Advanced Biomarker Testing:
Critical Health Markers Your Doctor Isn't Ordering
Conventional medical testing overlooks essential biomarkers that reveal your true cardiovascular, metabolic, and hormonal health. Discover what standard labs miss—and why these advanced tests matter for preventive health.

Today's healthcare system relies on outdated testing protocols that focus on basic biomarkers while overlooking the most scientifically validated predictors of future health problems. Sage helps you identify these critical testing gaps, understand their significance for your personal health profile, and take proactive measures before serious conditions develop.
“Tell me where I'm going to die, so I won't go there.”
- Charlie Munger
AI-Powered Biomarker Gap Analysis
Personalized advanced testing recommendations based on your comprehensive health profile
AI-powered analysis of complex relationships between interrelated biomarkers
Evidence-based explanations of why specific advanced tests matter for YOUR individual health
Actionable recommendations for discussing advanced testing with your healthcare provider
Integration of cutting-edge medical research on the most predictive biomarkers for disease prevention
Advanced Cardiovascular Risk Assessment:
Beyond Basic Cholesterol Testing
Standard lipid panels measure total cholesterol, HDL, and LDL—but miss the advanced lipid markers most predictive of actual cardiovascular risk. These overlooked biomarkers could reveal heart health issues years before they become clinical problems.
Apolipoprotein B (ApoB)
ApoB is the protein component of LDL and other atherogenic particles that actually penetrate arterial walls—providing a direct measure of the particles that cause atherosclerosis and cardiovascular disease.
- Scientifically validated as more predictive of cardiovascular risk than standard LDL measurements
- Can be significantly elevated even when LDL cholesterol appears within "normal" ranges
- Identifies individuals with small, dense LDL particles (associated with higher cardiovascular risk)
- Recognized by cardiovascular specialists as superior to conventional lipid markers for risk assessment
Two patients can have identical LDL cholesterol numbers but vastly different ApoB levels—indicating dramatically different actual cardiovascular risks. Without measuring ApoB, you're missing a critical dimension of your complete cardiovascular health assessment.
Sage Insights AI thoroughly analyzes your existing lipid panel results and determines if your specific biomarker patterns warrant ApoB testing. It examines relationships in your current markers that suggest potential ApoB elevation and provides clear, evidence-based recommendations for discussion with your healthcare provider.
ApoB is the protein component of LDL and other atherogenic particles that actually penetrate arterial walls—providing a direct measure of the particles that cause atherosclerosis and cardiovascular disease.
- Scientifically validated as more predictive of cardiovascular risk than standard LDL measurements
- Can be significantly elevated even when LDL cholesterol appears within "normal" ranges
- Identifies individuals with small, dense LDL particles (associated with higher cardiovascular risk)
- Recognized by cardiovascular specialists as superior to conventional lipid markers for risk assessment
Two patients can have identical LDL cholesterol numbers but vastly different ApoB levels—indicating dramatically different actual cardiovascular risks. Without measuring ApoB, you're missing a critical dimension of your complete cardiovascular health assessment.
The Sage Healthspan Insights AI thoroughly analyzes your existing lipid panel results and determines if your specific biomarker patterns warrant ApoB testing. It examines relationships in your current markers that suggest potential ApoB elevation and provides clear, evidence-based recommendations for discussion with your healthcare provider.
Lipoprotein(a) or Lp(a)
Lp(a) is a genetic variant of LDL cholesterol that promotes arterial inflammation and blood clotting. Often described as "the most dangerous cholesterol biomarker you've never heard of" in cardiovascular medicine.
- Inherited genetic risk factor for early heart attack, stroke, and cardiovascular disease
- Not significantly influenced by diet or standard exercise interventions (unlike other lipid markers)
- Affects approximately 20% of the population with elevated levels
- Requires specific targeted treatment approaches different from standard cholesterol management
Lp(a) is rarely included in standard cardiovascular assessment, even though elevated levels can triple heart attack risk. Since levels are genetically determined, discovering high Lp(a) allows family members to get tested and implement appropriate preventive strategies.
Our advanced AI examines your cardiovascular history, existing lipid biomarker results, and personal cardiovascular risk factors to determine if Lp(a) testing would provide valuable information for your health profile. If you've already been tested, Sage Insights provides clear context about what your specific Lp(a) results mean and appropriate personalized next steps.
Lp(a) is a genetic variant of LDL cholesterol that promotes arterial inflammation and blood clotting. Often described as "the most dangerous cholesterol biomarker you've never heard of" in cardiovascular medicine.
- Inherited genetic risk factor for early heart attack, stroke, and cardiovascular disease
- Not significantly influenced by diet or standard exercise interventions (unlike other lipid markers)
- Affects approximately 20% of the population with elevated levels
- Requires specific targeted treatment approaches different from standard cholesterol management
Lp(a) is rarely included in standard cardiovascular assessment, even though elevated levels can triple heart attack risk. Since levels are genetically determined, discovering high Lp(a) allows family members to get tested and implement appropriate preventive strategies.
Insights Helps:
Our advanced AI examines your family cardiovascular history, existing lipid biomarker results, and personal cardiovascular risk factors to determine if Lp(a) testing would provide valuable information for your health profile. If you've already been tested, Sage Healthspan Insights provides clear context about what your specific Lp(a) results mean and appropriate personalized next steps.
Comprehensive Hormone Assessment:
Beyond Basic Thyroid and Sex Hormone Testing
Standard hormone testing typically checks just one or two basic markers, missing the complex interplay between various hormonal systems. Comprehensive hormone testing provides a more complete picture of endocrine health and hormonal balance.
Complete Thyroid Function Panel
Beyond basic TSH testing, a complete thyroid function assessment includes Free T3, Free T4, Reverse T3, and thyroid antibody testing for thorough evaluation.
- Many individuals have "normal" TSH results but abnormal T3 or T4 levels affecting metabolism
- Thyroid antibody testing can identify autoimmune thyroid conditions before TSH levels change
- Reverse T3 testing can reveal stress-induced thyroid hormone resistance
- T3:T4 ratio analysis provides insight into thyroid hormone conversion efficiency
A basic TSH test alone fails to detect early thyroid dysfunction and the root causes of thyroid-related symptoms. Many people suffer with unexplained fatigue, weight management issues, and cognitive problems for years because their complete thyroid function isn't properly assessed.
Our AI analyzes your reported symptoms alongside any existing thyroid biomarker results to identify patterns suggesting the need for comprehensive thyroid assessment. It provides clear visualizations of thyroid hormone relationships and personalized recommendations for achieving optimal thyroid function based on your unique profile.
Beyond basic TSH testing, a complete thyroid function assessment includes Free T3, Free T4, Reverse T3, and thyroid antibody testing for thorough evaluation.
- Many individuals have "normal" TSH results but abnormal T3 or T4 levels affecting metabolism
- Thyroid antibody testing can identify autoimmune thyroid conditions before TSH levels change
- Reverse T3 testing can reveal stress-induced thyroid hormone resistance
- T3:T4 ratio analysis provides insight into thyroid hormone conversion efficiency
A basic TSH test alone fails to detect early thyroid dysfunction and the root causes of thyroid-related symptoms. Many people suffer with unexplained fatigue, weight management issues, and cognitive problems for years because their complete thyroid function isn't properly assessed.
Our AI analyzes your reported symptoms alongside any existing thyroid biomarker results to identify patterns suggesting the need for comprehensive thyroid assessment. It provides clear visualizations of thyroid hormone relationships and personalized recommendations for achieving optimal thyroid function based on your unique profile.
Comprehensive Sex Hormone Panel
Beyond basic estradiol or testosterone measurement, includes complete assessment of estrone, estriol, progesterone, DHEA-S, and their metabolites for complete hormonal evaluation.
- Hormone ratios and balance often matter more than absolute hormone levels
- Hormone metabolite testing reveals how your body processes key hormones
- Provides detailed insight into perimenopause/andropause transitions and hormonal shifts
- Helps identify root hormonal causes of specific symptoms for targeted treatment
Basic hormone testing frequently leaves women experiencing perimenopause or men with age-related hormonal changes without clear answers. Comprehensive hormone assessment reveals the subtle hormonal shifts driving symptoms and long-term health risks.
Our sophisticated AI correlates your age, reported symptoms, and any existing hormone test results to identify which additional hormone biomarkers would provide the most valuable information for your specific situation. It also analyzes complex hormone relationships and provides evidence-based insights about optimizing your hormonal health and balance.
Beyond basic estradiol or testosterone measurement, includes complete assessment of estrone, estriol, progesterone, DHEA-S, and their metabolites for complete hormonal evaluation.
- Hormone ratios and balance often matter more than absolute hormone levels
- Hormone metabolite testing reveals how your body processes key hormones
- Provides detailed insight into perimenopause/andropause transitions and hormonal shifts
- Helps identify root hormonal causes of specific symptoms for targeted treatment
Basic hormone testing frequently leaves women experiencing perimenopause or men with age-related hormonal changes without clear answers. Comprehensive hormone assessment reveals the subtle hormonal shifts driving symptoms and long-term health risks.
Our sophisticated AI correlates your age, reported symptoms, and any existing hormone test results to identify which additional hormone biomarkers would provide the most valuable information for your specific situation. It also analyzes complex hormone relationships and provides evidence-based insights about optimizing your hormonal health and balance.
Advanced Metabolic Health Assessment:
Detecting Insulin Resistance Years Earlier
Conventional testing often identifies metabolic problems only after they've progressed to prediabetes or clinical insulin resistance. Earlier detection through advanced metabolic biomarkers enables more effective prevention strategies.
Fasting Insulin Measurement
A direct measure of insulin levels after fasting, revealing how intensively your pancreas must work to maintain normal glucose levels and metabolic function.
- Fasting insulin rises years before blood glucose becomes abnormal
- Directly linked to metabolic syndrome development and type 2 diabetes risk
- Strong predictor of future weight management challenges and metabolic efficiency
- Associated with systemic inflammation and increased cardiovascular risk
Fasting glucose or HbA1c testing alone fail to detect the earliest signs of metabolic dysfunction. Many individuals have "normal" glucose readings but significantly elevated insulin levels, indicating metabolic problems years before standard testing would identify them.
Our AI examines your glucose history, lipid patterns, trends, and related markers to identify early signs of insulin resistance. It provides personalized recommendations for metabolic optimization based on your unique pattern of biomarker results and health history.
A direct measure of insulin levels after fasting, revealing how intensively your pancreas must work to maintain normal glucose levels and metabolic function.
- Fasting insulin rises years before blood glucose becomes abnormal
- Directly linked to metabolic syndrome development and type 2 diabetes risk
- Strong predictor of future weight management challenges and metabolic efficiency
- Associated with systemic inflammation and increased cardiovascular risk
Fasting glucose or HbA1c testing alone fail to detect the earliest signs of metabolic dysfunction. Many individuals have "normal" glucose readings but significantly elevated insulin levels, indicating metabolic problems years before standard testing would identify them.
Our AI examines your glucose history, lipid patterns, weight trends, and related markers to identify early signs of insulin resistance. It provides personalized recommendations for metabolic optimization based on your unique pattern of biomarker results and health history.
HOMA-IR (Homeostatic Model Assessment of Insulin Resistance)
Homeostatic Model Assessment of Insulin Resistance—a calculated value using glucose and insulin measurements that precisely quantifies insulin resistance and metabolic function.
- Quantifies insulin resistance before glucose abnormalities develop
- Helps distinguish between different types of metabolic dysfunction
- Provides an objective baseline to measure intervention effectiveness
- Strongly linked to future cardiometabolic disease risk
Without directly measuring insulin resistance, healthcare providers often dismiss early metabolic warning signs. HOMA-IR calculation reveals metabolic problems while they're still reversible through targeted lifestyle interventions.
When you have both glucose and insulin test results available, our AI automatically calculates your HOMA-IR value and tracks it longitudinally over time. It analyzes trends in this critical metabolic marker and provides actionable steps for improving insulin sensitivity based on evidence-based interventions.
Homeostatic Model Assessment of Insulin Resistance—a calculated value using glucose and insulin measurements that precisely quantifies insulin resistance and metabolic function.
- Quantifies insulin resistance before glucose abnormalities develop
- Helps distinguish between different types of metabolic dysfunction
- Provides an objective baseline to measure intervention effectiveness
- Strongly linked to future cardiometabolic disease risk
Without directly measuring insulin resistance, healthcare providers often dismiss early metabolic warning signs. HOMA-IR calculation reveals metabolic problems while they're still reversible through targeted lifestyle interventions.
When you have both glucose and insulin test results available, our AI automatically calculates your HOMA-IR value and tracks it longitudinally over time. It analyzes trends in this critical metabolic marker and provides actionable steps for improving insulin sensitivity based on evidence-based interventions.
Inflammatory Biomarkers:
The Silent Drivers of Chronic Disease Development
Chronic inflammation underlies many health conditions, yet standard testing rarely measures these critical inflammatory biomarkers. Comprehensive inflammation monitoring helps identify root causes of symptoms and disease risk before clinical manifestation.
High-Sensitivity C-Reactive Protein (hs-CRP)
A sensitive marker of systemic inflammation that indicates increased cardiovascular risk and inflammatory burden.
- Independent predictor of heart attack, stroke, and cardiovascular event risk
- Helps identify hidden inflammatory processes before symptoms develop
- Guides intensity of preventive health strategies based on risk level
- Monitors effectiveness of anti-inflammatory lifestyle interventions
Standard medical assessment often ignores inflammatory status until disease manifests clinically. Tracking hs-CRP reveals whether your lifestyle modifications are actually reducing your inflammatory burden and disease risk.
Our AI correlates your hs-CRP results with other inflammatory biomarkers and health conditions to provide context about your specific inflammatory status. It identifies patterns suggesting specific causes of inflammation and tracks the effectiveness of your anti-inflammatory interventions longitudinally.
A sensitive marker of systemic inflammation that indicates increased cardiovascular risk and inflammatory burden.
- Independent predictor of heart attack, stroke, and cardiovascular event risk
- Helps identify hidden inflammatory processes before symptoms develop
- Guides intensity of preventive health strategies based on risk level
- Monitors effectiveness of anti-inflammatory lifestyle interventions
Standard medical assessment often ignores inflammatory status until disease manifests clinically. Tracking hs-CRP reveals whether your lifestyle modifications are actually reducing your inflammatory burden and disease risk.
Our AI correlates your hs-CRP results with other inflammatory biomarkers and health conditions to provide context about your specific inflammatory status. It identifies patterns suggesting specific causes of inflammation and tracks the effectiveness of your anti-inflammatory interventions longitudinally.
Critical Nutrient Status Assessment:
Beyond Basic Vitamin Testing
Standard blood work rarely includes comprehensive nutritional biomarker testing, despite deficiencies playing major roles in energy production, immune function, and chronic disease risk.
Vitamin D (25-Hydroxyvitamin D)
The active circulating form of Vitamin D that accurately indicates your body's true vitamin D status and sufficiency.
- Essential for immune regulation, bone metabolism, and mood stabilization
- Deficiency linked to numerous chronic diseases and health conditions
- Optimal levels differ significantly from conventional "normal" reference ranges
- Difficult to achieve optimal levels without testing and personalized supplementation
Vitamin D is tested inconsistently and often evaluated using outdated reference ranges. Optimal levels for disease prevention are typically higher than standard "normal" laboratory ranges suggest.
Our AI tracks your Vitamin D levels longitudinally and in relation to seasonal variations. It provides personalized recommendations for reaching and maintaining optimal vitamin D levels based on your specific test results, geographical latitude, age, and other relevant factors.
The active circulating form of Vitamin D that accurately indicates your body's true vitamin D status and sufficiency.
- Essential for immune regulation, bone metabolism, and mood stabilization
- Deficiency linked to numerous chronic diseases and health conditions
- Optimal levels differ significantly from conventional "normal" reference ranges
- Difficult to achieve optimal levels without testing and personalized supplementation
Vitamin D is tested inconsistently and often evaluated using outdated reference ranges. Optimal levels for disease prevention are typically higher than standard "normal" laboratory ranges suggest.
Our AI tracks your Vitamin D levels longitudinally and in relation to seasonal variations. It provides personalized recommendations for reaching and maintaining optimal vitamin D levels based on your specific test results, geographical latitude, skin pigmentation, age, and other relevant factors.
Omega-3 Index Testing
Measures the percentage of EPA and DHA (essential omega-3 fatty acids) incorporated in red blood cell membranes, reflecting tissue levels.
- Directly linked to cardiovascular health outcomes and disease risk
- Associated with cognitive function, neurological health, and brain aging
- More accurate than dietary questionnaires for assessing true omega-3 status
- Helps determine personalized optimal supplementation strategies
Despite strong scientific evidence linking omega-3 status to health outcomes, this test is rarely included in standard medical assessments. Many people supplementing with fish oil have no objective way to know if they're reaching therapeutic tissue levels.
For those who have completed omega-3 index testing, our AI provides context for your specific results and tracks changes in response to dietary modifications or supplementation protocols. It also analyzes your personal risk factors to determine if this specialized testing would be particularly valuable in your comprehensive health monitoring.
Measures the percentage of EPA and DHA (essential omega-3 fatty acids) incorporated in red blood cell membranes, reflecting tissue levels.
- Directly linked to cardiovascular health outcomes and disease risk
- Associated with cognitive function, neurological health, and brain aging
- More accurate than dietary questionnaires for assessing true omega-3 status
- Helps determine personalized optimal supplementation strategies
Despite strong scientific evidence linking omega-3 status to health outcomes, this test is rarely included in standard medical assessments. Many people supplementing with fish oil have no objective way to know if they're reaching therapeutic tissue levels.
For those who have completed omega-3 index testing, our AI provides context for your specific results and tracks changes in response to dietary modifications or supplementation protocols. It also analyzes your personal risk factors to determine if this specialized testing would be particularly valuable in your comprehensive health monitoring.
Comprehensive Biomarker Assessment:
Don't Wait Until Problems Develop
These missing biomarkers represent just the beginning of advanced health testing. Sage Healthspan Insights helps you identify which specific biomarkers matter most for YOUR unique health profile, track them systematically over time, and take proactive measures before problems develop.