Most annual checkups rely on the same tired playbook: a basic panel of 10–15 labs, most of which only catch disease once it’s already a problem. That’s not optimization - that’s damage control.

At Catalyst, we don’t guess. We measure. Our advanced diagnostic protocols include over 100 biomarkers, allowing us to detect imbalances before symptoms spiral into diagnoses, and to personalize protocols based on your unique physiology.

Here’s what you’re missing in a “normal” lab panel, and what 100+ biomarkers can actually tell you when done right.

The Limits of a Standard Lab Panel

Even the “comprehensive” physical at most practices often includes:

• Complete Blood Count (CBC)

• Comprehensive Metabolic Panel (CMP)

• Lipid Panel (cholesterol)

• TSH (basic thyroid screen)

• Maybe Vitamin D (if you ask)

These give you a general snapshot of your organ function and disease risk. But they miss:

• Hormones that govern energy, metabolism, and libido

• Inflammation markers that predict aging, brain health, and recovery

• Nutrient levels that influence everything from sleep to immunity

• Metabolic markers tied to insulin resistance, fatty liver, and weight gain

• Cardiovascular risk factors beyond just LDL

This means you can feel awful, and still get told “everything looks fine.”

What 100+ Biomarkers Can Reveal

Our panels go far beyond what insurance-driven care allows. Here’s what we assess, and why it matters.

Hormones: Not Just Testosterone

We measure a full hormone cascade, including:

• Total & Free Testosterone

• Estradiol (E2)

• DHEA-S (the precursor hormone)

• Sex Hormone Binding Globulin (SHBG)

• LH and FSH (your brain’s hormone signals)

• Cortisol (morning and diurnal, for stress)

• Insulin & HOMA-IR (early metabolic health)

• IGF-1 (growth hormone proxy)

Together, these reveal whether your fatigue, mood swings, or performance issues are hormonal - and if so, where the breakdown is happening.

Inflammation & Recovery: The Hidden Blockers

We include deeper inflammatory markers like:

• hs-CRP (cardiovascular and systemic inflammation)

• ESR (clotting and chronic inflammation)

• Ferritin (iron, but also an acute-phase reactant)

These impact your energy, recovery, brain aging, and disease risk, and they’re almost never checked until something goes wrong.

Metabolic Health: Catching Issues Before They Escalate

Early signs of insulin resistance, fatty liver, and sluggish mitochondria can show up years before blood sugar spikes.

We assess:

• Fasting insulin & glucose

• HOMA-IR (insulin resistance index)

• Hemoglobin A1c (long-term glucose control)

• ALT, AST, GGT (liver function)

• LDL particle count, ApoB, Lp(a) (next-gen cholesterol markers)

• Uric acid (metabolic health and inflammation)

These tell us if you’re heading toward metabolic dysfunction, and how to reverse course before it turns into weight gain, burnout, or disease.

Brain, Mood, and Methylation

Yes, we test for your biological resilience too.

• B12, Folate, and MTHFR variants

• Magnesium, Zinc, Selenium

• Vitamin D and Omega-3 Index

• Thyroid panel: TSH, Free T3

These markers affect your ability to regulate mood, handle stress, detox, and recover. Many patients with “brain fog” or depression have issues here.

Custom Add-ons Based on Your Profile

Depending on your goals, history, and symptoms, we may also test:

• VO₂ Max & Aerobic Efficiency

• Biological age, telomeres, and epigenetic age

• Full-body MRI or cardiac CT

• Micronutrient testing and toxic metal panels

No two people have the same profile. We don’t use prefab panels. We customize your diagnostics to your goals and your biology.

What This Lets Us Do That Others Can’t

With this level of testing, we can:

• Spot early warning signs before they become symptoms

• Identify root causes, not just surface-level effects

• Build a protocol that fits your system, not population averages

• Track progress with real, meaningful metrics every 90 days

• Optimize for long-term performance, not just short-term relief

The Bottom Line

Most “normal” labs are good at telling you when you’re sick. But they’re not built to help you feel great.

If you're investing in your health, career, and performance, you deserve a diagnostic process that matches that ambition.

We don’t guess. We measure. And we track.

That's what lets Catalyst patients get results that last - because the plan is built on your biology.