The Blood Test That FindsWhat Standard Tests Miss

A urine analysis that complements the blood panel — assessing kidney stress, urinary tract health, early metabolic signals, glucose spillover, and infection markers that blood testing alone cannot capture.

ApoA-I, ApoB, ApoCII, ApoCIII, ApoE, ApoB/A-I ratio, small LDL cholesterol, lipoprotein(a). Standard cholesterol tests measure four numbers. This panel measures nine — including the markers that cardiovascular specialists now consider most clinically important. Lipoprotein(a), known as Lp(a), is a genetically determined cardiovascular risk factor affecting approximately one in five people. It is not included in NHS cholesterol testing, it cannot be reduced through lifestyle alone, and most people who carry it have no idea. ApoB — now considered by many cardiologists to be a more accurate predictor of atherosclerosis than LDL — is also absent from standard testing.

hsCRP, CRP, homocysteine. Homocysteine is a by-product of protein metabolism, regulated through the methylation pathway. Elevated homocysteine is independently associated with cardiovascular disease, cognitive decline, and accelerated cellular ageing. It is almost never tested in routine care, yet it is directly modifiable through targeted B-vitamin supplementation.

Glucose, HbA1c, insulin, C-peptide, leptin, resistin, adiponectin. Fasting insulin is one of the most important and most overlooked markers in preventive medicine. Insulin resistance can develop years before HbA1c shows any abnormality. Leptin, resistin, and adiponectin are the metabolic hormones secreted by fat tissue — they govern hunger signalling, insulin sensitivity, and systemic inflammation.

Creatinine, eGFR, cystatin C, urea, electrolytes, uric acid. Cystatin C provides a more sensitive and more reliable measure of kidney filtration than creatinine alone — particularly relevant in early-stage decline. Uric acid is now recognised as an independent risk factor for cardiovascular disease, metabolic syndrome, and hypertension.

TSH, fT4, fT3, Anti-Tg (anti-thyroglobulin), Anti-TPO (anti-thyroid peroxidase). Standard NHS thyroid testing measures TSH only. A normal TSH does not rule out thyroid disease. This five-marker panel includes free T4 and free T3 — the active thyroid hormones — plus the two autoimmune antibodies that indicate Hashimoto's thyroiditis, the most common cause of hypothyroidism in the UK.

Oestradiol, FSH, LH, progesterone, prolactin, testosterone, SHBG, Free Androgen Index (FAI). Tumour marker: CA 125. A complete female sex hormone panel assessing ovarian function, oestrogen and progesterone balance, androgen levels, and sex hormone binding. CA 125 is an ovarian cancer screening marker included as part of the female assessment.

Oestradiol, FSH, LH, progesterone, prolactin, testosterone, SHBG, Free Androgen Index (FAI). Tumour marker: Total PSA. Total testosterone alone is insufficient for assessing male hormonal status. SHBG and FAI together reveal how much testosterone is actually bioavailable at the cellular level. PSA is included as a prostate cancer screening marker.