The most complete biomarker panel available, paired with a physician who actually reads the data with you. No PDFs. No dashboards. Just answers, action, and the markers that matter.
The data is the easy part. The interpretation is everything.
Standard annual labs were designed to catch the diseases your insurance company most wants to prevent. They were not built to optimize performance, measure how you are aging, or identify the markers that matter for high-functioning adults.
Direct-to-consumer testing has filled some of that gap. InsideTracker. Function Health. SiPhox. Levels. These have made advanced testing more accessible. But they leave you with a PDF, a dashboard, and no one to read the results with you. Knowing your ApoB is 105 is not useful. Knowing what to do about it is.
Our biomarker program is built around two things. First, the most comprehensive panel of advanced testing available to private patients, including the markers used in the research literature, by the Outlive readership, and by the biohacker community. Second, a physician who sits down with you and walks through every result. What it means. What we change. What we measure next.
Every test in our program is selected because the result will change the plan.
Cardiovascular disease remains the leading cause of death in the United States. Most patients are screened with a basic cholesterol panel. We measure the markers that actually predict risk.
Our cardiometabolic panel goes well beyond standard testing. ApoB measures the actual number of atherogenic particles in your blood, which is a far better predictor of cardiovascular risk than LDL cholesterol alone. Lipoprotein(a) identifies a genetic risk that runs silently in millions of patients. Fasting insulin reveals metabolic dysfunction years before HbA1c does.
Every marker here tells us something we can act on.
Hormones shape mood, energy, sleep, body composition, libido, and how you perform. Yet most patients are tested with a TSH alone, if they are tested at all.
We measure the full endocrine picture. Thyroid in detail. Sex hormones with the precision needed for clinical action. DUTCH cortisol patterns across the day instead of a single morning snapshot. And the methylation polymorphisms (MTHFR, COMT) that affect how you detoxify, metabolize hormones, and respond to nutrients.
For women patients, this panel anchors hormonal care during perimenopause and menopause, including hormone replacement therapy planning.
Your biological age is how old your body is actually functioning. It is one of the most important markers in advanced medicine because it can move in either direction. Faster than your chronological age, or slower.
We use validated epigenetic testing based on DNA methylation patterns, telomere length analysis, and the assays used in current research. Alongside cellular health markers including the omega-3 index, oxidative stress, and the heavy metals burden that quietly accelerates aging in many high-performing adults.
Retesting on schedule lets us see whether your interventions are working at the cellular level.
Biomarkers are not just about risk. They are about output. The same data that tells us about long-term health also tells us about current performance. How much cardiovascular capacity you have to lean on. How well you recover. How well you sleep. How sharp you can be tomorrow morning.
For executives, athletes, parents, and high-functioning adults, this is what makes the difference between getting by and operating at your real ceiling.
We measure the markers used by elite performance programs, with the clinical depth most coaches and quantified-self platforms cannot match.
Two patients with the same condition can respond completely differently to the same medication. One feels better. One has no effect. One has serious side effects.
Pharmacogenomics is the science of how your unique genetic makeup affects how you metabolize and respond to medications. With this testing, we can predict in advance which medications are most likely to work for you, which doses are appropriate, and which to avoid.
It is one of the most useful and most under-used tools in modern medicine. We include it as part of our advanced biomarker program.
Predict response and metabolism for SSRIs, SNRIs, and other psychiatric medications before prescribing.
Identify your response to statins, blood pressure medications, and anticoagulants in advance.
Understand how you metabolize pain medications, anesthetics, and a range of commonly prescribed drugs.
Most patients only think about cognitive decline once it has already begun. By then, biological changes have been quietly underway for ten to twenty years.
Our brain health biomarker panel is built to identify cognitive risk decades before symptoms appear. APOE4 genotyping identifies genetic risk for Alzheimer’s disease. Plasma p-tau and amyloid-beta are blood-based biomarkers that reflect what is happening in the brain itself. NFL and GFAP measure neuronal damage and inflammation.
For patients with family history, complex presentation, or specific clinical concern, we offer expanded genetic markers and additional neurodegenerative panels. This is the data you cannot get anywhere else.
Used alongside our neurology team for the complete picture.
Expanded genetic markers are offered selectively, based on family history, clinical presentation, and patient request. Not every test is appropriate or indicated for every patient.
You have spent years tracking your sleep, your HRV, your glucose, your training. You have run direct-to-consumer panels, paid out of pocket to know what insurance would not test for, downloaded your 23andMe and learned to read it.
What you have not had is a physician who treats your data with the respect it deserves.
At Essenza, we welcome it. The Oura data. The Whoop trends. The CGM curves. The Levels reports. The prior bloodwork. The supplement stack. The performance goals. All of it.
We will also order tests you request, with clinical review and judgment. We will run additional panels you have not considered. And we will sit with you to interpret all of it, together.
The data is the easy part. The interpretation is everything. Begin with a conversation.