An advanced blood panel should include measurements for hematocrit, hemoglobin, MCH, MCHC, MCV, MPV, platelet count, RBC count, RDW, white blood cell count differentials (basophils, lymphocytes, monocytes, eosinophils, neutrophils), advanced lipids (total cholesterol, LDL, HDL, triglycerides, HDL large, LDL medium, LDL particle number, LDL pattern, LDL peak size, LDL small lipoprotein fractionation, non-HDL cholesterol), liver enzymes (ALT, AST), albumin, ALP, BUN, BUN/creatinine ratio, calcium, CO2, chloride, creatinine, eGFR, globulin, glucose, potassium, sodium, total bilirubin, total protein, SHBG, free and total testosterone, Apo B, cortisol, FSH, estradiol (male), ferritin, HbA1c, hs-CRP, homocysteine, insulin, Lp(a), LH, magnesium, TSH, uric acid, Vitamin D, Zinc, B12, folate, iron, iron % saturation, TIBC, omega-3 (EPA+DPA+DHA, total), omega-6 (arachidonic acid, linoleic acid, total), arachidonic acid/EPA ratio, omega-6/omega-3 ratio, IGF-1, ABO group and Rh factor, amylase, DHEA-Sulfate (male), GGT, lead, leptin, lipase, prolactin, rheumatoid factor, free T4, free T3, urine albumin/creatinine ratio, urine albumin (microalbumin), PSA (male), and progesterone (female).

“so i got a total cholesterol panel including nmr and the actual apob the particles the breakdown i had hscrp which you want for inflammation i had homocysteine which you want to know how you're methylating at a high level i had fibrinogen which is another marker of inflammation i had free fatty acids which is another marker of insulin sensitivity i had an omega index which breaks down into epa dha arachidonic acid and gives you a ratio there which i think is important it gives you an omega-6 to omega-3 ratio probably good to know some sense of how much linoleic acid is in your body though blood and red blood cells are not as accurate for linoleic acid as an actual fat biopsy would be that's the only way to really know how much linoleic acid is in your body we don't do that uh unless you're in a research setting fasting insulin the single most important test hemoglobin a1c fasting glucose homa ir is often ordered it's just a calculation tsh full thyroid panel t3 free t3 t thyroid uptake thyroxine binding uptake thyroxine which is t4 free t4 free thyroxine index and reverse t3 i had a cortisol in the morning i had an igf-1 and then you will get a z-score for the igf-1 all of those give you a sense of insulin sensitivity i like igf-1 because it helps me argue against those people who want to say that i'm making my life short and i get to argue back and say my igf-1 is probably lower than yours it was 112 in case you're wondering and the z-score was negative 0.5 which means it's a half a standard deviation lower than the mean of the general population even eating pounds of meat organs and tons of fruit and honey every day hormones including testosterone free in total dhes sex hormone binding globulin lh and fsh progesterone estradiol women may want to get a little bit more than that but that's a good hormonal panel to start liver health alt asd alkaline phosphatase bilirubin albumin total protein globulins albumin globulin ratio kidneys i don't think many doctors can argue with that creatinine egfr bun album etc electrolytes are part of a comprehensive metabolic panel uh doctors aren't going to order with that 25 hydroxy vitamin d and cbc with differential i want a full iron panel with ceramic ferritin total iron binding capacity and iron saturation serum folate b12 rbc magnesium and that's pretty much it the one thing that was left off of that panel from wellness fx that i wish i'd gotten that i will get on the panel with merrick was a uric acid and that was”