What we test.

Cardiac-specific creatine kinase isoenzyme released during myocardial injury.

High-sensitivity marker of myocardial cell damage at very low thresholds.

Lactate dehydrogenase, a broad marker of tissue and cardiac turnover.

Sulphur amino acid linked to vascular endothelial damage.

High-sensitivity C-reactive protein, the gold-standard vascular inflammation marker.

Sum of all cholesterol fractions in the blood.

Circulating fats, sensitive to diet and insulin status.

High-density lipoprotein, the reverse-transport carrier.

Low-density lipoprotein, the primary atherogenic lipid.

The most atherogenic LDL sub-fraction, directly measured.

Main protein of HDL particles; reflects reverse cholesterol transport.

Counts every atherogenic particle — the sharpest single lipid marker.

Genetically driven, independent cardiovascular risk factor.

All atherogenic cholesterol fractions combined.

Headline ratio used in standard cardiovascular risk calculators.

Balance of atherogenic to protective cholesterol carriers.

Gut-microbiome-derived metabolite linked to plaque formation and cardiac events.

Baseline blood sugar after an overnight fast.

Two-to-three-week marker of average glucose control.

Insulin output at rest — a leading indicator of resistance.

Direct measure of pancreatic beta-cell insulin production.

Three-month average of blood glucose.

Composite score of insulin resistance.

Composite score of pancreatic beta-cell function.

Composite score of whole-body insulin sensitivity.

Point-of-care glucose for in-clinic checks.

Point-of-care ketone reading for fasting and metabolic states.

Point-of-care acid–base, oxygenation and electrolyte snapshot.

Point-of-care cardiac troponin for rapid assessment.

Adipose-derived hormone signalling energy stores and satiety.

Insulin-sensitising hormone secreted by fat tissue.

Total breakdown product of red blood cells, cleared by the liver.

Conjugated fraction of bilirubin, reflects bile flow.

Alanine transaminase, the most specific hepatocyte injury enzyme.

Aspartate transaminase, sensitive to both liver and muscle injury.

Gamma-glutamyl transferase, sensitive to bile flow and oxidative stress.

Reflects bile-duct flow and bone turnover.

Sum of all circulating proteins synthesised by the liver and immune system.

Main blood protein, made by the liver — a marker of synthetic capacity.

Immune-related protein fraction; balance with albumin is informative.

Balance of synthetic and immune protein fractions.

Pancreatic and salivary enzyme, elevated in pancreatic injury.

Pancreas-specific amylase isoform.

Most specific marker of acute pancreatic inflammation.

Copper-binding protein made by the liver; relevant to Wilson's disease.

Blood urea nitrogen, a protein-metabolism waste product.

Primary nitrogen-containing waste cleared by the kidneys.

Muscle breakdown product cleared by glomerular filtration.

Purine breakdown product linked to gout and metabolic syndrome.

Primary extracellular electrolyte.

Critical intracellular electrolyte for nerve and muscle function.

Anion that maintains acid–base balance and hydration.

Main acid–base buffer in the blood.

Mineral central to bone health and ATP metabolism.

Bone, muscle and cellular signalling cation.

Co-factor in hundreds of enzymatic reactions.

Muscle-mass-independent alternative to creatinine for filtration.

Estimated glomerular filtration rate based on creatinine.

Estimated filtration rate based on cystatin C — more accurate in athletic or low-muscle patients.

Early sign of glomerular protein leak.

Standardised urinary albumin measure independent of dilution.

Adrenal androgen precursor; broad marker of adrenal reserve.

Primary oestrogen in both sexes.

Sex-hormone-binding globulin; determines bioavailable sex steroids.

Follicle-stimulating hormone, the pituitary's reproductive signal.

Luteinising hormone, the pituitary's ovulation/testicular signal.

Primary stress and circadian glucocorticoid.

Total circulating testosterone.

Unbound, biologically active testosterone fraction.

Sum of free and weakly-bound (albumin-bound) testosterone.

Calculated ratio of testosterone to SHBG.

Cycle, luteal-phase and reproductive marker.

Pituitary hormone affecting fertility, libido and lactation.

Beta human chorionic gonadotropin — pregnancy and germ-cell tumour marker.

Pituitary signal driving adrenal cortisol output.

Insulin-like growth factor 1, the chronic readout of growth-hormone activity.

Pituitary hormone driving growth, repair and body composition.

Adrenal mineralocorticoid regulating sodium and blood pressure.

Intermediate glucocorticoid in the cortisol synthesis pathway.

Immediate precursor to cortisol.

Pathway intermediate elevated in congenital adrenal hyperplasia.

Inactive metabolite of cortisol used to assess cortisol turnover.

Mineralocorticoid pathway intermediate.

Adrenal and gonadal androgen precursor to testosterone and oestrone.

Key marker for screening congenital adrenal hyperplasia.

The most potent androgen, drives skin, hair and prostate effects.

Unbound thyroxine — the storage form of thyroid hormone.

Unbound, biologically active thyroid hormone.

Pituitary signal that drives the thyroid.

Thyroid peroxidase antibody — Hashimoto's autoimmune marker.

Thyroglobulin antibody — autoimmune thyroid marker.

TSH-receptor antibody — Graves' disease marker.

Thyroid tissue marker tracked after surgery or cancer treatment.

Calcium-regulating hormone, used in medullary thyroid cancer screening.

Parathyroid hormone, regulates calcium and bone metabolism.

Innate immune complement protein; low in active autoimmune flares.

Innate immune complement protein; low in immune-complex disease.

Key pro-inflammatory cytokine driving acute-phase response.

Mucosal humoral immunity.

Acute-phase antibody response.

Allergic response and parasite immunity.

Long-term humoral immunity.

Total T-lymphocyte fraction by flow cytometry.

Total T-lymphocyte count.

Helper T-cell fraction.

Helper T-cell count.

Cytotoxic / suppressor T-cell fraction.

Cytotoxic / suppressor T-cell count.

Balance of helper to suppressor T-cells.

Natural-killer-cell fraction — innate cytotoxic capacity.

Natural-killer-cell count.

B-lymphocyte fraction — antibody-producing arm.

B-lymphocyte count.

T-cell co-stimulatory marker; declines with immune ageing.

Activated T-cell and regulatory T-cell marker.

Insulin-like growth factor 1 receptor on lymphocytes.

Soluble platelet–T-cell signalling marker linked to vascular inflammation.

Soluble adhesion molecule reflecting endothelial activation.

Innate immune cytokine driving fever and acute inflammation.

Neutrophil-recruiting chemokine.

Master anti-inflammatory regulatory cytokine.

Cytokine bridging innate and adaptive Th1 responses.

Monocyte chemoattractant protein — recruits macrophages to tissue.

Muscle enzyme, elevated in myositis and muscle injury.

Autoantibody used to screen for rheumatoid arthritis.

Most specific antibody for rheumatoid arthritis.

Coeliac-related antibody to gliadin.

Coeliac-related IgG response to gliadin.

Primary serological screen for coeliac disease.

Used when IgA is deficient for coeliac screening.

Antinuclear antibody, the headline autoimmunity screen.

Extractable nuclear antigen antibodies, sub-types systemic autoimmunity.

Methylation, energy and nerve health.

Storage form of vitamin D, the standard status marker.

Methylation and red blood cell synthesis.

Fat-soluble vitamin for vision, skin and immunity, measured by LC-MS.

Primary lipid-soluble antioxidant.

Cofactor in energy metabolism and antioxidant defence.

Active form of thiamine — true functional B1 status.

Active form of B6 — true functional B6 status.

Functional marker of cellular B12 sufficiency.

Nitric-oxide precursor central to vascular and immune signalling.

Essential sulphur amino acid driving methylation.

Primary fuel for enterocytes and immune cells.

Essential amino acid, precursor to histamine.

Urea-cycle intermediate central to ammonia clearance.

Structural amino acid critical for collagen synthesis.

Essential precursor to tyrosine and the catecholamines.

Methylation, phospholipid and neurotransmitter precursor.

Essential amino acid, precursor to serotonin and melatonin.

Precursor to dopamine, noradrenaline and thyroid hormone.

Branched-chain amino acid central to muscle protein synthesis.

Iron storage protein and acute-phase reactant.

Primary iron transport protein.

Percentage of transferrin currently carrying iron.

Circulating serum iron concentration.

Total iron-binding capacity of transferrin.

Unsaturated iron-binding capacity.

Highly toxic heavy metal; environmental and industrial exposure.

Toxic metalloid from water, seafood and industrial exposure.

Heavy metal, primarily from smoking and industrial exposure.

Essential cofactor for mitochondrial and connective-tissue enzymes.

Substrate for thyroid hormone synthesis.

Whole-blood magnesium for true intracellular status.

Essential trace cofactor for antioxidant enzymes.

Heavy metal with neurological and renal toxicity.

Environmental and occupational exposure marker.

Essential trace element for thyroid and antioxidant defence.

Essential for immunity, testosterone synthesis and wound healing.

Component of vitamin B12; also an environmental exposure marker.

Environmental and dietary exposure marker.

Urinary lead — heavy metal with neurological and cardiovascular toxicity.

Primary water-soluble antioxidant.

Lipid-soluble antioxidant and vitamin A precursor.

The cell's master antioxidant in its active form.

Oxidised glutathione — used to assess oxidative load.

Direct readout of cellular redox balance.

Mitochondrial electron-transport cofactor and lipid antioxidant.

Lipid-peroxidation by-product, marker of oxidative damage.

Carcinoembryonic antigen — colorectal and broad GI tumour monitoring.

Prostate-specific antigen, the headline prostate marker.

Refines total PSA risk interpretation.

Historical prostate and bone-disease marker.

Pancreatic and biliary cancer monitoring marker.

Alpha-fetoprotein — liver and germ-cell tumour marker.

Breast cancer monitoring marker.

Ovarian cancer monitoring marker.

Gastric and ovarian cancer monitoring marker.

Squamous cell carcinoma antigen — head, neck, lung and cervical cancers.

Combined antigen/antibody screen for HIV.

Hepatitis B surface antigen — active infection marker.

Hepatitis C antibody screen.

Treponemal antibody screen.

Hepatitis B surface antibody — immunity from vaccination or recovery.

Cytomegalovirus IgG — past exposure and latent infection marker.

Total red blood cell count.

Oxygen-carrying protein concentration.

Volume percentage of red cells in blood.

Average red cell size.

Average haemoglobin concentration per red cell.

Average haemoglobin content per red cell.

Variation in red cell size — relative measure.

Variation in red cell size — absolute measure.

Cells central to clotting.

Average platelet size — reflects platelet turnover.

Total white cell count.

First-line bacterial defence cell count.

Adaptive immunity T and B cell count.

Tissue macrophage precursor count.

Allergy and parasite response cell count.

Acute hypersensitivity response cell count.

Neutrophil proportion of white cells.

Lymphocyte proportion of white cells.

Monocyte proportion of white cells.

Eosinophil proportion of white cells.

Basophil proportion of white cells.

Manual microscopy review of cell morphology and abnormal forms.

Visual clarity and colour of the urine sample.

Urine concentration — reflects hydration and kidney concentrating ability.

Urinary acid–base status.

Bilirubin in urine — flag for liver or biliary disease.

Bilirubin metabolite reflecting liver and haemolysis activity.

Screen for glomerular protein leakage.

Glucose spill, indicative of hyperglycaemia or renal threshold loss.

Urinary ketones, indicate fasting, ketosis or ketoacidosis.

Screen for haematuria or haemoglobinuria.

Indirect screen for white cells and urinary tract infection.

Bacterial metabolic product — supports diagnosis of UTI.

Microscopic red cells in urine.

Microscopic white cells in urine — infection or inflammation.

Squamous or tubular cells shed into urine.

Microscopic bacterial load.

Microscopic yeast — fungal urinary infection.

Mucus strands — non-specific finding.

Mineral crystals — relevant to stone risk.

Tubular casts — flag for intrinsic kidney pathology.

IgE-mediated true allergic response across 48 common foods.

IgE-mediated response to pollens, dust, moulds, animal danders and other airborne triggers.

IgG response across 216 foods — used to surface delayed, non-allergic food sensitivities.

Oxford Nanopore long-read whole-genome sequencing for structural and inherited disease variants.

Variants that determine how you metabolise and respond to common medications.

Variants that influence nutrient handling, methylation and dietary response.