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    Precision Diagnostic

    The Executive Panel

    100 markers. 12 health domains. Your biological age. One mobile blood draw.

    Last updated: August 26, 2026

    The clinician-ordered first step of your concierge care. Your provider orders it, reviews it with you, and builds your protocol from what it reveals.

    Your Panel Includes

    Everything in One Visit

    Mobile phlebotomy at your home, office, or hotel: licensed, background-checked staff

    Executive Panel drawn at the 100-marker entry set, covering 12 health domains

    7-Domain Composite biological age calculation

    7-domain functional health scoring (0–100 per domain)

    Physician review and protocol engine analysis

    Personalized report with composite risk scores

    60-minute results consultation (video or phone)

    The Gap

    What a Standard Physical Misses

    A typical annual physical runs a basic metabolic panel, a lipid panel, and a complete blood count. That is roughly 15 markers. It is enough to catch disease that has already arrived: diabetes, anemia, kidney impairment. It was never designed to catch the decade of drift that comes first.

    Most of that drift is invisible at 15 markers. Fasting glucose can sit inside the reference range for years while fasting insulin climbs, because the pancreas compensates long before blood sugar breaks. A lipid panel can look unremarkable while ApoB and Lipoprotein(a) describe a very different picture of particle count and inherited cardiovascular risk. Thyroid function is often called normal on TSH alone, without free T3 to show what is actually reaching your tissues. Inflammatory load, hormone metabolites, and adrenal function are usually not measured at all.

    The result is the sentence we hear more than any other: my labs came back normal and I still feel terrible. Normal is a population average, not a target. A reference range describes where you fall among everyone else who used that lab, including people who are unwell. Sitting at the bottom of a wide band is reported the same way as sitting in the middle of a healthy one.

    The Executive Panel exists to close that gap. Fasting insulin, ApoB, Lipoprotein(a), and free T3 are all drawn on the 100-marker entry set, because the earliest and most actionable signals tend to live exactly where a standard physical stops looking. Every result is then read against optimized clinical ranges rather than the wide bands a reference lab uses to flag frank disease.

    Read: why labs come back normal when you feel terrible

    The Framework

    12 Health Domains. 7 Composite Scores. 100 Markers.

    Your panel covers 12 health domains spanning metabolic baseline, cardiovascular risk, inflammation, hormones, organ function, blood health, body composition, urinalysis, biological age, and ASCVD risk scoring. We translate this into 7 composite domain scores (0–100 using optimized clinical reference ranges, not standard lab cutoffs) so you can see exactly where to focus.

    100 markers at the entry set: 81 blood markers across 12 health domains, plus 19 urinalysis markers for hormone metabolites, toxin load, and adrenal function. Urinalysis stays at 19 markers on every tier; higher care tiers add blood markers, reaching 125 on Total Optimization.

    What We Measure

    Every System, Not Every Symptom

    Symptoms are downstream. Fatigue can come from thyroid, iron, blood sugar, sleep-driven inflammation, or low testosterone, and chasing it one test at a time takes years. Measuring every system at once tells you which one is actually driving it. These are the areas your panel covers:

    Metabolic baseline

    Glucose regulation and insulin dynamics, the earliest and most reversible signal of metabolic drift.

    Cardiovascular risk

    Lipid particle behavior rather than lipid totals alone, so risk is graded on what actually drives plaque.

    Inflammation

    Systemic inflammatory load, the common mechanism linking metabolic, cardiac, and cognitive decline.

    Hormones

    Sex and stress hormones, plus the metabolites that show how your body is clearing them.

    Organ function

    Liver, kidney, and thyroid performance, scored against optimized ranges rather than disease thresholds.

    Blood health

    Oxygen-carrying capacity, iron status, and immune cell distribution.

    Body composition

    Lean mass and fat distribution, the context that makes every other marker interpretable.

    Urinalysis

    19 markers on every tier, covering hormone metabolites, toxin load, and adrenal function.

    Biological age

    The 1836 Functional Bio Age, a 7-domain composite rather than a single opaque algorithm.

    ASCVD risk scoring

    Ten-year cardiovascular event risk, calculated and tracked across follow-up panels.

    Your provider reviews all of it together. A single out-of-range value rarely means anything on its own; the pattern across systems is what produces a protocol.

    Biological Age

    Not Just One Number

    Most competitors give you a single biological age number with no context. We score 100 markers organized across 12 health domains, generate 7 composite scores weighted by health impact, and calculate a biological age composite that reflects how your body is actually performing. Not just one algorithm's guess.

    Their Approach

    61

    Single opaque number

    "Your biological age is 61." No context. No breakdown. No plan.

    Our Approach

    48.3

    from 54.0 baseline

    7-Domain Composite · Chrono: 52

    Your metabolic domain is driving the gap. Cardiovascular needs attention. Organ function is perfect. Here's the protocol to close the gap.

    How We Read It

    Optimized Ranges, Not Lab Cutoffs

    A reference lab builds its ranges from the people who walk through its doors. If most of them are metabolically unwell, the range widens to accommodate them. That is useful for diagnosing disease and close to useless for pursuing performance.

    We score every domain from 0 to 100 against optimized clinical ranges: the narrower bands associated with how a healthy system actually behaves, not the outer limits at which a lab raises a flag. A result reported as normal by the lab can score poorly here, and that is the point. It is the difference between not yet sick and genuinely well.

    Those domain scores roll into seven composite scores weighted by health impact, and the composites produce your biological age. Because the same scoring runs on every follow-up panel, you can see whether a protocol is working in the numbers rather than in how you think you feel. Progress that is real shows up as a domain score moving.

    The Process

    Simple Process. No Runaround.

    Book online, we come to you, results in 5–7 days. That's it.

    Fit

    Who the Panel Is For

    The Executive Panel is built for people whose baseline is already good enough that a standard physical has nothing to say to them. Founders, physicians, attorneys, operators: high performers in their thirties through fifties who are functioning well, know something has shifted, and have been told repeatedly that everything looks fine.

    It is a strong fit if you are carrying weight that did not used to be there, sleeping without waking rested, losing the top end of your training capacity, or finding that focus now costs effort it never used to. It is also a strong fit if nothing is wrong at all and you want a real baseline while you are healthy, because the value of a panel compounds when you have something to compare it against.

    It is not an emergency service and not a substitute for your primary care physician. If you have an acute problem, see a doctor today. What this replaces is the annual ritual of drawing 15 markers, being told you are normal, and learning nothing you can act on.

    Not sure whether it fits? The two-minute eligibility check routes you honestly, including away from us when that is the right answer. Every application is reviewed personally by our licensed clinical team.

    Questions

    Questions?

    Everything about the panel, pricing, insurance, and what happens after. Answered.

    See What Your Annual Physical Missed

    Mobile Blood Draw  |  100 Markers  |  Biological Age  |  Results Consultation

    Wondering what comes after your diagnostic? See all treatment programs

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