This is our foundational panel for women. It gives us the core data needed to evaluate hormone balance, thyroid function, and overall health markers that can impact weight, mood, energy, sleep, libido, and cycle symptoms.
Includes:
Total Testosterone + Free Testosterone
Estradiol (E2)
Progesterone
Pregnenolone
Thyroid (TSH)
CBC with Platelets
Comprehensive Metabolic Panel (CMP)
Best for:
Baseline labs before starting BHRT / peptides
Cycle symptoms (PMS, heavy periods, irregular cycles)
Fatigue, low libido, mood changes
Weight changes or stubborn body composition issues
Thyroid screening + overall health check
Add these tests if you want a deeper, more comprehensive understanding of hormone balance, adrenal function, fertility signaling, or thyroid complexity. These are especially helpful when symptoms don’t fully match basic lab results or when we’re moving from “baseline” into true optimization.
(Recommended for optimization and symptom clarification)
These markers help us understand how your brain, ovaries, and adrenal system are communicating — not just what your hormone levels are, but how they’re functioning.
What it does:
SHBG is a protein that binds to testosterone and estradiol. When hormones are bound, they are not biologically active. This test tells us how much of your hormone is actually usable.
Why you might want this added:
Your total testosterone or estradiol looks “normal” but you still have symptoms
You have low libido despite adequate testosterone
You have signs of estrogen dominance or unstable estrogen swings
You struggle with insulin resistance or metabolic concerns
We are adjusting testosterone therapy and need precise dosing
Why it matters:
Low SHBG can lead to hormone instability and exaggerated swings.
High SHBG can make total hormone levels look normal while free (usable) hormone is low.
What they do:
LH and FSH are brain signaling hormones that tell the ovaries what to produce. They help us understand where you are in your reproductive transition.
Why you might want this added:
Irregular or changing cycles
Suspected perimenopause
Early menopause concerns
Fertility evaluation
Mood changes or anxiety that feel “cycle-related”
You’re wondering, “Why are my hormones suddenly changing?”
Why it matters:
These markers show whether the issue is ovarian production, brain signaling, or transition into perimenopause/menopause. They give context to estradiol and progesterone results.
What it does:
DHEA-S is produced by the adrenal glands and serves as a precursor to testosterone and estrogen. It reflects adrenal resilience and stress capacity.
Why you might want this added:
Chronic stress or burnout
Fatigue despite normal thyroid and testosterone
Low libido
Poor recovery from workouts
Stubborn body fat
Brain fog or low motivation
Why it matters:
Low DHEA can contribute to low androgen symptoms, poor stress tolerance, and slower recovery.
High DHEA can indicate adrenal overstimulation or androgen imbalance.
(When TSH alone isn’t enough)
What it includes (example components):
Free T4
Free T3
Reverse T3
Thyroid Peroxidase (TPO) Antibodies
Thyroglobulin (Tg) Antibodies
Why you might want this added:
You have thyroid symptoms but a “normal” TSH
History of thyroid disease
Hair thinning or hair loss
Cold intolerance
Constipation
Brain fog
Weight resistance despite diet and exercise
Family history of autoimmune thyroid disease
Why it matters:
TSH alone does not tell us how well you are converting thyroid hormone into its active form (T3), nor does it identify autoimmune thyroid conditions. A full panel gives us a clearer picture of metabolism, inflammation, and hormone conversion efficiency.