Key tests for health tracking

DISCLAIMER: This content is for informational purposes only. I am not a doctor, and the information below does not constitute medical advice. Always consult a specialist before taking any lab tests and especially for interpreting their results. Below is my personal approach to tracking.

In biohacking, tracking metrics is the foundation. We cannot optimize what we do not measure. Regular testing allows us to detect deviations long before they turn into actual medical issues, and it enables us to evaluate the efficacy of our protocols.

Here is the list of biomarkers I track, categorized by key systems and goals.

Cardiovascular System

Cardiovascular disease risks are best assessed comprehensively, rather than relying on basic cholesterol panels alone.

• C-reactive protein (high-sensitivity, hs-CRP): A key marker of systemic inflammation.
• Lipid panel (comprehensive): Includes total cholesterol, LDL, HDL, and triglycerides.
• Homocysteine: An amino acid which, in excess, damages the vascular endothelium.
• Apolipoprotein B (ApoB): Widely considered today as one of the most accurate predictors of cardiovascular risk, as it reflects the actual number of atherogenic particles.

Thyroid Hormones

The thyroid gland regulates metabolism, energy levels, and mood.

• Free T3 (Triiodothyronine, Free)
• Free T4 (Thyroxine, Free)
• TSH (Thyroid-Stimulating Hormone)
• Anti-TPO (Thyroid Peroxidase Antibodies): Tracked to rule out autoimmune processes.

Sex Hormones and Adrenal Health

These metrics heavily influence libido, muscle mass, stress resilience, and overall vitality.

• SHBG (Sex Hormone-Binding Globulin)
• Total Testosterone
• Free Testosterone
• Estradiol
• Prolactin
• Progesterone
• LH (Luteinizing Hormone)
• DHEA-S (Dehydroepiandrosterone Sulfate)
• Cortisol: The primary stress hormone.

Liver

The body's primary laboratory, responsible for detoxification and metabolism.

• ALT (Alanine Aminotransferase)
• AST (Aspartate Aminotransferase)
• Bilirubin (Total, Direct, and Indirect)

Kidneys

• Creatinine: Used to evaluate kidney filtration capacity.

Blood Sugar and Metabolism

These markers are essential for assessing insulin resistance and diabetes risks, which are directly linked to longevity.

• Glucose (Fasting Blood Sugar)
• Insulin
• HbA1c (Glycated Hemoglobin): Reflects average blood sugar levels over the past 2–3 months.

Pancreas

• Amylase (Total)
• Pancreatic Amylase
• Lipase

General Clinical Panels and Iron Status

An overall picture of what is happening in the body right now—checking for potential inflammation, infection, or protein deficiency.

• CBC (Complete Blood Count) with differential and ESR (Erythrocyte Sedimentation Rate)
• Urinalysis (UA)
• Total Protein: The structural building blocks of the body.
• Urea (BUN)
• UIBC (Unsaturated Iron-Binding Capacity)
• TIBC (Total Iron-Binding Capacity)
• Transferrin Iron Saturation Percentage

Vitamins and Minerals

The foundation for enzymatic pathways, hormone synthesis, and nervous system function. Deficiencies here often masquerade as fatigue or poor sleep.

• Vitamin D3 (25-OH Vitamin D)
• Serum Iron and Ferritin (Ferritin reflects actual iron stores in tissues).
• Folate (Vitamin B9)
• Zinc
• Copper
• Iodine
• Vitamin B12
• Vitamin B6
• Electrolyte Panel: Calcium, Potassium, Sodium, Chloride, Phosphorus.