Anti-Aging #4 Comprehensive Blood and Urine Test Panel, Women

Quick Facts

• Sample: Blood and urine
• Fasting: Fast for 12-14 hours before your blood draw. Maintain a stable diet for 2–3 weeks. Avoid alcohol for 24 hours, and stop biotin 72 hours before testing. Rest 30 minutes before collection and draw blood before B12 therapy, transfusions, or a Schilling test. Avoid collection during or after heparin use. 
• Turnaround: 3-5 business days. May take longer due to weather, holidays, or lab delays.

What's Included

Comprehensive Metabolic Panel (CMP-14) with eGFR Blood Test

Glucose

• Glucose: The amount of sugar in your blood, used to screen for and monitor diabetes.

Kidney Profile

• BUN (Blood Urea Nitrogen): A waste product formed when the body breaks down protein, normally removed by the kidneys.
• Creatinine, Serum: A waste product from normal muscle activity that is filtered from the blood by the kidneys.
• BUN/Creatinine Ratio: A calculated value (BUN divided by creatinine) that can suggest conditions like dehydration or intestinal bleeding.
• Estimated Glomerular Filtration Rate (eGFR): A calculated estimate of how effectively the kidneys filter waste from the blood, used to assess kidney function.

Liver Panel

• Protein, Total: The combined amount of albumin and globulin proteins in the blood, which helps assess liver and kidney function and nutritional health.
• Albumin, Serum: A protein produced by the liver that helps maintain fluid balance and transport substances through the blood.
• Globulin, Total: A group of blood proteins involved in immune defense, transporting substances, and other important body functions.
• Albumin/Globulin Ratio: A calculated value (albumin divided by globulin) that, alongside other results, can assist in evaluating liver problems.
• Bilirubin, Total: A yellow pigment produced during the normal breakdown of red blood cells and processed by the liver. Elevated levels can cause jaundice.
• Alkaline Phosphatase: An enzyme found primarily in the liver, bile ducts, and bones that can help identify liver or bone disorders.
• Aspartate Aminotransferase (AST or SGOT): An enzyme found in the liver and other tissues, such as the heart and muscles, that is released into the blood when cells are damaged.
• Alanine Aminotransferase (ALT or SGPT): An enzyme that helps identify liver damage. Abnormal levels may represent liver disease.

Fluids & Electrolytes

• Sodium: One of the major salts in your body fluid, important for water balance and the electrical activity of nerves and muscles.
• Potassium: Helps control the function of your nerves and muscles.
• Chloride: Similar to sodium, it helps maintain your body's electrolyte balance.
• Carbon Dioxide, Total: A measure that primarily reflects bicarbonate in the blood, helping assess the body's acid-base balance.
• Calcium: A mineral essential for developing and maintaining healthy bones and teeth, and for normal muscle, nerve, and blood clotting function.

Lipid Panel With Total Cholesterol:HDL Ratio

• Cholesterol, Total: A measurement used to assess heart health. Cholesterol is required by your body to build healthy cells, but high cholesterol levels can increase your risk of heart disease.
• Triglycerides: Surplus fats transported in the bloodstream and provide energy to the body.
• HDL Cholesterol: High-density lipoproteins, or "good" cholesterol, take cholesterol away from the cells and transport it back to the liver for removal or processing.
• LDL Cholesterol: Low-density lipoproteins (calculation), or "bad" cholesterol, contain the highest percentage of cholesterol and are responsible for depositing cholesterol on the artery walls.
• Non HDL Cholesterol (Not Included with LabCorp): A measure of cholesterol carried outside of HDL particles.
• Total Cholesterol: HDL Ratio: The Total Cholesterol to HDL Ratio is a critical indicator of the balance between good and bad cholesterol in the body. A ratio of less than 5:1 is considered optimal, while a ratio higher than 6:1 indicates an increased risk of developing heart disease.

Thyroid Panel with TSH

• TSH (Thyroid Stimulating Hormone): Produced by the pituitary gland, this hormone helps the thyroid create T4 and T3.
• T4 (Thyroxine), Total: A hormone made by the thyroid that helps maintain metabolism and other body functions.
• T3 Uptake: Evaluates the number of blood proteins that carry thyroid hormones throughout the body.
• Free T4 Index (T7): A calculated value comparing the amount of unbound (free) T4 to T4 bound to proteins in the blood.

Complete Blood Count (CBC) with Differential and Platelets Blood Test

White Blood Cells

• White Blood Cells (WBC): Your body's primary defense against disease, these cells help you fight infection.

Red Blood Cells and Red Cell Indices

• Red Blood Cells (RBC): Carries oxygen and carbon dioxide to and from your cells. Iron deficiency can lower this count.
• Hemoglobin: A compound inside red cells that carries oxygen through your bloodstream and gives blood its red color.
• Hematocrit: The percentage of blood volume made up of red blood cells.
• MCH (Mean Corpuscular Hemoglobin): The average hemoglobin amount within a single red blood cell.
• MCHC (Mean Corpuscular Hemoglobin Concentration): The average hemoglobin concentration percentage within a red blood cell.
• MCV (Mean Corpuscular Volume): The average size of your red blood cells.
• RDW (Red Cell Distribution Width): Measures the variation in volume and size among your red blood cells.

Platelets

• Platelet Count: Blood cell particles that play a role in forming blood clots.
• MPV (Mean Platelet Volume): The average size of platelets in the blood, providing information about platelet production and activity.

White Blood Cell Differential

• Neutrophils: The most common white blood cell type, created by your bone marrow to combat inflammatory and infectious conditions.
• Lymphocytes: B cells and T cells that fight bacteria and other pathogens, found mainly in your lymph system.
• Monocytes: Work alongside neutrophils to fight infections and clear away dead or damaged cells.
• Eos (Eosinophils): White blood cells that become active in response to allergies and certain infections.
• Basophils: Help detect infections early, support wound healing, and respond to allergic reactions.
• Immature Granulocytes: A component of your white blood cell differential included in this panel. (Labcorp only)

Uric Acid

• Uric Acid: A waste product formed when the body breaks down purines. Helps assess uric acid levels and identify potential issues related to gout or kidney stones.

IGF-1

• Insulin-Like Growth Factor I (IGF-1): A hormone produced primarily by the liver in response to growth hormone that supports bone and tissue growth, cell development, and metabolism.

Testosterone, Free

• Testosterone, Free: The portion of testosterone circulating in the blood that is not bound to proteins and is available to enter cells and exert biological effects.

Testosterone, Total

• Testosterone, Total: The total amount of testosterone in the blood, including testosterone bound to proteins and testosterone circulating freely.

Lab-specific note (LabCorp only): Any Testosterone Free (Direct) or Total Testosterone result exceeding 1500 will be reported as ">1500."

Urinalysis Complete with Microscopic Examination

• Color: The visible color of urine, which can vary with hydration, medications, and certain health conditions.
• Appearance: The clarity or cloudiness of urine, which may reflect the presence of cells, crystals, or other substances.
• Specific Gravity: The concentration of dissolved substances in urine, reflecting the kidneys' ability to concentrate or dilute urine.
• pH: The acidity or alkalinity of urine.
• Glucose, Urine: Sugar present in urine, which may increase when blood glucose levels are elevated.
• Protein: Proteins present in urine, which may indicate changes in kidney filtration.
• Ketones: Byproducts made when the body breaks down fat for energy.
• Bilirubin: A pigment from red blood cell breakdown that is normally not present in urine.
• Urobilinogen, Semi-Qn: A compound formed in the intestines from bilirubin; small amounts normally appear in urine. (LabCorp Only)
• Occult Blood: Detects blood-related pigments in urine, including those from red blood cells, hemoglobin, or myoglobin.
• Nitrite: A chemical produced when certain bacteria break down nitrate in urine.
• Leukocyte Esterase: An enzyme released by white blood cells that may indicate inflammation or infection in the urinary tract.
• Microscopic Examination:
  • WBC (White Blood Cells): Immune cells present in urine that may indicate inflammation or infection in the urinary tract.
  • RBC (Red Blood Cells): Blood cells present in urine that may indicate bleeding, irritation, or other conditions affecting the urinary tract.
  • Bacteria: Microorganisms observed in urine that may indicate infection or sample contamination.
  • Casts (LabCorp only): Tube-shaped particles formed in the kidneys that may contain proteins, cells, or other substances.
  • Crystals (LabCorp only): Solid particles formed when minerals and other substances crystallize in urine. Certain types or increased amounts may be associated with kidney stones or other urinary conditions.
  • Yeast (LabCorp only): Fungal cells present in urine that may indicate a yeast infection or sample contamination.
  • Trichomonas (LabCorp only): A microscopic parasite that causes trichomoniasis, a sexually transmitted infection. Its presence in urine may suggest an infection.
  • Mucus Threads (LabCorp only): Strands of mucus from the urinary tract lining.
  • Hyaline Cast: A cylinder-shaped protein structure formed in the kidney tubules.
  • Epithelial Cells (renal and non renal): Cells shed from the lining of the urinary tract or external genital surfaces that may appear in urine. (LabCorp Only)
  • Squamous Epithelial Cells: Flat cells shed from the lower urinary tract or genital surfaces. Higher amounts may indicate contamination during urine collection.

Vitamin D 25-Hydroxy

• Vitamin D, 25-Hydroxy: The primary circulating form of vitamin D in the blood, reflecting the body's vitamin D stores. Helps assess vitamin D status and identify deficiencies that may affect bone health and calcium absorption.

Total Iron Binding Capacity (TIBC)

• Iron Binding Capacity (TIBC): The total amount of iron that transferrin can bind, calculated by adding serum iron and unsaturated iron binding capacity (UIBC).
• UIBC (Unsaturated Iron Binding Capacity): The remaining capacity of transferrin to bind additional iron that is not already bound.
• Iron, Total: The amount of iron circulating in the blood, primarily bound to transferrin.
• Iron Saturation: The percentage of transferrin's iron-binding capacity currently occupied by iron, calculated by dividing serum iron by TIBC and multiplying by 100.

Estradiol

• Estradiol: The primary form of estrogen during the reproductive years, produced mainly by the ovaries and in smaller amounts by the testes and other tissues. Helps regulate reproductive function, menstrual cycles, and bone health.

Estrogen, Total

• Estrogen, Total: The combined concentration of estrogens in the blood, primarily estradiol, estrone, and estriol, which help regulate reproductive function, menstrual cycles, and bone health.

DHEA-S

• DHEA Sulfate (DHEA-S): An androgen hormone produced primarily by the adrenal glands that serves as a precursor to testosterone and estrogen. Helps evaluate adrenal function and investigate abnormal androgen levels.

Human Growth Hormone

• Human Growth Hormone (HGH): A hormone produced by the pituitary gland that promotes bone and tissue growth, supports muscle development and tissue repair, and helps regulate metabolism.

Progesterone

• Progesterone: A steroid hormone primarily produced by the ovaries after ovulation that helps regulate the menstrual cycle, prepares the uterine lining for pregnancy, and supports early pregnancy.

Hemoglobin A1c

• Hemoglobin A1c: A form of hemoglobin with glucose attached to it that reflects average blood sugar levels over the past two to three months. Helps diagnose and monitor diabetes and evaluate long-term blood sugar control.

Thyroxine (T4) Free

• Thyroxine (T4) Free: The portion of thyroxine (T4), a hormone produced by the thyroid gland, that circulates in the blood without being bound to proteins and is available for use by the body's tissues.

Triiodothyronine (T3), Free

• Triiodothyronine (T3), Free: The unbound, biologically active form of the thyroid hormone T3 that helps regulate metabolism, energy production, and body temperature. Helps evaluate thyroid function, particularly when hyperthyroidism is suspected.

Homocysteine

• Homocysteine: An amino acid produced during the metabolism of methionine, an essential amino acid. Elevated blood levels may indicate deficiencies in vitamins B6, B12, or folate and may be associated with an increased risk of cardiovascular disease.

C-Reactive Protein, High Sensitivity (CRP-hs)

• C-Reactive Protein, High Sensitivity (CRP-hs): A protein produced by the liver in response to inflammation. This high-sensitivity test detects low levels of CRP in the blood, helping assess inflammation and cardiovascular disease risk.

Vitamin A

• Vitamin A (Retinol): The main active form of vitamin A in the blood. Helps assess vitamin A levels and identify deficiencies or excess.

FSH and LH

• Follicle-Stimulating Hormone (FSH): A hormone produced by the pituitary gland that stimulates ovarian follicle development and estrogen production in females and supports sperm production in males.
• Luteinizing Hormone (LH): A hormone produced by the pituitary gland that triggers ovulation and supports progesterone production in females and stimulates testosterone production in males.

Vitamin B12

• Vitamin B12: An essential vitamin that supports healthy nerve function, red blood cell production, and DNA formation. Measuring vitamin B12 levels helps identify deficiencies that may contribute to anemia, fatigue, or nerve problems.

Folic Acid (Folate)

• Folate (Folic Acid): A B vitamin that helps the body make new cells, produce healthy red blood cells, and form DNA. Measuring folate levels helps identify deficiencies that may contribute to anemia.

Sex Hormone Binding Globulin (SHBG)

• SHBG: A protein that binds to testosterone and estrogen, helping regulate how much of these hormones is available for the body to use.

Cortisol

• Cortisol: A steroid hormone produced by the adrenal glands that helps regulate the body's stress response, metabolism, blood pressure, and immune function.

NMR LipoProfile® With Lipids

• LDL-P: The concentration of low-density lipoprotein (LDL) particles in the blood, which is associated with cardiovascular disease risk.
• LDL Cholesterol: The calculated amount of cholesterol carried by low-density lipoprotein (LDL) particles in the blood. Reported as LDL-C (NIH Calc) by LabCorp.
• HDL Cholesterol: Cholesterol carried by high-density lipoprotein (HDL) particles, which help transport excess cholesterol from tissues to the liver.
• Triglycerides: A type of fat circulating in the bloodstream that provides energy and serves as a form of energy storage.
• Cholesterol, Total: The combined amount of cholesterol carried by different lipoproteins in the blood.
• HDL-P (Total): The total concentration of high-density lipoprotein (HDL) particles involved in cholesterol transport.
• Small LDL-P: The concentration of small low-density lipoprotein (LDL) particles, which may provide additional information about cardiovascular disease risk.
• LDL Size: The average size of low-density lipoprotein (LDL) particles, providing information about LDL particle characteristics.
• LP-IR Score (LabCorp Only): A calculated score based on lipoprotein particle characteristics that estimates insulin resistance, with higher scores indicating greater insulin resistance.
• Large HDL-P (Not Included with LabCorp): The concentration of large high-density lipoprotein (HDL) particles, a subclass involved in cholesterol transport.
• HDL Size (Not Included with LabCorp): The average size of high-density lipoprotein (HDL) particles, providing information about HDL particle characteristics.
• Large VLDL-P (Not Included with LabCorp): The concentration of large very-low-density lipoprotein (VLDL) particles, which transport triglycerides through the bloodstream.
• VLDL Size (Not Included with LabCorp): The average size of very-low-density lipoprotein (VLDL) particles, reflecting their triglyceride-rich lipoprotein characteristics.
• Non-HDL Cholesterol (Not Included with LabCorp): The calculated amount of cholesterol carried by lipoproteins other than HDL, including LDL and other potentially atherogenic particles.
• Cholesterol/HDL-C Ratio (Not Included with LabCorp): The ratio of total cholesterol to HDL cholesterol, providing information about cardiovascular disease risk.
• TG/HDL-C Ratio (Not Included with LabCorp): The ratio of triglycerides to HDL cholesterol, which may provide additional information about metabolic health and insulin resistance.

Benefits

• Evaluates key hormone levels tied to aging and overall wellness.
• Screens metabolic, kidney, liver, and electrolyte function in one panel.
• Assesses cardiovascular risk through lipid and inflammation markers.
• Supports monitoring of thyroid function and metabolic rate.
• Reviews blood count, nutrient, and mineral status.
• Provides a broad snapshot to help guide personalized health discussions.

Who Is This Test For?

• Women wanting a broad look at hormone levels related to aging.
• Individuals working with a physician on hormone replacement planning.
• People wanting to monitor metabolic, kidney, and liver markers together.
• Those interested in tracking cardiovascular and inflammation-related markers.
• Women wanting insight into whether symptoms may relate to hormonal changes.
• Individuals wanting a comprehensive wellness snapshot for ongoing health awareness.

How It Works

1. Order Your Test Online
2. Visit a Local Lab
3. Get Results Online

FAQ

1. What is the purpose of this test?

This panel combines metabolic, kidney, liver, lipid, thyroid, blood count, hormone, and urine markers to provide a broad view of health as it relates to aging. It brings together the Wellness #2 Essential Blood Test Panel with hormone markers such as estradiol, DHEA-S, progesterone, testosterone, and human growth hormone, along with nutrient, inflammation, and cardiovascular markers. Together, these tests help you and your healthcare provider examine patterns across multiple body systems rather than focusing on a single result. This panel does not diagnose any condition on its own.

2. Who may benefit from this test, and when should it be ordered?

This panel may benefit women who want a comprehensive look at hormone, metabolic, and cardiovascular health markers commonly associated with aging. You may consider ordering it for routine wellness screening, to explore hormone-related changes, to establish or monitor wellness markers over time, or to follow up on a previous discussion with your healthcare provider. It can also support personalized health planning with your provider.

3. How should I prepare for this test?

Fast for 12 to 14 hours before your blood draw and maintain a stable diet for 2 to 3 weeks beforehand. Avoid alcohol for 24 hours and stop taking biotin at least 72 hours before testing. See the Pre-Test Preparation instructions for complete details.

4. How quickly will I receive my results?

Results are typically available within 3 to 5 business days. However, weather, holidays, or laboratory delays may extend the turnaround time.

5. How should I interpret my results?

Although individual biomarker values can be useful, patterns across multiple biomarkers may be more meaningful than a single result viewed in isolation. Your healthcare provider can help explain how your results relate to your overall health and any symptoms you may be experiencing.

Disclaimer: Reference ranges may vary by laboratory. Listed ranges are general guidelines and may differ from those used by the performing lab. Always consult your healthcare provider for interpretation.

6. What should I do if a result is outside the expected range?

Share the result with your healthcare provider. Based on your complete health picture, they can determine whether further testing, continued monitoring, or a change in care may be appropriate.

7. How often should I get tested?

Testing frequency depends on your health status, goals, results, and medical history. Reviewing hormone, metabolic, and cardiovascular markers together over time may support earlier awareness of changes associated with aging and provide useful information for ongoing monitoring. Follow your healthcare provider’s recommendations regarding when to retest.

Pre-Test Preparation

Patients should follow a stable diet for 2-3 weeks and fast for 12-14 hours before blood collection. Avoid alcohol for 24 hours and stop biotin 72 hours prior. Rest for at least 30 minutes before the test. Blood should be drawn before starting a Schilling test, transfusions, or B12 therapy, and should not be collected during or after heparin administration.