A woman holding the Choose Your Horizon 7-in-1 at-home liver test kit
At-home Liver Health monitoring

See what’s happening on the inside.

Your drinking is one part of the picture. A simple at-home test gives you insight into key liver and metabolic health markers.

  • CAP & CLIA-accredited laboratory
  • 7 key liver & metabolic health markers
  • Results typically in 3–5 days
  • Simple finger-prick collection from home
CAP & CLIAAccredited laboratories
7 key markersLiver and metabolic
Finger-prickCollection at home
3–5 daysFrom sample to results
LegitScript Approved LegitScriptCertified
healthcare merchant
4.5 ★★★★★Trustpilot, 300+ reviews
Get started at home

At-home testing,
made simple.

From finger-prick to results, the process happens from home.

Step 1

Collect your sample

Use the included finger-prick collection kit from the privacy of home.

Step 2

Send it to the lab

Return your sample using the included prepaid packaging for analysis by our laboratory partner.

Step 3

See your results

View your results securely online, track your markers over time and discuss them with your care team when appropriate.

Understanding the test

Your liver works quietly.Testing helps you see what’s happening.

Your liver processes much of the alcohol you drink, and changes in liver-related markers don’t always cause obvious symptoms.

Testing can provide a snapshot of selected liver and metabolic markers and give you a baseline to revisit over time.

Illustration of a liver with its health markers being measured
What it looks at: enzymes the liver releases when it is under strain, plus metabolic markers that tend to move alongside them.
Marker results shown against their reference ranges in the app

Numbers, not guesswork

See selected markers against laboratory reference ranges and track changes over time.

A marker trend from baseline to three months, on a phone

A baseline you can revisit

Compare your results over time as your drinking and health behaviors change.

A clinician on a video call, talking through results

Results with context

When available as part of your plan, your care team can help you understand what your results may mean for your health and treatment.

What we measure

Seven markers. A clearer picture.

The panel includes selected liver and metabolic health markers from a single finger-prick sample.

Liver-related markers

ALT

Alanine aminotransferase

An enzyme commonly measured as part of liver-health assessment.

AST

Aspartate aminotransferase

An enzyme often interpreted alongside ALT and other clinical information.

AST:ALT

The ratio between them

The relationship between AST and ALT, which can provide additional context when interpreted alongside other findings.

GGT

Gamma-glutamyl transferase

An enzyme commonly included in liver-related testing and sometimes considered in the context of alcohol use.

Broader metabolic health

HbA1c

Average blood sugar

Reflects average blood glucose over approximately the previous two to three months.

hsCRP

Inflammation

A general marker associated with inflammation.

Visceral fat

Fat around your organs

An estimate related to fat stored around internal organs.

This test is for wellness and informational purposes and is not a diagnosis. Discuss your results with a licensed clinician.

Medical oversight

Physician-led care, from the top.

Choose Your Horizon’s programs, including how health monitoring fits into treatment, are developed and overseen by our Chief Medical Officer.

Dr. Daniel Montville, Chief Medical Officer

Daniel Montville, MD

Chief Medical Officer, Choose Your Horizon
Mayo Clinic-trained Licensed physician Oversees clinical programs

Dr. Montville trained at the Mayo Clinic and leads the medical team behind Choose Your Horizon. He helps develop our treatment programs and oversee the care delivered through them, so that medication, health monitoring and support work as one coordinated plan.

Built into a broader plan

Knowing where you stand is the starting point.

Health monitoring is most useful when it connects to what happens next. Choose Your Horizon can combine testing with physician-led treatment and ongoing support, so your care can evolve around your health, progress and goals.

Start simple. Add support when you need it.

Your goals can change. Your care can change with them.

  • 01

    Health monitoring

    At-home testing of selected liver and metabolic markers.

    You’re here
    At-home liver health test kit
  • 02

    Naltrexone

    FDA-approved medication that can reduce the reward alcohol delivers.

    Explore naltrexone →
    Naltrexone tablets
  • 03

    GLP-1 support

    GLP-1 oral drops for cravings that are hard to shift.

    Explore GLP-1 support →
    Oral GLP-1 drops
  • 04

    Coaching

    One-on-one support for habits, triggers and accountability.

    Explore coaching →
    A member messaging their coach
Why Choose Your Horizon

At-home testing. Without the waiting room.

Collect your sample from home, send it to the laboratory and view your results securely online. No traditional lab appointment is required for the at-home collection process.

Feature Choose Your Horizon Traditional lab
testing
Where collection happensAt homeClinic or lab visit
AppointmentNone neededUsually required
Collection methodFinger-prick, a few dropsUsually blood draw
Result deliverySecure dashboard, about 3–5 daysVaries
Discussing resultsWith your care team, when availableSeparate appointment, typically
Connection to ongoing treatmentPart of your CYH care planUsually standalone
●30,000+ people supported ★4.5 on Trustpilot ●CAP & CLIA-accredited labs ●Private online care
Add health monitoring to your treatment

More insight into your health.Built into your treatment.

Select the Enhanced Plan to add at-home liver health testing to your naltrexone program.

Enhanced Plan
What the Enhanced Plan includes
  • ✓Physician-led naltrexone treatment
  • ✓90-day medication supply
  • ✓At-home liver health testing
  • ✓7 selected liver & metabolic markers
  • ✓Secure results
  • ✓Ongoing treatment support
  • ✓Free medication delivery

Plan contents and current pricing are shown during enrollment, so you can review everything before starting.

From real members

Trusted by people like you.

Choose Your Horizon members use different combinations of medication, support and health monitoring. Here is what members say about their overall care experience.

★★★★★ 4.5 out of 5
Based on 300+ verified Trustpilot reviews.
Read more verified reviews →
★★★★★

“My goal was to reduce my drinking to one or two drinks per day, and I’ve reached that goal over the past two months. That’s a significant reduction. The CYH program interacts with me daily, keeping me on target, encouraging me, and offering skilled live counseling. If you want to reduce—or quit—drinking, this program will help if you stick with it.”

Dr. Bill CreasyVerified Trustpilot review · September 2026
★★★★★

“This program has really helped me quit drinking with no desire to relapse. I would definitely recommend it to anyone that wants to quit drinking and better your life, health and happiness.”

John MalarkeyVerified Trustpilot review · August 2026
★★★★★

“The meds you sent me are helping to squash the cravings. Even in Vegas for a week and stayed sober! I do think about alcohol sometimes... but remember how my 90 days of sobriety has played out. I’m PRESENT!! If I can do it anyone can. I promise you life will change. Relationships will change... for the very best. I promise!”

DebbieVerified Trustpilot review · March 2026
★★★★★

“I’m genuinely glad I decided to try Choose Your Horizon. The entire experience was smooth and stress-free — from signing up, to the quick virtual appointment with the doctor, to receiving my prescription right at my door. Everything was straightforward, fast, and professional.”

Satisfied CustomerVerified Trustpilot review · February 2026
★★★★★

“In my case my physician was very attentive, listened to what my goals were and the timeline I was working with, and made recommendation based on that. Regular follow-up was also great! The support team was also very attentive, and extremely quick at resolving any issues/questions I had.”

RASVerified Trustpilot review · July 2026
★★★★★

“Absolutely an amazing experience, very informative when or if you have any questions. I recommend the program to anyone and everyone I can. It’s life changing.”

C DVerified Trustpilot review · January 2025
Questions

Frequently asked questions

What is the Choose Your Horizon at-home liver health test?

It is an at-home finger-prick test that measures selected liver and metabolic health markers. Your sample is sent to a laboratory for analysis and results are delivered securely online.

The test provides health information and is not, by itself, a diagnosis.

Why monitor liver health if I’m changing my drinking?

Your liver processes much of the alcohol you consume, and changes in liver-related markers don’t always cause obvious symptoms.

Testing can provide a baseline and help you monitor selected markers over time as your drinking and other health behaviors change.

What markers does the test measure?

The panel includes seven selected liver and metabolic health measures: ALT, AST, AST:ALT ratio, GGT, HbA1c, hsCRP and visceral fat.

Each provides a different piece of information and should be interpreted in the context of your overall health.

Can this test tell me if I have liver disease?

No. The test provides information about selected health markers but does not diagnose liver disease or replace medical care.

If a result is abnormal or you have health concerns, a licensed clinician can advise you on appropriate next steps.

How do I collect my sample?

The kit uses a simple finger-prick collection at home. Follow the instructions included with your kit, package your sample and return it using the supplied shipping materials.

How long do results take?

Results are generally available within approximately 3–5 days after the laboratory receives and processes your sample, although timing can vary.

Can I discuss my results with a clinician?

When clinical review is available with your treatment plan, your care team can help put your results in the context of your health history and treatment.

Can I test more than once?

Yes. Repeat testing can provide a point of comparison over time. The appropriate timing depends on your treatment plan, health history and clinician guidance.

How do I add health testing to my Choose Your Horizon treatment?

Select the Enhanced Plan when enrolling in eligible naltrexone treatment to include at-home liver health testing.

Existing patients can also contact Choose Your Horizon to ask about adding testing to their current plan.

Is my health information private?

Choose Your Horizon is designed for private online care. Test results and health information are delivered and managed through secure systems in accordance with applicable privacy requirements.

A woman checking her results at home in the morning
Start with a clearer picture

See where you stand. Build a plan for what comes next.

Start with a short assessment to explore Choose Your Horizon treatment options and whether health monitoring makes sense as part of your care.

At-home collectionAccredited labs Secure results
You’re in good hands.
  • At-home collection
  • Accredited laboratory analysis
  • Secure results
  • Option for clinical review when available
  • Private online care

Private · Physician-led care · No commitment