HSA-eligible | Cancel Anytime

MEET NIAHEALTH

It’s time you take control of your cholesterol

Get at-home testing of 50+ biomarkers and personalized support to optimize your cholesterol and elevate your health trajectory.

WHY IT MATTERS

Cholesterol is often termed the silent killer

Having high cholesterol is scary. Suboptimal levels can affect your heart, brain, and even your risk for chronic diseases.
+40%
of Canadians aged 20 to 79 have an unhealthy level of total cholesterol
2.6M
Canadian adults age 20+ live with diagnosed heart disease
14
Canadian adults age 20+ with diagnosed heart disease die every hour
WHAT IS NIAHEALTH
WHAT IS NIAHEALTH

Advanced testing & personalized health insights made accessible to everyone

We make it accessible to everyone with advanced testing and personalized plans - powered by the latest science.

Advanced Testing

Get advanced biomarker testing of 50+ biomarkers, including hormones, thyroid, heart, metabolism, and more. Select between convenient in-clinic appointments or the comfort of at-home testing.

Personalized Insights

Our dedicated clinical team (not AI) reviews all of your results and crafts personalized recommendations based on insights developed by the world’s top doctors. Say goodbye to generic advice and lengthy PDFs.

Specialized Care Team

Our team of physicians and experts are all trained in the latest science and will work with you to set and achieve your goals. Our mission is to empower you with the knowledge and resources to be healthier, for longer.

Advanced Testing

Get advanced health testing of 50+ advanced markers, including hormones, thyroid, heart, metabolism, and more. Select between convenient in-clinic appointments or the comfort of at-home testing.

Personalized Insights

Say goodbye to generic advice and lengthy PDFs. Our reports are easy to read, easy to understand, and entirely personalized to you, based on insights developed by the world’s top doctors.

Specialized Care Team

Our team of physicians and experts are all trained in the latest science, and will work with you to set and achieve your goals. Our mission is to empower you with the knowledge and resources to optimize your health.
WHY NIAHEALTH

Change your health trajectory today

90%
of clients discover a previously unknown health issue or risk
42%
of clients uncover an unknown pre-diabetes or diabetes
18%
of clients uncover an unknown genetic risk of heart disease
90%
of clients discover a previously unknown health issue or risk
42%
of clients uncovered unknown pre-diabetes or diabetes
18%
of clients uncovered unknown genetic risk of heart disease
OUR APPROACH & OFFERING

Simple Steps to Optimize Your Cholesterol & Prevent Disease

1. Book your tests

Easily schedule your 50+ lab tests within just a few days, not months. Select between convenient in-clinic appointments or at-home testing.

Our comprehensive testing panel includes evidence-based heart markers, such as Lp(a), ApoB, LDL-C, HDL-C, non-HDL-C, Triglycerides, Total Cholesterol, hs-CRP, Uric Acid. See the complete list of biomarkers we tests for below.

2. Receive a personalized action plan

Get comprehensive insights with clinician-reviewed results. Your report includes a detailed summary of your results and actionable recommendation hand-crafted by our clinical team - not AI.

3. Meet your clinician

Receive a full, in-depth 1:1 consult with a healthspan-clinician to discuss your symptoms, concerns, and health history. Our team is available for follow-up consults whenever you need it.

4. Enjoy on-going, holistic support

Follow your personalized recommendations with ongoing support from our clinical team. Retest to track your progress and stay in control of your health journey. If needed, we can also assist you in getting a coronary artery calcium (CAC) test, which can reveal your heart disease risk, often before other warning signs appear.

What success looks and feels like

Hear from our members about their NiaHealth experience and the impact it's made on their health journey.
TOP PLAN FOR HEART HEALTH

Plus Membership

$50 / month

Charged annually at $599

Our clinicians provide a comprehensive approach, combining advanced, ongoing testing and personalized 1:1 support to help you take control of your health trajectory. HSA-eligible. Cancel anytime.

On-going Advanced Testing
  • 50+ biomarker testing every year for continuous data-driven insights. This includes key evidence-based heart markers, such as Lp(a), ApoB, LDL-C, HDL-C, non-HDL-C, Triglycerides, Total Cholesterol, hs-CRP, Uric Acid. See the complete list of biomarkers we tests for below.
Personalized Clinical Support
  • Annual 1:1 consultations with the same clinician to see how your heart health care plan is going.
  • We work with your family doctor and other specialists to support access to tests and treatment options (if needed). This can include coronary artery calcium (CAC) test, which can reveal your heart disease risk, often before other warning signs appear.
  • Healthspan concierge service for on-going support
Personalized Action Plan
  • Nutrition, exercise, and sleep support
  • Stress management advice
  • Recommendations for cognitive behavior therapy, physiotherapy etc.

We measure & track 50+ biomarkers

Our expert clinical team has carefully curated each test to offer a comprehensive view of your evolving health needs. Click to learn more.

Lp(a)

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Lipoprotein(a) or Lp(a) is a type of LDL cholesterol molecule with an additional protein called apolipoprotein(a). Elevated levels of Lp(a) in the blood are considered an independent risk factor for heart diseases, such as coronary artery disease and aortic valve stenosis.

ApoB

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Apolipoprotein B100 (ApoB) is a protein that marks problematic cholesterol-carrying particles, such as LDL. Elevated concentrations of these particles indicate a higher risk of artery-clogging events, making it a significant marker for cardiovascular risk.

LDL-c

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Low-density lipoprotein-cholesterol (LDL-c) is a measure of cholesterol content carried by atherogenic particles in the body. While cholesterol is essential for building cells and certain hormones, when deposited in artery walls, it can create inflammation and narrowing of blood vessels thereby increasing the risk of cardiovascular events like heart attacks and strokes.

HDL-c

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High-density lipoprotein cholesterol (HDL-c) is the cholesterol concentration found within high-density lipoprotein molecules, which play a vital role in removing cholesterol from the bloodstream. These particles act as a cleaner of blood vessels and are thought to be protective against heart disease.

non-HDL-c

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Non-high-density lipoprotein cholesterol (non-HDL-c) measures the cholesterol content in all atherogenic particles. It gives insight into the risk of arterial buildup of cholesterol making it an important measure for heart disease risk.

Triglycerides

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Triglycerides are a kind of fat in the blood. High levels, especially in combination with other lipid imbalances, may heighten the risk of cardiovascular diseases.

Total Cholesterol

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Total cholesterol is a measurement that quantifies the sum of all types of cholesterol in the bloodstream and is used in the calculation of non-HDL-c. Measuring total cholesterol is a common part of lipid panels and provides a broad overview of an individual's cholesterol profile. No specific ranges or parameters are necessary for this collective marker.

Homocysteine

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Homocysteine is an amino acid in the blood. Elevated levels can suggest an increased risk for heart and blood vessel diseases, and even hint at vitamin deficiencies.

hs-CRP

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hs-CRP, or high-sensitivity C-reactive protein, is a marker indicating inflammation in the body. Elevated levels suggest increased inflammation which can be a risk factor for heart disease. Various factors, including infections, injuries, and chronic inflammation, can influence hs-CRP levels.

Uric acid

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Uric acid is produced during the breakdown of purines, substances found in certain foods and drinks. High levels in the blood can lead to conditions like gout or kidney stones. Factors influencing uric acid include diet, kidney function, and certain genetic factors.

Hemoglobin

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Hemoglobin is a protein in red blood cells that carries oxygen. Low levels suggest anemia. Iron status, bone marrow health, and hydration can affect hemoglobin values.

RBC

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RBC, or Red Blood Cell count, indicates the number of oxygen-carrying cells. Abnormal counts can suggest anemia or hydration issues. Factors influencing RBC include bone marrow function and overall health.

HCT

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Hematocrit (HCT) shows the portion of blood made of red blood cells. It provides insight into oxygen-carrying capacity. Dehydration, lung health, and bone marrow function can influence HCT values.

MCV

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Mean corpuscular volume (MCV) measures the average size of red blood cells. It is key for classifying types of anemia. Bone marrow function and iron status play roles in MCV levels.

MCHC

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Mean Corpuscular Hemoglobin Concentration (MCHC) gauges the average concentration of hemoglobin in red blood cells. It is used in anemia diagnosis. Factors affecting MCHC include iron status and bone marrow health.

RDW

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Red blood cell distribution width (RDW) indicates the variation in red blood cell size. It is used to diagnose and classify anemia. Bone marrow function and iron status can influence RDW.

WBC

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WBC, or White Blood Cell count, measures immune cells in the blood. High or low levels can suggest infections or other conditions. Immune function, bone marrow health, and certain diseases can affect WBC values.

Platelets

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Platelets are small blood cells vital for clotting. Abnormal counts can suggest bleeding disorders or certain diseases. Bone marrow function, immune health, and certain conditions can influence platelet counts.

Neutrophils

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Neutrophils are white blood cells crucial for fighting bacterial infections. Abnormal levels can suggest infections, inflammation, or other conditions. Factors include immune responses, certain medications, and bone marrow health.

Lymphocytes

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Lymphocytes play a role in the body's immune response, targeting viruses and cancers. Abnormal counts can indicate viral infections or immune disorders. Immune health, certain diseases, and bone marrow function can influence lymphocyte levels.

Monocytes

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Monocytes are white blood cells that become macrophages, essential for fighting infections. Elevated or reduced levels can hint at chronic inflammation or certain diseases. Factors influencing monocyte counts include immune function and overall health.

Eosinophils

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Eosinophils fight parasites and are involved in allergic reactions. High counts can suggest allergies or parasitic infections. Allergic conditions, certain medications, and immune responses can impact eosinophil levels.

Basophils

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Basophils are involved in allergic responses. Elevated levels are rare but can suggest certain blood disorders. Allergies, immune function, and certain conditions can influence basophil counts.

nRBC

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nRBC, or nucleated Red Blood Cells, are immature RBCs. Presence in the bloodstream can hint at bone marrow stress or diseases. Bone marrow health and certain conditions can impact nRBC presence.

Blasts

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Blasts are immature blood cells. Elevated levels in the bloodstream can be a sign of certain blood cancers. Factors influencing blasts include bone marrow function and specific diseases.

Sodium

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Sodium is an essential mineral responsible for maintaining fluid balance in the body. Abnormal levels, either too high or too low, can indicate dysfunction in numerous bodily systems or medication side effects. Sodium balance is primarily influenced by dietary intake and kidney function.

Potassium

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Potassium is a critical mineral that ensures proper nerve and muscle cell functioning. Imbalances can cause arrhythmias or muscle weakness. The body's potassium levels are largely affected by dietary intake, kidney function, and certain medications.

Creatinine

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Creatinine is a byproduct of muscle metabolism. Elevated levels in the blood can indicate impaired kidney function, as the kidneys are responsible for its filtration and excretion. Factors influencing creatinine include muscle mass, age, and kidney health.

eGFR

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eGFR, or estimated Glomerular Filtration Rate, is a measure of kidney function. A low eGFR indicates that the kidneys may not be filtering the blood effectively. It is calculated using age, sex, creatinine levels, and other factors.

Urea

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Urea is a waste product formed from protein breakdown. Elevated blood urea levels can suggest reduced kidney function, as kidneys play a role in its removal. Dietary protein intake, hydration status, and kidney function can influence urea levels.

Urine Albumin-to-Creatinine Ratio (ACR)

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The urine albumin-to-creatinine ratio (ACR) test is a diagnostic tool used to assess kidney function and detect signs of kidney damage, particularly related to conditions like diabetes and high blood pressure.

ALT

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Alanine aminotransferase (ALT) is an enzyme found in the liver. Elevated ALT levels in the blood can indicate liver damage or inflammation. Factors like alcohol consumption, medications, or certain diseases can impact ALT levels.

AST

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Aspartate aminotransferase (AST) is another enzyme originating from the liver and some other organs. Elevated levels can signal liver injury or other tissue damage. Various factors, including liver health, medications, and alcohol, can influence AST values.

ALP

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Alkaline phosphatase (ALP) is an enzyme linked to the liver and the bones. High levels can suggest liver disease or bone disorders. Age, bone growth, and liver health are among the factors affecting ALP.

GGT

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Gamma glutamyl transferase (GGT) is a liver enzyme. An increase in its levels often points to liver disease or bile duct issues. Alcohol consumption and certain medications can also raise GGT levels.

Total Bilirubin

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Total bilirubin is derived from the breakdown of red blood cells (RBCs). High levels can cause jaundice and suggest liver dysfunction or certain types of anemia. Factors like liver health and rapid RBC breakdown influence bilirubin levels.

Albumin

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Albumin is a significant protein the liver produces. Decreased levels can hint at liver or kidney disorders, or malnutrition. The state of liver function and nutritional status play a role in determining albumin levels.

TSH

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TSH regulates thyroid function. Abnormal levels can suggest a thyroid that is overactive or underactive. TSH levels are influenced by the pituitary gland's response to thyroid hormone levels.

Magnesium

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Magnesium is a mineral vital for muscle, nerve, and enzyme functions. Imbalanced levels can lead to muscle cramps or cardiac issues. Dietary intake, kidney health, and certain medications can affect magnesium levels.

Vitamin B12

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Vitamin B12 is essential for nerve function and DNA formation. Deficiency can result in fatigue and neurological issues. B12 levels are influenced by diet, absorption efficiency, and certain medications.

Ferritin

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Ferritin is a protein that stores iron. Low levels typically indicate iron deficiency, while high levels might suggest inflammation or iron overload. Factors like iron intake, inflammation, and certain conditions can impact ferritin values.

Iron

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Iron is a crucial mineral for producing red blood cells. Imbalances can lead to conditions like anemia or iron overload. Dietary intake, absorption rates, and blood loss influence iron levels.

TIBC

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TIBC measures the blood's capacity to bind iron. Elevated TIBC often indicates iron-deficiency anemia. Factors affecting TIBC include iron status and liver function.

Saturation Index

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The saturation index indicates the percentage of iron-binding sites occupied by iron. It is crucial for diagnosing iron-related disorders. Iron levels and TIBC values determine the saturation index.

Folate

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Folate is a B-vitamin necessary for DNA synthesis. It is especially important to maintain at optimal levels in pregnancy. Dietary intake and absorption rates play roles in folate levels.

A1c

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Hemoglobin A1c, or A1c provides a snapshot of average blood sugar levels over the past 2-3 months. It is a key indicator of diabetes management and risk. Factors that can influence A1c levels include blood sugar control, diet, and medication adherence.

Glucose (Fasting)

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Fasting plasma glucose measures blood sugar levels after an overnight fast. It is a primary tool for diagnosing diabetes. Elevated levels can indicate the body's inability to regulate sugar effectively. Diet, pancreatic function, and insulin sensitivity play roles in determining these levels.

Insulin (Fasting)*

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Fasting insulin levels give insight into how much insulin the body is producing when you have not eaten. Elevated levels can suggest insulin resistance, a precursor to diabetes. Factors that influence fasting insulin include diet, activity level, and overall metabolic health.

*Only available for in-clinic draws

Calcium

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Calcium is vital for bone health and muscle function. Imbalances can suggest bone disorders or issues with the parathyroid gland. Factors include dietary intake, vitamin D levels, and kidney function.

Phosphate

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Phosphate is essential for energy production and bone health. Abnormal levels can point to kidney disease or calcium metabolism issues. Dietary intake, kidney health, and parathyroid function influence phosphate levels.

Vitamin D

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Vitamin D helps in calcium absorption and bone health. Low levels can lead to bone loss or other disorders. Sun exposure, diet, and absorption rates can affect vitamin D levels.

Total Testosterone (add-on)

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Testosterone is a sex hormone that plays a key role in supporting bone health, density and strength as well as libido and sexual function. Testosterone is primarily produced by the testes in males and, to a lesser extent, by the ovaries in females. 98% of testosterone is found bound to carrier proteins (sex-hormone binding globulin (SHBG) and to a lesser degree albumin). Between 1-3% is free, unbound testosterone. Total testosterone measures the testosterone that is biologically active (bound to albumin, but not SHBG) along with that which is inactive.

Free Testosterone (add-on)

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Free testosterone refers to the portion of testosterone in the bloodstream that is not bound to proteins, such as sex hormone-binding globulin (SHBG) or albumin. This form of testosterone is considered the active form because it can easily enter cells and exert its biological effects. Free testosterone is a crucial factor in various bodily functions, including libido, muscle mass maintenance, bone density, and mood regulation. While total testosterone levels are essential, free testosterone levels provide a more accurate representation of the hormone's availability for cellular uptake, utilization and better correlates with signs and symptoms.

Luteinizing hormone (LH) (add-on for females 45-55 years old)

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Luteinizing hormone (LH) is a hormone produced by the pituitary gland that regulates reproductive health, the menstrual cycle, and ovulation in females. 

Follicle-stimulating hormone (FSH) (add-on for females 45-55 years old)

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Follicle-stimulating hormone (FSH) helps promote the growth and development of eggs in females and the control of estrogen. In menopause, follicle-stimulating hormone (FSH) levels typically rise as ovarian function declines.

Estradiol (add-on for females 45-55 years old)

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Estradiol is the primary form of estrogen in the body, and it plays a role in the regulation of the female reproductive system. It contributes to the development and maintenance of female reproductive tissues, influences the menstrual cycle, and has effects on various organs and tissues, including the breasts and bones.

B-HCG (add-on for females 45-55 years old)

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Human chorionic gonadotropin (B-HCG) is a hormone used most commonly in detecting pregnancy. As women move into perimenopause and menopause ovulation, and therefore the period of fertility, becomes less predictable. It is important to rule out pregnancy as the cause of missed periods. Other disease states can also produce B-hCG; therefore, elevated levels in menopausal women who are not pregnant require further investigation.

Progesterone (add-on for females 45-55 years old)

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Progesterone (P4) is an endogenous steroid and progestogen sex hormone involved in the menstrual cycle. The main function of progesterone is to prepare the endometrium (lining of your uterus) for a fertilized egg to implant and grow.

Track 50+ biomarkers over time

Our expert clinical team has carefully curated each test to offer a comprehensive view of your evolving health needs. Click here to see all biomarkers we test for by plan.

Lp(a)

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Lipoprotein(a) or Lp(a) is a type of LDL cholesterol molecule with an additional protein called apolipoprotein(a). Elevated levels of Lp(a) in the blood are considered an independent risk factor for heart diseases, such as coronary artery disease and aortic valve stenosis.

ApoB

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Apolipoprotein B100 (ApoB) is a protein that marks problematic cholesterol-carrying particles, such as LDL. Elevated concentrations of these particles indicate a higher risk of artery-clogging events, making it a significant marker for cardiovascular risk.

LDL-c

keyboard_arrow_down

Low-density lipoprotein-cholesterol (LDL-c) is a measure of cholesterol content carried by atherogenic particles in the body. While cholesterol is essential for building cells and certain hormones, when deposited in artery walls, it can create inflammation and narrowing of blood vessels thereby increasing the risk of cardiovascular events like heart attacks and strokes.

HDL-c

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High-density lipoprotein cholesterol (HDL-c) is the cholesterol concentration found within high-density lipoprotein molecules, which play a vital role in removing cholesterol from the bloodstream. These particles act as a cleaner of blood vessels and are thought to be protective against heart disease.

non-HDL-c

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Non-high-density lipoprotein cholesterol (non-HDL-c) measures the cholesterol content in all atherogenic particles. It gives insight into the risk of arterial buildup of cholesterol making it an important measure for heart disease risk.

Triglycerides

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Triglycerides are a kind of fat in the blood. High levels, especially in combination with other lipid imbalances, may heighten the risk of cardiovascular diseases.

Total Cholesterol

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Total cholesterol is a measurement that quantifies the sum of all types of cholesterol in the bloodstream and is used in the calculation of non-HDL-c. Measuring total cholesterol is a common part of lipid panels and provides a broad overview of an individual's cholesterol profile. No specific ranges or parameters are necessary for this collective marker.

Homocysteine

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Homocysteine is an amino acid in the blood. Elevated levels can suggest an increased risk for heart and blood vessel diseases, and even hint at vitamin deficiencies.

hs-CRP

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hs-CRP, or high-sensitivity C-reactive protein, is a marker indicating inflammation in the body. Elevated levels suggest increased inflammation which can be a risk factor for heart disease. Various factors, including infections, injuries, and chronic inflammation, can influence hs-CRP levels.

Uric acid

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Uric acid is produced during the breakdown of purines, substances found in certain foods and drinks. High levels in the blood can lead to conditions like gout or kidney stones. Factors influencing uric acid include diet, kidney function, and certain genetic factors.

Hemoglobin

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Hemoglobin is a protein in red blood cells that carries oxygen. Low levels suggest anemia. Iron status, bone marrow health, and hydration can affect hemoglobin values.

RBC

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RBC, or Red Blood Cell count, indicates the number of oxygen-carrying cells. Abnormal counts can suggest anemia or hydration issues. Factors influencing RBC include bone marrow function and overall health.

HCT

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Hematocrit (HCT) shows the portion of blood made of red blood cells. It provides insight into oxygen-carrying capacity. Dehydration, lung health, and bone marrow function can influence HCT values.

MCV

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Mean corpuscular volume (MCV) measures the average size of red blood cells. It is key for classifying types of anemia. Bone marrow function and iron status play roles in MCV levels.

MCHC

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Mean Corpuscular Hemoglobin Concentration (MCHC) gauges the average concentration of hemoglobin in red blood cells. It is used in anemia diagnosis. Factors affecting MCHC include iron status and bone marrow health.

RDW

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Red blood cell distribution width (RDW) indicates the variation in red blood cell size. It is used to diagnose and classify anemia. Bone marrow function and iron status can influence RDW.

WBC

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WBC, or White Blood Cell count, measures immune cells in the blood. High or low levels can suggest infections or other conditions. Immune function, bone marrow health, and certain diseases can affect WBC values.

Platelets

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Platelets are small blood cells vital for clotting. Abnormal counts can suggest bleeding disorders or certain diseases. Bone marrow function, immune health, and certain conditions can influence platelet counts.

Neutrophils

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Neutrophils are white blood cells crucial for fighting bacterial infections. Abnormal levels can suggest infections, inflammation, or other conditions. Factors include immune responses, certain medications, and bone marrow health.

Lymphocytes

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Lymphocytes play a role in the body's immune response, targeting viruses and cancers. Abnormal counts can indicate viral infections or immune disorders. Immune health, certain diseases, and bone marrow function can influence lymphocyte levels.

Monocytes

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Monocytes are white blood cells that become macrophages, essential for fighting infections. Elevated or reduced levels can hint at chronic inflammation or certain diseases. Factors influencing monocyte counts include immune function and overall health.

Eosinophils

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Eosinophils fight parasites and are involved in allergic reactions. High counts can suggest allergies or parasitic infections. Allergic conditions, certain medications, and immune responses can impact eosinophil levels.

Basophils

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Basophils are involved in allergic responses. Elevated levels are rare but can suggest certain blood disorders. Allergies, immune function, and certain conditions can influence basophil counts.

nRBC

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nRBC, or nucleated Red Blood Cells, are immature RBCs. Presence in the bloodstream can hint at bone marrow stress or diseases. Bone marrow health and certain conditions can impact nRBC presence.

Blasts

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Blasts are immature blood cells. Elevated levels in the bloodstream can be a sign of certain blood cancers. Factors influencing blasts include bone marrow function and specific diseases.

Sodium

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Sodium is an essential mineral responsible for maintaining fluid balance in the body. Abnormal levels, either too high or too low, can indicate dysfunction in numerous bodily systems or medication side effects. Sodium balance is primarily influenced by dietary intake and kidney function.

Potassium

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Potassium is a critical mineral that ensures proper nerve and muscle cell functioning. Imbalances can cause arrhythmias or muscle weakness. The body's potassium levels are largely affected by dietary intake, kidney function, and certain medications.

Creatinine

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Creatinine is a byproduct of muscle metabolism. Elevated levels in the blood can indicate impaired kidney function, as the kidneys are responsible for its filtration and excretion. Factors influencing creatinine include muscle mass, age, and kidney health.

eGFR

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eGFR, or estimated Glomerular Filtration Rate, is a measure of kidney function. A low eGFR indicates that the kidneys may not be filtering the blood effectively. It is calculated using age, sex, creatinine levels, and other factors.

Urea

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Urea is a waste product formed from protein breakdown. Elevated blood urea levels can suggest reduced kidney function, as kidneys play a role in its removal. Dietary protein intake, hydration status, and kidney function can influence urea levels.

Urine Albumin-to-Creatinine Ratio (ACR)

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The urine albumin-to-creatinine ratio (ACR) test is a diagnostic tool used to assess kidney function and detect signs of kidney damage, particularly related to conditions like diabetes and high blood pressure.

ALT

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Alanine aminotransferase (ALT) is an enzyme found in the liver. Elevated ALT levels in the blood can indicate liver damage or inflammation. Factors like alcohol consumption, medications, or certain diseases can impact ALT levels.

AST

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Aspartate aminotransferase (AST) is another enzyme originating from the liver and some other organs. Elevated levels can signal liver injury or other tissue damage. Various factors, including liver health, medications, and alcohol, can influence AST values.

ALP

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Alkaline phosphatase (ALP) is an enzyme linked to the liver and the bones. High levels can suggest liver disease or bone disorders. Age, bone growth, and liver health are among the factors affecting ALP.

GGT

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Gamma glutamyl transferase (GGT) is a liver enzyme. An increase in its levels often points to liver disease or bile duct issues. Alcohol consumption and certain medications can also raise GGT levels.

Total Bilirubin

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Total bilirubin is derived from the breakdown of red blood cells (RBCs). High levels can cause jaundice and suggest liver dysfunction or certain types of anemia. Factors like liver health and rapid RBC breakdown influence bilirubin levels.

Albumin

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Albumin is a significant protein the liver produces. Decreased levels can hint at liver or kidney disorders, or malnutrition. The state of liver function and nutritional status play a role in determining albumin levels.

TSH

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TSH regulates thyroid function. Abnormal levels can suggest a thyroid that is overactive or underactive. TSH levels are influenced by the pituitary gland's response to thyroid hormone levels.

Magnesium

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Magnesium is a mineral vital for muscle, nerve, and enzyme functions. Imbalanced levels can lead to muscle cramps or cardiac issues. Dietary intake, kidney health, and certain medications can affect magnesium levels.

Vitamin B12

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Vitamin B12 is essential for nerve function and DNA formation. Deficiency can result in fatigue and neurological issues. B12 levels are influenced by diet, absorption efficiency, and certain medications.

Ferritin

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Ferritin is a protein that stores iron. Low levels typically indicate iron deficiency, while high levels might suggest inflammation or iron overload. Factors like iron intake, inflammation, and certain conditions can impact ferritin values.

Iron

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Iron is a crucial mineral for producing red blood cells. Imbalances can lead to conditions like anemia or iron overload. Dietary intake, absorption rates, and blood loss influence iron levels.

TIBC

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TIBC measures the blood's capacity to bind iron. Elevated TIBC often indicates iron-deficiency anemia. Factors affecting TIBC include iron status and liver function.

Saturation Index

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The saturation index indicates the percentage of iron-binding sites occupied by iron. It is crucial for diagnosing iron-related disorders. Iron levels and TIBC values determine the saturation index.

Folate

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Folate is a B-vitamin necessary for DNA synthesis. It is especially important to maintain at optimal levels in pregnancy. Dietary intake and absorption rates play roles in folate levels.

A1c

keyboard_arrow_down

Hemoglobin A1c, or A1c provides a snapshot of average blood sugar levels over the past 2-3 months. It is a key indicator of diabetes management and risk. Factors that can influence A1c levels include blood sugar control, diet, and medication adherence.

Glucose (Fasting)

keyboard_arrow_down

Fasting plasma glucose measures blood sugar levels after an overnight fast. It is a primary tool for diagnosing diabetes. Elevated levels can indicate the body's inability to regulate sugar effectively. Diet, pancreatic function, and insulin sensitivity play roles in determining these levels.

Insulin (Fasting)*

keyboard_arrow_down

Fasting insulin levels give insight into how much insulin the body is producing when you have not eaten. Elevated levels can suggest insulin resistance, a precursor to diabetes. Factors that influence fasting insulin include diet, activity level, and overall metabolic health.

*Only available for in-clinic draws

Calcium

keyboard_arrow_down

Calcium is vital for bone health and muscle function. Imbalances can suggest bone disorders or issues with the parathyroid gland. Factors include dietary intake, vitamin D levels, and kidney function.

Phosphate

keyboard_arrow_down

Phosphate is essential for energy production and bone health. Abnormal levels can point to kidney disease or calcium metabolism issues. Dietary intake, kidney health, and parathyroid function influence phosphate levels.

Vitamin D

keyboard_arrow_down

Vitamin D helps in calcium absorption and bone health. Low levels can lead to bone loss or other disorders. Sun exposure, diet, and absorption rates can affect vitamin D levels.

Total Testosterone (add-on)

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Testosterone is a sex hormone that plays a key role in supporting bone health, density and strength as well as libido and sexual function. Testosterone is primarily produced by the testes in males and, to a lesser extent, by the ovaries in females. 98% of testosterone is found bound to carrier proteins (sex-hormone binding globulin (SHBG) and to a lesser degree albumin). Between 1-3% is free, unbound testosterone. Total testosterone measures the testosterone that is biologically active (bound to albumin, but not SHBG) along with that which is inactive.

Free Testosterone (add-on)

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Free testosterone refers to the portion of testosterone in the bloodstream that is not bound to proteins, such as sex hormone-binding globulin (SHBG) or albumin. This form of testosterone is considered the active form because it can easily enter cells and exert its biological effects. Free testosterone is a crucial factor in various bodily functions, including libido, muscle mass maintenance, bone density, and mood regulation. While total testosterone levels are essential, free testosterone levels provide a more accurate representation of the hormone's availability for cellular uptake, utilization and better correlates with signs and symptoms.

Luteinizing hormone (LH) (add-on for females 45-55 years old)

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Luteinizing hormone (LH) is a hormone produced by the pituitary gland that regulates reproductive health, the menstrual cycle, and ovulation in females. 

Follicle-stimulating hormone (FSH) (add-on for females 45-55 years old)

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Follicle-stimulating hormone (FSH) helps promote the growth and development of eggs in females and the control of estrogen. In menopause, follicle-stimulating hormone (FSH) levels typically rise as ovarian function declines.

Estradiol (add-on for females 45-55 years old)

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Estradiol is the primary form of estrogen in the body, and it plays a role in the regulation of the female reproductive system. It contributes to the development and maintenance of female reproductive tissues, influences the menstrual cycle, and has effects on various organs and tissues, including the breasts and bones.

B-HCG (add-on for females 45-55 years old)

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Human chorionic gonadotropin (B-HCG) is a hormone used most commonly in detecting pregnancy. As women move into perimenopause and menopause ovulation, and therefore the period of fertility, becomes less predictable. It is important to rule out pregnancy as the cause of missed periods. Other disease states can also produce B-hCG; therefore, elevated levels in menopausal women who are not pregnant require further investigation.

Progesterone (add-on for females 45-55 years old)

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Progesterone (P4) is an endogenous steroid and progestogen sex hormone involved in the menstrual cycle. The main function of progesterone is to prepare the endometrium (lining of your uterus) for a fertilized egg to implant and grow.

Consult a healthspan-focused clinician

Our clinicians are focused on the applied science of longevity. They are highly-trained nurse practitioners who can help you interpret your results and answer any questions you might have.
Healthspan Optimization

Our clinicians focus on prevention and how to optimize healthspan - rather than on treating the complaint of the day or managing an acute illness.

Preventive Approach

Our clinicians routinely assess biomarkers from a preventive as opposed to diagnostic lens, seeking indicators of one's healthspan - rather than testing based only on symptoms.

Personalized Strategies

Our clinicians attempt to provide detailed lifestyle interventions and personalized strategies as prescriptions - rather than general guidelines for you to follow, helping you take action quicker and more strategically than you may otherwise be able to.

Join NiaHealth
OUR SOLUTION

Your roadmap to prevent disease and optimize your health trajectory

Easily navigate your key health domains - review your results, build an understanding of what’s most important to you, and take action.
Explore your key results. Read your clinical analysis written by our clinical team after every test. Share historical results for progress tracking.
Your personalized health plan is uniquely designed to help you see fast, effective results - rooted in the latest science.
For any follow-ups required with your family physician, we provide a customized letter outlining our findings and recommendations.
Explore sample dashboard
HOW WE COMPARE

What makes NiaHealth checkups different?

Traditional primary care checkups
-
Generic health testing
-
Population-level reference ranges
-
Common, non-specific advice
-
Reactive, sick healthcare
NiaHealth's next-gen checkups
+
Healthspan-focused biomarker testing
+
Optimal, healthspan-centric reference ranges
+
Personalised stepwise action plans
+
Proactive, preventive healthcare
Instead of rushed visits, we offer thorough lab assessments and top-quality care, without the wait time.
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NiaHealth

Executive Health

Primary Care

Wait time

Days

Weeks to months

Weeks to months

Visit time

Virtual - comprehensive 30-min consultation

In-person - 5+ hours

Rushed in-person - 10-15 minute visits

Clinical efficacy of testing

Most comprehensive,
evidence-based testing and optimal reference ranges 

Unnecessary testing, outdated interpretation e.g., ultrasounds, ECGs, respiratory function tests

Standard testing
e.g., basic blood work, blood pressure

Personalized support?

Yes

Yes

No

On-going support?

Yes - 6-month follow-ups with the same clinician

No - only available for an additional fee

Yes

Care model

Healthspan-focused
Optimizing health outcomes that maximize clients' healthspan

Reactive-model
Interpretation based on a reactive model of care

Reactive-model
Focusing on quantity of care

Reporting and tracking

Next-gen dashboard
with clinical analysis and ongoing engagement features

PDFs
of your results and high-level analysis

Print out
of lab values

Price

$299 - $1,299

+$2,500

Free

9 out of 10
customers would recommend us to their friends and family
90%
of customers discover a previously unknown health issue or risk with NiaHeatlh
92%
of customers intend to make behavior changes based on NiaHealth recommendations

Frequently Asked Questions

How do I join NiaHealth

Secure your spot for early access to NiaHealth’s personalized health journey. By joining our waitlist, you reserve priority access to offerings and exclusive features as soon as they’re available. We maintain a waitlist to ensure that each member receives top-tier support and the highest-quality experience as we expand. Once your spot is ready, we’ll notify you by email or text.

If you already have an early access code, click here to sign up today.

Are NiaHealth services covered by my insurance plan?

NiaHealth’s services are not covered under public/government health insurance plans in Canada. However, our service is an HSA-eligible expense (in addition to CRA-eligible medical expense), but it is recommended that you check with your insurer first. You should review the terms of your private health insurance plan or consult with your insurance plan provider to determine if NiaHealth’s service is eligible for reimbursement under your private health insurance plan or any other supplemental benefits.

All biomarkers are ordered and reviewed by an Authorized Medical Provider licensed to practice in your province. If you require additional information for insurance coverage, please contact us directly with the specific information required (via our contact us form). Each insurance provider may require different information for eligibility.

Are NiaHealth services HSA-eligible & CRA-eligible medical expenses?

Yes - our service is HSA-eligible and CRA-eligible medical expenses, but it is recommended that you check with your individual insurer if our services can be covered under any of your other supplemental benefits.

All biomarkers are ordered and reviewed by an Authorized Medical Provider licensed to practice in your province. If you require additional information for your HSA, please contact us directly with the specific information required (via our contact us form). Each HSA may require different information for eligibility.

Are my results going to be shared with my insurance company?

No - we take data privacy and security very seriously. Your results are for your eyes only and will be handled in keeping with our privacy policy.

How is NiaHealth different than my regular family doctor / primary care provider?
  • NiaHealth includes 3-4x more lab tests than your average annual checkup in Canada. This includes heart, thyroid, metabolic, kidneys, liver, nutrients and more. Click here to see a list of all biomarkers we test for.
  • We also use the most up-to-date, evidence-based reference ranges customized to your healthspan and longevity.
  • Our reports go well beyond your average 15 minute checkup and provide you with a level of insight and actionable recommendations that empowers you to take your health to the next level. See more about our products here.
Which biomarkers are covered in the blood test?

Our Essential offering includes the top 35 biomarkers related to your health and longevity, whereas our Plus, Optimum, and Plus Family offerings include a more comprehensive panel of 50 biomarkers. Click here to see our biomarker comparison by plan.

These biomarkers provide insights into your cardiovascular health, liver function, kidney function, blood glucose levels, and various essential vitamins and minerals. Hormonal biomarkers are an add-on and can be selected at checkout. The male hormonal biomarker panel is an add-on that can be selected upon checkout for $65 CAD. Click here to read more about each biomarker.

Do I need a requisition to order a test?

NiaHealth provides a requisition that you will use so you don’t need to worry about this.

Does NiaHealth prescribe medications?

No - we do not prescribe medication. However, we do provide, where applicable, suggestions. For interventions (including medications and supplements), we include a note of suggestions that you can discuss with your current medical team. Prescriptions are left to their discretion.

I have an existing illness or condition. Can you help treat it?

We offer advice to enhance your current health state, emphasizing prevention through exercise, nutrition, sleep, and emotional well-being but not medical management of existing illness. If we discover any incidental health issues, we provide suggestions for discussion with your primary care provider. While our suggestions impact overall health and various chronic conditions, comprehensive medical management of existing illnesses remains the responsibility of your current medical team.

What are my options for getting a blood draw?

Our standard pricing includes a blood draw in the comfort of your home or office via one of our licensed phlebotomists; this visit usually takes no longer than 15 minutes. If you are in Ontario, you can save $100 by going into any one of our partner lab locations.

Do I need to fast?

It is required that you fast for 8-12 hours for most tests. For this reason, we recommend that you plan for a morning test. Click here for more information regarding our blood collection methods.

Can I do a NiaHealth checkup if I am pregnant or breastfeeding?

NiaHealth is not recommended for individuals who are currently pregnant or have been pregnant within the last year. Pregnancy and the postpartum period cause significant changes in the body, which can affect the accuracy of biomarker-based health predictions. Regular pregnancy-specific blood work is important during and after pregnancy and should be coordinated with your maternity care provider. Please consult your doctor, nurse practitioner, midwife, or OB-GYN to discuss your blood work schedule and what it means for your health.

How do I cancel my membership?

Cancel anytime. You can cancel via your dashboard under your profile settings or email support@niahealth.co directly.

If I cancel my NiaHealth membership, can I receive a refund?

You can cancel your NiaHealth annual membership at any time. However, refunds are not provided for past payments or services already used. You can cancel via your dashboard under your profile settings or email support@niahealth.co directly.