What we test for

Comprehensive doesn't mean a check-up.

50+ markers — across cardiovascular, metabolic, hormonal, inflammatory, and functional health — with a plain-language explanation of what each one indicates and why it matters.

Cardiovascular

Apolipoprotein B (ApoB)

Counts the number of atherogenic particles in your blood — a more accurate predictor of cardiovascular risk than LDL alone.

Lipoprotein(a)

A genetically inherited lipid particle that elevates lifetime cardiovascular risk; tested once, then managed for life.

High-sensitivity CRP

A marker of systemic vascular inflammation; elevated values predict cardiovascular events independent of cholesterol.

NT-proBNP

Reflects cardiac strain; useful for early detection of subclinical heart dysfunction.

Advanced lipid panel with particle size

Looks at particle number and size, not just totals — small dense LDL is more atherogenic than large buoyant LDL.

Coronary artery calcium score

Direct imaging of plaque in your coronary arteries; a CAC of 0 is one of the strongest negative predictors in medicine.

VO₂ max

The single best predictor of all-cause mortality in adults. Trains over time and tells you whether your plan is working.

Resting and exercise blood pressure

Detects masked hypertension and exercise-induced spikes that standard cuff readings miss.

Metabolic

HbA1c

Three-month average blood sugar — the standard marker for prediabetes and diabetes screening.

Fasting insulin

Often elevated for years before glucose rises; the earliest insulin-resistance signal we can act on.

HOMA-IR

Calculated from glucose and insulin; quantifies how insulin-resistant you are right now.

Comprehensive metabolic panel

Kidney function, liver enzymes, electrolytes — baseline organ health.

Continuous glucose monitoring

Two weeks of real-time glucose data; reveals personal food and activity responses no lab can capture.

Body composition (DEXA)

Lean mass, fat mass, and bone density — far more meaningful than weight or BMI.

Visceral fat

Fat around your organs drives metabolic disease; DEXA quantifies it directly.

Resting metabolic rate

Measured caloric burn at rest; informs precise nutrition and training prescriptions.

Hormonal

Full thyroid panel

TSH, free T3, free T4, reverse T3, antibodies — catches subclinical hypothyroidism a TSH-only test misses.

Comprehensive sex hormone panel

Testosterone, estradiol, progesterone, SHBG, DHT — context for energy, libido, mood, body composition.

Cortisol rhythm

Salivary or serum sampling across the day reveals stress patterns and adrenal dysregulation.

Vitamin D, B12, folate

Common, fixable deficiencies that affect energy, immunity, mood, and bone.

DHEA-S

Adrenal hormone that declines with age; informs the broader hormonal picture.

IGF-1

Growth hormone surrogate; relevant for body composition, recovery, and longevity risk balance.

Inflammatory & Immune

High-sensitivity CRP

Systemic inflammation marker tied to cardiovascular and metabolic risk.

Homocysteine

Elevated values are linked to cardiovascular and cognitive risk; usually correctable with B-vitamins.

Cytokine panel

Deeper read on chronic inflammation patterns when CRP is borderline.

Cancer screening biomarkers (PSA, CA-125 where appropriate)

Age- and sex-appropriate cancer screening, layered onto standard primary care.

Sleep diagnostics

Home sleep study when indicated; untreated sleep apnea drives cardiovascular and metabolic risk.

Longevity & Performance

Cognitive baseline assessment

Establishes your current cognitive performance so we can track changes meaningfully over decades.

Grip strength

One of the best simple predictors of mortality and functional aging.

Gait and balance testing

Fall risk is one of the largest predictors of disability after 65 — measurable and trainable.

Sleep architecture

Deep and REM sleep percentages, not just total hours — relevant for cognition, recovery, and immunity.

Gut microbiome

Diversity and composition; informs nutrition strategy and certain immune and metabolic findings.

Heavy metals and toxin screening

Run when symptoms or exposure suggest; treated when meaningfully elevated, not chased reflexively.

Exact panel personalized to your history. Not all tests are appropriate for all members.

This is what gets reviewed in your First 90 Days.