Fasting insulin. Most annual physicals check fasting glucose and HbA1c. Both important. But they only catch metabolic dysfunction AFTER it's advanced. Fasting insulin catches it years earlier. When cells become insulin resistant, the pancreas compensates by producing MORE insulin. Glucose looks normal. HbA1c looks normal. But insulin is working overtime. Optimal fasting insulin: 2-6 uIU/mL. Concerning: above 10. High: above 15. Our Metabolic Health Panel includes fasting insulin alongside the standard markers. If you haven't checked yours recently, now's a good time.

NAD+ therapy is powerful on its own, but the right supplement stack can amplify your results significantly. Think of it this way: NAD+ is the engine, and these supplements are the fuel system, cooling system, and transmission that keep everything running at peak performance. Here's the science behind the ElevateMD NAD+ Support Stack and why each component matters. NMN (NICOTINAMIDE MONONUCLEOTIDE) NMN is a direct precursor to NAD+. While your IV or injection therapy delivers NAD+ directly, oral NMN supplementation helps maintain elevated NAD+ levels between treatments. It's the bridge that keeps your cellular energy production humming on the days you're not in the clinic. Recommended: 250-500mg daily, taken in the morning CoQ10 (UBIQUINOL FORM) CoQ10 is essential for mitochondrial energy production — it works in the same electron transport chain where NAD+ operates. Without adequate CoQ10, your mitochondria can't efficiently convert the energy NAD+ helps generate into ATP (the energy currency your cells actually use). After age 40, your body's natural CoQ10 production declines. Supplementing with the ubiquinol form (not ubiquinone) ensures you're getting the active, bioavailable version. Recommended: 100-200mg daily with food (CoQ10 is fat-soluble) MAGNESIUM (GLYCINATE OR THREONATE) Magnesium is involved in over 300 enzymatic reactions in your body, including many that directly support NAD+ metabolism. It's also critical for sleep quality, muscle recovery, stress response, and cardiovascular health — all things that matter when you're optimizing for longevity. Most Americans are deficient. Magnesium glycinate is best for general supplementation (well-absorbed, calming, no GI issues). Magnesium threonate specifically crosses the blood-brain barrier and supports cognitive function. Recommended: 200-400mg elemental magnesium daily, taken in the evening B-COMPLEX (METHYLATED) B vitamins are cofactors in the NAD+ synthesis pathway. Without adequate B3 (niacinamide), B2 (riboflavin), and B6, your body can't efficiently produce or recycle NAD+. A methylated B-complex ensures you're getting the active forms that work regardless of your genetic methylation status.

You get your lab results back. Everything says "normal." Your PCP tells you you're fine. But are you actually optimized? Here's the thing most patients don't realize: the reference ranges on your lab report are based on the general population. That includes people who are sedentary, overweight, pre-diabetic, and chronically inflamed. "Within range" just means you're not flagged for disease. It doesn't mean you're thriving. At ElevateMD, we look at your labs through a completely different lens. Here's how we interpret some of the most important markers: hsCRP (HIGH-SENSITIVITY C-REACTIVE PROTEIN) What it measures: Systemic inflammation Standard "normal" range: Under 3.0 mg/L ElevateMD optimal target: Under 1.0 mg/L Why it matters: Chronic low-grade inflammation is the root of nearly every age-related disease — cardiovascular disease, neurodegeneration, metabolic dysfunction. A CRP of 2.5 is "normal" on paper but tells us your body is fighting something. We want to find out what and fix it. FASTING INSULIN What it measures: How hard your pancreas is working to manage blood sugar Standard "normal" range: Under 25 uIU/mL ElevateMD optimal target: Under 5 uIU/mL Why it matters: Fasting insulin is one of the earliest indicators of metabolic dysfunction — it rises years before blood sugar does. A fasting insulin of 15 is technically "normal" but screams insulin resistance. This is the marker most PCPs don't even order. VITAMIN D (25-OH) What it measures: Immune function, bone density, mood, hormone production Standard "normal" range: Above 30 ng/mL ElevateMD optimal target: 60-80 ng/mL Why it matters: Most Americans are deficient. A level of 35 keeps you out of the "deficient" category, but it's nowhere near optimal for immune function or longevity. We see dramatic improvements in energy, mood, and recovery when patients reach the 60-80 range. HbA1c (GLYCATED HEMOGLOBIN) What it measures: Average blood sugar over the past 2-3 months Standard "normal" range: Under 5.7%

At ElevateMD, we don't guess. We test. Every protocol we build — whether it's NAD+ therapy, Sermorelin, hormone optimization, or a longevity supplement stack — starts with comprehensive lab work. Here's why that matters. YOU CAN'T OPTIMIZE WHAT YOU CAN'T MEASURE Your body is running thousands of biochemical processes right now. Some are working well. Others might not be. Without lab data, any treatment plan is just a guess — an educated one maybe, but still a guess. Labs give your physician a real-time snapshot of what's happening inside your body. They reveal inflammation levels, hormone balance, metabolic function, nutrient status, and dozens of other markers that determine how well you're aging and performing. "NORMAL" ISN'T THE SAME AS "OPTIMAL" This is the big one. When your PCP runs labs and says "everything looks normal," they're comparing you to the general population — including people who are overweight, metabolically unhealthy, and chronically inflamed. At ElevateMD, we interpret your results through a longevity lens. We're not looking for disease. We're looking for optimization opportunities. There's a huge gap between "not sick" and "thriving," and that gap is where our protocols live. WHAT WE'RE ACTUALLY LOOKING AT Some of the key markers we focus on: - hsCRP (high-sensitivity C-reactive protein) — inflammation marker. Your PCP says under 3.0 is fine. We want to see under 1.0. - - Fasting insulin — metabolic health indicator. Standard range goes up to 25. We target under 5. - - Vitamin D — immune function, bone health, mood. "Normal" starts at 30. Optimal is 60-80. - - HbA1c — long-term blood sugar control. Under 5.7 is "not diabetic." We aim for under 5.4. - - Complete hormone panels — testosterone, estradiol, DHEA-S, thyroid (full panel, not just TSH) LABS INFORM EVERY DECISION Your NAD+ dosing? Informed by your baseline labs. Your supplement protocol? Built around what your labs show you actually need — not what's trending on social media. Your follow-up timeline? Determined by which markers need rechecking.

Getting your labs done with ElevateMD is simple — here's everything you need to know so there are no surprises on draw day. BEFORE YOUR APPOINTMENT Most panels require a 10-12 hour fast. That means no food or caloric beverages after midnight the night before. Water is fine (and encouraged — staying hydrated makes the draw easier). Black coffee without cream or sugar is generally okay, but check with your physician if you're unsure. Continue taking your regular medications unless your physician specifically tells you otherwise. If you're on biotin supplements, stop them 72 hours before your draw — biotin can interfere with certain hormone and thyroid assays. WHAT TO BRING - A valid photo ID (driver's license or passport) - - Your lab requisition (you'll receive this via email from Fullscript after payment) - - Your insurance card if applicable (most ElevateMD panels are self-pay, but some patients have lab benefits) WHERE TO GO If you chose Quest Diagnostics: Walk-ins are welcome at any Quest Patient Service Center — no appointment needed. Find your nearest location at questdiagnostics.com. Mornings tend to be less crowded. If you chose Labcorp: Same deal — walk-ins accepted at any Labcorp location. Find yours at labcorp.com. If you chose At-Home (GetLabs): A licensed phlebotomist comes to you. You'll receive scheduling instructions separately. THE DRAW ITSELF The blood draw typically takes 5-10 minutes. If you tend to feel lightheaded, let the phlebotomist know — they can have you lie down. Drink plenty of water afterward. AFTER YOUR DRAW Results typically come back in 3-5 business days. Here's what happens next: 1. Your physician reviews every single marker — not just a quick glance, but a thorough analysis through a longevity optimization lens 2. 2. You'll receive an email and text when your results are ready 3. 3. You can view your results summary in your patient portal 4. 4. If your physician recommends a supplement protocol based on your results, you'll receive a personalized link