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Functional blood testing

Understanding, not just numbers.

Functional blood testing adds context to your results. It supports a clinical conversation; it does not replace one.

A score is not a diagnosis

Reference ranges and composite scores are tools for interpretation. Your medical history, symptoms and clinical assessment matter. Speak to your clinician about decisions or treatment.

Optimal is not the same as Normal.

NHS reference ranges are calculated from the middle 95% of the general population — which includes people who are tired, overweight, sedentary, and mildly unwell. A result within this range means you are not in the bottom 2.5%. That is a low bar.

Functional optimal ranges are calibrated to the values associated with peak physiological performance — the levels at which your thyroid, liver, cardiovascular system, and immune function operate at their best. They are narrower, more demanding, and more informative.

A result can be within NHS range and simultaneously outside the functional optimal range — and that gap often explains symptoms that have no conventional diagnosis.

TSH (Thyroid)

NHS range
0.27–4.2 mIU/L
Functional optimal
1.0–2.0 mIU/L

Upper NHS range includes compensated thyroid dysfunction

Vitamin D

NHS range
>50 nmol/L
Functional optimal
100–150 nmol/L

Sufficiency vs optimality: a 2× difference

Ferritin

NHS range
15–300 ug/L
Functional optimal
50–233 ug/L

15 ug/L may cause fatigue; functional lower limit is 50

How composite risk scores are calculated.

A single out-of-range biomarker is a flag. A pattern across multiple biomarkers is a risk signal. Our engine evaluates combinations — not individual values — because that is how physiology actually works.

01

Biomarkers are translated

Your laboratory biomarker codes are translated to canonical names and matched against functional optimal ranges. Each value receives a status: Low, Below Optimal, Optimal, Above Optimal, or High.

02

Pattern matching

Each risk domain defines a specific combination of biomarkers and weighted scoring rules. A score is only calculated when sufficient markers are available — preventing spurious results from incomplete panels.

03

Score & tier assignment

Scores run 0–100. Each maps to a tier: Low (0–19), Moderate (20–39), Elevated (40–59), or High (60–100). Insufficient data is shown explicitly rather than hidden or estimated.

The four risk tiers

Low

0–19 / 100

Within functional optimal range. No action required.

Moderate

20–39 / 100

Mild patterns. Monitor and consider lifestyle adjustments.

Elevated

40–59 / 100

Notable patterns. Supplement or lifestyle intervention recommended.

High

60–100 / 100

Significant patterns. Clinical review and targeted intervention advised.

Clinical oversight is built in.

When results meet clinical escalation thresholds, they are flagged before anything else in the report — with specific guidance, the relevant clinical context, and emergency contact information where appropriate. CRITICAL results trigger an immediate clinical alert notification. The patient-facing report and the clinician-facing version use different language — patient language is supportive and clear; clinician language is technically precise and report-ready.

CRITICAL

Results requiring immediate clinical attention. Surfaced first in your report with specific emergency guidance. Clinical alert sent.

URGENT

Results requiring prompt review. Highlighted prominently. GP consultation within 48–72 hours recommended.

ADVISORY

Results outside optimal ranges that warrant monitoring. Shown as an informational notice. No immediate action required.

All 32 risk domains.

Each domain is scored independently. Not every domain is included in every panel — coverage depends on the biomarkers measured.

NameSystem
Cardiometabolic Longevity RiskLongevity / Cardio
Cardiovascular Function RiskCardiovascular
Inflammation RiskImmune
Gut Inflammation RiskDigestive / Immune
Thyroid Dysfunction RiskEndocrine
Liver Function RiskHepatic
Kidney Function RiskRenal
Fatigue & Burnout RiskPerformance / Recovery
Adrenal Stress RiskEndocrine
Mood & Stress Vulnerability RiskNeuroendocrine
Neurological Function RiskNeurological
Cognitive Nutrient DeficiencyCognitive
Gastrointestinal Function RiskDigestive
Bone Metabolism RiskSkeletal
Bone Nutrient DeficiencyStructural
Immune Balance RiskImmune
Immune Suppression Risk (Athlete)Performance / Immune
Autoimmune Tendency RiskImmune / Endocrine
Haematological Function RiskHaematology
Global Micronutrient DeficiencyGeneral
RED-S RiskPerformance / Endocrine
Sex Hormone Balance RiskEndocrine
Mitochondrial Efficiency RiskMetabolic / Cellular
Oxidative Stress RiskCellular / Ageing
Connective Tissue Integrity RiskStructural
Longevity RiskLongevity
Overreaching / Overtraining RiskPerformance
Recovery Inefficiency RiskPerformance / Recovery
Heat & Hydration Stress RiskPerformance / Hydration
Electrolyte DepletionHydration
Iron DeficiencyEnergy / Oxygen
Gallbladder & Biliary Function RiskHepatic / Digestive

Ready to see your risk scores?

Choose a panel, order your test, and receive your full risk intelligence report within 5 working days.

Inside an Inner-me report

Your numbers, in context.

A report should help you understand what each marker means, which findings need attention and what to discuss with your clinician.

Explore a sample report

The sample report uses invented values, not customer results.

Marker bands

See each result alongside its reference and optimal ranges.

Risk scores

Explore composite scores with explanations, rather than isolated numbers.

Important findings first

Critical, urgent and advisory findings are presented in priority order.