Spoke DNA Reports by Spoke Bio
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Private genomic health briefing Premium personalised report
Spoke DNA Reports by Spoke Bio

Genome
Action Plan

Your personalised DNA insights, distilled into clear priorities and practical next steps.

We interpret your DNA through a clinician-informed lens to highlight what matters most for your health. Evidence-based, context-aware, and easy to act on, so you can make confident decisions with clarity and calm.

Personally
prioritised

Focused on insights most relevant to your health and life stage.

Clinically
grounded

Curated with robust evidence and genomic science.

Actionable
next steps

Clear practical guidance you can discuss with your clinician.

Clear
boundaries

Transparent about what we report and what we intentionally exclude.

Designed to help you focus on what matters most.
Private  |  Confidential  |  For your health Not for reproduction or distribution.
Insights for today. Clarity for the future.
Your report at a glance
Personal action plan

Your five practical next steps.

Grouped by what to actually do, with the findings that support each step underneath.

Check

Lock in a cardiometabolic baseline.

Bring to your GP · highest priority

Use one routine sweep: HbA1c or fasting glucose, BP trend, ApoB-inclusive lipids, Lp(a), and waist/body-composition trend.

Supporting findings
LDL cholesterol >90thType 2 diabetes >90thHbA1c >90thAlbuminuria 89th percentileApoB 78th percentileTriglycerides 77th percentile
Track

Keep mental-health foundations steady.

Track for 2 weeks

Keep the foundations steady: sleep consistency, social connection, stress management, regular movement, and avoiding heavy cannabis or stimulant misuse.

Supporting findings
Anxiety disorder >90thSleep duration >90thCaffeine consumption markerMigraine 85th percentileDepression 78th percentile
Track

Track the gut pattern before testing.

Track for 2 weeks

Keep a short GI symptom and food-pattern note, alongside family history and red flags. Use clinical tests when symptoms or history make them relevant.

Supporting findings
Irritable bowel syndrome >90thUlcerative colitis >90thIBD 85th percentile
Check

Rule out reversible fatigue causes.

Bring to your GP

Start with the ordinary reversible causes: Full Blood Count (FBC), thyroid, ferritin, B12/folate, and sleep/recovery context before attributing fatigue to genetics.

Supporting findings
B12 context markerFatigue 85th percentile
Check

Confirm kidney and urine markers.

Bring to your GP

Check eGFR, urine ACR/UACR, blood pressure, and glucose context. Those measured results decide whether the genetic signal matters.

Supporting findings
Pi*S/Pi*Z alpha-1 antitrypsin markerAlbuminuria 89th percentile

A note on what this is. Genetics is useful when it moves the right ordinary check up the list. It does not diagnose conditions or replace measured results, symptoms, family history, or clinician judgement.

Health-area dashboard

Choose the area you care about.

Pick the body system you care about first. Each card shows where the report has top actions, routine checks, and background context.

13 areas · 168 signals
Top signals, in plain English

The findings behind your plan.

These are the findings that earned a place in the plan. Skim them for the logic; the full library sits underneath.

Cardiometabolic & VascularHeart, lipids, blood sugar, blood pressure, body composition
5 action2 check23 bg
LDL cholesterol Top action

Your genetics lean toward higher LDL cholesterol. That nudges a routine check forward; the measured result is what decides whether anything needs doing.

Linked to: Lock in a cardiometabolic baseline
LowHigh
>90Percentile
Type 2 diabetes Top action

Your polygenic loading for Type 2 diabetes sits clearly above the population median. It nudges a routine check forward; it does not say you have the condition.

Linked to: Lock in a cardiometabolic baseline
LowHigh
>90Percentile
HbA1c Top action

Your genome points toward higher HbA1c, which is the blood-sugar side of cardiometabolic health. That nudges a routine glucose check forward; it does not predict diabetes, and measured HbA1c or fasting glucose settles the question.

Linked to: Lock in a cardiometabolic baseline
LowHigh
>90Percentile
Apolipoprotein B Top action

Your genetics lean toward higher ApoB. That nudges a routine check forward; the measured result is what decides whether anything needs doing.

Linked to: Lock in a cardiometabolic baseline
LowHigh
78Percentile
Triglycerides Top action

Your genetics lean toward higher triglycerides. That nudges a routine check forward; the measured result is what decides whether anything needs doing.

Linked to: Lock in a cardiometabolic baseline
LowHigh
77Percentile
Energy, Fatigue & RecoveryFatigue, iron, B12, vitamin D, thyroid, recovery context
1 action0 check3 bg
Malaise and fatigue Top action

Your polygenic loading for Malaise and fatigue sits clearly above the population median. It nudges a routine check forward; it does not say you have the condition.

Linked to: Lock in a cardiometabolic baseline
LowHigh
85Percentile
Liver, Kidney, Urinary & Detox SystemsKidney, urinary, liver processing, detox context
1 action1 check7 bg
Albuminuria / urinary albumin-to-creatinine ratio Top action

Your genetics lean toward higher urinary albumin-to-creatinine ratio. That nudges a routine check forward; the measured result is what decides whether anything needs doing.

Linked to: Lock in a cardiometabolic baseline
LowHigh
89Percentile
Pi*S/Pi*Z alpha-1 antitrypsin variants (SERPINA1) Routine check

Weak evidence toward Pi*S/Pi*Z alpha-1 antitrypsin variants (SERPINA1)

Linked to: Lock in a cardiometabolic baseline
LowHigh
76Context
Gut, Digestion & MicrobiomeIBD, bowel pattern, reflux, food response, microbiome context
3 action0 check4 bg
Irritable bowel syndrome Top action

Your polygenic loading for Irritable bowel syndrome sits clearly above the population median. It nudges a routine check forward; it does not say you have the condition.

Linked to: Track the gut pattern before testing
LowHigh
>90Percentile
Ulcerative colitis Top action

Your polygenic loading for Ulcerative colitis sits clearly above the population median. It nudges a routine check forward; it does not say you have the condition.

Linked to: Track the gut pattern before testing
LowHigh
>90Percentile
Inflammatory bowel disease Top action

Your polygenic loading for Inflammatory bowel disease sits clearly above the population median. It nudges a routine check forward; it does not say you have the condition.

Linked to: Track the gut pattern before testing
LowHigh
85Percentile
Brain, Mood & StressMood, stress, attention, migraine, sensitive psychiatric context
3 action0 check7 bg
Anxiety disorder Top action

Your polygenic loading for Anxiety disorder sits clearly above the population median. It nudges a routine check forward; it does not say you have the condition.

Linked to: Keep mental-health foundations steady
LowHigh
>90Percentile
Attention-deficit/hyperactivity disorder Top action

Your polygenic loading for Attention-deficit/hyperactivity disorder sits clearly above the population median. It nudges a routine check forward; it does not say you have the condition.

Linked to: Keep mental-health foundations steady
LowHigh
79Percentile
Depression Top action

Your polygenic loading for Depression sits clearly above the population median. It nudges a routine check forward; it does not say you have the condition.

Linked to: Keep mental-health foundations steady
LowHigh
78Percentile
Sensory, Skin, Oral & Rare/Family GeneticsEyes, hearing, skin, oral health, rare/family genetics
2 action0 check10 bg
Primary open-angle glaucoma Top action

Your polygenic loading for Primary open-angle glaucoma sits clearly above the population median. It nudges a routine check forward; it does not say you have the condition.

Linked to: Lock in a cardiometabolic baseline
LowHigh
>90Percentile
Acne Top action

Your polygenic loading for Acne sits clearly above the population median. It nudges a routine check forward; it does not say you have the condition.

Linked to: Lock in a cardiometabolic baseline
LowHigh
76Percentile
Full signal library
Explore every signal in your genome. Search, filter, or browse. Open any row when you want the plain-English meaning and the practical boundary.
168 signals
168 signals shown · sorted by practical priority
Action Check Background
One-page clinician brief
For your GP visit. A short, GP-friendly summary of the checks, context, and boundaries worth carrying into care.
6 rows
Area Priority What to check Why now Constraints
Lock in a cardiometabolic baseline High Use one routine sweep: HbA1c or fasting glucose, BP trend, ApoB-inclusive lipids, Lp(a), and waist/body-composition trend.
  • LDL cholesterol >90th
  • Type 2 diabetes >90th
  • HbA1c >90th
  • Albuminuria 89th percentile
  • ApoB 78th percentile
  • Triglycerides 77th percentile
Do not infer current diabetes, hypertension, lipid disease, or medication need; measured results decide action.
Keep mental-health foundations steady Medium Keep the foundations steady: sleep consistency, social connection, stress management, regular movement, and avoiding heavy cannabis or stimulant misuse.
  • Anxiety disorder >90th
  • Sleep duration >90th
  • Caffeine consumption marker
  • Migraine 85th percentile
  • Depression 78th percentile
Do not infer a psychiatric diagnosis or treatment need from PRS alone; symptoms and functional change decide concern.
Track the gut pattern before testing Medium Keep a short GI symptom and food-pattern note, alongside family history and red flags. Use clinical tests when symptoms or history make them relevant.
  • Irritable bowel syndrome >90th
  • Ulcerative colitis >90th
  • IBD 85th percentile
Do not start restrictive diets or infer IBD/celiac disease from PRS alone.
Rule out reversible fatigue causes High Start with the ordinary reversible causes: Full Blood Count (FBC), thyroid, ferritin, B12/folate, and sleep/recovery context before attributing fatigue to genetics.
  • B12 context marker
  • Fatigue 85th percentile
Do not infer a fatigue diagnosis; common reversible causes and lived symptoms matter more than PRS.
Confirm kidney and urine markers High Check eGFR, urine ACR/UACR, blood pressure, and glucose context. Those measured results decide whether the genetic signal matters.
  • Pi*S/Pi*Z alpha-1 antitrypsin marker
  • Albuminuria 89th percentile
Do not infer kidney disease from PRS alone; repeat measured kidney and urine results decide follow-up.
PGx medication fileVariants affecting response to drugs Conditional Record these medication contexts in the medical records:
  • Voriconazole metabolism (CYP2C19)
  • Proton-pump inhibitors such as omeprazole/lansoprazole/pantoprazole (CYP2C19)
  • SSRI antidepressant response/tolerability context (CYP2D6/CYP2C19/CYP2B6)
  • Clopidogrel activation (CYP2C19)
  • Tricyclic antidepressant response/tolerability context (CYP2D6/CYP2C19)
  • Statin muscle-symptom susceptibility context (SLCO1B1/ABCG2/CYP2C9)
  • Response to Metformin (IGF2R rs2297374)
  • Response to Metformin (IGF2R rs622342)
  • Response to Metformin (SLC22A1 rs628031)
  • 9 PGx medication contexts present
  • activate only at point of prescription.
Not actionable without a prescribing event.