Genomics laboratory sample processing

Advanced Diagnostics · Genomic Medicine

Your Genome Has the Answers. Now Medicine Can Read Them.

One sample. A complete picture of your hereditary risks, disease susceptibility, and medication compatibility — with results that evolve as the science does.

Book a Genomics Consult
HSA / FSAEligible
CLIA-Certified Lab30× Sequencing DepthOne Sample, Three TestsLifetime Re-Analysis

Why Whole-Genome

Most genetic risk is invisible to standard medicine. Not anymore.

Standard panels — cholesterol, PSA, family history — miss the genetic layer entirely. They assess surface markers. They don't read your DNA.

Whole-genome sequencing integrates your complete genetic blueprint with your clinical profile, producing personalized risk insights that evolve with the science over your lifetime.

0%

Of coronary artery disease risk is hereditary — invisible to standard lipid panels

0%

Of prostate cancer risk is hereditary — invisible to PSA testing alone

0%

Of people carry no single high-risk gene — yet may carry significant polygenic risk

70+

Medications analyzed for your individual genetic response

Three Tests

One genome. Three clinical windows into your risk.

Order individually or together from a single sample. CLIA-certified, CAP-accredited laboratory. Results in 5–6 weeks.

Test 1 — Hereditary Risk Screening

Single-Gene Risk

Screens 84–151 actionable genes for pathogenic variants linked to adult-onset cancers, cardiovascular disease, and metabolic disorders — even without a family history.

  • Cancers — BRCA1/2, Lynch syndrome, familial colon, prostate, ovarian, skin
  • Cardiovascular — Cardiomyopathies, arrhythmias, familial hypercholesterolemia
  • Other — Clotting disorders, metabolic disease, metal metabolism
  • Continuous re-analysis — results update as databases advance
Test 2 — Pharmacogenomics

Medication Response

Analyzes how your genes affect medication processing. Done once — relevant to every prescription you'll ever receive. Especially valuable for hormone therapy, GLP-1s, statins, and psychiatric medications.

  • Identifies poor metabolizers, ultra-rapid metabolizers, and dose-sensitivity profiles
  • Informs Mend protocols — TRT dosing, GLP-1 response, statin selection, antidepressants, pain management
  • Reduces trial-and-error prescribing from day one
  • Permanent reference — share with any future provider
Test 3 — Integrated Polygenic Risk Score

iPRS — Integrated Polygenic Risk Score

Personalized absolute risk estimates for prostate cancer, breast cancer, and coronary artery disease — combining whole-genome sequencing with your clinical factors.

What is a polygenic risk score? Most people carry no single high-risk gene — but may still carry significant cumulative risk from hundreds of thousands of small variants. iPRS aggregates those variants and integrates them with clinical factors like age, PSA, and BMI to produce an absolute percentage risk your practitioner can act on.

Prostate Cancer iPRS

Prostate Cancer Risk

1.3Mgenetic markers analyzed

Absolute 10-year and lifetime risk. Validated in 140,000+ individuals. 8.6% of men without family history showed ~3× elevated incidence.

Breast Cancer iPRS

Breast Cancer Risk

>1Mgenetic markers analyzed

5-year and lifetime risk via Tyrer-Cuzick enhanced with genomic data. Up to 20% of hereditary risk is missed by BRCA1/2 alone. Up to 6% of women reclassified from low- to high-risk.

Coronary Artery Disease iPRS

Heart Disease Risk

higher CAD incidence in reclassified patients

Absolute 10-year CAD risk — more accurate than ASCVD scoring alone. Nearly 10% of borderline-risk patients reclassified as high-risk.

The Process

Simple from Start to Insight

In-person at Mend in Flagstaff, or via at-home kit for Arizona telehealth patients.

1

Sample Collection

Blood draw or buccal swab. One sample covers all three tests — collected in-office or sent as an at-home kit.

2

Sequencing & Analysis

Clinical-grade 30× whole-genome sequencing at a CLIA-certified, CAP-accredited lab. Results in 5–6 weeks.

3

Practitioner Review & Counseling

Your Mend practitioner walks through every result — translating risk scores into clear, personalized next steps.

FAQ

Common Questions

Each answers a distinct question. iPRS asks: "What is my absolute risk for prostate cancer, breast cancer, or coronary artery disease?" Single-Gene Risk asks: "Do I carry a high-impact variant in a specific gene — like BRCA1, Lynch syndrome, or a familial cardiomyopathy gene?" Medication Response asks: "How do my genes affect how I process and respond to specific medications?" All three run from one sample and can be ordered individually or together.

Each test can be ordered individually — your Mend practitioner will recommend what makes sense based on your age, sex, family history, and priorities. Since all three run from the same sample, ordering together is efficient. The Medication Response test is broadly useful for anyone, since your pharmacogenomic profile applies to every prescription you'll ever receive.

Directly. Your CYP450 enzyme variants affect how you metabolize testosterone, process GLP-1 agonists, respond to statins, and tolerate psychiatric medications. Poor metabolizers accumulate standard doses. Ultra-rapid metabolizers clear them before they're effective. Your Mend practitioner uses this data to personalize treatment from day one — instead of working from population averages.

No — these are risk stratification tools, not diagnostic tests. They don't replace mammograms, colonoscopies, PSA tests, or cardiac imaging. They tell you and your practitioner which screenings you need, how often, and how aggressively — enabling earlier intervention and more targeted prevention before anything goes wrong.

Your genome doesn't change — but our understanding of it does. As new genetic associations are discovered, your stored genomic data is re-analyzed against updated science. Your results improve in accuracy over time without a new sample — a significant advantage over single-panel tests, which are static.

Coverage varies by plan and clinical indication. These tests are generally HSA and FSA eligible as practitioner-ordered medical tests. Genomic testing is available as a standalone test, or can be coordinated as part of a Blueprint Longevity workup. Contact us before ordering for current pricing and coverage guidance.

Both. Flagstaff patients collect in-person at Mend Medical. Arizona telehealth patients receive an at-home collection kit with prepaid return shipping. All results are reviewed by your Mend practitioner regardless of collection method.

Your Genome Has Been Speaking.
Time to Listen.

Most people learn about their genetic risks after a diagnosis. A genomics consultation at Mend changes that timeline.