Extended metabolic blood work goes beyond a fasting glucose measurement to include insulin (fasting and, in some cases, post-prandial), HbA1c (three-month average glucose), HOMA-IR (a calculated index of insulin resistance), and related markers of metabolic health. The aim is to identify insulin resistance and metabolic dysfunction years before it reaches the threshold of pre-diabetes or type 2 diabetes on a standard screen.
This panel is included at every tier of both the Menopause and Longevity programs, with repeat intervals scaled to your tier. Results are interpreted alongside your nutrition panel, lipid profile, and lifestyle factors (sleep, movement, stress) to build a full metabolic picture. Where interventions are warranted, they are structured and tracked through the year rather than recommended and forgotten.