If you want to feel and perform better, you need more than guesses. You need numbers you can act on. That’s where Cenegenics begins. 

As part of onboarding, a licensed phlebotomist comes directly to you, whether at home or in the office, to collect a comprehensive blood and urine analysis. That baseline spans more than 100 biomarkers, forming the foundation of your precision health plan. 

What makes this different from a routine annual exam is both depth and translation. We evaluate biomarkers across several key systems: metabolic, cardiovascular, sex hormones, inflammatory, thyroid, nutritional, and cellular resilience. Then we turn those numbers into personalized action through targeted nutrition, training, sleep optimization, hormone management, and supplementation. 

All Cenegenics programs include a core panel of blood and urine biomarkers that measure the health of key bodily systems. Explore and Enhance test the same 107 biomarkers through phlebotomy and urinalysis, giving a detailed clinical view of whole-body function. The Optimize Program adds an in-depth genetic analysis of 161 biomarkers that power a full nutrigenomic assessment, identifying how your genes influence nutrition, recovery, and long-term performance potential. 

The Core Cenegenics Biomarkers Explained 

Each biomarker we measure tells part of your body’s performance story: how efficiently it generates energy, manages inflammation, balances hormones, and resists aging. Together, these results form the foundation of your precision health plan, revealing where you’re optimized and where targeted changes can create the greatest gains. 

 

1) Complete Blood Count (CBC): Oxygen, Immunity, Recovery 

What it is: A 20-marker panel that examines red and white blood cells and platelets.
Why it matters: It helps us identify anemia that can drain energy, infections or inflammation that may slow recovery, and clotting risks that could affect cardiovascular safety. 

Even among healthy individuals, white blood cell counts can increase seasonally, for example, during cold and flu season or periods of high travel. When these levels remain elevated, we look for underlying causes such as fatigue, stress, or micronutrient deficiencies that impact immune function and recovery. 

How we act on it:
If hemoglobin or hematocrit are low, we optimize nutrition and training. If inflammation markers or white blood cell counts are persistently high, we focus on improving recovery, sleep quality, and nutrient support, then monitor those values over time. 

 

2) Chemistry Panel (Metabolic): Organ Function, Electrolytes, Blood Sugar 

What it is: A review of liver and kidney function, electrolytes, and blood sugar regulation.
Why it matters: These results reveal hydration quality, metabolic balance, and early warning signs of strain on the liver or kidneys. 

We call this the chemistry screen, a daily decision-making tool that informs how you eat, hydrate, and recover. It includes fasting glucose, insulin, and hemoglobin A1c, which together reflect how efficiently your body metabolizes carbohydrates. Chronic elevation accelerates inflammation and aging, but can often be corrected through tailored nutrition focused on high-fiber, low-glycemic foods and balanced exercise and recovery routines. . 

Liver enzymes (ALT, AST) show how the body handles metabolic stress or alcohol intake, while kidney markers like creatinine and Cblood urea nitrogen (BUN) verify that supplement and hydration plans are safe and effective. . 

How we act on it: 

• Adjust carbohydrate sources and timing to improve energy stability. 

• Calibrate hydration and electrolytes for optimal recovery and endurance. 

• Support liver and kidney health through behaviors, nutrition, and nutraceuticals when needed.

 

3) Lipids and Cardiovascular Risk: From Cholesterol to Inflammation 

What it is: A full lipid panel that includes LDL, HDL, triglycerides, and advanced markers such as ApoB, lipoprotein(a), high-sensitivity C-reactive protein (hs-CRP), and homocysteine.
Why it matters: A strong cardiovascular profile supports endurance, recovery, and disease prevention.  

Markers such as hs-CRP and homocysteine offer early insight into silent inflammation that can affect energy, focus, and cardiovascular function across all lifestyles. Even when standard cholesterol values look healthy, these markers often reveal what’s happening beneath the surface. Markers like hsCRP and homocysteine are particularly important for executives or athletes who manage high workloads. Chronic inflammation quietly undermines recovery capacity and heart health, even when traditional cholesterol values appear normal. 

How we act on it: 

• Dietary modifications, nutraceutical integrations, and pharmaceutical interventions to improve lipid metabolism.

• Implement structured cardiovascular training. 

• Address persistent inflammation early rather than reactively. 

 

4) Glucose Control: A1c and Daily Energy 

What it is: Fasting glucose and hemoglobin A1c, which represent a 2-3 month summary of blood sugar control. 
Why it matters: Elevated A1c contributes to fatigue, brain fog, and long-term cardiovascular strain. 

Tracking A1c helps us evaluate how well nutrition, exercise, and recovery habits align. When glucose control improves, energy levels stabilize throughout the day and cognitive performance increases. 

How we act on it:
We use glycemic-aware nutrition, zone-2various forms of endurance and resistance training, and targeted supplementation to improve insulin sensitivity and long-term metabolic performance. 

 

5) Inflammation and Immune Health: hs-CRP and WBC Trends 

What it is: A combination of hs-CRP, homocysteine, and immune cell trends.
Why it matters: Chronic inflammation drives fatigue, slows recovery, and accelerates aging. 

Short-term inflammation after exercise or illness is normal – it’s how the body heals. The issue arises when inflammation markers remain elevated beyond acceptable levels for weeks or months. That sustained response increases risk for cardiovascular and cognitive decline. 

How we act on it:
We identify potential sources of chronic inflammation, such as nutritional imbalances or metabolic stress, and address them through physician-guided lifestyle and clinical interventions. Follow-up testing ensures that inflammation markers trend downwards and stabilize.  

 

6) Hormones: Energy, Body Composition, Cognition, Libido 

What it is: Testosterone, estradiol, DHEA, cortisol, IGF-1, and SHBG, along with related hormones like luteinizing hormone and PSA.
Why it matters: Hormonal imbalance can lower energy, slow metabolism, and impair focus and mood. 

We assess both total and free testosterone, as well as how efficiently the body converts and utilizes these hormones. Sometimes the solution is natural, improving luteinizing hormone response through nutrition and sleep. Other times, physician-directed hormone therapy restores balance safely and effectively. 

How we act on it:
Every therapy plan is guided by consistent biomarker monitoring to ensure optimal results and safety, including checks on PSA, hematocrit, and lipid levels. 

 

7) Thyroid Function: The Metabolic Metronome 

What it is: TSH, free T3, free T4, and reverse T3.
Why it matters: Even subtle thyroid changes can cause fatigue, weight gain, and mental fog. 

Thyroid hormones regulate how every cell in the body uses energy. Suboptimal levels may appear normal on paper but still impact performance and metabolism. Selenium and other micronutrients support thyroid conversion, while certain cases benefit from medical or nutraceutical support. 

How we act on it:
We focus on nutrition, stress balance, and micronutrient sufficiency, making targeted medical adjustments when needed. 

 

8) Nutritional and Detox Markers 

What it is: Urinalysis, vitamin D, micronutrient balance, and pH levels.
Why it matters: These results reveal nutrient absorption, hydration, and overall internal balance. 

Urinalysis can show if the body is eliminating toxins effectively and maintaining hydration, while blood-based micronutrient panels identify deficits that affect energy, recovery, and cognitive clarity. 

How we act on it:
We personalize supplementation, hydration, and dietary adjustments based on these results, integrating genetic and lifestyle data to improve mitochondrial efficiency. 

 

9) Biological Age (PhenoAge): Your Speedometer 

What it is: A calculation based on markers like albumin, glucose, hs-CRP, and cell volume that estimates biological age relative to chronological age.
Why it matters: It shows how fast or slow your body is aging internally. 

Developed by Dr. Morgan Levine and Dr. Steve Horvath, PhenoAge blends multiple biomarkers into a single longevity score. Temporary stress or illness can affect it, but long-term trends show real biological change. 

How we act on it:
We optimize sleep, nutrition, fitness, and hormone balance to reduce biological age gradually, confirmed through quarterly blood draws. 

 

How the Cenegenics Programs Turn Labs Into Leverage 

Every Cenegenics program offers a far more complete and actionable picture of health than standard blood panels, delivered with white-glove convenience. Instead of a few basic markers checked once a year, members receive detailed blood and urine analysis interpreted by expert physicians who translate data into measurable change. Phlebotomy is scheduled at your convenience, performed wherever you are, and results are reviewed in depth during your Performance Health Assessment. 

Within that elevated standard, the three Cenegenics programs differ by depth and diagnostic reach. 

• Explore provides the foundation: 107 biomarkers through phlebotomy and urinalysis, giving clear insight into cardiovascular, metabolic, hormonal, thyroid, and inflammatory health. 

• Enhance builds on that foundation, including all Explore biomarkers plus select diagnostics such as DEXA body-composition and VO₂ Max testing, which help link lab data to real-world performance outcomes.  

• Optimize delivers the most advanced tier, combining all biomarkers and diagnostics with expanded analytics for a deeper understanding of individual variability and long-term health potential. 

All three programs include PhenoAge analysis, so every member can see progress not just in how they feel but in how their biology is changing over time. 

 

The Bottom Line 

At Cenegenics, biomarkers aren’t just data, they’re direction. Your results reveal how your body is performing, where it’s improving, and where it needs refinement. 

By tracking a wide range of biomarkers, we translate science into progress you can feel: greater energy, sharper cognition, and years of vitality regained.