Athlete undergoing a VO2 max test, one of the best metabolic health tests.

The Best Metabolic Health Tests: An Athlete's Guide

May 6, 2026

It’s a frustrating feeling. You’re putting in the hours at the gym, sticking to your nutrition plan, and getting enough sleep, but your progress has stalled. Whether you’re trying to shave seconds off your race time or add weight to your lifts, hitting a performance plateau can make you question your entire strategy. Often, the reason isn’t a lack of effort but a hidden biological limiter you can’t see. This is where metabolic testing becomes a game-changer. The best metabolic health test for athletes acts as a diagnostic tool, looking under the hood to uncover subtle issues like nutrient deficiencies, hormonal imbalances, or inefficient energy use that could be holding you back. It gives you the data to finally break through.

Key Takeaways

  • Look beyond 'normal' ranges: Standard lab results are based on the general population, not what is optimal for athletic performance. A comprehensive biomarker analysis gives you the specific data needed to fine-tune your body for your personal health and fitness goals.
  • Turn data into a clear strategy: Receiving a report full of numbers is not the goal; understanding what to do with them is. The best metabolic tests provide personalized, expert analysis that translates your results into a specific game plan for your training, nutrition, and recovery.
  • Use testing to track progress over time: A single test is just a snapshot. The real value comes from re-testing periodically to see how your body responds to changes in your training and diet, creating a powerful feedback loop for continuous improvement.

What Are Metabolic Health Tests for Athletes?

If you’re serious about your athletic performance, you probably track your workouts, monitor your heart rate, and maybe even count your macros. But what if you could look deeper, getting a precise blueprint of how your body actually produces and uses energy? That’s exactly what metabolic health tests do. They go beyond the surface-level data from your fitness watch to give you a detailed look at your body’s unique engine, showing you exactly where you’re efficient and where you have room to improve.

Think of it as the difference between knowing how fast your car is going and having a full diagnostic report from the mechanic. These tests provide a scientific foundation for your training and nutrition, helping you understand how your body uses fuel, handles stress, and recovers from intense effort. Instead of following generic advice, you get a personalized roadmap based on your unique physiology. This information is invaluable for anyone looking to gain a competitive edge, break through a performance plateau, or simply optimize their health for the long run. It allows you to move from guessing what works to knowing exactly what your body needs to perform at its peak, making every training session and meal more effective.

What These Tests Actually Measure

Metabolic testing isn't just one single measurement; it's a comprehensive analysis of how your body functions during both rest and exercise. These tests reveal how efficiently your body uses oxygen and burns calories, which is crucial for creating a truly personalized training plan. Key metrics include your VO2 max (the maximum amount of oxygen you can use during intense exercise), your lactate profile (which shows how your body handles fatigue), and your Resting Metabolic Rate, or RMR (the number of calories you burn at rest). By understanding these figures, you can fine-tune everything from your workout intensity to your daily nutrition. This data helps you understand what we test and why each biomarker is a critical piece of your performance puzzle.

Why Standard Check-Ups Aren't Enough for Athletes

A standard physical might give you a clean bill of health, but it doesn’t tell you much about your athletic potential or hidden limiters. Your doctor’s "normal" range isn't optimized for performance. Athletes place unique demands on their bodies, and a generic check-up won't reveal if your training volume is sustainable or if you have subtle nutritional deficiencies holding you back. For example, many common VO2 max tests use protocols that are too short to let your aerobic system stabilize, giving you an incomplete picture. Our personalized health plans are built on the understanding that athletes need a more detailed and nuanced approach to truly thrive.

How Do Metabolic Health Tests Work?

So, what actually happens when you sign up for a metabolic health test? It’s not just a single measurement; it’s a comprehensive process designed to give you a full picture of your body’s inner workings. Think of it as a detailed look into your personal biology, combining advanced lab analysis with performance metrics. The process is designed to be straightforward and insightful, moving you from data collection to actionable health strategies. It starts with a detailed look at your blood and ends with a clear understanding of how your body produces and uses energy. Let's walk through what you can expect, step by step.

Analyzing Your Blood and Biomarkers

The first step is a comprehensive blood analysis. This isn't your typical doctor's office panel; it’s a deep look at specific biomarkers that reveal how your body is responding to your training. We analyze key indicators to see if you're recovering effectively or if you might be pushing toward overtraining. For example, certain markers can show if your body is successfully handling the intensity and volume of your workouts. By examining what we test, we can identify subtle imbalances before they become problems. This data helps us build a personalized strategy to adjust your training, nutrition, and recovery, ensuring you’re building strength and endurance sustainably without burning out. It’s about getting ahead of issues and optimizing from the inside out.

Measuring Your Body's Performance (VO2 Max & RMR)

Next, we measure how your body performs in real-time. Two key metrics here are your VO2 max and Resting Metabolic Rate (RMR). VO2 max testing measures the maximum amount of oxygen your body can utilize during intense exercise. It’s a direct look into your cardiovascular fitness and aerobic endurance, showing how efficiently you use oxygen. On the other side of the coin, an RMR test measures the calories your body burns at complete rest. This tells us your baseline energy needs and whether your body prefers to burn fat or carbs for fuel. Together, these tests provide a complete picture of your metabolic engine, forming the foundation of how it works to create your personalized health plan.

How to Prepare for Your Test

To get the most accurate results, a little preparation is key. Think of it as setting the stage for a perfect performance. On the day of your test, the most important thing is to arrive well-hydrated, so be sure to drink plenty of water beforehand. You’ll also want to avoid anything that could skew your metabolic rate. This means no large meals, caffeine, energy drinks, or smoking for at least four hours before your appointment. It’s also best to skip your workout on testing day to ensure we’re measuring your true resting state. Following these simple steps helps guarantee your results are a precise reflection of your unique physiology. If you have more questions, our FAQs page is a great resource.

The Best Metabolic Health Tests for Athletes

When you’re pushing your body to its limits, you need more than just a standard check-up. The right metabolic health tests give you a detailed look under the hood, revealing exactly how your body uses energy, recovers from stress, and adapts to training. Think of it as your personal performance blueprint. Instead of guessing what your body needs, you get concrete data to build a smarter, more effective training and nutrition strategy. These tests move you from following generic advice to making precise, data-driven decisions that align with your specific athletic goals.

For anyone serious about their physical performance, this data is invaluable. It helps you identify hidden weaknesses before they become injuries, fine-tune your nutrition for optimal fuel, and ensure your recovery is as effective as your training. It’s about working smarter, not just harder. By understanding your unique metabolic profile, you can train with more precision, recover faster, and ultimately achieve a higher level of performance and well-being. The tests we'll cover aren't just for elite professionals; they are for anyone who wants to get the most out of their body, whether you're training for a marathon or simply aiming for peak health in your daily life. Let's explore some of the most impactful tests available for athletes that can give you this competitive edge.

Comprehensive Testing: The 100+ Biomarker Protocol

A comprehensive blood panel is the foundation of any serious metabolic health assessment. While basic tests check for general health markers, athletes need a much deeper analysis. A thorough panel can measure everything from hormone levels and inflammatory markers to micronutrient status and metabolic function. This detailed information helps you understand your unique physiology and how it impacts your physical performance, nutrition needs, and recovery. At Axo Longevity, our exclusive 100+ biomarker protocol was designed specifically for this purpose. It provides a complete picture of your cardiovascular, hormonal, and metabolic health, giving you the insights needed to fine-tune your body for peak condition.

VO2 Max Testing: Gauge Your Aerobic Capacity

If you’re an endurance athlete, your VO2 max is one of the most important metrics you can track. This test measures the maximum amount of oxygen your body can effectively use during intense, all-out exercise. It’s the gold standard for assessing your cardiovascular fitness and aerobic endurance. A higher VO2 max means your body is more efficient at delivering oxygen to your muscles, allowing you to sustain a higher intensity for longer before hitting your limit. Knowing your number helps you establish a baseline, set realistic performance goals, and create targeted training zones to systematically improve your aerobic capacity over time.

RMR and Lactate Threshold: Understand Your Fuel Burn

Understanding how your body uses fuel is critical for both performance and body composition. A Resting Metabolic Rate (RMR) test measures how many calories your body burns at complete rest. This number is the starting point for building a nutrition plan that properly fuels your training, aids recovery, and helps you reach your weight goals without guesswork.

Separately, a lactate threshold test identifies the specific heart rate and pace at which lactate, a byproduct of intense exercise, accumulates in your blood faster than your body can clear it. This is the point where you feel that familiar "burn" and are forced to slow down. Training just below this threshold is a proven way to improve your endurance and ability to hold a faster pace for longer.

Your Complete Metabolic and Fitness Profile

While each of these tests provides valuable information on its own, their true power is realized when you combine them. Together, they create a complete metabolic and fitness profile that shows exactly how your body performs under different conditions. Metabolic testing helps you connect the dots between your internal biochemistry, your aerobic capacity, and your energy expenditure. This holistic view allows you or your health expert to build a truly personalized plan. Instead of following a one-size-fits-all program, you can tailor your training, nutrition, and recovery strategies to address your specific limiters and optimize your unique strengths, helping you reach your goals faster and more sustainably.

What to Look for in a Metabolic Health Test

Choosing a metabolic health test can feel overwhelming, but knowing what to look for makes all the difference. Not all tests are created equal, and for an athlete, the details matter. A generic test might give you a few data points, but it won’t provide the deep insights you need to truly optimize your performance and long-term health. You're investing your time and money, so you deserve a return that translates into tangible results, whether that’s a new personal best or simply feeling more energized day-to-day. Think of it this way: you wouldn't use a generic training plan, so why settle for generic health data?

To get the most out of your metabolic assessment, you need to focus on three key areas. First, the test itself should be thorough, looking beyond the standard markers that a typical physical might cover. Second, the results must come with personalized, actionable advice from experts who understand athletic performance. Raw data without context is just noise. Finally, the service should provide a clear way to track your progress over time, because your health isn't a one-and-done project; it's an ongoing journey of refinement. Let’s break down what each of these looks like in practice so you can choose a test with confidence.

Seek Comprehensive Panels and Expert Analysis

A basic blood panel from a standard physical just won't cut it when you’re pushing your body to its limits. As an athlete, you need a test that provides a complete picture of your health. Look for a service that offers a comprehensive panel, analyzing a wide array of biomarkers related to your cardiovascular, hormonal, metabolic, and immune systems. This level of detail helps you and your health team understand how your body is truly handling the stress of your training. A thorough analysis can reveal hidden imbalances or deficiencies that might be holding you back. Axo Longevity’s exclusive protocol, for instance, examines over 100 biomarkers to provide unparalleled insights for both daily performance and long-term health.

Demand Personalized, Actionable Insights

Receiving a report full of numbers and clinical ranges is not helpful if you don’t know what to do with it. The best metabolic testing services don’t just give you data; they give you a clear, personalized game plan. Your results should be translated into actionable steps tailored specifically to your body, your sport, and your goals. This is where expert analysis becomes critical. Your report should answer key questions: What should I eat before a long run? How can I improve my sleep to aid recovery? Are my supplements actually working for me? This personalized approach turns complex biomarker data into simple, effective strategies for training, nutrition, and recovery. Without this step, you’re left to guess what your results mean.

Ensure You Can Track Progress Over Time

A single metabolic test is a snapshot, a baseline. The real value comes from re-testing and tracking your body’s response to the changes you implement. Your physiology isn't static; it adapts as your training, diet, and lifestyle evolve. That’s why it’s essential to choose a testing provider that helps you monitor your progress with regular check-ins. Consistent, periodic testing allows you to see what’s working and what isn’t, so you can make informed adjustments to your plan. This creates a powerful feedback loop for continuous improvement. Seeing your biomarker data improve over time is incredibly motivating and confirms that your hard work is paying off, as many successful athletes have discovered.

Match Your Test to Your Athletic Goals

Metabolic testing isn't a one-size-fits-all solution. The most effective tests are the ones that give you data relevant to what you’re trying to achieve. Are you training for a marathon, aiming to hit a new personal record in the weight room, or looking to optimize your body composition? Your specific goal should guide your testing strategy. Think of it as choosing the right tool for the job. You wouldn't use a hammer to saw a piece of wood, and you shouldn't use a generic test when you have a specific performance goal in mind.

By aligning your test with your athletic ambitions, you get more than just numbers; you get a clear, actionable roadmap. This targeted approach ensures you’re not wasting time or money on irrelevant data. Instead, you’re gathering the precise information needed to fine-tune your training, nutrition, and recovery. Whether your focus is on endurance, strength, or metabolic efficiency, there’s a testing protocol designed to give you the insights you need to perform at your best. A comprehensive panel, like Axo Longevity's 100+ biomarker protocol, provides a complete picture that can inform all of these goals, giving you a foundational understanding of your body's unique needs. From there, you can zero in on the metrics that matter most for your sport.

For Endurance: Optimize Your Cardiovascular Performance

If you’re a runner, cyclist, or triathlete, your performance hinges on your cardiovascular engine. The key metric for you is VO2 max. A VO2 max test measures the maximum amount of oxygen your body can use during intense exercise, offering a direct insight into your cardiovascular fitness and aerobic endurance. Think of it as the horsepower of your aerobic system. Knowing this number helps you establish precise training zones, ensuring your easy days are truly easy and your hard efforts are effective enough to drive adaptation. Tracking your VO2 max over time is one of the best ways to see if your training is actually making you fitter.

For Strength: Improve Power and Recovery

For strength athletes or those in team sports like football or basketball, performance is about explosive power and the ability to recover between intense efforts. While a high VO2 max is still beneficial, your focus might shift to other metabolic markers. Metabolic testing can help you fine-tune conditioning routines and create recovery strategies that match how your body processes fuel. Understanding your lactate threshold, for example, can show you how long you can sustain high-intensity work before fatigue sets in. This data helps you structure your workouts and recovery periods to maximize gains and prevent overtraining, ensuring you’re ready to go all-out when it counts.

For Body Composition: Fine-Tune Your Metabolism

If your primary goal is to change your body composition by losing fat or building lean muscle, understanding your personal metabolism is crucial. This is where Resting Metabolic Rate (RMR) testing comes in. An RMR test measures exactly how many calories your body burns at rest, forming the baseline for your daily energy needs. This information allows you to move beyond generic online calculators and tailor your nutrition plan to your unique physiology. By knowing your precise energy expenditure, you can create a sustainable diet that supports your goals without guesswork, helping you reach your health and fitness goals more efficiently.

How Much Do Metabolic Health Tests Cost?

Investing in your health is one of the smartest decisions you can make, but it’s natural to wonder about the financial commitment. The cost of metabolic health testing isn’t one-size-fits-all. It varies widely depending on how deep you want to go, what you want to measure, and the level of analysis you receive. Think of it like this: you can get a quick snapshot of one aspect of your health, or you can get a full, detailed map of your body’s inner workings. A single test might tell you your VO2 max today, but it won't show you how your training is impacting your hormones, inflammation levels, or nutrient deficiencies over a full season.

While a single test can provide a specific data point, a comprehensive approach gives you the full story. This is where you move from reactive fixes to proactive optimization. At Axo Longevity, our program is designed to give you a complete and continuous understanding of your health. We focus on a 100+ biomarker protocol that tracks your progress over time, turning complex data into a clear path forward for your long-term performance and well-being. This ongoing analysis helps you make informed decisions that go far beyond a single test result, allowing you to see trends and adjust your strategy before a small issue becomes a larger problem.

A Look at Pricing and Package Options

The price of metabolic testing really depends on the scope of the assessment. A standalone test that measures a single metric, like your resting metabolic rate (RMR), might cost a few hundred dollars. These tests are useful for getting a baseline on how many calories your body burns at rest. On the other end of the spectrum, you’ll find comprehensive packages designed for serious athletes or anyone wanting a complete picture of their fitness. These full metabolic profiles can cost over a thousand dollars and often bundle services like VO2 max testing, body composition analysis, and personalized consultations to help you interpret the results.

Will Insurance Cover Your Test?

This is a common question, and the straightforward answer is that insurance usually does not cover metabolic tests for performance. Most insurance plans are designed to cover tests that diagnose or treat a specific medical condition. Since metabolic tests for athletes are typically seen as elective services for optimizing performance or for preventive health, they often fall outside of standard coverage. For example, a VO2 max test that helps you pinpoint your ideal training zones is an invaluable tool for an athlete, but it’s unlikely to be paid for by your insurer. It’s best to think of these tests as a direct investment in your personal health and athletic goals.

What Do Your Metabolic Test Results Mean?

Getting your test results back can feel like opening a secret file on your own body. It’s exciting, but it can also be a little overwhelming. You’re looking at a page full of names, numbers, and acronyms that are supposed to hold the key to your peak performance, but what do they actually mean for you? This is where the real work, and the real magic, begins. The goal isn't just to see your numbers; it's to understand the story they tell about your health, your fitness, and your potential.

Think of your results as a detailed instruction manual written specifically for your body. They provide a clear, objective look at everything from your cardiovascular fitness to your hormonal balance and how efficiently you use energy. By learning to interpret this data, you can move past generic health advice and start making targeted, effective changes. Instead of guessing what your body needs, you’ll know. This is how you transform raw data into a powerful strategy for smarter training, precise nutrition, and optimized recovery, creating a clear path toward your long-term health and performance goals. At Axo Longevity, we help you interpret this complex data and turn it into your personal roadmap.

Decode Your Biomarkers: Optimal vs. Normal Ranges

One of the first things you’ll notice on your results is a comparison of your numbers to a "normal" range. Here’s a critical distinction: for athletes and high-performers, normal isn’t the goal. Optimal is. Standard lab ranges are based on the general population, which unfortunately includes many people with sedentary lifestyles and chronic health issues. An optimal range, however, is a much narrower target that reflects peak physiological function. Tracking your biomarkers against these higher standards helps you understand exactly how your workouts, nutrition, and recovery habits are impacting your body, allowing you to make choices that support a longer, healthier life.

Turn Your Data into Smarter Training

Your metabolic test results give you an incredible advantage in structuring your workouts. For instance, knowing your VO2 max, the maximum amount of oxygen your body can use during intense exercise, provides a direct look into your cardiovascular fitness. With this number, you can create specific training zones to improve your aerobic endurance far more effectively than just guessing your intensity. This data-driven approach helps you train smarter, not just harder. It allows you to fine-tune your conditioning and push your limits safely, ensuring every minute of your workout is moving you closer to your goals.

Tailor Your Nutrition and Recovery Plan

Generic diet plans and recovery protocols simply can’t compete with a strategy built on your unique metabolic profile. Your results can show you exactly how your body processes fuel, taking the guesswork out of nutrition. For example, knowing your Resting Metabolic Rate (RMR) tells you precisely how many calories you burn at rest, forming the perfect baseline for your daily intake. This data also helps you plan what to eat to support your training. Similarly, biomarkers related to stress and inflammation can signal when your body needs more recovery, helping you prevent overtraining and injury before they happen.

Common Myths About Metabolic Testing

When it comes to advanced health topics like metabolic testing, it’s easy to run into some confusing or outdated ideas. A lot of common advice is based on generalities, not the specific needs of someone pushing their body to perform at a high level. Let's clear up a couple of the most common myths so you can approach metabolic testing with a clear understanding of how it can truly help you. Getting this right is the difference between collecting data and using it to make meaningful changes to your training, recovery, and overall health.

Myth: "Normal" Is Good Enough for Athletes

You get your blood test results back, and the report says everything is in the "normal" range. That’s a relief, but for an athlete, it’s not the full story. Standard lab ranges are based on the general population, which includes people with a wide variety of health statuses and activity levels. "Normal" simply means you're not flagged for immediate disease risk. It doesn't mean your body is primed for peak performance.

For example, being within the normal range for certain protein markers doesn't automatically mean you have the optimal amount for muscle repair and growth. For athletes, the goal isn't to be average; it's to be optimal. That’s why a deep analysis of over 100 biomarkers is so important. It helps you see where you stand against ranges optimized for performance, not just for avoiding illness.

Myth: A One-Time Test Is All You Need

Thinking of metabolic testing as a one-and-done event is a missed opportunity. Your body is incredibly dynamic. Your metabolism, hormone levels, and nutrient needs change in response to your training cycles, diet, stress, and sleep. A single test provides a snapshot in time, which is a great starting point for a baseline, but it doesn't show you the trend. Are you improving? Is your new nutrition plan working? A single data point can't answer those questions.

True insight comes from tracking your biomarkers over time. Through regular check-ins, you can see how your body responds to different training loads and recovery strategies. This allows you to make precise, data-driven adjustments to your plan, ensuring you're always moving toward your goals instead of just guessing what works.

How Often Should Athletes Get Tested?

Think of metabolic testing less like a final exam and more like a regular check-in with your body. A single test gives you a valuable snapshot, but the real power comes from seeing how your health data changes over time. Consistent testing creates a feedback loop, showing you what’s working and what isn’t in your training and nutrition. This approach allows you to make small, smart adjustments that lead to significant long-term gains in performance and health. The right frequency depends on your personal goals, but there are a couple of key strategies everyone can use.

Set Your Baseline and Track Your Progress

Your first comprehensive test is your starting line. It establishes your personal baseline, giving you a clear and detailed picture of your metabolic, hormonal, and cardiovascular health before you make any changes. This isn't about comparing yourself to generic "normal" ranges; it's about understanding your unique biology. From there, follow-up tests allow you to track your progress with precision. You can see exactly how your body responds to a new training regimen or dietary adjustment. This data-driven approach takes the guesswork out of performance, helping you build a personalized health plan that evolves with you and ensures you’re always moving in the right direction.

Align Testing with Your Training Seasons

For most proactive individuals, getting a deep analysis every six months is a great rhythm. This schedule is frequent enough to catch meaningful changes and make timely adjustments to your health strategy. However, if you’re an athlete with specific performance goals, you might align your testing with your training cycles. For example, you could test before starting a heavy marathon training block and again after the race. This helps you see the physiological impact of your efforts and fine-tune your recovery. A comprehensive whole-body analysis before and after intense periods ensures your body is adapting effectively and not heading toward injury or burnout.

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Frequently Asked Questions

I'm not a professional athlete, just someone who takes fitness seriously. Is this type of testing for me? Absolutely. This level of detailed health analysis is for anyone who wants to get the most out of their body and be proactive about their long-term health. You don't need to be a professional to benefit from understanding your unique physiology. If you're looking to break through a fitness plateau, fine-tune your nutrition, increase your daily energy, or simply ensure your efforts are leading to real, sustainable results, then this is for you. It’s about moving from guessing what works to knowing what your body truly needs.

What's the main difference between the "optimal" ranges you use and the "normal" ranges from my doctor? Think of it this way: a "normal" range from a standard lab test is designed to tell you if you are actively sick. It's a very broad average based on the general population. An "optimal" range, however, is a much higher standard that reflects peak health and function. For people who want to perform at their best, simply being "not sick" isn't the goal. We focus on optimal ranges to help you fine-tune your body for peak performance, effective recovery, and long-term vitality.

Will I just get a report full of data, or will someone help me understand it? Receiving a report full of complex data without guidance is not helpful, and that’s not how we work. Our entire process is built around turning your personal biomarker data into a clear, actionable game plan. We provide expert analysis that translates the numbers into personalized recommendations for your training, nutrition, and lifestyle. The goal is to give you a straightforward strategy you can implement immediately, not a science project you have to figure out on your own.

I'm more focused on strength training and building muscle than endurance. How can metabolic testing help me? Metabolic testing is incredibly valuable for strength-focused goals. A comprehensive analysis gives you critical information about hormonal balance, such as testosterone and cortisol levels, which directly impact muscle growth and recovery. It can also reveal inflammatory markers that might show you're pushing too hard without enough rest, or identify nutrient deficiencies that are holding back your gains. This data helps you create a smarter training and nutrition plan to build strength and recover more effectively.

How often should I really get tested to see results? Your first test establishes a comprehensive baseline, which is your starting point. To see meaningful progress and make effective adjustments, we recommend a deep analysis every six months. This rhythm is frequent enough to track how your body is responding to your training and nutrition changes without being overwhelming. It allows you to create a powerful feedback loop, ensuring you are consistently moving toward your health and performance goals with precision.

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