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Diagnostics & Assessment

Comprehensive Biomarker Panel

The fasting blood panel in the 400+ parameter entry assessment: heart, metabolic, hormone, liver, kidney and inflammatory health, read with a physician.

Duration
30-45 minutes (blood draw) + 60-minute physician consultation
Sessions
Baseline + follow-up every 3-6 months
Downtime
None
Automated blood analyser with a rack of collection tubes in a daylit laboratory

Overview

Most annual blood tests check a handful of markers and compare your results against reference ranges designed to catch disease — not to optimize health. The difference matters enormously. A fasting glucose of 99 mg/dL is "normal" by conventional standards, but from a longevity perspective, it signals early metabolic dysfunction that, left unchecked, compounds over decades into insulin resistance, cardiovascular disease, and accelerated biological aging.

Our Comprehensive Biomarker Panel is the blood work within the 400+ parameter entry assessment that every Genoryx package starts with. It covers multiple physiological systems: inflammation (hs-CRP, IL-6, TNF-alpha, homocysteine), metabolic health (fasting insulin, HOMA-IR, HbA1c, lipid particle analysis including Lp(a) and ApoB), hormonal status (complete thyroid cascade including reverse T3, sex hormones with SHBG, cortisol rhythm, DHEA-S), organ function (comprehensive hepatic and renal panels), micronutrient status (vitamin D, B12, folate, ferritin, magnesium RBC, zinc), and oxidative stress markers.

What makes this panel different is how we interpret results. Conventional lab ranges represent the statistical middle 95% of the tested population, a population that includes people with undiagnosed chronic disease. We read your results against the levels linked with lower disease risk in published cohort studies, not only against the lab's reference range. Where the evidence for a tighter target is strong, we say so. Where it is weak or disputed, we say that too.

Every panel includes a detailed physician consultation where your results are contextualized against your health history, family risk factors, and personal goals. This is not a lab report you receive by email — it is the foundation of a data-driven health strategy. Book a consultation with our longevity physician to determine which panel tier is right for you.

What the evidence says

Evidence · Established

Backed by large studies or guidelines and part of standard practice. How we grade evidence

What it shows

Standard markers such as ApoB, HbA1c and lipids predict heart and metabolic disease, and South Asians develop that risk earlier and often undiagnosed.

What it does not show

A longer panel is not automatically better. Some markers have no agreed action, and an out-of-range result needs a physician’s context before it means anything.

  1. 01
    Sniderman AD, et al. Apolipoprotein B particles and cardiovascular disease: a narrative review. JAMA Cardiol, 2019. (opens in a new tab)

    The number of ApoB particles, more than the cholesterol they carry, drives atherosclerotic risk.

  2. 02
    Yusuf S, et al. Modifiable risk factors associated with myocardial infarction in 52 countries (INTERHEART). Lancet, 2004. (opens in a new tab)

    Case-control study of about 30,000 people: nine modifiable risk factors, including abnormal lipids, accounted for about 90% of heart-attack risk.

  3. 03
    Anjana RM, et al. Prevalence of diabetes and prediabetes in 15 states of India (ICMR-INDIAB). Lancet Diabetes Endocrinol, 2017. (opens in a new tab)

    In 57,117 adults, 7.3% had diabetes and 10.3% prediabetes; almost half of those with diabetes had not been diagnosed.

What it can and cannot do

What it can do

  • Measure ApoB, HbA1c and lipids, standard markers that predict heart and metabolic disease.Source [1]
  • Find raised blood sugar that has gone undiagnosed. In a national Indian survey, almost half of those with diabetes had not been diagnosed.Source [3]
  • Give a baseline your physician compares with a retest at 3 to 6 months.

What it cannot do

  • Diagnose a condition on its own. An out-of-range result needs a physician’s context first.
  • Become more useful just by being longer. Some markers have no agreed action.
  • Replace specialist follow-up. A result that needs it is referred on.

Numbers in brackets point to the studies above. Medical review: a physician who did not write this page checks each line against the source it cites, and checks that nothing reads as a promised result. How we review

Who it's for

A good fit

  • Adults seeking data-driven health optimization
  • Individuals with family history of chronic disease
  • Athletes and high-performers tracking recovery and performance
  • Anyone beginning a longevity programme
  • Post-40 preventive health assessment

Talk to us first

  • Fasting required for 10-12 hours prior to draw
  • Some medications may affect marker levels (discussed during consultation)

Markers this panel covers

A few of the markers that most often change a plan. Each links to what it measures and how to read it.

Before your appointment

  • Fast for 10 to 12 hours before the blood draw. Water is fine, and morning appointments make it easier.
  • Bring a list of your medicines and supplements; some change marker levels and are discussed at the consultation.
  • Time to allow: 30-45 minutes (blood draw), then 60-minute physician consultation.

Your physician confirms at screening whether this is right for you. If anything above applies, tell us when you book.

What happens on the day

  1. 01

    Before you arrive

    Preparation instructions, such as fasting for blood work, are sent when you book.

  2. 02

    The test

    Consent and basic vitals, then the assessment itself: 30-45 minutes (blood draw) + 60-minute physician consultation.

  3. 03

    Physician review

    A Genoryx physician takes you through the results against your history and goals.

  4. 04

    Your plan

    A written summary with clear next steps and when to retest.

What we measure

  • 01Advanced immunoassay panels
  • 02Lipid subfraction analysis (NMR/Ion Mobility)
  • 03Hormone cascade profiling
  • 04Micronutrient intracellular testing

Physician oversight

Every result is reviewed with you by a Genoryx physician, against your history and goals. Results are interpreted in context, not as a stand-alone diagnosis, and anything that needs specialist follow-up is referred on.

Meet the clinical team

Questions people ask

How is this different from a regular full-body checkup?

A routine checkup typically measures 20-30 markers and uses disease-detection reference ranges. This blood panel is part of the 400+ parameter entry assessment that every package starts with, and interprets results against longevity-optimized ranges — identifying dysfunction years before it becomes diagnosable disease. Think of it as the difference between checking whether your car runs and a full diagnostic scan of every system.

What blood tests should I get for longevity?

At minimum, a longevity-focused panel should include fasting insulin (not just glucose), hs-CRP, ApoB, Lp(a), complete thyroid cascade with reverse T3, vitamin D, homocysteine, and HbA1c. Our Comprehensive Panel covers all of these, as part of the 400+ parameter entry assessment. Your physician explains which results matter most for you during the consultation.

How often should I repeat this panel?

We recommend a baseline panel followed by a reassessment at 3-6 months to track how interventions (nutrition, exercise, supplementation, therapies) are shifting your biomarkers. After optimization, annual or biannual retesting is sufficient for most individuals.

Do I need to fast before the blood draw?

Yes. A 10-12 hour fast is required for accurate measurement of fasting glucose, fasting insulin, lipid fractions, and metabolic markers. You may drink water. We schedule morning appointments to make fasting easier.

Standing bioelectrical impedance body-composition analyser in a clinic room

Evidence · Strong & indicated

InBody Body Composition Analysis

A 60-second bioelectrical impedance scan of muscle, fat, visceral fat and body water by body segment, reviewed with a physician.

60 seconds (scan) + 15-minute physician review

DEXA body-composition scanner with its scanning arm over the table

Evidence · Established

DEXA Body Composition Scan

Dual-energy X-ray absorptiometry, a reference method for measuring fat, lean mass, visceral fat and bone density region by region.

10-15 minutes (scan) + 30-minute physician review

Treadmill and metabolic cart set up for cardiopulmonary exercise testing

Evidence · Established

VO2 Max Testing

A cardiopulmonary exercise test of your maximum oxygen uptake, one of the strongest predictors of long-term health, with your training zones.

45-60 minutes (including warm-up, test, and cool-down)

Your biological age is a number you can measure.

Start with the 400+ parameter entry assessment and a 60-minute physician consultation at either Hyderabad clinic. Open seven days, 11 AM to 9 PM.

Book a consultation