Ulta Lab Tests

Athletic Performance & Recovery - Comprehensive Lab Panel

The Athletic Performance & Recovery Comprehensive Lab Panel includes 49 tests and 158 biomarkers to support full-system performance review for active adults, athletes, runners, strength athletes, and fitness-focused individuals. It evaluates oxygen delivery, iron status, muscle stress, recovery, inflammation, kidney filtration, hydration, metabolic health, thyroid function, hormone-axis markers, omega fatty acids, CoQ10, vitamins, minerals, protein nutrition, liver/bile markers.

Urine, Serum, Blood, Plasma-Unspecified Vial Pour, Varied, Other, Random
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

Apolipoprotein B

Also known as: Bilirubin Fractionated

Bilirubin, Direct

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.

Bilirubin, Indirect

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.

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.

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: Copper Oxide, Wilson's Disease

Ceruloplasmin

Ceruloplasmin is a copper-containing protein. Lower-than-normal ceruloplasmin levels may be due to: chronic liver disease, intestinal malabsorption, malnutrition, nephrotic syndrome and Wilson's copper storage disease (rare). Higher-than-normal ceruloplasmin levels may be due to: acute and chronic infections, lymphoma, pregnancy, rheumatoid arthritis and use of birth control pills.

Also known as: CoQ10

Coenzyme Q10

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.

Copper

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.

Estradiol

Estradiol (estradiol-17 beta, E2) is part of an estrogen that is a group of steroids that regulate the menstrual cycle and function as the main female sex hormones. Estrogens are responsible for the development of female sex organs and secondary sex characteristics and are tied to the menstrual cycle and pregnancy. They are considered the main sex hormones in women and are present in small quantities in men. Estradiol (E2) is the predominant form of estrogen and is produced primarily in the ovaries with additional amounts produced by the adrenal glands in women and in the testes and adrenal glands in men. Estradiol levels are used in evaluating ovarian function. Estradiol levels are increased in cases of early (precocious) puberty in girls and gynecomastia in men. Its main use has been in the differential diagnosis of amenorrhea – for example, to determine whether the cause is menopause, pregnancy, or a medical problem. In assisted reproductive technology (ART), serial measurements are used to monitor follicle development in the ovary in the days prior to in vitro fertilization. Estradiol is also sometimes used to monitor menopausal hormone replacement therapy.

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: Factor I, Fibrinogen, Fibrinogen Activity Clauss

Fibrinogen Activity,

Fibrinogen is a protein produced by the liver. This protein helps stop bleeding by helping blood clots to form. A blood test can be done to tell how much fibrinogen you have in the blood.

Also known as: Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH), Follicle Stimulating Hormone and Luteinizing Hormone

Fsh

Lh

Also known as: Gamma Glutamyl Transferase GGT, Gamma-Glutamyl Transferase, Gamma-Glutamyl Transpeptidase, Gamma-GT, GGTP, GTP

Ggt

Gamma-glutamyl transpeptidase (GGT) is a test to measure the amount of the enzyme GGT in the blood.

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: Homocysteine, Homocysteine Cardiovascular

HOMOCYSTEINE,

Also known as: IGF-1, IGFI LCMS, Insulin-Like Growth Factor, Insulin-like Growth Factor - 1, Somatomedin C, Somatomedin-C

Igf I, LC/MS

The insulin-like growth factor-1 (IGF-1) test is an indirect measure of the average amount of growth hormone (GH) being produced by the body. IGF-1 and GH are polypeptide hormones, small proteins that are vital for normal bone and tissue growth and development. GH is produced by the pituitary gland, a grape-sized gland located at the base of the brain behind the bridge of your nose. GH is secreted into the bloodstream in pulses throughout the day and night with peaks that occur mostly during the night. IGF-1 is produced by the liver and skeletal muscle as well as many other tissues in response to GH stimulation. IGF-1 mediates many of the actions of GH, stimulating the growth of bones and other tissues and promoting the production of lean muscle mass. IGF-1 mirrors GH excesses and deficiencies, but its level is stable throughout the day, making it a useful indicator of average GH levels.

Z Score (Female)

z Score. A z-score (aka, a standard score) indicates how many standard deviations an element is from the mean. A z-score can be calculated from the following formula. z = (X - µ) / s where z is the z-score, X is the value of the element, µ is the population mean, and s is the standard deviation.

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.

Also known as: Lipoprotein A, Lp (a), Lp(a)

Lipoprotein (A)

Lipoprotein-a, or Lp(a) are molecules made of proteins and fat. They carry cholesterol and similar substances through the blood. A high level of Lp(a) is considered a risk factor for heart disease. High levels of lipoproteins can increase the risk of heart disease. The test is done to check your risk of atherosclerosis, stroke, and heart attack.

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.

ARACHIDONIC ACID

ARACHIDONIC ACID/EPA

DHA

DPA

EPA

EPA+DPA+DHA

LINOLEIC ACID

OMEGA-3 TOTAL

OMEGA-6 TOTAL

OMEGA-6/OMEGA-3 RATIO

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.

Also known as: Thyroxine Binding Prealbumin, Thyroxine-binding Prealbumin, Transthyretin

Prealbumin

Prealbumin, also called transthyretin, is one of the major proteins in the blood and is produced primarily by the liver. Its functions are to carry thyroxine (the main thyroid hormone) and vitamin A throughout the body. This test measures the level of prealbumin in the blood.

Also known as: PRL

Prolactin

Prolactin is a hormone produced by the anterior portion of the pituitary gland, a grape-sized organ found at the base of the brain. Prolactin secretion is regulated and inhibited by the brain chemical dopamine. Normally present in low amounts in men and non-pregnant women, prolactin's primary role is to promote lactation (breast milk production). Prolactin levels are usually high throughout pregnancy and just after childbirth. During pregnancy, the hormones prolactin, estrogen, and progesterone stimulate breast milk development. Following childbirth, prolactin helps initiate and maintain the breast milk supply. If a woman does not breastfeed, her prolactin level soon drops back to pre-pregnancy levels. If she does nurse, suckling by the infant plays an important role in the release of prolactin. There is a feedback mechanism between how often the baby nurses and the amount of prolactin secreted by the pituitary as well as the amount of milk produced. Another common cause of elevated prolactin levels is a prolactinoma, a prolactin-producing tumor of the pituitary gland. Prolactinomas are the most common type of pituitary tumor and are usually benign. They develop more frequently in women but are also found in men. Problems resulting from them can arise both from the unintended effects of excess prolactin, such as milk production in the non-pregnant woman (and rarely, man) and from the size and location of the tumor. If the anterior pituitary gland and/or the tumor enlarge significantly, it can put pressure on the optic nerve, causing headaches and visual disturbances, and it can interfere with the other hormones that the pituitary gland produces. In women, prolactinomas can cause infertility and irregularities in menstruation; in men, these tumors can cause a gradual loss in sexual function and libido. If left untreated, prolactinomas may eventually damage the tissues around them.

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.

Also known as: ESR, SED RATE, Sed Rate by Modified Westergren ESR

Sed Rate By Modified

Erythrocyte sedimentation rate (ESR) is an indirect measure of the degree of inflammation present in the body. It actually measures the rate of fall (sedimentation) of erythrocytes (red blood cells) in a sample of blood.

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.

Thyroglobulin Antibodies

Measurement of thyroglobulin antibodies is useful in the diagnosis and management of a variety of thyroid disorders including Hashimoto's thyroiditis, Graves Disease and certain types of goiter.

Thyroid Peroxidase

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: Retinol, Vitamin A, Vitamin A Retinol

Vitamin A

This test measures the level of retinol in the blood; retinol is the primary form of vitamin A in animals. Vitamin A is an essential nutrient required for healthy vision, skin growth and integrity, bone formation, immune function, and embryonic development. It is required to produce photoreceptors in the eyes and to maintain the lining of the surface of the eyes and other mucous membranes. Deficiencies in vitamin A can impair night vision, cause eye damage, and in severe cases lead to blindness. Acute or chronic excesses of vitamin A can be toxic, cause a range of symptoms, and sometimes lead to birth defects. The body cannot make vitamin A and must rely on dietary sources of vitamin A. Meat sources provide vitamin A (as retinol), while vegetable and fruit sources provide carotene (a substance that can be converted into vitamin A by the liver). Vitamin A is stored in the liver and fat tissues (it is fat-soluble), and healthy adults may have as much as a year's worth stored. The body maintains a relatively stable concentration in the blood through a feedback system that releases vitamin A from storage as needed and increases or decreases the efficiency of dietary vitamin A absorption.

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: B6, B6 Vitamin, Pyridoxal, Pyridoxal Phosphate, Pyridoxal Phosphate (PLP), Vitamin B6 Pyridoxal Phosphate

Vitamin B6

Also known as: Ascorbic Acid, Vitamin C, Vitamin C Ascorbic Acid

Vitamin C

Vitamin C is an antioxidant. It is important for your skin, bones, and connective tissue. It promotes healing and helps the body absorb iron.

Also known as: Alpha-Tocopherol, Vitamin E Tocopherol

Alpha-Tocopherol

Beta-Gamma-Tocopherol

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 - Comprehensive Lab Panel panel contains 49 tests with 158 biomarkers .

Overview

The Athletic Performance & Recovery Comprehensive Lab Panel is the broadest panel in this group. It is designed for people who want a deep lab-based review of performance, training adaptation, recovery, energy, endurance, strength, inflammation, hormone balance, thyroid function, nutrient status, hydration, kidney filtration, and cardiometabolic wellness.

This panel includes all Essential and Advanced categories, then adds premium markers such as ApoB, Lp(a), fibrinogen, FSH/LH, prolactin, estradiol, IGF-1, thyroid antibodies, copper, ceruloplasmin, vitamin B6, vitamins A/C/E, CoQ10, OMEGACHECK™, prealbumin, GGT, and fractionated bilirubin.

Why Order This Panel?

This panel may help provide insight into:

  • Oxygen delivery and iron status
  • Red blood cell production
  • Muscle stress and training load
  • Recovery and inflammation
  • Kidney filtration and hydration
  • Mineral balance
  • Thyroid function and thyroid autoimmunity
  • Testosterone, estradiol, adrenal, pituitary, and IGF-1 context
  • Blood sugar, insulin, lipid, ApoB, and Lp(a) patterns
  • Omega fatty acid status
  • CoQ10 and mitochondrial energy context
  • Protein nutrition and nutrient status
  • Liver and bile flow markers

This Panel May Be Helpful For People Who Want To

  • Build a complete athletic performance baseline
  • Evaluate recovery problems or persistent fatigue
  • Review iron, oxygen delivery, and inflammation
  • Understand training stress and muscle enzyme patterns
  • Check hormones and thyroid markers
  • Review nutrient, mineral, omega, and CoQ10 status
  • Support endurance, strength, body composition, and performance goals

Tests Included and Why They Matter

Blood Health, Oxygen Delivery & Iron Status

Athletic performance depends heavily on how well the body delivers oxygen to working muscles. Red blood cells, hemoglobin, iron stores, and B vitamins 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 and performance.

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 to muscles during training and competition. Low hemoglobin or anemia-related patterns may contribute to fatigue, poor stamina, reduced endurance, shortness of breath with exertion, or slower recovery.

The white blood cell portion of the CBC may also provide immune and infection-related context. Athletes under heavy training loads may experience immune stress, and abnormal white blood cell patterns may be useful to review with symptoms. Platelets can provide additional blood health and inflammation-related context.

Ferritin

Ferritin measures stored iron. Iron is essential for making hemoglobin, which carries oxygen in the blood. This test is included because low ferritin may affect endurance, energy, stamina, training tolerance, and recovery even before anemia is obvious on a CBC.

Ferritin is especially useful for endurance athletes, menstruating women, vegetarians, vegans, people with restricted diets, and athletes with unexplained fatigue or declining performance. Ferritin can also rise with inflammation, so it should be reviewed with hs-CRP, ESR, iron/TIBC, symptoms, and training history.

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 can help provide context for whether iron is available for red blood cell production, oxygen delivery, and energy metabolism.

For athletes, abnormal iron patterns may be relevant to fatigue, weakness, reduced aerobic capacity, poor recovery, dizziness, and lower training tolerance.

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. It adds useful context to CBC, ferritin, iron/TIBC, vitamin B12, and folate.

Vitamin B12 and Folate Panel, Serum

Vitamin B12 and folate are important for red blood cell production, DNA synthesis, nerve function, methylation, and energy metabolism. This test is included because low B12 or folate may contribute to fatigue, weakness, poor stamina, numbness or tingling, brain fog, or anemia-related patterns.

For athletes, B12 and folate are especially relevant when evaluating endurance, recovery, diet quality, vegetarian or vegan diets, restricted intake, and unexplained fatigue.

Homocysteine

Homocysteine is an amino acid influenced by vitamin B12, folate, vitamin B6, methylation pathways, kidney function, and cardiovascular health. This test is included because it provides additional context for B-vitamin function, methylation, vascular wellness, and recovery.

When B12, folate, or B6 status is not optimal, homocysteine may be elevated. In an athletic performance panel, homocysteine helps connect nutrient status with vascular and recovery-related patterns.

Muscle Stress, Training Load & 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 helps evaluate muscle enzyme activity and inflammation patterns that may reflect training load, recovery status, or broader inflammatory stress.

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, statin use, or significant muscle breakdown.

For athletes, CK can provide context for muscle stress, training load, and recovery. A high CK result may be expected after very intense training, but very elevated or persistent CK should be reviewed with symptoms such as severe muscle pain, weakness, dark urine, dehydration, or illness.

CK is especially useful when interpreting muscle soreness, overreaching, intense resistance training, endurance racing, or performance supplements.

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. In an athletic panel, it adds a broader recovery and tissue-stress marker that may help provide context when muscle enzymes or liver enzymes are abnormal after heavy training.

hs-CRP

High-sensitivity C-reactive protein is a marker of low-grade inflammation. This test is included because inflammation can affect recovery, performance, cardiovascular wellness, ferritin interpretation, and general training readiness.

A temporary rise in inflammation may occur after hard training, illness, or injury. Persistently elevated hs-CRP may suggest a need to review recovery, sleep, diet, body composition, infection, inflammatory conditions, or cardiometabolic risk.

Sed Rate by Modified Westergren, ESR

ESR is a general inflammation marker. This test is included because it provides a broader view of inflammation that can complement hs-CRP. While hs-CRP may respond more quickly to acute inflammatory changes, ESR can provide a different type of inflammation context.

For athletes, ESR may be useful when fatigue, soreness, joint pain, prolonged recovery, or systemic symptoms are present.

Fibrinogen Activity, Clauss

Fibrinogen is a clotting protein that also behaves as an inflammation-related marker. This test is included because it may provide additional context for inflammation, coagulation balance, cardiovascular risk, and tissue repair.

In a comprehensive athletic performance panel, fibrinogen adds a premium inflammation and vascular-health layer, especially for athletes interested in cardiovascular performance, recovery, and systemic inflammatory patterns.

Kidney, Hydration & Electrolyte Balance

Hydration, kidney filtration, electrolyte balance, and urine findings can strongly affect athletic performance. Heavy sweating, intense training, high protein intake, supplements, dehydration, and muscle breakdown can all influence kidney and urine markers. This group helps evaluate hydration, kidney stress, electrolyte balance, and mineral status.

Comprehensive Metabolic Panel, CMP

The CMP evaluates glucose, kidney function, liver function, electrolytes, calcium, albumin, total protein, and other metabolic markers. It is included because it provides a broad foundation for evaluating hydration, electrolyte balance, kidney function, liver function, protein status, and glucose patterns.

For athletic performance, CMP results can help provide context for dehydration, under-fueling, electrolyte changes, liver enzyme changes after intense exercise, kidney stress, and general metabolic wellness.

Cystatin C with eGFR

Cystatin C with eGFR provides an additional way to evaluate kidney filtration. This test is included because creatinine can be affected by muscle mass, protein intake, creatine supplementation, and training status. Cystatin C may provide additional kidney function context that is 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, or those with high-protein diets.

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 changes can occur with intense exercise, dehydration, or illness, 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.

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.

Magnesium

Magnesium is involved in muscle contraction, nerve signaling, glucose metabolism, blood pressure regulation, sleep, and energy production. This test is included because magnesium status may provide context for cramps, fatigue, poor recovery, sleep problems, and metabolic wellness.

Athletes can lose magnesium through sweat, and magnesium demand may be higher during periods of heavy training.

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, recovery, energy metabolism, and cramping patterns.

In a comprehensive athletic panel, RBC magnesium gives a more premium view of magnesium status and is especially useful for athletes with muscle cramps, poor sleep, fatigue, or heavy training loads.

Phosphate, as Phosphorus

Phosphorus is important for ATP energy metabolism, bone health, cellular function, and acid-base balance. This test is included because phosphorus is closely tied to energy production and recovery.

For athletes, phosphorus may provide useful context when evaluating fatigue, weakness, mineral balance, high training load, vitamin D status, calcium balance, and kidney function.

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.

For athletic performance, ionized calcium may provide useful context for cramping, weakness, nerve symptoms, bone stress, and mineral-balance concerns.

Metabolic, Cardiovascular & Fuel-Use Markers

Athletes rely on efficient fuel use, cardiovascular health, and metabolic flexibility. Blood sugar, insulin, lipids, ApoB, Lp(a), and uric acid provide insight into how the body handles energy, cardiometabolic risk, high-protein intake, and recovery demands.

Hemoglobin A1c

Hemoglobin A1c reflects average blood sugar over about two to three months. This test is included because blood sugar patterns may affect energy, endurance, body composition, metabolic flexibility, recovery, and long-term cardiovascular health.

Athletes can have normal glucose patterns but still experience energy swings or under-fueling, so A1c should be interpreted with diet, training load, symptoms, insulin, and glucose from the CMP.

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.

For athletes, insulin can be useful when reviewing fatigue, weight changes, energy crashes, metabolic health, and 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, and those with a family history of cardiovascular disease.

Apolipoprotein B

Apolipoprotein B, or ApoB, reflects the number of atherogenic cholesterol-carrying particles. This test is included because ApoB may provide additional cardiovascular risk context beyond a standard LDL cholesterol result.

In athletic populations, ApoB can be useful because high fitness does not always eliminate inherited or diet-related cardiovascular risk.

Lipoprotein(a)

Lipoprotein(a), also called Lp(a), is an inherited cholesterol-related marker. This test is included because Lp(a) may provide additional cardiovascular risk context that is not captured by a standard lipid panel.

Lp(a) is often measured once or periodically based on provider guidance and is useful for athletes with a family history of early cardiovascular disease or unexplained cardiovascular risk.

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 training, or certain supplements may benefit from reviewing uric acid patterns.

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, estradiol, cortisol, DHEA-S, FSH/LH, prolactin, and IGF-1 provide broader endocrine context.

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.

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.

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.

Thyroid Peroxidase and Thyroglobulin Antibodies

These antibodies help evaluate autoimmune thyroid patterns. This test is included because autoimmune thyroid activity may provide context when thyroid results, fatigue, performance decline, weight changes, or recovery issues are present.

In a comprehensive panel, thyroid antibodies add depth to thyroid interpretation beyond TSH, Free T4, and Free T3.

Testosterone, Total and Free and SHBG

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.

Estradiol

Estradiol is a major form of estrogen. In men and women, estradiol plays a role in bone health, mood, libido, recovery, and hormone balance. In men, estradiol also helps interpret testosterone conversion and body composition patterns.

This test is included because both low and high estradiol patterns may be relevant to performance, recovery, and hormone interpretation.

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 should be interpreted carefully because it can be affected by sleep, stress, illness, timing, caffeine, training, and medications.

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.

FSH and LH

FSH and LH are pituitary hormones that help regulate gonadal hormone function. This test is included because FSH and LH help interpret testosterone, estradiol, reproductive hormone signaling, and possible hormone-axis suppression or compensation.

For athletes, FSH and LH can add context when testosterone is low, symptoms are present, or energy availability and training load may be affecting hormone signaling.

Prolactin

Prolactin is a pituitary hormone that can affect reproductive hormone signaling. This test is included because abnormal prolactin patterns may overlap with low libido, fatigue, testosterone changes, mood concerns, or pituitary hormone patterns.

Prolactin can be influenced by stress, sleep, medications, exercise, and timing of collection.

IGF-I, LC/MS

IGF-1 reflects growth hormone activity context. This test is included because IGF-1 may provide premium insight into recovery, anabolic signaling, protein status, training adaptation, and overall metabolic health.

IGF-1 should be interpreted with nutrition, training, sleep, age, symptoms, and provider guidance.

Vitamins, Minerals, Antioxidants & Nutrition

Nutrient status affects energy production, immune function, connective tissue repair, antioxidant capacity, muscle function, thyroid activity, and recovery. This group helps evaluate key vitamins, minerals, omega fatty acids, mitochondrial support, and protein nutrition.

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.

Athletes with low vitamin D may be more likely to have concerns related to bone stress, muscle symptoms, immune resilience, or 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.

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.

Copper

Copper is involved in iron metabolism, connective tissue health, nervous system function, and antioxidant pathways. This test is included because copper helps provide mineral-balance context, especially when zinc is also measured.

Copper is important because high zinc intake can affect copper status, and many athletes use zinc-containing supplements.

Ceruloplasmin

Ceruloplasmin is a copper-carrying protein. This test is included because it helps interpret copper status and copper transport.

When copper is measured, ceruloplasmin can make copper interpretation more useful and clinically meaningful.

Vitamin B6, Pyridoxal Phosphate

Vitamin B6 is involved in energy metabolism, neurotransmitter pathways, methylation, immune function, and amino acid metabolism. This test is included because B6 may provide context for energy, recovery, nervous system health, and supplement use.

B6 is especially relevant for athletes taking B-complex supplements or performance supplements.

Vitamin A, Retinol

Vitamin A supports immune health, vision, epithelial tissue, skin and mucosal barriers, and antioxidant balance. This test is included because vitamin A may provide context for immune resilience, tissue repair, and overall nutrition status.

Vitamin C

Vitamin C supports collagen formation, antioxidant activity, wound healing, immune function, and iron absorption. This test is included because vitamin C is highly relevant to connective tissue repair, tendon and ligament health, skin integrity, and recovery from training stress.

Vitamin E, Tocopherol

Vitamin E is a fat-soluble antioxidant vitamin. This test is included because vitamin E status may provide context for antioxidant protection, cell membrane health, inflammation balance, and recovery.

Coenzyme Q10

Coenzyme Q10 is involved in mitochondrial energy production and antioxidant support. This test is included because CoQ10 may provide context for energy production, fatigue, endurance, statin use, muscle symptoms, and mitochondrial function.

OMEGACHECK™

OMEGACHECK™ evaluates omega fatty acid status. This test is included because omega-3 and omega-6 patterns may provide insight into inflammation balance, cardiovascular wellness, nutrition quality, and recovery.

Omega status can be especially relevant for athletes focused on inflammation, joint comfort, endurance, and overall recovery strategy.

Prealbumin

Prealbumin is a protein nutrition marker. This test is included because it may provide context for protein intake, overall nutrition status, under-fueling, low energy availability, and recovery capacity.

Athletes with heavy training loads, calorie restriction, weight-class sports, endurance training, or poor recovery may benefit from reviewing protein nutrition markers.

Liver, Bile Flow & Supplement Safety

The liver plays a central role in metabolism, nutrient processing, hormone metabolism, supplement processing, alcohol metabolism, and recovery. Heavy training can also affect liver-related enzymes, so these markers help provide context for both performance and safety.

Gamma Glutamyl Transferase, GGT

GGT is a liver and bile duct enzyme. This test is included because it may provide context for liver stress, bile flow, alcohol exposure, fatty liver patterns, supplement use, medication use, and metabolic liver health.

For athletes using supplements, performance products, or alcohol, GGT can add useful safety context.

Bilirubin, Fractionated

Fractionated bilirubin measures total, direct, and indirect bilirubin. This test is included because bilirubin patterns may provide context for liver processing, bile flow, red blood cell turnover, and bilirubin metabolism.

This is helpful in athletes because bilirubin patterns can overlap with liver processing, training stress, red blood cell turnover, fasting, and inherited bilirubin-processing patterns.

Summary of Grouping Value

The groupings in this panel are designed to make the results easier to understand and more useful for athletic decision-making:

Blood Health, Oxygen Delivery & Iron Status helps evaluate whether the body has the red blood cell and iron support needed for endurance, stamina, and oxygen transport.

Muscle Stress, Training Load & Inflammation helps evaluate whether training is creating expected adaptation stress or possible excessive strain.

Kidney, Hydration & Electrolyte Balance helps assess hydration, kidney filtration, urine patterns, muscle cramping context, and mineral balance.

Metabolic, Cardiovascular & Fuel-Use Markers helps evaluate blood sugar, insulin, lipids, cardiovascular risk, uric acid, and fuel-use patterns.

Thyroid, Hormones & Training Adaptation helps evaluate metabolism, recovery, hormone availability, stress physiology, and training adaptation.

Vitamins, Minerals, Antioxidants & Nutrition helps assess nutrient status, antioxidant support, mitochondrial function, omega fatty acids, tissue repair, immune resilience, and protein nutrition.

Liver, Bile Flow & Supplement Safety helps evaluate liver processing, bile flow, bilirubin patterns, alcohol/supplement safety, and metabolic liver context.

Related Biomarker Patterns This Panel May Help Identify

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

  • Iron status and oxygen delivery
  • Red blood cell production
  • Muscle stress and recovery
  • Inflammation
  • Kidney filtration and hydration
  • Electrolyte and mineral balance
  • Blood sugar and insulin patterns
  • Lipid and cardiometabolic risk
  • Thyroid hormone patterns
  • Testosterone, cortisol, estradiol, DHEA-S, IGF-1, and pituitary hormone patterns
  • Vitamin, mineral, omega, CoQ10, and protein nutrition status
  • Liver and bile flow patterns

How to Prepare for This Panel

  • Fasting may be recommended because insulin, glucose, and lipid markers are included.
  • Morning collection may be preferred for testosterone, cortisol, and hormone markers.
  • Avoid unusually intense exercise before testing if baseline CK and inflammation markers are desired.
  • Bring a list of medications, supplements, training schedule, recent workouts, symptoms, hydration habits, and diet.
  • Follow all lab collection instructions provided with your order.

What Happens After You Receive Your Results?

After your results are available, your biomarkers can help organize performance and recovery findings into areas such as oxygen delivery, iron status, training load, recovery, inflammation, hydration, kidney function, metabolic health, thyroid function, hormone balance, nutrient status, omega fatty acids, CoQ10, and liver/bile health.

A licensed healthcare provider can help interpret results in the context of training, symptoms, diet, sleep, medications, supplements, and goals.

Related Lab Panels

  • Athletic Performance & Recovery Essential Lab Panel
  • Athletic Performance & Recovery Advanced 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
  • Longevity & Healthy Aging Lab Panel

Frequently Asked Questions

What is the Athletic Performance & Recovery Comprehensive Lab Panel?

It is a broad blood and urine test panel that evaluates biomarkers related to performance, recovery, training load, iron status, hormones, thyroid function, inflammation, hydration, kidney filtration, nutrients, omega fatty acids, and metabolic wellness.

Why is CK included?

CK helps evaluate muscle stress and recovery after intense training, strength work, endurance events, or muscle symptoms.

Why are testosterone, cortisol, estradiol, and DHEA-S included?

These hormones may provide context for recovery, stress, adaptation, libido, energy, body composition, and training response.

Can this panel diagnose overtraining?

No. It does not diagnose overtraining by itself. Results should be reviewed with training load, sleep, nutrition, symptoms, and provider guidance.

Important Note

This panel is designed to help evaluate selected biomarkers related to athletic performance, recovery, muscle stress, inflammation, hydration, iron status, thyroid function, hormone balance, nutrient status, omega fatty acids, CoQ10, liver function, kidney function, 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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