Blood Testing in Berlin

Advanced cardiovascular disease risk assessment combining traditional lipid panel with genetic and nutritional risk factors. Blood sample after 12-hour fast. Results within 5-7 days. Evaluates risk for heart attack, stroke, and atherosclerosis beyond standard cholesterol testing. Biomarkers tested: Advanced Lipid Profile - Total Cholesterol, LDL Cholesterol ("bad" cholesterol contributing to plaque), HDL Cholesterol ("good" cholesterol removing plaque), Triglycerides (fat molecules indicating metabolic syndrome risk), Non-HDL Cholesterol (all atherogenic particles), Apolipoprotein B (Apo B) counting total atherogenic particles, more accurate than LDL for risk prediction, Lipoprotein(a) [Lp(a)] genetic cardiovascular risk factor independent of lifestyle, elevated levels (>30 mg/dL) triple heart attack risk, unaffected by diet/exercise, requires medication; Inflammation - hs-CRP (high-sensitivity C-reactive protein) indicating vascular inflammation, independent risk factor, levels >3 mg/L high cardiovascular risk; Metabolic Markers - Fasting Glucose, HbA1c screening for diabetes (major cardiovascular risk factor); Homocysteine - amino acid, elevated levels (>15 µmol/L) damage blood vessels, increase clotting risk, linked to B-vitamin deficiencies (B6, B12, folate). Price includes blood draw and 19% VAT. Results enable personalized risk stratification beyond traditional calculators. High Lp(a) requires aggressive LDL lowering. Elevated hs-CRP responds to anti-inflammatory interventions. Recommended for family history of early heart disease, existing cardiovascular disease, metabolic syndrome, establishing baseline risk score.

Comprehensive blood analysis for athletic performance optimization and physical capacity assessment. Venous blood sample after 12-hour fast. Results within 1 day via email. Designed for athletes, fitness enthusiasts, and anyone monitoring physical performance. Biomarkers tested: Hematology & Oxygen Transport - Complete Blood Count (großes Blutbild) with reticulocytes (young red blood cells indicating bone marrow activity), RBC, hemoglobin, hematocrit assessing oxygen-carrying capacity crucial for endurance; Iron Status - ferritin (iron storage) detecting iron deficiency before anemia develops, critical for athletes with high iron demand; Liver Enzymes - GPT/ALT, GOT/AST, GGT (gamma-glutamyltransferase) monitoring training stress, muscle damage, liver function; Kidney Function - creatinine, estimated GFR evaluating hydration status, protein metabolism, training impact on kidneys; Lipid Profile - total cholesterol, LDL, HDL, triglycerides, non-HDL cholesterol for cardiovascular health and metabolic efficiency; Thyroid - TSH excluding thyroid dysfunction affecting metabolic rate, energy levels, recovery; Minerals & Vitamins - Vitamin D3 (25-OH) essential for muscle strength, bone health, immune function, inflammation control; Magnesium for energy production (ATP synthesis), muscle function, cramping prevention, electrolyte balance; Calcium for muscle contraction, bone density, nerve signaling; Metabolic Health - HbA1c screening for diabetes risk and blood sugar regulation. Price includes blood draw and 19% VAT. Identifies performance-limiting factors, nutrient deficiencies, overtraining markers. Ideal for optimizing training, preventing injuries, monitoring recovery.

Comprehensive athletic performance and recovery panel analyzing cardiovascular fitness, oxygen transport, energy metabolism, inflammation, and muscle health markers. Blood sample. Designed for athletes and fitness enthusiasts optimizing training, recovery, and performance. Results within 48 hours. Biomarkers tested: Cardiovascular & Oxygen Transport - complete blood count (RBC, hemoglobin, hematocrit) assessing oxygen-carrying capacity; ferritin and iron status for endurance performance; hs-CRP for inflammation/overtraining detection; Lipid Profile - cholesterol (total, HDL, LDL), triglycerides, apolipoprotein B for cardiovascular health; Metabolic Markers - fasting glucose, HbA1c, insulin for energy metabolism and glycogen storage; Liver Enzymes - ALT, AST, GGT monitoring training stress and muscle damage; Kidney Function - creatinine, eGFR for hydration status and protein metabolism; Electrolytes - sodium, potassium, calcium for muscle function, hydration, cramping prevention; Protein Status - albumin, total protein for muscle recovery and protein synthesis; Hormones - TSH, free T3, free T4 for metabolic rate and energy; testosterone for muscle building and recovery (especially important for male athletes); Vitamins - vitamin D3 for muscle strength, bone health, immune function; vitamin B12 for energy production and red blood cell formation. AwarePro price: €115 (21% discount). Ideal for endurance athletes, strength trainers, competitive athletes, or anyone with intensive training programs monitoring performance optimization and recovery.

Complete thyroid function assessment analyzing 6 biomarkers for hypothyroidism, hyperthyroidism, autoimmune thyroid disease (Hashimoto, Graves), and thyroid hormone resistance. Venous blood sample, no fasting required though morning collection preferred. Results within 2-3 days. Essential for: fatigue, weight changes, temperature sensitivity, mood disorders, hair loss, palpitations, tremor, anxiety, irregular periods, infertility, family history thyroid disease, monitoring thyroid medication. Thyroid disease affects 12% population, especially women. Biomarkers tested: TSH (thyroid stimulating hormone) - pituitary hormone regulating thyroid, most sensitive screening test, elevated TSH (>4-5 mIU/L) indicates hypothyroidism (thyroid underactive, not producing enough hormone so pituitary increases TSH), low TSH (<0.4 mIU/L) indicates hyperthyroidism (thyroid overactive, producing excess hormone so pituitary suppresses TSH), normal range 0.4-4.0 but optimal 1.0-2.5 mIU/L for symptom relief; Free T3 (triiodothyronine) - active thyroid hormone, T3 is 3-4x more potent than T4, ~20% produced directly by thyroid, ~80% converted from T4 in peripheral tissues (liver, kidney), low Free T3 despite normal TSH/T4 suggests conversion problems (stress, inflammation, nutrient deficiency, medications, liver/kidney disease), elevated T3 in hyperthyroidism causes rapid heart rate, weight loss, anxiety, tremor; Free T4 (thyroxine) - main thyroid hormone secreted by thyroid gland, converted to active T3 in tissues, low T4 with high TSH confirms primary hypothyroidism (thyroid gland failure), low T4 with low/normal TSH suggests central hypothyroidism (pituitary/hypothalamic dysfunction rare), elevated T4 indicates hyperthyroidism; TPO Antibodies (thyroid peroxidase antibodies) - autoantibodies attacking thyroid enzyme, positive TPO antibodies (>35 IU/mL) diagnostic for Hashimoto thyroiditis (autoimmune hypothyroidism, most common cause of hypothyroidism, progressive thyroid destruction), presence predicts future hypothyroidism even if currently euthyroid, associated with infertility, miscarriage; Thyroglobulin Antibodies (TG antibodies) - autoantibodies against thyroglobulin protein, elevated in Hashimoto thyroiditis (often alongside TPO antibodies), less specific than TPO but additive diagnostic value, can interfere with thyroglobulin tumor marker measurement in thyroid cancer follow-up; TSH-Receptor Antibodies (TRAK/TRAb) - autoantibodies stimulating TSH receptor causing unregulated thyroid hormone production, positive TRAK diagnostic for Graves disease (autoimmune hyperthyroidism, most common cause hyperthyroidism), levels correlate with disease activity and relapse risk, differentiate Graves from other hyperthyroidism causes (toxic nodular goiter, thyroiditis). Panel comprehensively evaluates: primary hypothyroidism (high TSH, low T4, often positive TPO/TG antibodies from Hashimoto), subclinical hypothyroidism (high TSH, normal T4, may benefit treatment if symptomatic or antibody-positive), hyperthyroidism (low TSH, high T4/T3, TRAK positive suggests Graves), autoimmune thyroid disease (positive antibodies guide treatment/monitoring), conversion problems (normal TSH/T4 but low T3 from selenium deficiency, inflammation, medications). Results guide: levothyroxine therapy initiation/dose adjustment (hypothyroidism target TSH 1-2.5), antithyroid medication (methimazole, PTU for hyperthyroidism), radioactive iodine or surgery consideration (Graves disease), selenium supplementation (reduces antibodies in Hashimoto), monitoring antibody-positive patients for progression. Complete panel superior to TSH-only screening revealing conversion issues, autoimmunity, differentiating hyper/hypothyroidism causes. Recommended: baseline if symptoms, annually with thyroid disease/positive antibodies, 6-8 weeks after medication changes. GOÄ pricing €147.47.

Comprehensive micronutrient panel analyzing vitamins, minerals, and nutritional status markers. Blood sample. Essential for detecting deficiencies, optimizing supplementation, supporting energy levels, immune function, and overall health. Particularly valuable for vegans, vegetarians, restrictive diets, or those with absorption issues. Results within 48 hours. Biomarkers tested: B Vitamins - vitamin B12 (energy, nervous system, red blood cells), holo-transcobalamin (active B12), vitamin B9/folate (cell division, DNA synthesis, pregnancy health), vitamin B2/riboflavin (energy metabolism), vitamin B6/pyridoxine (neurotransmitter synthesis, immune function); Fat-Soluble Vitamins - vitamin D3 (bone health, immunity, mood); Minerals - iron (oxygen transport, energy), ferritin (iron stores), transferrin and transferrin saturation (iron transport), magnesium in RBCs (muscle function, energy, stress response), selenium (antioxidant, thyroid function), zinc (immune function, wound healing, taste/smell); Electrolytes - calcium (bone health, muscle contraction), potassium (heart rhythm, muscle function), sodium (fluid balance); Additional Markers - complete blood count to assess nutrient-related anemia; albumin and total protein for protein status. AwarePro price: €119 (20% discount). Recommended for vegans/vegetarians (B12, iron risk), pregnant/planning pregnancy (folate), fatigue/low energy, hair loss, frequent infections, poor wound healing, restrictive diets, digestive disorders affecting absorption.

Comprehensive male hormone panel analyzing 7 key hormones regulating energy, libido, muscle mass, mood, fertility, and metabolic health. Venous blood sample collected morning (7-10 AM) when testosterone peaks. Results within 2-3 days. Essential for: low energy/fatigue, decreased libido, erectile dysfunction, difficulty building muscle, increased body fat, mood disorders, infertility, age over 40. Testosterone declines ~1% annually after age 30; symptomatic hypogonadism affects 20% men over 60. Biomarkers tested: Testosterone (total) - primary male sex hormone, normal range 300-1000 ng/dL, levels <300 ng/dL diagnostic for hypogonadism, affects muscle mass, bone density, libido, mood, energy, cognition, cardiovascular health, fat distribution, erythropoiesis; SHBG (sex hormone-binding globulin) - protein binding testosterone in blood, only unbound "free" testosterone bioavailable to tissues, high SHBG (from aging, hyperthyroidism, liver disease) reduces free testosterone despite normal total testosterone, low SHBG (obesity, hypothyroidism, insulin resistance) increases free testosterone, free testosterone calculated from total testosterone + SHBG using formula; FSH (follicle-stimulating hormone) - in men stimulates spermatogenesis (sperm production) in Sertoli cells of testes, elevated FSH with low testosterone indicates primary testicular failure (testes not responding to pituitary signals), normal/low FSH with low testosterone suggests secondary hypogonadism (pituitary/hypothalamic dysfunction); LH (luteinizing hormone) - stimulates testosterone production by testicular Leydig cells, interpretation parallels FSH (high LH+low testosterone = primary testicular problem, low LH+low testosterone = central hypogonadism from pituitary/hypothalamic causes); Prolactin - pituitary hormone, elevated prolactin (>20 ng/mL) suppresses GnRH release reducing LH/FSH and testosterone, causes hypogonadism, erectile dysfunction, gynecomastia, galactorrhea, caused by prolactinoma (pituitary tumor), medications (antipsychotics, metoclopramide), hypothyroidism; TSH (thyroid stimulating hormone) - hypothyroidism causes low testosterone, fatigue, weight gain, erectile dysfunction mimicking hypogonadism, hyperthyroidism increases SHBG reducing free testosterone; DHEA-S (dehydroepiandrosterone sulfate) - adrenal androgen precursor providing additional androgens beyond testicular testosterone, declines with age, low DHEA-S suggests adrenal insufficiency, provides substrate for peripheral testosterone conversion. Panel distinguishes: primary hypogonadism (testicular failure - high LH/FSH, low testosterone, causes: aging, chemotherapy, trauma, infection, genetic), secondary hypogonadism (pituitary/hypothalamic - low LH/FSH, low testosterone, causes: obesity, opioids, pituitary tumor, Kallmann syndrome), hyperprolactinemia (high prolactin suppressing axis), thyroid dysfunction. Results guide: testosterone replacement therapy (TRT) evaluation (if total testosterone <300 ng/dL with symptoms), fertility assessment (FSH/LH elevated suggests poor sperm production), thyroid treatment (if TSH abnormal), prolactinoma investigation (MRI if prolactin >50), lifestyle modifications (weight loss, sleep, stress, alcohol reduction increase testosterone). Important: TRT contraindicated if fertility desired (suppresses FSH/LH/spermatogenesis), prostate cancer, severe BPH, uncontrolled heart failure. Recommended: baseline age 40, annually if symptomatic or on TRT, repeat 3-6 months after TRT initiation to verify response and adjust dose. GOÄ pricing €150.82.

Comprehensive fatigue diagnostic panel analyzing 10 biomarkers across multiple systems commonly causing chronic tiredness, exhaustion, low energy, and burnout. Venous blood sample with fasting preferred. Results within 3-5 days. Essential investigation when experiencing: persistent fatigue despite adequate sleep, morning exhaustion, inability to recover from exercise, brain fog, decreased motivation, burnout symptoms, unexplained weakness. Tests most common medical causes of fatigue. Biomarkers tested: Blood Count - large blood count (CBC with differential) detecting anemia (most common cause of fatigue - iron, B12, folate deficiency), chronic inflammation, infection, bone marrow disorders; Thyroid - TSH (thyroid stimulating hormone), hypothyroidism causes profound fatigue, weight gain, cold intolerance, depression, affects 5-10% of population especially women; Vitamins - vitamin D 25-OH (deficiency causes fatigue, muscle weakness, depression, immune dysfunction, extremely common in northern Europe with 40-80% population insufficient), holotranscobalamin (active B12, earliest marker of B12 deficiency causing fatigue, neurological symptoms, anemia, vegans/elderly at high risk), folate (vitamin B9, deficiency causes anemia, fatigue, poor concentration); Minerals - ferritin (iron stores, low ferritin causes fatigue even without anemia, women/vegetarians/athletes at risk), selenium (thyroid function, antioxidant, immune health, deficiency causes fatigue and susceptibility to illness); Hormones - cortisol (morning fasting sample ideal, low cortisol suggests adrenal insufficiency or HPA axis dysfunction from chronic stress, high cortisol indicates active stress response), parathyroid hormone (PTH, calcium/vitamin D metabolism, elevated with vitamin D deficiency causing fatigue and weakness); Metabolism - HbA1c (3-month glucose average, diabetes and prediabetes cause significant fatigue from poor glucose regulation). Comprehensive panel efficiently identifies treatable causes of fatigue: hypothyroidism (levothyroxine), vitamin D deficiency (supplementation), B12/folate deficiency (supplementation/injections), iron deficiency (supplementation, investigate cause), diabetes (lifestyle/medication). Most patients with chronic fatigue have 1-3 abnormal results providing actionable treatment. GOÄ 1.0 pricing; privately insured 1.15x. Recommend follow-up with GP or endocrinologist for treatment plan.

Comprehensive male hormone panel analyzing testosterone, DHEA-S, cortisol, SHBG, and related markers. Blood sample. Essential for men monitoring hormonal health, energy levels, muscle mass, libido, mood, and aging markers. Results within 48 hours. Biomarkers tested: Total Testosterone - primary male hormone affecting muscle mass, bone density, libido, energy, mood; Free Testosterone - bioavailable testosterone not bound to proteins; Free Testosterone Index - calculated ratio showing hormone availability; DHEA-S (Dehydroepiandrosterone Sulfate) - adrenal hormone, anti-aging marker, precursor to testosterone and estrogen; SHBG (Sex Hormone Binding Globulin) - protein that binds sex hormones, affects hormone availability; Albumin - protein levels affecting hormone transport; FSH (Follicle Stimulating Hormone) - regulates sperm production; LH (Luteinizing Hormone) - stimulates testosterone production; Prolactin - hormone affecting sexual function and reproduction; Estradiol (E2) - estrogen in men, important for bone health, brain function; TSH (Thyroid Stimulating Hormone) - thyroid function affects hormone metabolism; Free T3 and Free T4 - active thyroid hormones. AwarePro price: €139 (20% discount). Ideal for men experiencing low energy, decreased libido, difficulty building muscle, mood changes, or monitoring hormone optimization therapy.

Comprehensive female hormone panel analyzing estrogen, progesterone, testosterone, thyroid, and reproductive hormones. Blood sample. Essential for women monitoring menstrual cycle, fertility, perimenopause/menopause, energy, mood, and hormonal balance. Results within 48 hours. Biomarkers tested: Estradiol (E2) - primary female hormone regulating menstrual cycle, bone density, cardiovascular health, mood; Progesterone - menstrual cycle regulation, pregnancy support, menopause indicator; FSH (Follicle Stimulating Hormone) - ovarian function, menopause status; LH (Luteinizing Hormone) - ovulation trigger, menstrual cycle regulation; Total and Free Testosterone - libido, muscle mass, energy, bone density; DHEA-S (Dehydroepiandrosterone Sulfate) - adrenal function, aging marker; SHBG (Sex Hormone Binding Globulin) - binds sex hormones, affects availability; Albumin - protein affecting hormone transport; Prolactin - reproductive function, breastfeeding; TSH (Thyroid Stimulating Hormone) - thyroid affects menstrual cycles and fertility; Free T3 and Free T4 - active thyroid hormones; Cortisol - stress hormone affecting reproductive health. AwarePro price: €139 (20% discount). Ideal for cycle tracking, fertility planning, perimenopause/menopause management, PCOS monitoring, or hormone replacement therapy tracking.

Specialized nutritional status screening for vegetarians and vegans analyzing 11 biomarkers commonly deficient in plant-based diets. Venous blood sample with fasting recommended. Results via patient portal within 3-5 days. Essential for anyone following plant-based diet to detect and prevent nutritional deficiencies affecting energy, immunity, cardiovascular and cognitive health. Biomarkers tested: Blood Count - small blood count (CBC) including RBC, WBC, hemoglobin, hematocrit, platelets detecting anemia from B12/iron deficiency; Minerals - calcium (bone health, nerve transmission, muscle function), iron (oxygen transport, energy production), ferritin (iron stores, most sensitive indicator of iron deficiency), selenium (antioxidant, immune function, thyroid health), zinc (immune function, wound healing, taste/smell, DNA synthesis); Vitamins - holotranscobalamin (active vitamin B12, earliest marker of B12 deficiency before anemia develops, critical for vegans), vitamin D 25-OH (bone health, immune function, mood - often low in northern climates regardless of diet); Cardiovascular/Energy - coenzyme Q10 (cellular energy production, antioxidant, heart health), omega-3 fatty acids (EPA+DHA levels, brain health, inflammation reduction - typically low in vegans without algae supplementation); Protein Status - total protein (adequate amino acid intake from plant sources). Comprehensive assessment addresses highest-risk nutrients in plant-based diets. Recommended annually or when experiencing fatigue, weakness, or starting plant-based diet. GOÄ 1.0 pricing; privately insured 1.15x.

Comprehensive micronutrient screening analyzing 15 essential vitamins, minerals, and metabolic markers for nutritional adequacy, disease prevention, and optimal health. Venous blood sample, fasting recommended for accurate amino acid profile. Results within 3-5 days. Essential for: fatigue, weakness, immune dysfunction, poor wound healing, neurological symptoms, hair loss, skin problems, vegetarian/vegan diets, malabsorption disorders, pregnancy/breastfeeding, elderly, chronic disease, athletic performance optimization. Identifies subclinical deficiencies before overt disease develops. Biomarkers tested: Iron Status - ferritin (iron stores, earliest marker of iron deficiency causing fatigue, weakness, anemia, immune dysfunction, impaired cognition), vitamin B12 (cobalamin, essential for red blood cell formation, neurological function, DNA synthesis, deficiency causes anemia, neuropathy, cognitive decline, vegans/elderly at high risk); Bone & Cardiovascular Health - vitamin D (25-OH-D, hormone regulating calcium, bone density, immune function, mood, optimal levels 40-60 ng/mL, 40-80% population deficient especially winter/northern climates), calcium (bone health, muscle contraction, nerve transmission, heart rhythm), vitamin K1/K2 (K1 for blood clotting, K2 for bone mineralization and preventing arterial calcification, deficiency causes osteoporosis and cardiovascular disease), homocysteine (amino acid, elevated levels (>10 µmol/L) indicate B vitamin deficiency and cardiovascular/cognitive risk, lowered with folate/B12/B6 supplementation); Cardiovascular & Nerve Health - magnesium (300+ enzymatic reactions, muscle relaxation, blood pressure regulation, glucose metabolism, deficiency causes cramps, arrhythmias, hypertension); Antioxidant Vitamins - vitamin A (immune function, vision, skin health, reproduction), vitamin C (collagen synthesis, immune function, iron absorption, antioxidant), vitamin E (fat-soluble antioxidant protecting cell membranes, cardiovascular/cognitive health); B Vitamins - vitamin B1/thiamine (energy metabolism, nerve function, deficiency causes beriberi and Wernicke-Korsakoff syndrome), vitamin B2/riboflavin (energy production, antioxidant regeneration, migraine prevention), vitamin B6/pyridoxine (amino acid metabolism, neurotransmitter synthesis, immune function, homocysteine metabolism); Trace Minerals - zinc (immune function, wound healing, taste/smell, testosterone production, DNA synthesis, 300+ enzymes), selenium (thyroid hormone conversion, antioxidant, immune function, cancer prevention); Protein Status - plasma amino acids (complete profile of 20+ amino acids, detects protein malnutrition, absorption issues, metabolic disorders, guides protein intake adequacy). Comprehensive panel efficiently identifies: vitamin D insufficiency (extremely common), iron deficiency (women, vegetarians, athletes), B12 deficiency (vegans, elderly, metformin users, PPI users), magnesium deficiency (stress, diabetes, GI disorders), elevated homocysteine (B vitamin deficiency, cardiovascular risk), zinc/selenium deficiency (immune/thyroid dysfunction). Results guide targeted supplementation avoiding dangerous megadosing. Recommended annually for health monitoring, every 6 months if deficiency risk factors. GOÄ pricing €180.96.

Comprehensive athletic performance optimization panel analyzing 20+ biomarkers for energy production, muscle function, recovery capacity, and nutritional adequacy. Venous blood sample, fasting recommended. Results within 2-3 days. Essential for: competitive athletes, endurance training, strength training, masters athletes, performance plateaus, slow recovery, recurring injuries, fatigue despite training. Identifies limiting factors preventing optimal performance and adaptation. Biomarkers tested: Blood Count - complete CBC detecting sports anemia (dilutional or iron deficiency), overtraining syndrome (altered WBC differential), adequate oxygen carrying capacity (hemoglobin/hematocrit); Energy Metabolism - glucose (fuel availability), lipid panel (total cholesterol, HDL, LDL, triglycerides - athletes should have optimal lipids despite high caloric intake, abnormal values suggest metabolic dysfunction or dietary issues); Liver - liver enzymes (GPT, GOT, elevated with overtraining or muscle damage, chronically high suggests inadequate recovery); Kidney - creatinine (filtration, muscle breakdown marker especially in strength athletes); Inflammation - CRP (C-reactive protein, acute training stress increases CRP, chronically elevated suggests inadequate recovery or overtraining); Thyroid - TSH (thyroid stimulating hormone, hypothyroidism causes fatigue, weight gain, poor performance, common in athletes especially female with low energy availability/RED-S); Minerals Essential for Performance - magnesium (muscle contraction, energy production, 300+ enzymatic reactions, deficiency causes cramps, fatigue, impaired recovery), calcium (muscle contraction, bone health, neurotransmission), zinc (immune function, testosterone production, wound healing, taste/appetite - low in athletes from sweat losses), selenium (antioxidant, immune function, thyroid conversion); Iron Status - ferritin (iron stores, most sensitive marker of iron deficiency before anemia develops, athletes especially endurance/female at high risk from increased needs, GI losses, foot strike hemolysis, low ferritin causes fatigue, reduced endurance, impaired adaptation to training); Vitamins - vitamin D (bone health, immune function, muscle function, testosterone production, 40-60% athletes deficient especially winter/indoor sports, optimal levels 40-60 ng/mL for performance), amino acids (building blocks for muscle protein synthesis, recovery, neurotransmitter production, imbalances suggest inadequate protein intake or absorption). Panel provides: nutritional deficiency identification (correct before supplementing), overtraining detection (elevated CRP, altered hormones/blood counts), thyroid dysfunction screening (common in athletes), iron status assessment (prevent/treat sports anemia), metabolic health verification. Results guide: targeted supplementation (iron, vitamin D, magnesium based on actual deficiency), training load adjustment (reduce if inflammatory markers high), nutrition optimization (adequate protein, micronutrients), injury risk reduction. Recommended: baseline before training season, every 6 months during heavy training, when performance plateaus or declines unexpectedly. GOÄ pricing €188.34.

Comprehensive nutrient deficiency screening identifying vitamin, mineral, and trace element imbalances causing fatigue, weakness, and immune dysfunction. Venous blood sample with 12-hour fasting required. Results within 7-10 days. Particularly valuable for vegans, vegetarians, pregnant women, athletes, individuals with digestive disorders, or those experiencing unexplained fatigue. Biomarkers tested: Hematology - Small Blood Count (kleines Blutbild) baseline assessment for nutrient-related anemia; Iron Status - Ferritin measuring iron stores, low levels cause fatigue, hair loss, cold sensitivity, impaired cognitive function; B Vitamins - Folate (Vitamin B9) essential for DNA synthesis, cell division, pregnancy health, nervous system; Active Vitamin B12 (Holotranscobalamin) measuring bioavailable B12 (not total B12), crucial for energy, red blood cell formation, neurological function, often deficient in vegans; Fat-Soluble Vitamins - Vitamin D3 (25-OH) for bone health, immune function, mood regulation, muscle strength, extremely common deficiency in Northern Europe October-March; Calcium for bone density, muscle contraction, nerve transmission, works synergistically with vitamin D; Trace Elements - Zinc for immune function, wound healing, protein synthesis, taste/smell, testosterone production, often deficient in vegetarians; Selenium antioxidant supporting thyroid function, immune system, fertility, cognitive function; Magnesium for 300+ enzymatic reactions, energy metabolism, muscle relaxation, stress response, sleep quality. Price includes blood draw and 19% VAT. Results help optimize supplementation strategy, dietary modifications, address root causes of chronic fatigue, frequent infections, poor recovery. Recommended testing 2-4 times yearly to track improvements.

Specialized diagnostic panel for hair loss (alopecia) analyzing 12 biomarkers across thyroid, hormones, nutrients, and inflammation affecting hair growth. Venous blood sample, no fasting required though morning collection preferred for hormones. Results within 3-5 days. Essential investigating: increased hair shedding, thinning hair, bald patches, hair texture changes, slow growth. Hair loss causes: androgenetic alopecia (genetic), telogen effluvium (stress/illness), thyroid disease, iron deficiency, hormonal imbalances, nutritional deficiencies, autoimmune (alopecia areata). Biomarkers tested: Blood Count - small blood count (CBC, anemia associated with hair loss, especially iron deficiency anemia); Inflammation - CRP (C-reactive protein, acute/chronic inflammation, autoimmune conditions causing hair loss including alopecia areata); Thyroid - TSH (thyroid stimulating hormone, both hypothyroidism and hyperthyroidism cause diffuse hair loss, brittle hair, altered texture, thyroid disease very common especially women); Minerals - ferritin (iron stores, low ferritin (<40 ng/mL) strongly associated with hair loss even without anemia, women/vegetarians/heavy periods at risk, most common correctable cause), zinc (essential for hair follicle function, protein synthesis, cell division, deficiency causes hair loss, slow growth, brittle hair), selenium (antioxidant, thyroid function, hair health, both deficiency and excess can cause hair loss); Female Hormones - LH (luteinizing hormone), FSH (follicle-stimulating hormone), estradiol (E2, primary estrogen), progesterone (reproductive hormones, imbalances cause hair loss - menopause, PCOS, perimenopause, high androgens in PCOS cause male-pattern hair loss in women); Androgens - DHEA-S (dehydroepiandrosterone sulfate, adrenal androgen precursor, elevated in PCOS associated with androgenetic hair loss), testosterone (in women, elevated testosterone/DHEA-S suggest PCOS or other androgen excess causing male-pattern hair loss, miniaturized hair follicles). Panel identifies most common treatable causes: iron deficiency (supplement iron, investigate source of loss), thyroid dysfunction (levothyroxine for hypothyroidism), PCOS/androgen excess (spironolactone, metformin, oral contraceptives), zinc/selenium deficiency (supplementation). Combined interpretation critical - for example, woman with elevated LH:FSH ratio (>2:1), elevated DHEA-S/testosterone, suggests PCOS; low ferritin alone explains diffuse shedding. Recommended for any unexplained hair loss before expensive treatments (minoxidil, finasteride). Note: panel designed for female hormone assessment; male hair loss typically androgenetic (genetic DHT sensitivity) requiring different evaluation (see Male Hormone Panel). Results guide: iron supplementation (if ferritin <40), thyroid medication (if TSH abnormal), PCOS treatment (if androgens elevated), nutritional correction (zinc, selenium). Hair regrowth takes 3-6 months after correcting deficiency. Follow-up testing recommended 3-6 months post-treatment. GOÄ pricing €211.81.

Comprehensive female reproductive hormone panel for women of childbearing age analyzing 10 hormones regulating menstrual cycles, fertility, ovulation, mood, metabolic health, and ovarian reserve. Venous blood sample with critical timing - ideally Day 3-5 of menstrual cycle for FSH/LH/estradiol/AMH (early follicular phase), Day 21 for progesterone (mid-luteal phase, or 7 days before expected period). Results within 3-5 days. Essential for: irregular periods, fertility issues, PCOS investigation, unexplained weight gain, mood disorders, low libido, PMS symptoms, perimenopause concerns, assessing ovarian reserve before fertility treatment. Biomarkers tested: FSH (follicle-stimulating hormone) - controls ovarian follicle maturation and egg development, Day 3 FSH levels predict ovarian reserve (low reserve if FSH >10-15 IU/L, approaching menopause if >25 IU/L), very high FSH (>40 IU/L) indicates ovarian failure/menopause, cyclic FSH rises select dominant follicle for ovulation; LH (luteinizing hormone) - triggers ovulation mid-cycle releasing mature egg, LH:FSH ratio diagnostic for PCOS (ratio >2:1 suggests PCOS with multiple small follicles and anovulation), absent LH surge indicates anovulation (no ovulation occurring); Estradiol (E2) - primary estrogen hormone, regulates menstrual cycle, maintains endometrium, bone density, cardiovascular health, brain function, libido, skin/hair quality, Day 3 levels should be low (<50-80 pg/mL for normal ovarian function, elevated Day 3 estradiol suggests diminished ovarian reserve or ovarian cyst), rises during follicular phase peaking just before ovulation, low estradiol causes irregular periods, hot flashes, vaginal dryness, bone loss; Progesterone - produced by corpus luteum after ovulation, maintains early pregnancy, balances estrogen, thickens endometrium for implantation, Day 21 progesterone confirms ovulation occurred (levels >10 ng/mL indicate ovulation, <10 ng/mL suggest anovulation or luteal phase defect causing infertility/miscarriage), low progesterone causes irregular bleeding, PMS, anxiety, insomnia; Testosterone - androgen affecting libido, energy, muscle mass, mood in women, mildly elevated testosterone common in PCOS (along with high LH:FSH ratio), very high testosterone suggests other androgen excess disorders; SHBG (sex hormone-binding globulin) - binds testosterone and estrogen, low SHBG (from insulin resistance, obesity, PCOS) increases free androgens worsening PCOS symptoms (acne, hirsutism, hair loss); Prolactin - elevated prolactin (>25 ng/mL) suppresses GnRH release causing anovulation, irregular periods, infertility, galactorrhea, caused by prolactinoma, medications, hypothyroidism, stress; TSH (thyroid stimulating hormone) - thyroid dysfunction causes menstrual irregularities, anovulation, infertility, both hypothyroidism (irregular heavy periods, weight gain) and hyperthyroidism (light/absent periods, weight loss) disrupt reproduction; DHEA-S (dehydroepiandrosterone sulfate) - adrenal androgen, elevated DHEA-S suggests adrenal androgen excess vs ovarian source, helpful differentiating PCOS from adrenal disorders; AMH (anti-Müllerian hormone) - gold standard ovarian reserve marker, produced by small follicles in ovaries, directly correlates with remaining egg supply, levels <1.0 ng/mL indicate low reserve, <0.5 ng/mL severely diminished, undetectable AMH suggests menopause imminent, unlike FSH/estradiol AMH does not fluctuate with menstrual cycle providing stable reserve assessment. Panel identifies: PCOS (high LH:FSH ratio, high testosterone/DHEA-S, low SHBG, anovulation), diminished ovarian reserve (high FSH, low AMH, high Day 3 estradiol), hypothalamic amenorrhea (low all hormones from stress/low weight/overexercise), hyperprolactinemia (high prolactin), thyroid dysfunction (abnormal TSH), luteal phase defect (low progesterone). Results guide: fertility treatment planning (AMH/FSH predict IVF response), PCOS management (metformin, spironolactone, OCP), ovulation induction (clomiphene, letrozole if anovulatory), progesterone supplementation (luteal phase support), thyroid treatment, prolactinoma investigation. Recommended: baseline fertility assessment late 30s/early 40s, investigating irregular cycles/infertility, every 6-12 months monitoring PCOS, annually perimenopause transition. GOÄ pricing €248.03. Most comprehensive female hormone panel available.

Comprehensive foundation wellness screening providing health status assessment in 2.5 hours. Blood, urine samples. Designed for health-conscious individuals seeking rapid yet thorough preventive health evaluation. Duration: ~2.5 hours. Note: Laboratory costs additional (typically €200-300). Tests included: Resting ECG with Cardisiography - 18-channel vector analysis for detailed heart rhythm and electrical activity assessment; Bioimpedance Analysis (BIA) - precise body composition measurement including muscle mass, body fat percentage, water distribution, metabolic rate; Spirometry - lung function assessment measuring respiratory capacity and airflow; Comprehensive Laboratory Analysis - blood work covering Complete Blood Count (CBC), liver function (AST, ALT, GGT, ALP, bilirubin), kidney function (creatinine, eGFR, BUN), lipid profile (total cholesterol, LDL, HDL, triglycerides), glucose metabolism (fasting glucose, HbA1c), electrolytes, thyroid markers; Pulse Oximetry - oxygen saturation and heart rate monitoring; Doctor Consultation - personalized recommendations based on test results, lifestyle optimization advice, preventive health planning. Rapid turnaround with results discussion same day or within 48 hours. Holistic approach viewing patients as whole individuals focused on vitality goals rather than just disease detection.

Most comprehensive male health panel combining Long-Term Health base test with male-specific hormone analysis and additional advanced biomarkers. Blood sample. Analyzes 70+ biomarkers providing complete health overview for men focused on longevity, performance, and disease prevention. Results within 48 hours. Includes ALL biomarkers from: Long-Term Health package (44 biomarkers covering blood, heart, liver, kidneys, metabolism, minerals, vitamins, immunity) PLUS Male Hormones package (testosterone total/free, DHEA-S, SHBG, FSH, LH, prolactin, estradiol, thyroid hormones) PLUS Additional Advanced Markers: extended lipid panel, omega-3 index (EPA, DHA), advanced inflammation markers, comprehensive metabolic panel, expanded vitamin analysis (B2, B6, B9), expanded mineral profile (magnesium in RBCs, selenium, zinc), liver function expansion, kidney function markers, protein status, athletic performance markers. Provides most complete picture of male health across: cardiovascular disease risk; hormonal balance and optimization; metabolic health and diabetes risk; liver and kidney function; nutritional status; inflammation and immune function; athletic performance and recovery; aging and longevity biomarkers. AwarePro price: €239 (20% discount). Recommended for men over 35, athletes, those optimizing health/longevity, monitoring hormone optimization therapy, family history of heart disease or diabetes, or establishing comprehensive health baseline. Most cost-effective way to test maximum biomarkers - better value than ordering individual packages separately.

Most comprehensive preventive health program with thorough full-body examination including ultrasound imaging, cardiac and pulmonary function testing, and expanded blood analysis with 30+ additional biomarkers. Two-appointment structure: 1-hour comprehensive examination session, then 15-minute results consultation (in-person or video). Particularly suited for individuals with family health predispositions, people over 45, and professionals prioritizing long-term health management. First Appointment (~60 minutes) Components: Physical Examination - thorough check of whole body including all important organs with detailed personal and social health history; Cardiac Ultrasound (Echocardiography) - ultrasound examination of heart assessing chamber size, wall thickness, valve function, pumping efficiency; Vascular Ultrasound - ultrasound of neck vessels (carotid arteries) and abdominal organs screening for atherosclerosis, aneurysms, organ abnormalities; Pulmonary Function Test (Spirometry) - lung capacity testing measuring airflow, volume, and respiratory function; ECG (Electrocardiogram) - heart rhythm and electrical activity assessment; Vaccination Status Review - immunization completeness check; Expanded Laboratory Panel - complete blood count plus 30 additional values covering liver, kidney, thyroid, metabolic, cardiovascular, inflammation, and nutritional markers. Second Appointment (~15 minutes): Individual risk assessment based on all examination results; personal health plan development with prevention recommendations; physician discussion of findings and health optimization strategies. Insurance: Usually covered by private insurance, statutory insurance typically does not cover. Available at avi Medical locations in Berlin, Munich, and Hamburg. Most complete health screening program for early disease detection and comprehensive wellness assessment.

Comprehensive cardiovascular health assessment combining cardiac stress testing, ultrasound imaging, pulmonary evaluation, and expanded blood panel focused on heart disease risk markers. Two-appointment process: 60-minute examination session, then 15-minute results consultation (in-person or video). Designed for individuals over 40, those with family cardiovascular history, and anyone prioritizing heart health prevention. Components: Physical Assessment - comprehensive full body examination with detailed personal and social health history focusing on cardiovascular risk factors; Cardiac Stress Test (Exercise ECG/Ergometry) - cardiovascular system tested under physical exertion on bicycle or treadmill measuring heart rate response, blood pressure changes, ECG patterns during exercise, maximal exercise capacity, recovery time, detecting ischemia or arrhythmias not visible at rest; Cardiac Ultrasound (Echocardiography) - ultrasound examination of heart assessing chamber dimensions, wall motion, valve function, ejection fraction, detecting structural abnormalities; Vascular Ultrasound - ultrasound examination of neck vessels (carotid arteries) screening for atherosclerotic plaques, stenosis, blood flow abnormalities; Pulmonary Function Test (Spirometry) - lung capacity testing to rule out respiratory limitations affecting cardiovascular performance; Expanded Cardiovascular Blood Panel - complete blood count plus 14 additional cardiovascular-specific values including advanced lipid profile (total cholesterol, HDL, LDL, triglycerides, apolipoprotein B, lipoprotein(a)), inflammation markers (hs-CRP), metabolic markers (glucose, HbA1c), kidney function (creatinine, eGFR), liver enzymes, electrolytes. Follow-up consultation includes individual health plan with personalized cardiovascular risk assessment and physician discussion of prevention strategies, lifestyle modifications, and potential interventions. Insurance: Usually covered by private insurance, statutory insurance typically does not cover. Recommended for monitoring existing heart conditions, athletes assessing cardiovascular fitness, or establishing baseline cardiovascular health metrics. Available at all avi Medical Berlin locations.

Ultra-comprehensive micronutrient analysis adding 9 advanced markers to Basic profile for total 24 biomarkers. Total price €719.21 (€180.96 Basic + €538.25 additional). Venous blood sample, fasting required. Results within 5-7 days. Most complete nutritional assessment available for: chronic disease, malabsorption, optimal longevity, complex symptoms, therapeutic monitoring, precision nutrition optimization. All Basic profile markers PLUS: Advanced Antioxidants - total antioxidative capacity (TAC, measures overall antioxidant defense system beyond individual vitamins, low TAC indicates oxidative stress from inadequate antioxidant intake, chronic inflammation, excessive free radical production), glutathione (master intracellular antioxidant, detoxification, immune function, declines with age/stress/chronic disease, marker of cellular health); Energy Production - carnitine (transports fatty acids into mitochondria for energy production, essential for fat metabolism and endurance, deficiency causes muscle weakness, fatigue, cardiomyopathy), coenzyme Q10 (CoQ10, ubiquinone, electron transport chain component producing ATP, powerful antioxidant, heart health, declines with age and statin use causing muscle pain/weakness); Cardiovascular & Metabolic - fatty acid status (comprehensive profile of omega-3, omega-6, omega-9, saturated fats, trans fats, omega-3 index critical for cardiovascular/brain health, optimal EPA+DHA >8%, identifies fat metabolism disorders), copper (ceruloplasmin, iron metabolism, connective tissue formation, nervous system, excess or deficiency causes problems, must balance with zinc); Vitamins - biotin (vitamin B7/H, carbohydrate/fat/protein metabolism, hair/skin/nail health, high-dose biotin supplementation can falsely alter lab results), folate (vitamin B9, DNA synthesis, cell division, prevents neural tube defects in pregnancy, lowers homocysteine, different from folic acid supplement form, measures active natural folate); Thyroid - iodine (essential for thyroid hormone synthesis, deficiency causes hypothyroidism and goiter, 30% global population deficient, excess also problematic, optimal range narrow). Comprehensive profile provides: complete nutritional status assessment beyond standard testing, oxidative stress evaluation (TAC, glutathione), mitochondrial function assessment (CoQ10, carnitine), omega-3 status (inflammatory balance), trace mineral optimization (copper, iodine), B vitamin completion (biotin, folate beyond B12). Clinical applications: chronic fatigue investigation (CoQ10, carnitine, iron, thyroid), cardiovascular optimization (omega-3 index, homocysteine, antioxidants), cognitive decline prevention (omega-3, B vitamins, antioxidants), athletic performance (all of above plus amino acids, minerals), pregnancy preparation (folate, iodine, iron, omega-3), anti-aging/longevity protocols (comprehensive optimization). Results enable precision supplementation targeting actual deficiencies rather than guessing. Most cost-effective comprehensive micronutrient assessment compared to individual test pricing. Recommended: baseline health optimization, annually for longevity-focused individuals, therapeutic monitoring. GOÄ pricing.

Advanced comprehensive longevity program combining state-of-the-art diagnostics, in-depth analyses, and individual evaluation as part of holistic examination. Blood, urine samples. Most comprehensive package for serious health optimization and disease prevention. Duration: ~5 hours. Note: Laboratory costs additional (approximately €1,000 for extensive biomarker panel). All Basic Check-Up components PLUS: Ultrasound Examinations - echocardiography (heart ultrasound assessing chamber size, wall thickness, valve function, ejection fraction), carotid artery ultrasound (neck vessel imaging for atherosclerosis detection), abdominal vessel ultrasound (aorta and major blood vessels); Spiroergometry with Lactate Threshold - exercise stress testing on bicycle ergometer measuring oxygen consumption, CO2 production, heart rate response, blood lactate levels to determine aerobic/anaerobic threshold and cardiovascular fitness (VO2-Max equivalent); Neurocognitive Testing - computerized assessment of memory, attention, processing speed, executive function to establish cognitive baseline and detect early decline; VNS Analysis - heart rate variability testing evaluating autonomic nervous system balance, stress response, recovery capacity; Skin Cancer Screening - full-body dermatological examination for melanoma and other skin cancers; Biological Age Assessment - optional epigenetics testing via DNA methylation analysis determining cellular age versus chronological age; Cardiometabolic Risk Profiling - advanced cardiovascular disease prediction using multiple biomarkers; Extensive Report - detailed written analysis with nutrient deficiency identification, supplement recommendations, lifestyle optimization strategies, personalized prevention plan. Premium package provides most thorough longevity assessment available in Berlin with emphasis on early disease detection and optimization of healthspan.

Comprehensive longevity diagnostic program with 87 lab biomarkers and 25 functional examinations. Blood, urine samples. Foundation program for early disease detection and prevention. Biomarkers tested: Complete Blood Count (CBC) - red/white blood cells, hemoglobin, hematocrit, platelets, MCV, MCH, MCHC; Organ Functions - liver enzymes (AST, ALT, GGT, ALP), kidney function (creatinine, eGFR, BUN, urea); Lipid Metabolism - total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, ApoB (apolipoprotein B), oxidized LDL; Glucose Metabolism - fasting glucose, HbA1c (3-month blood sugar average), HOMA-Index (insulin resistance), fasting insulin; Thyroid Hormones - TSH (thyroid stimulating hormone), Free T3, Free T4; Inflammatory Markers - hs-CRP (high-sensitivity C-reactive protein), ESR (erythrocyte sedimentation rate); Cardiovascular - NT-proBNP (heart failure marker), blood pressure monitoring; Vitamins & Minerals - Vitamin D (25-OH), Ferritin (iron storage), electrolytes (sodium, potassium, calcium, magnesium); Tumor Markers - PSA (prostate-specific antigen for men), CA 125 (ovarian cancer marker for women); Additional Markers - uric acid, albumin, total protein, bilirubin, LDH. Includes personalized health report, prevention plan, on-demand physician support, and optional coaching sessions. Functional exams include cardiovascular assessment, body composition analysis, vital signs monitoring. Results delivered in visual, actionable format emphasizing prevention before symptom onset.

Advanced longevity diagnostic program with 120 lab biomarkers, 25+ functional examinations, whole-body MRI, and multi-cancer detection screening. Blood, urine, stool samples. Enhanced program building on Core® with advanced aging markers and comprehensive cancer screening. Biomarkers tested: ALL YEARS Core® biomarkers (87 markers) PLUS: Hormone Panel - DHEA-S (dehydroepiandrosterone sulfate, adrenal function), total testosterone, free testosterone, estradiol (E2), progesterone, SHBG (sex hormone binding globulin), LH (luteinizing hormone), FSH (follicle stimulating hormone), prolactin, cortisol (stress hormone); Advanced Vitamins - Vitamin B12 (methylmalonic acid), Vitamin A (retinol), Vitamin K2 (menaquinone), Vitamin E (tocopherol); Minerals - Selenium, Zinc, Copper, Iodine; Advanced Lipids - Lipoprotein(a) [Lp(a)], small dense LDL particles, remnant cholesterol; Growth Factors - IGF-1 (insulin-like growth factor), IGFBP-3 (binding protein); Cardiovascular Advanced - Lp-PLA2 (lipoprotein-associated phospholipase A2), Interleukin-6 (IL-6), Homocysteine (cardiovascular disease risk); Metabolic - Leptin (appetite regulation), adiponectin; Omega Fatty Acids - Omega-3 Index, Omega-6/Omega-3 ratio, EPA, DHA, AA. Additional Services: Whole-Body MRI - radiation-free imaging detecting tumors (70+ solid tumor types), vascular issues, metabolic liver disease, spinal problems; Liquid Biopsy - non-invasive multi-cancer early detection screening with 96-99% specificity, 65-89% sensitivity; Year-round concierge medical support; 1 physician check-in annually; Initial nutrition and performance coaching session. Most comprehensive mid-tier program for serious longevity optimization and cancer prevention.

Ultimate longevity diagnostic program with 230 lab biomarkers, 25+ functional examinations, whole-body MRI, multi-cancer detection, genomics, microbiomics, and epigenomics. Blood, urine, stool, saliva, living cell samples. Most comprehensive longevity program combining ALL diagnostic modalities. Biomarkers tested: ALL YEARS Evolve® biomarkers (120 markers) PLUS: Autoimmune Markers - ANA (antinuclear antibodies), RF (rheumatoid factor), anti-CCP, anti-TPO (thyroid peroxidase), anti-thyroglobulin, celiac disease markers (anti-tTG, anti-DGP); Infection Screening - Hepatitis B (HBsAg, anti-HBs, anti-HBc), Hepatitis C (anti-HCV), HIV (antibody/antigen test), EBV (Epstein-Barr virus), CMV (cytomegalovirus); Advanced Cytokines - TNF-alpha (tumor necrosis factor), IL-1beta, IL-8, IL-10, interferon-gamma; Oxidative Stress - TMAO (trimethylamine N-oxide), CoQ10 (coenzyme Q10), glutathione, 8-OHdG (DNA damage marker), malondialdehyde (MDA); Immunoglobulins - IgG subclasses (IgG1, IgG2, IgG3, IgG4), IgA, IgM, IgE; Amino Acids - essential amino acids profile (leucine, isoleucine, valine, lysine, methionine, phenylalanine, threonine, tryptophan), non-essential amino acids (arginine, glutamine, glycine, proline, tyrosine); Advanced Nutrients - Nicotinamide (NAD+ precursor), Vitamin B1 (thiamine), B2 (riboflavin), B6 (pyridoxine), B9 (folate), biotin, pantothenic acid; Heavy Metals - lead, mercury, cadmium, arsenic; Bone Health - osteocalcin, CTX (bone turnover marker), vitamin K status. Advanced Diagnostics: Medical Genomics - whole exome/genome sequencing analyzing 170+ disease risk genes (cancer susceptibility, cardiovascular disease, Alzheimer's, metabolic disorders), 150+ pharmacogenomics markers (drug metabolism, adverse reaction risks); Microbiomics - comprehensive gut bacteria and fungi analysis, diversity scores, pathogen detection, dysbiosis markers; Epigenomics - biological age assessment via DNA methylation patterns, epigenetic aging clocks, age acceleration metrics; YEARS Performance Battery - advanced functional testing; Biological Specimen Preservation - cryopreservation of 70 blood samples for future regenerative medicine applications. Premium Support: Year-round concierge support with 10-hour annual retainer; 3 physician check-ins annually; Monthly coaching sessions (nutrition, performance, lifestyle). Most advanced longevity program globally for comprehensive health optimization, disease prevention, and lifespan extension.