Quick Facts
- Sample: Blood
- Fasting: Fast for 8–12 hours before testing; water is permitted. Schedule your draw in the morning for cortisol testing. Continue medications as directed, and avoid strenuous exercise and alcohol for 24 hours before testing.
- Turnaround: 1–4 business days. May take longer based on weather, holiday, or lab delays.
What's Included
This panel measures 39 biomarkers across heart health, blood sugar, thyroid function, hormones, inflammation, and core metabolic markers.
Lipids and Cholesterol
- Cholesterol, Total: Measures the overall amount of cholesterol in your blood.
- HDL Cholesterol: Measures high-density lipoprotein cholesterol.
- LDL Cholesterol: Measures low-density lipoprotein cholesterol.
- Triglycerides: Measures the fats circulating in your blood.
- Non-HDL Cholesterol: Reflects total cholesterol minus HDL cholesterol.
- Chol/HDLC Ratio: Compares total cholesterol to HDL cholesterol.
- LDL/HDL Ratio: Compares LDL cholesterol to HDL cholesterol.
Blood Sugar and Insulin
- Glucose, blood: Measures the sugar level in your blood.
- Hemoglobin A1c: Reflects your average blood sugar over recent months.
- Insulin: Measures the hormone that helps regulate blood sugar.
Thyroid Function
- TSH: Measures thyroid-stimulating hormone.
- Thyroxine (T4) Free (Direct): Measures the unbound, active form of T4.
- Triiodothyronine (T3), Free: Measures the unbound, active form of T3.
- Reverse T3, Serum: Measures an inactive form of thyroid hormone T3.
Hormones
- Cortisol - AM: Measures your morning level of the stress hormone cortisol.
- DHEA Sulfate: Measures an adrenal hormone precursor.
- Estradiol: Measures the primary form of estrogen.
- Progesterone: Measures the hormone involved in reproductive health.
- Testosterone, Total, MS: Measures total testosterone in your blood.
Inflammation and Related Markers
- C-Reactive Protein, Cardiac: Measures a marker of inflammation.
- Homocysteine: Measures an amino acid found in your blood.
- Ferritin: Measures your body's stored iron protein.
Metabolic, Kidney, and Liver Markers
- Albumin: Measures the main protein made by your liver.
- Globulin, Total: Measures the group of proteins other than albumin.
- Albumin/Globulin Ratio: Compares albumin to globulin levels.
- Protein, Total: Measures the total protein in your blood.
- Alkaline Phosphatase: Measures an enzyme found in the liver and bones.
- ALT: Measures a liver enzyme.
- AST: Measures an enzyme found in the liver and other tissues.
- Bilirubin, Total: Measures a pigment processed by your liver.
- BUN/Creatinine Ratio: Compares urea nitrogen to creatinine levels.
- Creatinine, Blood: Measures a waste product filtered by your kidneys.
- eGFR: Estimates how well your kidneys filter blood.
- Uric Acid: Measures a waste product found in your blood.
- Calcium, serum: Measures the calcium level in your blood.
- Carbon Dioxide: Measures the carbon dioxide level in your blood.
- Chloride, blood: Measures this electrolyte in your blood.
- Potassium, Blood: Measures this electrolyte in your blood.
- Sodium: Measures this electrolyte in your blood.
Benefits
- Review heart health, blood sugar, thyroid, and hormone markers in one draw.
- See cholesterol, triglycerides, and key cholesterol ratios together.
- Track fasting insulin, glucose, and hemoglobin A1c side by side.
- Get a full thyroid view with TSH, free T4, free T3, and reverse T3.
- Check inflammation markers alongside your metabolic, kidney, and liver values.
- Bring organized results to your healthcare provider.
Who Is This Test For?
- You want a broad look at your heart and metabolic health.
- You want to check blood sugar and insulin markers together.
- You want thyroid and hormone markers reviewed in one panel.
- You want to track inflammation and cholesterol markers over time.
- You want results to discuss with your healthcare provider.
How It Works
- Order Your Test Online
- Visit a Local Lab
- Get Results Online
FAQ
1. What is the purpose of this test?
This panel gives you a broad view of your cardiometabolic health, inflammation, thyroid function, and hormone levels. It combines lipids, blood sugar and insulin markers, thyroid hormones, sex and stress hormones, inflammation markers, and core metabolic values. Together, these results help you and your healthcare provider see how different body systems relate to one another. It does not diagnose any condition on its own.
2. Who would benefit from this test, and when should I order it?
This panel suits people who want a wide look at heart health, blood sugar control, thyroid function, and hormone balance at once. You might order it as a baseline snapshot of your cardiometabolic and hormone markers, to gather information before a wellness visit, or for monitoring. It can also be useful for follow-up when your healthcare provider suggests rechecking certain values, or if you want to follow cholesterol, insulin, inflammation, or thyroid markers over time. It is for informational use, and it is a good fit if you want organized results to review with your healthcare provider.
3. Do I need to fast before this test?
Yes. Fast for 8–12 hours before your blood draw (water is allowed). This helps minimize variability in insulin and metabolic markers.
4. How quickly will I get results?
1-4 business days. May take longer based on weather, holiday, or lab delays.
5. How do I interpret the results?
Patterns across biomarkers are often more meaningful than any single value. For example, your cholesterol, glucose, insulin, and inflammation results may tell a fuller story when viewed together. Your healthcare provider can put your results in context with your health history and other information.
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 my results are abnormal?
Share your results with your healthcare provider, who can review them with your health history and decide on next steps. Values outside the listed range can have many explanations, so try not to draw conclusions from a single result. Do not stop prescribed medication unless instructed by your healthcare provider.
7. How often should I get tested, and why does tracking matter?
Testing frequency depends on your individual needs and goals, so plan to retest as directed by your healthcare provider, who can advise how often to repeat this panel. Comparing results over time can help you and your provider notice changes in your heart health, blood sugar, thyroid, hormone, and inflammation markers and follow them. Earlier awareness of your numbers can support informed conversations about your health, though no test can guarantee any outcome.
Pre-test preparation
Fast for 8–12 hours before your blood draw (water is allowed) to minimize variability in insulin and metabolic markers. Avoid testing during or immediately after an acute illness, surgery, or major injury, as temporary inflammation may affect test results. Continue taking prescribed medications unless your healthcare provider instructs otherwise.
