MetabolicMarkers

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Annual Physical Blood Tests: What to Order Before Your Visit

Show up to your physical with the lab work already done.

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Panel listed at $399.95, $197.25 with the current 50% promotion (pricing at time of writing).

At a glance

The blood tests worth bringing to an annual physical go beyond the standard basic panel: this bundle measures 78 biomarkers across 17 tests, including ApoB, hemoglobin A1c, hs-CRP, a full thyroid panel, vitamin D, iron status, and complete liver, kidney, and blood-count chemistry. It is designed for adults who want to arrive at their checkup with results in hand, so appointment time goes to interpreting data instead of waiting on orders. You can order online without a doctor's visit, and many results arrive in 24–48 hours.

Best suited for

  • Adults preparing for an annual physical who want results in hand before the visit
  • Patients whose checkups include only a basic metabolic panel and lipid screen
  • People who want to use appointment time to discuss results, not wait for orders
  • Anyone building a year-over-year lab history to review with their doctor

What's included

Apolipoprotein B (Cardio IQ)

Hemoglobin A1c (Cardio IQ)

hs-CRP (Cardio IQ)

C-Reactive Protein (CRP)

Lipid Panel (Cardio IQ)

TSH, Free T3, and Free T4 Blood Test Panel

QuestAssureD 25-Hydroxyvitamin D (D2, D3)

Ferritin, Iron & Total Iron Binding Capacity (TIBC)

Magnesium

Phosphate (as Phosphorus)

Comprehensive Metabolic Panel (CMP)

Gamma-Glutamyl Transferase (GGT)

Lactate Dehydrogenase (LD)

Uric Acid

BCA Chemistry Panel

CBC (includes Differential and Platelets)

Glucose

Deep-dive the key markers: Fasting Glucose, HbA1c, ApoB, LDL-C, HDL-C, Triglycerides, hs-CRP, TSH, Free T3, Free T4, Vitamin D, Ferritin, eGFR, ALT

Key biomarker ranges

Commonly used adult reference ranges for markers this panel measures, labs vary, so always interpret results against your lab's stated ranges and with your doctor.

Fasting Glucose (mg/dL)

Commonly used reference ranges place fasting glucose at 70–99 mg/dL; results vary with sleep, stress, and recent illness, and labs differ slightly.

Fasting Glucose reference ranges (mg/dL)
ZoneRange
Low50–70 mg/dL
Optimal70–100 mg/dL
Prediabetic range100–126 mg/dL
Diabetic range126–160 mg/dL
Hemoglobin A1c (%)

Commonly used reference ranges place HbA1c below 5.7%; conditions affecting red blood cells can skew results, so labs and clinicians interpret in context.

Hemoglobin A1c reference ranges (%)
ZoneRange
Optimal4–5.7 %
Prediabetic range5.7–6.5 %
Diabetic range6.5–10 %
Apolipoprotein B (mg/dL)

Commonly used reference ranges favor ApoB below ~90 mg/dL; people with higher baseline cardiovascular risk are often advised toward lower targets.

Apolipoprotein B reference ranges (mg/dL)
ZoneRange
Optimal0–90 mg/dL
Borderline high90–110 mg/dL
High110–160 mg/dL

The importance of testing

A typical annual physical squeezes labs into a narrow window: tests are ordered at the visit, results arrive days later, and the follow-up conversation often happens by portal message, if at all. Testing beforehand flips that sequence. You walk in with 78 biomarkers already resulted, and your appointment becomes a working session on the numbers.

The panel is built to support that conversation. Cardiometabolic markers, Apolipoprotein B, a full lipid panel, hemoglobin A1c, and hs-CRP, are markers associated with heart and blood sugar health that go deeper than the standard cholesterol printout. A TSH, Free T3, and Free T4 panel covers thyroid signaling, and vitamin D, ferritin with iron and TIBC, magnesium, and phosphate flag nutrient gaps worth discussing.

Organ and blood health round it out: a comprehensive metabolic panel plus GGT, LD, and uric acid track liver and kidney chemistry, while a CBC with differential and platelets screens blood-count basics. Together they give your doctor a broad, current dataset to react to.

If you repeat the panel before each yearly physical, you also build a personal trend line. Year-over-year movement in markers like A1c, ApoB, or ferritin is often more informative to discuss with your doctor than any single reading.

Part of our complete guide to Metabolic Health Lab Tests — browse every panel and biomarker guide in this hub.

Promo code

ULTABE7E

Save 50% with code ULTABE7E, current promotion; confirm final pricing on the partner page.

Ready to get your numbers? Order online, visit a nearby draw site, and receive private results to review with your doctor.

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Frequently asked questions

Which blood tests should I get before an annual physical?

A useful pre-physical set covers cardiometabolic, thyroid, nutrient, organ, and blood-count markers, which is exactly what this 17-test, 78-biomarker panel bundles: ApoB, lipid panel, hemoglobin A1c, hs-CRP, TSH with Free T3 and Free T4, vitamin D, ferritin and iron/TIBC, a comprehensive metabolic panel, GGT, LD, uric acid, and a CBC. Your doctor may add or remove tests based on your history, so view this as a starting dataset to review together.

Can I order these labs myself, without a doctor's appointment?

Yes, no doctor's visit is required to order. The partner lab supplies the physician-authorized requisition; you order online, visit one of roughly 2,100 draw sites (most visits take 15–30 minutes), and receive results privately in your online account.

How far ahead of my physical should I test?

Testing one to two weeks before your appointment is a comfortable buffer: many results return in 24–48 hours, but turnaround can vary by test and location. That window leaves time to download your report and note questions for your doctor.

Will this replace the labs my doctor orders at the physical?

Not necessarily, it is a complement, not a substitute. Your clinician may still order tests specific to your history or insurance-covered screenings; bringing these results simply means the conversation starts from data rather than from scratch.

Is this panel available in all US states?

No, direct-to-consumer lab testing is restricted or prohibited in New York, New Jersey, and Rhode Island, so residents of those states may be blocked at the partner's checkout. Most other states are served through the partner's nationwide draw-site network.

References

  1. [1] Hidden Risks behind Normal Fasting Glucose: Is It Significant? — Diabetes & Metabolism Journal (Korean Diabetes Association, via PMC)
  2. [2] Good to Know: Factors Affecting Blood Glucose — Clinical Diabetes, American Diabetes Association (via PMC)
  3. [3] Insulin Resistance & Prediabetes — National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
  4. [4] Interpreting A1C: Principles of the A1C Assay — National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
  5. [5] Interpreting A1C: Diabetes and Hemoglobin Variants — National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
  6. [6] The A1C Test & Diabetes — National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
  7. [7] Apolipoprotein B-containing lipoproteins and atherosclerotic cardiovascular disease — F1000Research
  8. [8] Apolipoprotein B in the Risk Assessment, Diagnosis, and Treatment of Cardiometabolic Diseases — Cardiology and Cardiovascular Medicine
  9. [9] ACC/AHA Issue Updated Guideline for Managing Lipids, Cholesterol — American Heart Association
  10. [10] Discordantly normal ApoB relative to elevated LDL-C in persons with metabolic disorders: A marker of atherogenic heterogeneity — American Journal of Preventive Cardiology
  11. [11] LDL: The 'Bad' Cholesterol — MedlinePlus (National Library of Medicine, NIH)
  12. [12] Low-density lipoproteins cause atherosclerotic cardiovascular disease: A consensus statement from the European Atherosclerosis Society Consensus Panel — European Heart Journal
  13. [13] Familial Hypercholesterolemia — GeneReviews, NCBI Bookshelf (NIH)
  14. [14] Hypercholesterolemia — StatPearls, NCBI Bookshelf (NIH)
  15. [15] Low HDL Cholesterol — StatPearls, NCBI Bookshelf (NIH)
  16. [16] HPS2-THRIVE, AIM-HIGH and dal-OUTCOMES: HDL-cholesterol under attack — Global Cardiology Science & Practice
  17. [17] Metabolic syndrome — MedlinePlus (National Library of Medicine, NIH)
  18. [18] Cholesterol Levels: What You Need to Know — MedlinePlus (National Library of Medicine, NIH)
  19. [19] Triglycerides — MedlinePlus (National Library of Medicine, NIH)
  20. [20] Hypertriglyceridemia — StatPearls, NCBI Bookshelf (NIH/NLM)
  21. [21] High Blood Triglycerides — National Heart, Lung, and Blood Institute (NIH)
  22. [22] C-Reactive Protein (CRP) Test — MedlinePlus (National Library of Medicine, NIH)
  23. [23] Assessing Cardiovascular Risk with C-Reactive Protein — Johns Hopkins Medicine
  24. [24] C-Reactive Protein: Clinical Relevance and Interpretation — StatPearls, NCBI Bookshelf (NIH/NLM)
  25. [25] TSH (Thyroid-stimulating hormone) Test — MedlinePlus (National Library of Medicine, NIH)
  26. [26] Thyroid Function Tests — American Thyroid Association
  27. [27] Subclinical Hypothyroidism — StatPearls, NCBI Bookshelf (NIH/NLM)
  28. [28] Thyroid Function Tests — American Thyroid Association
  29. [29] Effects of fasting on thyroid hormone profiles: a systematic review and meta-analysis of TSH, FT3, FT4, and total T3 responses — Frontiers in Endocrinology
  30. [30] Hyperthyroidism — StatPearls, NCBI Bookshelf (NIH/NLM)
  31. [31] Thyroid Hormone Serum Transport Proteins — Endotext, NCBI Bookshelf (NIH/NLM)
  32. [32] Pregnancy disrupts the accuracy of automated fT4 immunoassays — European Thyroid Journal
  33. [33] Free T4 — University of Rochester Medical Center Health Encyclopedia
  34. [34] Vitamin D - Health Professional Fact Sheet — NIH Office of Dietary Supplements
  35. [35] Evaluation, Treatment, and Prevention of Vitamin D Deficiency: An Endocrine Society Clinical Practice Guideline — Endocrine Society (Journal of Clinical Endocrinology & Metabolism)
  36. [36] Vitamin D - Health Professional Fact Sheet — NIH Office of Dietary Supplements
  37. [37] Iron-Deficiency Anemia — StatPearls, NCBI Bookshelf (NIH)
  38. [38] Limitations of Serum Ferritin in Diagnosing Iron Deficiency in Inflammatory Conditions — International Journal of Chronic Diseases
  39. [39] Diagnosis of Hemochromatosis — NIDDK (NIH)
  40. [40] Dose–response relationship of serum ferritin and dietary iron intake with metabolic syndrome and non-alcoholic fatty liver disease incidence: a systematic review and meta-analysis — Frontiers in Nutrition
  41. [41] Physiology, Glomerular Filtration Rate — StatPearls, NCBI Bookshelf (NIH)
  42. [42] Stages of Chronic Kidney Disease (CKD) — National Kidney Foundation
  43. [43] What Is Chronic Kidney Disease in Adults? — NIDDK (NIH)
  44. [44] Is It Time for a Requiem for Creatine Supplementation-Induced Kidney Failure? A Narrative Review — Nutrients
  45. [45] Estimated GFR (eGFR) Test: Kidney Function Levels, Stages, and What to Do Next — National Kidney Foundation
  46. [46] Alanine Aminotransferase (ALT) Test — StatPearls, NCBI Bookshelf (NIH)
  47. [47] Definition & Facts of NAFLD & NASH — NIDDK (NIH)
  48. [49] Liver Function Tests — StatPearls, NCBI Bookshelf (NIH)

Reviewed by

Jason August

Jason August

Founder & Editorial Lead

Jason August is the founder of Metabolic Markers and its parent company, Advancing Development. He has spent his career building and scaling real-world ventures, including as a founding team member at Build-A-Bear Workshop during its growth from startup to global public company, and since then across capital, real estate, adaptive reuse, and hospitality. He founded Metabolic Markers to make blood-biomarker testing easier to understand and access, and oversees the site’s content and editorial accuracy. Jason is not a medical professional; all content on this site is educational, reviewed for accuracy, and never a substitute for advice from a licensed physician.

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