Marrow
Genomics · Genetic Reports · Precision Wellness

Fitness Package

Personalized 5-Report Genetic Package
FitnessInjuriesJoint & Tendon HealthAmino AcidsMitochondrial Support
Sample ClientReport date: 29 July 2026
Genomics · Genetic Reports · Precision Wellness
Marrow Health Laboratories
Marrow
Accession #: MRW-26-664750
Report type: Summary Report
Report status: FINAL

Specimen and client information

Client
Sample Client
Specimen type
Buccal (cheek) swab
Date reported
29 July 2026
Accession
MRW-26-664750
Reports in package
5
Results scored
115 of 142
Need attention
22
Report
Summary Report

The reports inside this package

This one document contains 5 complete genetic reports. Each was scored on its own, then combined here so you can read everything in one place. Every result further down is labelled with the report it came from.

Fitness53 results reported of 38 analytes
Injuries21 results reported of 21 analytes · 50 recommendations
Joint & Tendon Health27 results reported of 27 analytes · 50 recommendations
Amino Acids28 results reported of 28 analytes · 50 recommendations
Mitochondrial Support28 results reported of 28 analytes · 50 recommendations

About this report

This report reads your DNA and sorts every result into one of five plain-language groups, so you can see at a glance what deserves attention and what does not. Nothing here is a diagnosis. A flagged result means your genetics place you above or below the average person for that trait — a reason to ask a question, not a reason to worry.

What each result group means

Worth a conversation with your doctor
These came back with a higher genetic predisposition than most people. That is not a diagnosis — it means these are the ones worth raising at your next appointment.
Running above the typical range
Your genetics point to these sitting higher than average. Often useful to know, sometimes worth monitoring.
Running below the typical range
Your genetics point to these sitting lower than average. Same idea — context, not alarm.
Working in your favour
Good news. Your genetics look protective or better than average here.
In line with most people
Nothing unusual. These were tested and came back typical — worth having on record.

Your results at a glance

How to read this. A result being flagged does not mean you have a condition — it means your genetics put you above or below the average person for that trait. Of the 115 results here, 22 came back worth discussing with a clinician and 10 came back in your favour. Bring this document to your appointment.

What this package looks at

Fitness — If a fitness expert wanted to make an optimal training regime for you, one of the main things they would consider is your performance. There are three main types of performance: power, strength, and endurance. They are mainly influenced by your muscles, though endurance also depends on how well your heart and lungs work.

Injuries — Injuries can significantly affect mobility, daily function, and quality of life. While accidents and physical activities are common causes of injury, genetics also plays a critical role in determining an individual’s susceptibility to certain types of injuries. Whether it's joint and tendon

Joint & Tendon Health — Joint and tendon health is essential for maintaining mobility, flexibility, and overall physical function. Genetic factors play a significant role in determining your susceptibility to various conditions that affect the joints and tendons, such as joint pain, arthritis, and tendon problems. While

Amino Acids — Understanding the genetic predisposition for amino acid levels and needs is crucial for tailoring individual health and nutritional plans. This report delves into how genetic variations can influence the body's ability to absorb, produce, and use amino acids, potentially impacting overall

Mitochondrial Support — Think of mitochondria as tiny power plants inside each of your cells, converting the food you eat into energy that keeps you alive and thriving. But these remarkable cellular structures do much more than just produce energy -they're key players in your overall health and vitality.

What you can actually do

These are ordered by how closely they relate to your flagged results — not generic health advice. Marrow does not prescribe, dose, or tell you to take anything. Diet and lifestyle changes are listed first because they are yours to make. Anything you would swallow is listed separately, by name only, as something to raise with a clinician who knows your history and your medications.

Changes you can make yourself

1
Dietary B Vitamins
Relates to: Homocysteine
relevance
2
Manual Therapy

Reduce Tendon Strain To reduce tendon strain, modify your daily activities to avoid motions that cause discomfort or pain.

Relates to: Shoulder Impingement, Jaw Disorders (TMJ)
relevance
3
Physical Therapy30 minutes

Attend physical therapy sessions 2-3 times per week for a duration of 4-6 weeks, depending on your specific TA condition and the advice of your healthcare provider.

Relates to: Shoulder Impingement, ACL Injury, Ankle Injury, Low Back Injury
relevance
4
Shock Wave Therapy

Schedule and attend sessions for extracorporeal shock wave therapy (ESWT) with a qualified healthcare provider.

Relates to: Heel Pain (Plantar Fasciitis), Shoulder Impingement, Trigger Finger
relevance
5
Exercise Therapy

Begin by consulting with a physical therapist to assess your condition and create a personalized exercise plan.

Relates to: Shoulder Impingement, ACL Injury, Low Back Injury, Jaw Disorders (TMJ)
relevance
6
Strength Training

Engage in strength training exercises, such as weight lifting or bodyweight exercises, for 60 minutes per session, TA 2 to 3 times per week.

Relates to: Homocysteine
relevance
7
Reduce Jaw Strain

Avoid chewing gum, biting on hard foods like nuts or ice, and lengthy yawning.

Relates to: Jaw Disorders (TMJ)
relevance
8
Low-Level Laser Therapy (LLLT)

Use a low-level laser therapy device, as directed by its manual or a healthcare professional, on the affected area.

Relates to: Heel Pain (Plantar Fasciitis), Jaw Disorders (TMJ), Shoulder Impingement
relevance
9
Core-Strengthening Exercises20 minutes

Aim to do TA these exercises for 20-30 minutes, 3 times a week.

Relates to: Low Back Injury, ACL Injury, Abdominal Hernia, Ankle Injury
relevance
10
Acupuncture

Visit a licensed acupuncturist for a session, typically lasting between 30 to 60 minutes, once or twice a week.

Relates to: Heel Pain (Plantar Fasciitis), Jaw Disorders (TMJ), Neck Arthritis
relevance
11
Stability Training30 minutes

Integrate stability exercises into your workout routine 2-3 times per week.

Relates to: Ankle Injury, ACL Injury, Low Back Injury
relevance

Worth asking your clinician about

These came up in the research behind your flagged results. They are listed by name so you can ask about them. Marrow is not recommending them, and gives no dose. Supplements interact with prescription medication and with each other — that conversation belongs with your clinician.

1
Methylfolate
Relates to: Homocysteine
relevance
2
Vitamin B12
Relates to: Homocysteine
relevance
3
Omega-3 (Fish Oil)
Relates to: Homocysteine
relevance

Your headline findings

Of the 115 results in this package, these 8 came back furthest from the population average. Each one below explains what it is, where you sit, and which report it came from. Start here.

Abdominal HerniaMore likely
More likely to have an abdominal hernia based on 11,533 genetic variants we looked at
Your risk is greater than 99% of the population and lower than 1% of the population.

What this actually is

The following factors increase the risk of an abdominal hernia: Increased pressure in the abdomen: This can be due to heavy lifting, diarrhea, constipation, or persistent coughing or sneezing.

Weakness in the abdominal wall: This may be present at birth or develop later in life, often exacerbated by factors like age, chronic strain, or surgical incisions.

Pregnancy: It can put extra pressure on the abdomen.

What you can do

  • Core-Strengthening Exercises 20 minutes
    Aim to do TA these exercises for 20-30 minutes, 3 times a week.
From your Fitness report & Injuries
Groin HerniaMore likely
More likely to get a groin hernia based on 857,808 genetic variants we looked at
Your risk is greater than 99% of the population and lower than 1% of the population.

What this actually is

A hernia occurs when tissue from one body cavity bulges through an opening in your muscle wall into another.

Groin (inguinal) hernia is the most common type of hernia.

Others might occur as a result of: Increased pressure within the abdomen A preexisting weak spot in the abdominal wall Straining during bowel movements or urination Strenuous activity Pregnancy Chronic coughing or sneezing Genetics can have an impact on your susceptibility to a groin hernia.

From your Fitness report & Injuries
Heel Pain (Plantar Fasciitis)More likely
More likely to have plantar fasciitis based on 28,598 genetic variants we looked at
Your risk is greater than 99% of the population and lower than 1% of the population.

What this actually is

Factors that might increase the risk of developing plantar fasciitis include: Age, with it being most common between the ages of 40 and 60 Certain types of exercise, such as long-distance running or ballet dancing Foot mechanics, including having a high arch, flat feet, or an abnormal walking pattern Obesity, which places extra stress on the plantar fascia Occupations that require long periods of standing or walking on hard surfaces Wearing shoes with inadequate support Genetics While plantar fasciitis is primarily associated with environmental factors and physical stress on the foot, there is some evidence to suggest that genetic factors might play a role in predisposing certain individuals to the condition.

What you can do

  • Shock Wave Therapy
    Schedule and attend sessions for extracorporeal shock wave therapy (ESWT) with a qualified healthcare provider.
  • Low-Level Laser Therapy (LLLT)
    Use a low-level laser therapy device, as directed by its manual or a healthcare professional, on the affected area.
  • Acupuncture
    Visit a licensed acupuncturist for a session, typically lasting between 30 to 60 minutes, once or twice a week.
From your Fitness report & Joint & Tendon Health
Femoral HerniaMore likely
More likely to have a femoral hernia based on 14,508 genetic variants we looked at
Your risk is greater than 98% of the population and lower than 2% of the population.

What this actually is

The symptoms of a femoral hernia can vary depending on its size and whether it becomes strangulated or not.

Patients may notice a small lump in the groin or upper thigh area that could be accompanied by discomfort or sharp pain, especially when straining or lifting heavy objects.

Strangulation, where the blood supply to the herniated tissue gets cut off, is a serious complication and can lead to nausea, vomiting, and severe pain and requires immediate medical attention to prevent further health risks.

From your Fitness report & Injuries
Neck ArthritisMore likely
Higher predisposition than 98% of people
Your result sits higher than 98% of the population.

What this actually is

As the disks in the cervical spine dehydrate and shrink, signs of osteoarthritis develop, including the formation of bony projections along the edges of bones (bone spurs).

Cervical spondylosis can sometimes lead to a narrowing of the space needed by the spinal cord and the nerve roots that pass through the spine to the rest of the body.

More likely to have When these nerve pathways are affected, individuals might 481,932 genetic experience neurological symptoms such as numbness, weakness, or tingling in the arms, hands, legs, or feet.

What you can do

  • Physical Therapy 30 minutes
    Attend physical therapy sessions 2-3 times per week for a duration of 4-6 weeks, depending on your specific TA condition and the advice of your healthcare provider.
  • Acupuncture
    Visit a licensed acupuncturist for a session, typically lasting between 30 to 60 minutes, once or twice a week.
  • Topical CBD
    Apply a CBD-infused cream or ointment to the affected area of the skin 2-3 times per day, gently massaging it into the skin until fully absorbed.
From your Joint & Tendon Health report
Low Back InjuryMore likely
More likely to have a low back injury based on 171,685 genetic variants we looked at
Your risk is greater than 97% of the population and lower than 3% of the population.

What this actually is

Other risk factors include occupations involving repetitive motions or heavy lifting, prolonged sitting/standing, over 40, obesity, smoking, lack of physical activity, previous injury, and certain health conditions.

Lower back injuries are common among athletes, and account for 20% of workplace injuries.

If your genetic risk is high, you may lower overall risk by taking action on those factors that you can change.

What you can do

  • Physical Therapy 30 minutes
    Attend physical therapy sessions 2-3 times per week for a duration of 4-6 weeks, depending on your specific TA condition and the advice of your healthcare provider.
  • Core-Strengthening Exercises 20 minutes
    Aim to do TA these exercises for 20-30 minutes, 3 times a week.
  • Kinesio Taping
    Apply kinesio tape directly to the skin over the affected muscle or joint area.
From your Fitness report & Injuries
Excessive Mast CellsMore likely
More likely to have excessive mast cells based on 14 genetic variants we looked at
Your risk is greater than 97% of the population and lower than 3% of the population.

What this actually is

Mastocytosis is often linked to mutations in the KIT gene, which plays a role in mast cell growth and development.

These mutations are usually acquired during a person's life rather than being inherited.

Other, less important risk factors include: Family history: Rare cases may run in families, but most are sporadic.

Ask your clinician about

  • Quercetin
  • Vitamin C
  • Rutin

Named only. Marrow gives no dose and does not recommend these.

From your Mitochondrial Support report
ConcussionMore likely
More likely to have a concussion based on 341,037 genetic variants we looked at
Your risk is greater than 96% of the population and lower than 4% of the population.

What this actually is

Factors that might increase the risk of getting a concussion include: Participation in high-impact or collision sports such as football, hockey, soccer, or boxing.

Falling, especially in young children and older adults.

Being involved in a motor vehicle accident.

What you can do

  • Focused Attention Meditation 20 minutes
    TA breathing without letting your mind wander.
  • Pet Therapy 30 minutes
    Engage with a pet, such as a dog or cat, for at least 15-30 minutes a day.

Ask your clinician about

  • Citicoline (CDP Choline)

Named only. Marrow gives no dose and does not recommend these.

From your Injuries report
A further 14 results were also flagged for attention. They are listed below and explained in full in the technical version of this report.

Where your genetics are working for you

Not everything in a genetic report is a warning. These came back protective or better than average.

Joint PainLess likely
Less likely to have osteoarthritis based on 385,825 genetic variants we looked at
Your risk is greater than 1% of the population and lower than 99% of the population.

What this actually is

Key Takeaways: Osteoarthritis will affect the majority of people over the age of 55.

So, even with low genetic risk, the overall risk is still high for older people.

About 50% of the differences in people's chances of getting osteoarthritis may be due to genetics.

From your Joint & Tendon Health report
Tennis ElbowLess likely
Lower predisposition than 92% of people
Your risk is greater than 8% of the population s, and sometimes even surgery for severe and lower than 92% of the population.

What this actually is

Several factors elbow: Age: It's most Occupation: and arm, such this condition.

Certain sports: risk of tennis technique.

Genetics: Some that makes repetitive Managing tennis relieving cases.

From your Injuries report
Tendon InjuryLess likely
Less likely to have tendinopathy based on 6 genetic variants we looked at
Your risk is greater than 18% of the population and lower than 82% of the population.

What this actually is

Other risk factors include intense physical activity or certain sports, using improper training technique or equipment, doing repetitive tasks, age (over 40), being female, some chronic health conditions and medications.

About 16 million tendon and ligament injuries occur in the U.S. each year.

If you have a high genetic risk, you may lower your overall risk by taking action on those factors that you can change.

From your Fitness report & Injuries, Joint & Tendon Health

Everything else that came back

The remaining results, grouped by what they mean. Every one of these is explained in full — with the genes and variants behind it — in the technical version of this report.

Worth a conversation with your doctor  (14)
  • ACL Injury — More likely, 92th percentile
  • Ankle Injury — More likely, 91th percentile
  • Shoulder Impingement — More likely, 90th percentile
  • Disc Degeneration — More likely, 90th percentile
  • Herniated Disk — More likely, 87th percentile
  • Trigger Finger — More likely, 87th percentile
  • Jaw Disorders (TMJ) — More likely, 81th percentile
  • Pressure Ulcers — More likely, 80th percentile
  • Dupuytren’s Contracture — More likely, 80th percentile
  • PA G E 1 9 / 7 0 — More likely
  • PA G E 2 3 / 7 0 — More likely
  • PA G E 3 6 / 7 0 — More likely
  • Spinal Arthritis — More likely
  • Mitochondrial Health (Functional) — Worse
Running above the typical range  (10)
  • Muscle Cramps — Higher
  • MMP1 (Collagen) — Higher activity
  • Leucine — Higher levels
  • Valine — Higher levels
  • Alanine — Higher levels
  • Homocysteine — Higher levels
  • Fluoride Sensitivity — Higher
  • NQO1 (Detox) — Higher activity
  • GPX1 (Glutathione/Detox) — Higher activity
  • SUOX (PCOS/ Blood Sugar) — Higher activity
Running below the typical range  (6)
  • Muscle & Recovery — Lower
  • Muscle Pain — Lower
  • Muscle Soreness — Slower
  • Lactate Dehydrogenase — Lower
  • Personality — Lower levels
  • SOD2 (Oxidative Stress) — Lower activity
Working in your favour  (7)
  • Tendon Inflammation — Less likely, 19th percentile
  • Muscle Jerks — Less likely
  • Tolerance to Exercise — Less likely
  • Frozen Shoulder — Less likely
  • TA B L E O F C O N T E N T S — Less likely
  • Ehlers-Danlos Syndrome (Progeroid — Less likely
  • ADAMTS5 (Joint Health) — Better genetics
In line with most people  (67)
  • Achilles Tendon Injury — Typical likelihood, 79th percentile
  • Falls — Typical likelihood, 76th percentile
  • Hip Fractures — Typical likelihood, 66th percentile
  • Hip Pain — Typical likelihood, 64th percentile
  • Gout — Typical likelihood, 58th percentile
  • Carpal Tunnel Syndrome — Typical likelihood, 56th percentile
  • Isoleucine — Typical levels, 56th percentile
  • Spinal Cord Injury — Typical likelihood, 46th percentile
  • Knee Injury — Typical likelihood, 45th percentile
  • Rheumatoid Arthritis — Typical likelihood, 40th percentile
  • Joint Stiffness — Typical likelihood, 39th percentile
  • Rotator Cuff Injury — Typical likelihood, 38th percentile
  • Fractures — Typical likelihood, 37th percentile
  • Tendon Lining Inflammation — Typical likelihood, 36th percentile
  • Knee Pain — Typical likelihood, 36th percentile
  • Inflammation (CRP) — Typical levels, 36th percentile
  • Lead — Typical levels, 28th percentile
  • Pesticide Sensitivity — Typical, 18th percentile
  • Arsenic — Typical levels, 16th percentile
  • Lupus — Typical likelihood, 12th percentile
  • Lactate — Typical levels
  • Creatine — Typical levels
  • PA G E 7 / 7 0 — Typical activity
  • PA G E 2 7 / 7 0 — Typical likelihood
  • COL5A1 (Collagen) — Typical activity
  • Psoriatic Arthritis — Typical likelihood
  • Rheumatic Fever — Typical likelihood
  • Ankylosing Spondylitis — Typical likelihood
  • Threonine — Typical need
  • Histidine — Typical need
  • Lysine — Typical need
  • Methionine — Typical need
  • Phenylalanine — Typical need
  • Tryptophan — Typical need
  • Aspartic Acid — Typical levels
  • Asparagine — Typical levels
  • Arginine — Typical need
  • Glutamine — Typical levels
  • Glycine — Typical need
  • Proline — Typical need
  • Tyrosine — Typical need
  • Glutamate — Typical levels
  • Ornithine — Typical need
  • Citrulline — Typical levels
  • Cysteine — Typical levels
  • Sarcosine — Typical levels
  • Taurine — Typical need
  • Carnitine — Typical need
  • Beta-Alanine — Typical need
  • Glutathione — Typical function
  • SIRT1 (Longevity) — Typical activity
  • Detox — Typical ability
  • Oxidative Stress — Typical
  • Benzene Sensitivity — Typical
  • NFE2L2/NRF2 (Detox) — Typical activity
  • Sensitivity to Airborne Mold — Typical
  • Sensitivity to Foodborne Mold — Typical
  • Multiple Chemical Sensitivity — Typical likelihood
  • BPA Sensitivity — Typical
  • Mercury — Typical levels
  • Phase I Detox — Typical ability
  • IgE — Typical levels
  • IL-10 — Typical levels
  • IL6 Gene (Inflammation) — Typical activity
  • Cold Intolerance — Typical likelihood
  • PPARGC1A (Fitness/Blood Sugar) — Typical activity
  • TNF Gene (Inflammation) — Typical activity

What to do with this

Genetics is a predisposition, not a verdict. The single most useful thing you can do with this document is take it to a clinician and talk through the flagged findings — especially any that line up with symptoms you already have or conditions that run in your family. Nothing here changes: your DNA is the same at 60 as it is today, so this report does not expire.

Methodology

Genotyping was performed on DNA extracted from a buccal (cheek) swab using a genome-wide array. Results are derived from peer-reviewed genome-wide association data and, where applicable, published clinical guidelines. Each report was scored independently against its own reference set. Percentile figures describe where your result sits relative to a reference population.

Limitations

This is a laboratory-developed test. It has not been cleared or approved by the U.S. Food and Drug Administration. Genotyping does not detect all variants in the genes assessed; the absence of a flagged result does not exclude risk. Predisposition is probabilistic and is modified by environment, lifestyle, ancestry and family history. Results must be interpreted by a qualified healthcare professional and must not be used alone to diagnose, treat, or alter any medication regimen. Marrow does not recommend, prescribe, or dose any supplement or medication.

Performing laboratory & attestation
Performing laboratoryGene by Gene, Ltd.
Laboratory address1445 North Loop West, Suite 760, Houston, TX 77008
CLIA certificationCLIA #45D1102202
CAP accreditationCAP #7212851 · accredited through 7 October 2027
Laboratory DirectorFeng Zhou, PhD, MB(ASCP)
Specimen typeBuccal (cheek) swab — genomic DNA
AccessionMRW-26-664750
Date reported29 July 2026

This specimen was tested at Gene by Gene, Ltd., 1445 North Loop West, Suite 760, Houston, TX 77008, under CLIA #45D1102202 and CAP #7212851. Laboratory Director: Feng Zhou, PhD, MB(ASCP). Marrow Health is not a clinical laboratory and does not perform testing; Marrow prepares and delivers this report from data produced by the performing laboratory named above. Report generated 29 July 2026 · Accession MRW-26-664750 · © 2026 Marrow Health.