Comprehensive Blood Testing Panel

Comprehensive blood testing panel covering metabolic health, cardiovascular risk, thyroid function, inflammation, and nutritional status in a single draw. The core panel includes CBC, complete metabolic panel, lipid panel, HbA1c, TSH/T3/T4, vitamin D, iron studies, and CRP. Results are delivered within twenty-four to forty-eight hours via a secure online portal with clinician interpretation included. Add-on hormone panels for testosterone, estradiol, DHEA-S, and cortisol are available for targeted hormonal health assessment.

The Comprehensive Blood Testing Panel at River District Wellness is designed as a broad-spectrum preventive health screen that surfaces metabolic, cardiovascular, thyroid, inflammatory, and nutritional risk factors in a single fasted blood draw. The core panel covers the complete blood count (CBC with differential) — assessing red cell morphology, white cell distribution, and platelet count to screen for anaemia, infection, and clotting disorders; the complete metabolic panel (CMP) — evaluating glucose, kidney function (BUN, creatinine, eGFR), liver enzymes (ALT, AST, GGT, ALP), bilirubin, total protein, albumin, and electrolytes for metabolic balance; and the lipid panel — measuring total cholesterol, LDL, HDL, and triglycerides with a calculated LDL/HDL cardiovascular risk ratio. Thyroid function is assessed via TSH (thyroid-stimulating hormone), free T3 (triiodothyronine), and free T4 (thyroxine), providing a complete picture of thyroid axis activity beyond the TSH screening alone. Glycated haemoglobin (HbA1c) reflects average blood glucose over the preceding three months, functioning as an insulin resistance and pre-diabetes marker independent of acute fasting glucose variability. Vitamin D (25-hydroxyvitamin D) is included given the high prevalence of deficiency in Pacific Northwest residents due to limited UV exposure, with insufficiency linked to immune suppression, bone demineralisation, and cardiovascular risk. Iron studies (serum iron, ferritin, TIBC, transferrin saturation) distinguish iron deficiency anaemia from anaemia of chronic disease and identify iron overload. High-sensitivity CRP provides a validated inflammatory biomarker predictive of cardiovascular events. An optional hormone add-on panel adds total and free testosterone, estradiol (E2), DHEA-S, and morning cortisol, enabling assessment of androgen status in men and women, adrenal function, and the HPA axis stress response. All draws are performed by a licensed phlebotomist; results are available in twenty-four to forty-eight hours through a HIPAA-compliant patient portal with a written clinician interpretation note included in the base fee.