Specimen and client information
Specimen type
Buccal (cheek) swab
Date reported
29 July 2026
The reports inside this package
This one document contains 7 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.
Inflammation & Autoimmunity80 results reported of 83 analytes · 50 recommendations
Gut Health62 results reported of 65 analytes · 50 recommendations
Diet & Nutrition53 results reported of 118 analytes
Joint & Tendon Health27 results reported of 27 analytes · 50 recommendations
Food Sensitivities23 results reported of 23 analytes · 49 recommendations
Histamine12 results reported of 12 analytes · 16 recommendations
Gluten Sensitivity4 results reported of 4 analytes · 15 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 207 results here, 42 came back worth discussing with a clinician and 17 came back in your favour. Bring this document to your appointment.
What this package looks at
Inflammation & Autoimmunity — Inflammation and autoimmunity are key processes that affect the body’s ability to maintain health and respond to threats. Inflammation is the body's natural response to injury or infection, but chronic inflammation can lead to a variety of health problems, from gut issues to systemic diseases.
Gut Health — Your gut is an amazingly complex system of organs, finely tuned to take in and process nutrients and then get rid of the waste. Besides supplying you with the energy you need, it is also a central hub for overall health, comprising about 70% of your immune system and having a direct
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
Histamine — Histamine is a crucial molecule that plays multiple roles in your body, from immune responses to neurotransmitter function and digestion. This analysis explores genetic variations that influence every aspect of histamine metabolism -from production and storage to breakdown and
Gluten Sensitivity — Why do some people react strongly to gluten while others can eat it without issue? The answer often lies in our genes, particularly in the HLA gene family. This report examines genetic factors that influence both celiac disease and non-celiac gluten sensitivity, mapping out how different
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
Elimination DietBegin by removing foods you suspect might be causing adverse reactions for 2-3 weeks.
Relates to: Food Sensitivities, Food Allergies, Egg Allergy
2
Avoid Food TriggersIdentify foods that trigger negative reactions in your body, such as digestive issues, allergies, or headaches, and eliminate them from your diet entirely.
Relates to: Food Allergies, SH2B3 (Autoimmunity)
3
Manual TherapyReduce 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)
4
Physical Therapy30 minutesAttend 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, Jaw Disorders (TMJ), Neck Arthritis
5
Gluten-Free DietCheck labels for gluten-free certification, and aim to maintain this diet consistently, as even small amounts of gluten can cause symptoms to recur in sensitive individuals.
Relates to: Gluten Sensitivity (Non-Celiac), SH2B3 (Autoimmunity)
6
Eat Fiber-Rich Foodsgrams per day, spread out over all meals.
Relates to: Colorectal Cancer, Hemorrhoids, Irritable Bowel (IBS), Crohn’s Disease
7
Whole-Food Plant-Based Dietfew weeks to avoid digestive discomfort.
Relates to: Pancreas Inflammation, Colorectal Cancer, Acid Reflux, Gut Microbiome Diversity
8
Shock Wave TherapySchedule and attend sessions for extracorporeal shock wave therapy (ESWT) with a qualified healthcare provider.
Relates to: Heel Pain (Plantar Fasciitis), Shoulder Impingement, Trigger Finger
9
Exercise TherapyBegin by consulting with a physical therapist to assess your condition and create a personalized exercise plan.
Relates to: Shoulder Impingement, Jaw Disorders (TMJ)
10
Dietary SphingolipidsAim to include foods like eggs, dairy products (such as cheese, yogurt, and milk), and soy-based foods in your meals regularly.
Relates to: Food Sensitivities, Food Allergies
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
ProbioticsRelates to: Diarrhea, Acid Reflux, C. difficile Infection, Flatulence (Gas)
2
ButyrateRelates to: Food Sensitivities, Food Allergies
3
Niacin SupplementsRelates to: Food Sensitivities, Food Allergies
4
Dietary Omega-3 Fatty AcidsRelates to: Food Sensitivities, Food Allergies, Excessive Mast Cells
Your headline findings
Of the 207 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.
Tonsil InflammationMore likely
Higher predisposition than 99% of people
Your risk is greater than 99% of the population and lower than 1% of the population.
What this actually is
The course of cause is viral or require specific through pain Bacterial can require Recurrent cases of recommendation for of the tonsils. are also common cause.
Ask your clinician about
- Maintain Optimal Vitamin D Levels
Named only. Marrow gives no dose and does not recommend these.
From your Inflammation & Autoimmunity report
Peptic UlcersMore likely
More likely to have peptic ulcers based on 113,543 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
Key Takeaways: Up to 30% of differences in people's chances of developing peptic ulcers may be attributed to genetics.
Risk factors include: stress, mental health issues, smoking, alcohol use, excessive NSAID use, H.
If you have a high genetic risk, you may reduce overall risk by taking action on risk factors that you can change.
What you can do
- Coffee
I M PAC T EVIDENCE Peptic Ulcers Experts suggest that many peptic ulcers are primarily caused by an infection with the bacterium Helicobacter pylori (H. pylori), rather than by consuming spicy foods or living a stressful lifestyle.
Ask your clinician about
Named only. Marrow gives no dose and does not recommend these.
From your Gut Health report
Acid RefluxMore likely
More likely to have GERD based on 222,102 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
Key Takeaways: About 40% of differences in people's chances of developing GERD may be attributed to genetics.
It affects about 1 in 5 people in the U.S.
GERD affects about 1 in 5 people in the U.S.
What you can do
- Avoid Large Meals
Divide your daily food intake into smaller portions spread out over five to six times a day instead of having three large meals. - Whole-Food Plant-Based Diet
few weeks to avoid digestive discomfort.
Ask your clinician about
Named only. Marrow gives no dose and does not recommend these.
From your Gut Health report
Gastrointestinal InfectionMore likely
More likely to get a GI infection based on 49,910 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
Gastrointestinal (GI) infections are diseases of the digestive system.
They are caused by the invasion of microbes that do not usually live there.
The main sources of infection include: Person-to-person contact Consumption of contaminated food (e.g., undercooked or poorly stored meat, raw milk) Consumption of contaminated water (e.g., river or swimming pool water) Contact with contaminated objects (e.g., soil, work tools) Contact with animals or their feces (e.g., contact with farm animals and pets, visiting petting zoos) Risk factors for GI infections include [R, R, R, R, R, R].
Ask your clinician about
- Probiotics
- Zinc
- Lactobacillus Rhamnosus GG
Named only. Marrow gives no dose and does not recommend these.
From your Gut Health report
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 Joint & Tendon Health report
BloatingMore likely
More likely to bloat based on 1,662 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
Factors that might increase the risk or cause bloating include: Consuming high-fat foods, which can delay stomach emptying.
Swallowing air while eating or drinking.
Gastrointestinal infections or imbalances in gut bacteria.
Ask your clinician about
- Saccharomyces Boulardii
- Lactobacillus Plantarum
- Lactobacillus Rhamnosus
Named only. Marrow gives no dose and does not recommend these.
From your Gut Health report
Rectal ProlapseMore likely
Higher predisposition than 98% of people
Your result sits higher than 98% of the population.
What this actually is
Symptoms of rectal prolapse include a sensation of a bulging from the anus, discharge of mucus or blood, anal pain, fecal incontinence, or an obstructed bowel movement.
The causes are diverse, ranging from chronic constipation, straining during bowel movements, weakened pelvic floor muscles due to age, previous surgeries, or childbearing.
More likely to have Treatment hinges on the severity and can vary from self-care 10,706 genetic techniques and exercises to strengthen the pelvic floor, to surgical interventions aimed at repairing and securing the rectum in its proper place.
What you can do
- Eat Fiber-Rich Foods
grams per day, spread out over all meals.
Ask your clinician about
Named only. Marrow gives no dose and does not recommend these.
From your Gut Health report
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
A further 34 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
Gut InflammationLess likely
Less likely to have IBD based on 1,671 genetic variants we looked at
Your risk is greater than 8% of the population and lower than 92% of the population.
What this actually is
Risk factors include being under age 30, European ancestry, and smoking.
IBD may cause: diarrhea, fatigue, abdominal pain, bloody stool, weight loss, inflammation, liver damage, and colon cancer.
IBD only affects about 3 in 1000 people worldwide.
From your Inflammation & Autoimmunity report & Gut Health
AppendicitisLess likely
Less likely to have appendicitis based on 809,853 genetic variants we looked at
Your risk is greater than 8% of the population and lower than 92% of the population.
What this actually is
Other risk factors include being young and male.
is not rare, happening to about 7-8% of people in their lifetime.
If your genetic risk is high, know the symptoms and seek medical attention if you have them.
From your Inflammation & Autoimmunity report & Gut 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 (34)
- Excessive Mast Cells — More likely, 97th percentile
- Thyroid Inflammation — More likely, 96th percentile
- Intestinal Obstruction — More likely, 96th percentile
- Pancreas Inflammation — More likely, 95th percentile
- Food Allergies — More likely, 95th percentile
- Irritable Bowel (IBS) — More likely, 94th percentile
- Peanut Allergy — More likely, 93th percentile
- Hemorrhoids — More likely, 90th percentile
- Shoulder Impingement — More likely, 90th percentile
- Disc Degeneration — More likely, 90th percentile
- Urethra Inflammation — More likely, 88th percentile
- C. difficile Infection — More likely, 87th percentile
- Trigger Finger — More likely, 87th percentile
- Eye Inflammation — More likely, 84th percentile
- Flatulence (Gas) — More likely, 84th percentile
- Shigella Infection — More likely, 84th percentile
- Jaw Disorders (TMJ) — More likely, 81th percentile
- Diarrhea — More likely, 80th percentile
- Egg Allergy — More likely, 80th percentile
- Dupuytren’s Contracture — More likely, 80th percentile
- Colorectal Cancer — More likely, 73th percentile
- Crohn’s Disease — More likely, 66th percentile
- Psoriasis — More likely, 65th percentile
- Myocarditis — More likely
- Nephritis — More likely
- Essential Amino Acids — Increased need
- Eating Habits — Increased need
- PNPLA3 (Lipids/ Liver Health) — Worse genetics
- Omega-6:Omega-3 Ratio — Increased need
- Sodium — Increased need
- Copper — Increased need
- FABP2 (Blood Sugar/ — Worse genetics
- Spinal Arthritis — More likely
- Food Sensitivities — More likely
Running above the typical range (17)
- HLA (Inflammation) — Higher activity, 80th percentile
- Basophils — Higher levels
- HLA-DOB (Inflammation) — Higher activity
- NF-kB (Inflammation) — Higher activity
- NLRP3 (Gut Inflammation) — Higher activity
- ANKRD55 (Autoimmune) — Higher activity
- ABCB1 (Chronic Lyme) — Higher activity
- HNMT (Histamine) — Higher activity
- Gluten Sensitivity (Non-Celiac) — Higher
- Alcohol Sensitivity — Higher
- Dairy Sensitivity (Casein) — Higher
- Lycopene — Increased function
- MMP1 (Collagen) — Higher activity
- Oxalate Sensitivity — Higher
- CYP1A2 (Detox) — Higher activity
- MAOB (Dopamine/ Norepinephrine) — Higher activity
- MAOA (Dopamine/Serotonin) — Higher activity
Running below the typical range (24)
- IBD5 (Gut Inflammation) — Lower activity, 19th percentile
- SH2B3 (Autoimmunity) — Lower activity
- HNF4A (Gut Inflammation) — Lower activity
- CTLA4 (Autoimmunity) — Lower activity
- IL1B (Inflammation/ Fatigue) — Lower activity
- JAK2 (Gut Inflammation) — Lower activity
- IL8 (Inflammation) — Lower activity
- IL21 (Autoimmunity & Allergies) — Lower activity
- Caffeine Sensitivity — Lower
- Gut Microbiome Diversity — Lower
- Vitamin B12 — Lower levels
- Molybdenum — Lower levels
- Methionine — Lower levels
- Phenylalanine — Lower levels
- Lutein — Lower levels
- Creatine — Lower levels
- PDXK (Vitamin B6) — Lower activity
- GC (Vitamin D) — Lower activity
- TAS2R16 (Bitter Taste/ Longevity) — Lower activity
- GIPR (Blood Sugar) — Lower activity
- PPM1K (Blood Sugar/Diet) — Lower activity
- FOLH1 (Folate/ Methylation) — Lower activity
- ALDH2 (Alcohol Sensitivity) — Lower activity
- HRH1 (Allergies) — Lower activity
Working in your favour (14)
- Optic Nerve Inflammation — Less likely, 19th percentile
- Tendon Inflammation — Less likely, 19th percentile
- Tendon Injury — Less likely, 18th percentile
- Malabsorption — Less likely, 14th percentile
- Diverticular Disease — Less likely
- Sjogren's Syndrome — Less likely
- IL6R (Weight) — Better genetics
- HRH2 (Gut Health) — Better genetics
- KIAA1109 (Gut Inflammation) — Better genetics
- Fats Breakdown — Better
- Eating Disorders — Less likely
- Nutrition Genes — Less likely
- Ehlers-Danlos Syndrome (Progeroid — Less likely
- ADAMTS5 (Joint Health) — Better genetics
In line with most people (107)
- Achilles Tendon Injury — Typical likelihood, 79th percentile
- Anal Fissure — Typical likelihood, 78th percentile
- Shrimp Allergy — Typical likelihood, 74th percentile
- H. pylori — Typical likelihood, 67th percentile
- Bowel Incontinence — Typical likelihood, 66th percentile
- Esophageal Varices — Typical likelihood, 66th percentile
- Hip Pain — Typical likelihood, 64th percentile
- Ulcerative Colitis — Typical likelihood, 63th percentile
- Multiple Sclerosis — Typical likelihood, 60th percentile
- Gout — Typical likelihood, 58th percentile
- Carpal Tunnel Syndrome — Typical likelihood, 56th percentile
- Hiatus Hernia — Typical likelihood, 50th percentile
- EBV Infection — Typical likelihood, 48th percentile
- Colorectal Polyps — Typical likelihood, 44th percentile
- Stomach Inflammation — Typical likelihood, 42th percentile
- Celiac Disease — Typical likelihood, 42th percentile
- Rheumatoid Arthritis — Typical likelihood, 40th percentile
- HRH4 (Allergies, Inflammation) — Typical activity, 39th percentile
- Joint Stiffness — Typical likelihood, 39th percentile
- Inflammation (CRP) — Typical levels, 36th percentile
- Nausea — Typical likelihood, 36th percentile
- Knee Pain — Typical likelihood, 36th percentile
- Tendon Lining Inflammation — Typical likelihood, 36th percentile
- Milk Allergy — Typical likelihood, 36th percentile
- Eczema — Typical likelihood, 29th percentile
- Vomiting — Typical likelihood, 27th percentile
- Stomach Pain — Typical likelihood, 27th percentile
- Stomach Bug — Typical likelihood, 27th percentile
- IL-6 — Typical levels, 20th percentile
- Indigestion — Typical likelihood, 20th percentile
- Constipation — Typical likelihood, 16th percentile
- Type 1 Diabetes — Typical likelihood, 15th percentile
- Lupus — Typical likelihood, 12th percentile
- Chronic Lyme — Typical likelihood
- Sepsis — Typical likelihood
- Pulmonary Fibrosis — Typical likelihood
- Actinic Keratosis — Typical likelihood
- Meningitis — Typical likelihood
- Sarcoidosis — Typical likelihood
- Rheumatic Fever — Typical likelihood
- Psoriatic Arthritis — Typical likelihood
- Ankylosing Spondylitis — Typical likelihood
- Vitiligo — Typical likelihood
- Alopecia Areata — Typical likelihood
- Systemic Sclerosis — Typical likelihood
- Pemphigus Vulgaris — Typical likelihood
- Behcet’s Disease — Typical likelihood
- IgA Nephropathy — Typical likelihood
- TNF — Typical levels
- White Blood Cells — Typical levels
- Eosinophils — Typical levels
- Monocytes — Typical levels
- Neutrophils — Typical levels
- Erythrocyte Sedimentation Rate — Typical levels
- IgE — Typical levels
- IL-10 — Typical levels
- IL-17 (Th17) — Typical levels
- HLA-B (Autoimmune) — Typical
- HLA-DQ (Inflammation) — Typical activity
- HLA-DRB1 (Autoimmunity) — Typical
- HLA-DQA2 (Inflammation) — Typical
- TLR4 (Inflammation) — Typical activity
- PTPN22 (Autoimmunity) — Typical
- DAO (Histamine) — Typical activity
- STAT3 (Th1/Th17) — Typical activity
- TNF Gene (Inflammation) — Typical activity
- IL13 (Allergies, Lung Function) — Typical activity
- IL4 (Allergies, Autoimmunity) — Typical activity
- CRP Gene — Typical activity
- PADI4 (Autoimmune) — Typical activity
- IL10 Gene (Autoimmunity) — Typical activity
- SLC22A4 (Gut Inflammation) — Typical genetics
- Stool Frequency — Typical
- Leaky Gut — Typical
- Esophageal Cancer — Typical likelihood
- Stomach Cancer — Typical likelihood
- Barrett's Esophagus — Typical likelihood
- Low Stomach Acid — Typical likelihood
- Salt Sensitivity — Typical
- Histamine Intolerance — Typical likelihood
- Lactose Intolerance — Likely tolerant
- Bifidobacterium — Typical levels
- Bifidobacterium Longum — Typical levels
- Bifidobacterium Breve — Typical levels
- Bifidobacterium Bifidum — Typical levels
- EPA (Omega-3) — Typical response
- DHA (Omega-3) — Typical response
- TA B L E O F C O N T E N T S — Typical levels
- Salicylate Sensitivity — Typical
- PA G E 1 2 / 2 5 4 — Typical likelihood
- Minerals — Typical need
- FUT2 (Gut/ Vitamin B12) — Typical genetics
- PA G E 1 8 / 2 5 4 — Typical
- PUFA Response — Typical levels
- PA G E 4 7 / 2 5 4 — Typical likelihood
- Vitamin E — Typical need
- Thiamine (Vitamin B1) — Typical need
- Magnesium — Typical need
- Chromium — Typical levels
- PA G E 1 1 8 / 2 5 4 — Typical levels
- PA G E 1 2 9 / 2 5 4 — Typical likelihood
- PA G E 1 3 8 / 2 5 4 — Intermediate activity
- COL5A1 (Collagen) — Typical activity
- HLA-DQ (Gluten) — Typical genetics
- Chili Pepper Sensitivity — Typical
- SLC4A5 (Salt & Blood Pressure) — Typical genetics
- NAT2 (Detox) — Intermediate
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.