Ulta Lab Tests

Athletic Performance & Recovery - Advanced Lab Panel

The Athletic Performance & Recovery Advanced Lab Panel includes 29 tests and 124 biomarkers to support deeper review of oxygen delivery, red blood cell production, muscle stress, recovery, inflammation, kidney filtration, hydration, thyroid function, testosterone availability, cortisol, DHEA-S, insulin, lipids, minerals, vitamin D, B12, folate, zinc, selenium, magnesium, and urine health. It includes essential markers plus reticulocytes, cystatin C, LD, and thyroid recovery markers.

Urine, Serum, Blood, Other, Random, Plasma-Unspecified Vial Pour
Phlebotomist
Athletic Performance Panel, Sports Performance Panel, Recovery Panel, Fitness Optimization Panel, Muscle Recovery Panel, Athlete Wellness Panel, Endurance Panel, Strength and Recovery Panel, Performance Biomarker Panel

The following is a list of what is included in the item above. Click the test(s) below to view what biomarkers are measured along with an explanation of what the biomarker is measuring.

Also known as: Microalbumin Random Urine with Creatinine

Creatinine, Random Urine

Microalbumin

Microalbumin/Creatinine

Also known as: Calcium Ionized

Calcium, Ionized

You have more calcium in your body than any other mineral. Calcium has many important jobs. The body stores more than 99 percent of its calcium in the bones and teeth to help make and keep them strong. The rest is throughout the body in blood, muscle and the fluid between cells. Your body needs calcium to help muscles and blood vessels contract and expand, to secrete hormones and enzymes and to send messages through the nervous system.

Also known as: CBC, CBC includes Differential and Platelets, CBC/PLT w/DIFF, Complete Blood Count (includes Differential and Platelets)

NOTE: Ulta Lab Tests provides CBC test results from Quest Diagnostics as they are reported. Often, different biomarker results are made available at different time intervals. When reporting the results, Ulta Lab Tests denotes those biomarkers not yet reported as 'pending' for every biomarker the test might report. Only biomarkers Quest Diagnostics observes are incorporated and represented in the final CBC test results provided by Ulta Lab Tests.

Absolute Band Neutrophils (Only Reported If Detected)

Immature forms of neutrophils are called neutrophilic band cells. Neutrophils are a type of white blood cell that is responsible for much of the body's protection against infection. Neutrophils are produced in the bone marrow and released into the bloodstream to travel to wherever they are needed. Large numbers of immature forms of neutrophils, called neutrophilic band cells, are produced by the bone marrow when the demand is high.

Absolute Basophils

Basophils normally constitute 1% or less of the total white blood cell count but may increase or decrease in certain diseases and are thought to be involved in allergic reactions.

Absolute Blasts (Only Reported If Detected)

Blasts are immature forms of white blood cells.

Absolute Eosinophils

Eosinophils (eos) respond to infections caused by parasites and play a role in allergic reactions (hypersensitivities)

Absolute Lymphocytes

Lymphocytes are white blood cells that exist in both the blood and the lymphatic system. They are divided into three types. The B lymphocytes (B cells) are antibody-producing cells that are essential for acquired, antigen-specific immune responses. The second type are T lymphocytes (T cells) some T cells help the body distinguish between "self" and "non-self" antigens while others initiate and control the extent of an immune response, boosting it as needed and then slowing it as the condition resolves. Other types of T cells directly attack and neutralize virus-infected or cancerous cells. The third type are natural killer cells (NK cells) that directly attack and kill abnormal cells such as cancer cells or those infected with a virus.

Absolute Metamyelocytes (Only Reported If Detected)

Metamyelocytes are immature forms of white blood cells.

Absolute Monocytes

Monocytes (mono), similar to neutrophils, move to an area of infection and engulf and destroy bacteria. They are associated more often with chronic rather than acute infections. They are also involved in tissue repair and other functions involving the immune system.

Absolute Myelocytes (Only Reported If Detected)

Myelocytes are immature forms of white blood cells.

Absolute Neutrophils

Neutrophils (neu) normally make up the largest number of circulating WBCs. They move into an area of damaged or infected tissue, where they engulf and destroy bacteria or sometimes fungi. Young neutrophils, recently released into circulation, are called bands.

Absolute Nucleated Rbc (Only Reported If Detected)

Nucleated Red Blood Cells (nRBC) ) the presence of NRBCs in the adult blood is usually associated with malignant neoplasms, bone marrow diseases, and other serious disorders.

Absolute Promyelocytes (Only Reported If Detected)

Promyelocytes are immature forms of white blood cells.

Band Neutrophils (Only Reported If Detected)

Immature forms of neutrophils are called neutrophilic band cells. Neutrophils are a type of white blood cell that is responsible for much of the body's protection against infection. Neutrophils are produced in the bone marrow and released into the bloodstream to travel to wherever they are needed. Large numbers of immature forms of neutrophils, called neutrophilic band cells, are produced by the bone marrow when the demand is high.

Basophils

Basophils normally constitute 1% or less of the total white blood cell count but may increase or decrease in certain diseases and are thought to be involved in allergic reactions.

Blasts (Only Reported If Detected)

Blasts are immature forms of white blood cells.

Eosinophils

Eosinophils are specialized white blood cells produced in the bone marrow and released into the bloodstream, where they normally make up only 0–6 % of circulating leukocytes. Their cytoplasm is packed with reddish‑orange granules that contain potent enzymes (e.g., major basic protein, eosinophil cationic protein) and inflammatory mediators. When the immune system detects large, multicellular invaders—such as helminth (worm) parasites—eosinophils migrate out of the blood and surround the pathogen, releasing these granule contents to damage the parasite’s outer surface and aid its destruction. Beyond parasite defense, eosinophils act as key orchestras of the allergic response. They accumulate in tissues exposed to allergens (airways in asthma, skin in eczema, GI tract in eosinophilic esophagitis) and secrete cytokines and lipid mediators that amplify inflammation, recruit additional immune cells, and contribute to symptoms like swelling, mucus production, and itching. Because of this pro‑inflammatory role, persistently elevated eosinophil counts—termed eosinophilia—can signal allergic disorders, drug hypersensitivity, or certain autoimmune and malignant conditions. Conversely, counts drop toward zero after glucocorticoid therapy or in acute stress states, reflecting the cells’ sensitivity to hormonal and immune regulation.

Hematocrit

Hematocrit is a blood test that measures the percentage of the volume of whole blood that is made up of red blood cells. This measurement depends on the number of red blood cells and the size of red blood cells.

Hemoglobin

Serum hemoglobin is a blood test that measures the level of free hemoglobin in the liquid part of the blood (the serum). Free hemoglobin is the hemoglobin outside of the red blood cells. Most of the hemoglobin is found inside the red blood cells, not in the serum.

Lymphocytes

Lymphocytes are white blood cells that exist in both the blood and the lymphatic system. They are divided into three types. The B lymphocytes (B cells) are antibody-producing cells that are essential for acquired, antigen-specific immune responses. The second type are T lymphocytes (T cells) some T cells help the body distinguish between "self" and "non-self" antigens while others initiate and control the extent of an immune response, boosting it as needed and then slowing it as the condition resolves. Other types of T cells directly attack and neutralize virus-infected or cancerous cells. The third type are natural killer cells (NK cells) that directly attack and kill abnormal cells such as cancer cells or those infected with a virus.

MCH

Mean corpuscular hemoglobin (MCH) is a calculation of the average amount of oxygen-carrying hemoglobin inside a red blood cell.

MCHC

Mean corpuscular hemoglobin concentration (MCHC) is a calculation of the average percentage of hemoglobin inside a red cell.

MCV

Mean corpuscular volume (MCV) is a measurement of the average size of RBCs.

Metamyelocytes (Only Reported If Detected)

Metamyelocytes are immature forms of white blood cells.

Monocytes

Monocytes (mono), similar to neutrophils, move to an area of infection and engulf and destroy bacteria. They are associated more often with chronic rather than acute infections. They are also involved in tissue repair and other functions involving the immune system.

MPV

Mean Platelet Volume (MPV) - When it indicates average size of platelets are small; older platelets are generally smaller than younger ones and a low MPV may mean that a condition is affecting the production of platelets by the bone marrow. When it indicates a high number of larger, younger platelets in the blood; this may be due to the bone marrow producing and releasing platelets rapidly into circulation.

Myelocytes (Only Reported If Detected)

Myelocytes are immature forms of white blood cells.

Neutrophils

Neutrophils are a type of white blood cell that is responsible for much of the body's protection against infection. Neutrophils are produced in the bone marrow and released into the bloodstream to travel to wherever they are needed.

Nucleated Rbc (Only Reported If Detected)

Nucleated Red Blood Cells (nRBC) ) the presence of NRBCs in the adult blood is usually associated with malignant neoplasms, bone marrow diseases, and other serious disorders.

Platelet Count

A platelet count is a test to measure how many platelets you have in your blood. Platelets help the blood clot. They are smaller than red or white blood cells.

Promyelocytes (Only Reported If Detected)

Promyelocytes are immature forms of white blood cells.

RDW

Red cell distribution width (RDW), which may be included in a CBC, is a calculation of the variation in the size of RBCs.

Reactive Lymphocytes (Only Reported If Detected)

Lymphocytes are white blood cells that exist in both the blood and the lymphatic system. They are divided into three types. The B lymphocytes (B cells) are antibody-producing cells that are essential for acquired, antigen-specific immune responses. The second type are T lymphocytes (T cells) some T cells help the body distinguish between "self" and "non-self" antigens while others initiate and control the extent of an immune response, boosting it as needed and then slowing it as the condition resolves. Other types of T cells directly attack and neutralize virus-infected or cancerous cells. The third type are natural killer cells (NK cells) that directly attack and kill abnormal cells such as cancer cells or those infected with a virus.

Red Blood Cell Count

An RBC count is a blood test that tells how many red blood cells (RBCs) you have. RBCs contain hemoglobin, which carries oxygen. How much oxygen your body tissues get depends on how many RBCs you have and how well they work.

White Blood Cell Count

A WBC count is a test to measure the number of white blood cells (WBCs) in the blood. WBCs help fight infections. They are also called leukocytes. There are five major types of white blood cells: basophils, eosinophils, lymphocytes (T cells and B cells), monocytes and neutrophils

Also known as: Chem 12, Chemistry Panel, Chemistry Screen, CMP, Complete Metabolic Panel, Comprehensive Metabolic Panel CMP, SMA 12, SMA 20

Albumin

Albumin is a protein made by the liver. A serum albumin test measures the amount of this protein in the clear liquid portion of the blood.

Albumin/Globulin Ratio

The ratio of albumin to globulin (A/G ratio) is calculated from measured albumin and calculated globulin (total protein - albumin). Normally, there is a little more albumin than globulins, giving a normal A/G ratio of slightly over 1. Because disease states affect the relative amounts of albumin and globulin, the A/G ratio may provide a clue as to the cause of the change in protein levels. A low A/G ratio may reflect overproduction of globulins, such as seen in multiple myeloma or autoimmune diseases, or underproduction of albumin, such as may occur with cirrhosis, or selective loss of albumin from the circulation, as may occur with kidney disease (nephrotic syndrome). A high A/G ratio suggests underproduction of immunoglobulins as may be seen in some genetic deficiencies and in some leukemias. More specific tests, such as liver enzyme tests and serum protein electrophoresis, must be performed to make an accurate diagnosis. With a low total protein that is due to plasma expansion (dilution of the blood), the A/G ratio will typically be normal because both albumin and globulin will be diluted to the same extent.

Alkaline Phosphatase

Alkaline phosphatase (ALP) is a protein found in all body tissues. Tissues with higher amounts of ALP include the liver, bile ducts, and bone.

Alt

Alanine transaminase (ALT) is an enzyme found in the highest amounts in the liver. Injury to the liver results in release of the substance into the blood.

AST

AST (aspartate aminotransferase) is an enzyme found in high amounts in liver, heart, and muscle cells. It is also found in lesser amounts in other tissues.

Bilirubin, Total

Bilirubin is a yellowish pigment found in bile, a fluid made by the liver. A small amount of older red blood cells are replaced by new blood cells every day. Bilirubin is left after these older blood cells are removed. The liver helps break down bilirubin so that it can be removed from the body in the stool.

Bun/Creatinine Ratio

A ratio between a person’s BUN and blood creatinine to help determine what is causing these concentrations to be higher than normal. The ratio of BUN to creatinine is usually between 10:1 and 20:1. An increased ratio may be due to a condition that causes a decrease in the flow of blood to the kidneys, such as congestive heart failure or dehydration. It may also be seen with increased protein, from gastrointestinal bleeding, or increased protein in the diet. The ratio may be decreased with liver disease (due to decrease in the formation of urea) and malnutrition.

Calcium

You have more calcium in your body than any other mineral. Calcium has many important jobs. The body stores more than 99 percent of its calcium in the bones and teeth to help make and keep them strong. The rest is throughout the body in blood, muscle and the fluid between cells. Your body needs calcium to help muscles and blood vessels contract and expand, to secrete hormones and enzymes and to send messages through the nervous system.

Carbon Dioxide

CO2 is carbon dioxide. Measures the amount of carbon dioxide in the liquid part of your blood, called the serum. In the body, most of the CO2 is in the form of a substance called bicarbonate (HCO3-). Therefore, the CO2 blood test is really a measure of your blood bicarbonate level.

Chloride

Chloride is a type of electrolyte. It works with other electrolytes such as potassium, sodium, and carbon dioxide (CO2). These substances help keep the proper balance of body fluids and maintain the body's acid-base balance. This is a measure of the amount of chloride in the fluid portion (serum) of the blood.

Creatinine

The creatinine blood test measures the level of creatinine in the blood. This test is done to see how well your kidneys work.

Egfr African American

Glomerular filtration rate (GFR) is a test used to check how well the kidneys are working. Specifically, it estimates how much blood passes through the glomeruli each minute. Glomeruli are the tiny filters in the kidneys that filter waste from the blood.

Egfr Non-Afr. American

Glomerular filtration rate (GFR) is a test used to check how well the kidneys are working. Specifically, it estimates how much blood passes through the glomeruli each minute. Glomeruli are the tiny filters in the kidneys that filter waste from the blood.

GFR-AFRICAN AMERICAN

GFR-NON AFRICAN AMERICAN

Globulin

Globulins is the collective term for most blood proteins other than albumin. Identifying the types of globulins can help diagnose certain disorders. Globulins are roughly divided into three groups: alpha, beta, and gamma globulins. Gamma globulines include various types of antibodies such as immunoglobulins (Ig) M, G, and A.

Glucose

A blood glucose test measures the amount of a sugar called glucose in a sample of your blood. Glucose is a major source of energy for most cells of the body, including those in the brain. The hormones insulin and glucagon help control blood glucose levels.

Potassium

Potassium is a mineral that the body needs to work normally. It helps nerves and muscles communicate. It also helps move nutrients into cells and waste products out of cells. A diet rich in potassium helps to offset some of sodium's harmful effects on blood pressure.

Protein, Total

The total protein is the total amount of two classes of proteins, albumin and globulin that are found in the fluid portion of your blood. Proteins are important parts of all cells and tissues. Your albumin helps prevent fluid from leaking out of blood vessels and your globulins are an important part of your immune system.

Sodium

Sodium is a substance that the body needs to work properly it is vital to normal body processes, including nerve and muscle function

Urea Nitrogen (Bun)

BUN stands for blood urea nitrogen. Urea nitrogen is what forms when protein breaks down. BUN measures the amount of urea nitrogen in the blood.

Also known as: Cortisol AM

Cortisol, A.M.

A cortisol level is a blood test that measures the amount of cortisol, a steroid hormone produced by the adrenal gland. The test is done to check for increased or decreased cortisol production. Cortisol is a steroid hormone released from the adrenal gland in response to ACTH, a hormone from the pituitary gland in the brain. Cortisol affects many different body systems. It plays a role in: bone, circulatory system, immune system. metabolism of fats, carbohydrates, and protein. ervous system and stress responses.

Also known as: CK (Total), CPK, CPK (Total), Creatine Kinase CK Total, Creatine Phosphokinase (CPK), Total CK

Creatine Kinase, Total

CYSTATIN C

eGFR

Also known as: Dehydroepiandrosterone Sulfate, DHEA SO4, DHEA Sulfate Immunoassay, DHEAS, Transdehydroandrosterone

DHEA SULFATE

DHEA-sulfate test measures the amount of DHEA-sulfate in the blood. DHEA-sulfate is a weak male hormone (androgen) produced by the adrenal gland in both men and women.

Ferritin

Ferritin is a protein found inside cells that stores iron so your body can use it later. A ferritin test indirectly measures the amount of iron in your blood. The amount of ferritin in your blood (serum ferritin level) is directly related to the amount of iron stored in your body.

Also known as: A1c, Glycated Hemoglobin, Glycohemoglobin, Glycosylated Hemoglobin, HA1c, HbA1c, Hemoglobin A1c, Hemoglobin A1c HgbA1C, Hgb A1c

HEMOGLOBIN A1C

The A1c test evaluates the average amount of glucose in the blood over the last 2 to 3 months. It does this by measuring the concentration of glycated (also often called glycosylated) hemoglobin A1c. Hemoglobin is an oxygen-transporting protein found inside red blood cells (RBCs). There are several types of normal hemoglobin, but the predominant form – about 95-98% – is hemoglobin A. As glucose circulates in the blood, some of it spontaneously binds to hemoglobin A. The hemoglobin molecules with attached glucose are called glycated hemoglobin. The higher the concentration of glucose in the blood, the more glycated hemoglobin is formed. Once the glucose binds to the hemoglobin, it remains there for the life of the red blood cell – normally about 120 days. The predominant form of glycated hemoglobin is referred to as HbA1c or A1c. A1c is produced on a daily basis and slowly cleared from the blood as older RBCs die and younger RBCs (with non-glycated hemoglobin) take their place. This test is used to monitor treatment in someone who has been diagnosed with diabetes. It helps to evaluate how well their glucose levels have been controlled by treatment over time. This test may be used to screen for and diagnose diabetes or risk of developing diabetes. In 2010, clinical practice guidelines from the American Diabetes Association (ADA) stated that A1c may be added to fasting plasma glucose (FPG) and oral glucose tolerance test (OGTT) as an option for diabetes screening and diagnosis. For monitoring purposes, an A1c of less than 7% indicates good glucose control and a lower risk of diabetic complications for the majority of diabetics. However, in 2012, the ADA and the European Association for the Study of Diabetes (EASD) issued a position statement recommending that the management of glucose control in type 2 diabetes be more "patient-centered." Data from recent studies have shown that low blood sugar (hypoglycemia) can cause complications and that people with risk of severe hypoglycemia, underlying health conditions, complications, and a limited life expectancy do not necessarily benefit from having a stringent goal of less than 7% for their A1c. The statement recommends that people work closely with their doctor to select a goal that reflects each person's individual health status and that balances risks and benefits.

Also known as: C-Reactive Protein, Cardio CRP, Cardio hs-CRP, CRP, High Sensitivity CRP, High-sensitivity C-reactive Protein, High-sensitivity CRP, Highly Sensitive CRP, hsCRP, Ultra-sensitive CRP

Hs Crp

A high-sensitivity CRP (hs-CRP) test may be used by itself, in combination with other cardiac risk markers, or in combination with a lipoprotein-associated phospholipase A2 (Lp-PLA2) test that evaluates vascular inflammation. The hs-CRP test accurately detects low concentrations of C-reactive protein to help predict a healthy person's risk of cardiovascular disease (CVD). High-sensitivity CRP is promoted by some as a test for determining a person's risk level for CVD, heart attacks, and strokes. The current thinking is that hs-CRP can play a role in the evaluation process before a person develops one of these health problems.

Also known as: Insulin (fasting)

Insulin

Insulin is a hormone that is produced and stored in the beta cells of the pancreas. It is vital for the transportation and storage of glucose at the cellular level, helps regulate blood glucose levels, and has a role in lipid metabolism. When blood glucose levels rise after a meal, insulin is released to allow glucose to move into tissue cells, especially muscle and adipose (fat) cells, where is it is used for energy production. Insulin then prompts the liver to either store the remaining excess blood glucose as glycogen for short-term energy storage and/or to use it to produce fatty acids. The fatty acids are eventually used by adipose tissue to synthesize triglycerides to form the basis of a longer term, more concentrated form of energy storage. Without insulin, glucose cannot reach most of the body's cells. Without glucose, the cells starve and blood glucose levels rise to unhealthy levels. This can cause disturbances in normal metabolic processes that result in various disorders, including kidney disease, cardiovascular disease, and vision and neurological problems. Thus, diabetes, a disorder associated with decreased insulin effects, is eventually a life-threatening condition.

Also known as: Iron and TIBC, Iron and Total Iron Binding Capacity TIBC, TIBC

% Saturation

Iron Binding Capacity

Total iron binding capacity (TIBC) is a blood test to see if you may have too much or too little iron in the blood. Iron moves through the blood attached to a protein called transferrin. This test helps your doctor know how well that protein can carry iron in the blood.

Iron, Total

Iron is a mineral that our bodies need for many functions. For example, iron is part of hemoglobin, a protein which carries oxygen from our lungs throughout our bodies. It helps our muscles store and use oxygen. Iron is also part of many other proteins and enzymes. Your body needs the right amount of iron. If you have too little iron, you may develop iron deficiency anemia. Causes of low iron levels include blood loss, poor diet, or an inability to absorb enough iron from foods. People at higher risk of having too little iron are young children and women who are pregnant or have periods.

Also known as: Lactate Dehydrogenase LD, LDH

Ld

LDH isoenzymes is a test to check how much of the different types of lactate dehydrogenase (LDH) are in the blood. Measurement of LDH isoenzymes helps determine the location of any tissue damage. LDH is found in many body tissues such as the heart, liver, kidney, skeletal muscle, brain, blood cells, and lungs. LDH exists in 5 forms, which differ slightly in structure. LDH-1 is found primarily in heart muscle and red blood cells. LDH-2 is concentrated in white blood cells. LDH-3 is highest in the lung. LDH-4 is highest in the kidney, placenta, and pancreas. LDH-5 is highest in the liver and skeletal muscle.

Also known as: Cholesterol, HDL,Fasting Lipids,Cholesterol, LDL, Fasting Lipids, Lipid Panel (fasting), Lipid Profile (fasting), Lipids

Chol/HDLC Ratio

Cholesterol, Total

Cholesterol is a waxy, fat-like substance that occurs naturally in all parts of the body. Your body needs some cholesterol to work properly. But if you have too much in your blood, it can combine with other substances in the blood and stick to the walls of your arteries. This is called plaque. Plaque can narrow your arteries or even block them. High levels of cholesterol in the blood can increase your risk of heart disease. Your cholesterol levels tend to rise as you get older. There are usually no signs or symptoms that you have high blood cholesterol, but it can be detected with a blood test. You are likely to have high cholesterol if members of your family have it, if you are overweight or if you eat a lot of fatty foods. You can lower your cholesterol by exercising more and eating more fruits and vegetables. You also may need to take medicine to lower your cholesterol.

HDL Cholesterol

LDL-Cholesterol

Non HDL Cholesterol

Triglycerides

Triglycerides are a form of fat and a major source of energy for the body. This test measures the amount of triglycerides in the blood. Most triglycerides are found in fat (adipose) tissue, but some triglycerides circulate in the blood to provide fuel for muscles to work. After a person eats, an increased level of triglycerides is found in the blood as the body converts the energy not needed right away into fat. Triglycerides move via the blood from the gut to adipose tissue for storage. In between meals, triglycerides are released from fat tissue to be used as an energy source for the body. Most triglycerides are carried in the blood by lipoproteins called very low density lipoproteins (VLDL). High levels of triglycerides in the blood are associated with an increased risk of developing cardiovascular disease (CVD), although the reason for this is not well understood. Certain factors can contribute to high triglyceride levels and to risk of CVD, including lack of exercise, being overweight, smoking cigarettes, consuming excess alcohol, and medical conditions such as diabetes and kidney disease.

Magnesium

Also known as: Magnesium RBC

Magnesium, Rbc

About half of the body's magnesium is found in bone. The other half is found inside cells of body tissues and organs. Magnesium is needed for nearly all chemical processes in the body. It helps maintain normal muscle and nerve function, and keeps the bones strong. Magnesium is also needed for the heart to function normally and to help regulate blood pressure. Magnesium also helps the body control blood sugar level and helps support the body's defense (immune) system.

Also known as: Inorganic Phosphate, P, Phosphate as Phosphorus, Phosphorus, PO4

Phosphate (As Phosphorus)

This test is performed to see how much phosphorus in your blood. Kidney, liver, and certain bone diseases can cause abnormal phosphorus levels.

Vitamin D, 25-Oh, D2

Vitamin D2 ((ergocalciferol,) is found in fortified foods and in most vitamin preparations and supplements. Vitamin D comes from two sources: endogenous, which is produced in the skin on exposure to sunlight, and exogenous, which is ingested in foods and supplements. The D2 form is found in fortified foods and in most vitamin preparations and supplements. Vitamin D2 is effective when it is converted by the liver and the kidney into the active form, 1,25-dihydroxyvitamin D.

Vitamin D, 25-Oh, D3

Vitamin D3 (cholecalcifero) which comes from animals. Vitamin D comes from two sources: endogenous, which is produced in the skin on exposure to sunlight, and exogenous, which is ingested in foods and supplements. Vitamin D3 is the form produced in the body and is also used in some supplements. Vitamin D3 are is converted by the liver and the kidney into the active form, 1,25-dihydroxyvitamin D.

Vitamin D, 25-Oh, Total

Vitamin D comes from two sources: endogenous, which is produced in the skin on exposure to sunlight, and exogenous, which is ingested in foods and supplements. The chemical structures of the types of vitamin D are slightly different, and they are named vitamin D2 (ergocalciferol, which comes from plants) and vitamin D3 (cholecalciferol, which comes from animals). The D2 form is found in fortified foods and in most vitamin preparations and supplements. Vitamin D3 is the form produced in the body and is also used in some supplements. Vitamin D2 and D3 are equally effective when they are converted by the liver and the kidney into the active form, 1,25-dihydroxyvitamin D.

Reticulocyte Count,

A reticulocyte count measures the percentage of reticulocytes (slightly immature red blood cells) in the blood. The test is done to determine if red blood cells are being created in the bone marrow at an appropriate rate. The number of reticulocytes in the blood is a sign of how quickly they are being produced and released by the bone marrow.

Reticulocyte, Absolute

A reticulocyte count measures the percentage of reticulocytes (slightly immature red blood cells) in the blood. The test is done to determine if red blood cells are being created in the bone marrow at an appropriate rate. The number of reticulocytes in the blood is a sign of how quickly they are being produced and released by the bone marrow.

Selenium

Also known as: Free T3, FT3, T3 Free

T3, Free

This test measures the amount of triiodothyronine, or T3, in the blood.

Also known as: Free T4, FT4, T4 Free

T4, Free

The free T4 test is not affected by protein levels. Since free T4 is the active form of thyroxine, the free T4 test is may be a more accurate reflection of thyroid hormone function.

Also known as: Testosterone Total And Free And Sex Hormone Binding Globulin

Free Testosterone

In many cases, measurement of total testosterone provides the doctor with adequate information. However, in certain cases, for example when the level of SHBG is abnormal, a test for free or bioavailable testosterone may be performed as it may more accurately reflect the presence of a medical condition.

Sex Hormone Binding

The sex hormone binding globulin (SHBG) test measures the concentration of SHBG in the blood. SHBG is a protein that is produced by the liver and binds tightly to testosterone, dihydrotestosterone (DHT), and estradiol (an estrogen). In this bound state, it transports them in the blood as an inactive form. The amount of SHBG in circulation is affected by age and sex, by decreased or increased testosterone or estrogen production and can be affected by certain diseases and conditions such as liver disease, hyperthyroidism or hypothyroidism, and obesity. Changes in SHBG levels can affect the amount of testosterone that is available to be used by the body's tissues. A total testosterone test does not distinguish between bound and unbound testosterone but determines the overall quantity of testosterone. If a person's SHBG level is not normal, then the total testosterone may not be an accurate representation of the amount of testosterone that is available to the person's tissues.

TESTOSTERONE, TOTAL,

A testosterone test measures the amount of the male hormone, testosterone, in the blood. Both men and women produce this hormone. In males, the testicles produce most of the testosterone in the body. Levels are most often checked to evaluate signs of low testosterone: In boys -- early or late puberty and in men -- impotence, low level of sexual interest, infertility, thinning of the bones In females, the ovaries produce most of the testosterone and levels are most often checked to evaluate signs of higher testosterone levels, such as: decreased breast size, excess hair growth, increased size of the clitoris. irregular or absent menstrual periods and male-pattern baldness or hair thinning.

Also known as: Thyroid Stimulating Hormone Test, Thyrotropin Test

TSH

A TSH test is a lab test that measures the amount of thyroid stimulating hormone (TSH) in your blood. TSH is produced by the pituitary gland. It tells the thyroid gland to make and release thyroid hormones into the blood.

Also known as: Serum Urate, UA

Uric Acid

Uric acid is a chemical created when the body breaks down substances called purines. Purines are found in some foods and drinks. These include liver, anchovies, mackerel, dried beans and peas, and beer. Most uric acid dissolves in blood and travels to the kidneys. From there, it passes out in urine. If your body produces too much uric acid or doesn't remove enough if it, you can get sick. A high level of uric acid in the blood is called hyperuricemia.

Also known as: UA, Complete, Urinalysis UA Complete, Urine Analysis, Complete

Amorphous Sediment (Only Reported If Detected)

Appearance

Bacteria

Bacteria are living things that have only one cell. Most bacteria won't hurt you - less than 1 percent of the different types make people sick. Many are helpful. Some bacteria help to digest food, destroy disease-causing cells, and give the body needed vitamins. But infectious bacteria can make you ill. They reproduce quickly in your body. Many give off chemicals called toxins, which can damage tissue and make you sick. Examples of bacteria that cause infections include Streptococcus, Staphylococcus, and E. coli.

Bilirubin

Bilirubin is a yellowish pigment found in bile, a fluid made by the liver. A small amount of older red blood cells are replaced by new blood cells every day. Bilirubin is left after these older blood cells are removed. The liver helps break down bilirubin so that it can be removed from the body in the stool.

Calcium Oxalate Crystals (Only Reported If Detected)

Calcium oxalate is a chemical compound that forms envelope-shaped crystals. A major constituent of human kidney stones.

Casts (Only Reported If Detected)

Urinary casts are cylindrical structures produced by the kidney and present in the urine in certain disease states. They form in the distal convoluted tubule and collecting ducts of nephrons, then dislodge and pass into the urine, where they can be detected by microscopy.

Color

Crystals (Only Reported If Detected)

Abnormal crystals may appear in urine as a result of pathology or due to normal catabolism

Glucose

A blood glucose test measures the amount of a sugar called glucose in a sample of your blood. Glucose is a major source of energy for most cells of the body, including those in the brain. The hormones insulin and glucagon help control blood glucose levels.

Granular Cast (Only Reported If Detected)

The second-most common type of cast, granular casts can result either from the breakdown of cellular casts or the inclusion of aggregates of plasma proteins (e.g., albumin) or immunoglobulin light chains. Depending on the size of inclusions, they can be classified as fine or coarse, though the distinction has no diagnostic significance. Their appearance is generally more cigar-shaped and of a higher refractive index than hyaline casts. While most often indicative of chronic renal disease, these casts, as with hyaline casts, can also be seen for a short time following strenuous exercise

Hyaline Cast

Urinary casts are tiny tube-shaped particles. Urinary casts may be made up of white blood cells, red blood cells, kidney cells, or substances such as protein or fat. The most common type of cast, hyaline casts are solidified Tamm-Horsfall mucoprotein secreted from the tubular epithelial cells of individual nephrons. Low urine flow, concentrated urine, or an acidic environment can contribute to the formation of hyaline casts, and, as such, they may be seen in normal individuals in dehydration or vigorous exercise. Hyaline casts are cylindrical and clear, with a low refractive index,

Ketones

Ketones are substances produced in the liver when fat cells break down in the blood. A serum ketone test is a measurement of how many ketones are in the blood.

Leukocyte Esterase

Leukocyte esterase is a urine test to look for white blood cells and other signs associated with infection.

Nitrite

Occult Blood

The test looks for hidden (occult) blood in a specimen sample. It can find blood even if you cannot see it yourself.

Ph

Level of acid

Protein

Body fluids contain many different proteins that serve diverse functions such as transport of nutrients, removal of toxins, control of metabolic processes, and defense against invaders. Protein electrophoresis is a method for separating these proteins based on their size and electrical charge. When body fluids are separated by electrophoresis, they form a characteristic pattern of bands of different widths and intensities, reflecting the mixture of proteins present. This pattern is divided into five fractions, called albumin, alpha 1, alpha 2, beta, and gamma. In some cases, the beta fraction is further divided into beta 1 and beta 2. Albumin, which is produced in the liver, accounts for about 60% of the protein in the blood. "Globulins" is a collective term used to refer to proteins other than albumin. With the exception of the immunoglobulins and some complement proteins, most of the globulins are also produced in the liver. Immunofixation electrophoresis (IFE) is a method used to identify abnormal bands seen on serum, urine, or CSF protein electrophoresis, as to which type of antibody (immunoglobulin) is present.

Rbc

RBCs contain hemoglobin, which carries oxygen. How much oxygen your body tissues get depends on how many RBCs you have and how well they work.

Reducing Substances (Only Reported If Detected)

Renal Epithelial Cells (Only Reported If Detected)

Specific Gravity

Squamous Epithelial Cells

Transitional Epithelial (Only Reported If Detected)

Triple Phosphate Crystals (Only Reported If Detected)

Struvite stones (triple phosphate/magnesium ammonium phosphate) - about 10–15% of urinary calculi are composed of struvite (ammonium magnesium phosphate, NH4MgPO4·6H2O).[44] Struvite stones (also known as "infection stones", urease or triple-phosphate stones), form most often in the presence of infection by urea-splitting bacteria

Uric Acid Crystals (Only Reported If Detected)

Abnormal crystals may appear in urine as a result of pathology or due to normal catabolism

WBC

WBCs help fight infections. They are also called leukocytes. There are five major types of white blood cells: basophils, eosinophils, lymphocytes (T cells and B cells), monocytes and neutrophils

YEAST (Only Reported If Detected)

Candida is the scientific name for yeast. It is a fungus that lives almost everywhere, including in your body. Usually, your immune system keeps yeast under control. If you are sick or taking antibiotics, it can multiply and cause an infection.

Also known as: Cobalamin, Folic Acid, Vitamin B 12, Vitamin B 12 and Folic Acid, Vitamin B12 Cobalamin and Folate Panel Serum, Vitamin B12/Folic Acid

Folate, Serum

Folate is part of the B complex of vitamins and is measures the levels of folate in the liquid portion of the blood, the serum or plasma, to detect deficiencies. Folate is necessary for normal RBC formation, tissue and cellular repair, and DNA synthesis.. A deficiency inr folate can lead to macrocytic anemia. Megaloblastic anemia, a type of macrocytic anemia, is characterized by the production of fewer but larger RBCs called macrocytes, in addition to some cellular changes in the bone marrow.

Vitamin B12

Vitamin B12 is part of the B complex of vitamins and measurea the levels of vitamin B12 in the liquid portion of the blood, the serum or plasma, to detect deficiencies. Cobalamine, or vitamin B12, is found in animal products such as red meat, fish, poultry, milk, yogurt, and eggs and is not produced in the human body. In recent years, fortified cereals, breads, and other grain products have also become important dietary sources of B12. Vitamin B12 is necessary for normal RBC formation, tissue and cellular repair, and DNA synthesis. B12 is important for nerve health. A deficiency in B12 can lead to macrocytic anemia. Megaloblastic anemia, a type of macrocytic anemia, is characterized by the production of fewer but larger RBCs called macrocytes, in addition to some cellular changes in the bone marrow. B12 deficiency can lead to varying degrees of neuropathy, nerve damage that can cause tingling and numbness in the affected person's hands and feet.

Also known as: ZN, Plasma

Zinc

*Important Information on Lab Test Processing Times: Ulta Lab Tests is committed to informing you about the processing times for your lab tests processed through a national lab. Please note that the estimated processing time for each test, indicated in business days, is based on data from the past 30 days across the 13 laboratories for each test. These estimates are intended to serve as a guide and are not guarantees. Factors such as laboratory workload, weather conditions, holidays, and the need for additional testing or maintenance can influence actual processing times. We aim to offer estimates to help you plan accordingly. Please understand that these times may vary, and processing times are not guaranteed. Thank you for choosing Ulta Lab Tests for your laboratory needs.

The Athletic Performance & Recovery - Advanced Lab Panel panel contains 29 tests with 123 biomarkers .

Overview

The Athletic Performance & Recovery Advanced Lab Panel is designed for people who want a deeper look at biomarkers related to training adaptation, energy, endurance, strength, recovery, hormone balance, thyroid function, inflammation, kidney filtration, hydration, and mineral balance.

This panel includes the foundational athletic markers from the Essential panel and adds testing for reticulocyte count, insulin, lipid patterns, uric acid, LD, ESR, cystatin C, urine albumin, RBC magnesium, phosphorus, ionized calcium, thyroid hormones, testosterone with SHBG, cortisol, DHEA-S, zinc, and selenium.

This panel is a strong fit for people with heavier training loads, recurring fatigue, poor recovery, muscle soreness, performance plateaus, endurance concerns, strength-training goals, or interest in deeper performance optimization.

Why Order This Panel?

This panel may help provide insight into:

  • Red blood cell production and oxygen delivery
  • Iron storage and iron availability
  • Muscle stress and tissue enzyme patterns
  • Kidney filtration and urine albumin patterns
  • Hydration and mineral balance
  • Thyroid function and metabolism
  • Testosterone availability
  • Cortisol and stress-recovery patterns
  • Insulin, glucose, and lipid metabolism
  • Inflammation and recovery
  • Vitamin D, B12, folate, zinc, selenium, magnesium, and RBC magnesium status

This Panel May Be Helpful For People Who Want To

  • Go beyond basic athletic recovery testing
  • Review deeper recovery and training-load markers
  • Evaluate thyroid hormones and testosterone availability
  • Check cortisol and adrenal hormone patterns
  • Review kidney filtration and hydration stress
  • Check RBC magnesium, phosphorus, and ionized calcium
  • Evaluate insulin, lipids, and metabolic fuel use
  • Support endurance, strength, performance, or recovery goals

Tests Included and Why They Matter

Blood Health, Oxygen Delivery & Red Blood Cell Production

Athletic performance depends heavily on the body’s ability to deliver oxygen to working muscles. Red blood cells, hemoglobin, iron, vitamin B12, folate, and reticulocytes all play important roles in endurance, stamina, recovery, and fatigue resistance.

This group helps evaluate whether the body has the blood-building and oxygen-carrying support needed for training, competition, and recovery. It is especially important for endurance athletes, runners, cyclists, swimmers, high-intensity athletes, menstruating women, vegetarians, vegans, and anyone experiencing fatigue, reduced stamina, or slower recovery.

CBC, includes Differential and Platelets

The CBC evaluates red blood cells, white blood cells, hemoglobin, hematocrit, platelets, and different types of white blood cells.

This test is included because red blood cells and hemoglobin help carry oxygen from the lungs to working muscles. Oxygen delivery is essential for endurance, stamina, energy production, and recovery. Low hemoglobin, low hematocrit, or anemia-related patterns may contribute to fatigue, reduced exercise tolerance, shortness of breath with exertion, dizziness, slower recovery, or declining performance.

The white blood cell portion of the CBC may also provide immune and infection-related context. This can be useful because illness, inflammation, intense training, poor recovery, and immune stress can all affect training readiness. Platelets provide additional blood health and inflammation-related context.

For athletic performance, the CBC helps provide insight into:

  • Oxygen-carrying capacity
  • Anemia-related patterns
  • Fatigue and endurance concerns
  • Immune stress or infection clues
  • Recovery readiness
  • Platelet and general blood health patterns

Ferritin

Ferritin measures stored iron.

This test is included because iron is essential for producing hemoglobin, the oxygen-carrying protein in red blood cells. Low ferritin may affect endurance, stamina, energy, training tolerance, and recovery even before anemia is obvious on a CBC.

Ferritin is especially important for endurance athletes, female athletes, menstruating women, vegetarians, vegans, athletes with restricted diets, and people with heavy training loads. Low iron stores may contribute to fatigue, poor aerobic capacity, increased perceived exertion, slower recovery, and performance decline.

Ferritin can also rise with inflammation, infection, liver stress, or metabolic issues. That is why ferritin should be reviewed with iron/TIBC, CBC, hs-CRP, symptoms, diet, and training history.

For athletic performance, ferritin helps provide context for:

  • Iron storage
  • Oxygen delivery
  • Endurance capacity
  • Fatigue and stamina
  • Heavy training stress
  • Recovery from low iron patterns

Iron and Total Iron Binding Capacity, TIBC

Iron and TIBC help evaluate circulating iron and the body’s iron transport capacity.

This test is included because ferritin alone does not show the full picture of iron availability. Iron/TIBC helps show how much iron is circulating and how the body is transporting it. This can be useful when evaluating fatigue, low stamina, heavy training demands, possible iron deficiency, or abnormal iron handling.

For athletes, iron availability matters because oxygen delivery, red blood cell function, mitochondrial energy production, and endurance performance all depend on adequate iron status.

This test may provide useful context for:

  • Iron availability
  • Iron transport
  • Endurance and stamina
  • Oxygen-carrying support
  • Fatigue, weakness, or dizziness
  • Interpretation of ferritin and CBC patterns

Reticulocyte Count

Reticulocytes are young red blood cells.

This test is included because it provides insight into how actively the body is producing new red blood cells. This can be useful when reviewing anemia-related patterns, iron status, recovery from heavy training, or oxygen-delivery concerns.

A reticulocyte count can help show whether the body is responding appropriately when red blood cell or iron markers are abnormal. For example, if hemoglobin or hematocrit is low, reticulocytes may help provide context for whether new red blood cell production appears increased, reduced, or not keeping pace.

For athletic performance, reticulocytes help evaluate:

  • Red blood cell production
  • Recovery from anemia-related patterns
  • Oxygen-delivery support
  • Training-related blood adaptation
  • Iron/B12/folate support for blood building

Vitamin B12 and Folate Panel, Serum

Vitamin B12 and folate support red blood cell formation, DNA synthesis, nerve function, methylation, and energy metabolism.

This test is included because low vitamin B12 or folate may contribute to fatigue, weakness, poor stamina, brain fog, numbness or tingling, or anemia-related patterns. These nutrients are especially relevant for endurance, recovery, neurologic function, and energy metabolism.

Athletes with vegetarian or vegan diets, restricted diets, digestive issues, high training loads, fatigue, or low energy may benefit from reviewing B12 and folate status.

For athletic performance, this test helps provide context for:

  • Red blood cell production
  • Oxygen delivery
  • Energy metabolism
  • Endurance wellness
  • Nerve function
  • Fatigue and weakness
  • Diet-related nutrient status

Muscle Stress, Tissue Turnover & Inflammation

Training creates stress on muscles and connective tissue. Some stress is expected and necessary for adaptation, but excessive or poorly recovered stress may contribute to soreness, fatigue, performance decline, or injury risk.

This group evaluates muscle enzyme activity and inflammation patterns that may reflect training load, tissue stress, recovery status, or broader inflammatory strain. These markers are especially useful when reviewing hard training blocks, new strength programs, endurance events, muscle soreness, poor recovery, or performance plateaus.

Creatine Kinase, CK, Total

Creatine kinase is an enzyme found mainly in muscle tissue.

This test is included because CK may rise after intense exercise, strength training, endurance events, muscle injury, heavy eccentric exercise, dehydration, statin use, or poor recovery. It is one of the most useful markers for understanding muscle stress and training load.

In athletic performance testing, CK can help provide context for whether muscle tissue is under higher-than-usual stress. A higher CK may be expected after hard training, but very high or persistent elevations should be reviewed with symptoms, hydration status, medications, supplements, and training history.

CK may be especially useful for athletes with:

  • Heavy strength training
  • Endurance racing
  • Muscle soreness or weakness
  • Poor recovery
  • Training-load changes
  • Statin use or performance supplement use
  • Concern for excessive muscle breakdown

For athletic performance, CK helps evaluate:

  • Muscle stress
  • Training load
  • Recovery status
  • Muscle breakdown patterns
  • Exercise-related enzyme changes
  • Whether AST/ALT changes may be muscle-related rather than liver-related

Lactate Dehydrogenase, LD

LD is a broad tissue enzyme marker found in many tissues, including muscle, liver, red blood cells, and other organs.

This test is included because it can provide general tissue stress or turnover context when reviewed with CK, AST/ALT from the CMP, symptoms, and recent training. LD is nonspecific, so it should not be interpreted alone. However, it can be useful when evaluating whether there may be broader tissue stress, muscle turnover, or recovery strain after intense training.

For athletes, LD may provide context for:

  • Tissue stress
  • Muscle turnover
  • Recovery after hard training
  • Interpretation of CK and liver enzyme patterns
  • Persistent fatigue or soreness patterns

hs-CRP

High-sensitivity C-reactive protein is a marker of low-grade inflammation.

This test is included because inflammation can affect recovery, training adaptation, cardiovascular wellness, metabolic health, and interpretation of other markers such as ferritin. Hard training, illness, injury, poor sleep, excess body fat, infection, or chronic inflammatory stress may influence hs-CRP.

In athletes, inflammation is not always negative. A temporary rise may occur after hard training or competition. However, persistently elevated hs-CRP may suggest the need to review recovery, training load, sleep, diet quality, injury, illness, cardiometabolic risk, or other inflammatory contributors.

For athletic performance, hs-CRP helps provide context for:

  • Recovery readiness
  • Low-grade inflammation
  • Training stress
  • Cardiometabolic wellness
  • Ferritin interpretation
  • Illness, injury, or excessive stress patterns

Kidney Filtration, Hydration & Mineral Balance

Hydration, kidney filtration, electrolyte balance, and mineral status can strongly affect athletic performance. Heavy sweating, high protein intake, creatine use, supplements, dehydration, endurance events, and intense training can all influence kidney and urine markers.

This group helps evaluate kidney filtration, hydration stress, urine albumin patterns, mineral balance, cramping context, and electrolyte-related performance support.

Comprehensive Metabolic Panel, CMP

The CMP evaluates glucose, kidney function, liver function, electrolytes, calcium, albumin, total protein, and other metabolic markers.

This test is included because athletic performance and recovery depend on hydration, electrolyte balance, glucose regulation, liver function, kidney function, protein status, and calcium balance. The CMP provides a broad chemistry foundation for evaluating how the body is handling training, fuel, hydration, and general metabolic demands.

CMP results can help provide context for:

  • Glucose and energy regulation
  • Hydration and electrolyte balance
  • Kidney function
  • Liver function
  • Protein and albumin status
  • Calcium balance
  • General metabolic wellness

For athletes, CMP patterns may be influenced by hydration, recent exercise, diet, supplements, alcohol use, medications, muscle mass, and training intensity.

Cystatin C with eGFR

Cystatin C with eGFR provides an additional way to evaluate kidney filtration.

This test is included because creatinine-based kidney markers can be influenced by muscle mass, protein intake, creatine supplementation, and training status. Cystatin C may provide additional kidney function context that can be useful for athletes with high muscle mass or heavy training loads.

This test can be especially helpful when reviewing kidney function in strength athletes, endurance athletes, people using creatine, people with high-protein diets, or those with abnormal creatinine results.

For athletic performance, cystatin C may help provide context for:

  • Kidney filtration
  • Medication or supplement safety
  • Hydration and training stress
  • High muscle mass interpretation
  • High protein intake interpretation
  • Creatine supplement use

Albumin, Random Urine with Creatinine

This urine test evaluates albumin in relation to creatinine.

It is included because urine albumin may provide kidney and vascular stress context. In athletes, temporary urine albumin changes can occur with intense exercise, dehydration, illness, or heavy training, but persistent abnormalities should be reviewed with a healthcare provider.

This marker can be useful for monitoring kidney and vascular wellness alongside urinalysis, CMP, cystatin C, blood pressure, hydration status, and metabolic health markers.

For athletic performance, urine albumin/creatinine may provide context for:

  • Kidney stress
  • Vascular stress
  • Exercise-related urine changes
  • Hydration-related patterns
  • Diabetes/metabolic kidney risk context

Urinalysis, UA, Complete

A complete urinalysis evaluates urine markers such as protein, blood, glucose, ketones, specific gravity, pH, and other findings.

This test is included because urine results can provide context for hydration, kidney health, glucose handling, ketone production, urinary findings, and exercise-related stress. Specific gravity can provide hydration context. Protein or blood in urine may occur temporarily after intense exercise but should be reviewed if persistent or associated with symptoms.

In athletes, urinalysis can be especially useful after endurance training, heat exposure, dehydration, high-protein diets, or heavy training blocks.

For athletic performance, urinalysis helps provide context for:

  • Hydration status
  • Kidney and urine health
  • Protein or blood in urine
  • Glucose or ketones in urine
  • Training stress
  • Recovery and safety monitoring

Magnesium

Magnesium is involved in muscle contraction and relaxation, nerve signaling, glucose metabolism, blood pressure regulation, sleep, and energy production.

This test is included because magnesium status may provide context for muscle cramps, fatigue, poor recovery, sleep quality, training stress, and metabolic wellness. Athletes may lose magnesium through sweat, and magnesium demand may be higher during periods of heavy training.

For athletic performance, magnesium may help provide context for:

  • Muscle cramps
  • Muscle function
  • Nerve signaling
  • Energy production
  • Sleep and recovery
  • Glucose metabolism
  • Training stress

Magnesium, RBC

RBC magnesium may provide additional magnesium status context compared with serum magnesium alone.

This test is included because magnesium is important for muscle function, nerve signaling, energy metabolism, sleep, and recovery. In a performance panel, RBC magnesium gives a more premium view of magnesium status and may be especially useful for athletes with muscle cramps, poor sleep, fatigue, heavy sweating, or heavy training loads.

For athletic performance, RBC magnesium may provide context for:

  • Longer-term magnesium status
  • Muscle recovery
  • Cramps and spasms
  • Sleep quality
  • Nervous system function
  • Training stress tolerance

Phosphate, as Phosphorus

Phosphorus is important for ATP energy metabolism, bone health, cellular function, acid-base balance, and mineral balance.

This test is included because ATP is the body’s main energy currency, and phosphorus is a key component of ATP. Phosphorus may also provide useful context when evaluating fatigue, weakness, mineral balance, vitamin D status, calcium balance, kidney function, and heavy training demands.

For athletic performance, phosphorus may provide context for:

  • ATP and energy production
  • Muscle function
  • Bone-mineral balance
  • Fatigue or weakness
  • Recovery capacity
  • Kidney-mineral balance

Calcium, Ionized

Ionized calcium measures the active form of calcium in the blood.

This test is included because calcium is important for muscle contraction, nerve signaling, heart rhythm, bone health, and mineral balance. Total calcium from the CMP can be useful, but ionized calcium provides direct information about the biologically active form of calcium.

For athletic performance, ionized calcium may provide context for:

  • Muscle contraction
  • Muscle cramps
  • Nerve signaling
  • Heart rhythm support
  • Bone health
  • Mineral balance

Metabolic Health, Fuel Use & Cardiovascular Context

Athletes rely on efficient fuel use, stable energy, cardiovascular health, and metabolic flexibility. Blood sugar, insulin, lipid patterns, and uric acid can provide insight into how the body handles energy, cardiometabolic risk, high-protein diets, training stress, and recovery demands.

Hemoglobin A1c

Hemoglobin A1c reflects average blood sugar over approximately two to three months.

This test is included because blood sugar patterns may affect energy, endurance, body composition, metabolic flexibility, recovery, and long-term health. Even active people can have blood sugar patterns that affect energy stability, cravings, fatigue, or body composition goals.

For performance and recovery, A1c helps provide context for:

  • Longer-term blood sugar patterns
  • Metabolic flexibility
  • Energy stability
  • Recovery and fuel use
  • Diabetes or prediabetes risk context
  • Cardiometabolic wellness

Insulin

Insulin helps move glucose from the bloodstream into cells.

This test is included because fasting insulin may provide context for insulin sensitivity, metabolic flexibility, body composition, energy regulation, and recovery. Insulin patterns can be useful even when A1c is normal, especially for people focused on body composition, endurance fueling, metabolic health, or performance optimization.

For athletes, insulin can provide context for:

  • Fuel use
  • Metabolic flexibility
  • Insulin resistance
  • Energy swings
  • Body composition
  • Recovery nutrition strategy

Lipid Panel

The Lipid Panel evaluates total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides.

This test is included because lipid patterns provide cardiovascular and metabolic context. Athletes may have unique lipid patterns depending on genetics, diet, training style, body composition, and supplement use.

Lipids are especially relevant for endurance athletes, strength athletes, ketogenic or high-fat diets, high-calorie diets, and those with family history of cardiovascular disease.

For athletic performance, the Lipid Panel may provide context for:

  • Cardiovascular wellness
  • Metabolic health
  • Nutrition patterns
  • Recovery and inflammation context
  • Long-term health risk
  • Training and diet response

Uric Acid

Uric acid is a metabolic waste product.

This test is included because uric acid may provide context for metabolic health, kidney stone risk, gout risk, high protein intake, dehydration, and recovery. Athletes using high-protein diets, intense training, creatine, dehydration-prone workouts, or certain supplements may benefit from reviewing uric acid patterns.

For athletic performance, uric acid may provide context for:

  • High-protein diet effects
  • Hydration stress
  • Kidney stone risk
  • Gout risk
  • Metabolic wellness
  • Training and recovery stress

Thyroid, Hormones & Training Adaptation

Hormones influence energy, recovery, body composition, strength, libido, mood, bone health, and training adaptation. Thyroid hormones help regulate metabolism, while testosterone, cortisol, and DHEA-S provide broader endocrine context for training response and recovery.

TSH

TSH is a key thyroid screening marker.

This test is included because thyroid function may influence energy, metabolism, body temperature, heart rate, weight, mood, endurance, and recovery. Changes in thyroid signaling can overlap with fatigue, poor performance, cold intolerance, weight changes, and low energy availability.

For athletic performance, TSH provides context for:

  • Metabolism
  • Energy production
  • Training adaptation
  • Fatigue
  • Body temperature regulation
  • Thyroid screening

T4, Free

Free T4 measures the available form of thyroxine, a thyroid hormone.

This test is included because Free T4 provides additional thyroid hormone production context when reviewed with TSH and symptoms. For athletes, Free T4 can help clarify whether thyroid signaling patterns may be contributing to fatigue, energy changes, or training adaptation concerns.

For athletic performance, Free T4 may provide context for:

  • Thyroid hormone production
  • Energy and metabolism
  • Fatigue patterns
  • Training adaptation
  • Thyroid medication or supplement context

T3, Free

Free T3 measures the active form of thyroid hormone available in the bloodstream.

This test is included because T3 is closely tied to metabolism, energy output, body temperature, and fuel use. Free T3 may be useful when reviewing heavy training, low energy availability, restrictive dieting, fatigue, and metabolic adaptation.

For athletic performance, Free T3 may provide context for:

  • Active thyroid hormone availability
  • Energy output
  • Metabolic rate
  • Low energy availability
  • Fatigue and training adaptation
  • Body composition changes

Testosterone, Total and Free and Sex Hormone Binding Globulin

This test evaluates total testosterone, free testosterone, and sex hormone-binding globulin.

Testosterone availability may influence strength, muscle mass, recovery, libido, mood, energy, body composition, and training adaptation. SHBG helps interpret how much testosterone is available for use by the body. This is important because total testosterone alone may not fully explain symptoms or performance patterns.

For athletic performance, this test helps provide context for:

  • Strength and muscle adaptation
  • Recovery capacity
  • Energy and motivation
  • Libido and mood
  • Body composition
  • Hormone availability
  • Possible overtraining or under-fueling patterns

Cortisol, A.M.

Morning cortisol helps evaluate cortisol levels during the time of day when cortisol is commonly expected to be higher.

This test is included because cortisol may provide stress-response, sleep-wake rhythm, recovery, and training-load context. Cortisol can be affected by sleep, stress, illness, timing, caffeine, training, and medications.

For athletic performance, AM cortisol may provide context for:

  • Stress response
  • Recovery capacity
  • Sleep-wake rhythm
  • Overreaching or heavy training load
  • Fatigue and burnout patterns
  • Blood sugar and energy regulation

DHEA Sulfate, Immunoassay

DHEA-S is an adrenal androgen marker.

This test is included because DHEA-S may provide context for adrenal hormone patterns, stress physiology, recovery, energy, aging-related patterns, and hormone balance. In athletes, DHEA-S can be useful when reviewing fatigue, stress load, recovery, and broader hormone patterns.

For athletic performance, DHEA-S may provide context for:

  • Adrenal hormone output
  • Recovery and stress balance
  • Energy and vitality
  • Hormone balance
  • Training stress response
  • Aging-related hormone patterns

Vitamins, Minerals & Antioxidant Support

Micronutrients support energy production, immune resilience, thyroid function, muscle repair, antioxidant balance, tissue healing, and recovery. This group helps evaluate whether key nutrients are adequate for training and recovery demands.

QuestAssureD™ 25-Hydroxyvitamin D, D2, D3, LC/MS/MS

Vitamin D testing measures vitamin D status.

This test is included because vitamin D supports muscle function, bone health, immune health, inflammation balance, and recovery. Vitamin D is especially relevant for athletes who train indoors, have limited sun exposure, live in low-sunlight climates, have darker skin tone, use sun protection consistently, or have a history of low vitamin D.

For athletic performance, vitamin D may provide context for:

  • Muscle function
  • Bone health and bone stress risk
  • Immune resilience
  • Recovery
  • Inflammation balance
  • General wellness

Zinc

Zinc is an essential mineral involved in immune function, wound healing, hormone pathways, antioxidant activity, and tissue repair.

This test is included because zinc may provide context for recovery, immune health, hormone balance, and nutrition quality. Athletes with heavy training loads, restricted diets, or high sweat losses may benefit from reviewing zinc status.

For athletic performance, zinc helps provide context for:

  • Immune function
  • Tissue repair
  • Hormone pathways
  • Recovery
  • Antioxidant support
  • Nutrition quality

Selenium

Selenium supports antioxidant function and thyroid pathways.

This test is included because selenium may provide useful context for oxidative stress, thyroid wellness, immune function, and recovery. Since thyroid hormone metabolism and antioxidant balance are both relevant to athletic performance, selenium can be a useful micronutrient marker in an advanced panel.

For athletic performance, selenium may provide context for:

  • Antioxidant defense
  • Thyroid support
  • Immune resilience
  • Recovery from oxidative stress
  • General micronutrient status

Summary of Grouping Value for Athletic Performance

Blood Health, Oxygen Delivery & Red Blood Cell Production

This group helps evaluate whether the body has the red blood cell, iron, B12, and folate support needed for oxygen delivery, stamina, endurance, and recovery. It is especially important for fatigue, heavy training, endurance sports, vegetarian or vegan diets, low iron concerns, and performance decline.

Muscle Stress, Tissue Turnover & Inflammation

This group helps evaluate how the body is responding to training stress. CK, LD, and hs-CRP can provide useful context for muscle stress, inflammation, soreness, recovery, and whether recent training may be affecting lab results.

Kidney Filtration, Hydration & Mineral Balance

This group helps assess hydration, kidney filtration, urine patterns, muscle cramping context, electrolyte status, ATP-related mineral balance, and training-related kidney stress.

Metabolic Health, Fuel Use & Cardiovascular Context

This group helps evaluate blood sugar, insulin, lipids, uric acid, cardiovascular wellness, energy stability, body composition, metabolic flexibility, and fuel-use patterns.

Thyroid, Hormones & Training Adaptation

This group helps evaluate metabolism, recovery, hormone availability, stress physiology, adrenal context, energy production, and training adaptation.

Vitamins, Minerals & Antioxidant Support

This group helps assess micronutrients that influence immune resilience, antioxidant defense, thyroid function, muscle repair, cramping, tissue recovery, and performance readiness.

Related Biomarker Patterns This Panel May Help Identify

This panel may help identify or rule out lab patterns related to:

  • Low iron stores
  • Abnormal iron availability
  • Anemia-related patterns
  • Low B12 or folate status
  • Red blood cell production patterns
  • Muscle stress or elevated CK
  • Tissue turnover patterns
  • Low-grade inflammation
  • Blood sugar imbalance
  • Insulin resistance
  • Lipid or cardiometabolic patterns
  • Uric acid elevation
  • Electrolyte or hydration patterns
  • Kidney filtration changes
  • Urine albumin or urinalysis findings
  • Low magnesium or RBC magnesium patterns
  • Phosphorus or ionized calcium imbalance
  • Thyroid hormone patterns
  • Testosterone availability
  • Cortisol and DHEA-S stress-recovery patterns
  • Low vitamin D
  • Zinc or selenium status
  • General training and recovery readiness

How to Prepare for This Panel

Preparation may vary by test and lab instructions. In general:

  • Avoid unusually intense exercise before testing if your provider wants baseline CK and inflammation markers.
  • Fasting may be recommended because insulin, glucose, and lipid markers are included.
  • Morning collection may be preferred for testosterone and cortisol.
  • Drink water before testing unless instructed otherwise.
  • Do not overhydrate immediately before urine testing.
  • Bring a list of supplements, medications, recent workouts, training schedule, symptoms, diet, sleep patterns, and hydration habits.
  • Note recent illness, injury, races, hard workouts, heat exposure, sauna use, alcohol intake, or dehydration.
  • Follow all lab instructions provided with your order.

What Happens After You Receive Your Results?

After your results are available, your biomarkers can help organize findings into areas such as oxygen delivery, iron status, red blood cell production, muscle stress, tissue turnover, inflammation, blood sugar, insulin, lipids, hydration, kidney function, minerals, thyroid function, testosterone availability, cortisol, DHEA-S, vitamin D, zinc, selenium, and urine health.

A licensed healthcare provider can help interpret results in the context of training load, recent workouts, symptoms, sleep, nutrition, supplements, medications, hydration, and performance goals.

Related Lab Panels

  • Athletic Performance & Recovery Essential Lab Panel
  • Athletic Performance & Recovery Comprehensive Lab Panel
  • Men’s Testosterone, Energy & Vitality Lab Panel
  • Vitamin, Mineral & Nutrient Deficiency Lab Panel
  • Heart Health & Cholesterol Lab Panel
  • Stress, Cortisol, Sleep & Burnout Lab Panel

Frequently Asked Questions

What makes the Advanced panel different from Essential?

The Advanced panel adds kidney filtration, urine albumin, reticulocytes, LD, ESR, insulin, lipids, thyroid hormones, testosterone, cortisol, DHEA-S, RBC magnesium, phosphorus, ionized calcium, zinc, and selenium.

Why are testosterone and cortisol included?

They provide hormone and recovery context. Testosterone may relate to training adaptation, while cortisol may relate to stress and recovery patterns.

Why is cystatin C included?

Cystatin C provides kidney filtration context that may be useful because creatinine can be influenced by muscle mass and training.

Important Note

This panel is designed to help evaluate selected biomarkers related to athletic performance, training recovery, hormone balance, thyroid function, kidney filtration, hydration, inflammation, iron status, nutrients, and metabolic wellness. It is not intended to diagnose, treat, cure, or prevent disease by itself. Results should be reviewed with a licensed healthcare provider.

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