Questions Our Members Asked Before Ordering

Your annual physical checks about 15 things and asks one question: "Are you currently dying?" If the answer is no, you pass. Congratulations. Here's your copay.

We test up to 165+ biomarkers in a single blood draw and ask a different question: "Are you actually healthy?" Turns out those are very different questions. Standard lab ranges are built from the general population, which includes sick people. So "normal" often just means "not in immediate danger."

Your doctor says your TSH of 4.0 is normal. A functional medicine practitioner knows anything above 3.0 points to early thyroid underperformance. You've been blaming the fatigue on poor sleep for two years. It wasn't the sleep.

Your fasting glucose of 94 passes every standard screen. But a TyG Index calculation flags the insulin resistance behind it a full decade before your A1c would move. A ferritin of 25 says "normal," but paired with dropping iron saturation and rising hs-CRP? That's a chronic inflammation pattern your doctor would never connect because they don't compute these ratios.

Every plan includes a 90-page Functional Health Report with dual-range assessment, 25 to 50 clinical ratios your Quest PDF doesn't compute, 12 body system scores, a personalized Action Plan with supplement dosages and PubMed citations, biological age, and an AI health assistant. To get this on your own? $400 to $600 for the lab tests, then $500 to $1,500 for someone to interpret them. We do all of it for $99.

If you've ever walked out of a doctor's office thinking "I feel off but they say I'm fine," you're exactly who we built this for.

On metformin and nobody's checked your B12 in 3 years? You probably have a deficiency your doctor isn't tracking. Family history of heart disease but never had ApoB or Lp(a) measured? Those are the two strongest predictors of cardiac risk. A standard lipid panel doesn't include them. Nobody told you that.

On birth control or HRT and no one has looked at your SHBG, free testosterone, or liver enzymes in context? You're flying blind on hormone metabolism. Exhausted and your doctor ran a TSH and said "it's fine"? They probably didn't run Free T3, Free T4, or thyroid antibodies. That's where the actual answer usually lives.

Over 12,800 members use Vitals Vault to find what annual physicals miss. The $500/hr functional medicine consult, for $99.

No. This is not a gym membership where they keep charging you long after you've stopped going. You pay once, get your full panel, receive your 90-page report, and keep access to your results forever. No auto-renewal hiding in the fine print, no "we'll just quietly bill you again in December."

When you're ready to retest (we recommend every 6 to 12 months), you decide if and when to buy again. Function Health charges $365/yr with auto-renewal. InsideTracker requires $149/yr on top of the test cost. Superpower charges $199/yr. We will never auto-charge you. See plans.

Three plans. One payment. No subscription. Pick the depth that matches where you are.

Essential ($99, 100+ biomarkers): your first real baseline. Metabolic health, thyroid, liver, kidney, blood sugar, cholesterol, CBC, iron panel, hs-CRP, vitamin D, testosterone. Plus clinical ratios like AIP (catches cardiovascular risk when cholesterol looks fine), TyG Index (flags insulin resistance years before A1c moves), NLR (the immune ratio ER doctors use), and AST:ALT (distinguishes fatty liver from other liver stress). Never had a deep panel? Start here.

Advanced ($199, 120+ biomarkers): for anyone actively troubleshooting. Everything in Essential, plus the markers that explain whyyou're tired, gaining weight, or losing muscle: ApoB, estradiol, SHBG, GGT, B12, folate. Ratios like LDL-C/ApoB (reveals dangerous small dense particles when your LDL looks normal) and T:E2 (the testosterone-to-estradiol balance behind energy, body comp, and mood in both sexes).

Max ($399, 165+ biomarkers): the longevity and hormone therapy panel. Everything in Advanced, plus insulin, cortisol, progesterone, DHEA-S, IGF-1, homocysteine, Lp(a), magnesium RBC, zinc. Ratios like HOMA2-IR, QUICKI, and Cortisol:DHEA-S (measures adrenal reserve; when this ratio is off, you're burning out faster than you're recovering). Need cortisol, insulin, or progesterone? This is the one.

Every plan includes the 90-page report, biological age, personalized Action Plan, AI health assistant, and clinician review. To replicate the Essential plan on your own: $300+ for the labs, then $500 to $1,500 for someone to interpret them. We're $99. Compare plans.

Yes. On top of the 3 core panels, choose from 1,000+ individual tests at 80 to 90% off retail. Same Quest tests your doctor orders, you just pay wholesale. $2 for basic markers, $69 for heavy metals or OmegaCheck, $120 for the MTHFR genetic test, $159 for STD screening, $239 for a celiac panel. Add them at checkout or anytime from your dashboard.

A lab marketplace sells you the test and hands you a PDF. Good luck figuring out what the numbers mean. Every add-on you order through us gets folded into your Functional Health Report, clinical ratios, trend analysis, and Action Plan. The test, the interpretation, and the protocol. Browse add-on tests.

Yes. All plans are HSA/FSA eligible. Pay with your health savings or flexible spending card at checkout. Download an itemized receipt listing your tests from the dashboard for your plan administrator.

If you have HSA/FSA funds expiring at year-end, this is $99 you were going to lose anyway. Might as well turn it into 100+ biomarkers and a 90-page health report instead of forfeiting it back to your employer.

We don't bill insurance directly, but your receipt and lab results can support an out-of-network reimbursement claim if your plan allows it. Every purchase also comes with a 60-day money-back guarantee.

We have a radical policy for a healthcare company: if you don't think it was worth it, we give you your money back. Try getting that from your insurance company.

Every purchase comes with a 60-day money-back guarantee. Haven't had your blood drawn yet? Full refund. No questions, no forms, no hold music. Just message us.

Even after your blood draw, if your report doesn't give you at least 3 actionable insights you didn't already know, we want to hear about it. The risk is on us, not you. You either get the most comprehensive health picture you've ever seen, or you get your money back. Full details in our refund policy.

One full year.Buy today, get your blood drawn whenever you're ready. Next week, next month, 11 months from now. Zero pressure. Life happens.

A lot of members purchase when they have HSA/FSA funds to use before year-end, then schedule their draw when it's convenient. Your order stays active, your requisition stays valid, and Quest will have it on file whenever you walk in.

We'll let you decide, but here are the facts.

vs Function Health ($365/yr): They advertise "160+ lab tests annually." Sounds impressive until you realize that's split across two draws, and the second one mostly re-runs your CBC and CMP. True unique biomarkers: about 100. Clinical ratios computed: zero. Your triglyceride/HDL ratio of 3.8 that reveals significant insulin resistance? Doesn't exist on their dashboard. We give you up to 165+ biomarkers with 25 to 50 computed ratios, a 90-page report, and 1,000+ add-on tests. No subscription. $365/yr for numbers with standard ranges, or $99 for numbers plus the full clinical interpretation.

vs InsideTracker ($149/yr + $340/test): 43 to 54 biomarkers with category scores. We test 3x more with systems-based analysis that connects markers across organs. No membership fee.

vs Superpower ($199/yr): They give you a "Superpower Score" and supplement recommendations. They also sell supplements, so... you can connect those dots yourself. We give you clinical depth with zero supplement revenue to optimize for.

Full side-by-side comparison with all the numbers.

You know that moment when your doctor hands you a printout, says "everything looks normal," and walks out before you can ask a question? This is the opposite of that.

You get a 90-page Functional Health Report that evaluates every biomarker against two sets of ranges: the standard lab range (are you sick?) and a functional optimal range (are you actually healthy?). Turns out those are very different bars. A TSH of 4.0 is "normal" on your Quest report, but functional practitioners know anything above 3.0 correlates with early thyroid underperformance. A fasting glucose of 94 passes every screen, but your TyG Index flags insulin resistance a decade before your A1c would move. We compute 25 to 50 of these clinical ratios automatically, depending on your plan.

The report scores 12 body systems, gives you a specific Action Plan with supplement recommendations, dosages, safety notes for your medications, and PubMed-cited evidence. Plus biological age and an AI health assistantthat understands your full clinical context. And no, pasting your results into ChatGPT is not the same thing. ChatGPT doesn't know functional optimal ranges, doesn't compute clinical ratios, and can't cross-reference your medications against nutrient depletions. We can.

Yes, and no competitor offers this. Our Custom Panel Builderis an AI clinical consultation that interviews you about your symptoms, medications, family history, and lifestyle. It's the kind of workup you'd get at a $10,000 concierge medicine practice.

Here's a real example: say you're a 38-year-old woman on birth control with fatigue, brain fog, and a family history of thyroid disease. The engine doesn't just add a thyroid panel. It hypothesizes B12 depletion from OCP use, checks for Hashimoto's with TPO and anti-thyroglobulin antibodies, adds a full iron panel because fatigue + menstruation + OCP increases iron depletion risk, runs a cortisol check because chronic fatigue + brain fog could be adrenal, and sequences the panel to answer each hypothesis with the fewest tests. You see exactly why each test was selected, the confidence level for each finding, and which biomarkers investigate which hypothesis.

Function Health, InsideTracker, and Superpower all give every member the same panel regardless of symptoms or history. We build yours. And it's free, built right into the checkout flow.

"AI reports" might make you think of generic chatbot advice. Fair concern. This is a completely different thing.

Your report is powered by a clinical intelligence engine built on a 3-million-node knowledge graph (HPO, SNOMED, UMLS, and functional medicine ontologies). It doesn't just flag individual markers. It detects compound risk patternsthat no single marker would reveal: elevated LDL + elevated hs-CRP + family history of heart disease triggers a "Cardiac Triple Threat" pattern that exponentially increases risk beyond what any single number shows. High glucose + high triglycerides + low HDL triggers a "Metabolic Syndrome Pattern." These patterns don't appear in any standard lab report, and your doctor won't compute them unless they specialize in functional medicine and spend 30+ minutes with your chart.

The engine evaluates your results against your 15-section health profile (medications, family history, symptoms, diet, sleep, stress, supplements), uses UMLS/RxNorm to understand drug interactions, and detects worsening trends across past labs. All protocols developed with Dr. Arti Chandra (MD, MPH, IFMCP, 15 years functional medicine at Providence/Swedish) and Dr. Rob Lufkin(Clinical Professor, USC Keck, 200+ peer-reviewed papers). Every report gets clinician sign-off. This isn't a chatbot. It's a physician-designed clinical engine that thinks in constellations, not isolated numbers.

Biological age measures how fast your cells are actually aging compared to your calendar age. We use the PhenoAge algorithm(Morgan Levine, Yale), which takes 9 blood biomarkers and runs them through a Gompertz mortality function. A 45-year-old with a biological age of 38 is aging slower than average. A 35-year-old with a biological age of 42 has accelerated cellular aging that won't show up on a standard physical for years.

If your biological age comes back 7 years older than your calendar age, that's not trivia. That's your body telling you something is accelerating cellular damage. Your report tells you exactly which biomarkers are driving it, what to do about each one, and when to retest to verify it's moving in the right direction. Biological age is included free with every plan, including the $99 Essential. InsideTracker charges $99 extra for their InnerAge 2.0. Learn more about biological age.

Yes. Upload results from your doctor, Function Health, InsideTracker, wherever. Function Health and InsideTracker both let you upload past labs. They just... don't do anything with them. The data sits there like a PDF in a filing cabinet. Our engine actually parses every value and integrates it into your analysis.

Say your ferritin has dropped from 45 to 28 to 18 across three tests over the past two years. The engine detects that worsening trend (the highest-priority signal in the system), escalates it in your report, adjusts your supplement recommendations, and moves iron-related retesting earlier in your 12-month testing roadmap. If your vitamin D has been climbing since you started supplementing, it flags that as improving and de-prioritizes it. Your historical data actually works for you instead of collecting dust.

We partner with Quest Diagnostics, which has 2,000+ patient service centers across 47 states. Most members find a location within 10 minutes of home or work. After purchasing, you get a lab order and can schedule your blood draw at any Quest location. Walk-ins are accepted too. The entire panel is completed in a single visit (one blood draw, typically 10 to 15 minutes). Just bring a photo ID. No paper requisition needed; we transmit the order electronically.

Use our lab finder to confirm a location near you before purchasing.

We send personalized prep instructions right after checkout. The short version: fast for 10 to 12 hours, schedule a morning draw, hydrate well, and skip biotin supplements for at least 24 hours (they can interfere with certain assays). Keep taking your prescription medications unless your doctor says otherwise.

Why does fasting matter? If you eat breakfast before your draw, your glucose, triglycerides, TyG Index, insulin resistance ratios, and lipid calculations will all be off. We're building a 90-page clinical report on these numbers. We need the real ones, not what your body looks like mid-bagel.

Got questions about specific meds or supplements? Reach out through our support center.

We cover 47 states through 2,000+ Quest Diagnostics locations. We can't currently support lab collections in New York, New Jersey, and Hawaiidue to state-specific regulations. We'll let you know as soon as those open up.

Check availability in your area with our lab finder, or reach out to our support team if you have questions.

Most chemistry markers start posting within 24 to 48 hours. The full panel is typically finalized within 5 business days. As results come in, we notify you by email and unlock each section progressively in your dashboard. The full 90-page Functional Health Report (including biological age, clinical ratios, body system scores, and your personalized Action Plan) is ready within 5 to 10 business days.

For context: a functional medicine practitioner writing this level of analysis by hand would spend 3 to 4 hours on your chart at $500/hr. You get it automatically, for a fraction of the cost.

You can reschedule directly from the Quest confirmation email or inside your Vitals Vault dashboard. Just try to move or cancel at least 24 hours in advance. If you miss your draw, message us through the support centerand we'll rebook you. Your order stays active.

Across all three plans, the panels cover cardiometabolic markers (lipids, HbA1c, glucose; ApoB in Advanced+, insulin in Max), thyroid (TSH, T3, T4), sex hormones (testosterone in all; estradiol + SHBG in Advanced+; progesterone + DHEA-S in Max), inflammation (hs-CRP + sed rate in all; homocysteine in Max), micronutrients (vitamin D + iron panel in all; B12 + folate in Advanced+; magnesium RBC + zinc in Max), liver (ALT, AST, bilirubin in all; GGT in Advanced+), kidney (BUN, creatinine, eGFR, uric acid), CBC with differential, urinalysis, and longevity metrics including PhenoAge biological age inputs.

On top of that, we compute clinical ratios that never appear on your Quest PDF: AIP, TyG Index, HOMA2-IR, NLR, AST:ALT, LDL-C/ApoB, T:E2, Cortisol:DHEA-S, QUICKI, and more. These are the ratios a functional medicine practitioner would calculate by hand in a $500 consult. We compute them automatically. Browse the complete list in our biomarker directory.

All specimens are processed by CLIA-certified Quest Diagnosticslabs using FDA-cleared methodologies. These are the exact same labs your doctor uses, so you're getting hospital-grade accuracy.

Your results include the performing lab, test names, and reference ranges your care team expects. Download PDFs from the dashboard or share a secure link with your doctor, specialist, or coach. Many members bring their Vitals Vault report to their next appointment. Doctors recognize the Quest results instantly. More than a few have told us they wish they could order panels this comprehensive for every patient, but insurance won't cover it.

If a result comes back critical, a board-certified clinician contacts you directly with next steps and documentation you can share with urgent care or your physician. We don't just email you a red flag and leave you to Google it at 2am. You get a clear explanation and a next step.

Elevated or low markers are highlighted in your report with interpretation, risk context, compound risk patterns (when multiple markers converge), and recommended follow-up timing. You can also message our team through the support center or use the AI health assistant in your dashboard for additional context.

Yes. Every lab order is secured with 256-bit encryption, stored in HIPAA-compliant infrastructure with strict role-based access. Only the clinicians supporting your case can see your results. We never sell or share your data. Unlike some competitors, we don't tie data access to an active subscription.

Read more in our HIPAA Notice and Privacy Policy.

Full ownership. Export your complete lab history and reports from the dashboard at any time. If you want your account closed or data deleted, email support@vitalsvault.com and our compliance team handles it within 30 days. Your data belongs to you, not us.

Most competitors lock your data behind active subscriptions. Cancel Function Health or InsideTracker and you lose access to your own lab results. Think about that for a second: they hold your health data hostage until you pay again. With Vitals Vault, your data stays yours forever. See our Terms of Service for details.