### Peter Attia Blood Tests

In the book Outlive, Dr. Peter Attia recommends comprehensive blood testing focused on the “Four Horsemen” of chronic disease: cardiovascular disease, cancer, neurodegenerative disease, and metabolic dysfunction. Key biomarkers include ApoB, Lp(a), advanced lipid panels, glucose and insulin markers, inflammation markers like hs-CRP, liver and kidney function, and thyroid hormones. Empirical Health measures a complete set of biomarkers, inspired by Outlive, and includes a consultation with a real doctor.

### Biomarkers

#### Heart

- ApoB  
- Lp(a)  
- HDL Cholesterol  
- LDL Cholesterol  
- Triglycerides  
- 10 year heart attack risk  
- Lifetime heart attack risk  
- Chol/HDLc Ratio  
- LDL/HDL Ratio  
- Non HDL  
- Total Cholesterol  
- ApoA1  
- ApoB/A1 Ratio  
- Non-HDL/Chol Ratio  
- LDL/Chol Ratio  
- HDL/Chol Ratio

#### Liver

- ALT  
- AST  
- Total Bilirubin  
- ALP  
- De Ritis Ratio

#### Metabolic

- Glucose  
- Hemoglobin A1c  
- TSH with reflex to T4

#### Kidneys

- BUN  
- Creatinine  
- Albumin  
- Globulin  
- A/G Ratio  
- CO2  
- Calcium  
- Total Protein  
- Sodium  
- Potassium  
- Chloride  
- BUN/Creatinine Ratio

#### Nutrients

- Ferritin  
- Folate  
- Iron  
- % Saturation  
- Vitamin D  
- Vitamin B12  
- Dietary Protein  
- Dietary Carbs  
- Dietary Sugar  
- Dietary Fat  
- Dietary Saturated Fat  
- Dietary Sodium  
- Dietary Potassium

#### Blood

- hs-CRP (inflammation)  
- WBC  
- Platelets  
- MCHC  
- Monocytes %  
- Leukocyte Esterase  
- RBC  
- MPV  
- RDW  
- Eosinophils %  
- Band Neutrophils %  
- Hemoglobin  
- MCV  
- Neutrophils %  
- Basophils %  
- R. Lymphocytes %  
- Hematocrit  
- MCH  
- Lymphocytes %

#### Urine

- Appearance  
- Nitrite  
- Squamous Epithelial Cells  
- Bacteria  
- Occult Blood  
- Calcium Oxalate Crystals  
- Transitional Epithelial  
- Protein  
- pH  
- Bilirubin  
- Casts  
- Color  
- RBC  
- Specific Gravity  
- Triple Phosphate Crystals  
- Crystals  
- Granular Casts  
- WBC  
- Hyaline Casts  
- Ketones  
- Reducing Substances  
- Glucose  
- Renal Epithelial Cells  
- Uric Acid Crystals  
- Yeast

### FAQs

- What do I get in the Heart Health program?  
- Where do I go to get my lab tests?  
- Is there an extra cost for using the app?  
- Is there an extra cost for the medical visit?  
- Do I need a wearable device?