to do.
This one’s genetic—you inherited your level from your parents. Elevated Lp(a) significantly increases heart disease risk, and most people have never had it tested. Knowing your number helps you and Dr. Vinay create a more aggressive prevention plan if needed.
This measures inflammation inside your blood vessels—a key driver of heart disease that standard cholesterol tests miss entirely. Even with perfect cholesterol, elevated hs-CRP means elevated risk. It’s actionable: diet, exercise, and targeted therapies can bring it down.
High homocysteine damages your blood vessel walls and increases clotting risk. It’s often caused by B-vitamin deficiencies that are easy to correct. If yours is elevated, simple supplementation can make a significant difference.
This protein helps your blood clot—but when it’s too high, it increases your risk of heart attack and stroke. Elevated fibrinogen often signals chronic inflammation that needs to be addressed at the source.
Standard LDL cholesterol measures concentration, but particle number tells you how many LDL particles are actually circulating. More particles mean more opportunities for artery damage. This is the advanced marker that catches risk others miss.
Blood sugar regulation, insulin sensitivity, and energy metabolism
Your blood sugar after an overnight fast. Elevated levels are often the first warning sign of insulin resistance—years before diabetes develops. Catching it early means you can reverse course with lifestyle changes or GLP-1 therapy.
This shows your average blood sugar over the past 2-3 months. It’s the gold standard for understanding how your body handles glucose day in, day out. If it’s creeping up, now is the time to take action—before it becomes diabetes.
Here’s what most doctors miss: your insulin can be elevated for years before your glucose starts rising. High fasting insulin is the earliest sign of metabolic dysfunction. Catching it here gives you the most options for intervention.
This calculated score tells us how resistant your cells are to insulin. Insulin resistance is at the root of weight gain, fatigue, and metabolic disease. GLP-1 medications directly target this, which is why they’re so effective.
Leptin tells your brain when you’re full. When it’s chronically elevated, your brain stops listening—and you stay hungry even when you’ve eaten enough. Understanding your leptin level helps us tailor your weight optimization approach.
This hormone helps your body burn fat and regulate blood sugar. Low levels are linked to insulin resistance, obesity, and diabetes. Higher is better, and it typically improves as metabolic health improves.
Elevated uric acid isn’t just about gout—it’s a metabolic red flag. It’s closely tied to insulin resistance, kidney stress, and cardiovascular risk. Diet plays a major role, and it responds well to targeted intervention.
Sex hormones, stress hormones, and reproductive health
Testosterone affects far more than sex drive—it impacts energy, muscle mass, bone density, mood, and mental clarity. Low levels leave you feeling depleted. If yours is suboptimal, hormone replacement therapy can be transformative.
This is the testosterone actually available to your tissues. Total testosterone can look normal while free testosterone is low—leaving you with symptoms that don’t match your numbers. We test both for the complete picture.
Estrogen matters for everyone—men and women. It protects your bones, brain, and cardiovascular system. Too high or too low creates problems. Optimizing estradiol is a key part of hormone replacement therapy.
Beyond reproduction, progesterone affects sleep, anxiety, and overall hormone balance. Low progesterone is common and often overlooked. Restoring optimal levels can dramatically improve how you feel day to day.
DHEA is the precursor your body uses to make sex hormones. It peaks in your 20s and declines steadily after. Low DHEA often correlates with fatigue and reduced vitality. It’s one piece of the hormone optimization puzzle.
Cortisol should be highest in the morning, giving you energy to start your day. If it’s low, you’ll feel exhausted no matter how much you sleep. If it’s chronically high, stress is taking a toll on your entire system.
SHBG binds to testosterone and estrogen, controlling how much is available to your tissues. High SHBG can leave you with low free hormones even when totals look normal. It’s essential context for understanding your hormone status.
Elevated prolactin in men or non-pregnant women can indicate pituitary issues or medication side effects. It can suppress testosterone and affect libido. If it’s elevated, we need to find out why.
Your Filters. Your Foundation.
ALT is your liver’s early warning system. Elevated levels often appear before symptoms do—signaling inflammation, fatty liver, or other stress. Catching liver issues early gives you the best chance to reverse them.
AST rises when liver or heart tissue is damaged. Combined with ALT, it helps us understand what’s happening in your liver. Persistent elevation needs investigation and intervention.
GGT is particularly sensitive to alcohol use and bile duct problems. It’s also an early marker of fatty liver and metabolic stress. Even modest elevation deserves attention.
ALP can be elevated due to liver or bone issues. Context matters—we look at the pattern of all your liver enzymes to understand what’s driving any elevation.
Bilirubin comes from red blood cell breakdown and is processed by your liver. Elevated levels can indicate liver dysfunction or increased red cell turnover. Mild elevation is often benign; significant elevation needs attention.
Your liver makes albumin—it’s essential for maintaining fluid balance and transporting substances through your blood. Low albumin signals liver stress, kidney disease, or chronic inflammation. It’s a key marker of overall health.
Your kidneys filter creatinine from your blood. Rising creatinine means your kidneys aren’t filtering as efficiently as they should. Early detection is crucial—kidney function loss is often preventable if caught early.
This is the single best measure of how well your kidneys are working. It’s calculated from your creatinine and tells us your kidney function as a percentage. Protecting kidney function protects your entire system.
BUN reflects how well your kidneys eliminate waste. Elevation can indicate kidney issues, dehydration, or high protein intake. We interpret it alongside creatinine for the full picture.
This ratio helps us distinguish between kidney problems and other causes of elevated BUN. It’s a diagnostic tool that guides us toward the right intervention.
Your Thermostat. Your Metabolism.
TSH is the master control for your thyroid. High TSH usually means your thyroid is underactive; low TSH suggests overactivity. Thyroid dysfunction affects every system in your body—energy, weight, mood, and more.
T3 is the active thyroid hormone that directly drives your metabolism. Low T3 means low energy, weight gain, and brain fog—even if TSH looks normal. This is why we test the complete panel.
Your thyroid produces T4, which your body converts to active T3. Low T4 limits how much T3 you can make. We need to see both to understand your thyroid status.
When your body is stressed—physically or emotionally—it converts T4 into inactive reverse T3 instead of active T3. High reverse T3 explains why you can have “normal” thyroid labs but still feel terrible.
These antibodies attack your own thyroid tissue. Elevated TPO means autoimmune thyroid disease—the most common cause of hypothyroidism. Knowing this changes how we approach treatment.
Like TPO, elevated thyroglobulin antibodies indicate autoimmune thyroid disease. Together, these markers give us the complete picture of thyroid autoimmunity.
Your Fire. Your Healing.
Chronic low-grade inflammation is the silent driver of heart disease, diabetes, and accelerated aging. hs-CRP detects it when you still feel fine—giving you the chance to address the root cause before damage accumulates.
ESR rises with inflammation, infection, or autoimmune activity. It’s non-specific, but persistent elevation tells us something needs attention. We use it alongside other markers to find the source.
Beyond cardiovascular risk, elevated homocysteine indicates inflammation and often B-vitamin deficiency. It’s associated with cognitive decline and dementia risk. Simple supplementation often corrects it.
Ferritin stores iron—but it also rises with inflammation. High ferritin with normal iron suggests your body is fighting something. Low ferritin means depleted iron stores. Either extreme matters.
Elevated fibrinogen signals inflammation and increases clotting risk. If chronic stress or hidden inflammation is driving it up, addressing the source brings it down.
This measures the percentage of omega-3s in your red blood cells. Low levels mean more inflammation; optimal levels mean better heart health, brain function, and recovery. Supplementation and diet can dramatically improve your score.
Your Blood. Your Oxygen. Your Immunity.
Your immune army. Elevated WBC can indicate infection or inflammation; low WBC may signal immune suppression or bone marrow issues. This is your body’s defense status.
These carry oxygen to every cell in your body. Low RBC means anemia and fatigue; high RBC may indicate dehydration or other conditions. Optimal oxygen delivery is essential for energy and performance.
Hemoglobin carries oxygen in your red blood cells. Low hemoglobin is anemia—it explains fatigue, weakness, and shortness of breath. Identifying the cause (iron, B12, chronic disease) guides treatment.
The percentage of your blood that’s red blood cells. Too low means anemia; too high can increase clotting risk. It’s a key marker for blood health.
The size of your red blood cells tells us about the type of anemia. Small cells often mean iron deficiency; large cells suggest B12 or folate deficiency. This guides which intervention you need.
How much hemoglobin each red blood cell carries. Combined with MCV, it helps classify anemia and guide treatment decisions.
The concentration of hemoglobin in your red blood cells. Abnormal values help identify certain types of anemia and hemoglobin disorders.
This measures variation in red blood cell size. High RDW often indicates mixed nutritional deficiencies or chronic disease affecting blood cell production.
Your clotting cells. Low platelets increase bleeding risk; high platelets may increase clotting risk. Both extremes need evaluation.
The first responders of your immune system. Elevated with bacterial infections; low when your immune system is suppressed. Essential for understanding infection risk.
These white blood cells fight viral infections and are key to long-term immunity. Abnormal levels can indicate viral infection, immune disorders, or certain cancers.
Part of your immune surveillance system. Elevated monocytes often indicate chronic infection or inflammation that needs addressing.
These respond to allergies and parasites. Elevated eosinophils may indicate allergic disease, asthma, or parasitic infection.
The least common white blood cell. Elevation is rare but can indicate certain blood disorders or severe allergic reactions.
Your Building Blocks. Your Optimization.
Vitamin D affects far more than bones—it’s critical for immune function, mood, hormone production, and cancer prevention. Deficiency is epidemic, and most people need supplementation to reach optimal levels.
Essential for nerve function, energy production, and DNA synthesis. Deficiency causes fatigue, brain fog, and eventually nerve damage. It’s common, especially as you age, and easily correctable.
Critical for cell division and DNA repair. Low folate increases homocysteine, affects mood, and during pregnancy, increases birth defect risk. Methylated forms work best for many people.
Involved in over 300 enzymatic reactions. Deficiency causes muscle cramps, fatigue, irregular heartbeat, and poor sleep. Most people don’t get enough—and standard blood tests often miss deficiency.
Essential for immune function, wound healing, testosterone production, and protein synthesis. Deficiency impairs healing and immunity. It’s easily depleted by stress and sweating.
Required for iron metabolism, nerve function, and antioxidant systems. Imbalances between copper and zinc can cause problems. We look at the ratio, not just individual levels.
A powerful antioxidant that supports thyroid function and immune health. Deficiency increases oxidative stress and thyroid dysfunction risk. Most people benefit from optimization.
This is the most sensitive test for functional B12 deficiency. Your B12 level can look normal while MMA is elevated—meaning your cells aren’t getting enough. If you have B12 deficiency symptoms, this test tells the truth.
Your Immune System. Your Self-Recognition.
ANA screens for autoimmune conditions like lupus, rheumatoid arthritis, and Sjögren’s syndrome. A positive ANA doesn’t mean you have autoimmune disease—but it warrants further investigation if symptoms are present.
Elevated in about 70-80% of rheumatoid arthritis patients. Combined with symptoms and other markers, it helps diagnose and monitor RA. Early treatment prevents joint destruction.
More specific for rheumatoid arthritis than RF. A positive anti-CCP with joint symptoms strongly suggests RA—and catching it early changes outcomes dramatically.
Screens for celiac disease—an autoimmune reaction to gluten. Undiagnosed celiac causes malnutrition, fatigue, and intestinal damage. If positive, removing gluten transforms your health.
Thyroid antibodies indicating Hashimoto’s thyroiditis—the most common cause of hypothyroidism. Knowing you have autoimmune thyroid disease changes how we monitor and treat you.
Your Exposure. Your Detoxification.
Lead exposure—even at low levels—damages the brain, kidneys, and cardiovascular system. There’s no safe level. Testing identifies hidden exposure so you can take action to reduce it.
Mercury from fish consumption and dental amalgams accumulates over time, affecting your nervous system and kidneys. Knowing your level helps guide dietary choices and potential detoxification.
Chronic low-level arsenic exposure from water and food increases cancer and cardiovascular disease risk. Testing identifies if environmental exposure is affecting you.
Smoking is the biggest source; it accumulates in kidneys and bones over decades. If you’ve ever smoked or been exposed occupationally, knowing your cadmium level matters.
Your Gut. Your Foundation.
Elevated lipase indicates pancreatic inflammation or dysfunction. Your pancreas is essential for digestion and blood sugar regulation. Catching issues early protects both functions.
Like lipase, amylase rises with pancreatic problems. Combined with lipase, it helps evaluate pancreatic health and digestive function.
H. pylori is a stomach bacteria that causes ulcers and increases stomach cancer risk. If positive, eradication treatment eliminates the infection and your risk.
Your Structure. Your Strength.
Essential for bones, muscles, nerves, and heart rhythm. Your body tightly regulates calcium—abnormal levels signal parathyroid, kidney, or bone issues that need investigation.
Works with calcium for bone health. Abnormal phosphorus often indicates kidney dysfunction or parathyroid disorders. We interpret it alongside calcium and PTH.
PTH controls calcium and phosphorus balance. Elevated PTH can leach calcium from bones, causing osteoporosis. Finding and treating the cause protects your bone health.
Beyond immunity and mood, vitamin D is essential for calcium absorption. Without adequate D, your bones can’t maintain their density—regardless of how much calcium you consume.
Bone-specific ALP indicates bone turnover and formation. Combined with other markers, it helps assess bone health and monitor treatment response.
Your Fluid Balance. Your Function.
Your primary electrolyte for fluid balance. Abnormal sodium affects brain function—causing confusion, weakness, or seizures. Usually reflects hydration status and kidney function.
Critical for heart rhythm and muscle function. Both high and low potassium can cause dangerous heart arrhythmias. Medications, kidney function, and diet all affect levels.
Works with sodium to maintain fluid balance and blood pH. Usually changes alongside sodium. Abnormal chloride helps diagnose acid-base disorders.
Reflects your body’s acid-base balance. Abnormal CO2 can indicate respiratory or metabolic disorders affecting how efficiently your body maintains pH.
Your Proteins. Your Status.
The sum of all proteins in your blood. Low total protein indicates liver disease, kidney loss, or malnutrition. It’s a general marker of your body’s protein status.
Your liver’s primary product. Low albumin signals liver dysfunction, chronic disease, or protein loss through kidneys. It’s one of the most important markers of overall health status.
Includes your antibodies and other immune proteins. High globulin may indicate chronic inflammation or immune disorders. Low globulin can indicate immune deficiency.
The balance between albumin and globulin helps diagnose liver disease, kidney disease, and immune disorders. It adds context to the individual protein measurements.
Your Iron. Your Energy.
The amount of iron circulating in your blood. Low serum iron doesn’t always mean deficiency—we need the full panel to understand your iron status.
The best measure of your total body iron stores. Low ferritin is iron deficiency—the most common cause of fatigue. High ferritin may indicate iron overload or inflammation.
Measures your blood’s capacity to carry iron. High TIBC suggests iron deficiency; low TIBC suggests iron overload or chronic disease.
The percentage of iron-carrying capacity that’s being used. Low saturation confirms iron deficiency; high saturation may indicate iron overload requiring intervention.
Your Early Warning. Your Prevention.
PSA screening catches prostate cancer early—when it’s most treatable. Elevated PSA doesn’t always mean cancer, but it requires follow-up. Knowing your baseline and tracking changes saves lives.
Used to monitor colon, lung, and breast cancers. Not for initial screening, but valuable for tracking treatment response and detecting recurrence early.
Elevated in pancreatic and gastrointestinal cancers. Combined with symptoms and imaging, it helps with diagnosis and monitoring. Early pancreatic cancer detection dramatically improves outcomes.
A marker for liver cancer and testicular cancer. If you have chronic liver disease, AFP monitoring is essential for early detection.
Your Reproductive Health. Your Options.
In women, day 3 FSH indicates ovarian reserve—higher levels mean fewer eggs remaining. In men, FSH indicates sperm production status. Essential for fertility assessment.
Triggers ovulation in women and testosterone production in men. The FSH/LH ratio helps diagnose conditions like PCOS. Important for understanding reproductive function.
The best marker of ovarian reserve. AMH tells you how many eggs remain and predicts response to fertility treatments. If you’re considering your fertility timeline, this number matters.
Day 3 estradiol, combined with FSH, provides the complete picture of ovarian function. Elevated day 3 estradiol can mask a high FSH, hiding diminished reserve.
Your Stress Response. Your Resilience.
Cortisol should peak in the morning, giving you energy to start your day. Low morning cortisol leaves you exhausted and foggy—a sign of adrenal fatigue that responds to targeted support.
Cortisol should be at its lowest at night so you can sleep. Elevated evening cortisol from chronic stress disrupts sleep and accelerates aging. Addressing the source restores normal rhythm.
Your brain’s signal telling your adrenals to produce cortisol. ACTH helps distinguish between adrenal problems and pituitary problems when cortisol is abnormal.
DHEA is your adrenal reserve hormone. It declines with age, but premature decline indicates adrenal fatigue. Optimizing DHEA supports energy, immunity, and hormone balance.
Your Particles. Your True Risk.
The number of LDL particles matters more than the cholesterol inside them. Two people with identical LDL cholesterol can have vastly different particle counts—and vastly different risk.
These are the most dangerous LDL particles—small enough to penetrate artery walls and most likely to oxidize. If your small dense LDL is elevated, you need aggressive intervention.
Pattern A (large, fluffy particles) is safer. Pattern B (small, dense particles) is more dangerous. Knowing your pattern guides how aggressively we need to treat.
More HDL particles mean better cholesterol removal from arteries. You can have good HDL cholesterol but low particle number—and less protection than the standard test suggests.
These triglyceride-rich particles are strongly associated with heart disease—often more than LDL. If triglycerides are elevated, remnant cholesterol is likely driving your risk.
The balance between anti-inflammatory omega-3s and pro-inflammatory omega-6s. Most people are heavily skewed toward omega-6. Correcting this ratio reduces systemic inflammation.
Your Particles. Your True Risk.
Reflects growth hormone status. Low IGF-1 can indicate growth hormone deficiency affecting energy, muscle mass, and body composition. Important for optimizing vitality as you age.
Elevated LDH indicates tissue damage somewhere in your body. It’s non-specific but signals that something needs investigation.
Rises with muscle damage—from intense exercise, medication side effects (especially statins), or muscle disease. Persistent elevation needs evaluation.
A heart failure marker. Even modest elevation indicates cardiac stress. Early detection allows intervention before significant damage occurs.
Essential for vision, immunity, and skin health. Deficiency is less common but can occur with fat malabsorption. Excess is toxic—balance matters.
A powerful antioxidant protecting your cells from damage. Deficiency is rare but affects those with fat malabsorption.
Essential for blood clotting and bone health. Deficiency increases bleeding risk and may contribute to osteoporosis.
Critical for energy metabolism and nerve function. Deficiency causes fatigue, brain fog, and nerve damage.
Supports energy production and antioxidant function. Deficiency causes cracks at mouth corners, light sensitivity, and fatigue.
Important for cholesterol metabolism and energy production. Severe deficiency causes pellagra; optimal levels support metabolic health.
Essential for protein metabolism, neurotransmitter production, and immune function. Deficiency affects mood, immunity, and nerve function.
Supports hair, skin, and nail health. Deficiency is uncommon but causes hair loss and brittle nails.
Essential for cellular energy production, especially in your heart. Levels decline with age and statin use. Supplementation often improves energy and heart function.
Your thyroid needs iodine to produce hormones. Deficiency impairs thyroid function; excess can also cause problems. Testing ensures you’re in the optimal range.
The most sensitive marker for heart muscle damage. Even slight elevation indicates the heart is under stress and needs immediate attention.
Like NT-proBNP, BNP rises when the heart is strained. Used to diagnose and monitor heart failure.
Indicates unstable plaque in your arteries—the kind that ruptures and causes heart attacks. Elevated MPO means aggressive risk reduction is needed now.
Measures inflammation inside your artery walls specifically. Elevated Lp-PLA2 indicates vulnerable plaque even when other markers look normal.
A metabolite produced when gut bacteria digest certain foods. High TMAO is associated with increased heart disease risk—and may respond to changes in gut health and diet.
The main protein in HDL particles. Higher ApoA1 generally means better cardiovascular protection.
The balance between dangerous and protective particles. This ratio may be the single best predictor of cardiovascular risk—better than any individual cholesterol measurement.
Direct measurement of the most atherogenic particles. If this is elevated, you need intervention regardless of what standard lipids show.
A key inflammatory signaling molecule. Chronically elevated IL-6 accelerates aging and disease progression. Identifying and addressing the source reduces whole-body inflammation.
Another major inflammatory signal. Chronic elevation drives autoimmune disease, metabolic dysfunction, and cardiovascular risk.
Elevated with immune activation. Can indicate chronic infection or autoimmune activity that needs investigation.
Part of your immune system’s first response. Elevated C3 can indicate inflammation or autoimmune disease; low C3 may indicate immune deficiency.
Like C3, part of the complement immune system. Abnormal levels help diagnose immune disorders and autoimmune conditions.
Your antibody levels. High levels may indicate chronic infection or autoimmune disease; low levels indicate immune deficiency and infection risk.
A more accurate kidney function marker than creatinine—especially in muscular individuals and older adults. When precision matters, cystatin C gives the true picture.
Rises specifically with bacterial infection. Helps distinguish bacterial from viral infections, guiding whether antibiotics are needed.
The balance between stress hormones and vitality hormones. A high ratio indicates chronic stress overwhelming your reserves—and a need for adrenal support.
Elevated free fatty acids indicate insulin resistance and metabolic dysfunction. They’re an early warning sign that your metabolism needs attention.
Detailed breakdown of your cholesterol-carrying particles. Identifies exactly which particles are driving your risk and guides precision treatment.
LDL becomes dangerous when it oxidizes. Elevated oxidized LDL indicates active damage to your arteries—even when standard LDL looks fine.
Get comprehensive insights into your health with direct physician guidance when you need it. Order your lab testing today.
