Heart and Metabolic

Foundation plus advanced heart and blood-sugar markers.

Everything in Foundation (complete blood count, comprehensive metabolic panel, lipid panel, hemoglobin A1c and TSH), plus apolipoprotein B, lipoprotein(a), high-sensitivity CRP and fasting insulin. Lp(a) is not usually repeated often; your clinician decides what to repeat and when.

Blood is drawn at a Quest Diagnostics or Labcorp patient service center. Prices depend on the laboratory and state. Enter your ZIP code to see the laboratories near you and your price.

Ordering opens soon.

What’s included

• Complete blood count (CBC): Red cells, white cells with a breakdown by type, and platelets, plus hemoglobin, hematocrit and red-cell size.
• Comprehensive metabolic panel (CMP): Glucose, sodium, potassium, chloride, carbon dioxide, calcium, the kidney tests BUN, creatinine and eGFR, total protein, albumin, bilirubin and the liver enzymes ALP, ALT and AST.
• Lipid panel: Total cholesterol, HDL cholesterol and triglycerides, with calculated LDL cholesterol, non-HDL cholesterol and the cholesterol-to-HDL ratio.
• Hemoglobin A1c: The percentage of hemoglobin with glucose attached, which reflects average blood sugar over about the past three months.
• TSH: Thyroid-stimulating hormone, the pituitary hormone that signals the thyroid.
• Insulin: Insulin, the hormone that signals cells to take up glucose from the blood.
• ApoB: Apolipoprotein B, the main protein on LDL and other cholesterol-carrying particles.
• Lipoprotein(a): Lipoprotein(a), an LDL-like cholesterol-carrying particle that a standard lipid panel does not report.
• hs-CRP: C-reactive protein, a protein the liver releases during inflammation, measured with a high-sensitivity method.

Tests you can add

• Cystatin C with eGFR: Cystatin C, a protein filtered by the kidneys, with an estimated filtration rate (eGFR) calculated from it.
• GGT: Gamma-glutamyl transferase, an enzyme found mostly in the liver and bile ducts.
• Uric acid: Uric acid, a waste product of purine breakdown that the kidneys clear.
• Omega-3 and omega-6 fatty acids: Omega-3 (EPA, DPA and DHA) and omega-6 fatty acids in the blood, with their ratios.
• Homocysteine: Homocysteine, an amino acid the body processes using vitamin B12, folate and vitamin B6.

Before your draw

Fasting required.

Fast for 9 to 12 hours before your draw; water is fine. The insulin test needs a fasting sample, and the lipid panel is best done fasting. If you have an infection or are unwell, consider rescheduling your draw. If you take insulin or other diabetes medicine, ask your clinician how to take it while you fast. Don't stop your usual medicines unless your clinician tells you to. If you take biotin (vitamin B7), including in hair, skin and nail supplements or multivitamins, have your blood drawn at least 8 hours after a usual dose, or at least 72 hours after a high dose. If biotin was prescribed, ask your clinician before stopping it.