Services/Discovery Diagnostics/Advanced Biomarker Testing
Advanced Biomarker Testing

A hundred data points, read by someone who knows what they mean.

This blood test provides insights into your current health and detects early signs of issues like diabetes, hormonal imbalances, and heart disease, promoting a proactive approach to wellness.

Overview

Comprehensive Biomarker Panel: A Deep Look at Your Health

Our advanced biomarker panel goes far beyond a standard annual checkup. With dozens of individual markers, we build a detailed picture of how your body is functioning: hormones, metabolism, heart health, inflammation, nutrients, and organ function, all in one comprehensive draw.

  • ✓Hormone Balance: Thyroid, adrenal, and reproductive hormones affecting energy, mood, weight, and vitality
  • ✓Blood Sugar & Metabolism: Early insight into how your body processes sugar and insulin
  • ✓Heart Health: Advanced cholesterol and lipid markers beyond a standard panel
  • ✓Inflammation & Immunity: Sensitive markers for inflammation and autoimmune activity
  • ✓Nutrient Status: Key vitamins and minerals essential for energy and brain function
  • ✓Organ Function: A full check on liver, kidney, and digestive health
  • ✓Complete Blood Count: Immune health, oxygen delivery, and overall vitality

This depth of testing lets us move beyond "normal" and toward what's truly optimal for you, finding root causes, not just symptoms.

Advanced Biomarker Testing at Alive and Well
Meet your provider

How Discovery Diagnostics works

Dr. Roxanne Pero explains how Discovery Diagnostics gives us the data behind your Advanced Biomarker Panel, read against what's optimal for you, not just what's normal. Your results are reviewed with one of our nurse practitioners or physician assistants.

Biomarker index

Precision at the cellular level.

Our lab reports are interpreted, not just delivered. We track over 120 markers to build a living picture of your metabolic, hormonal, and inflammatory health.

Alive and Well biomarker report
01

Hemoglobin A1c

Metabolic

A 3-month snapshot of average blood sugar. Essential for spotting pre-diabetic shifts and glycation-related aging before they progress.

02

Fasting Insulin

Endocrine

The earliest marker of insulin resistance. Elevated levels often precede abnormal glucose by years and drive inflammation and weight gain.

03

Free T3

Thyroid

The active thyroid hormone that regulates metabolism, energy, and body temperature. Standard panels often miss this critical marker.

04

hs-CRP

Inflammation

High-sensitivity C-reactive protein helps quantify low-grade inflammation, a key driver of cardiovascular and metabolic disease risk.

Who it's for

Designed for specific patterns, not everyone.

01

Anyone who has been told their labs are normal while feeling anything but

02

Longevity-focused patients building a decade-long baseline

03

Athletes tracking recovery, iron, and inflammatory load across a season

What's included

The full scope of care.

Expanded panel

Over 100 markers spanning metabolic, cardiovascular, hormonal, thyroid, nutrient, and inflammatory systems.

NP/PA-led review

A dedicated review visit with one of our nurse practitioners or physician assistants, walking through every out-of-range and every borderline value.

Trending over time

Results stored and charted so the next draw is compared to you, not to a population.

The panel, in detail

Every marker, and what it means.

Hormonal Balance

Your hormones govern far more than reproduction. They shape your energy, sleep, mood, motivation, and how your body ages. This panel captures the key sex and adrenal hormones so we can identify imbalances long before they show up as fatigue, weight changes, or burnout.

DHEA

An adrenal hormone that reflects your body's stress resilience and serves as a raw material for other key hormones.

StandardM: 100–620 µg/dL · F: 60–380 µg/dL
OptimalM: >300 µg/dL · F: >150 µg/dL

Cortisol, Total (AM)

Your primary stress hormone. Patterns that run too high or too low can point to adrenal strain or chronic stress.

Standard6–23 µg/dL
Optimal10–16 µg/dL

FSH & LH

Pituitary signals that drive reproductive hormone production in both men and women.

StandardVaries by sex & cycle phase
OptimalReviewed individually

Estradiol

The primary form of estrogen, central to mood, bone density, and metabolic health.

StandardM: 10–40 pg/mL · F: varies by cycle
OptimalReviewed individually

Progesterone

Works alongside estrogen to support hormonal balance, mood stability, and restful sleep.

StandardF (luteal): 1.8–24 ng/mL · M: <1 ng/mL
OptimalReviewed individually

Testosterone (Free & Total) + SHBG

Essential for muscle, drive, and cognitive sharpness in both men and women; SHBG shows how much is actually available for your body to use.

StandardTotal, M: 264–916 ng/dL · Total, F: 8–60 ng/dL
OptimalM: >600 ng/dL · F: upper third of range

Thyroid Function

The thyroid quietly sets the pace for nearly every system in the body: metabolism, temperature, energy, and mental clarity. A standard TSH test alone often misses subtle dysfunction, so we look at the fuller picture.

TSH

The pituitary signal that tells your thyroid how much hormone to make.

Standard0.4–4.5 mIU/L
Optimal0.5–2.5 mIU/L

Free T4

The main storage form of thyroid hormone circulating in your blood.

Standard0.8–1.8 ng/dL
Optimal1.0–1.5 ng/dL

Free T3

The active form of thyroid hormone your cells actually use for energy.

Standard2.3–4.2 pg/mL
Optimal3.0–4.0 pg/mL

Reverse T3

An inactive counterpart to T3 that can rise during stress or illness, giving insight into how efficiently your thyroid hormone is being used.

Standard9.2–24.1 ng/dL
Optimal<15 ng/dL

TPO & Thyroglobulin Antibodies

Screens for autoimmune activity against the thyroid, often the earliest sign of thyroid dysfunction.

StandardTPO <9 IU/mL · Tg <4 IU/mL
OptimalUndetectable

Metabolic & Blood Sugar Health

Blood sugar and insulin issues develop silently for years before a diagnosis of prediabetes or diabetes ever appears. These two markers give us an early, high-resolution view of how your body is managing sugar and insulin.

Hemoglobin A1c

A three-month average of your blood sugar, and one of the most important long-term metabolic markers we track.

Standard<5.7%
Optimal<5.3%

Insulin, Fasting

Often rises years before blood sugar does, making it one of the earliest available warning signs of metabolic dysfunction.

Standard<25 µIU/mL
Optimal<5 µIU/mL

Cardiovascular Health

Heart disease remains the leading cause of death, and a standard cholesterol panel only tells part of the story. We add advanced particle and genetic markers to get a far more complete read on your cardiovascular risk.

Total Cholesterol

The sum of all cholesterol carried in your blood.

Standard<200 mg/dL
Optimal150–180 mg/dL

LDL Cholesterol

"Bad" cholesterol. Elevated levels contribute to plaque buildup in the arteries.

Standard<100 mg/dL
Optimal<80 mg/dL

HDL Cholesterol

"Good" cholesterol. Helps clear excess cholesterol from the arteries.

StandardM: >40 mg/dL · F: >50 mg/dL
Optimal>60 mg/dL

Triglycerides

A form of stored fat in the blood; elevated levels raise cardiovascular and metabolic risk.

Standard<150 mg/dL
Optimal<80 mg/dL

ApoB

Counts the actual number of artery-clogging particles in your blood, a sharper predictor of heart disease risk than LDL alone.

Standard<100 mg/dL
Optimal<80 mg/dL

Lp(a)

A largely genetic marker that can meaningfully raise cardiovascular risk, and one most people never get tested for.

Standard<30 mg/dL
Optimal<30 mg/dL

Oxidized LDL

Measures how much of your LDL cholesterol has been damaged by oxidative stress, a key step in plaque formation. Reference ranges vary by lab methodology.

Standard<60 U/L*
Optimal<50 U/L*

Inflammation & Immune Function

Low-grade, chronic inflammation is linked to nearly every major age-related disease, often without a single symptom to warn you. These markers help us see what's happening beneath the surface.

hs-CRP

A highly sensitive marker of systemic inflammation, closely tied to cardiovascular and metabolic risk.

Standard<3.0 mg/L
Optimal<1.0 mg/L

Homocysteine

Reflects vascular and cellular health; elevated levels are associated with oxidative stress and heart disease risk.

Standard<15 µmol/L
Optimal<8 µmol/L

ANA Screen

Screens for early autoimmune activity, with reflex testing to clarify any positive result.

StandardNegative (<1:40)
OptimalNegative

Nutrient Status

Even a well-balanced diet can leave you low in the nutrients your body relies on most. These markers uncover hidden deficiencies that quietly affect energy, mood, and cognitive sharpness.

Ferritin

Your body's iron reserves. Too low drives fatigue, too high can signal inflammation or oxidative stress.

StandardM: 30–400 ng/mL · F: 15–150 ng/mL
Optimal50–100 ng/mL

Folate, RBC

A longer-term view of folate status than a standard serum test, important for energy and cellular repair.

Standard>280 ng/mL
Optimal>400 ng/mL

Vitamin B12

Essential for energy, nerve function, and cognitive clarity.

Standard200–900 pg/mL
Optimal>500 pg/mL

Vitamin D

Beyond bone health, a key modulator of immune function and mood.

Standard30–100 ng/mL
Optimal50–80 ng/mL

Organ & Digestive Function

Your liver, kidneys, and digestive organs work around the clock to process nutrients and clear waste. This panel gives us a comprehensive view of how efficiently those systems are running.

Comprehensive Metabolic Panel

A foundational check of liver enzymes, kidney function, electrolytes, and blood sugar: 14 components, each reviewed against its own reference range.

Standard14 components
Optimal14 components

GGT

A liver enzyme that's especially sensitive to early liver stress and detoxification burden.

StandardM: <65 U/L · F: <45 U/L
Optimal<20 U/L

Iron, Total

Circulating iron available for your body to use.

Standard60–170 µg/dL
Optimal85–130 µg/dL

TIBC

Shows how much of your blood's iron-carrying capacity is being used.

Standard250–450 µg/dL
Optimal25–35% saturation

Lipase

A pancreatic enzyme that helps assess pancreatic and digestive health.

Standard10–140 U/L
OptimalWithin range

Amylase

A digestive enzyme from the pancreas and salivary glands.

Standard30–110 U/L
OptimalWithin range

Uric Acid

A metabolic byproduct linked to joint health, kidney function, and metabolic syndrome risk.

StandardM: 3.5–7.2 mg/dL · F: 2.6–6.0 mg/dL
Optimal<5.5 mg/dL

Complete Blood Count

A full evaluation of your red cells, white cells, and platelets, offering insight into immune health, oxygen delivery, and overall vitality.

CBC with Differential

Evaluates red blood cells, white blood cell types, and platelets to assess immune function, oxygen-carrying capacity, and overall blood health.

Standard18 components
Optimal18 components
Clinical detail

We read every value against functional optimal ranges and your own history, then explain what each one means for the plan.

The Providers

Lauren Colletti, FNP, IFMCP

Lauren Colletti, FNP, IFMCP

IFM Certified Family Nurse PractitionerAustin
Daniel Chege, MSN, APRN, FNP-BC, FMCP-M

Daniel Chege, MSN, APRN, FNP-BC, FMCP-M

Integrative, Longevity, and Functional Medicine ClinicianDallas

Clinical detail

01

ApoB

Particle count: the most actionable cardiovascular risk number in the panel.

02

Lp(a)

Genetically set, measured once, and decisive for lifetime risk planning.

03

hs-CRP

Systemic inflammatory tone that connects metabolic, cardiac, and cognitive risk.

Getting started

From lab draw to a plan built around your numbers.

Testing, review, and your personalized protocol, sequenced so every recommendation traces back to your own data, not a population average.

01

Schedule your panel

Book your advanced lab draw at our clinic. Most patients are in and out in under 30 minutes.

02

Meet with your clinician

Review your full results one-on-one with a member of our clinical team, who walks you through what your numbers mean and where your opportunities lie.

03

Build your protocol

From there, we design a plan tailored to your results, spanning lifestyle modifications, supplementation, prescriptions (e.g. hormone optimization, peptide therapy), and wellness therapies.

04

Stay connected

As a member, continue working with your clinician and health coach to implement your plan, make modifications over time, and dive deeper into testing.

Questions

Before you book.

Do I need to fast?

Yes. A 10 to 12 hour fast, water and medications permitted.

How long until results?

Most panels return in 5 to 7 business days, and your review visit is scheduled at the draw.

Gift Cards

Give the gift of feeling their best.

Alive and Well gift cards can be used toward any service, membership, or product at any of our locations. An easy way to share what you already love.

Explore gift cards
Two friends relaxing together in an infrared sauna at Alive and Well