← Back to OmniWellTHE DETAILS BEHIND YOUR CARE

A deeper understanding
of your health.

From advanced bloodwork and whole-genome sequencing to imaging, movement, and nutrition. Explore the tests, what they measure, and how they can inform your care.

Testing with purpose. Your physician selects assessments around your history, goals, and clinical needs. Options still being evaluated are marked Under Review or Future Evaluation. A listing does not mean every test is recommended for every person. Foundation covers the initial assessment and results review; Signature and Pinnacle cover a program year. Labels below distinguish included services, conditional testing and separately purchased add-ons. Compare complete programs, visits and benefits ↗

01 / ASSESSMENTS

Physician-Led Medicine

Interpretation brings the details together.

Your history, examination, and goals give every test its context. Your physician connects the findings to clear priorities and a personal plan.

All Assessment Areas ↑
Physician and patient reviewing health assessment findings together

Medical History & Physician Examination

Start with your health story, family history, medications, supplements, symptoms, and priorities.

Physician physical examination
A focused examination that connects your symptoms, medical history, and test findings with the next steps in care.
Resting blood pressure and heart rate
Resting blood pressure and pulse provide baseline cardiovascular information; abnormal readings may need repeat or home measurements.
Height, weight and waist circumference
Height, weight, waist circumference, and BMI add context to body-composition findings. BMI alone cannot distinguish muscle from fat.

Your results review includes interpretation of longevity testing, a personalized prescriptive plan when appropriate, and clear goals for follow-up.

Sleep & Cognition

Selected evaluations help investigate concerns that may affect day-to-day function.

Structured cognitive assessmentWhen Indicated
When clinically indicated, a structured assessment of selected areas such as memory, attention, and executive function. Your physician interprets the findings and guides any follow-up.

Testing frequency: Only when clinically indicated; no automatic repeat schedule.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

Sleep assessment — history and questionnaires
Sleep history and selected questionnaires are included in your physician assessment. If indicated, we recommend diagnostic sleep testing through an outside provider. Questionnaires do not diagnose sleep apnea.

Testing frequency: Initial physician assessment; selected reassessment at follow-up.

Included in the initial assessment in all three programs.

Inclusion and fee details

Included in the physician assessment in all tiers. Ongoing reassessment within the scheduled Signature/Pinnacle visits.

Cardiovascular Evaluation

Additional examinations and measurements are selected for a defined clinical question.

Resting 12-lead ECGWhen Indicated
Your physician may request a 12-lead ECG to evaluate heart rhythm and conduction when clinically indicated. This is not a routine test in every package.

Testing frequency: Only when clinically indicated; no automatic repeat schedule.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel. ECG availability and delivery arrangements will be confirmed before scheduling.

Lifestyle, Mindset & Well-Being

Your habits, priorities and daily routines help put the clinical findings into context.

Mindset coaching supports goals, habits, resilience and well-being. It is not psychotherapy or psychiatric care.

Foundation: Routine assessment only

Signature: Routine assessment and follow-up

Pinnacle: Included

Pinnacle adds a structured review of sleep, activity, recovery, stress, daily routines and personal goals.

Foundation: Optional; separately purchased

Signature: Optional; separately purchased

Pinnacle: Optional; separately purchased

Optional coaching focused on goals, habits, resilience and well-being. Not bundled into any tier; coaching arrangements and fees confirmed separately. Not psychotherapy or psychiatric care.

Foundation: Not included

Signature: Optional; separately purchased

Pinnacle: Platform access included for the program year

Patient supplies their own compatible Apple Watch. Trends reviewed during scheduled physician follow-ups; no continuous clinical or emergency monitoring.

02 / ASSESSMENTS

Advanced Blood Testing

A closer look at the signals within.

Explore the panels and individual markers that inform your cardiovascular, metabolic, hormonal, and nutritional health. Urine and stool tests are grouped separately below.

All Assessment Areas ↑
Clinical blood collection with a gloved clinician

Complete Blood Count (CBC) with Differential

Blood-cell counts and characteristics help evaluate oxygen transport, immune-cell patterns, and clotting. The components stay together as one panel.

White blood cell count
Counts infection-fighting cells. Helps assess immune responses and investigate abnormal blood-cell patterns.
Red blood cell count
Counts the cells that carry oxygen throughout your body.
Hemoglobin
Measures the oxygen-carrying protein in red blood cells; helps evaluate anemia or an elevated red-cell concentration.
Hematocrit
Shows the proportion of your blood made up of red blood cells.
MCV
Mean corpuscular volume: the average size of your red blood cells, useful when evaluating anemia.
MCH
Mean corpuscular hemoglobin: the average amount of hemoglobin in each red blood cell.
MCHC
Mean corpuscular hemoglobin concentration: how concentrated hemoglobin is within your red blood cells.
RDW
Red cell distribution width: the variation in red-cell size, interpreted alongside other CBC findings.
Platelet count
Counts the blood cells that help form clots and stop bleeding.
Neutrophils — absolute count
Counts neutrophils, a white-cell type involved in responding to infections and tissue injury.
Neutrophils — percentage
Shows the proportion of white blood cells that are neutrophils, a white-cell type involved in responding to infections and tissue injury.
Lymphocytes — absolute count
Counts lymphocytes, white cells central to immune recognition and response.
Lymphocytes — percentage
Shows the proportion of white blood cells that are lymphocytes, white cells central to immune recognition and response.
Monocytes — absolute count
Counts monocytes, white cells that help respond to infection and clear damaged tissue.
Monocytes — percentage
Shows the proportion of white blood cells that are monocytes, white cells that help respond to infection and clear damaged tissue.
Eosinophils — absolute count
Counts eosinophils, white cells associated with allergic responses and some infections.
Eosinophils — percentage
Shows the proportion of white blood cells that are eosinophils, white cells associated with allergic responses and some infections.
Basophils — absolute count
Counts basophils, white cells involved in allergic and inflammatory responses.
Basophils — percentage
Shows the proportion of white blood cells that are basophils, white cells involved in allergic and inflammatory responses.

Comprehensive Metabolic Panel (CMP)

A coordinated panel for blood sugar, electrolytes, proteins, and kidney and liver function. The associated eGFR is calculated from measured results.

Glucose
Measures blood sugar at the time of collection; fasting status helps put the result in context.
Sodium
An electrolyte involved in fluid balance and nerve and muscle function.
Potassium
An electrolyte important for muscle function and the heart's electrical activity.
Chloride
An electrolyte that helps regulate fluid balance and the body's acid–base balance.
Total CO2 / bicarbonate estimate
Provides information about acid–base balance, interpreted with the other electrolytes.
Blood urea nitrogen (BUN)
Measures a waste product from protein metabolism; helps assess kidney function and hydration in context.
Creatinine
A muscle-related waste product used to estimate kidney filtration. Muscle mass and creatine use can affect it.
Calcium, total
Measures calcium in the blood; interpreted with albumin, kidney function, and relevant symptoms.
Albumin
Measures a protein made by the liver that carries substances in the blood and helps maintain fluid balance.
Total protein
Measures albumin and other blood proteins, providing context for liver, kidney, and immune health.
AST
Aspartate aminotransferase: an enzyme found in the liver and muscle. Exercise can influence the result.
ALT
Alanine aminotransferase: an enzyme that helps assess liver-cell injury in the appropriate clinical context.
Alkaline phosphatase
An enzyme associated with the bile ducts and bone; other results help identify the source of an elevation.
Total bilirubin
Measures a pigment produced as red blood cells break down; helps evaluate liver and bile-processing function.
eGFR — creatinine-based
An estimate of kidney filtration calculated from creatinine and other factors. A derived result, not another blood assay.

Lipid Panel

The standard cholesterol profile, kept together for interpretation.

Total cholesterol
Measures cholesterol across the main circulating lipoproteins; interpreted as part of the full lipid profile.
HDL cholesterol
Measures cholesterol carried by HDL particles. Its meaning depends on the broader cardiovascular picture.
Triglycerides
Measures circulating fats influenced by metabolism, diet, alcohol, medications, and genetics.
LDL cholesterol
Measures or estimates cholesterol carried by LDL particles, a major factor in cardiovascular risk assessment.
Non-HDL cholesterol
Total cholesterol minus HDL cholesterol; captures cholesterol in particles associated with artery disease.

Advanced Cardiovascular & Inflammation Markers

Additional information about particle burden, inherited lipid risk, and inflammation.

Apolipoprotein B (ApoB)
Helps estimate the number of cholesterol-carrying particles that can contribute to arterial plaque.

Testing frequency: Initial only; no scheduled annual repeat. Reorder only if a later clinical need arises.

Included in the initial assessment in all three programs.

Inclusion and fee details

Included initially in all tiers. No automatic annual repeat; later testing selected for clinical need within the applicable care period.

Lipoprotein(a)
Lp(a) is a largely inherited cardiovascular risk marker that adds information beyond a standard cholesterol panel.

Testing frequency: Initial only; no scheduled annual repeat. Reorder only if a later clinical need arises.

Included in the initial assessment in all three programs.

Inclusion and fee details

Included initially in all tiers. No automatic annual repeat; later testing selected for clinical need within the applicable care period.

High-sensitivity CRP (hs-CRP)When Indicated
Measures low-level inflammation that can add cardiovascular-risk context. Illness and recent exertion can affect results.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

Glucose & Insulin Testing

Different measures of blood sugar and insulin response are used according to the question being asked.

Hemoglobin A1c
Reflects average blood sugar over roughly two to three months; some blood-cell conditions can affect accuracy.

Testing frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Initial assessment included in all tiers. Annual testing and selected clinically needed repeats included in Signature/Pinnacle; later Foundation testing separately purchased.

Fasting insulinWhen Indicated
Measures fasting insulin alongside glucose to explore insulin response and metabolic health in selected circumstances.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

HOMA-IR estimateWhen Indicated
A calculation using fasting glucose and insulin. It estimates insulin resistance but has no single universal diagnostic cutoff.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

Thyroid Function & Antibodies

Hormone measurements assess function; selected antibody tests help investigate autoimmune thyroid disease.

Thyroid-stimulating hormone (TSH)
A pituitary signal that helps assess how the thyroid is functioning.

Testing frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Initial assessment included in all tiers. Annual testing and selected clinically needed repeats included in Signature/Pinnacle; later Foundation testing separately purchased.

Free T4
Measures the unbound portion of thyroxine, a main thyroid hormone, alongside TSH and the clinical picture.

Testing frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Initial assessment included in all tiers. Annual testing and selected clinically needed repeats included in Signature/Pinnacle; later Foundation testing separately purchased.

Free T3
Measures unbound triiodothyronine, an active thyroid hormone, when useful for interpreting thyroid function.

Testing frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Initial assessment included in all tiers. Annual testing and selected clinically needed repeats included in Signature/Pinnacle; later Foundation testing separately purchased.

Thyroid peroxidase antibody (TPO Ab)When Indicated
Looks for an antibody associated with autoimmune thyroid disease when relevant to the thyroid assessment.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

Iron Studies

Iron, binding capacity, saturation, and ferritin are interpreted together.

Ferritin
Helps assess iron stores. It can also rise with inflammation, so a high result does not always mean excess iron.
Serum iron
Measures circulating iron, interpreted together with ferritin and iron-binding measurements.
Total iron-binding capacity (TIBC)
Estimates the blood's capacity to carry iron, helping clarify iron deficiency or excess.
Transferrin saturation
The proportion of iron-binding capacity occupied by iron, calculated from iron and TIBC.

Vitamins, Minerals & Fatty Acids

Measured nutrient markers inform assessment alongside diet, symptoms, and relevant medical conditions.

Vitamin B12
Assesses a vitamin needed for nerves and red-cell production; additional testing can clarify borderline results.

Testing frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Initial assessment included in all tiers. Annual testing and selected clinically needed repeats included in Signature/Pinnacle; later Foundation testing separately purchased.

25-hydroxyvitamin D
The main blood marker of vitamin D status, interpreted in relation to bone health and individual risk factors.

Testing frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Initial assessment included in all tiers. Annual testing and selected clinically needed repeats included in Signature/Pinnacle; later Foundation testing separately purchased.

Homocysteine
An amino acid influenced by B vitamins, kidney function, and other factors; interpreted alongside measured health findings.

Testing frequency: Initial assessment, selected as appropriate; repeat only as needed in Signature/Pinnacle. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Included initially in all tiers, with clinical selection. Subsequent selected routine testing included in Signature/Pinnacle only when needed; no automatic annual repeat.

RBC omega-3 index (EPA + DHA)
Measures EPA and DHA in red-cell membranes to inform a discussion of dietary fat intake and nutrition.

Testing frequency: Initial assessment if selected; repeat based on findings or treatment, not automatically at every follow-up.

Separately purchased; clinical need and any existing coverage reviewed first.

Inclusion and fee details

Optional and separately purchased in all three tiers; cost explained before ordering.

Methylmalonic acid (MMA)When Indicated
Can help clarify vitamin B12 status when initial findings are uncertain; kidney function affects interpretation.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

Serum folateWhen Indicated
Assesses folate status when deficiency or a related clinical concern is suspected.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

Serum magnesiumWhen Indicated
Measures magnesium in the blood for selected clinical questions; it does not capture all magnesium stored in the body.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

ZincWhen Indicated
Evaluates a suspected zinc deficiency or excess, interpreted with diet, supplements, symptoms, and specimen conditions.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

Parathyroid hormone (PTH)When Indicated
Helps explain calcium and bone-mineral findings alongside vitamin D and kidney function.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

Additional Kidney, Liver & Muscle Markers

Focused testing can clarify findings from the core panels.

Cystatin C
An additional kidney-filtration marker that can be useful when creatinine is harder to interpret, including with unusual muscle mass.

Testing frequency: Initial assessment, selected as appropriate; repeat only as needed in Signature/Pinnacle. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Included initially in all tiers, with clinical selection. Subsequent selected routine testing included in Signature/Pinnacle only when needed; no automatic annual repeat.

eGFR — combined creatinine/cystatin C
Estimates kidney filtration using both markers, when an appropriate combined equation is reported.

Testing frequency: Initial assessment, selected as appropriate; repeat only as needed in Signature/Pinnacle. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Included initially in all tiers, with clinical selection. Subsequent selected routine testing included in Signature/Pinnacle only when needed; no automatic annual repeat.

Uric acid
Measures urate, relevant to gout, kidney stones, and selected metabolic or kidney questions.

Testing frequency: Initial assessment, selected as appropriate; repeat only as needed in Signature/Pinnacle. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Included initially in all tiers, with clinical selection. Subsequent selected routine testing included in Signature/Pinnacle only when needed; no automatic annual repeat.

Gamma-glutamyl transferase (GGT)When Indicated
Helps clarify selected liver and bile-duct findings. It is not a general detoxification score.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

Creatine kinase (CK)When Indicated
Measures a muscle enzyme when symptoms or other findings raise a specific muscle-related concern.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

Hormone & Endocrine Testing

Timing, symptoms, medications, and reproductive stage guide selection and interpretation.

Total testosterone
Measures total circulating testosterone when symptoms or clinical findings warrant assessment; collection timing matters.

Testing frequency: Initial assessment, selected as appropriate; repeat only as needed in Signature/Pinnacle. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Included initially in all tiers, with clinical selection. Subsequent selected routine testing included in Signature/Pinnacle only when needed; no automatic annual repeat.

Sex hormone-binding globulin (SHBG)
Measures a hormone-binding protein that helps interpret total and available testosterone.

Testing frequency: Initial assessment, selected as appropriate; repeat only as needed in Signature/Pinnacle. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Included initially in all tiers, with clinical selection. Subsequent selected routine testing included in Signature/Pinnacle only when needed; no automatic annual repeat.

Estradiol
Measures a principal estrogen; interpretation accounts for cycle timing, menopause, medications, and the clinical question.

Testing frequency: Initial assessment, selected as appropriate; repeat only as needed in Signature/Pinnacle. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Included initially in all tiers, with clinical selection. Subsequent selected routine testing included in Signature/Pinnacle only when needed; no automatic annual repeat.

FSH
Follicle-stimulating hormone helps assess reproductive and gonadal function when the clinical context calls for testing.

Testing frequency: Initial assessment, selected as appropriate; repeat only as needed in Signature/Pinnacle. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Included initially in all tiers, with clinical selection. Subsequent selected routine testing included in Signature/Pinnacle only when needed; no automatic annual repeat.

LH
Luteinizing hormone helps interpret reproductive function and testosterone or estrogen findings.

Testing frequency: Initial assessment, selected as appropriate; repeat only as needed in Signature/Pinnacle. Foundation later testing separately purchased.

Included in the initial assessment in all three programs.

Inclusion and fee details

Included initially in all tiers, with clinical selection. Subsequent selected routine testing included in Signature/Pinnacle only when needed; no automatic annual repeat.

Free testosterone — validated calculationWhen Indicated
Estimates unbound testosterone from total testosterone, SHBG, and albumin when an appropriate calculation is available.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

Free testosterone — equilibrium dialysisWhen Indicated
A laboratory method for measuring unbound testosterone when a direct measurement is clinically useful.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Conditional; specialized methods or outside work-up separately quoted.

Inclusion and fee details

Clinical selection only. Routine in-scope assays may be included; a specialized method or outside endocrine work-up is separately quoted before ordering.

ProlactinWhen Indicated
Assesses a pituitary hormone when symptoms suggest a reproductive or endocrine concern.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

DHEA-SWhen Indicated
Measures an adrenal androgen, generally for a specific hormonal question rather than a youthfulness target.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

Pregnancy test (hCG)When Indicated
Detects human chorionic gonadotropin when confirming or excluding pregnancy is clinically relevant.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

Cortisol — question-specific methodWhen Indicated
Evaluates a defined adrenal or endocrine question using the appropriate timing and method; not a general stress score.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Conditional; specialized methods or outside work-up separately quoted.

Inclusion and fee details

Clinical selection only. Routine in-scope assays may be included; a specialized method or outside endocrine work-up is separately quoted before ordering.

IGF-1When Indicated
Helps evaluate growth-hormone-related conditions when clinically indicated; not a routine anti-aging treatment target.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Conditional; specialized methods or outside work-up separately quoted.

Inclusion and fee details

Clinical selection only. Routine in-scope assays may be included; a specialized method or outside endocrine work-up is separately quoted before ordering.

Urine Testing

Urine chemistry, microscopy, and targeted measurements answer distinct kidney and urinary questions.

Urinalysis with reflex microscopy when indicatedWhen Indicated
Checks urine chemistry when urinary or kidney concerns warrant testing. Microscopic examination is added when indicated; urine culture is not automatic.
Urine albuminWhen Indicated
Measures albumin in urine, which can help identify kidney injury in an appropriate risk-based assessment.
Urine creatinineWhen Indicated
Provides a reference concentration for interpreting urine albumin in a spot urine sample.
Urine albumin-to-creatinine ratioWhen Indicated
Relates albumin to creatinine to assess albumin loss while accounting for urine concentration.

Prostate Assessment

Testing follows an individualized discussion of age, risk, preferences, and previous results.

Total PSAWhen Indicated
Prostate-specific antigen supports an individualized prostate-cancer screening discussion; an elevated result is not a cancer diagnosis.
Free PSAWhen Indicated
May help refine interpretation of an initial PSA result when a further prostate assessment is appropriate.

Preventive Screening Coordination

We coordinate with your primary care physician, review prior results, and offer testing when appropriate screening is outstanding. The hepatitis B triple panel remains grouped together.

HIV fourth-generation Ag/AbWhen Indicated
Screens for HIV antigen and antibodies, with additional laboratory confirmation if the screening result is reactive. We coordinate with your primary care physician, review prior screening, and offer testing when appropriate screening is outstanding.
Hepatitis C antibody with reflex RNAWhen Indicated
Checks for prior exposure to hepatitis C, with RNA testing used to assess current infection when indicated. We coordinate with your primary care physician, review prior screening, and offer testing when appropriate screening is outstanding.
Hepatitis C RNA — reflexWhen Indicated
Looks for viral genetic material after a reactive screening result, following the laboratory's confirmation pathway.
HBsAgWhen Indicated
Hepatitis B surface antigen helps identify current hepatitis B infection. We coordinate with your primary care physician, review prior screening, and offer testing when appropriate screening is outstanding.
Anti-HBsWhen Indicated
Hepatitis B surface antibody helps assess immunity from vaccination or previous infection. We coordinate with your primary care physician, review prior screening, and offer testing when appropriate screening is outstanding.
Total anti-HBcWhen Indicated
Hepatitis B core antibody indicates previous or ongoing exposure and is interpreted with the other two panel results. We coordinate with your primary care physician, review prior screening, and offer testing when appropriate screening is outstanding.

Conditional Stool-Based Colorectal Screening

Selected when screening is due and appropriate after reviewing your history; not an automatic add-on charge.

Fecal immunochemical test (FIT)When Indicated
A conditional colorectal-screening test for eligible patients whose screening is due. It detects small amounts of blood in stool. We coordinate with your existing screening plan; a positive result requires follow-up colonoscopy through an outside provider.

Testing frequency: Conditional, based on clinical need; no automatic annual repeat.

Selected routine testing included when needed within your program’s care period.

Inclusion and fee details

Included when clinically needed: Foundation during its initial assessment; Signature/Pinnacle during the program year. No automatic repeat panel.

Multi-Cancer Early Detection

An additional blood-based screening discussion for selected patients, alongside established screening.

Galleri multi-cancer early detection blood test
Looks for cancer-associated DNA methylation signals in blood and may suggest their source. It assesses possible current cancer signals, not inherited cancer susceptibility, and does not replace WGS hereditary-risk reporting. A signal needs diagnostic follow-up; a negative result does not rule out cancer.

Testing frequency: Annual in Pinnacle when clinically appropriate and elected. Foundation/Signature: optional purchase.

Pinnacle: one test per program year when appropriate. Foundation and Signature: optional, separately purchased.

Inclusion and fee details

Pinnacle: one Galleri test per program year when appropriate and elected after counseling. Foundation/Signature: optional, separately purchased. Outside diagnostic follow-up is billed separately.

03 / ASSESSMENTS

Genomics & Genetic Insights

Your inherited blueprint. Your changing biology.

Whole-genome sequencing, 3X4 pathway insights, and DNA methylation testing offer different perspectives. We interpret each alongside your history and measured health.

All Assessment Areas ↑
Laboratory scientist pipetting samples for genetic analysis

Whole-Genome Sequencing (WGS)

A broad view of your DNA, with focused clinical interpretation through the planned WGS testing pathway.

Whole genome sequencing + Genomic Clinical Report
Reads DNA across most of the genome and interprets selected, reportable findings. The planned WGS report brings inherited risk, medication response, and wellness information into a physician-led review.
Hereditary disease risk — including cancer & cardiovascular
Screens for reportable inherited disease variants, including cancer predisposition and cardiovascular conditions. The published gene list includes BRCA1/BRCA2, LDLR and LMNA. These findings are part of the WGS report, not additional orders.
Carrier-status findings
Identifies selected inherited variants that may matter for family planning or genetic counseling, even when the carrier is healthy. Findings are interpreted with history and clinical measurements to decide whether counseling or a care-plan change is warranted.
Pharmacogenomics / medication response
Reports selected gene–medication relationships to help guide prescribing when a relevant medication decision arises. This is an included component of WGS; an additional assay is considered only for an unmet question or necessary confirmation.
Polygenic risk assessment
Provides genetic risk estimates for selected common diseases using multiple variants. This analysis is included in WGS; model applicability and ancestry remain important when interpreting a result.
Nutrition and wellness traits
Adds genetic context to nutrition, food response, and exercise discussions alongside actual diet, laboratory findings, and performance testing. Findings are interpreted with history and clinical measurements to decide whether counseling or a care-plan change is warranted.

Included report components share one WGS order and fee. The planned WGS report includes selected pathogenic/likely pathogenic hereditary findings, drug-response information and polygenic risk models. Its healthy-screening report excludes variants of uncertain significance and cannot resolve every suspected disorder. Your physician reviews the actual report version, consent and any diagnostic follow-up needed. About WGS reporting ↗

3X4 Genetics

A pathway-based genetics report focused on nutrition, exercise, and wellness.

3X4 Genetics test and patient report
Examines selected genetic variants and pathways related to nutrition, exercise, and wellness, then connects the report with your history and measured health. Supports understandable nutrition and lifestyle discussions; measured health and clinical findings guide the actual plan.

Testing frequency: Once initially; review existing findings when useful. No automatic annual resequencing or repeat kit.

Foundation included. Signature and Pinnacle use WGS.

Inclusion and fee details

Foundation: included genetic report and physician interpretation. Signature/Pinnacle use WGS instead; no routine duplicate 3X4 test.

APOE variants / interpretation
Selected APOE findings may inform a discussion of inherited risk. Disclosure and counseling are planned in advance; variants do not predict an individual's future with certainty.

Testing frequency: Once initially; review existing findings when useful. No automatic annual resequencing or repeat kit.

Foundation included. Signature and Pinnacle use WGS.

Inclusion and fee details

Foundation: interpretation of this reported 3X4 component is included, without a separate test charge. Confirm the current kit/report and consent before ordering. Signature/Pinnacle use their WGS report scope.

MTHFR variants / interpretation
Provides genetic context for folate metabolism. Common variants alone do not diagnose deficiency or establish a need for specific supplements.

Testing frequency: Once initially; review existing findings when useful. No automatic annual resequencing or repeat kit.

Foundation included. Signature and Pinnacle use WGS.

Inclusion and fee details

Foundation: interpretation of this reported 3X4 component is included, without a separate test charge. Confirm the current kit/report and consent before ordering. Signature/Pinnacle use their WGS report scope.

Genetic associations add context; they do not replace clinical measurements or establish a need for supplements. Product coverage is confirmed before ordering.

DNA Methylation & Epigenetic Age

Your DNA sequence is largely stable. Methylation patterns offer a different, changing biological perspective.

Explore DNA Methylation & Epigenetic Age →

TruAge by TruDiagnosticEmerging Measure
Uses DNA methylation patterns to estimate biological age and pace of aging. TruAge reports include OMICmAge, SYMPHONYAge, and DunedinPACE. These are model-based estimates, not a prediction of your lifespan or proof that an intervention extends life.

Testing frequency: Annual in Pinnacle. Foundation/Signature: separately purchased when elected.

Pinnacle: annual testing included. Foundation and Signature: optional, separately purchased.

Inclusion and fee details

Pinnacle: annual TruAge assessment with physician interpretation. Foundation/Signature: optional, separately purchased.

Three complementary estimates: OMICmAge estimates biological age; SYMPHONYAge estimates system-specific ages; DunedinPACE estimates pace of aging. These are methylation-based models, not direct measurements of organ function, strength, or standard blood biomarkers. About the TruAge report ↗

04 / ASSESSMENTS

Imaging & Body Composition

See beyond the surface.

From body composition to structural imaging, each study answers a different question. Images are reviewed with the radiologist’s findings and your clinical history.

All Assessment Areas ↑
MRI scanner opening and patient table

DEXA: Body Composition & Bone Density

Annual body composition with dedicated hip and lumbar-spine bone density when clinically due. Radiologist interpretation included.

DEXA body composition
Annual whole-body DEXA measures fat and lean tissue and their distribution. Dedicated hip/spine bone-density acquisitions are included when clinically due.

Testing frequency: Annual body composition in Signature/Pinnacle. Foundation: optional, separately purchased.

Signature and Pinnacle included. Foundation: only with the optional, separately purchased imaging add-on.

Inclusion and fee details

Signature/Pinnacle: annual body composition; bone density included when clinically due. Radiologist read and physician review included. Foundation: optional, separately purchased.

DEXA bone mineral density
Dedicated hip and lumbar-spine scans assess bone mineral density and inform fracture-risk assessment, with radiologist interpretation.

Testing frequency: Baseline as appropriate; repeat bone density included when clinically due. No automatic annual bone-density scan.

Signature and Pinnacle included. Foundation: only with the optional, separately purchased imaging add-on.

Inclusion and fee details

Signature/Pinnacle: annual body composition; bone density included when clinically due. Radiologist read and physician review included. Foundation: optional, separately purchased.

Explore DEXA Body Composition & Bone Density →

Prenuvo Whole-Body MRI

Includes brain imaging, with radiologist reporting and physician review in clinical context.

Explore Whole-Body MRI →

Prenuvo whole-body MRI + physician review
Whole-body MRI includes brain imaging and creates structural images without ionizing radiation. Your physician reviews the radiologist’s findings and recommended follow-up. Screening may find incidental abnormalities and cannot exclude all disease.

Testing frequency: Annual whole-body MRI in Signature/Pinnacle, including brain. Foundation: optional, separately purchased.

Signature and Pinnacle included. Foundation: only with the optional, separately purchased imaging add-on.

Inclusion and fee details

Signature/Pinnacle: annual Prenuvo MRI with radiologist report and physician review. Outside diagnostic work-up separately billed. Foundation: optional, separately purchased.

Imaging is selected around your history and risks. Whole-body MRI screening has uncertain outcome benefits and may lead to additional investigations. Read the ACR perspective ↗

05 / ASSESSMENTS

Physical Performance & Movement

Measure the way you move.

Cardiorespiratory fitness, strength, balance, and mobility bring a practical dimension to your health assessment and help shape a personal exercise plan.

All Assessment Areas ↑
Grip strength assessment using a hand dynamometer

VO₂ Max & Resting Metabolic Rate

Paired exercise and resting assessments inform fitness and nutrition planning.

Measured VO2 max / VO2 peak
Measures oxygen use during graded exercise with a metabolic cart. It provides an objective assessment of cardiorespiratory fitness, rather than a wearable estimate.
Ventilatory thresholds
Identifies changes in breathing during exercise, when measurable, to help guide individualized aerobic training intensity.
Exercise heart-rate response and recovery
Tracks heart rate during exercise and standardized recovery. Medications, rhythm, and protocol affect interpretation.
Resting metabolic rate by indirect calorimetry
Measures resting energy expenditure to inform your nutrition plan. Included alongside VO₂ max testing, using a separate resting assessment before exercise.

DPT Evaluation: Strength, Balance & Mobility

A coordinated physical assessment. The measures below are components selected for your ability and goals.

Comprehensive DPT evaluation
An integrated assessment by a Doctor of Physical Therapy of function, limitations, injury history, and exercise needs.
Grip strength
A hand-held dynamometer measures grip force using consistent positioning and repeated trials.
30-second chair standSelected Within Assessment
Counts completed stands from a chair in 30 seconds to assess lower-body functional strength.
Usual gait speedSelected Within Assessment
Measures walking speed over a defined distance to help track everyday mobility.
Timed Up and GoSelected Within Assessment
Times standing up, walking, turning, and sitting down; useful when assessing functional mobility and fall-related limitations.
Four-stage balance assessmentSelected Within Assessment
Measures the ability to maintain standardized standing positions, with appropriate guarding and support.
Joint range of motion and mobility
Examines selected joints and movements to identify restrictions that affect daily activity or training.
Lower-limb strength and asymmetry
Compares strength between sides using appropriate equipment and tasks to identify targeted deficits.
Movement, pain and injury assessment
Examines how relevant tasks, symptoms, and past injuries affect movement and exercise choices.
Muscle-power assessmentUnder Review
A candidate assessment of how quickly force can be produced. Amanda will select the method and equipment before this is finalized.

Testing frequency: Protocol and repeat schedule pending Amanda’s review.

Under review; not a promised program inclusion.

Inclusion and fee details

Under review; not a promised package benefit. Amanda must confirm the method and equipment first.

The assessment is adapted to the individual. A high-performing athlete and someone rebuilding everyday mobility need different challenges.

Foundation: Optional; separately purchased

Signature: Two visits annually, including the initial assessment in Year 1

Pinnacle: Two visits annually, including the initial assessment in Year 1

Usually about six months apart. Written exercise plan included. Extra DPT visits or personal training are separately purchased.

Foundation: Optional; separately purchased

Signature: Annual and as needed

Pinnacle: Annual and as needed

Measured with our equipment; repeat testing selected for ability, goals and clinical need. Included components are not separate orders.

Foundation: With the optional, separately purchased VO2 max + RMR add-on

Signature: Annual and as needed

Pinnacle: Annual and as needed

Measured with our equipment using a separate resting protocol before exercise; clinically needed repeats included.

06 / ASSESSMENTS

Nutrition & Metabolic Health

Connect your biology to everyday choices.

Bring food intake, energy needs, laboratory results, and body composition into one practical understanding of your nutritional health.

All Assessment Areas ↑
Nutrition consultation with a food diary and a balanced meal

Comprehensive Nutrition Assessment

Translate the information into changes that fit your health and your daily life.

Registered Dietitian Assessment
Reviews health goals, dietary patterns, food preferences, supplements, and relevant medical history with a registered dietitian.
Food Intake & Protein Assessment
Looks at energy intake, protein distribution, food quality, and practical eating patterns in the context of your goals.
Laboratory & Body-Composition Review
Connects measured nutrient markers, glucose and lipid findings, and DEXA results with nutrition priorities.
Nutrition & Exercise Needs
Considers activity, training, recovery, and body-composition goals when shaping a sustainable nutrition plan.

Signature and Pinnacle include up to four dietitian visits per program year, including the initial assessment. Foundation nutrition visits are optional and separately purchased. VO₂ max and RMR testing is a separate optional purchase for Foundation; it is not included just because a dietitian visit is purchased.

Foundation: Optional; separately purchased

Signature: Up to four visits annually, including the initial assessment in Year 1

Pinnacle: Up to four visits annually, including the initial assessment in Year 1

Visits scheduled around need. Separate from DPT allowance; extra visits separately purchased. The same annual allowance continues at renewal.

Foundation: With the optional, separately purchased dietitian assessment

Signature: Included

Pinnacle: Included

Reviews intake, protein, food preferences, supplements, laboratory findings, available body-composition/RMR results, training and recovery.

Specialist Care Coordination

When your assessment identifies a need for specialist care, OmniWell can help coordinate an appropriate referral.

Referral coordination is included within your program’s scope. Cardiology, dermatology and diagnostic sleep services are provided and billed separately by outside specialists. The specialist determines which evaluations or tests are appropriate.

Outside diagnostic sleep testing / sleep-apnea evaluationReferral Only
Referral to an outside sleep provider for diagnostic testing when indicated; the external provider selects home or laboratory testing.

Testing frequency: External provider determines testing and follow-up.

Coordination included; outside care separately billed.

Inclusion and fee details

Referral coordination included within program scope; outside specialist visits, tests and procedures are provided and billed separately.

Dermatology skin examinationReferral Only
External dermatologist assessment of skin findings, with specialist-directed follow-up.

Testing frequency: External provider determines testing and follow-up.

Coordination included; outside care separately billed.

Inclusion and fee details

Referral coordination included within program scope; outside specialist visits, tests and procedures are provided and billed separately.

Targeted dermoscopyReferral Only
External dermatologist assessment of selected lesions using dermoscopy when appropriate.

Testing frequency: External provider determines testing and follow-up.

Coordination included; outside care separately billed.

Inclusion and fee details

Referral coordination included within program scope; outside specialist visits, tests and procedures are provided and billed separately.

Photographic skin / mole mappingReferral Only
External dermatologist photography or mole mapping for selected patients when appropriate.

Testing frequency: External provider determines testing and follow-up.

Coordination included; outside care separately billed.

Inclusion and fee details

Referral coordination included within program scope; outside specialist visits, tests and procedures are provided and billed separately.

Cardiology referral and care coordinationReferral Only
Coordinate an outside cardiology assessment when history or findings warrant specialist care. The cardiologist decides whether further cardiac investigations are appropriate.

Testing frequency: When clinically indicated; external cardiologist determines testing and follow-up.

Coordination included; outside care separately billed.

Inclusion and fee details

Referral coordination included within program scope; outside specialist visits, tests and procedures are provided and billed separately.

FROM FINDINGS TO A PLAN

More understanding.
A clearer direction.

Your physician brings the results together, explains what matters, and helps you decide what comes next.

Explore Our Approach

Further Reading

Selected references for understanding the testing. Test selection and interpretation remain personal.

CBC · MedlinePlus ↗CMP · MedlinePlus ↗Genomic Reporting · OmniWell →Epigenetic Age · TruDiagnostic ↗Multi-Cancer Detection · NCI ↗
OMNIWELL · LAKE FOREST

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