MetabolicMarkers

Educational content only, not medical advice. We are not a medical provider; review your results with a licensed physician. Details

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Annual Blood Work: Baseline Lab Panels to Track Every Year

A once-a-year lab routine: pick a tier, set your baseline, and watch the trend lines.

Affiliate disclosure: we earn a commission when you purchase lab tests through links on this site, at no extra cost to you. Learn more

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Annual baseline tiers from $67.64 (General Health - Basic, regularly $100.95); focused recheck bundles from $26.37. Promotional pricing at time of writing.

At a glance

Annual blood work establishes a personal baseline for markers that shift slowly, cholesterol, hemoglobin A1c, thyroid hormones, liver enzymes, kidney function, and iron stores. These tiered general health panels bundle 5 to 23 tests into one yearly draw, with focused add-ons for blood sugar, inflammation, and men's health. They suit adults who want year-over-year numbers to compare and to bring to their annual physical.

Best suited for

  • Adults building a yearly lab routine alongside their annual physical
  • People whose checkup blood work feels minimal and who want a deeper baseline
  • Trend-trackers comparing this year's A1c, lipids, and ferritin against last year's
  • Anyone who wants concrete numbers and questions ready before a doctor visit

What's included

General Health - Basic Lab Panel

5 tests, 30 biomarkers

General Health - Basic Plus Lab Panel

8 tests, 66 biomarkers

General Health - Advanced Lab Panel

13 tests, 86 biomarkers (blood + urine)

General Health - Advanced Plus Lab Panel

23 tests, 113 biomarkers

Iron Total and Ferritin Panel

2 tests, iron availability and storage

Kidney, Liver & Electrolyte Panel

2 tests, 21 biomarkers

PSA Total and Testosterone, Total, Males

2 tests, prostate and testosterone markers

Lipid Panel and C-Reactive Protein Cardiac (hsCRP)

2 tests, 8 biomarkers

Hemoglobin A1C, Insulin and Glucose Panel

3 tests, blood sugar control

T3 Free and T3 Total Panel

2 tests, 2 biomarkers

Lipid Panel and Comprehensive Metabolic Panel (CMP)

2 tests, 28 biomarkers

Urinalysis Complete and Uric Acid Panel

2 tests, 29 biomarkers (blood + urine)

Lactate Dehydrogenase (LD), GGT and Bilirubin, Fractionated

3 tests, 5 biomarkers, liver markers

hs-CRP and Homocysteine Panel

2 tests, inflammation markers

New Year's Resolution Panel

14 tests, 74 biomarkers

Deep-dive the key markers: Fasting Glucose, HbA1c, Fasting Insulin, LDL-C, HDL-C, Triglycerides, hs-CRP, TSH, Free T3, Vitamin D, Ferritin, Total Testosterone, eGFR, ALT

Key biomarker ranges

Commonly used adult reference ranges for markers this panel measures, labs vary, so always interpret results against your lab's stated ranges and with your doctor.

Fasting Glucose (mg/dL)

Commonly used reference ranges place fasting glucose at 70–99 mg/dL; results vary with sleep, stress, and recent illness, and labs differ slightly.

Fasting Glucose reference ranges (mg/dL)
ZoneRange
Low5070 mg/dL
Optimal70100 mg/dL
Prediabetic range100126 mg/dL
Diabetic range126160 mg/dL
Hemoglobin A1c (%)

Commonly used reference ranges place HbA1c below 5.7%; conditions affecting red blood cells can skew results, so labs and clinicians interpret in context.

Hemoglobin A1c reference ranges (%)
ZoneRange
Optimal45.7 %
Prediabetic range5.76.5 %
Diabetic range6.510 %
Fasting Insulin (µIU/mL)

Commonly used reference ranges accept up to ~25 µIU/mL, but many clinicians view single-digit fasting insulin as the more informative target; assays vary by lab.

Fasting Insulin reference ranges (µIU/mL)
ZoneRange
Low02 µIU/mL
Optimal210 µIU/mL
Above optimal1025 µIU/mL
High2530 µIU/mL

The importance of testing

A single lab result tells you where you are; an annual series tells you where you are heading. Markers like LDL cholesterol, A1c, ferritin, and TSH drift gradually, so a yearly draw taken under similar conditions makes real change visible, and makes it easier to connect shifts to what happened that year, from a new training block to a new medication.

The tiered structure maps to how deep an annual baseline you want. The Basic panel (5 tests, 30 biomarkers) covers metabolic function, blood health, lipids, and thyroid; Advanced (13 tests, 86 biomarkers) adds blood sugar, inflammation, vitamin D, and kidney markers; Advanced Plus (23 tests, 113 biomarkers) layers on cardiovascular risk, hormone balance, and vitamin levels. Focused bundles, A1c with insulin and glucose, lipids with hs-CRP, iron with ferritin, work as mid-year rechecks for the markers you are actively managing.

Annual self-ordered labs complement, rather than replace, your physical. Arriving with a year-over-year table of your own results turns a routine visit into a more specific conversation: which trends look fine, which markers deserve a closer look, and whether anything warrants follow-up testing your doctor orders directly.

Promo code

ULTAE733

Save 33-50% with code ULTAE733, current promotion; confirm final pricing on the partner page.

Ready to get your numbers? Order online, visit a nearby draw site, and receive private results to review with your doctor.

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Frequently asked questions

Which blood tests should I include in annual blood work?

A practical annual baseline covers lipids, blood sugar (A1c, glucose), thyroid function, liver enzymes, kidney markers, and blood health, which is what the General Health tiers bundle in one draw. Start with the Basic tier (30 biomarkers) or step up to Advanced (86 biomarkers) if you also want inflammation, vitamin D, and urine-based kidney markers, then let your doctor tailor anything further.

Can I order my annual labs without a doctor's visit?

Yes, these panels are ordered online without a referral, and you schedule the draw at a local lab yourself. Results come to you securely, so you can review the numbers before your physical and share the report with your doctor.

Do self-ordered annual labs replace my yearly physical?

No, they complement it. These panels measure biomarkers and surface trends, but interpreting results, ordering follow-up testing, and making care decisions belong in a conversation with your doctor.

How often should I repeat these panels?

Many people repeat a broad baseline once a year and use smaller bundles, such as A1c with insulin and glucose, or lipids with hs-CRP, for interim rechecks of markers they are actively working on. Your doctor can advise the right cadence for your situation.

Is this kind of testing available in every US state?

No, direct-to-consumer lab testing is restricted or prohibited in New York, New Jersey, and Rhode Island, so residents of those states may be blocked at the partner's checkout. In most other states you can order and schedule entirely online.