98 markers · 30 lab panels · one draw

APEX
Panel

The bloodwork a standard physical never runs, in one morning.

Drawn at Quest Diagnostics or LabCorp. Physician-ordered. Results in 2 to 3 business days.

Begin

98

Biomarkers measured in a single blood draw

13

Body systems assessed across one panel

MD

98 markers from a single draw

4.9 · 200,000+ patients across our provider network

LegitScript Certified Healthcare MerchantLegitScript CertifiedHealthcare Merchant · independent audit verified

Your annual physical runs about fifteen markers. Most premium concierge programs run around a hundred and twenty. The Apex Panel runs —

98

biomarkers across thirteen systems.

Methodology grounded in peer-reviewed research published in

The New England Journal of Medicine Science Cell Metabolism JAMA Nature Medicine The Lancet
Experience 1 · scroll

Watch 98 markers reveal themselves as you scroll.

Each dot below is a single biomarker on the Apex Panel. Keep scrolling — your annual physical's 15 markers expand to a full diagnostic landscape.

Annual Physical

15

baseline

/

Keep scrolling ↓

15

to reveal all 98 markers

Annual Physical Full Apex Panel →

Scroll down · every chip is a single biomarker · watch all 98 light up.

The panel most people never get

Ninety-eight markers.
One morning.

Ninety-eight markers across thirty lab panels, ordered together and drawn once. Free testosterone measured directly instead of estimated. Thyroid antibodies, not just TSH. Lp(a), checked once and known for life. Magnesium inside your cells. Lead and mercury. Even your blood type.

98

biomarkers across
30 lab panels

3,800+

draw locations
nationwide

50

U.S. states
covered

$5,000+

comparable cost
at à-la-carte retail

Every system, visualized

A scrolling preview of what each panel category covers. 30 lab panels, 98 markers, from a single draw.

Your report

Every marker, matched to its range.

Every result comes back plotted against the range it is measured against, so you can see at a glance which markers to build a plan of attack around. Want to go past normal? The free tools on this site check your numbers against optimal ranges.

Cardiometabolic In range

Lipoprotein (a)

Lp(a) · nmol/L

68 nmol/L
4070100130

Below the commonly cited risk threshold. Measured once, known for life.

Hormones Low in range

Free Testosterone

Equilibrium dialysis · pg/mL

9.4 pg/mL
5112230

Low inside the reference range. One of the markers worth building a plan around.

Nutrients In range

Vitamin D (25-OH)

Serum · ng/mL

58 ng/mL
204080100

Mid reference range. A level you can track against next year.

Inflammation In range

hs-CRP

High-sensitivity · mg/L

0.6 mg/L
01310

Low end of the reference range for high-sensitivity CRP.

Heavy metals Below threshold

Mercury · Lead

Whole blood · the two the panel runs

Both below threshold
Hg
0.4 µg/L
Pb
0.8 µg/dL

Both within the reference range. Not screened on a standard physical.

Sample report cards · illustrative values. Your actual report lists all 98 markers with the reference range each one is measured against.

Go past normal

Check your numbers against optimal ranges.

Your lab report gives you the standard reference range. These are free, on this site, and built for exactly this.

Why Apex

For people who want to optimize everything —
and catch the rest early.

The panel most people never get. 98 markers across 30 lab panels — screening for silent disease, decoding the metabolism behind how you feel, and putting a number on the systems a standard physical never checks. Built for the people who refuse to settle for "your labs are normal."

Find what's silently wrong.

Standard panels miss roughly half of cardiovascular risk. They run TSH alone instead of the full thyroid picture. They never screen for heavy-metal burden or early autoimmune patterns. Apex catches all of it.

See the levers you can actually pull.

An Lp(a) under 75 versus over 125 is a different decade of cardiovascular life. Free T at 7 vs 18 is two different humans. Apex shows you the inputs that change everything downstream.

Screen for what no physical checks.

Lead and mercury in blood. Both thyroid antibodies. Rheumatoid factor. Magnesium inside the red blood cell. Your blood type. None of it is on a standard physical, and none of it is something you would think to ask for.

Decode "my labs are normal but I feel off."

Technically-normal labs hide a lot of what you actually feel. Apex gives you the full set of numbers, so "normal" stops being the end of the conversation.

Establish a real baseline.

Hardly anyone knows what their body looked like a year ago. Apex is the annual snapshot to track against, because without a baseline, optimization is just guessing.

Catch the early-warning signal.

GGT before ALT moves. Fasting insulin before glucose. Thyroid antibodies before TSH. Ferritin before anaemia. Apex measures the early-warning layer your standard panel skips.

Is the Apex Panel for you?

Three kinds of people order this.

If any of these is you, the Apex Panel is built for you. If more than one is you, it was built for you twice.

01 The Optimizer

You run your body like a system.

You track sleep, train consistently, stack supplements, maybe run TRT or HRT. You don't want "your labs are normal" — you want the actual numbers behind every decision you're making.

Apex unlocks for you

Free T by dialysis · SHBG · DHEA-S · Lp(a) · Thyroid antibodies · RBC Magnesium · Lead · Mercury

02 The Early-Detector

You want the early signal — not the late diagnosis.

Family history of cardiovascular disease, cancer, autoimmune, or metabolic disease. You'd rather catch GGT rising than wait for ALT to move. You want every early-warning marker your standard physical skips.

Apex unlocks for you

Lp(a) · hs-CRP · Homocysteine · Heavy Metals · GGT · Full urinalysis · Thyroid antibodies

03 The "I feel off"

Your physical said normal. You know it's not.

Tired all the time. Brain fog. Low libido. Mood drift. You've been told "your labs are normal" two or three times — but TSH alone isn't a thyroid panel and total T alone isn't a hormone panel. Apex runs the markers your physical didn't.

Apex unlocks for you

Free T · SHBG · DHEA-S · Full Thyroid (Free T3 · Free T4 · Antibodies) · Vitamin D · Cortisol · Iron Saturation %

The OPTML physician roster

Real U.S.-licensed physicians. Approving every order.

One of the licensed M.D.s and N.P.s below reviews your intake and releases your lab order. They approve you for the panel. Your report then comes back to you with every marker and the range it is measured against.

Dr. Takashi Nakamura, MD, FACEP

Dr. Takashi Nakamura

MD · FACEP

Chief Medical Officer
Emergency Medicine

Dr. Laurie J. Mercier, MD

Dr. Laurie J. Mercier

MD

Medical Director
Family Medicine

Dr. Stephen MacDade, MD

Dr. Stephen MacDade

MD

Emergency Medicine
Physician

Dr. Scott Sanderson, MD

Dr. Scott Sanderson

MD

Emergency Medicine
Physician

Kimberli Hastings, MSN, RN, NP

Kimberli Hastings

MSN · RN · NP

Family Nurse
Practitioner

U.S.-licensed clinicians providing telehealth services to customers in our provider network. State licenses available on request.

Outcome stories

What patients actually found.

Sixteen real stories from across the OPTML provider network. Markers found, actions taken, results returned.

Names abbreviated for privacy. Outcomes shared with patient consent through the OPTML provider network. Individual results vary; Apex is a screening service, not a diagnostic substitute.

Experience 2 · every marker, streaming

A hundred and sixty specific tests.

Experience 3 · explore

Two ways to browse the panel.

Click any system to see what's inside, or switch to the alphabetical view to find a specific marker fast.

Cardiometabolic system

The system that decides when you have your heart attack.

A standard lipid panel is four numbers. Apex runs the full picture and adds the one number that is set at birth. Lp(a) is inherited, unchanged by diet, and almost never appears on a standard physical.

Lp(a)Full lipid panelhs-CRPHomocysteine
22/98
cardiometabolic markers
Hormone system

Standard testosterone is a thirty-percent picture.

Your total testosterone result is meaningless without free T, SHBG, and the upstream HPG axis — LH, FSH, prolactin, DHEA-S, estradiol. Apex runs the hormone panel a fertility specialist would order, by default.

Free TSHBGDHEA-SE2 sensitiveLH · FSHCortisol AM
16/98
hormone markers
From order to report

In about a week.

Step 01

Order online

One charge. No insurance, no scheduling. A physician reviews your intake and releases the order, then we send the requisition naming the lab to visit.

Step 02

Walk in. Get drawn.

Show ID. About 10 minutes of needle time. Fasted overnight, water only. We send the requisition automatically.

Step 03

Results in 2–3 business days

Your full lab report, every one of the 98 markers listed with the reference range it is measured against.

Step 04

Build your plan of attack

Put your numbers into the free tools on this site to see them against optimal ranges, then decide which markers to work on first.

Included with every panel

What you actually get after the draw.

Every marker · every range

Your numbers, matched to a range.

All 98 markers come back with the range each one is measured against, so you can see which ones to build a plan of attack around. Then use the free tools on this site to check those same numbers against optimal ranges, not just normal.

Approved in 24 to 48 hours.
Results 2 to 3 days after your draw.

Day 0Order placed · medical intake
Day 1–2Order approved · requisition sent
2–3 days after your drawResults delivered to you

What if something's abnormal?

  1. Anything outside its reference range is flagged on the lab report itself.
  2. Use the Lab Decoder and the biomarker library to understand what the marker is and what moves it.
  3. If the next step is an OPTML protocol (TRT, HRT, GLP-1), that has its own intake and its own physician approval, and consultation and ongoing care are included there.

An Apex a year is a baseline. When was yours?

Run once a year, it becomes a comprehensive baseline you can track against. Without that baseline, optimization is just guessing.

Drawn at a lab near you

3,800+ draw sites. Find the ones near you.

Walk into the Quest Diagnostics or Labcorp patient service center named on your requisition. Drop your ZIP and we’ll show you the real ones nearest you, with the honest distance.

Quest Diagnostics
U.S. patient service centers
LabCorp
U.S. patient service centers
Both networks
3,800+ U.S. draw locations
Apex draw-site network · Live · 25 mi radius [ ZIP — — — — — ]
> Find your draw site — enter your ZIP
Step 1 · Type your 5-digit ZIP → Step 2 · Tap Scan network
> Awaiting input
    > — sites shown · 3,800+ U.S. locations Order the Apex Panel →

    Next: a medical intake that takes about a minute or two, then a U.S.-licensed physician reviews and releases your lab order. You are not charged until it is approved.

    Distances are straight line from the center of your ZIP. The Apex Panel is drawn at a location in our lab network, and the requisition you receive names the lab to use.

    LegitScript

    Certified Healthcare Merchant

    HIPAA

    Privacy & data compliant

    CLIA-Certified

    Reference laboratory partners

    503A Standards

    USP <797> pharmacy partners

    50 States

    Nationwide coverage

    The math

    If you walked into Quest Diagnostics and ordered each of these 98 tests individually — with a separate physician requisition for each — you'd pay between $3,200 and $5,000.

    Elsewhere · $3,200–$5,000

    The Apex Panel

    $599

    one-time · all-inclusive

    No membership
    No subscription
    HSA/FSA eligible
    Order The Apex Panel →

    Next: a medical intake that takes about a minute or two, then a U.S.-licensed physician reviews and releases your lab order. You are not charged until it is approved.

    98 markers · physician-ordered · drawn at Quest or LabCorp

    The research behind every marker

    Built on peer-reviewed science.

    The biomarkers and reference ranges on the Apex Panel are grounded in the following research. Click any citation to see the full reference.

    When your results land

    Understand every marker, free.

    A physician orders your panel. They do not review your results. Your report comes straight back to you, listing every marker with the reference range it is measured against.

    The OPTML Lab Decoder is how you make sense of it. It explains what each marker is, what moves it, and which combinations are worth raising with a physician. Paste your report in and it reads the numbers for you.

    Educational only. It does not diagnose anything, it does not replace a physician, and your laboratory remains the one that decides what falls inside its reference range.

    Open the Lab Decoder →
    Common questions

    Before you order.

    The cost of running additional tests at a reference lab is marginal once the blood is drawn. The clinical value of an additional marker is non-marginal — most of the markers your standard physical leaves off are exactly the ones that change clinical decisions. Lp(a) rules an inherited cardiovascular risk in or out in a way LDL alone cannot. Free T and SHBG matter more than total testosterone. Comprehensive isn't overkill; it's the floor for actually knowing what's happening.
    No. The Apex Panel is cash-pay only — no insurance billing, no copay reconciliation, no surprise out-of-network charges. HSA/FSA cards are accepted.
    Any location in our lab network, about 3,800 nationwide: Quest and Labcorp, plus BioReference in New York and New Jersey. Not Hawaii or North Dakota, where the network has no location. We do not offer at-home or mobile blood draws. In New York and New Jersey, BioReference is available as well. Walk-ins accepted at most sites. We send the requisition electronically when you order.
    Your full lab report, usually in 2 to 3 business days, listing all 98 markers with the reference range each one is measured against. A U.S.-licensed physician reviews your intake and orders the panel. They do not review or interpret your results, so the report comes straight back to you to read. The free Lab Decoder explains what every marker means.
    The lab report gives you the reference range for every marker. To go further, use the free tools on this site: the OPTML Score grades your numbers against optimal ranges, the Lab Decoder takes every marker on your panel and explains what each one is, what moves it, and which combinations are worth raising with a physician, and the biomarker library covers every marker on the panel.
    An annual Apex works as a comprehensive baseline. If you're actively optimizing — TRT, GLP-1, hormone therapy — a focused 25–40 marker re-panel every 90 days is typically more useful than a full Apex every quarter.
    No. The Apex Panel is a comprehensive screening service for informational and educational purposes, ordered by U.S.-licensed physicians. Abnormal results may prompt follow-up diagnostic testing in a specialist setting. For acute or urgent symptoms, see your primary care provider or emergency services.
    The Apex Panel is a comprehensive diagnostic screening service ordered by U.S.-licensed physicians through our clinical partner network. Test results are for informational and educational purposes and are not a substitute for in-person diagnostic evaluation of acute or urgent symptoms. Individual results vary. Marker counts and category structure reflect the standard Apex Panel as of May 2026; some markers are calculated indices.

    How every claim on this site is reviewed: our medical review process.

    Weight-loss medication disclaimer

    OPTML offers compounded semaglutide and tirzepatide, prescribed and overseen by U.S.-licensed physicians. Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. OPTML is not associated with, endorsed by, or affiliated with the manufacturers of FDA-approved branded weight-loss medications, and does not sell or supply those branded products. Anyone interested in an FDA-approved branded medication should consult a licensed healthcare provider or pharmacist. Individual results vary; no specific result is promised, and weight management requires ongoing medical guidance.

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