Before we recommend a single treatment, we build an objective baseline. Five in-clinic diagnostics read your blood, body, metabolism, skin and genes — so every plan is grounded in your data, not a hunch. The full baseline can be run in a single visit; bundle and membership combinations are reviewed with your provider at consult.
The bloodwork your PCP runs is designed for one job: catch the thing that would kill you this year. It's a screening tool, not a tuning tool. We start where they stop — the hormones, the micronutrients, the inflammatory and metabolic markers that decide how you actually feel today. Then we layer in body composition, skin, cardiorespiratory fitness and genetics, so every recommendation is grounded in your numbers, not someone else's average.
Each instrument measures a different system. Together they give your provider a complete, objective picture before any plan begins — the kind of in-person data no questionnaire or telehealth script can produce. Pull one, pull all five, or build a baseline that follows you year over year.
High-resolution multispectral capture reveals UV damage, pigment, vascularity, pore density and volume changes the mirror won't show for another five years. We re-image annually so you can watch the trend, not just the snapshot. More on Aura →
60+ markers run through a national reference lab — full hormone panel, advanced lipids, metabolic, inflammatory, thyroid, micronutrients and iron. Read against optimal ranges, not just “normal,” with your provider sitting next to you.
A clinical-grade breath analyzer reads your VO₂ max, resting metabolic rate and personalized heart-rate training zones in about ten minutes — so the cardio, the calories and the recovery are tuned to what your engine actually does, not an estimate from your age.
Fat mass, skeletal muscle, visceral fat and water measured separately in under sixty seconds. So when the program is working, we can prove it — and when a plateau hits, we change something before a month is wasted. Included at every visit with a Bespoke Beam or Weight Loss membership.
A provider-ordered DNA panel explains why your hormones, your detox pathways and your medication metabolism behave the way they do — and tunes the dose, the nutrition and the risk profile accordingly. One-time draw; the data follows you for life.
Every reading lands in a single record your care team works from together. So the dermatologic conversation already knows what your hormones are doing. The hormone visit already knows what your InBody trend says. Nothing falls between the columns.
Most diagnostics are à la carte and can be added to any visit. Several are folded into the right membership so you stop paying for the same scan twice. Your provider walks you through the bundle that fits your program at consult.
One in-clinic visit captures every reading. You walk out with the scans in hand; the lab and genetic results follow inside a week or two, and your provider sits with you to walk through every value — not a portal message.
A clinician walks through your history, your medications and what you actually want this year to feel like. The diagnostic order is calibrated to that, not a fixed bundle.
Phlebotomy in-clinic for the full panel; the InBody runs in under a minute. Genetic kit collected the same visit if it's on the order.
Ten-minute graded breath test for VO₂ and RMR; multispectral Aura skin capture follows. Both reports print before you leave the room.
Labs back. A 60-minute review with your clinician walks every value, every trend, and what comes next — written, in your chart, on your phone.
The honest versions of the questions every patient asks at intake. If yours isn't here, bring it to the consult — we'd rather walk through it in person than guess on a webpage.
Start with whatever your question is. If you came in for a weight conversation, the InBody and the lab panel answer most of it. If it's skin, Aura is the right beginning. If it's cardio and energy, VO₂ max. Most patients add the rest year over year as they realize the baseline is what makes the trend useful.
No. Bespoke is a direct-pay practice — the lab panel, the scans and the genetics are not run through your insurer. The trade-off is that we order what we think matters for your goals, not what a payor approves. We can give you an itemized receipt; some patients submit to an HSA or FSA, and many do.
Labs and InBody every six to twelve months while we're tuning a program; annually once you're stable. Aura annually so the trend is meaningful. VO₂ max every six to twelve months if you're training seriously, annually otherwise. Genetic testing is one-and-done — the data is the data.
No — ours is a wellness panel, not diagnostic genetic testing for inherited disease. We read pathways: how you metabolize hormones, how you process B vitamins, how you respond to certain medications. If anything in the report suggests a deeper clinical question, we'll send you to a genetic counselor or a specialist who can run the right panel for it.
Yes — please. Bring whatever you have. We'll read it, fold the still-current values into the baseline and only re-draw what's missing, outdated or needs to be paired with a marker your PCP didn't run. No reason to bill you for a CBC that was drawn three weeks ago.
Tell us at booking. Birth control, thyroid meds, statins, anti-inflammatories and a handful of others change how certain values read; we'll either time the draw around the dose, adjust the panel, or both. We'd rather measure you accurately on your real life than ask you to come off something for a clean number.
Aura, InBody and VO₂ reports print before you leave. The full lab panel turns around in 5–7 days; the genetic panel takes 3–4 weeks. We schedule your 60-minute review for the moment everything's back, so the conversation is whole.
The lab list overlaps. The difference is the room. You're not mailing a finger-prick kit to a P.O. box and getting a PDF dashboard back — you're sitting with a clinician who runs the scan, draws the blood, reads the result, and writes the plan in the same chart that knows what your hormones and your skin and your training zones are doing. The data is half of it. The conversation is the other half.
We run reference labs through CPL (Clinical Pathology Laboratories) and Access Medical Laboratories — our two preferred partners for hormone, metabolic and inflammation panels. Blood is drawn here at the clinic, not at a separate lab building, so the visit is one stop.
We don't bill insurance for labs — the rate you see is the rate you pay, not an unpredictable explanation-of-benefits surprise weeks later.
We negotiate volume rates with our reference labs and add a modest overhead to cover the visit. The all-in price is still meaningfully less than the same panel cash-pay through a lab or marked up through an insured pathway.
Phlebotomy happens at your visit. No separate trip to a lab building, no fasting in a strange waiting room, no chasing paperwork later.
Two flavors of genetic testing live in the clinic, and they answer different questions. The first is pharmacogenomic — how your body metabolizes the drugs we’re likely to prescribe, from hormone replacement to weight-loss medications to peptides. The second is nutrigenomic and risk-marker work — folate methylation, lipid response, MTHFR, APOE and the handful of variants that quietly shape how you eat, sleep and age. We run it once. The results sit in your chart and inform every protocol decision after.
It’s not a horoscope — it’s a baseline that lets us stop guessing on dose. And genetic risk markers are informational, not deterministic: carrying a variant doesn’t mean a diagnosis is coming, only that we’ll watch the right things sooner.
Fagron Genomics is pharmacogenomic testing built specifically for compounded medications — including bioidentical hormones and the peptides we prescribe. It’s particularly useful for women’s HRT, where estradiol dosing varies wildly by metabolism, and for men’s TRT, where aromatase variants change how testosterone converts. A single buccal swab; results inform the dose your compounding pharmacy actually prepares. The prescription matches your biology, not a population average.
Galleri is the multi-cancer early detection blood test from GRAIL. A single draw looks for shared cell-free DNA signals across 50+ cancer types — many of which have no standard screening today, including pancreatic, ovarian, liver and esophageal. It is in addition to mammograms, colonoscopies and Paps, never a replacement. Best suited for adults 50+ or with elevated cancer risk.
Not FDA-approved. Holds FDA Breakthrough Device designation; run through a CLIA-certified lab.
“Cancer Signal Detected” or “No Cancer Signal Detected.” If detected, predicts a likely tissue of origin to guide workup.
About 50% across all stages — higher in advanced disease, lower very early. False positives exist but are rare.
We sit with you to read the result — not a portal notification.
Vibrant Wellness is a functional medicine lab we reach for when symptoms don’t track with the standard workup — when the bloodwork looks fine and the patient still doesn’t feel right. We don’t order every panel for every patient; we choose based on the clinical question in the room.
These are functional panels — results inform protocol decisions but aren’t diagnostic in the strict pathology sense.
A specific note on food sensitivity testing: IgG panels are debated in the literature. We use them as one input among many, not as a diagnosis.
Book a 90-minute baseline visit and walk out with your numbers. Or call and we'll talk through which scans answer the question you actually came in with — one diagnostic, or all five.
Diagnostic services at Bespoke are provided for wellness and longevity guidance and do not replace primary or specialist medical care. Reference ranges, optimal targets and recommendations are reviewed individually by your clinician. Pricing shown is for context; exact pricing is confirmed at consult. Bespoke is a direct-pay practice and does not bill insurance.
Plus: how we’d use a summer with the schedule on your side. One page, refreshed each month.
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