Exhibit_A_-_Sample_of_a_Wellness_and_Biometric_Personal_Summary_Report.pdf

Congratulations on taking your first step on the path to a healthier you! This report presents your M-Score, a composite value from 0 (low) to 100 (high), generated from a careful analysis of your lab results and measurements taken during your screening.

You should target an M-Score of at least 70, which reflects lower health risks across the most important biometric markers.

Your personalized M-Score indicates the influence your lifestyle behaviors have on your overall health and their contribution to increased cardiac risk, diabetes, and markers for metabolic syndrome. When tracked over time, it offers a good directional indicator of how your health and wellbeing is evolving to ensure you're headed in the right direction for optimal vitality.

Your score falls within the desired score range. You can use your score as a benchmark to build upon your current healthy foundation and continue to achieve your desired health results.

Blood Pressure:

140/82 mm Hg Blood pressure reflects the amount of blood your heart pumps and the amount of resistance to blood flow in your arteries. The more blood your heart pumps and the narrower your arteries, the higher your blood pressure. Blood pressure is written as two numbers, such as 110/70. The first number is your systolic blood pressure and the second is your diastolic blood pressure.

Systolic blood pressure. The top number, which is also the higher of the two numbers, measures the pressure in the arteries when the heart beats (when the heart muscle contracts).

Diastolic blood pressure. The bottom number, which is also the lower of the two numbers, measures the pressure in the arteries between heartbeats (when the heart muscle is resting between beats and refilling with blood.

When the force of blood running through your arteries is too high, this can lead to weak and damaged blood vessels over time, putting strain on your heart. Factors that may lead to elevated blood pressure include consuming excess salt, physical inactivity, stress, lack of sleep, and smoking.

Biomedical Snapshot for Jack Doe

≤ 38.9 39.0 - 69.9 ≥ 70.0

70.25

M-Score Detail

≥ 140 120 - 139 ≤ 119 mm Hg

≥ 90 80 - 89 ≤ 79 mm Hg

High-Density Lipoproteins: 49 mg/dL Cholesterol moves through your bloodstream via lipoproteins. High-density lipoproteins

(HDL) are considered "good cholesterol", and higher levels produce a protective effect against cardiovascular disease. HDL scavenges and picks up LDL cholesterol (the "bad cholesterol") in the blood, then reduces, reuses, and recycles it by transporting it to the liver for reprocessing. In addition, HDL scrubs the inner walls of blood vessels, preventing the build up of plaque, which can result in a heart attack or stroke.

Your HDL level falls below the range recommended to have a protective effect against cardiovascular disease. The higher your HDL, the better. Consuming healthy fats, limiting saturated or trans fats, and engaging in adequate aerobic physical activity can aid in improving your HDL.

Low-Density Lipoproteins: 127 mg/dL While some low-density lipoproteins (LDL) are necessary to transfer insoluble cholesterol through the bloodstream, LDL turns "bad" when there is too much in circulation. When

LDL ends up in the lining of the arteries, a process occurs that leads to inflammation and damage. The body tries to remedy this by growing tissue, called plaque, over the affected area. Build up of plaque narrows the artery, restricting blood flow, and can lead to cardiovascular diseases including atherosclerosis, stroke, or heart attack.

Your LDL level falls above the recommended range, which may increase your risk for cardiovascular disease. Choosing foods high in fiber, healthy fats, and regular aerobic exercise can all assist with reaching a healthy

LDL.

Glucose: 102 mg/dL When we eat foods that contain carbohydrates, our digestive system breaks them down into sugars that are released into the blood. Those sugars transport through the blood and travel to the cells. The pancreas, a small organ in the abdomen, releases a hormone called insulin to meet the sugar at the cell. Insulin connects to spots on some cells of the body and acts as a "bridge", allowing the sugar to go from the blood and into the cell. The cell uses the sugar for energy, and blood sugar levels go down.

Your fasting blood glucose is slightly elevated, which is a risk factor for the development of diabetes. Consuming excess refined carbohydrates and added sugars can lead to insulin resistance over time, meaning the sugar cannot get into your cells from your blood. Choosing more fruit, vegetables, and whole grains, coupled with adequate physical activity, can reduce elevated blood sugars.

LDL / HDL Ratio: 2.6 Calculating a cholesterol ratio can provide useful information about your risk for cardiovascular disease. One method is to divide your LDL level by your HDL level. The greatest risk for cardiovascular disease is found among those with very high LDL levels or very low HDL levels, which translates to an elevated LDL/HDL ratio. While an elevated ratio may indicate elevated risk for cardiovascular disease, knowing the all of the values of your lipid panel is necessary to determine the best intervention to reduce your health risk.

Your elevated LDL/HDL ratio indicates that your LDL level may be elevated or your HDL level may be low, both of which are risk factors for cardiovascular disease.

≤ 39 40 - 59 ≥ 60 mg/dL

≥ 160 100 - 159 ≤ 99 mg/dL

≥ 126 100 - 125 ≤ 99 mg/dL

≥ 3.4 2.6 - 3.3 ≤ 2.5

2.6

Triglycerides: 157 mg/dL Triglycerides are the most common type of fat (lipid) found in your body. When you eat, your body breaks down fats in meals and converts any calories it doesn't need right away into triglycerides. The triglycerides are stored in your liver or fat cells. When your body needs energy later in the day, hormones release triglycerides to use as fuel. Eating more calories than you burn, particularly refined or processed carbohydrates and certain types of fat, may result in high triglyceride levels.

Having elevated triglycerides circulating in your blood is a risk factor for cardiovascular disease. Maintaining a healthy weight, limiting saturated or trans fat, choosing healthy fats, increasing physical activity, and limiting alcohol can all help to reduce triglycerides.

Total Cholesterol: 160 mg/dL Cholesterol is a waxy, fat-like substance made by the liver and moved through the bloodstream via lipoproteins. It allows our bodies to build and repair cells, produces vitamin D and hormones, and makes up bile acids which aid in the digestion process. The job of the arteries is to move blood from your heart to other parts of your body. Too much

LDL and not enough HDL makes it more likely that your arteries will develop plaque, a hardened mixture of cholesterol, fat, and other elements. As coronary arteries narrow, it's harder for blood to make it through to your heart. If an area of plaque breaks open, it can result in a blood clot, which can block blood flow altogether. This puts you at greater risk of having a heart attack.

Maintaining your total cholesterol within the desired range is protective against cardiovascular disease. Limiting the amount of cholesterol you consume, incorporating fruit, vegetables, and whole grains, and engaging in regular physical activity all help to keep cholesterol within the desired range.

Body Composition Estimate (BCE): 21.5 You Body Composition Estimate (BCE) helps determine if you are at a healthy weight for your frame size and stature. Using the measurements taken during your Biometric

Screening, an estimate of your body composition, or more importantly, the percentage of your body that is comprised of fat was calculated. Having too much body fat can make even simple activities a challenge. More importantly, having a lower BCE means you will be at less risk to develop a chronic condition later on.

Your BCE level indicates you have a healthy body fat percentage. You can maintain a desirable body fat composition by achieving calorie goals for you desired weight range, watching portion sizes, getting adequate physical activity, and watching the amount of fat and sugar you are consuming.

Gamma-glutamyl transferase: 25 U/L Gamma glutamyl transferase (GGT) is an enzyme that is predominantly found in the liver.

An elevated GGT can occur when there are diseases in the liver, biliary system, and pancreas. The liver is crucial for producing proteins in the body and filtering out poisons. It also makes bile, a substance that helps the body process fats. An elevated GGT more often stems from heavy use of alcohol or exposure to other toxic substances, like drugs or poisons.

Your GGT results indicate that it is unlikely you have liver disease or have been consuming a high level of alcohol. Limiting alcohol has many benefits for your health.

≥ 200 150 - 199 ≤ 149 mg/dL

≥ 240 200 - 239 ≤ 199 mg/dL

≥ 30.0 25.0 - 29.9 ≤ 24.9

21.5

≥ 51 ≤ 50

U/L

Nicotine: Negative Cotinine is a chemical compound found in tobacco and is also a breakdown product of nicotine. Cotinine is used as a biomarker for exposure to tobacco smoke. Tobacco smoke has many harmful effects on your health and is a risk factor for chronic diseases. Since nicotine restricts blood vessels, smoking can lead to damage to your entire cardiovascular system over time.

Your blood test did not detect cotinine in your blood. Choosing to avoid tobacco is a great preventative step to avoid chronic conditions down the road.

This report is not a substitute for a health exam from a physician, and it can't identify a specific medical problem. It can only show you how you can take responsibility for managing your health, and how to avoid the most common causes of illness and injuries. We encourage you to share your results with your physician. No test can replace the need for doctors and no doctor can replace the need for people to take responsibility for managing their health and wellbeing.

Test Description Your Results Reference Range Alert

Absolute basophils count 0 cells/µL 0 - 200 cells/µL

Absolute basophil count is a measure of the white blood cells (basophils) that are involved in the allergy response.

Absolute eosinophils count 40 cells/µL 15 - 500 cells/µL

Absolute eosinophils count is a measure of the white blood cells (eosinophils) that combat parasitic infections and are involved in asthma or allergy responses.

Absolute lymphocyte count 912 cells/µL 850 - 3,900 cells/µL

Absolute lymphocyte count is a measure of the white bloods cells that make up the lymph and are activated during an immune response. Lymphocytes make up about 25% of white blood cells and include: T cells (recognize foreign substances and process them for removal), B cells (produce antibodies) and natural killer cells.

Absolute monocytes count 332 cells/µL 200 - 950 cells/µL

Absolute monocyte count is a measure of the white blood cells that move out of circulating blood and into tissues where they mature into macrophages, or cells that engulf and digest foreign particles in the body.

Absolute neutrophils count 4,200 cells/µL 1,500 - 7,800 cells/µL

Absolute neutrophils count is a measure of abundant white blood cells (neutrophils) that respond quickly to infection.

Positive Negative

Neg

Additional Blood Results

A red apple indicates a result that is out of the normal reference range for this test.

Test Description Your Results Reference Range Alert

Age 45 yrs N/A

This value indicates your age in years the time of your screening.

Alanine aminotransferase 0 U/L 0 - 45 U/L

ALT, or alanine aminotransferase, is an intracellular enzyme involved in amino acid and carbohydrate metabolism. ALT is present in large concentrations in the liver and kidneys and smaller amounts in skeletal muscle and heart. ALT is released with tissue damage.

Albumin 3.5 g/dL 3.2 - 5.6 g/dL

Albumin is a plasma protein that is made in the liver and influenced by nutritional state, liver function, kidney function, and various diseases.

Albumin / globulin ratio 1.6 1.1 - 2.3

The albumin / globulin ratio may indicate a change in protein levels and a disease state, although does not indicate which proteins are altered.

Alkaline phosphatase 27 U/L 30 - 115 U/L

Alkaline phosphatase is a protein that is found in all tissues in the body and in higher amounts in the liver, bone, and bile ducts.

Aspartate aminotransferase 0 U/L 0 - 41 U/L

Aspartate aminotransferase is an intracellular enzyme involved in amino acid and carbohydrate metabolism. It is present in large concentrations in the liver, skeletal muscle, brain, red cells, and heart. It is released with tissue damage.

Basal metabolic rate 2,089 calories N/A

Basal metabolic rate is the amount of energy (calories) the body needs to function normally at rest.

Blood urea nitrogen 7 mg/dL 6 - 25 mg/dL

The blood urea nitrogen (BUN) test measures the amount of nitrogen in your blood that comes from the waste product urea. A BUN test can indicate how well the kidneys are functioning.

Body fat percentage 19.9 % N/A

The US Navy formula is used to calculate the percentage of the body that is comprised of body fat.

Body mass index 30.8 18.5 - 24.9

BMI, or body mass index, is a measure that relates weight to height in order to estimate body fat and classify weight as underweight, normal, overweight, or obese.

Calcium 9.1 mg/dL 8.3 - 10.2 mg/dL

Calcium is a measure of the total level of calcium in the blood. About half of the calcium in the body is attached to proteins, mostly albumin. Calcium levels are regulated by parathyroid hormone and vitamin D.

Chloride 108 mEq/L 98 - 110 mEq/L

Chloride is a measure of the total amount of chloride in the blood. Chloride is an electrolyte that helps to maintain fluid balance inside and outside of the cell, as well as helps to maintain a normal acid-base balance in the blood.

Eosinophils 0.2 % 0.2 - 5.4 %

Eosinophils are measured as a percentage of eosinophils in the blood. Eosinophils are white blood cells that combat parasitic infections and are involved in asthma or allergy responses.

Free T4 5.25 ng/dL N/A

Free T4 is a thyroid test to measure the amount of free thyroxine (or T4) that is present in the body. Less than 1% of T4 is unbound (or free), most is attached to a protein called thyroxine-binding globulin.

Globulin 2.2 g/dL 2.0 - 4.5 g/dL

Globulin is a group of proteins in the blood produced by the liver and immune system.

Height 72 in N/A

In order to calculate a body composition estimate, body height is measured to the nearest quarter inch using a stadiometer.

Hematocrit 41.8 % 42.0 - 54.0 %

Hematocrit is the percentage of whole blood volume made up of erythrocytes (red blood cells).

Hemoglobin 14.2 g/dL 14.0 - 17.5 g/dL

Hemoglobin is a major red blood cell protein that transports oxygen from the lungs to tissues.

Hemoglobin A1c 4.0 % 3.0 - 6.0 %

Hemoglobin A1c is a measure of glycated hemoglobin, or glucose (sugar) attached to hemoglobin, that indicates the average amount of glucose in the blood over the past 2-3 months.

Hips circumference 44 in N/A

In order to calculate a body composition estimate, the hip is measured at its widest point.

Hours fasted 24 hours N/A

For blood glucose and lipid tests, it is necessary to fast for at least 8 hours prior to the blood draw.

Iron 41 µg/dL 59 - 158 µg/dL

Iron is a measure of the iron circulating in the blood. The level is determined by the absorption from the intestine, storage in the intestine, liver, spleen, and bone marrow, rate of breakdown or loss of hemoglobin, and the rate of production of new hemoglobin.

Lactate dehydrogenase 110 U/L 100 - 242 U/L

Lactate dehydrogenase is an enzyme that is found in most of the body's cells and is released into the fluid part of the blood when cells are damaged or destroyed.

Lymphocyte 15.4 % 14.0 - 50.0 %

Lymphocytes are measured as a percentage of lymphocytes in the blood. Lymphocytes are white bloods cells that make up the lymph and are activated during an immune response.

Mean corpuscular hemoglobin 28.6 pg 26.0 - 34.0 pg

Mean corpuscular hemoglobin is a measure of the amount of hemoglobin per red blood cell.

Mean corpuscular hemoglobin concentration

31.9 g/dL 29.0 - 35.0 g/dL

Mean corpuscular hemoglobin concentration is the average concentration of hemoglobin in a given volume of red blood cells.

Mean corpuscular volume 89.1 fL 81.0 - 101.0 fL

Mean corpuscular volume is a measure of the average size of red blood cells.

Mean platelet volume 7.0 fL 6.4 - 14.0 fL

Mean platelet volume is a measure of the average volume of a platelet. Newer platelets tend to be larger than older ones.

Neck circumference 17 ¾ in N/A

In order to calculate a body composition estimate, the neck is measured at its narrowest point.

Neutrophils 45.1 % 41.0 - 80.0 %

Neutrophils are measured as a percentage of neutrophils in the blood. Neutrophils are white blood cells that respond quickly to infection.

Phosphorous 3.0 mg/dL 2.7 - 4.5 mg/dL

Phosphorous is a measure of the total amount of phosphorous in the blood. Phosphorous levels are determined by parathyroid gland function, action of vitamin D, intestinal absorption, kidney function, bone metabolism, and nutritional status.

Platelet count 154 k/µL 140 - 370 k/µL

Platelet count is a measure of the number of platelets, which are a component of the blood that is important for blood clotting.

Potassium 3.8 mEq/L 3.5 - 5.3 mEq/L

Potassium is a measure of potassium in the blood. Potassium is an electrolyte found inside cells and plays a role in proper nerve and muscle function.

Prostate specific antigen 0.000 ng/mL 0.000 - 4.000 ng/mL

PSA, or prostate specific antigen, is a protein produced by the cells of the prostate that may be used as a marker for prostate cancer.

Pulse 80 beats/min N/A

Pulse is the number of heartbeats per minute at rest.

Red blood cell distribution width 12.1 % 11.0 - 15.0 %

Red blood cell distribution width is a measurement of the variation in red blood cell size.

Red blood cells 4.40 M/µL 4.60 - 6.00 M/µL

Red blood cells are a measure the total number of red blood cells in the blood. Red bloods cells pick up oxygen from the blood and deliver it to tissues throughout the body.

Relative basophil count 0.2 % 0.2 - 1.6 %

Relative basophil count is a measure of the percentage of basophils in the blood. Basophils are white blood cells that are involved in the allergy response.

Relative monocyte count 4.1 % 3.7 - 10.4 %

Relative monocyte count is a measure of the percentage of monocytes in the blood. Monocytes are white blood cells that move out of the circulating blood and mature into macrophages, which engulf and digest foreign particles in the body.

Serum creatinine 0.66 mg/dL 0.60 - 1.50 mg/dL

Serum creatinine is a measure of the level of creatinine in blood. Creatinine is a waste product of muscle metabolism that is transported to the kidneys for excretion. Creatinine levels are used to assess kidney function.

Sodium 148 mEq/L 135 - 148 mEq/L

Sodium is a measure of sodium in the blood. Sodium is the main electrolyte found outside of the cell and plays a role in fluid and electrolyte balance.

Thyroid stimulating hormone 0.38 mlU/L 0.35 - 5.50 mlU/L

TSH, or thyroid stimulating hormone, is a measure of TSH in the body TSH is a pituitary hormone that stimulates the production of thyroid hormones T4 and T3, which affects the metabolism of tissues in the body.

Thyroid-stimulating hormone, sensitive

35.0 mIU/L N/A

The sensitive thyroid-simulating hormone test (STSH) helps to evaluate overactive and underactive thyroid conditions.

Total bilirubin 0.11 mg/dL 0.10 - 1.20 mg/dL

Total bilirubin is a measure of bilirubin in the blood. Bilirubin is a yellow-ish pigment found in bile, which is made in the liver.

Total cholesterol / HDL ratio 3.27 1.50 - 4.00

The total cholesterol/HDL ratio is a calculation of the total cholesterol value divided by the HDL value.

Total protein 6.6 g/dL 6.0 - 8.5 g/dL

Total protein measures the amount of protein in the blood and is affected by nutritional state, liver function, renal function, various disease states, and hydration.

Uric acid 2.8 mg/dL 4.0 - 8.5 mg/dL

This is a measure of uric acid in the blood. Uric acid is a chemical produced when the body breaks down products called purines, which may be found in certain foods and drinks. The kidneys remove uric acid from the body in the urine.

Very-low-density lipoprotein 6 mg/dL 5 - 40 mg/dL

Very-low density lipoprotein is the precursor for LDL. Lipoprotein that contains highest amount of triglycerides.

Waist circumference 38 ½ in ≤ 39.99 in

In order to determine your body composition estimate, the waist is measured at its narrowest point, usually right above the belly button.

Weight 227 lbs N/A

In order to calculate a body composition estimate, body weight is measured without shoes or heavy accessories.

White blood cells 3.60 k/µL 4.00 - 10.50 k/µL

White blood cells are a measure of the total number of leukocytes in whole blood. White blood cells are distinguished from platelets by size.

Cardiovascular Disease

Your heart is the size of your fist and it's the strongest muscle in your body. As marvelous as this system is, it is very vulnerable to damage from the things we do to it, like smoking, eating an unhealthy diet, and putting it under stress. Or you may have been born with a heart condition. When your heart's functions become compromised, this is known as cardiovascular disease, a broad term that covers any disorder to the system that has the heart at its center.

The heart is like any other muscle in the body, and it requires adequate blood supply to provide oxygen to allow the muscle to contract and pump. Not only does the heart pump blood to the rest of the body, it also pumps blood to itself via the coronary arteries. These arteries originate from the aorta (the major blood vessel that carries oxygenated blood away from the heart) and then branch out along the surface of the heart.

When one or more coronary arteries narrow, it may make it difficult for adequate blood to reach the heart, especially during exercise. This can cause the heart muscle to ache like any other muscle in the body.

Should the arteries continue to narrow, it may take less activity to stress the heart and provide symptoms. The classic symptoms of chest pain and shortness of breath are called angina.

Metabolic Syndrome

Metabolic syndrome is a combination of risk factors. When a patient presents with these risk factors together, the chances for future cardiovascular problems are greater than any one factor presenting alone.

Metabolic syndrome occurs when a person has three or more of the following measurements:

Abdominal obesity (waist circumference of 40 inches or above in men, and 35 inches or above in women)

Triglyceride level of 150 milligrams per deciliter of blood (mg/dL) or greater

HDL cholesterol of less than 40 mg/dL in men or less than 50 mg/dL in women

Systolic blood pressure (top number) of 130 millimeters of mercury (mm Hg) or greater, or diastolic blood pressure (bottom number) of 85 mm Hg or greater

Fasting glucose of 100 mg/dL or greater

If you have metabolic syndrome or any of the components of metabolic syndrome, aggressive lifestyle change (comprehensive diet, exercise, and prevention approach) is the only way to delay or even prevent the development of serious health problems.

Disease Conditions

Systolic blood pressure

High-density lipoprotein

Low-density lipoprotein

Diastolic blood pressure

LDL / HDL ratioTriglycerides

Total cholesterolBody composition estimate

Gamma-glutamyl transferase

Cotinine

Systolic blood pressure

Body mass indexHigh-density lipoprotein

Diastolic blood pressure

Fasting blood glucose

Triglycerides

Diabetes Diabetes is a metabolic disease in which an individual has high blood glucose (or sugar in the blood). It occurs when insulin, a hormone that regulates glucose, is inadequate or because the body's cells do not respond properly to insulin, or both. There are three types of diabetes:

Type 1, Type 2 and Gestational. For this program, we are going to focus on Type 2 diabetes because it is lifestyle-induced. If you have one of the other two types, you should consult with your physician to develop a plan of treatment.

Type 2 diabetes, once known as adult-onset or noninsulin-dependent diabetes, is the most common form of the disease (about 95% of all cases worldwide are of this type). Type 2 diabetes is a chronic condition that affects the way your body metabolizes glucose, your body’s main source of energy. By the time it's diagnosed, the insulin-producing cells in the pancreas may already be damaged. Left untreated, type 2 diabetes can be life-threatening; however, the condition can be managed through proper diet and exercise.

Systolic blood pressure

High-density lipoprotein

Diastolic blood pressure

Fasting blood glucose

TriglyceridesBody composition estimate

Cotinine