Evidence-Based Clinical Library

The HodieLabs
Evidence-Based Clinical Library.

The HodieLabs Evidence-Based Clinical Library is the public reference for how we interpret your biology, built on the same standards used by pathologists, cardiologists, endocrinologists and longevity researchers worldwide. Every biomarker range in a HodieLabs report is derived from a rigorous, science-backed evidence framework, never arbitrary numbers.

Biomarker library

Evidence-based ranges, guideline sources and interpretation for the biomarkers that matter most. The complete HodieLabs panel. 105 biomarkers, every range cited to its clinical authority.

Cardiovascular

ApoA1

The main protein in HDL; reflects the body's cholesterol-clearing capacity.

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Cardiovascular

ApoB

Measures atherogenic particles that drive plaque build-up in arteries.

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Cardiovascular

ApoB/ApoA1 ratio

Ratio of atherogenic to protective particles; a key cardiovascular risk gauge.

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Cardiovascular

Apolipoprotein C-III (ApoC-III)

A protein that slows triglyceride clearance; linked to cardiovascular risk.

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Cardiovascular

Fibrinogen

A blood-clotting protein that also signals inflammation when elevated.

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Cardiovascular

HDL-C

High-density lipoprotein cholesterol carries excess cholesterol from arteries back to the liver for clearance. Higher levels are generally cardioprotective, but HDL quality (efflux capacity) matters more than quantity alone. Longevity-focused interpretation considers HDL in context with triglycerides, ApoB, and insulin resistance markers.

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Cardiovascular

Homocysteine

An amino acid associated with increased cardiovascular and cognitive risk when elevated (>15 µmol/L), but it is not a primary risk marker in ACC/AHA guidelines, and lowering levels has not consistently been shown to reduce cardiovascular events.

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Cardiovascular

LDL-C

The main cholesterol carrier linked to arterial plaque build-up.

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Cardiovascular

Lipoprotein(a)

A genetic cardiovascular risk factor that accelerates arterial plaque formation.

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Cardiovascular

Lp-PLA2

An enzyme in arterial plaque that signals active vascular inflammation.

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Cardiovascular

Non-HDL cholesterol

All cholesterol except HDL; captures total atherogenic cholesterol burden.

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Cardiovascular

NT-proBNP

A heart-stress marker released when the heart is under strain or overloaded.

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Cardiovascular

Oxidised LDL (OxLDL)

LDL cholesterol that has been oxidised; directly drives arterial plaque formation.

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Cardiovascular

Remnant cholesterol

Leftover cholesterol from triglyceride-rich particles; an emerging cardiovascular risk marker.

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Cardiovascular

Total Cholesterol

Total cholesterol measures all cholesterol in the blood including LDL, HDL, and VLDL fractions. While historically used as a primary cardiovascular marker, it is now considered less informative than ApoB or LDL-C alone. Longevity-focused interpretation always contextualises TC with HDL, triglycerides, and ApoB.

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Cardiovascular

Total Cholesterol/HDL ratio

The ratio of total cholesterol to HDL cholesterol. A widely used cardiovascular risk marker, lower ratios indicate a more favourable lipid profile.

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Cardiovascular

Triglycerides

Blood fats strongly linked to insulin resistance and metabolic health.

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CatastrophicScreen

CA-125

A protein marker used primarily for ovarian cancer screening in women.

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CatastrophicScreen

PSA

A prostate-specific protein used for prostate cancer screening in men.

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Hormonal

Cortisol (AM)

The primary stress hormone; morning levels reflect adrenal and HPA axis function.

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Hormonal

DHEA-S

An adrenal hormone and precursor to sex hormones; declines with age.

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Hormonal

Estradiol (E2)

The primary female sex hormone; regulates menstrual cycle, bone, and heart health.

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Hormonal

Free T3

The most active thyroid hormone; converts from T4 in tissues.

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Hormonal

Free T4

The active thyroid hormone that regulates metabolism and energy.

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Hormonal

Free Testosterone

The biologically active fraction of testosterone not bound to SHBG or albumin. More clinically meaningful than total testosterone when SHBG is abnormal. Can be measured directly or calculated from total testosterone, SHBG, and albumin.

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Hormonal

IGF-1

A growth-factor hormone reflecting growth hormone activity and tissue repair capacity.

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Hormonal

SHBG

A protein that binds sex hormones; affects how much testosterone and oestrogen is active.

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Hormonal

Testosterone (total)

The primary male sex hormone; affects muscle, mood, energy, and metabolism.

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Hormonal

TSH

The pituitary hormone that controls thyroid function; first-line thyroid screen.

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Inflammation

Basophils (abs)

The rarest white blood cell; involved in allergic and inflammatory responses.

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Inflammation

CRP (standard)

Standard C-reactive protein; a general marker of infection or inflammation.

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Inflammation

Eosinophils (abs)

White blood cells involved in allergic responses and parasitic infections.

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Inflammation

ESR

A non-specific inflammation marker that measures how quickly red blood cells settle.

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Inflammation

hs-CRP

A sensitive marker of low-grade inflammation linked to heart disease risk.

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Inflammation

Interleukin-6 (IL-6)

A key inflammatory cytokine involved in chronic disease and immune activation.

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Inflammation

Lymphocytes (abs)

White blood cells central to immune defence; includes T-cells and B-cells.

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Inflammation

Monocytes (abs)

White blood cells that become macrophages; involved in chronic inflammation.

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Inflammation

Neutrophil/Lymphocyte ratio

Ratio of neutrophils to lymphocytes; a marker of systemic inflammation.

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Inflammation

Neutrophils (abs)

The most abundant white blood cell; first responders to bacterial infection.

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Inflammation

TNF-alpha

A pro-inflammatory cytokine linked to chronic inflammation and autoimmune conditions.

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Metabolic

AST/ALT ratio

Ratio of liver enzymes AST to ALT; helps distinguish liver disease patterns.

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Metabolic

C-peptide

A byproduct of insulin production; reflects how much insulin the pancreas makes.

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Metabolic

Fasting glucose

Blood sugar level after fasting; a primary marker of glucose control.

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Metabolic

Fasting insulin

Fasting insulin level; an early marker of insulin resistance before glucose rises.

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Metabolic

HbA1c

Average blood sugar over the past 2–3 months; tracks long-term glucose control.

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Metabolic

HbA1c (IFCC)

Glycated haemoglobin in IFCC standardised units (mmol/mol). Reflects average blood glucose control over the preceding 8–12 weeks.

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Metabolic

HOMA-IR

A calculated index of insulin resistance from fasting glucose and insulin.

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Metabolic

Insulin:Glucose ratio

Ratio of fasting insulin to glucose; another proxy for early insulin resistance.

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Metabolic

Leptin

A fat-tissue hormone that regulates appetite; elevated levels suggest leptin resistance.

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Metabolic

TG/HDL ratio

Ratio of triglycerides to HDL; a practical proxy for insulin resistance.

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Metabolic

Uric acid

A waste product linked to gout, kidney stress, and metabolic syndrome when elevated.

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Nutritional

Active B12 (holotranscobalamin)

The biologically active form of B12; more accurate than total B12 for deficiency.

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Nutritional

Copper

A trace mineral essential for iron metabolism, connective tissue, and nerve function.

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Nutritional

Fatty acid ratio (Omega-6:3)

Ratio of omega-6 to omega-3 fats; lower ratios indicate better inflammatory balance.

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Nutritional

Folate

A B-vitamin essential for DNA repair, red blood cell production, and methylation.

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Nutritional

Magnesium

A mineral involved in 300+ enzyme reactions including energy, sleep, and muscle function.

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Nutritional

Methylmalonic acid (MMA)

A metabolite that rises with B12 deficiency; confirms functional B12 status.

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Nutritional

Omega-3 Index

Percentage of omega-3 fats in red blood cell membranes; reflects long-term intake.

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Nutritional

Selenium

A trace mineral essential for thyroid function and antioxidant defence.

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Nutritional

Vitamin A (retinol)

A fat-soluble vitamin important for vision, immunity, and skin health.

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Nutritional

Vitamin B12

A vitamin critical for nerve function, red blood cell production, and DNA synthesis.

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Nutritional

Vitamin D (25-OH)

A hormone-like vitamin essential for bone health, immunity, and inflammation control.

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Nutritional

Vitamin E (alpha-tocopherol)

A fat-soluble antioxidant that protects cell membranes from oxidative damage.

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Nutritional

Zinc

A trace mineral essential for immune function, wound healing, and hormone production.

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Organ

Albumin

The most abundant blood protein; reflects liver function and nutritional status.

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Organ

Albumin/Globulin ratio

Ratio of albumin to globulin; helps assess liver function and immune balance.

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Organ

ALP

An enzyme from bone and liver; elevated levels may signal bone or liver conditions.

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Organ

ALT

A liver enzyme that signals liver cell damage, especially from fatty liver disease.

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Organ

AST

A liver and muscle enzyme; elevated levels may indicate liver or tissue damage.

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Organ

Bicarbonate

A buffer that maintains blood pH; reflects acid-base balance.

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Organ

Bilirubin (total)

A breakdown product of red blood cells; reflects liver processing capacity.

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Organ

Calcium

Essential mineral for bones, muscle contraction, and nerve signalling.

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Organ

Chloride

An electrolyte that helps maintain fluid balance and acid-base status.

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Organ

Creatine kinase (CK)

A muscle enzyme; elevated levels indicate muscle damage or excessive exertion.

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Organ

Creatinine

A muscle waste product filtered by the kidneys; used to estimate kidney function.

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Organ

Cystatin-C

A kidney function marker more accurate than creatinine, especially in early decline.

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Organ

eGFR

Estimated kidney filtration rate; the primary measure of how well kidneys work.

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Organ

Ferritin

Ferritin is the primary iron storage protein and the most sensitive marker of total body iron stores. Low ferritin is the earliest indicator of iron depletion, while elevated ferritin can signal iron overload, inflammation, or liver disease. Longevity-focused interpretation aims for mid-range values.

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Organ

Ferritin index (sTfR/log ferritin)

A calculated ratio that detects functional iron deficiency even when ferritin is normal.

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Organ

GGT

A liver enzyme sensitive to alcohol use, bile duct problems, and oxidative stress.

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Organ

Globulin

A group of immune and transport proteins; reflects immune and liver activity.

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Organ

Haematocrit

Haematocrit measures the percentage of blood volume occupied by red blood cells. It reflects both red cell production and plasma volume, making it sensitive to dehydration, altitude, and blood loss. Longevity-focused interpretation targets mid-range values.

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Organ

Haemoglobin

The oxygen-carrying protein in red blood cells; key indicator of anaemia.

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Organ

LDH

An enzyme released from damaged cells; a broad marker of tissue injury.

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Organ

Lipase

A pancreatic enzyme; elevated levels may indicate pancreatic inflammation.

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Organ

MCH

Mean corpuscular haemoglobin measures the average amount of haemoglobin per red blood cell. It parallels MCV and helps classify anaemia. Low MCH indicates iron deficiency or thalassaemia, while high MCH suggests B12 or folate deficiency.

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Organ

MCHC

The average concentration of haemoglobin within each red blood cell. Helps classify anaemia types and detect red cell disorders such as hereditary spherocytosis.

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Organ

MCV

Average size of red blood cells; helps classify types of anaemia.

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Organ

Phosphate

A mineral important for bone health, energy production, and cell function.

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Organ

Platelets

Blood cell fragments essential for clotting and wound repair.

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Organ

Potassium

An essential electrolyte critical for heart rhythm and muscle function.

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Organ

RDW

Variation in red blood cell size; elevated values may signal nutritional deficiency.

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Organ

Red blood cell count

The number of red blood cells; reflects oxygen-carrying capacity.

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Organ

Serum iron

The amount of iron circulating in the blood, available for immediate use.

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Organ

Sodium

An essential electrolyte that regulates fluid balance and nerve function.

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Organ

Soluble Transferrin Receptor (sTfR)

A marker of iron demand at the tissue level; elevated when iron stores are depleted.

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Organ

Specific Gravity (urine)

A measure of urine concentration reflecting the kidney's ability to concentrate or dilute urine. Useful for assessing hydration status and interpreting other urine results.

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Organ

Total protein

Combined albumin and globulin; a broad indicator of liver and immune function.

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Organ

Transferrin

Transferrin is the main iron transport protein in blood. It carries iron from the gut and storage sites to the bone marrow for red blood cell production. Elevated transferrin indicates iron deficiency (the body upregulates production to capture more iron), while low levels suggest iron overload or chronic disease.

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Organ

Transferrin saturation

Percentage of transferrin carrying iron; shows iron delivery to tissues.

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Organ

Urea

A waste product from protein metabolism; reflects kidney function and hydration.

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Organ

Urine albumin

Albumin detected in urine; signals early kidney microvascular damage.

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Organ

Urine albumin/creatinine ratio (uACR)

Albumin in urine relative to creatinine; an early marker of kidney damage.

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Organ

Urine creatinine

Creatinine in urine; used to standardise other urine test results.

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Organ

White blood cell count

The number of white blood cells; reflects immune system activity.

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From evidence to action

See your biology
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Every HodieLabs Health Blueprint measures these biomarkers and interprets them against the Evidence-Based Clinical Library, with a doctor.

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