What’s the difference between the 14 biomarkers my annual physical tests and Vitals Vault’s 120+ biomarker panel?

A standard annual physical typically includes a basic metabolic panel (glucose, kidney function, electrolytes), CBC (complete blood count), and a standard lipid panel (total cholesterol, HDL, LDL, triglycerides) — roughly 14–20 individual values. What’s missing is significant: ApoB and Lp(a) (more accurate cardiovascular risk markers than LDL), fasting insulin (detects insulin resistance years before HbA1c becomes abnormal), hs-CRP and homocysteine (inflammation markers), DHEA-S and free testosterone (hormonal health), Vitamin D and B12 (nutrient status), thyroid antibodies (TPO, TgAb), eGFR ratios, and 80+ other biomarkers. Vitals Vault’s Essential plan covers all 10 major body systems: Blood Health, Energy & Metabolism, Heart Health, Hormonal Health, Inflammation & Immunity, Kidney Health, Liver Health, Nutrients/Vitamins/Minerals, Urine Analysis, and — at the Max tier — Pancreas Health.

Does Vitals Vault use the same CLIA-certified Quest Diagnostics labs my doctor sends me to?

Yes. Vitals Vault is powered by Quest Diagnostics, one of the two largest clinical laboratory networks in the United States. Quest operates more than 2,000 patient service centers nationwide and processes over 550,000 tests daily for hospitals, physicians, and consumers. Every Quest facility is CLIA-certified (Clinical Laboratory Improvement Amendments), meaning they meet the same federal quality and accuracy standards as any hospital or physician-ordered blood draw. Your blood is processed in the same facilities, on the same equipment, by the same certified lab technicians — regardless of whether your doctor or Vitals Vault issued the requisition.

Is Vitals Vault a subscription I’m locked into, or can I pay once and test once?

Vitals Vault plans are one-time purchases, not auto-renewing subscriptions. The three tiers are Essential ($99), Advanced ($199), and Max ($399), each covering one comprehensive panel. There is no monthly fee, mandatory re-enrollment, or lock-in penalty. When you are ready to retest, you decide if and when to purchase again. Individual add-on tests are also available separately.

What’s the best way to use expiring HSA or FSA dollars on preventive health testing?

Vitals Vault is HSA/FSA eligible, making it an ideal use of health savings dollars before they expire at year-end. Comprehensive blood testing panels qualify as preventive care under IRS guidelines for HSA/FSA spending. To use HSA/FSA funds, select the HSA/FSA payment option at checkout — Vitals Vault accepts all major HSA/FSA cards. The Essential plan at $99 is fully covered by a single HSA/FSA transaction, and the Max plan at $399 covers 160+ biomarkers including cardiovascular imaging add-ons. Unlike gym memberships or supplements, lab testing through a CLIA-certified facility like Quest Diagnostics is an unambiguous eligible expense.

What happens if my Vitals Vault results show something abnormal — do I get help understanding them?

Yes. Every Vitals Vault result is accompanied by a Functional Health Report — not just a raw lab printout. Your report explains what each biomarker measures, what your specific value means (using both standard reference ranges and optimal ranges), and what actions you can take to improve it. If a result is marked critical, contact your doctor or health care provider that day, and call 911 if you feel unwell; Vitals Vault does not call you about results. The report also includes personalized nutrition, lifestyle, and supplement recommendations for each area of concern — so you’re never left alone with confusing numbers.

How is Vitals Vault different from ordering individual tests on QuestHealth.com?

QuestHealth.com (Quest’s own consumer portal) allows you to order individual tests a la carte, but without a structured plan, curated panels, or any interpretation layer. A single ApoB test through QuestHealth.com costs $49; a complete thyroid panel costs $89; testing your full hormone panel individually can cost $300–$500 before you’ve covered even a fraction of Vitals Vault’s scope. Vitals Vault’s $99 Essential plan bundles 120+ biomarkers into a single draw, adds calculated ratios (like AIP, HOMA2-IR, TyG Index) that Quest doesn’t compute, and delivers a personalized Functional Health Report with action steps. It’s the difference between buying individual ingredients versus getting a complete, analyzed meal.

Is comprehensive blood testing worth it if I feel healthy and have no symptoms?

This is exactly the population that benefits most. The conditions that kill or disable most people — cardiovascular disease, insulin resistance, vitamin deficiencies, thyroid dysfunction — are asymptomatic for years or decades. By the time symptoms appear, significant damage has often already occurred. Studies show that elevated Lp(a) (a genetic cardiovascular risk factor affecting 1 in 5 people) causes no symptoms until a heart attack or stroke occurs. Similarly, insulin resistance precedes type 2 diabetes by 10–15 years and is fully reversible when caught early. Vitamin D deficiency affects an estimated 42% of U.S. adults and presents with no obvious symptoms until it causes bone loss, immune dysfunction, or fatigue. Annual comprehensive testing gives you a complete picture of what’s happening inside — not what you happen to feel on a given day.

Yes. Full refund any time before your blood draw. Once your sample is collected, the lab has started work, so the purchase is not refunded. If there is a lab error, we cover a retest or a technical correction.

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Blood tests · Treatment · Your health record

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Name: Vitals Vault Biomarker Testing Membership
Brand: Vitals Vault
Availability: InStock

One Quest draw for your baseline, treatment if it fits, then retest.Know your baseline from one Quest draw, from $99. Get treatment from licensed clinicians when it's right for you. Then retest and see what actually changed.

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Essential · 120+ · $99 Advanced · 140+ · $199 Max · 160+ · $399

Paid once · No membership · HSA/FSA eligible · Full refund before your draw

Not sure where to start? Ask PocketMD

One drawOne draw

120–160+ markers120–160+ biomarkers, no referral needed

Results in daysResults in days

3–5 business daysMost results in 3–5 business days

Not approved?Not approved? You don't pay

You don't payLicensed clinicians review every treatment

Essential · 120+ · $99 Advanced · 140+ · $199 Max · 160+ · $399

Paid once · No membership · HSA/FSA eligible · Full refund before your draw

Not sure where to start? Ask PocketMD

One draw

120–160+ markers

Results in days

3–5 business days

Not approved?

You don't pay

Quest Diagnostics · 2,000+ locations
CLIA-certified labs
Licensed US clinicians

As seen on

Real members. Real results.

Members on what changed once they could see their numbers and act on them.

“Most people aren’t failing at their health. They’re guessing.”
Dr. Phil McGraw, PhDTV host · Bestselling author

In 90 days you stop guessing.

You know your numbers, you have a plan, and you can see it working.

More than
2 in 5
US adults have prediabetes
About
1 in 3
US adults have metabolic syndrome
More than
1 in 4
US adults with diabetes are undiagnosed

Sources: CDC, have prediabetes (opens in a new tab) · NHLBI, have metabolic syndrome (opens in a new tab) · CDC, with diabetes are undiagnosed (opens in a new tab)

Everything you get.

Two ways to start. Both come with the guarantees we already honor.

Labs

$99 to start · paid once · no membership · HSA/FSA eligible

120–160+ biomarkers from one draw at 2,000+ Quest locations
Every result reviewed by a licensed clinician
A plain-English report: 13 body systems · 40 health areas scored, with an action plan
Your biological age
PocketMD, the AI doctor that has read your labs, free with every panel
A health record that keeps every draw, plus the labs you upload

Apolipoprotein BHomocysteineThyroidTSHVitamin B12AlbuminHDL CholesterolProgesteroneApolipoprotein BHomocysteineThyroidTSHVitamin B12AlbuminHDL CholesterolProgesteroneApolipoprotein BHomocysteineThyroidTSHVitamin B12AlbuminHDL CholesterolProgesteroneApolipoprotein BHomocysteineThyroidTSHVitamin B12AlbuminHDL CholesterolProgesterone

Apolipoprotein BHomocysteineThyroidTSHVitamin B12AlbuminHDL CholesterolProgesteroneApolipoprotein BHomocysteineTSH

160+ lab tests, across every major system.

Counts by area for the Max panel. Each area links to the care that acts on it.

33 biomarkers
Blood Health
26 biomarkers
Urinalysis
21 biomarkers
Hormonal Health
17 biomarkers
Heart Health
Longevity care: men · women
15 biomarkers
Energy and metabolism
Weight care: men · women
13 biomarkers
Liver Health
11 biomarkers
Inflammation and immunity
11 biomarkers
Kidney Health
11 biomarkers
Nutrients and vitamins
Nutrient support: men · women

Treatment that doesn’t end at the prescription.

Men’s and women’s care from licensed clinicians, connected to your labs. Start with a baseline when it helps, then retest to see what’s actually changing. A clinician prescribes only when treatment is right for you.

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Start or switch your treatment this season. Your lab panel is on us.

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Sound familiar?

Start with what you’re noticing. Your labs and a US-licensed clinician take it from there.

Low energy by mid-afternoonLow sex driveFewer morning erectionsBrain fogSlower recovery after workoutsGaining belly fatLow mood or irritabilityPoor sleepFeeling flat or unmotivatedProtecting your fertilityLow testosterone resultHot flashesNight sweatsWaking at 3 a.m.Mood swingsVaginal drynessPainful sexIrregular periodsLow energyJoint achesWeight creeping upLower desireTrouble getting an erectionLosing it halfway throughSofter erectionsPerformance worryLow desireLess bedroom confidenceErections fading with ageStress killing the moodDiabetes affecting sexWanting to feel spontaneousLow energy by mid-afternoonLow sex driveFewer morning erectionsBrain fogSlower recovery after workoutsGaining belly fatLow mood or irritabilityPoor sleepFeeling flat or unmotivatedProtecting your fertilityLow testosterone resultHot flashesNight sweatsWaking at 3 a.m.Mood swingsVaginal drynessPainful sexIrregular periodsLow energyJoint achesWeight creeping upLower desireTrouble getting an erectionLosing it halfway throughSofter erectionsPerformance worryLow desireLess bedroom confidenceErections fading with ageStress killing the moodDiabetes affecting sexWanting to feel spontaneous

Slow to feel arousedLess sensitivityHard to reach orgasmMismatched desireFeeling disconnectedChanges after menopauseReceding hairlineThinning at the crownHair in the drainWidening partThinner ponytail or hairlineScalp showing in photosShedding after stressHair losing thicknessDreading bright lightMinoxidil alone stalledThinner ponytailSheddingLess volumeVisible scalpHair in the brushThinner strandsSlow regrowthConstant cravingsFood noise all daySnacking at nightWeight that won't budgeBelly fat that staysTired after mealsDiets that stopped workingClothes fitting tighterWinded on stairsSlow to feel arousedLess sensitivityHard to reach orgasmMismatched desireFeeling disconnectedChanges after menopauseReceding hairlineThinning at the crownHair in the drainWidening partThinner ponytail or hairlineScalp showing in photosShedding after stressHair losing thicknessDreading bright lightMinoxidil alone stalledThinner ponytailSheddingLess volumeVisible scalpHair in the brushThinner strandsSlow regrowthConstant cravingsFood noise all daySnacking at nightWeight that won't budgeBelly fat that staysTired after mealsDiets that stopped workingClothes fitting tighterWinded on stairs

Aching knees and jointsRegaining what I lostFood noiseWeight that won’t shiftStalled progressMidlife weight gainYo-yo dietingTired after sleepingAlways feeling coldDry skinThinning hairSluggish digestionLow moodAching musclesSlow morningsPuffy faceTirednessFeeling coldWeight gainHeavy periodsAfternoon energy crashesSlow recovery after workoutsFeeling older alreadyLow staminaTrouble focusingFatigue rest won't fixSlower recovery after illnessInterest in healthy agingLow motivationMid-life energy dipSlow recoveryStiff jointsAching knees and jointsRegaining what I lostFood noiseWeight that won’t shiftStalled progressMidlife weight gainYo-yo dietingTired after sleepingAlways feeling coldDry skinThinning hairSluggish digestionLow moodAching musclesSlow morningsPuffy faceTirednessFeeling coldWeight gainHeavy periodsAfternoon energy crashesSlow recovery after workoutsFeeling older alreadyLow staminaTrouble focusingFatigue rest won't fixSlower recovery after illnessInterest in healthy agingLow motivationMid-life energy dipSlow recoveryStiff joints

StressAfternoon slumpsWanting to age wellTingling hands or feetTaking metforminLong-term acid reducer usePlant-based dietPoor focusFeeling run downGut absorption problemsLow iron or folateOver 50Brittle nailsMuscle crampsPins and needlesRough, uneven textureClogged poresRecurring breakoutsDark marks after spotsDull, tired-looking skinFine lines appearingSun-damaged skinUneven skin toneOily patchesFine linesUneven toneRough textureBreakoutsDull skinSun spotsEnlarged poresDark marksStressAfternoon slumpsWanting to age wellTingling hands or feetTaking metforminLong-term acid reducer usePlant-based dietPoor focusFeeling run downGut absorption problemsLow iron or folateOver 50Brittle nailsMuscle crampsPins and needlesRough, uneven textureClogged poresRecurring breakoutsDark marks after spotsDull, tired-looking skinFine lines appearingSun-damaged skinUneven skin toneOily patchesFine linesUneven toneRough textureBreakoutsDull skinSun spotsEnlarged poresDark marks

Test, then treat what you find.

Lab tests first, then care for hormones, weight, hair, skin and more, only if it fits.

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PocketMD

Your results, explained whenever you ask.

PocketMD has read your labs. Ask about any marker, bring your old records, and log how you feel. Free with every panel.

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Ask, then get on with your day

Plain answers from your own numbers, and a nudge when something needs doing.

Why is my ApoB still flagged?
Is my ferritin too low?

Built with our medical advisors.

Our optimal ranges, functional health report and approach were shaped with our medical advisory board.

Robert Lufkin, MD
Chief Medical Officer
Physician and UCLA/USC professor, bestselling author in metabolic health.
Jaree Naqvi, MD
Medical Advisor
Board-certified dermatologist providing evidence-based clinical expertise.
James Stirrett, ND
Medical Advisor
Family medicine physician focused on whole-person, self-healing health.
Kunzal A.
Medical Advisor

Questions before the first draw.

How is ordering blood work through Vitals Vault different from going through my doctor’s office?

When you order blood work through your doctor, your results are filtered through insurance billing codes, which limits what gets tested to what’s “medically necessary.” Most standard physicals include only 14–20 biomarkers — a basic CBC, metabolic panel, and lipid panel. Vitals Vault bypasses this entirely. You purchase a plan directly, schedule at any Quest Diagnostics location without a referral, and receive a comprehensive functional health report covering 120+ to 160+ biomarkers across 10 body systems. Unlike a clinical lab report that just flags values as “normal” or “abnormal,” Vitals Vault shows you your optimal ranges, calculated ratios, and a personalized action plan with nutrition and supplement recommendations. No waiting room, no referral, no insurance required.

Why does a comparable 120+ biomarker panel cost $1,700+ through a hospital but $99 through Vitals Vault?

Hospital and clinic pricing is built around insurance reimbursement models, facility overhead, and intermediary billing layers — none of which benefit the patient paying out of pocket. Vitals Vault operates as a direct-to-consumer platform, negotiating wholesale access to Quest Diagnostics labs and eliminating the physician referral markup. The same CLIA-certified Quest labs process your blood whether your doctor orders the test or Vitals Vault does. Vitals Vault’s Essential panel is a one-time $99 purchase covering 120+ biomarkers; the Max panel is a one-time $399 purchase covering 160+ biomarkers.