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What we test

Up to 100+ Biomarkers That Reveal What’s Really Holding You Back

Most blood panels test 12-15 basic markers and look for disease. We test up to 100+ performance-focused biomarkers and look for optimization opportunities. This is the difference between checking if your engine runs versus tuning it for peak performance.

HSA/FSA eligibleFree medical consultResults in 3 to 5 business days
Improving biomarkers shown on an Apex Blood Labs results chart

The full picture

76

biomarkers in one panel.

A typical physical checks 12 to 15 markers and looks for disease. We check heart, hormones, metabolism, nutrients, organs and immunity, then help you act on what we find.

Get Started – $207
Annual physical
15
Apex Complete
76
Heart & Cardiovascular10
Hormones10
Metabolic & Thyroid5
Nutrients & Iron7
Liver8
Kidneys & Electrolytes8
Blood & Immune17
Urinalysis11
Athlete training for peak performance

Why it matters

Why Comprehensive Testing Matters

Your doctor runs basic panels designed to catch diseases after they develop. We run comprehensive analysis designed to catch imbalances before they become problems—and identify optimization opportunities your doctor would never look for. The difference? We’re not waiting for you to get sick; we’re helping you reach peak performance.

Here’s what you’re missing with standard testing:

  • Your testosterone might be “normal” at 350 ng/dL, but optimal for peak performance is 700-900 ng/dL
  • Your thyroid TSH might be “fine” at 3.5, but you’re likely hypothyroid and don’t know it
  • Your inflammatory markers (hs-CRP, homocysteine) aren’t tested at all in standard panels
  • Your insulin resistance is building for years before fasting glucose shows problems
  • Your nutrient deficiencies are silently degrading your performance daily

Biomarker library

Complete Biomarkers Available

Open any category to see every marker we measure and what it tells you. Tap a marker to read the full guide.

Heart & Cardiovascular Health15 biomarkers

Advanced lipid panels, inflammatory markers, and cardiovascular risk indicators that predict problems decades before symptoms appear.

  • Total CholesterolMeasures the total amount of cholesterol in your blood, providing a baseline for cardiovascular risk assessment.
  • TriglyceridesMeasures fat levels in your blood that indicate metabolic health and heart disease risk, especially when elevated.
  • HDL CholesterolKnown as “good cholesterol,” this measures the protective cholesterol that removes harmful fats from your arteries.
  • VLDL CholesterolMeasures very low-density lipoprotein, a type of “bad cholesterol” that carries triglycerides and contributes to plaque buildup.
  • LDL CholesterolCalculates “bad cholesterol” levels that contribute to arterial plaque and increase heart attack risk.
  • Cholesterol / HDL RatioCompares total cholesterol to protective HDL, offering a powerful predictor of cardiovascular disease risk.
  • Estimated CHD (Coronary Heart Disease) RiskCalculates your statistical likelihood of developing coronary heart disease based on lipid ratios.
  • LDL/HDL RatioCompares harmful to protective cholesterol, with lower ratios indicating better cardiovascular health.
  • Apolipoprotein B (ApoB)Measures the number of atherogenic particles in your blood, providing a more accurate assessment of heart disease risk than standard cholesterol tests.
  • High-Sensitivity C-Reactive Protein (hs-CRP)Detects inflammation in blood vessels and heart tissue, identifying cardiovascular risk even when cholesterol appears normal.
  • HemoglobinMeasures oxygen-carrying capacity in your blood, with abnormal levels affecting heart workload and cardiovascular function.
  • HematocritIndicates the percentage of red blood cells in your blood, affecting blood viscosity and oxygen delivery to the heart.
  • RBCCounts red blood cells to assess oxygen transport efficiency and detect conditions that strain the cardiovascular system.
  • PlateletsMeasures cells responsible for blood clotting, with abnormal levels affecting thrombosis risk and cardiovascular events.
  • RDWMeasures red blood cell size variation, with elevated levels linked to inflammation and increased cardiovascular mortality risk.
Thyroid Function3 biomarkers

Complete thyroid analysis including TSH, T3, T4, and antibodies—not just the basic screening your primary care runs.

  • Thyroglobulin Antibodies (TgAb)Detects antibodies against thyroglobulin protein, indicating autoimmune thyroid disease and helping diagnose Hashimoto’s thyroiditis.
  • Thyroid-Stimulating Hormone (TSH)Measures the pituitary hormone that controls thyroid function, serving as the primary screening test for hypothyroidism and hyperthyroidism.
  • Thyroid Peroxidase (TPO) AbIdentifies antibodies attacking thyroid enzyme, the most common marker for autoimmune thyroid conditions like Hashimoto’s disease.
Autoimmunity6 biomarkers

Complete immune function analysis to optimize your body’s defense systems and recovery capacity.

  • LymphsAssesses adaptive immune cells that produce antibodies and regulate immune responses, often dysregulated in autoimmune conditions.
  • Thyroid Peroxidase (TPO) AbDetects autoimmune attack on thyroid tissue, the most sensitive early marker for autoimmune thyroid disease.
  • Thyroglobulin AntibodyIdentifies immune system targeting of thyroid protein, confirming autoimmune thyroid conditions and monitoring disease progression.
  • C-Reactive Protein, CardiacMeasures systemic inflammation that can indicate autoimmune activity, chronic infection, or tissue damage throughout the body.
  • WBCCounts total white blood cells to assess overall immune system activity, detecting immune suppression or overactivation.
  • NeutrophilsMeasures primary infection-fighting cells, with elevated levels indicating active infection or inflammation common in autoimmune flares.
Immune System Function11 biomarkers

Advanced immune cell analysis measuring infection-fighting capacity, inflammatory balance, and overall immune system coordination and responsiveness.

  • WBCMeasures total white blood cell count to assess overall immune system strength, detecting immunodeficiency or excessive immune activation.
  • NeutrophilsMeasures the percentage of rapid-response cells that attack bacteria and fungi, forming your immune system’s first line of defense.
  • LymphsMeasures lymphocyte percentage, including T-cells and B-cells that coordinate adaptive immunity, fight viruses, and produce antibodies.
  • MonocytesMeasures the percentage of cells that mature into macrophages, consuming pathogens, clearing dead tissue, and regulating inflammation.
  • EosMeasures eosinophil percentage involved in fighting parasites and regulating allergic and inflammatory immune responses.
  • BasosMeasures basophil percentage that releases histamine and other chemicals during allergic reactions and immune responses.
  • Neutrophils (Absolute)Provides precise neutrophil count to accurately assess bacterial infection-fighting capacity and detect immune suppression.
  • Lymphs (Absolute)Counts actual lymphocytes to evaluate adaptive immune strength, vaccine response, and ability to fight viral infections.
  • Monocytes (Absolute)Measures exact monocyte count to assess chronic inflammation, infection response, and tissue repair capability.
  • Eos (Absolute)Provides precise eosinophil count to diagnose allergies, asthma, autoimmune conditions, and parasitic infections.
  • Baso (Absolute)Counts basophils directly to detect rare blood disorders, severe allergic states, and certain inflammatory conditions.
Male Hormone Optimization11 biomarkers

A streamlined, clinically accurate blood test bundle that delivers precise total testosterone measurement (LC/MS) alongside a full CBC with differential to assess hormonal balance, immune health, inflammation, and overall male vitality in one convenient panel.

  • Baso (Absolute)Counts basophils directly to detect rare blood disorders and severe allergic or inflammatory states.
  • Testosterone, Total, LC/MSUses the gold-standard liquid chromatography-mass spectrometry method to precisely measure total testosterone for accurate assessment of hormonal health, energy, libido, and muscle maintenance.
  • NeutrophilsMeasures the percentage of neutrophils, your body’s first-line defenders against bacterial infections and inflammation.
  • LymphsMeasures lymphocyte percentage, reflecting your adaptive immune system’s ability to fight viruses and produce antibodies.
  • MonocytesMeasures monocyte percentage, indicating your body’s capacity to fight chronic infections and clean up damaged tissue.
  • EosMeasures eosinophil percentage, detecting allergic responses, parasitic infections, and inflammatory conditions.
  • BasosMeasures basophil percentage, involved in allergic reactions and inflammatory responses throughout the body.
  • Neutrophils (Absolute)Provides the actual number of neutrophils per microliter, giving a more precise picture of infection-fighting capacity than percentages alone.
  • Lymphs (Absolute)Counts actual lymphocytes to assess immune strength, with low counts indicating immunodeficiency and high counts suggesting infection or lymphoproliferative disorders.
  • Monocytes (Absolute)Measures actual monocyte count to evaluate chronic inflammation, infection response, and tissue repair capacity.
  • Eos (Absolute)Provides precise eosinophil count to diagnose allergies, asthma, parasitic infections, and certain autoimmune conditions.
Female Hormone Optimization9 biomarkers

Complete reproductive hormone analysis, fertility markers, and sex hormone optimization for peak performance.

  • CalciumMeasures blood calcium levels essential for bone health, hormone secretion, and preventing osteoporosis risk in women.
  • Testosterone, Total, LC/MSPrecisely measures testosterone levels critical for female libido, energy, bone density, and muscle maintenance using the most accurate testing method available.
  • IronMeasures serum iron levels, essential for energy production and preventing anemia, especially important for menstruating women.
  • FerritinAssesses iron storage reserves in your body, detecting deficiency before anemia develops and preventing fatigue, hair loss, and weakened immunity.
  • HemoglobinMeasures oxygen-carrying protein in red blood cells, crucial for detecting anemia common in women due to menstruation or pregnancy.
  • Vitamin D, 25-HydroxyMeasures active vitamin D levels that regulate hormones, mood, bone health, and immune function—often deficient in women.
  • TSHMeasures thyroid-stimulating hormone to screen for thyroid dysfunction that affects metabolism, weight, energy, and menstrual regularity.
  • Thyroid Peroxidase (TPO) AbDetects antibodies attacking the thyroid gland, identifying autoimmune thyroid disease that disproportionately affects women.
  • Thyroglobulin AntibodyIdentifies another autoimmune marker for thyroid disease, helping diagnose Hashimoto’s thyroiditis and monitor thyroid health.
Metabolic Health5 biomarkers

Blood sugar regulation, insulin sensitivity, and metabolic efficiency markers that determine energy stability.

  • eGFREstimates glomerular filtration rate to measure how well your kidneys filter waste, detecting early kidney disease and metabolic dysfunction.
  • GlucoseMeasures blood sugar levels to assess diabetes risk, energy regulation, and metabolic function, with elevated levels indicating insulin resistance.
  • Hemoglobin A1c (HbA1c)Reveals average blood sugar control over the past 2-3 months, providing a long-term view of metabolic health and diabetes risk.
  • InsulinMeasures the hormone that regulates blood sugar, with elevated fasting levels indicating insulin resistance years before diabetes develops.
  • BUN/Creatinine RatioCompares blood urea nitrogen to creatinine to assess kidney function, hydration status, and protein metabolism efficiency.
Essential Nutrients25 biomarkers

Comprehensive vitamin, mineral, and fatty acid analysis to identify deficiencies limiting your performance.

  • HemoglobinMeasures the oxygen-carrying protein in red blood cells essential for energy production and preventing fatigue from anemia.
  • Vitamin D, 25-HydroxyMeasures the active form of vitamin D essential for immune function, bone health, mood regulation, and hormonal balance.
  • IronMeasures circulating iron in your blood, essential for oxygen transport, energy production, and preventing fatigue and anemia.
  • Iron Bind.Cap.(TIBC)Measures your blood’s capacity to bind and transport iron, helping diagnose iron deficiency or overload conditions.
  • UIBCMeasures unsaturated iron-binding capacity, indicating how much transferrin is available to carry additional iron through your bloodstream.
  • Iron SaturationCalculates the percentage of transferrin saturated with iron, revealing whether you have too little or too much iron available.
  • FerritinMeasures stored iron reserves in your body, the most sensitive early indicator of iron deficiency before anemia develops.
  • CalciumMeasures blood calcium levels critical for bone strength, nerve signaling, muscle contraction, and hormone secretion.
  • MagnesiumMeasures this essential mineral required for over 300 enzymatic reactions, including energy production, muscle function, and nervous system health.
  • SodiumMeasures the primary electrolyte that regulates fluid balance, blood pressure, and nerve signal transmission throughout your body.
  • PotassiumMeasures the electrolyte essential for heart rhythm, muscle contraction, and nerve function, with imbalances causing serious complications.
  • ChlorideMeasures this electrolyte that maintains fluid balance, blood pressure, and proper pH levels in your body.
  • Carbon Dioxide, TotalMeasures CO2 and bicarbonate in blood to assess acid-base balance and respiratory function, detecting metabolic disorders.
  • Protein, TotalMeasures all proteins in your blood, reflecting nutritional status, liver function, and immune health.
  • AlbuminMeasures the most abundant blood protein made by your liver, indicating nutritional status, liver function, and inflammation.
  • Globulin, TotalMeasures immune proteins and antibodies in your blood, reflecting immune function and detecting inflammatory or liver conditions.
  • WBCCounts total white blood cells to assess immune system strength, detecting infections, immune deficiencies, or blood disorders.
  • NeutrophilsMeasures the percentage of your primary bacterial infection fighters, elevated during acute infections and inflammation.
  • LymphsMeasures lymphocyte percentage, reflecting your body’s ability to fight viral infections and produce protective antibodies.
  • MonocytesMeasures the percentage of cells that fight chronic infections, remove dead tissue, and regulate inflammation.
  • EosMeasures eosinophil percentage to detect parasitic infections, allergies, and inflammatory conditions affecting multiple body systems.
  • BasosMeasures basophil percentage involved in allergic reactions and releasing histamine during immune responses.
  • Immature GranulocytesMeasures the percentage of young, immature infection-fighting cells released during severe infections or bone marrow stress.
  • Immature Grans (Abs)Counts actual immature granulocytes, with elevated numbers indicating severe infection, inflammation, or blood disorders.
  • Baso (Absolute)Provides precise basophil count to detect rare blood disorders and severe inflammatory or allergic conditions.
Stress & Aging Markers4 biomarkers

Cortisol patterns, biological age markers, and stress response indicators that determine your longevity potential.

  • GlucoseMeasures fasting blood sugar, with chronic elevations accelerating aging through glycation, oxidative stress, and cellular damage.
  • C-Reactive Protein, Cardiac(hs-CRP) – Measures inflammation levels throughout your body, a key marker of biological aging, stress, and chronic disease risk.
  • Hemoglobin A1cReflects long-term glucose control and metabolic aging, with elevated levels accelerating aging processes and cellular damage.
  • Vitamin D, 25-HydroxyMeasures vitamin D levels that decline with age and affect longevity, immune resilience, and protection against age-related diseases.
Liver Function6 biomarkers

Comprehensive liver enzyme analysis to detect early damage from stress, toxins, or metabolic dysfunction before clinical symptoms appear.

  • Protein, TotalMeasures all blood proteins including those made by the liver, reflecting liver synthetic function and overall protein status.
  • Bilirubin, TotalMeasures the yellow pigment from red blood cell breakdown, with elevated levels indicating liver dysfunction or bile duct obstruction.
  • Alkaline PhosphataseMeasures this enzyme found in liver and bone, with elevated levels indicating liver disease, bile duct obstruction, or bone disorders.
  • AST (SGOT)Measures this liver enzyme that leaks into blood when liver cells are damaged by toxins, disease, or inflammation.
  • ALT (SGPT)Measures the most specific liver enzyme, with elevated levels indicating liver cell damage from fatty liver, hepatitis, or toxins.
  • AlbuminMeasures the major protein produced by your liver, with low levels indicating chronic liver disease or malnutrition.
Kidney Function7 biomarkers

Critical filtration and waste removal markers that reveal how efficiently your body eliminates toxins and maintains fluid balance.

  • ChlorideMeasures chloride balance controlled by kidneys, helping assess kidney function, hydration status, and acid-base disorders.
  • BUNMeasures blood urea nitrogen, a waste product filtered by kidneys, with elevated levels indicating kidney dysfunction or dehydration.
  • CreatinineMeasures this muscle waste product filtered by kidneys, the most reliable marker for detecting reduced kidney function.
  • eGFRCalculates your kidney filtration rate from creatinine levels, providing the most accurate assessment of overall kidney function and disease stage.
  • BUN/Creatinine RatioCompares these two waste products to distinguish kidney damage from dehydration, bleeding, or high protein intake.
  • SodiumMeasures sodium balance maintained by kidneys, with abnormal levels indicating kidney disease, dehydration, or hormonal imbalances.
  • PotassiumMeasures potassium regulated by kidneys, with dangerous imbalances occurring when kidney function declines.
Pancreatic Function2 biomarkers

Essential markers measuring pancreatic hormone production and digestive enzyme function that regulate blood sugar and nutrient breakdown.

  • InsulinMeasures the hormone produced by pancreatic beta cells that controls blood sugar, with abnormal levels indicating pancreatic dysfunction or insulin resistance.
  • GlucoseMeasures blood sugar regulated by pancreatic insulin and glucagon, indicating how well your pancreas maintains metabolic balance.
Heavy Metal Toxicity2 biomarkers

Essential versus toxic metal assessment to detect iron overload and heavy metal accumulation that damages organs and accelerates aging.

  • FerritinMeasures stored iron that can accumulate to toxic levels, damaging the liver, heart, and pancreas while also serving as an inflammatory marker.
  • IronMeasures circulating iron levels, essential for health but toxic in excess, causing organ damage through oxidative stress and free radical production.
Complete Blood Count9 biomarkers

Complete blood cell analysis including red blood cells, platelets, and hemoglobin to assess oxygen transport and clotting function.

  • PlateletsCounts the cell fragments responsible for blood clotting, with low counts causing bleeding risk and high counts increasing clot formation.
  • WBCCounts total white blood cells that defend against infections, with abnormal levels indicating immune system disorders or blood diseases.
  • RBCCounts red blood cells responsible for oxygen delivery to tissues, with low counts causing fatigue and high counts increasing blood thickness.
  • HemoglobinMeasures the oxygen-carrying protein in red blood cells, with low levels causing anemia and fatigue from poor oxygen delivery.
  • HematocritMeasures the percentage of blood volume occupied by red blood cells, indicating oxygen-carrying capacity and blood thickness.
  • MCVMeasures the average size of red blood cells, helping diagnose different types of anemia based on whether cells are too large or too small.
  • MCHMeasures the average amount of hemoglobin in each red blood cell, helping classify anemia types and detect iron deficiency.
  • MCHCMeasures hemoglobin concentration within red blood cells, detecting conditions where cells have too little or too much hemoglobin.
  • RDWMeasures variation in red blood cell size, with increased variation indicating nutritional deficiencies, inflammation, or blood disorders.
Electrolyte Balance6 biomarkers

Essential mineral balance including sodium, potassium, and magnesium that control nerve signaling, muscle function, and hydration status.

  • MagnesiumMeasures this critical electrolyte needed for muscle relaxation, heart rhythm, nerve function, and over 300 biochemical reactions.
  • SodiumMeasures the primary electrolyte controlling water balance, blood pressure, and nerve impulses, with imbalances causing serious neurological symptoms.
  • PotassiumMeasures the electrolyte critical for heart rhythm and muscle contractions, with dangerous imbalances potentially causing cardiac arrest.
  • ChlorideMeasures this electrolyte that works with sodium to maintain fluid balance, blood volume, and proper pH throughout the body.
  • Carbon Dioxide, TotalMeasures bicarbonate and dissolved CO2 to assess your body’s acid-base balance and detect respiratory or metabolic disorders.
  • CalciumMeasures the electrolyte essential for muscle contraction, nerve transmission, blood clotting, and maintaining strong bones.
Allergy Screening2 biomarkers

Comprehensive food and environmental allergy screening to identify inflammatory triggers sabotaging your energy and recovery.

  • Eos (Absolute)Counts actual eosinophils to quantify allergic response severity, with persistent elevation indicating chronic allergies, food sensitivities, or parasitic infections.
  • EosMeasures eosinophil percentage, specialized white blood cells elevated during allergic reactions, asthma, and sensitivity to foods or environmental triggers.

Focused panels

Focused tests from $23.

Not ready for the full Apex Complete panel? Check one area, or track progress on treatment. Tap a panel to see every biomarker it includes.

Biological Age

PhenoAge Biological Age

$26

Biological age from CMP, CBC and CRP. 35 biomarkers.

See all 35 biomarkers
General Health

Essential Health Baseline

$33

CBC, CMP, A1c and lipids. 41 biomarkers.

See all 41 biomarkers
Fitness

Performance & Recovery

$50

CBC, CMP, ferritin, lipids and ApoB. 42 biomarkers.

See all 42 biomarkers
Hormones

Women's Hormone Assessment

$57

FSH, LH, estradiol, testosterone, SHBG, TSH. 10 biomarkers.

See all 10 biomarkers
Hormones

Menopause Health

$137

Hormones, lipids, metabolic, thyroid and ESR. 55 biomarkers.

See all 55 biomarkers

After your draw

What Happens After Testing

Apex care team member on the phone with a client
01

Licensed Medical Review

Every test result is reviewed by our medical team. Concerning findings trigger immediate outreach.

Apex results dashboard showing biomarkers and optimal ranges
02

Detailed Results Dashboard

Access your results with clear explanations of each marker, optimal ranges (not just “normal”), and what they mean for your performance.

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03

Personalized Action Plan

Based on your results, receive specific recommendations for nutrition, supplementation, lifestyle changes, and treatment options.

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04

Direct Treatment Access

If biomarkers reveal optimization opportunities, get immediate access to treatments like TRT, peptides, longevity compounds, and metabolic medications.

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05

Ongoing Tracking

Re-test to track progress, adjust protocols, and continue optimizing over time.

Frequently Asked Questions

How is this different from my annual physical?

Your annual physical tests maybe 12-15 basic markers and looks for disease. We test up to 100+ performance-focused biomarkers and look for optimization opportunities. Think of it as the difference between checking if your car runs versus tuning it for peak performance.

Do I need to fast before testing?

Yes, a 12-hour fast is recommended for accurate results. You can drink water, but avoid food, beverages with calories, and supplements before your lab visit.

What if my results show something serious?

Any concerning findings are reviewed immediately by our medical team. If urgent issues are identified, we’ll contact you within 24 hours with clear guidance on next steps and appropriate medical referrals.

Can I share results with my primary care physician?

Absolutely. You own your data and can download/share your results with any healthcare provider. Many of our members use these comprehensive results to have more informed conversations with their existing physicians.

Are the labs CLIA-certified?

Yes, our partners operates under CLIA certification with rigorous quality control and federal regulatory compliance. Same labs your physician would use.

What’s included in the $207 fee?

Everything: initial medical consultation, comprehensive lab panel, results analysis by licensed medical professionals, detailed report with optimization insights, and follow-up support. No hidden fees or surprise charges.

How quickly can I get tested?

Our Consultation are typically available same-day within hours. After consultation and payment, you can visit any of our 2,000+ lab locations immediately. Results are available 3-5 business days after your lab visit.

Do you accept insurance?

We’re a cash-based service that doesn’t bill insurance directly. However, the service is HSA/FSA eligible, and you can submit for potential reimbursement depending on your insurance plan.

Ready to Stop Flying Blind on Your Biology?

Most high performers spend more on coffee each month than they do understanding their biological performance. Your blood doesn’t lie—it reveals exactly what’s holding you back and what’s possible when you optimize.

It starts with a Free Consultation!

Two ways to get started:

Option 1: Jump Straight to Testing

Ready to see what’s under the hood? Schedule your consultation, get your comprehensive blood panel, and start optimizing based on data, not guesswork.

Get Started – $207

Option 2: Learn More First.

Not sure if blood optimization is right for you? Schedule a free consultation with one of our licensed medical professionals to discuss your performance goals and whether comprehensive testing makes sense.

Free Medical Consultation

Apex Complete · 76 biomarkers$207Get started