Accepting 12 New Members Per Month · Book Your Discovery Call →
Accepting 12 New Members Per Month · Book Your Discovery Call →

Every Biomarker We Measure to Read How You Age.

A physician-built diagnostic registry spanning the eight biological aging pathways — from standard insurance-covered panels to the advanced and innovative markers most physicians never order.

600+
Biomarkers
37
health areas
519
advance & innovative
Health Areas

Cardiovascular, Endothelial & Lipids

Metabolic, Glycemic & Mitochondrial

Thyroid & Endocrine

Sex Hormones, Adrenal & Stress Axis

Autoimmune, Connective Tissue & Lung (ILDdx)

Kidney & Liver Function

Hematology & Oxygen Transport

Iron Status & Nutritional Core

Electrolytes, Minerals & Heavy Metals

Total Tox Burden (Environmental)

Gut Zoomer & GI Barrier

Celiac & Food Reactivity

Inflammation, Mold/Biotoxin & Immune Signaling

Oxidative Stress & Cellular Defense

Neurological & Cognitive (Neural Zoomer Plus)

Organic Acids & Mitochondrial Metabolites (OAT)

Bone, Muscle & Structural Aging

Epigenetic & Biological Age (TruAge)

Fatty Acids & Membrane Health (Omega Check)

Extended Microbiome Species (Gut Zoomer)

Extended Mycotoxins & Metals (Total Tox)

Extended Neural Antibodies (Neural Zoomer Plus)

Cardiopulmonary Fitness & Performance (PNOĒ)

Additional Metabolic & Cardiac Standard

Micronutrients & Vitamin Status (Expanded)

Amino Acids & Protein Metabolism

Cancer Screening & Tumor Markers

Additional Inflammatory & Immune Aging

Detoxification & Methylation Capacity

Neurotransmitter Metabolites (Expanded OAT)

Advanced Glycation & Longevity Signaling

Circadian, Sleep & Neuroendocrine Rhythm

Immunosenescence & T-Cell Aging

Hypercoagulability & Thrombotic Tendency

Biotoxin & Environmental Susceptibility (CIRS)

Resilience Genetics (Inherited Potential)

Cardiovascular, Endothelial & Lipids

33 markers

The vascular system supplies every organ, so its lining ages you everywhere at once. These markers read plaque activity, clotting, and nitric-oxide health years before a scan shows anything.

Total Cholesterol

STANDARD

Baseline circulating cholesterol; context for every other lipid marker.

LDL Cholesterol

STANDARD

The classic 'bad' cholesterol that deposits into artery walls.

HDL Cholesterol

STANDARD

Cholesterol being carried away from arteries; higher is generally protective.

Non-HDL Cholesterol

EMERGING

All atherogenic cholesterol combined; often a better risk read than LDL alone.

Triglycerides

STANDARD

Blood fat that rises with sugar and insulin problems; a metabolic-aging signal.

VLDL Cholesterol

STANDARD

Triglyceride-rich particles that feed plaque formation.

D-Dimer

STANDARD

Signals active clot formation and breakdown; a thrombotic-tone marker.

Total Cholesterol / HDL Ratio

STANDARD

A quick ratio summarizing overall cardiovascular risk balance.

Triglyceride / HDL Ratio

ADVANCED

A strong surrogate for insulin resistance and small dense LDL.

Apolipoprotein A-1

ADVANCED

The main protein in HDL; reflects how much protective particle you carry.

Apolipoprotein B

ADVANCED

Counts every plaque-causing particle; the single best lipid risk marker.

ApoB / ApoA-1 Ratio

ADVANCED

Balance of harmful to protective particles in one number.

LDL Particle Number

ADVANCED

Actual count of LDL particles; two people with same LDL-C can differ sharply.

Small Dense LDL

ADVANCED

The smallest, most artery-penetrating LDL subtype.

LDL Pattern (A or B)

ADVANCED

Whether your LDL is large-fluffy (safer) or small-dense (riskier).

HDL Particle Number

ADVANCED

Count of protective particles, beyond just HDL cholesterol mass.

HDL Large/Medium/Small Subfractions

ADVANCED

Which HDL sizes you carry; large HDL is the most protective.

Lipoprotein(a)

INNOVATIVE

A largely genetic, independent driver of heart and stroke risk most doctors never check.

Asymmetric Dimethylarginine

INNOVATIVE

Blocks nitric oxide, stiffening vessels; an early sign the endothelium is aging.

Symmetric Dimethylarginine

INNOVATIVE

Reflects combined kidney and cardiovascular strain before standard markers move.

Oxidized LDL

INNOVATIVE

Directly measures LDL that has become inflammatory and plaque-active.

Lp-PLA2

INNOVATIVE

An enzyme signaling inflammation inside the artery wall specifically.

Myeloperoxidase

INNOVATIVE

Marks white-cell activity attacking the vessel lining; flags unstable plaque.

PAI-1

INNOVATIVE

Impairs clot breakdown; links clotting risk to endothelial and metabolic aging.

Homocysteine

ADVANCED

An amino acid that damages vessels and neurons when methylation falters.

hs-CRP

STANDARD

The workhorse marker of low-grade, aging-accelerating inflammation.

Fibrinogen

ADVANCED

A clotting protein that also tracks inflammation and vascular risk.

Galectin-3

ADVANCED

Signals fibrosis and stiffening of the heart muscle.

NT-proBNP

ADVANCED

Released when the heart is under mechanical stress or strain.

TMAO

INNOVATIVE

A gut-bacteria byproduct linked to plaque; connects microbiome to heart aging.

Ceramides

INNOVATIVE

Lipid molecules that predict plaque instability and cardiac events.

Microalbuminuria

INNOVATIVE

Tiny protein leak into urine; one of the earliest signs of vessel-lining damage.

Cystatin C

INNOVATIVE

A more sensitive kidney-filtration marker that also tracks cardiovascular risk.

Metabolic, Glycemic & Mitochondrial

21 markers

This is your cellular energy economy. When mitochondria falter and insulin rises, you feel it as crashes, belly fat, and 'running on empty' long before diabetes shows up.

Fasting Glucose

STANDARD

Baseline blood sugar; chronically high accelerates aging across every tissue.

Hemoglobin A1c

STANDARD

Your average blood sugar over ~3 months, showing glycation load.

Fructosamine

ADVANCED

A 2–3 week blood-sugar average, useful when A1c is unreliable.

QUICKI Index

ADVANCED

An insulin-sensitivity calculation complementary to HOMA-IR.

Adiponectin

INNOVATIVE

A protective fat-cell hormone; higher levels track healthier metabolism and longevity.

Glucagon

ADVANCED

Baseline circulating cholesterol; context for every other lipid marker.

Lactic Acid

ADVANCED

Baseline circulating cholesterol; context for every other lipid marker.

GlyNAC status

INNOVATIVE

Reflects glutathione-building capacity central to mitochondrial aging.

Resting Metabolic Rate

INNOVATIVE

Calories burned at rest, measured by breath analysis; reveals metabolic efficiency.

Proinsulin

ADVANCED

Signals beta-cell strain — one of the earliest metabolic-aging markers.

GlycA

INNOVATIVE

An NMR marker of composite chronic inflammatory burden.

Fasting Insulin

ADVANCED

Often rises years before glucose; an early window into metabolic aging.

C-Peptide

ADVANCED

Measures how hard your pancreas is working to make insulin.

HOMA-IR

ADVANCED

Combines glucose and insulin into a single insulin-resistance score.

Leptin

ADVANCED

The satiety hormone; resistance signals metabolic dysfunction and fat gain.

Resistin

ADVANCED

Links body fat to insulin resistance and inflammation.

Beta-Hydroxybutyrate

ADVANCED

Shows whether cells are burning fat for clean energy.

Pyruvic Acid

ADVANCED

An entry fuel to the mitochondria; pairs with lactate to read energy flow.

VO2 Max

INNOVATIVE

Peak oxygen use during exercise; one of the strongest predictors of lifespan.

Fat vs Carb Burn Ratio

INNOVATIVE

Which fuel your body prefers at rest and under load.

Diabetes Autoimmune Profile

ADVANCED

Rules out latent autoimmune diabetes in adults.

Thyroid & Endocrine

14 markers

Thyroid sets the pace of every cell's metabolism. Standard TSH-only testing misses conversion and autoimmune problems that quietly drain energy and accelerate aging.

TSH

STANDARD

The pituitary's signal to the thyroid; the standard first-line screen.

Free T4

STANDARD

The storage thyroid hormone available to your tissues.

Free T3

ADVANCED

The active hormone that actually drives cellular metabolism.

Total T3

STANDARD

Total circulating active hormone, bound and free.

Total T4

STANDARD

Total circulating storage hormone.

Reverse T3

INNOVATIVE

A 'brake' hormone that rises under stress and blocks metabolism.

TSI

ADVANCED

Drives overactive autoimmune (Graves') thyroid.

T3 Uptake

STANDARD

Helps interpret thyroid binding and free hormone levels.

IGF-1

INNOVATIVE

Reflects growth-hormone activity; a key, double-edged longevity lever.

Thyroxine Binding Globulin

ADVANCED

The carrier protein for thyroid hormone; alters how much is free and active.

Copeptin

INNOVATIVE

A stable stress-and-vasopressin marker reflecting chronic HPA load.

21-Hydroxylase Antibody

ADVANCED

Flags autoimmune adrenal failure (Addison's).

Anti-TPO

ADVANCED

The main marker of autoimmune (Hashimoto's) thyroid attack.

Anti-Thyroglobulin

ADVANCED

A second autoimmune thyroid antibody.

Sex Hormones, Adrenal & Stress Axis

23 markers

These hormones govern vitality, muscle, mood, and resilience. Their decline and rhythm loss is central to the neuroendocrine aging pattern seen in high-pressure lives.

Testosterone, Total

STANDARD

Overall level of the primary anabolic hormone in both sexes.

Bioavailable Testosterone

ADVANCED

Free plus loosely-bound testosterone your body can actually use.

Estradiol

STANDARD

The main estrogen; critical for bone, brain, and vessel aging in both sexes.

Estriol

ADVANCED

The gentlest estrogen, relevant to tissue and reproductive health.

DHEA-S

ADVANCED

An adrenal 'youth' hormone that declines steadily with age.

Cortisol, PM

ADVANCED

Evening cortisol; should fall for restorative sleep.

Pregnenolone

ADVANCED

The master precursor from which many steroid hormones are made.

FSH

STANDARD

A pituitary hormone tracking reproductive and ovarian aging.

Prolactin

STANDARD

Elevated levels can suppress sex hormones and signal pituitary issues.

ACTH

ADVANCED

The brain's signal driving cortisol output.

Renin

ADVANCED

Kicks off the blood-pressure hormone cascade; paired with aldosterone.

Melatonin Rhythm

INNOVATIVE

Your master sleep-and-repair hormone across the night.

Testosterone, Free

ADVANCED

The unbound, biologically active fraction that reaches tissues.

SHBG

ADVANCED

Controls how much sex hormone is free and active.

Estrone

ADVANCED

A secondary estrogen that becomes dominant after menopause.

Progesterone

STANDARD

Balances estrogen and supports sleep, mood, and nervous system calm.

Cortisol, AM

STANDARD

Morning stress hormone; should be high to start the day.

Salivary Cortisol x4

INNOVATIVE

Four daily samples mapping your full stress rhythm, not one snapshot.

17-OH Progesterone

ADVANCED

An adrenal pathway marker for hormone production.

Luteinizing Hormone

STANDARD

Partners with FSH to regulate sex hormone production.

Dihydrotestosterone

ADVANCED

A potent testosterone derivative affecting hair, skin, and prostate.

Aldosterone

ADVANCED

Regulates blood pressure through salt and fluid balance.

Estrogen Metabolites (2/4/16-OH)

INNOVATIVE

How you break down estrogen; certain paths carry more long-term risk.

Autoimmune, Connective Tissue & Lung (ILDdx)

39 markers

The immune system can turn on your own tissues, quietly driving joint, lung, skin, and vascular aging. These panels catch autoimmune activity years before overt disease.

ANA Screen (IFA)

STANDARD

The broad first-line screen for systemic autoimmune activity.

Anti-dsDNA

ADVANCED

A specific marker for lupus and its activity.

Anti-Sm/RNP

ADVANCED

Overlaps lupus and mixed connective-tissue disease.

Anti-SS-B

ADVANCED

Partners with SS-A in Sjögren's diagnosis.

Anti-Centromere

ADVANCED

Points to a limited form of scleroderma.

Anti-Histone

ADVANCED

Associated with drug-induced lupus.

Anti-U1 RNP

ADVANCED

Central to mixed connective-tissue disease.

Anti-Ku Ab

INNOVATIVE

Overlap myositis and scleroderma marker.

Anti-NXP-2 Ab

INNOVATIVE

Myositis antibody with cancer and calcinosis associations.

Anti-PL-12 Ab

INNOVATIVE

Antisynthetase marker often with prominent lung involvement.

Anti-SAE1 Ab

INNOVATIVE

Dermatomyositis-associated autoantibody.

Anti-Ro52 Ab

INNOVATIVE

Amplifies lung-disease risk across many autoimmune conditions.

Anti-Mi-2 Ab

INNOVATIVE

Classic dermatomyositis antibody with skin findings.

Rheumatoid Factor

STANDARD

The traditional rheumatoid arthritis antibody.

ANCA

ADVANCED

Detects vasculitis — inflammation of the blood vessels themselves.

Anti-Mitochondrial M2 Ab

ADVANCED

Points to primary biliary autoimmune liver disease.

Anti-Soluble Liver Antigen Ab

ADVANCED

Specific autoimmune hepatitis antibody.

Vasculitis Profile

INNOVATIVE

A bundle screening for blood-vessel-directed autoimmune inflammation.

Anti-Parietal Cell Antibody

ADVANCED

Marks autoimmune gastritis that impairs B12 absorption.

Autoimmune Encephalopathy Panel

INNOVATIVE

Neural autoantibodies behind autoimmune cognitive decline.

ANA Titer and Pattern

STANDARD

Strength and staining pattern that point toward specific conditions.

Anti-Smith

ADVANCED

Highly specific autoantibody for lupus.

Anti-SS-A

ADVANCED

Linked to Sjögren's, lupus, and dryness syndromes.

Anti-Scl-70

ADVANCED

Marks systemic sclerosis with organ involvement.

Anti-Jo-1

ADVANCED

The classic myositis/lung-involvement antibody.

Anti-Chromatin

ADVANCED

Supports lupus diagnosis and activity.

Anti-EJ Ab

INNOVATIVE

Antisynthetase antibody linked to interstitial lung disease.

Anti-MDA-5 Ab

INNOVATIVE

Flags rapidly progressive lung disease in dermatomyositis.

Anti-OJ Ab

INNOVATIVE

Rare antisynthetase antibody tied to lung and muscle disease.

Anti-PL-7 Ab

INNOVATIVE

Antisynthetase antibody linked to myositis and ILD.

Anti-SRP Ab

INNOVATIVE

Marks a severe necrotizing myopathy.

Anti-TIF1-gamma Ab

INNOVATIVE

Myositis antibody strongly associated with underlying cancer.

Anti-PM/Scl Ab

INNOVATIVE

Polymyositis-scleroderma overlap marker.

Anti-CCP

ADVANCED

A more specific, earlier marker of rheumatoid arthritis.

Anti-Smooth Muscle Ab

ADVANCED

Marker for autoimmune liver disease.

Anti-Liver/Kidney Ab

ADVANCED

Autoimmune hepatitis marker.

Anti-GBM Antibody

ADVANCED

The defining antibody of Goodpasture's — autoimmune attack on kidney and lung.

Myositis-Specific 11 Antibody Panel

INNOVATIVE

Maps muscle-directed autoimmunity behind weakness and lung disease.

Intrinsic Factor Antibody

ADVANCED

Confirms pernicious anemia, an autoimmune cause of B12 loss.

Kidney & Liver Function

22 markers

Your filtration and detox organs quietly determine how well you clear the byproducts of aging. Early markers here catch decline long before symptoms.

Blood Urea Nitrogen

STANDARD

A waste product reflecting kidney filtration and protein turnover.

BUN / Creatinine Ratio

STANDARD

Helps distinguish kidney issues from hydration and other causes.

Uric Acid

STANDARD

High levels drive gout and link to metabolic and vascular aging.

Urine Specific Gravity

STANDARD

A simple read of hydration and kidney concentrating ability.

Aspartate Aminotransferase

STANDARD

A liver and muscle enzyme released with tissue stress.

Alkaline Phosphatase

STANDARD

Reflects liver, bile-duct, and bone activity.

Bilirubin (Total/Direct/Indirect)

STANDARD

A breakdown product of red cells; also a mild antioxidant.

Albumin

STANDARD

The main blood protein; low levels track frailty and aging.

A/G Ratio

STANDARD

Balance of the two protein classes; shifts with inflammation.

5'-Nucleotidase

ADVANCED

Helps confirm whether elevated ALP is liver-related.

Beta-2 Microglobulin

ADVANCED

Reflects cell turnover, kidney filtration, and immune activation.

Creatinine

STANDARD

Muscle byproduct used to estimate kidney filtration.

Estimated Glomerular Filtration Rate

STANDARD

The headline number for overall kidney function.

Urine Albumin/Creatinine Ratio

ADVANCED

Detects early protein leakage signaling kidney and vessel stress.

Urine Osmolality

ADVANCED

Precise measure of how well kidneys concentrate urine.

Alanine Aminotransferase

STANDARD

The most liver-specific enzyme; rises with fatty liver.

Gamma-Glutamyl Transferase

ADVANCED

Sensitive to bile flow, alcohol, and oxidative stress.

Total Protein

STANDARD

Overall protein in blood, from nutrition and liver output.

Globulin

STANDARD

Immune and transport proteins; part of the protein picture.

Lactate Dehydrogenase

STANDARD

A general marker of cell turnover and tissue damage.

Glucose-6-Phosphate Dehydrogenase

STANDARD

A safety-gate enzyme; deficiency risks red-cell breakdown with oxidative therapy.

Prealbumin

ADVANCED

Marks a severe necrotizing myoaA short-half-life protein giving a real-time read of nutrition status.pathy.

Hematology & Oxygen Transport

16 markers

Your filtration and detox organs quietly determine how well you clear the byproducts of aging. Early markers here catch decline long before symptoms.

Red Blood Cell Count

STANDARD

How many oxygen-carrying cells you have.

Hematocrit

STANDARD

The proportion of blood made of red cells.

Mean Corpuscular Hemoglobin

STANDARD

Average hemoglobin per red cell.

Red Cell Distribution Width

ADVANCED

Variation in red-cell size; higher values track aging and mortality risk.

Mean Platelet Volume

STANDARD

Platelet size, reflecting production and clotting tendency.

Neutrophils

STANDARD

First-responder immune cells for bacterial threats.

Monocytes

STANDARD

Cleanup and antigen-presenting immune cells.

Basophils

STANDARD

Involved in allergic and inflammatory responses.

Hemoglobin

STANDARD

The oxygen-carrying protein inside red cells.

Mean Corpuscular Volume

STANDARD

Average red-cell size; clues to B12, iron, and folate status.

Mean Corpuscular Hemoglobin Concentration

STANDARD

Hemoglobin concentration within red cells.

Platelet Count

STANDARD

Cells that form clots; part of bleeding and inflammation balance.

White Blood Cell Count

STANDARD

Your total immune-cell army.

Lymphocytes

STANDARD

The immune cells behind memory and viral defense.

Eosinophils

STANDARD

Rise with allergies and parasites.

Neutrophil-Lymphocyte Ratio

ADVANCED

A simple, powerful index of systemic inflammatory aging.

Iron Status & Nutritional Core

15 markers

Nutrient reserves are the raw materials for repair, energy, and immune defense. Depletion here shows up as fatigue and slowed regeneration long before disease.

Iron, Serum

STANDARD

Circulating iron available for oxygen transport and energy.

Total Iron Binding Capacity

STANDARD

How much iron your blood can carry.

Vitamin D (25-OH)

STANDARD

A hormone-like vitamin central to immunity, bone, and healthy aging.

Vitamin B12

STANDARD

Essential for nerves, energy, and red-cell production.

Folate (Serum & RBC)

STANDARD

Key for methylation, DNA repair, and homocysteine control.

Vitamin E Alpha-Tocopherol

STANDARD

A fat-soluble antioxidant protecting cell membranes.

Coenzyme Q10

STANDARD

A mitochondrial spark plug that declines with age and statins.

Beta-Carotene

STANDARD

A plant-derived vitamin A precursor and antioxidant status marker.

Ferritin

STANDARD

Your iron storage tank; also rises with inflammation.

Transferrin Saturation

STANDARD

The percentage of iron-carrying capacity currently filled.

Vitamin D (1,25-Dihydroxy)

ADVANCED

The active form, useful for interpreting complex cases.

Holotranscobalamin

ADVANCED

The truly usable fraction of B12, more sensitive than total.

Vitamin A

STANDARD

Supports vision, skin, and immune-barrier integrity.

Vitamin C

ADVANCED

Antioxidant and essential cofactor for collagen synthesis.

Methylmalonic Acid

STANDARD

Reveals true tissue-level B12 deficiency.

Electrolytes, Minerals & Heavy Metals

17 markers

Minerals run your nerves, muscles, and enzymes; toxic metals silently sabotage them. This is the balance-and-burden layer of the toxic aging pattern.

Sodium

STANDARD

Core electrolyte for fluid balance and nerve signaling.

Chloride

STANDARD

Works with sodium in fluid and acid-base balance.

Anion Gap

STANDARD

A calculated check on hidden acid-base disturbances.

Magnesium, Serum

STANDARD

Cofactor for 300+ enzymes; commonly depleted.

Phosphorus

STANDARD

Partners with calcium in bone and cellular energy.

Zinc, Plasma

STANDARD

Drives immunity, wound healing, and hormone production.

Selenium

ADVANCED

Antioxidant mineral essential for thyroid and glutathione.

Lead

ADVANCED

A cumulative neurotoxin stored in bone for decades.

Arsenic

ADVANCED

Environmental toxin linked to cancer and vascular disease.

Potassium

STANDARD

Critical for heart rhythm and muscle function.

CO2 / Bicarbonate

STANDARD

Reflects acid-base status of the blood.

Calcium

STANDARD

Vital for bone, nerves, and muscle contraction.

Magnesium, RBC

ADVANCED

A truer measure of magnesium inside cells.

Copper, Serum

ADVANCED

Needed for connective tissue and iron handling.

Copper/Zinc Ratio

ADVANCED

An imbalance signals inflammation and oxidative stress.

Ceruloplasmin

ADVANCED

The main copper-carrying protein and antioxidant.

Mercury

ADVANCED

A neurotoxic metal from fish and dental sources.

Total Tox Burden (Environmental)

18 markers

Vibrant's Total Tox Burden measures 90+ environmental toxins the body can't always clear. Accumulated burden is the engine of the toxic/burdened aging pattern.

Mycotoxins Panel

INNOVATIVE

Toxins from mold exposure that impair immunity and cognition.

Aflatoxins

INNOVATIVE

Mold toxins with liver and cancer implications.

Trichothecenes

INNOVATIVE

Potent mold toxins affecting multiple systems.

Glyphosate

INNOVATIVE

The world's most common herbicide, tracked as a body burden.

Phthalates

INNOVATIVE

Plasticizers that disrupt hormones.

Bisphenol A

INNOVATIVE

A plastics chemical that mimics estrogen.

Xylene / Toluene Metabolites

INNOVATIVE

Solvent-exposure markers affecting the nervous system.

Perchlorate

INNOVATIVE

A contaminant that interferes with thyroid function.

Gadolinium

INNOVATIVE

Retained contrast-dye metal from MRI scans.

Ochratoxin A

INNOVATIVE

A common mold toxin affecting kidneys and the nervous system.

Gliotoxin

INNOVATIVE

An immune-suppressing toxin from Aspergillus mold.

Zearalenone

INNOVATIVE

A mold toxin with estrogen-mimicking effects.

Organophosphates

INNOVATIVE

Pesticide metabolites affecting the nervous system.

Parabens

INNOVATIVE

Preservatives with endocrine-disrupting potential.

Benzene Metabolites

INNOVATIVE

Markers of exposure to a known carcinogen.

Acrylamide

INNOVATIVE

A cooking- and smoke-derived toxin.

Heavy Metals (25+ elements)

INNOVATIVE

A broad urine screen of toxic and essential elements.

Aluminum

INNOVATIVE

A neurotoxic metal with widespread environmental exposure.

Gut Zoomer & GI Barrier

23 markers

The gut is where barrier breakdown often begins: when the wall leaks, the immune system reacts everywhere. This maps the microbiome, permeability, and digestion.

Zonulin

INNOVATIVE

The direct marker of 'leaky gut' — a loosened intestinal barrier.

Secretory IgA

ADVANCED

Your gut's frontline antibody defense.

Pancreatic Elastase

ADVANCED

Measures digestive-enzyme output from the pancreas.

Short-Chain Fatty Acids

INNOVATIVE

Gut-bacteria fuels that protect the colon and metabolism

Firmicutes/Bacteroidetes Ratio

INNOVATIVE

A broad balance signature of the gut ecosystem.

Commensal Bacteria Panel

INNOVATIVE

The beneficial species that keep the gut in balance.

Pathogenic Bacteria

INNOVATIVE

Screens for disease-causing gut organisms.

Parasite Panel

INNOVATIVE

Screens for parasitic organisms disrupting the gut.

Lactoferrin, Fecal

ADVANCED

Marks neutrophil-driven intestinal inflammation.

Food Sensitivity IgG Panel

ADVANCED

Maps delayed immune reactivity to common foods.

Gut-Blood Barrier Panel

INNOVATIVE

A multi-marker read of intestinal permeability beyond zonulin alone.

Food Intolerance IgG (Expanded)

ADVANCED

Broad delayed-reactivity mapping across 90-200+ foods.

Calprotectin

ADVANCED

Flags active intestinal inflammation.

Beta-Glucuronidase

INNOVATIVE

High activity impairs estrogen and toxin clearance.

Fecal Fat

ADVANCED

Reveals fat malabsorption.

Microbiome Diversity Index

INNOVATIVE

A key resilience metric; diversity falls with aging.

Akkermansia muciniphila

INNOVATIVE

A beneficial microbe tied to a healthy gut lining and longevity.

Opportunistic Bacteria Panel

INNOVATIVE

Overgrowth species that drive inflammation and symptoms.

Yeast / Fungal Overgrowth

INNOVATIVE

Detects yeast imbalance affecting gut and immune health.

H. pylori

ADVANCED

A stomach bacterium linked to ulcers and B12 loss.

Fecal Occult Blood

STANDARD

Screens for hidden GI bleeding and barrier damage.

Candida albicans IgG/IgE

ADVANCED

Detects immune response to yeast overgrowth.

Lipopolysaccharide Antibodies

INNOVATIVE

Detects bacterial toxin leakage across a compromised gut wall.

Celiac & Food Reactivity

9 markers

Gluten and food-driven immune reactions are a hidden accelerator of barrier and immune aging. This confirms celiac and maps antibody-level reactivity.

Tissue Transglutaminase

STANDARD

The primary blood screen for celiac disease.

Deamidated Gliadin IgA

ADVANCED

A specific antibody to processed gluten fragments.

Endomysial Antibody IgA

ADVANCED

A highly specific confirmatory celiac test.

Anti-Saccharomyces cerevisiae

ADVANCED

Associated with Crohn's-type inflammatory bowel disease.

Atypical pANCA

ADVANCED

Associated with ulcerative-colitis-type IBD.

tTG IgG

ADVANCED

Celiac screen for those with IgA deficiency.

Deamidated Gliadin IgG

ADVANCED

Complements DGP IgA for celiac detection.

Total IgA, Serum

STANDARD

Ensures celiac IgA tests are interpretable.

gASCA / ACCA / ALCA / AMCA

INNOVATIVE

A cluster of antibodies mapping inflammatory bowel disease.

Inflammation, Mold/Biotoxin & Immune Signaling

24 markers

Beyond CRP lies a deeper immune-signaling layer — the innate activation, complement, and cytokine markers behind inflammaging and chronic biotoxin illness.

Complement 4a

INNOVATIVE

An innate immune alarm elevated in mold and biotoxin illness.

Transforming Growth Factor Beta 1

INNOVATIVE

Drives tissue fibrosis and immune dysregulation.

Matrix Metalloproteinase-9

INNOVATIVE

An enzyme that breaks down tissue and opens barriers under inflammation.

Melanocyte-Stimulating Hormone

INNOVATIVE

A master regulator low in mold-illness patients.

Diamine Oxidase

ADVANCED

The enzyme that clears dietary histamine; low levels cause intolerance.

IgG, Quantitative

STANDARD

Reflects long-term antibody immunity and reserve.

IgM, Quantitative

STANDARD

The first-response antibody to new infections.

Natural Killer Cell Activity

INNOVATIVE

Frontline defense against viruses and cancerous cells.

TNF-alpha

INNOVATIVE

A master inflammatory cytokine driving tissue breakdown.

Neutrophil Oxidative Burst

STANDARD

Tests whether immune cells can actually kill pathogens.

Protein Electrophoresis + Immunofixation

STANDARD

Screens for abnormal monoclonal immune proteins.

Mold Allergen Profile (IgE)

ADVANCED

Measures allergic sensitization to environmental molds.

Complement 3a

INNOVATIVE

A complement fragment marking acute innate activation.

Vascular Endothelial Growth Factor

INNOVATIVE

Governs new vessel growth; abnormal in chronic inflammatory illness.

Vasoactive Intestinal Peptide

INNOVATIVE

A regulatory hormone often depleted in chronic biotoxin illness.

Histamine, Whole Blood

ADVANCED

Elevated in mast-cell and allergic-type reactivity.

IgE, Total

STANDARD

The master allergy antibody.

IgA, Quantitative

STANDARD

Guards mucosal surfaces like gut and airways.

CD4/CD8 Ratio

INNOVATIVE

A key immune-balance and immune-aging index.

Interleukin-6

INNOVATIVE

A central inflammaging cytokine predicting frailty and mortality.

Lymphocyte Subsets (T/B/NK)

INNOVATIVE

Counts immune-cell populations to reveal immunosenescence.

Angiotensin-Converting Enzyme

ADVANCED

Elevated in granulomatous conditions like sarcoidosis.

Free Light Chains

ADVANCED

A sensitive check for plasma-cell and paraprotein disorders.

Mold IgG Antibodies

ADVANCED

Measures prior immune response and sensitization to specific molds.

Oxidative Stress & Cellular Defense

13 markers

Aging is partly a slow oxidation. This panel weighs free-radical damage against your antioxidant defenses — the redox balance underlying every aging pattern.

Glutathione (Reduced)

INNOVATIVE

The body's master antioxidant, central to detox and longevity.

GSH/GSSG Ratio

INNOVATIVE

The core readout of your cellular redox balance.

Lipid Peroxides

INNOVATIVE

Measures oxidative damage to cell membranes.

Superoxide Dismutase

INNOVATIVE

A frontline antioxidant enzyme.

Catalase

INNOVATIVE

Breaks down hydrogen peroxide inside cells.

Malondialdehyde

INNOVATIVE

A widely used marker of lipid peroxidation and membrane oxidative damage.

Advanced Oxidation Protein Products

INNOVATIVE

Oxidized-protein markers tied to inflammation and aging.

Glutathione (Oxidized)

INNOVATIVE

The spent form; its ratio to GSH reveals oxidative load.

8-OHdG

INNOVATIVE

A direct marker of oxidative damage to your DNA.

F2-Isoprostanes

INNOVATIVE

The gold-standard marker of ongoing oxidative stress.

Glutathione Peroxidase

INNOVATIVE

Uses selenium to neutralize peroxides.

Total Antioxidant Capacity

INNOVATIVE

A summary score of your overall antioxidant reserve.

Protein Carbonyls

INNOVATIVE

Directly measures oxidative damage to the body's proteins.

Neurological & Cognitive (Neural Zoomer Plus)

18 markers

The brain ages along its own axis — autoimmune, vascular, and degenerative. Vibrant's Neural Zoomer maps antibodies attacking neural tissue before cognitive decline sets in.

Amyloid Beta Antibodies

INNOVATIVE

The body's master antioxidant, central to detox and longevity.

Blood-Brain Barrier Antibodie

INNOVATIVE

The core readout of your cellular redox balance.

Neurofilament Antibodies

INNOVATIVE

Measures oxidative damage to cell membranes.

Neuron-Specific Enolase

INNOVATIVE

A frontline antioxidant enzyme.

Cerebellar Antibodies

INNOVATIVE

Breaks down hydrogen peroxide inside cells.

Cognitive Function Score (VNS)

INNOVATIVE

A widely used marker of lipid peroxidation and membrane oxidative damage.

CMV Antibody Profile

ADVANCED

Oxidized-protein markers tied to inflammation and aging.

Viral Hepatitis Panel

STANDARD

Oxidized-protein markers tied to inflammation and aging.

Mycoplasma / Chlamydia pneumoniae

ADVANCED

Oxidized-protein markers tied to inflammation and aging.

Tau Protein Antibodies

INNOVATIVE

The spent form; its ratio to GSH reveals oxidative load.

Myelin Basic Protein Antibodies

INNOVATIVE

A direct marker of oxidative damage to your DNA.

Glutamate Receptor Antibodies

INNOVATIVE

The gold-standard marker of ongoing oxidative stress.

GAD65 Antibodies

INNOVATIVE

Uses selenium to neutralize peroxides.

Ganglioside Antibodies

INNOVATIVE

EBV Antibody Profile

INNOVATIVE

A summary score of your overall antioxidant reserve.

Lyme Line Blot

ADVANCED

Directly measures oxidative damage to the body's proteins.

Respiratory Pathogen Panel

STANDARD

Directly measures oxidative damage to the body's proteins.

HHV-6 Antibodies

ADVANCED

Directly measures oxidative damage to the body's proteins.

Organic Acids & Mitochondrial Metabolites (OAT)

17 markers

The Organic Acids Test reads urine metabolites that reveal how well your mitochondria, detox, and neurotransmitter pathways are actually running at the cellular level.

Citrate / Isocitrate

INNOVATIVE

Krebs-cycle intermediates showing mitochondrial energy flow.

Succinate / Fumarate / Malate

INNOVATIVE

Downstream Krebs markers pinpointing where energy production stalls.

Beta-Hydroxybutyrate (urine)

INNOVATIVE

Shows fat-burning and ketone production.

Kynurenic Acid

INNOVATIVE

A tryptophan-pathway marker relevant to mood and aging.

Vanillylmandelic Acid

INNOVATIVE

A marker of adrenaline/noradrenaline turnover.

Methylmalonic Acid (urine)

INNOVATIVE

Functional B12 status at the cellular level.

Pyroglutamate

INNOVATIVE

Reflects glutathione demand and turnover.

Bacterial Dysbiosis Markers

INNOVATIVE

Byproducts of gut-bacteria imbalance.

Glutaric / Adipic / Suberic Acids

INNOVATIVE

Fatty-acid oxidation markers pointing to carnitine or B2 needs.

Alpha-Ketoglutarate

INNOVATIVE

A key energy-cycle metabolite and longevity molecule.

Lactate / Pyruvate (urine)

INNOVATIVE

Reveal shifts away from efficient aerobic energy.

Quinolinic Acid

INNOVATIVE

A neurotoxic tryptophan metabolite tied to brain inflammation.

Homovanillic Acid

INNOVATIVE

A dopamine breakdown product reflecting that neurotransmitter's status.

5-HIAA

INNOVATIVE

A serotonin breakdown product.

Formiminoglutamate

INNOVATIVE

A functional folate-status marker.

Yeast/Fungal Markers (Arabinose)

INNOVATIVE

Urinary signs of yeast overgrowth.

Oxalate Metabolites

INNOVATIVE

High levels burden kidneys and tissues.

Bone, Muscle & Structural Aging

10 markers

The degenerative/atrophic pattern shows as fading bone and muscle. These markers catch the loss of structural tissue that erodes strength and independence with age.

C-Telopeptide

ADVANCED

Measures the rate your bone is being broken down.

Osteocalcin

ADVANCED

A protein reflecting bone formation and metabolism.

Vitamin K2

INNOVATIVE

Directs calcium into bone and away from arteries.

Creatine Kinase

STANDARD

Reflects muscle turnover and damage.

Grip Strength Index

INNOVATIVE

A simple, powerful predictor of muscle aging and mortality.

Procollagen 1 N-Terminal

ADVANCED

Measures the rate of new bone building.

Bone-Specific Alkaline Phosphatase

ADVANCED

A bone-building enzyme distinct from liver ALP.

Parathyroid Hormone

STANDARD

Governs calcium balance between blood and bone.

Myoglobin

ADVANCED

A muscle protein released with tissue breakdown.

Collagen Turnover Markers

ADVANCED

Track breakdown of the body's structural scaffolding.

Epigenetic & Biological Age (TruAge)

9 markers

The flagship layer. TruDiagnostic's epigenetic clocks read the methylation marks on your DNA to estimate how old your body truly is — and how fast it's aging.

TruAge, Epigenetic Age

INNOVATIVE

Your biological age estimated from DNA methylation patterns.

SymphonyAge

INNOVATIVE

Separate biological ages for heart, brain, kidney, and more.

Immune Cell Aging

INNOVATIVE

Epigenetic estimate of immune-system age and reserve.

Fitness/VO2 Epigenetic Estimate

INNOVATIVE

Predicts cardiorespiratory fitness from DNA marks.

OMICmAge

INNOVATIVE

A multi-omic epigenetic clock integrating proteins and metabolites into biological age.

DunedinPACE

INNOVATIVE

How fast you are aging right now, in biological years per calendar year.

Telomere Length

INNOVATIVE

The protective caps on chromosomes that shorten as cells age.

Inflammation Clock

INNOVATIVE

A methylation-based read of long-term inflammatory aging.

Weight & Metabolic Clocks

INNOVATIVE

Epigenetic signatures of metabolic health trajectory.

Fatty Acids & Membrane Health (Omega Check)

10 markers

Cell membranes are built from the fats you eat, and their balance sets your inflammatory tone. The Omega Check reads that balance directly.

Omega-3 Index

ADVANCED

Red-cell omega-3 level; a strong predictor of cardiovascular longevity.

Docosahexaenoic Acid

ADVANCED

A structural omega-3 essential for brain and retina.

Omega-3 Total

ADVANCED

Combined level of protective omega-3 fats.

Arachidonic Acid

ADVANCED

An omega-6 precursor to inflammatory signals.

AA/EPA Ratio

ADVANCED

A precise gauge of your inflammatory-fat balance.

Eicosapentaenoic Acid

ADVANCED

An anti-inflammatory marine omega-3.

Docosapentaenoic Acid

ADVANCED

An intermediate omega-3 with its own benefits.

Omega-6 Total

ADVANCED

Combined omega-6 fats; excess skews toward inflammation.

Linoleic Acid

ADVANCED

The most common dietary omega-6 fat.

Omega-6/Omega-3 Ratio

ADVANCED

The overall dietary-fat balance driving inflammatory tone.

Hormone Metabolites (Hormone Zoomer / DUTCH)

22 markers

Blood shows hormone levels; urine shows how you metabolize them. This is where hidden risk lives — the pathways your body uses to process and clear hormones.

2-Hydroxyestrone

INNOVATIVE

The protective estrogen-clearance pathway.

16-Hydroxyestrone

INNOVATIVE

A proliferative estrogen metabolite.

2-Methoxyestrone

INNOVATIVE

A fully detoxified, safe estrogen end-product.

Estrone (urine)

INNOVATIVE

Secondary estrogen within the clearance map.

Androsterone

INNOVATIVE

A downstream androgen metabolite.

5a-DHT metabolites

INNOVATIVE

Reflect potent-androgen activity in tissues.

DHEA (urine)

INNOVATIVE

Adrenal-androgen output and reserve.

Tetrahydrocortisone

INNOVATIVE

A cortisone metabolite complementing the cortisol picture.

Cortisone (urine)

INNOVATIVE

The inactive cortisol counterpart in the stress map.

Pregnanediol

INNOVATIVE

A progesterone metabolite reflecting its production.

Vanilmandelate (DUTCH)

INNOVATIVE

An adrenaline-pathway metabolite for stress mapping.

4-Hydroxyestrone

INNOVATIVE

A more DNA-damaging estrogen metabolite to keep low.

2/16 Ratio

INNOVATIVE

The classic estrogen-safety ratio.

Estradiol (urine)

INNOVATIVE

Active estrogen measured in the metabolite context.

Estriol (urine)

INNOVATIVE

The gentlest estrogen in the metabolite panel.

Etiocholanolone

INNOVATIVE

An androgen breakdown product showing metabolism direction.

Testosterone (urine)

INNOVATIVE

Androgen output within the metabolic pathway.

Tetrahydrocortisol

INNOVATIVE

A cortisol metabolite showing total cortisol production.

Cortisol Metabolized (total)

INNOVATIVE

Your true daily cortisol output, beyond single snapshots.

6-OH-Melatonin Sulfate

INNOVATIVE

The measurable read of overnight melatonin production.

Homovanillate (DUTCH)

INNOVATIVE

A dopamine-pathway marker within the hormone panel.

8-OHdG (DUTCH)

INNOVATIVE

Oxidative DNA-damage marker bundled with hormones.

Extended Microbiome Species (Gut Zoomer)

16 markers

A deeper cut of the gut ecosystem. Specific beneficial and disruptive species shape immunity, metabolism, and the barrier integrity that governs whole-body aging.

Bifidobacterium species

INNOVATIVE

Keystone beneficial microbes that decline with age.

Faecalibacterium prausnitzii

INNOVATIVE

A major butyrate producer tied to gut and metabolic health.

Bacteroides species

INNOVATIVE

Core commensals central to microbiome balance.

Escherichia coli (commensal)

INNOVATIVE

Normal-flora E. coli levels within the ecosystem.

Klebsiella species

INNOVATIVE

Opportunists linked to autoimmune flare risk.

Enterococcus species

INNOVATIVE

Commensals that can turn opportunistic.

Desulfovibrio species

INNOVATIVE

Sulfate-reducing microbes tied to gut inflammation.

Blastocystis hominis

INNOVATIVE

A common parasite of debated significance.

Lactobacillus species

INNOVATIVE

Protective bacteria supporting barrier and immune balance.

Roseburia species

INNOVATIVE

Beneficial fiber-fermenting, butyrate-making bacteria.

Prevotella species

INNOVATIVE

Fiber-associated bacteria shaping the gut signature.

Clostridium difficile

INNOVATIVE

A pathogenic overgrowth risk after antibiotics.

Proteus species

INNOVATIVE

Opportunistic bacteria associated with inflammation.

Methanobrevibacter smithii

INNOVATIVE

A methane-producer linked to constipation-type symptoms.

Candida albicans

INNOVATIVE

The most common yeast overgrowth species.

Giardia lamblia

INNOVATIVE

A waterborne parasite causing malabsorption.

Extended Mycotoxins & Metals (Total Tox)

18 markers

The granular toxin roster. Each compound is a specific, measurable body burden that can drive the toxic aging pattern when clearance can't keep up.

Aflatoxin B1/B2/G1/G2

INNOVATIVE

Distinct liver-toxic, carcinogenic mold toxins.

Sterigmatocystin

INNOVATIVE

A mold toxin related to aflatoxin.

Enniatin B

INNOVATIVE

An emerging mold toxin affecting mitochondria.

Chaetoglobosin

INNOVATIVE

A toxin from water-damaged-building mold.

Lead (urine)

INNOVATIVE

Cumulative lead burden released from stores.

Arsenic (speciated)

INNOVATIVE

Distinguishes toxic from harmless dietary arsenic.

Nickel

INNOVATIVE

A metal linked to allergy and oxidative stress.

Tin

INNOVATIVE

Environmental metal burden marker.

Cesium

INNOVATIVE

An environmental element affecting potassium handling.

Ochratoxin A

INNOVATIVE

Kidney- and neuro-toxic mold compound.

Roridin/Verrucarin (Trichothecenes)

INNOVATIVE

Highly potent immune-toxic mold metabolites.

Citrinin

INNOVATIVE

A kidney-toxic mold compound.

Mercury (urine, provoked)

INNOVATIVE

Tissue mercury burden assessed after chelation challenge.

Cadmium

INNOVATIVE

A smoking- and food-derived kidney toxin.

Thallium

INNOVATIVE

A rare but potent neurotoxic metal.

Antimony

INNOVATIVE

An industrial toxic-metal exposure marker.

Uranium

INNOVATIVE

A nephrotoxic heavy element tracked in urine.

Barium

INNOVATIVE

An industrial-exposure metal marker.

Extended Neural Antibodies (Neural Zoomer Plus)

18 markers

The full autoimmune-brain roster. These antibodies reveal immune attack on distinct neural structures — often years before memory, mood, or nerve symptoms appear.

Amyloid Beta 42

INNOVATIVE

Central to Alzheimer's-type plaque biology.

Alpha-Synuclein Antibodies

INNOVATIVE

Linked to Parkinson's-type neurodegeneration.

Myelin Oligodendrocyte Glycoprotein

INNOVATIVE

Targets the myelin sheath in demyelinating conditions.

Neurofascin Antibodies

INNOVATIVE

Involved in nerve-conduction autoimmune disease.

NMDA Receptor Antibodies

INNOVATIVE

Cause autoimmune encephalitis with psychiatric features.

GABA Receptor Antibodies

INNOVATIVE

Associated with autoimmune neurological excitability.

Voltage-Gated Calcium Channel Ab

INNOVATIVE

Involved in neuromuscular autoimmune conditions.

Purkinje Cell Antibodies

INNOVATIVE

Target cerebellar coordination cells.

Tubulin Antibodies

INNOVATIVE

Target the internal scaffolding of neurons.

Tau (phosphorylated)

INNOVATIVE

Reflects neurofibrillary tangle formation.

S100B Antibodies

INNOVATIVE

A blood-brain-barrier integrity marker.

Myelin Basic Protein

INNOVATIVE

A core myelin autoimmune target.

Contactin Antibodies

INNOVATIVE

Target nerve-cell adhesion structures.

AMPA Receptor Antibodies

INNOVATIVE

Linked to autoimmune memory and seizure disorders.

Glutamic Acid Decarboxylase

INNOVATIVE

Bridges neurological and metabolic autoimmunity.

Voltage-Gated Potassium Channel Ab

INNOVATIVE

Linked to nerve-excitability autoimmune syndromes.

Glial Fibrillary Acidic Protein

INNOVATIVE

A marker of astrocyte injury and neuroinflammation.

Sulfatide Antibodies

INNOVATIVE

Associated with peripheral neuropathy.

Cardiopulmonary Fitness & Performance (PNOĒ)

9 markers

Function measured, not inferred. Breath-by-breath analysis quantifies the metabolic and cardiorespiratory capacity that most strongly tracks healthspan.

VO2 Max (measured)

INNOVATIVE

Directly measured peak oxygen uptake; a top lifespan predictor.

Respiratory Compensation Point

INNOVATIVE

The ceiling of sustainable hard effort.

Metabolic Flexibility

INNOVATIVE

How well you switch between burning fat and carbs.

Fat-Burning Efficiency

INNOVATIVE

How much energy you draw from fat at rest and low effort.

Breathing Mechanics

INNOVATIVE

Pattern and quality of respiration under stress.

Ventilatory Threshold

INNOVATIVE

The intensity where fat-burning gives way to sugar-burning.

Breathing Efficiency

INNOVATIVE

How economically your lungs move air during exertion.

Resting Metabolic Rate (measured)

INNOVATIVE

Measured resting calorie burn for precise nutrition.

Cardiac Output Estimate

INNOVATIVE

How much blood your heart moves under load.

Additional Metabolic & Cardiac Standard

11 markers

The everyday insurance-covered markers that anchor any longevity workup — the reliable baseline against which the advanced layers are interpreted.

Comprehensive Metabolic Panel

STANDARD

A 14-marker bundle covering glucose, kidney, liver, and electrolytes.

Amylase

STANDARD

A pancreatic digestive enzyme.

Troponin

STANDARD

The definitive marker of heart-muscle injury.

Homocysteine

ADVANCED

A methylation-dependent vascular and cognitive risk marker.

2-Hour Glucose Tolerance

STANDARD

Blood sugar handling after a measured load.

Free PSA

ADVANCED

Refines prostate risk interpretation.

VeGGTntilatory Threshold

STANDARD

Bile and oxidative-stress-sensitive liver enzyme.

Lipase

STANDARD

The more specific pancreatic enzyme.

CK-MB

STANDARD

A cardiac-specific muscle-damage marker.

Insulin (post-load)

ADVANCED

Insulin response after glucose, revealing hidden resistance.

Prostate-Specific Antigen

STANDARD

A prostate-health and screening marker for men.

Micronutrients & Vitamin Status (Expanded)

18 markers

The full cofactor inventory. Every repair enzyme, energy reaction, and antioxidant depends on these — deficiencies quietly throttle regeneration and accelerate aging.

Vitamin B1

ADVANCED

Essential for converting food into cellular energy.

Vitamin B3

INNOVATIVE

Precursor to NAD+, a central longevity molecule.

Vitamin B6

ADVANCED

A cofactor for neurotransmitters and methylation.

Vitamin B9

STANDARD

Central to DNA synthesis and repair.

Vitamin K1

ADVANCED

The clotting-related form of vitamin K.

Choline

ADVANCED

Vital for cell membranes, brain, and liver fat handling.

Carnitine (free & total)

INNOVATIVE

Shuttles fat into mitochondria for energy.

Chromium

ADVANCED

Supports insulin action and blood-sugar control.

Molybdenum

ADVANCED

Needed for sulfite and toxin-clearing enzymes.

Vitamin B2

ADVANCED

Powers energy production and glutathione recycling.

Vitamin B5

ADVANCED

Needed to make coenzyme A for energy metabolism.

Vitamin B7

ADVANCED

Supports metabolism, hair, skin, and nails.

NAD+/NADH

INNOVATIVE

The core energy-and-repair coenzyme that declines with age.

Alpha-Lipoic Acid

INNOVATIVE

A versatile antioxidant that regenerates others.

Inositol

ADVANCED

Supports insulin signaling and mood regulation.

Iodine

ADVANCED

The essential building block of thyroid hormone.

Manganese

ADVANCED

A cofactor for antioxidant and bone enzymes.

Boron

ADVANCED

Supports bone and hormone metabolism.

Amino Acids & Protein Metabolism

20 markers

Amino acids are the raw material for muscle, neurotransmitters, and repair. Their patterns reveal protein adequacy, detox capacity, and metabolic strain

Glycine

INNOVATIVE

A building block of collagen, glutathione, and calm.

Glutamine

ADVANCED

The gut's main fuel and an immune-support amino acid.

Taurine

INNOVATIVE

Supports heart, bile, and antioxidant defense; declines with age.

Methionine

ADVANCED

The methylation-cycle starting amino acid.

Citrulline

ADVANCED

Boosts nitric oxide and marks gut-lining health.

Isoleucine

ADVANCED

A branched-chain amino acid for muscle and energy.

Lysine

ADVANCED

Essential for collagen and immune function.

Tyrosine

ADVANCED

The precursor to dopamine and thyroid hormone.

Histidine

ADVANCED

A precursor to histamine and a tissue antioxidant.

Asparagine / Aspartate

ADVANCED

Amino acids feeding the energy and urea cycles.

Serine

ADVANCED

Supports methylation and brain-cell membranes.

Glutamate

ADVANCED

Supports methylation and brain-cell membranes.

Cysteine

INNOVATIVE

The rate-limiting amino acid for glutathione.

Arginine

INNOVATIVE

The precursor to blood-vessel-relaxing nitric oxide.

Leucine

ADVANCED

The key muscle-protein-building amino acid.

Valine

ADVANCED

The third branched-chain muscle amino acid.

Tryptophan

ADVANCED

The precursor to serotonin and melatonin.

Phenylalanine

ADVANCED

An essential amino acid feeding dopamine pathways.

Threonine

ADVANCED

Supports gut mucus and connective tissue.

Ornithine

ADVANCED

A urea-cycle amino acid for ammonia clearance.

Cancer Screening & Tumor Markers

10 markers

Longevity means catching threats early. These screening markers add a surveillance layer, interpreted in context rather than as standalone diagnoses.

Carcinoembryonic Antigen

STANDARD

A broad tumor marker used in monitoring.

CA 125

STANDARD

An ovarian-cancer surveillance marker.

Alpha-Fetoprotein

STANDARD

A liver and germ-cell tumor marker.

PSA (screening)

STANDARD

Prostate surveillance marker for men.

Circulating Tumor DNA

INNOVATIVE

Emerging blood test detecting cancer signals early.

CA 19-9

STANDARD

Associated with pancreatic and GI cancers.

CA 15-3

STANDARD

Used in breast-cancer monitoring.

Beta-hCG

STANDARD

A germ-cell and pregnancy-related marker.

Thymidine Kinase

ADVANCED

Reflects cell-proliferation rate.

Galleri Multi-Cancer Signal

INNOVATIVE

A screen for shared cancer signals across many types.

Additional Inflammatory & Immune Aging

14 markers

The inflammaging deep layer. These cytokines and immune-cell metrics quantify the chronic low-grade inflammation that underlies most age-related disease.

Interleukin-1 beta

INNOVATIVE

A driver of the inflammatory cascade.

Interleukin-10

INNOVATIVE

A key anti-inflammatory, balancing cytokine.

Interferon-gamma

INNOVATIVE

A major immune-activating signal.

Growth Differentiation Factor 15

INNOVATIVE

A rising star among aging and mortality biomarkers.

Complement CH50

ADVANCED

Total complement activity of the immune system.

Sedimentation Rate

STANDARD

A classic, nonspecific inflammation marker.

Serum Amyloid A

ADVANCED

A sensitive acute-phase inflammatory protein.

Interleukin-8

INNOVATIVE

Recruits inflammatory cells to tissue.

Interleukin-17

INNOVATIVE

Central to autoimmune-type inflammation.

sTNF-R1 / sTNF-R2

INNOVATIVE

Soluble TNF receptors tracking chronic inflammation.

SuPAR

INNOVATIVE

A general marker of chronic immune activation and organ risk.

Complement C3 / C4

STANDARD

Core complement proteins in inflammation and autoimmunity.

Ferritin (as inflammation)

STANDARD

When high without iron overload, flags inflammation.

Eosinophil Cationic Protein

ADVANCED

Reflects allergic-type inflammatory activity.

Detoxification & Methylation Capacity

12 markers

How well you clear what the modern world throws at you. Methylation and detox capacity determine whether toxins and metabolites accumulate or move out.

SAM/SAH Ratio

INNOVATIVE

The core read of your methylation capacity.

Sulfate

ADVANCED

A key conjugation molecule for toxin clearance.

Glutathione-S-Transferase Activity

INNOVATIVE

Enzyme activity central to phase-II detox.

Ammonia

STANDARD

A neurotoxic byproduct the liver must clear.

Pyroglutamate (detox)

ADVANCED

Signals glutathione depletion under toxic load.

Mandelate / Phenylglyoxylate

ADVANCED

Styrene-exposure detox markers.

Methylation-Cycle Metabolites

INNOVATIVE

Intermediates showing where methylation stalls.

Glucuronidation Markers

ADVANCED

Reflect a major liver detox pathway.

Alpha-Ketoglutarate (detox)

ADVANCED

Supports ammonia clearance and energy.

Orotic Acid

ADVANCED

A urea-cycle marker for ammonia handling.

2-Methylhippurate

ADVANCED

A solvent-exposure detox marker.

N-Acetyl Metabolites

ADVANCED

Reflect conjugation of environmental toxins.

Neurotransmitter Metabolites (Expanded OAT)

10 markers

The chemistry of mood, focus, and drive. These urinary metabolites reveal how your brain is producing and clearing its key signaling molecules.

Dopamine Metabolites

INNOVATIVE

Reflect dopamine — motivation, focus, and reward.

Serotonin Metabolites

INNOVATIVE

Reflect serotonin — mood, sleep, and calm.

Quinolinate/Kynurenate Ratio

INNOVATIVE

Balances neurotoxic vs neuroprotective pathways.

Picolinate

ADVANCED

Reflects a neuroprotective tryptophan branch.

Glutamate/GABA balance

INNOVATIVE

The excitation-inhibition balance of the brain.

Norepinephrine Metabolites

INNOVATIVE

Track the alertness-and-stress neurotransmitter.

Kynurenine

INNOVATIVE

A tryptophan-pathway branch tied to inflammation.

Xanthurenate

ADVANCED

A functional marker of vitamin B6 status.

GABA-related metabolites

INNOVATIVE

Reflect the brain's main calming neurotransmitter.

Tryptophan (functional)

ADVANCED

Availability of the serotonin/melatonin precursor.

Advanced Glycation & Longevity Signaling

10 markers

The molecular hallmarks researchers use to define aging itself — glycation, senescence signaling, and nutrient-sensing pathways that set your long-term trajectory.

Glycation End-Products

INNOVATIVE

Sugar-damaged proteins that stiffen tissues and drive aging.

Methylglyoxal

INNOVATIVE

A reactive sugar byproduct that damages proteins and DNA.

mTOR Pathway Markers

INNOVATIVE

Reflect the nutrient-sensing switch between growth and repair.

Sirtuin Activity

INNOVATIVE

Reflect NAD+-dependent longevity enzymes.

p16INK4a

INNOVATIVE

A classic marker of cellular senescence burden.

Skin Autofluorescence (AGE Reader)

INNOVATIVE

A non-invasive read of accumulated tissue glycation.

Klotho

INNOVATIVE

A longevity protein whose decline accelerates aging.

AMPK Activity Markers

INNOVATIVE

Track the energy-sensor that promotes cellular cleanup.

Senescence-Associated Markers

INNOVATIVE

Signals from 'zombie' cells that inflame neighboring tissue.

Uric Acid (as antioxidant/risk)

STANDARD

A double-edged marker of oxidative balance and metabolic risk.

Circadian, Sleep & Neuroendocrine Rhythm

10 markers

The neuroendocrine pattern is about timing, not just levels. These markers map the daily rhythms whose collapse drives fatigue, poor recovery, and accelerated aging.

Melatonin (salivary, timed)

INNOVATIVE

The onset and level of your sleep-signaling hormone.

Diurnal Cortisol Slope

INNOVATIVE

How cortisol should decline across the day for good sleep.

Core Body Temperature Rhythm

INNOVATIVE

A physiological readout of circadian alignment.

Resting Heart Rate

STANDARD

A simple, powerful marker of cardiovascular fitness.

Growth Hormone (overnight)

ADVANCED

The nighttime repair hormone tied to deep sleep.

Cortisol Awakening Response

INNOVATIVE

The healthy morning cortisol surge that primes your day.

DHEA/Cortisol Ratio

INNOVATIVE

Balances stress load against adrenal reserve.

Heart Rate Variability

INNOVATIVE

A window into autonomic recovery and stress resilience.

Actigraphy Sleep Metrics

INNOVATIVE

Objective sleep duration, efficiency, and timing.

Leptin/Ghrelin Rhythm

INNOVATIVE

The hunger-hormone balance that circadian disruption distorts.

Immunosenescence & T-Cell Aging

12 markers

The frontier of immune aging. As the thymus shrinks, the T-cell pool shifts from fresh and adaptable to exhausted and senescent. These reference-lab markers read that shift directly — a differentiator few longevity programs offer.

CD4/CD8 Ratio

ADVANCED

The core balance of helper to killer T-cells; inverts with immune aging.

Memory T-Cells

INNOVATIVE

T-cells committed to past exposures; they accumulate as naive cells fade.

Senescent T-Cells

INNOVATIVE

Worn-out T-cells that crowd the immune system and drive inflammaging.

Regulatory T-Cells

INNOVATIVE

The immune system's brakes; imbalance drives autoimmunity or poor defense.

Recent Thymic Emigrants

INNOVATIVE

Brand-new T-cells just released by the thymus.

Immune Age Clock

INNOVATIVE

A composite methylation-based estimate of biological immune age.

Naive T-Cells

INNOVATIVE

Fresh, unassigned T-cells ready for new threats; they dwindle with age.

Naive/Memory Ratio

INNOVATIVE

A leading candidate marker of true immune age.

Exhausted T-Cells

INNOVATIVE

T-cells shut down by chronic stimulation; a marker of immune fatigue.

TRECs

INNOVATIVE

A direct measure of fresh thymic output and immune-regeneration capacity.

T-Cell Receptor Diversity

INNOVATIVE

The breadth of your immune repertoire; narrows with age.

Inflammatory Aging Score

INNOVATIVE

A cytokine-derived score predicting immune-driven aging and frailty.

Hypercoagulability & Thrombotic Tendency

18 markers

Silent clotting risk sits behind many strokes, heart attacks, and post-viral vascular events. This panel reads how prone your blood is to forming and failing to dissolve clots — a vascular-aging accelerator often missed until an event.

D-Dimer

STANDARD

Signals active clot formation and breakdown; a thrombotic-tone screen.

Factor VIII Activity

ADVANCED

High levels independently raise clotting and thrombosis risk.

ADAMTS13 Activity

INNOVATIVE

The enzyme that keeps vWF in check; low levels drive microclotting.

Lipoprotein(a)

INNOVATIVE

A genetic particle that is both atherogenic and pro-clotting.

Antithrombin III

ADVANCED

A natural anticoagulant; deficiency raises clot risk.

Protein S Activity

ADVANCED

Works with Protein C to prevent excess clotting.

Prothrombin G20210A

ADVANCED

An inherited variant increasing clot tendency.

Anticardiolipin Antibodies

ADVANCED

Antiphospholipid antibodies driving autoimmune clotting.

Complement Total (CH50)

ADVANCED

Total complement activity; low values flag consumption in clotting/autoimmune illness.

Fibrinogen (Antigen + Activity)

ADVANCED

A clotting protein that also tracks inflammation and clot burden.

von Willebrand Factor Antigen

ADVANCED

A clotting protein released by stressed, aging endothelium.

PAI-1 Activity

INNOVATIVE

Shuts down clot dissolution; links clotting to metabolic and endothelial aging.

Homocysteine

ADVANCED

Elevates clotting risk and injures the vessel lining.

Protein C Activity

ADVANCED

A natural clot-controlling protein.

Factor V Leiden

ADVANCED

The most common inherited clotting mutation.

Lupus Anticoagulant

ADVANCED

An antiphospholipid marker raising clot and pregnancy-loss risk.

Beta-2 Glycoprotein I Antibodies

ADVANCED

Confirms antiphospholipid syndrome risk.

Induced Thrombotic Panel

INNOVATIVE

A provoked assessment of overall clotting tendency.

Biotoxin & Environmental Susceptibility (CIRS)

12 markers

A targeted module for the immune/infectious signature — patients with mold or water-damaged-building exposure, chronic sinus symptoms, or unexplained inflammatory illness. Drawn from the Shoemaker CIRS model: clinically used in functional medicine but not yet mainstream consensus, so these are best read as pattern support in the right context, not standalone diagnoses.

Complement Split Product

EMERGING

An innate-immune activation marker often elevated in mold and biotoxin illness.

TGF-beta 1

ADVANCED

A fibrosis-and-inflammation cytokine; orderable at Quest and LabCorp.

Vascular Endothelial Growth Factor

EMERGING

Often low in CIRS, linking poor oxygen delivery to fatigue and exercise intolerance.

Melanocyte-Stimulating Hormone

EMERGING

A regulatory hormone low in the CIRS model, tied to mucosal immunity and sleep.

ADH + Serum Osmolality

ADVANCED

Paired to assess the neuroendocrine dysregulation described in CIRS.

Mycotoxin Panel (urine)

INNOVATIVE

Urinary mold-toxin burden central to biotoxin-illness workups.

Complement Split Product

EMERGING

A complement fragment reflecting acute innate immune activation.

Matrix Metalloproteinase-9

ADVANCED

Reflects leukocyte migration and blood-brain-barrier permeability under inflammation.

Vasoactive Intestinal Peptide

EMERGING

A master regulatory hormone frequently depleted in chronic biotoxin illness.

Alpha-MSH

EMERGING

The specific MSH fragment referenced in biotoxin-illness research.

MARCoNS Nasal Culture

EMERGING

A deep-nasal-swab culture for biofilm-forming staph; reserved for suspected CIRS.

HLA-DR/DQ Haplotype (CIRS)

EMERGING

The Shoemaker-model susceptibility typing; HLA typing is real, its CIRS reading is specialized.

Resilience Genetics (Inherited Potential)

34 markers

The inherited layer beneath every aging pattern — read not as 'bad genes' but as resilience: how well you detoxify, defend against oxidation, regulate immunity, and hold your barriers. Clinical single-gene tests (APOE, HFE, thrombophilia, HLA) run through Quest/LabCorp; broad functional-pathway panels run through 3X4 Genetics or similar. Genotype is potential, not destiny.

APOE Genotype

ADVANCED

The major genetic influence on Alzheimer's risk and lipid handling.

Factor V Leiden

ADVANCED

The most common inherited clotting mutation.

MTHFR

ADVANCED

Affects methylation and homocysteine; popular but often over-interpreted.

CYP450 Pharmacogenomics

ADVANCED

Predicts how you metabolize many medications.

HLA-DRB1 / DQB1 / DQA1 Typing

ADVANCED

Antigen-presentation typing relevant to autoimmune and biotoxin susceptibility.

GSTT1 (deletion)

EMERGING

A second glutathione-transferase deletion lowering detox capacity.

NRF2

EMERGING

The master switch of antioxidant defense; weak variants raise oxidative load.

SOD2

EMERGING

Encodes mitochondrial superoxide dismutase; variants weaken defense.

Heme Oxygenase-1

EMERGING

Protects tissue against oxidative injury.

Catalase

EMERGING

Governs breakdown of hydrogen peroxide.

Toll-Like Receptor 2

EMERGING

Recognizes gram-positive bacteria, fungi, and Borrelia.

Secretor Status

EMERGING

Controls gut microbiome makeup, B12 status, and infection susceptibility.

TNF Promoter

EMERGING

Influences baseline inflammatory tone.

MTRR

EMERGING

Supports methylation cycle recycling of B12.

COMT

EMERGING

Governs breakdown of catecholamines and estrogen.

BDNF

EMERGING

Influences neuroplasticity and brain resilience.

PCSK9

ADVANCED

A key regulator of LDL clearance and a major drug target.

Hemochromatosis

ADVANCED

Detects inherited iron overload that drives oxidative organ damage.

Prothrombin G20210A

ADVANCED

An inherited variant raising clot risk.

Celiac HLA (DQ2/DQ8)

ADVANCED

Genetic gatekeeper for celiac disease risk.

Alpha-1 Antitrypsin Genotype

ADVANCED

Inherited risk for lung and liver disease.

GSTM1 (deletion)

EMERGING

Absence sharply reduces glutathione-based toxin clearance.

GSTP1

EMERGING

Shapes glutathione-transferase activity and xenobiotic handling.

KEAP1

EMERGING

Regulates NRF2 and the antioxidant response.

GPX1

EMERGING

Glutathione-peroxidase gene central to antioxidant capacity.

NQO1

EMERGING

An antioxidant and detox enzyme gene.

Toll-Like Receptor 4

EMERGING

Senses bacterial toxins and fungi; variants alter innate response.

NOD2

EMERGING

An immune-regulation and gut-inflammation gene.

IL6 Promoter

EMERGING

Variants predispose to higher inflammatory responses.

IL10

EMERGING

Shapes anti-inflammatory balance.

CBS

EMERGING

A methylation-pathway gene affecting sulfur and homocysteine handling.

PEMT

EMERGING

Affects choline demand and membrane/liver health.

LPA Gene

ADVANCED

Sets genetically determined Lp(a) and cardiovascular risk.

FADS1

EMERGING

Shapes how efficiently you convert dietary omega-3/6 fats.

Add 10+

Begin with a private 1:1 consultation with our longevity physicians. Discover your unique aging pattern and receive your personalized age-reversal blueprint.

Book Your Private Consultation

We accept a limited number of new members each month to ensure every protocol receives full physician attention.