Sleep optimization

Full Vitamin Panel Blood Test

Full Vitamin Panel Blood Test

Last Updated

Jun 4, 2026

Table of contents

A full vitamin panel blood test gives you something most checkups skip: a complete view of your micronutrient status. Instead of guessing which vitamins might be low from symptoms, it measures what is actually circulating in your blood, and what might be quietly draining your energy, immunity, and long-term health.

At OneTwenty, full vitamin panels are a cornerstone of our quarterly, longevity-focused lab work. This guide covers what these panels measure, why they matter if you are serious about optimization, and how to turn results into a concrete plan. The difference between a full panel and a standalone vitamin D or B12 test is that a panel reveals interconnected patterns. Low B12 paired with elevated homocysteine, for example, signals a methylation issue that a single B12 test would miss entirely.

Why it matters

The deficiencies hiding in plain sight.

40%
Of US adults are vitamin D deficient, per NHANES data
3x
Infection risk when vitamin D sits below 30 ng/mL
2,000+
Partner lab locations nationwide for your draw
2-5
Business days from draw to results in most cases

The contents

What a full panel measures.

A longevity-focused panel covers fat-soluble vitamins, water-soluble vitamins, and the functional markers that show how well your body is actually using them.

Fat-soluble (A, D, E, K)

Stored in fat and the liver. Vision, immunity, calcium regulation, clotting, antioxidant defense.

Vitamin AVitamin DVitamin EVitamin K

Water-soluble B-complex and C

Energy production, nervous system, red blood cells, DNA synthesis, collagen, and immune support.

B1B2B3B5B6B9 FolateB12Vitamin C

Functional markers

The context that raw vitamin numbers lack. They confirm true deficiency and flag methylation or cardiovascular risk.

HomocysteineMMA25-OH vitamin D

At OneTwenty we often pair the vitamin panel with mineral testing (iron, ferritin, magnesium, zinc), because vitamins and minerals work together. This guide focuses on the vitamin side.

Normal is not optimal

Standard range vs optimal range.

Lab reference ranges show what is common in the general population. They are not the same as optimal. Longevity targets are usually narrower and more demanding than the standard cutoffs, which is where most people quietly fall short.

Vitamin D · 25-OH (ng/mL)Standard calls 20+ sufficient. Longevity target is 40 to 60.
Low
Adequate
Optimal
High
under 20
20 to 40
40 to 60
over 60
Vitamin B12 (pg/mL)Labs flag normal at 200 to 900. Functional optimum is 500 to 1500.
Low
Borderline
Optimal
under 200
200 to 500
500 to 1500
Homocysteine (µmol/L)A methylation and cardiovascular risk marker. Lower is better.
Optimal
Elevated risk
under 10
10 and above
Out of range In range, not optimal Optimal target
More is not better. Excess vitamin A can cause headaches, nausea, and liver issues, and vitamin D above 100 ng/mL risks hypercalcemia and kidney damage. This is exactly why OneTwenty tests before and during supplementation rather than guessing.

Read the signal

Symptoms and their likely culprits.

Many symptoms people write off as aging or stress are correctable vitamin issues. They are nonspecific, which is exactly why testing beats guessing.

Persistent fatigue and brain fog
Check: B12, vitamin D, iron
Frequent infections, slow healing
Check: vitamin D, vitamin C, zinc
Tingling or numbness in hands and feet
Check: B12, which can cause permanent nerve damage if left untreated
Bone pain or higher fracture risk
Check: vitamin D and vitamin K
Easy bruising or bleeding gums
Check: vitamin C, the classic subclinical deficiency
Low mood, seasonal dips, muscle cramps
Check: vitamin D and magnesium

The process

How it works at OneTwenty.

Five steps, from your first questionnaire to a plan you can actually act on.

1
Online health questionnaire

You tell us your goals, whether that is afternoon energy, better sleep, performance, or healthy aging into your 60s and 70s. This tailors both your panel and the interpretation.

2
Order your lab bundle

Your package pairs a full vitamin panel with core longevity tests like CMP, CBC, and thyroid markers. Add specialized tests as needed, such as a mineral panel for magnesium or a celiac screen.

3
Visit a partner lab

Over 2,000 locations nationwide. Fast 8 to 12 hours if instructed, and pause high-dose vitamins 24 to 48 hours before so results reflect your true baseline, not a recent megadose. The draw takes about 10 to 15 minutes.

4
Review results with a clinician

Results arrive in about 2 to 5 business days. A clinician or coach walks you through them and writes a plan: specific supplement forms and doses, food strategies, and re-test intervals.

5
Track trends in your dashboard

When you retest in 90 days, you see trend graphs, not a single snapshot. You watch your vitamin levels, inflammation, and energy move together, with the data to prove the protocol is working.

What that looks like

One member, one marker, six months.

A 52-year-old member started with vitamin D at 24 ng/mL. After a protocol of 4000 IU of D3 daily plus deliberate outdoor time, their six-month retest read 47 ng/mL, right in the optimal band. Winter fatigue dropped and their parathyroid hormone normalized.

Deficient
Adequate
Optimal
Start · 24
6 months · 47
0204060 ng/mL

A second member, 45, came in with afternoon fatigue and brain fog. The panel showed B12 at 180 pg/mL and vitamin D at 22 ng/mL. Three months of targeted supplementation moved both into optimal range, and the fatigue lifted. The point is not the supplement. It is the testing that told them exactly what to fix and the retest that confirmed it worked.

Full panel vs single test

When to order which.

Your situationBetter choice
Establishing a baseline you have never measuredFull panel
Quarterly or annual longevity check-inFull panel
Evaluating status after a major diet change (vegan, keto)Full panel
Catching co-existing issues a single test would missFull panel
Rechecking one known deficiency after treatmentIndividual test
Investigating one specific symptom that points to one nutrientIndividual test
On cost: a standalone vitamin D test runs roughly $50 to $100, while a comprehensive panel covering 13 to 24 markers runs about $200 to $400. When you need multiple data points, the panel is the better value, and it is one blood draw instead of several appointments. At OneTwenty, full panels are the default for baseline and quarterly check-ins, with individual tests layered on for a deeper dive.

Cadence

How often to test.

Who you areFrequencyWhy
Healthy adultsOnce per yearCatches emerging issues before they become problems
Correcting a deficiencyEvery 3 to 6 monthsRecheck B12 at 4 weeks for absorption, then at 3 months for stability
Longevity membersQuarterlyTrack trends and adjust in real time, before changes become symptoms
After major changesShorter, temporarilyVegan B12 can drop 50% in 6 months; metformin depletes B12 in 30% of diabetics over 4 years; PPIs cut absorption up to 30%

The one rule that matters: always retest after changing a supplement or diet. Too many people start vitamin D, never check whether it is working, and hold the same dose for years. Your body is not static, so your dosing should not be either.

The bigger picture

One pillar of a broader lab strategy.

Vitamins in isolation miss patterns that only show up across the whole panel. At OneTwenty we read vitamins alongside the markers that interact with them.

Comprehensive metabolic panel (CMP)
Liver and kidney function, which affect how vitamins are metabolized and stored
Complete blood count (CBC)
Detects anemia patterns that point to B12, folate, or iron deficiency
Iron and ferritin
Iron deficiency often coexists with vitamin gaps and saps energy
Thyroid (TSH, free T4)
Interacts with vitamin D metabolism. Around 40% of Hashimoto’s patients are D deficient

The connections are the point. Low vitamin D plus elevated CRP suggests inflammation is driving the deficiency, or the reverse. Low B12 plus elevated MCV on a CBC points toward megaloblastic anemia that needs attention. Chasing single numbers without context leads to supplement stacking without strategy.

Stop guessing your health

Know where you stand. Then watch it improve.

OneTwenty pairs full vitamin panels with quarterly longevity labs, wearable data, and clinician-built protocols, all tracked in one dashboard so you can see your numbers move over time. OneTwenty launches in June 2026. Join the waitlist to claim your spot.

Join the OneTwenty waitlist

Full vitamin panels · quarterly testing · clinician-reviewed · $499/yr

This article is educational and is not medical advice. Vitamin testing and supplementation should be guided by a licensed clinician, since both deficiency and excess carry real risks. Reference ranges and optimal targets vary by lab, individual, and source.

How OneTwenty Works

How OneTwenty Works

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Get Your Action Plan

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Track in Real Time

+ Get Adjusted

Continuous monitoring with real-time adjustments to your health plan.

Sign Up - Schedule Initial Labs

Get started with comprehensive lab work, done from any Quest location or at-home phlebotomy appointment add on.

Buy or Connect Your Wearable of Choice

Connect your own wearable device for seamless health monitoring.

Buy Your Scale and Blood Pressure Monitor

Complete body and cardiovascular composition analysis and tracking.

Get Your Action Plan

Receive personalized recommendations based on your health data.

Track in Real Time

+ Get Adjusted

Continuous monitoring with real-time adjustments to your health plan.

Sign Up - Schedule Initial Labs

Get started with comprehensive lab work, done from any Quest location or at-home phlebotomy appointment add on.

Buy or Connect Your Wearable of Choice

Connect your own wearable device for seamless health monitoring.

Buy Your Scale and Blood Pressure Monitor

Complete body and cardiovascular composition analysis and tracking.

Get Your Action Plan

Receive personalized recommendations based on your health data.

Track in Real Time

+ Get Adjusted

Continuous monitoring with real-time adjustments to your health plan.

Lifelong Optimization

Not your average
Checkup

Every life stage brings new biological demands. Tracking the right metrics at the right time helps you adapt, optimize performance, and extend both lifespan and healthspan.

Traditional

Manual Data Processing

Guesswork Trend Detection

Slow Campaign Setup

Multiple Tools, Multiple Logins

Reactive Decision-Making

Manual Reporting

Delayed Results

High Error Risk

Automated Data Sync

Real-Time Trend Insights

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All-in-One Platform

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Auto-Generated Reports

Instant Performance Updates

AI Precision

Lifelong Optimization

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Closed Beta

We are currently in closed beta with limited capacity.

Open Beta · Launching June

HSA/FSA Approved

50% off for Founding Members

Hey Nick,

Your Weekly Review

ApoB Density +12% → Elevated cardiovascular risk

Resting HR +6 bpm → Possible overtraining or stress

Sleep Time -42 min → Reduced nightly recovery

BMI Shift -1.8% → Healthy weight improvement

HRV Recovery +22ms → Stronger stress resilience

→ Suggesting root cause (AI Coming soon)

Lifelong Optimization

Join The

Closed Beta

We are currently in closed beta with limited capacity.

First Closed Beta Full
·
Accepting Reservations for Second Cohort

HSA/FSA Approved

50% off for Founding Members

Hey Nick,

Your Weekly Review

ApoB Density +12% → Elevated cardiovascular risk

Resting HR +6 bpm → Possible overtraining or stress

Sleep Time -42 min → Reduced nightly recovery

BMI Shift -1.8% → Healthy weight improvement

HRV Recovery +22ms → Stronger stress resilience

→ Suggesting root cause (AI Coming soon)

Frequently Asked Questions

Clarity before

you commit

Answers on setup, scale, and support to remove blockers.

What’s included in the membership?

Do you accept HSA and FSA?

Do I have to take medications?

Is OneTwenty available in my state/country?

Is it safe & secure (HIPAA)?

Do you treat medical conditions?

Why can't I use my insurance for these labs?

Y

ur

Data

Your

D

e

ices

Your

Longevity

OneTwenty

Live guidance for sleep, hormones, and weight powered by your wearables, smart devices and blood work

Important Details:

*Up to 165 lab data points per year. Exact number varies based on your baseline results and which biomarkers your physician retests each quarter.

**Due to state-specific lab draw requirements in New York and New Jersey, testing is conducted twice per year instead of quarterly. Pricing reflects the higher cost of at-home phlebotomy in these states.


Disclaimer:

OneTwenty is a health technology company. We are not a medical provider, laboratory, or pharmacy. We provide data and tools to help you make informed decisions about your own health and better understand your biological needs.

All clinical services, including lab testing, telehealth consultations, and prescription fulfillment, are provided exclusively by independent, licensed third parties.


OneTwenty facilitates secure communication between you and these providers. OneTwenty does not prescribe medications, provide diagnoses, or offer medical treatment. While we provide personalized insights and protocols, these are not a substitute for professional medical advice.

Always consult your primary care physician before making changes to your health regimen. OneTwenty does not replace your relationship with your physician.

Y

ur

Data

Your

D

e

ices

Your

Longevity

OneTwenty

Live guidance for sleep, hormones, and weight powered by your wearables, smart devices and blood work

Important Details:

*Up to 165 lab data points per year. Exact number varies based on your baseline results and which biomarkers your physician retests each quarter.

**Due to state-specific lab draw requirements in New York and New Jersey, testing is conducted twice per year instead of quarterly. Pricing reflects the higher cost of at-home phlebotomy in these states.


Disclaimer:

OneTwenty is a health technology company. We are not a medical provider, laboratory, or pharmacy. We provide data and tools to help you make informed decisions about your own health and better understand your biological needs.

All clinical services, including lab testing, telehealth consultations, and prescription fulfillment, are provided exclusively by independent, licensed third parties.


OneTwenty facilitates secure communication between you and these providers. OneTwenty does not prescribe medications, provide diagnoses, or offer medical treatment. While we provide personalized insights and protocols, these are not a substitute for professional medical advice.

Always consult your primary care physician before making changes to your health regimen. OneTwenty does not replace your relationship with your physician.

Y

ur

Data

Your

D

e

ices

Your

Longevity

OUTLIVE.

Live guidance for sleep, hormones, and weight powered by your wearables, smart devices and blood work

Important Details:

*Up to 165 lab data points per year. Exact number varies based on your baseline results and which biomarkers your physician retests each quarter.

**Due to state-specific lab draw requirements in New York and New Jersey, testing is conducted twice per year instead of quarterly. Pricing reflects the higher cost of at-home phlebotomy in these states.


Disclaimer:

OneTwenty is a health technology company. We are not a medical provider, laboratory, or pharmacy. We provide data and tools to help you make informed decisions about your own health and better understand your biological needs.

All clinical services, including lab testing, telehealth consultations, and prescription fulfillment, are provided exclusively by independent, licensed third parties.


OneTwenty facilitates secure communication between you and these providers. OneTwenty does not prescribe medications, provide diagnoses, or offer medical treatment. While we provide personalized insights and protocols, these are not a substitute for professional medical advice.

Always consult your primary care physician before making changes to your health regimen. OneTwenty does not replace your relationship with your physician.

Stop Guessing Your Health

Live guidance for sleep, hormones, and weight powered by your wearables, devices + blood work.

Join Beta

Join Beta Waitlist

Stop Guessing Your Health

Live guidance for sleep, hormones, and weight powered by your wearables, devices + blood work.

Join Beta

Join Beta Waitlist