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Biomarker Blood Test & Action Plan

More than just another blood test

Unlock a greater understanding of your health with Preamble's Biomarker Blood Test & Action Plan. We measure 100+ key indicators to give you a complete picture of how your body is performing.

Plus, you won't have to interpret an impersonal AI report on your own. You'll meet in-person with a Preamble provider who will review your results and give you a personalized Action Plan – something you just don't get with online blood tests.

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Preamble provider reviewing biomarker blood test results with a patient

What's Included

Lab work for 100+ biomarkers

Take a deep dive into your health with measurements not typically included in a standard physical, including blood sugar and insulin resistance, cardiovascular risk electrolytes, hormones, kidney and liver function, inflammation, and thyroid.

1:1 consultation with a real person, not AI

After your draw, you'll have a 20-minute consultation with a Preamble provider who will review your results, answer your questions, and give you actionable insights based on your personal data.

A personalized action plan

You'll receive a personalized roadmap, one that helps prevent disease, manage risk, and strengthen your health from the inside out.

One Simple Process

1

Schedule your test

Book an appointment to visit a lab near you or schedule an in-home visit.

2

Get your blood draw

A quick blood draw and urine sample will give us actionable insights into your health.

3

Receive an action plan

Meet in-person or virtually to review the results of your initial draw and discuss an Action Plan.

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100+ Biomarkers

See what your primary care physician doesn't measure.

Heart / Cardiovascular Health 12
Apolipoprotein B

Apolipoprotein B estimates the number of atherogenic cholesterol-carrying particles, including LDL and related particles. It can clarify artery risk when LDL cholesterol looks acceptable but particle number remains high.

Lipoprotein (a)

Lipoprotein (a) is a mostly inherited LDL-like particle that can raise cardiovascular risk independent of standard cholesterol numbers. Because it is genetically driven, many people only need it checked once unless treatment strategy changes.

Total Cholesterol

Sum of all cholesterol types; blunt screening tool. It is most useful when reviewed with blood pressure, family history, metabolic markers, medications, and whether the value is improving or worsening over time.

HDL Cholesterol

Helps transport cholesterol back to the liver for recycling. It is most useful when reviewed with blood pressure, family history, metabolic markers, medications, and whether the value is improving or worsening over time.

Triglycerides

Blood fats that rise with refined carbs and alcohol; elevation can increase risk. It is most useful when reviewed with blood pressure, family history, metabolic markers, medications, and whether the value is improving or worsening over time.

LDL Cholesterol

Cholesterol cargo within LDL particles; useful but less precise than ApoB. It is most useful when reviewed with blood pressure, family history, metabolic markers, medications, and whether the value is improving or worsening over time.

Cholesterol/HDLC Ratio

Traditional metric for gauging overall heart risk. It is most useful when reviewed with blood pressure, family history, metabolic markers, medications, and whether the value is improving or worsening over time.

Non-HDL Cholesterol

Captures cholesterol in all "bad" particles when ApoB is unavailable. It is most useful when reviewed with blood pressure, family history, metabolic markers, medications, and whether the value is improving or worsening over time.

Myeloperoxidase*

Myeloperoxidase is an enzyme released by activated white blood cells. Higher values may suggest oxidative stress and vascular inflammation, but it is interpreted alongside standard cardiovascular risk markers.

Trimethylamine N-oxide

Trimethylamine N-oxide, or TMAO, is produced when gut microbes metabolize nutrients found in foods such as red meat, eggs, and fish. It is studied as a cardiovascular and kidney risk signal, though interpretation is still evolving.

OxLDL*

Oxidized LDL reflects LDL particles that have undergone oxidative modification. These particles may be more inflammatory to artery walls, so the result adds context to ApoB, LDL cholesterol, inflammation, and metabolic health.

Lp-PLA2 Activity*

Lp-PLA2 is an enzyme associated with vascular inflammation and plaque biology. It is not a stand-alone diagnosis, but it may add context when evaluating cardiovascular risk and inflammatory burden.

Thyroid 7
TSH

Pituitary control signal regulating thyroid function intensity. Clinicians usually interpret this alongside the rest of the thyroid panel, symptoms, medication use, iodine status, and possible autoimmune thyroid disease.

Free T3

Active thyroid hormone your cells actually use for metabolism. Clinicians usually interpret this alongside the rest of the thyroid panel, symptoms, medication use, iodine status, and possible autoimmune thyroid disease.

Free T4

Main hormone released by thyroid; converted to T3 as needed. Clinicians usually interpret this alongside the rest of the thyroid panel, symptoms, medication use, iodine status, and possible autoimmune thyroid disease.

Reverse T3*

Inactive form rising during illness, stress, or calorie deficiency. Clinicians usually interpret this alongside the rest of the thyroid panel, symptoms, medication use, iodine status, and possible autoimmune thyroid disease.

TPO Antibodies*

Indicates immune system targeting thyroid tissue. Clinicians usually interpret this alongside the rest of the thyroid panel, symptoms, medication use, iodine status, and possible autoimmune thyroid disease.

Thyroglobulin Antibodies*

Detects immune damage to thyroid cells. Clinicians usually interpret this alongside the rest of the thyroid panel, symptoms, medication use, iodine status, and possible autoimmune thyroid disease.

Iodine*

Essential building block for thyroid hormone production. Clinicians usually interpret this alongside the rest of the thyroid panel, symptoms, medication use, iodine status, and possible autoimmune thyroid disease.

Autoimmunity 2
ANA (Antinuclear Antibodies)*

Antibodies targeting cell nuclei, often seen in autoimmune diseases. A positive or elevated result does not diagnose a condition by itself, but it can point to immune activity that may warrant follow-up with symptoms, exam findings, and confirmatory testing.

Rheumatoid Factor*

Antibody potentially indicating rheumatoid arthritis or autoimmune activity. A positive or elevated result does not diagnose a condition by itself, but it can point to immune activity that may warrant follow-up with symptoms, exam findings, and confirmatory testing.

Pancreas 3
Amylase*

Detects salivary disease, pancreatitis, celiac disease, IBD, or tumors. This marker is interpreted in clinical context because digestive symptoms, gallbladder issues, inflammation, medications, and cancer monitoring can require very different follow-up.

Lipase*

Identifies pancreatic inflammation and biliary system conditions. This marker is interpreted in clinical context because digestive symptoms, gallbladder issues, inflammation, medications, and cancer monitoring can require very different follow-up.

CA 19-9*

Tumor marker for monitoring pancreatic or biliary conditions. This marker is interpreted in clinical context because digestive symptoms, gallbladder issues, inflammation, medications, and cancer monitoring can require very different follow-up.

Gut Health 1
Jona Test*

The Jona Test is a commercial gut microbiome test that profiles microbial patterns and provides personalized insights. Results should be interpreted as supportive information rather than a diagnosis.

Dementia 1
Cardio IQ APOE Genotype*

Tests gene type influencing Alzheimer's risk. Genetic risk markers describe probability rather than destiny, so they are most helpful when paired with family history, cardiometabolic risk, sleep, exercise, and cognitive health planning.

Genetic 2
MTHFR*

Gene affecting folate and homocysteine processing; variants reduce enzyme efficiency. Genetic results are lifelong risk information, not a current diagnosis, and usually deserve careful interpretation with family history and a qualified clinician or genetic counselor.

Invitae Comprehensive Genetic Risk Panel*

This hereditary risk panel reviews selected genes associated with cancer, cardiovascular, and metabolic conditions. Results can guide screening conversations, but pathogenic variants require careful clinical and family-history interpretation.

Metabolic Health 18
Hemoglobin A1c

Reflects average blood sugar over approximately 3 months. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Insulin

Shows metabolic effort maintaining fasting blood sugar; early resistance indicator. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Uric Acid

Breakdown product; elevated levels raise blood pressure and vessel irritation. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Homocysteine

Sulfur-based amino acid; elevated levels irritate blood vessel linings. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Leptin*

Leptin is a hormone released by fat tissue that helps regulate appetite and energy balance. Persistently high levels can suggest leptin resistance or excess adipose signaling, especially when paired with insulin resistance and body-composition data.

HOMA-IR Score

HOMA-IR is a calculated estimate of insulin resistance using fasting glucose and fasting insulin. It can reveal metabolic strain before glucose or A1c cross standard diagnostic thresholds.

Glucose

Single morning fasting blood sugar measurement. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

eGFR

Kidney filtration efficiency estimate; higher indicates better function. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Bun/Creatinine Ratio

Interprets kidney and hydration status. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Sodium

Main blood salt reflecting water balance. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Potassium

Mineral maintaining nerve and heart rhythm within tight ranges. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Chloride

Ion supporting acid-base balance with sodium. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Carbon Dioxide

Reflects bicarbonate, the blood's acid buffer system. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Calcium

Mineral essential for bones, nerves, and muscles. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Globulin

Blood proteins including antibodies and carrier proteins. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Albumin/Globulin Ratio

Compares liver-made albumin to immune-related globulins. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Bilirubin, Total

Red cell breakdown product processed by the liver. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Alkaline Phosphatase

Enzyme from bile ducts and bone tissue. Trends across this group help reveal insulin resistance, kidney function, hydration, electrolyte balance, liver-bile patterns, and early metabolic strain before symptoms are obvious.

Nutrients & Minerals 18
Selenium*

Selenium is a trace mineral needed for antioxidant enzymes and thyroid hormone metabolism. Both deficiency and excess can cause problems, so supplement use and dietary intake matter when interpreting results.

Methylmalonic Acid*

Sensitive B12 status marker; elevated indicates functional deficiency. Low or high values are interpreted with diet, supplements, medications, absorption, inflammation, kidney function, and whether related markers point in the same direction.

Magnesium, RBC*

Red blood cell magnesium is intended to reflect intracellular magnesium status more closely than serum magnesium. It can be useful when symptoms, diet, medications, or metabolic issues suggest magnesium depletion.

Vitamin B12*

Supports nerves, brain, and red blood cells. Low or high values are interpreted with diet, supplements, medications, absorption, inflammation, kidney function, and whether related markers point in the same direction.

Folate*

Essential for DNA repair and blood cell production. Low or high values are interpreted with diet, supplements, medications, absorption, inflammation, kidney function, and whether related markers point in the same direction.

Zinc*

Zinc supports immune function, wound healing, taste, reproductive health, and many enzymes. Low or high levels should be interpreted with diet, supplementation, copper balance, and inflammation.

Copper*

Copper supports iron handling, connective tissue, nervous system function, and energy production. It is often interpreted with zinc, iron markers, liver status, and signs of inflammation.

OmegaCheck (EPA+DPA+DHA)

OmegaCheck reflects the omega-3 content of red blood cell membranes, giving a longer-term view of EPA, DPA, and DHA status than a single dietary recall. It is often used to assess fish intake or omega-3 supplementation response.

EPA

EPA is an omega-3 fatty acid involved in inflammation-resolution signaling and triglyceride metabolism. It is often interpreted with DHA, total omega-3 status, and the arachidonic acid to EPA balance.

DPA

DPA is an intermediate omega-3 fatty acid that may help bridge EPA and DHA metabolism. Its level contributes to overall omega-3 status and cell membrane composition.

DHA

DHA is a structural omega-3 fatty acid concentrated in brain, retina, and cell membranes. Low levels may point to limited marine omega-3 intake or absorption issues.

Omega-3 Total

Total omega-3 summarizes the main omega-3 fatty acids measured in the panel. It helps show whether intake and incorporation of omega-3 fats are adequate over the prior several months.

Omega-6 Total

Total omega-6 captures a family of fats used for cell structure and signaling. The result is most meaningful when compared with omega-3 status and the broader diet pattern.

Omega-6/Omega-3 Ratio

The omega-6 to omega-3 ratio describes the balance between two major fatty-acid families. It is a broad dietary pattern marker rather than a direct diagnosis.

Arachidonic Acid/EPA Ratio

The arachidonic acid to EPA ratio compares a key omega-6 signaling fat with a key omega-3 signaling fat. A higher ratio can suggest a more pro-inflammatory fatty-acid pattern.

Arachidonic Acid

Arachidonic acid is an omega-6 fatty acid needed for normal cell signaling and repair. The clinical meaning depends on its balance with EPA and the overall inflammatory picture.

Linoleic Acid

Linoleic acid is an essential omega-6 fatty acid common in many seed and vegetable oils. It is interpreted as part of the full fatty-acid profile, not as an isolated good-or-bad value.

Vitamin D

Storage form supporting bone, muscle, and immune health. Low or high values are interpreted with diet, supplements, medications, absorption, inflammation, kidney function, and whether related markers point in the same direction.

Inflammation 2
High-Sensitivity C-Reactive Protein

Sensitive whole-body inflammation marker; lower is preferred. This value is most informative when trended because short-term infections, injury, intense exercise, chronic disease, and metabolic dysfunction can all move inflammatory markers.

Ferritin

Iron storage indicator; elevation suggests inflammation or iron overload. This value is most informative when trended because short-term infections, injury, intense exercise, chronic disease, and metabolic dysfunction can all move inflammatory markers.

Liver 5
GGT

Liver enzyme rising with hepatic injury. Liver markers are pattern-based: clinicians compare enzymes, proteins, bilirubin, medications, alcohol exposure, exercise, and metabolic risk rather than relying on one value alone.

Albumin

Primary liver-produced protein maintaining vessel fluid and hormone transport. Liver markers are pattern-based: clinicians compare enzymes, proteins, bilirubin, medications, alcohol exposure, exercise, and metabolic risk rather than relying on one value alone.

AST

Liver enzyme also rising with hard workouts or muscle injury. Liver markers are pattern-based: clinicians compare enzymes, proteins, bilirubin, medications, alcohol exposure, exercise, and metabolic risk rather than relying on one value alone.

ALT

Liver enzyme that rises when the liver is irritated or fatty. Liver markers are pattern-based: clinicians compare enzymes, proteins, bilirubin, medications, alcohol exposure, exercise, and metabolic risk rather than relying on one value alone.

Total Protein

Sum of albumin and globulins representing nutrition and immunity proteins. Liver markers are pattern-based: clinicians compare enzymes, proteins, bilirubin, medications, alcohol exposure, exercise, and metabolic risk rather than relying on one value alone.

Kidneys 28
Cystatin C

Kidney function marker less affected by muscle mass than creatinine. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Creatinine

Muscle-waste marker filtered by kidneys; higher indicates lower filtration. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

BUN (Blood Urea Nitrogen)

Protein-waste marker rising with dehydration. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Gravity (urine)

Measures urine concentration; high indicates dehydration. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

pH (urine)

Reflects acidity or alkalinity level. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Glucose (urine)

Detects sugar spillover from elevated blood sugar or diabetes. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Bilirubin (urine)

Appears when liver or bile system is stressed. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Ketones (urine)

Seen in fasting, low-carb diets, or uncontrolled diabetes. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Occult Blood (urine)

Detects non-visible blood traces from infection, stones, or exercise. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Protein (urine)

Checks for albumin; persistent elevation may signal kidney stress. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Nitrite (urine)

Indicates nitrite-producing bacteria; often present in urinary tract infections. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Leukocyte Esterase (urine)

Suggests white blood cells; common UTI indicator. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

WBC (urine)

Microscopic white blood cells; infection or inflammation marker. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

RBC (urine)

Red blood cells suggesting irritation, stones, or infection. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Squamous Epithelial Cells (urine)

Urinary tract surface cells; excess may indicate contamination. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Transitional Epithelial Cells (urine)

Bladder lining cells; high numbers reflect irritation or injury. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Renal Epithelial Cells (urine)

Kidney tubule cells; presence suggests possible kidney injury. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Bacteria (urine)

Indicates bacterial presence. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Calcium Oxalate Crystals (urine)

Common crystals potentially increasing with dehydration. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Triple Phosphate Crystals (urine)

Appear in alkaline urine, often associated with infection. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Uric Acid Crystals (urine)

Form in acidic urine; linked to gout or kidney stones. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Amorphous Sediment (urine)

Unstructured crystal deposits. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Crystals (urine)

General solid particle category. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Hyaline Cast (urine)

Tube-shaped protein molds from kidney tubules. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Granular Cast (urine)

Casts containing cell debris. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Casts (urine)

Tubular structures; type determines significance. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Yeast (urine)

Presence suggests possible fungal infection. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Albumin, Urine

Detects small protein amounts in urine. Kidney and urine findings are interpreted together because hydration, infection, exercise, muscle mass, stones, diabetes risk, and medications can all affect the pattern.

Women's Health 10
Estradiol

Main estrogen supporting mood, bone, heart, and healthy cycles. Timing matters for reproductive hormones, so interpretation depends on age, cycle day, contraceptive or hormone use, symptoms, and fertility or menopause context.

FSH (Follicle-Stimulating Hormone)

Brain signal helping ovaries produce eggs. Timing matters for reproductive hormones, so interpretation depends on age, cycle day, contraceptive or hormone use, symptoms, and fertility or menopause context.

LH (Luteinizing Hormone)

Brain signal triggering ovulation in women. Timing matters for reproductive hormones, so interpretation depends on age, cycle day, contraceptive or hormone use, symptoms, and fertility or menopause context.

Progesterone

Progesterone rises after ovulation and helps prepare and stabilize the uterine lining. Timing of the blood draw is essential because values vary dramatically across the cycle.

AMH*

Anti-Mullerian hormone reflects the pool of small ovarian follicles and is commonly used as one piece of ovarian reserve assessment. It does not guarantee fertility by itself.

DHEA Sulfate

DHEA sulfate is a stable adrenal androgen that serves as a precursor for other sex hormones. It is interpreted with age, sex, symptoms, medications, and other hormone results.

Prolactin*

Pituitary hormone supporting milk production; elevation disrupts cycles. Timing matters for reproductive hormones, so interpretation depends on age, cycle day, contraceptive or hormone use, symptoms, and fertility or menopause context.

Sex Hormone Binding Globulin

Sex hormone binding globulin is a liver-made carrier protein that controls how much testosterone and estradiol remain biologically available. It helps explain why total hormone levels and symptoms do not always match.

Free Testosterone

Unbound active testosterone directly measured and more accurate. Timing matters for reproductive hormones, so interpretation depends on age, cycle day, contraceptive or hormone use, symptoms, and fertility or menopause context.

Total Testosterone

Overall circulating testosterone affecting energy, libido, and mood. Timing matters for reproductive hormones, so interpretation depends on age, cycle day, contraceptive or hormone use, symptoms, and fertility or menopause context.

Men's Health 10
Sex Hormone Binding Globulin

Sex hormone binding globulin is a liver-made carrier protein that controls how much testosterone and estradiol remain biologically available. It helps explain why total hormone levels and symptoms do not always match.

Free Testosterone

Unbound active testosterone directly measured and more accurate. Hormone and prostate markers are best read as a panel, with attention to age, symptoms, medications, fertility goals, prostate history, and repeat trends.

Total Testosterone

Overall circulating testosterone affecting energy, libido, and mood. Hormone and prostate markers are best read as a panel, with attention to age, symptoms, medications, fertility goals, prostate history, and repeat trends.

Estradiol

Main estrogen supporting mood, bone, and heart function. Hormone and prostate markers are best read as a panel, with attention to age, symptoms, medications, fertility goals, prostate history, and repeat trends.

FSH (Follicle-Stimulating Hormone)

Brain signal helping testes produce sperm. Hormone and prostate markers are best read as a panel, with attention to age, symptoms, medications, fertility goals, prostate history, and repeat trends.

LH (Luteinizing Hormone)

Brain signal telling testes to make testosterone. Hormone and prostate markers are best read as a panel, with attention to age, symptoms, medications, fertility goals, prostate history, and repeat trends.

DHEA Sulfate

DHEA sulfate is a stable adrenal androgen that serves as a precursor for other sex hormones. It is interpreted with age, sex, symptoms, medications, and other hormone results.

PSA Total

Prostate protein used for screening and monitoring over time. Hormone and prostate markers are best read as a panel, with attention to age, symptoms, medications, fertility goals, prostate history, and repeat trends.

PSA Free*

Unbound prostate antigen fraction; ratio distinguishes benign from higher-risk changes. Hormone and prostate markers are best read as a panel, with attention to age, symptoms, medications, fertility goals, prostate history, and repeat trends.

Prolactin*

Pituitary hormone; elevation disrupts testosterone balance. Hormone and prostate markers are best read as a panel, with attention to age, symptoms, medications, fertility goals, prostate history, and repeat trends.

Blood Health & Anemia 37
White Blood Cell Count

Infection-fighting cells; levels vary with illness and inflammation. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Red Blood Cell Count

Number of red cells; useful alongside hemoglobin and hematocrit. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Hemoglobin

Oxygen-carrying protein in red cells; screens for anemia. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Hematocrit

Percentage of blood that's red cells; screens for anemia or high counts. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

MCV

Average red cell size helping classify anemia type. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

MCH

Average hemoglobin per red cell. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

MCHC

Hemoglobin concentration inside red cells; adds anemia classification context. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

RDW

Shows variation in red cell sizes. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Platelet Count

Platelets help your blood clot; too few raises bleeding risk. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

MPV

Average platelet size indicator. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Neutrophils

Neutrophil percentage within total white count. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Absolute Neutrophils

Core infection-fighting cells; high in bacterial infection. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Lymphocytes

White blood cells driving immune memory and viral defense. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Absolute Lymphocytes

White cell subtype counts reflecting infection or inflammation type. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Monocytes

Long-lived cells clearing infection and supporting healing. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Absolute Monocytes

Measures cleanup and infection-fighting monocytes. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Eosinophils

Eosinophil percentage within total white count. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Absolute Eosinophils

White cell counts reflecting infection, allergy, or inflammation. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Basophils

Basophil percentage within total white count. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Absolute Basophils

White cell subtype counts reflecting infection or inflammation. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Band Neutrophils

Immature neutrophil forms released during infection or inflammation. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Absolute Band Neutrophils

Early white blood cells released during infection or inflammation. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Metamyelocytes

Immature white cell developmental stages. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Absolute Metamyelocytes

Very immature white blood cells. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Myelocytes

Immature white cell developmental stages. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Absolute Myelocytes

Early-stage white blood cell form. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Promyelocytes

Immature white cell developmental stages. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Absolute Promyelocytes

Even more immature precursor cells. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Reactive Lymphocytes

Activated lymphocytes in viral infections or immune reactions. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Blasts

Early immature marrow cells; normally absent. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Absolute Blasts

Immature precursor cells normally absent from circulation. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Nucleated RBC

Immature red cells. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Absolute Nucleated RBC

Red cell precursors typically remaining in bone marrow. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Iron, Total*

Total circulating iron bound to transport proteins. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Iron, Binding Capacity*

Blood's ability to carry iron measurement. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Iron % Saturation*

Percentage of binding sites filled with iron. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Blood Type*

Basic blood type (A, B, AB, or O); important for transfusions. CBC and iron studies work as a group, helping separate anemia types, inflammation, infection patterns, clotting concerns, and whether follow-up blood smear or nutrient testing is needed.

Infectious Disease 1
Lyme Disease*

Tests for antibodies that confirm exposure or infection from tick-borne bacteria. Infectious disease testing depends heavily on timing, exposure history, symptoms, and the test method because antibodies and direct detection tests answer different questions.

Cancer Detection 1
Galleri by Grail*

Multi-cancer early detection test screening for many deadly cancers before symptoms appear. Cancer screening tests can be useful but are not diagnostic by themselves; abnormal results generally require confirmatory imaging, specialist review, or additional testing.

Sexual Health 8
Trichomonas*

Detects Trichomonas vaginalis parasitic infection. STI results should be interpreted with timing since exposure, symptoms, anatomic site tested, vaccination status, and whether repeat or confirmatory testing is recommended.

Chlamydia / N. Gonorrhoeae*

Detects two bacterial sexually transmitted infections. STI results should be interpreted with timing since exposure, symptoms, anatomic site tested, vaccination status, and whether repeat or confirmatory testing is recommended.

HSV 1/2 IgG, Type Specific Antibody*

Identifies herpes simplex virus 1 and 2 antibodies. STI results should be interpreted with timing since exposure, symptoms, anatomic site tested, vaccination status, and whether repeat or confirmatory testing is recommended.

HIV 1/2 Antigen/Antibody, Fourth Generation with Reflex*

High-sensitivity HIV screening. STI results should be interpreted with timing since exposure, symptoms, anatomic site tested, vaccination status, and whether repeat or confirmatory testing is recommended.

RPR (DX) with Reflex Titer and Confirmatory Testing*

Syphilis screening with confirmation. STI results should be interpreted with timing since exposure, symptoms, anatomic site tested, vaccination status, and whether repeat or confirmatory testing is recommended.

Syphilis*

Screens for Treponema pallidum antibodies. STI results should be interpreted with timing since exposure, symptoms, anatomic site tested, vaccination status, and whether repeat or confirmatory testing is recommended.

Hepatitis B*

Detects viral antigens or antibodies for current or past infection. STI results should be interpreted with timing since exposure, symptoms, anatomic site tested, vaccination status, and whether repeat or confirmatory testing is recommended.

Hepatitis C*

Screens for antibodies or viral RNA detecting hepatitis C. STI results should be interpreted with timing since exposure, symptoms, anatomic site tested, vaccination status, and whether repeat or confirmatory testing is recommended.

Toxins & Heavy Metals 5
Mercury, Blood*

Blood mercury reflects relatively recent exposure, often from certain fish, occupational sources, or environmental contact. Interpretation depends on mercury type, exposure history, pregnancy status, and whether exposure is ongoing.

Lead (venous)*

Toxic metal with no safe level; from old paint, plumbing, or hobbies. Exposure markers are interpreted with occupational, environmental, dietary, and housing history, and elevated levels may require source control and public health guidance.

Arsenic, Blood*

Blood arsenic can reflect recent exposure from well water, industrial sources, rice, or some seafood. Follow-up may distinguish organic seafood-related arsenic from more toxic inorganic forms.

Aluminum, Blood*

Blood aluminum testing is used when clinically significant exposure is suspected, especially in occupational or kidney-disease contexts. Mild elevations need careful interpretation because contamination and exposure history matter.

BPA Exposure*

BPA exposure testing evaluates contact with bisphenol A, a plastic and food-lining chemical studied for endocrine-disrupting effects. Results are exposure clues, not a diagnosis.

Stress & Aging 1
Cortisol

Cortisol is the body's main glucocorticoid stress hormone and follows a strong daily rhythm. The timing and type of test are critical because morning, evening, saliva, urine, and blood measurements answer different questions.

* Tests Available at Additional Cost

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Questions about the Preamble Biomarker Blood Test

Everything you need to know about Preamble — from how to get started to pricing, insurance, and what to expect.

What does the Preamble Biomarker Blood Test & Action Plan include?
  • Measurement of 100+ biomarkers
  • Member-only rates on repeat testing and other blood tests not covered by Biomarker Blood Test
  • In-person or virtual review of your tests with a Preamble provider – not AI
  • A personalized Action Plan based on your results
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Anyone starting on a health journey or seeking foundational health benchmarks.
Does Preamble offer medication support for Hormone Replacement Therapy (HRT) or Testosterone Replacement Therapy (TRT)?
Yes, we do! You can add medication support by upgrading to our Core Membership.
Does Preamble offer medication support for GLP-1s?
Yes, we do! You can add medication support by upgrading to our Core Membership.
Is the Biomarker Blood Test & Action Plan covered by insurance?
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