In this episode Why standard lab ranges can call a result “normal” while a trend is building underneathWhy adults with Down syndrome benefit from ongoing biomarker monitoring: thyroid function, nutrient status, metabolic and heart markers, and inflammation can all shift quietly over timeA walk through the seven wellness categories covered in one blood draw: cardiovascular, metabolic, kidneys, liver, nutrients, hormones, and bloodThe markers often left out of routine bloodwork, including ApoB, fasting insulin, thyroid antibodies, vitamin D, B12, folate, and full iron studiesEssential vs. Comprehensive panels, and what the Comprehensive panel adds (hsCRP, homocysteine, Free T4, and Free T3)Show notes A standard lab report is a bit like a pass/fail grade. It tells you whether you cleared the bar, but not whether you’re slowly sliding toward it. For many adults with Down syndrome, the most useful information sits between the lines. In this episode, Dr. Blake Butler, DC introduces Down For Greens Labs: Functional Blood Chemistry, a blood chemistry analysis built for the Down syndrome community. Blake explains why adults with Down syndrome have their own health patterns. Thyroid changes, nutrient gaps, metabolic and cardiovascular shifts, and inflammation can develop quietly for years, so a single “normal” result at an annual physical can miss the bigger picture. The conversation covers how functional ranges read each marker in context, and what’s inside the two adult panels. The Essential Panel includes 50+ biomarkers across seven categories, including ApoB, fasting insulin, hemoglobin A1c, thyroid antibodies, vitamin D, B12, folate, and full iron studies. The Comprehensive Panel adds hsCRP, homocysteine, Free T4, and Free T3. Blake also explains why self-pay testing often makes sense. Many of these markers are inconsistently covered by insurance, and paying directly means no referral, a known upfront cost, and the freedom to retest on your own schedule. Because a blood draw can be a big deal for some individuals with Down syndrome, Blake closes with practical prep tips. Hydrate well (water is fine while fasting), book an early morning appointment, keep communication simple and predictable, bring comfort items, and plan a protein-rich snack for afterward. The takeaway: you can’t support what you can’t see. A clearer baseline makes it easier to notice early signals, have better conversations with your provider, and make simple, sustainable changes. How it works Choose the Essential or Comprehensive panel and order onlineGet a standard blood draw at a national lab partner near youA functional medicine expert reviews your resultsReceive personalized, plain-language wellness recommendationsAvailable to adults 18+ in the U.S. (not available in NY, NJ, RI, or HI). Related on Down For Greens Learn more and order: Down For Greens Labs: Functional Blood ChemistryShop the greens complex: Down For Greens SupplementsFrom the blog: Down For Health BlogAll episodes: Down For Health PodcastLearn more at Down For GreensListen and subscribe on Apple Podcasts, Spotify, or wherever you get your podcasts. A note for families This episode is for general education and is not medical advice. Down For Greens Labs provides wellness insights, not medical diagnoses or treatment plans, and does not replace care from your own or your loved one’s healthcare provider. Please keep up routine care, and make any supplement, dietary, or lifestyle changes together with your provider. These statements have not been evaluated by the FDA, and this service is not intended to diagnose, treat, cure, or prevent any disease. About the podcast The Down For Health Podcast is hosted by Dr. Blake Butler, a functional medicine practitioner trained through The Institute for Functional Medicine and founder of Down For Greens. Blake’s older brother Nick has Down syndrome, and that experience shapes every episode.