The earliest, clearest read on how your body handles fuel, often years before a standard checkup would flag a problem. At its core are fasting insulin and glucose, which together reveal insulin resistance long before blood sugar starts to rise. Around them it adds your three-month blood sugar average (HbA1c), the lipid markers that shift earliest when metabolism slips, and the liver enzymes and uric acid that climb alongside metabolic strain.
See the cheapest way to order →Anyone focused on energy, weight, or long-term metabolic health, with a family history of diabetes, or who wants to catch insulin resistance while it is still easy to reverse.
Your fasting blood sugar, the standard starting point for metabolic health.
Read with glucose, it reveals insulin resistance years before blood sugar rises.
Your three-month average blood sugar, smoothing out day-to-day swings.
Triglycerides and HDL are among the first markers to shift with insulin resistance.
Liver enzymes flag fatty liver, the liver's response to metabolic overload.
A sensitive early marker of fatty liver and metabolic stress that standard panels skip.
Rises with fructose and insulin resistance, and tracks blood-pressure and gout risk.
Low-grade inflammation that travels with metabolic dysfunction.
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10% volume discount (4 items)
Does not include Liver panel, which is why it looks cheaper.
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Fasting matters most here, so fast 9 to 12 hours before a morning draw, water only: glucose, insulin, lipids, and uric acid all depend on it. Avoid alcohol for a day or two beforehand, since it can raise GGT, uric acid, and triglycerides, and skip hard exercise the day before. If you are ill, wait a couple of weeks, because hs-CRP rises with any infection.
Fasting glucose and insulin can move within six to twelve weeks of a real change in diet or activity, so that is a reasonable window to retest if you are actively working on them. HbA1c reflects about three months of blood sugar, so it is not worth rechecking sooner than that. With nothing flagged, once a year keeps an eye on the trend.