Clear pricing. No guessing.

• Comprehensive metabolic panel (CMP) — glucose, liver, kidney, and electrolytes
• Fasting insulin & hemoglobin A1c — insulin sensitivity and blood sugar trend
• CBC with differential — overall physiologic status
• Thyroid panel — TSH, free T4, and free T3
• Vitamin B12 — energy production and nerve function

• The required checkpoint that lets your clinician titrate your dose safely as you progress.
• Bundled at a lower price than ordering each of these tests separately.
• Keeps your care proactive rather than reactive.

Required 60–90 days after starting GLP-1 therapy, then annually (or sooner if your clinician asks). Fast for at least 8 hours beforehand.

• CMP & CBC with differential — baseline metabolic and blood health
• Total & free testosterone — overall and biologically active testosterone
• Estradiol — estrogen balance and conversion
• LH & FSH — pituitary signaling to the testes
• Thyroid panel (TSH, free T4) — metabolic regulation
• Prolactin — screens for hormonal suppression of testosterone
• Total & free PSA — prostate health screening
• SHBG — how much testosterone is bioavailable
• AM urinary cortisol & DHEA-S — stress response and adrenal reserve
• Ferritin — iron storage and inflammatory context

• Everything your clinician needs to confirm TRT is appropriate and safe for you, in one draw.
• Required within 6 months of starting testosterone therapy (injections, cream, hCG, or enclomiphene).
• Bundled pricing instead of ordering each marker separately.

Must be drawn between 7–10am, when testosterone is at its daily peak — draws outside that window can't be used to qualify you for therapy. Fast for at least 8 hours.

• CMP & CBC with differential — ongoing metabolic and blood health
• Total & free testosterone — confirms your dose is landing in range
• Estradiol — estrogen balance and conversion
• LH & FSH — pituitary signaling
• Thyroid panel (TSH, free T4) — metabolic regulation
• Total & free PSA — ongoing prostate monitoring
• SHBG — bioavailable testosterone

• Keeps therapy dialed in — confirms your dose is working and staying in a safe range.
• Required at 90 days, then annually, and any time your clinician asks.
• Bundled pricing instead of ordering each marker separately.

Must be drawn between 7–10am, when testosterone is at its daily peak. Fast for at least 8 hours.

• Comprehensive metabolic panel (CMP) — liver, kidney, and electrolyte balance
• CBC with differential — overall health and inflammatory status

• The baseline safety check required before starting testosterone injection therapy.
• Testosterone gel/cream doesn't require lab work first — this applies specifically to injections.
• Bundled pricing instead of ordering each marker separately.

Required within 12 months prior to starting injections. Must be drawn between 7–10am. Fast for at least 8 hours.

• CMP & CBC with differential — ongoing metabolic and blood health
• Total & free testosterone — confirms your dose is in range
• Estradiol & progesterone — hormone balance and conversion
• LH & FSH — pituitary signaling
• Thyroid panel (TSH, free T4) — metabolic regulation
• AM urinary cortisol & DHEA-S — stress response and adrenal reserve
• SHBG — bioavailable hormone levels
• Vitamin D — bone, immune, and metabolic support

• Confirms your testosterone therapy is working and staying in a safe range.
• Required at 90 days, annually, and any time your clinician asks.
• Bundled pricing instead of ordering each marker separately.

Must be drawn between 7–10am. Fast for at least 8 hours.

• TSH — thyroid signaling and feedback regulation
• Free T4 — thyroid hormone production
• Free T3 — active thyroid hormone at the tissue level

• A quick thyroid check-in while sermorelin is working on your growth-hormone signaling.
• Recommended, not required, every 6 months if you're on ongoing sermorelin or GH-support protocols.
• Catches changes early so dosing can be adjusted before symptoms show up.

Fast for at least 8 hours before your draw.

• Hormonal — testosterone (total & free), estradiol, LH/FSH, SHBG, prolactin, PSA
• Metabolic — CMP, fasting insulin, A1c, leptin
• Cardiovascular & inflammation — lipid panel with particle sizing, ApoB, Lp(a), hs-CRP, uric acid, homocysteine
• Nutrient — vitamin D, B12, folate, ferritin, magnesium, zinc
• Blood health — CBC with differential

• Four panels bundled into a single draw instead of four separate orders.
• A proactive baseline for men who want the full picture before something feels off.
• 70+ biomarkers at a better price than testing each system separately.

Fast for at least 8 hours before your draw.

• Hormonal — estradiol, progesterone, testosterone (total & free), LH/FSH, SHBG, prolactin
• Metabolic — CMP, fasting insulin, A1c, leptin
• Cardiovascular & inflammation — lipid panel with particle sizing, ApoB, Lp(a), hs-CRP, uric acid, homocysteine
• Nutrient — vitamin D, B12, folate, ferritin, magnesium, zinc
• Blood health — CBC with differential

• Four panels bundled into a single draw instead of four separate orders.
• A proactive baseline for women who want the full picture before something feels off.
• 70+ biomarkers at a better price than testing each system separately.

Cycle timing matters here: mid-luteal (cycle days 19–23) for a fertility-focused read, or early-follicular (days 1–5) for a perimenopause read. Fast for at least 8 hours.

• Everything in the Comprehensive panel — hormonal, metabolic, cardiovascular, nutrient, and blood health
• Extended thyroid — total T4, total T3, T3 uptake, thyroglobulin & TPO antibodies
• Autoimmune screening — ANA screen with reflex to titer and pattern
• Extended nutrients — copper, selenium, GGT (liver/detox), phosphate, amylase, lipase

• Goes deeper than the Comprehensive panel with autoimmune screening and extended thyroid markers.
• 85+ biomarkers for men who want a more thorough baseline or are navigating age-related hormonal changes.
• One draw instead of piecing together specialty tests over time.

Fast for at least 8 hours before your draw.

• Everything in the Comprehensive panel — hormonal, metabolic, cardiovascular, nutrient, and blood health
• Extended thyroid — total T4, total T3, T3 uptake, thyroglobulin & TPO antibodies
• Autoimmune screening — ANA screen with reflex to titer and pattern
• Ovarian reserve & extended nutrients — AMH, copper, selenium, GGT, phosphate, amylase, lipase

• Goes deeper than the Comprehensive panel with ovarian reserve testing and autoimmune screening.
• 85+ biomarkers for women navigating perimenopause, menopause, or a more thorough baseline.
• One draw instead of piecing together specialty tests over time.

Cycle timing matters here: mid-luteal (days 19–23) for a fertility-focused read, or early-follicular (days 1–5) for a perimenopause read. Fast for at least 8 hours.

• Estradiol, total & free testosterone — core reproductive hormones
• LH & FSH — pituitary signaling
• SHBG — bioavailable hormone levels
• Thyroid panel (TSH, free T4, free T3) — metabolic regulation
• Total & free PSA — prostate health monitoring

• A baseline hormone read tied to energy, mood, libido, and body composition.
• Useful for fatigue, low libido, strength changes, or unexplained weight shifts.
• Helpful whether you're considering hormone therapy or already on it.

Fast for at least 8 hours before your draw.

• Estradiol & progesterone — core reproductive hormones
• LH & FSH — pituitary signaling
• Total & free testosterone — androgen balance
• SHBG — bioavailable hormone levels
• Thyroid panel (TSH, free T4, free T3) — metabolic regulation
• Prolactin — ovulation and cycle disruption

• A clear starting point for cycle regularity, mood, energy, and perimenopause symptoms.
• Useful for fatigue, cycle irregularities, sleep disruption, or body-composition changes.
• Gives your clinician real context instead of guessing from symptoms alone.

Cycle timing matters here: mid-luteal (days 19–23) for a fertility-focused read, or early-follicular (days 1–5) for a perimenopause read. Fast for at least 8 hours.

• Comprehensive metabolic panel (CMP) — fasting glucose plus liver, kidney, and electrolyte balance
• Fasting insulin — an early read on insulin sensitivity
• Hemoglobin A1c — average blood sugar control over the last ~3 months
• Leptin — appetite and energy-balance signaling
• CBC with differential — overall health, immune status, and inflammation

• A real baseline for how your body processes energy and regulates blood sugar, instead of guessing from symptoms alone.
• Useful if you're dealing with fatigue, weight changes, or a metabolism that isn't cooperating.
• Flags early insulin resistance before it becomes a bigger problem.

Fast for at least 8 hours before your draw.

• Comprehensive metabolic panel (CMP) — glucose, liver, kidney, electrolytes
• Fasting insulin & A1c — insulin sensitivity and blood sugar trend
• Leptin — appetite and energy-balance signaling
• Lipid profile with ratios — cholesterol, LDL/HDL, triglycerides, particle sizing
• CBC with differential — overall health and inflammation

• A combined metabolic and cardiovascular baseline in one draw.
• Useful for fatigue, weight changes, or stalled fat loss.
• Helps clarify insulin resistance, metabolic dysfunction, or cardiovascular risk early.

Fast for at least 8 hours before your draw.

• Lipid profile with ratios — cholesterol, LDL/HDL, triglycerides, particle sizing
• Apolipoprotein B — total atherogenic particle burden
• Lipoprotein(a) — a genetically-driven cardiovascular risk marker
• High-sensitivity CRP — systemic inflammation
• Homocysteine — vascular health and metabolic stress
• Uric acid — metabolic and inflammatory context

• Catches vascular and inflammatory risk that a standard cholesterol panel misses.
• A useful baseline before symptoms show up, especially with early heart disease or stroke in the family.
• Also relevant with South or East Asian ancestry, metabolic dysfunction, or chronic inflammation.

Fast for at least 8 hours before your draw.

• High-sensitivity CRP — systemic inflammation linked to cardiovascular and chronic disease risk
• Homocysteine — vascular health and methylation balance
• Uric acid — metabolic stress and inflammation
• Ferritin — iron storage and acute inflammatory response

• A targeted inflammation snapshot rather than a full workup.
• Helps explain fatigue, cardiovascular risk, or cognitive changes tied to inflammatory load.
• Pairs well with GLP-1, NAD+, or low-dose naltrexone therapy to track your response over time.

Fast for at least 8 hours before your draw.

• Vitamin D — bone, immune, and metabolic support
• Vitamin B12 — energy production and nerve function
• Folate — DNA synthesis and red blood cell production
• Magnesium — muscle and nervous system function
• Zinc — immune function and cellular repair
• Iron panel & ferritin — iron availability and storage

• Fatigue, brain fog, or mood changes can be nutrient-driven even when you otherwise feel fine.
• Gives you real numbers to guide supplementation instead of guessing.
• A useful baseline before starting a new protocol or diet change.

Fast for at least 8 hours before your draw.

• Lipid panel with particle sizing — traditional cholesterol plus particle subtype
• Apolipoprotein B & Lipoprotein(a) — atherogenic burden and genetic risk
• Small dense LDL (sdLDL) — the more atherogenic LDL subtype
• High-sensitivity CRP & uric acid — inflammatory and metabolic risk
• ApoE genotype — genetic lipid metabolism and dementia risk
• Omega-3/omega-6 balance — fatty-acid status tied to inflammation and cognition

• Goes beyond a standard cholesterol test with genetic risk, particle subtypes, and fatty-acid balance.
• Surfaces risk that basic labs can miss entirely.
• Especially relevant with early heart attack, stroke, or dementia in the family, or risk despite 'normal' basic labs.

Fast for at least 8 hours before your draw.

• CMP — glucose, liver, kidney, electrolytes
• Fasting insulin & HOMA-IR — early insulin resistance
• Hemoglobin A1c — longer-term blood sugar control
• Leptin & ghrelin — appetite and hunger signaling
• Adiponectin — metabolic flexibility and insulin sensitivity
• Reverse T3 — thyroid conversion under stress
• CBC with differential — overall physiologic status

• A deeper metabolic read for stalled fat loss, plateaus, or fatigue that basic labs don't explain.
• Looks at appetite hormones and thyroid conversion alongside glucose and insulin.
• Useful when lifestyle changes alone aren't moving the needle.

Fast for at least 8 hours before your draw.

• Reproductive hormones — estradiol, progesterone, total & free testosterone
• LH & FSH, SHBG — pituitary signaling and hormone availability
• Thyroid panel — TSH, free T4, free T3
• AM urinary cortisol & DHEA-S — adrenal output and stress response
• Methylmalonic acid (MMA) — functional vitamin B12 status
• PSA (when relevant) — prostate screening

• Connects stress hormones and adrenal output to your reproductive and thyroid picture.
• Useful for burnout, brain fog, disrupted sleep, or recovery that's stalled despite normal basic labs.
• A more complete read than testing hormones or stress markers in isolation.

Fast for at least 8 hours before your draw.

• Reproductive hormones — estradiol, progesterone, total & free testosterone
• LH & FSH, SHBG — pituitary signaling and hormone availability
• Thyroid panel — TSH, free T4, free T3
• Autoimmune screening — ANA panel, CCP antibody, TPO & thyroglobulin antibodies
• Zinc & vitamin D — immune-supporting micronutrients
• PSA (when relevant) — prostate screening

• Links immune and autoimmune activity to your hormone balance in one draw.
• Useful for chronic inflammation, suspected autoimmune activity, or thyroid-adjacent symptoms.
• Helps explain persistent fatigue, brain fog, joint pain, or allergy-like symptoms.

Fast for at least 8 hours before your draw.

• Heavy metals panel — arsenic, cadmium, cobalt, lead, and mercury exposure
• Glutathione — antioxidant reserve and detox capacity

• A read on toxin exposure and your body's antioxidant reserve, together.
• Useful with known or suspected environmental exposure, unexplained symptoms, or a longevity-focused protocol.
• Pairs well with the Inflammation panel for a fuller picture of physiologic stress.

Fast for at least 8 hours before your draw.

• IgE allergy testing — almond, cashew, codfish, cow's milk, egg white, hazelnut, peanut, salmon, scallop, sesame, shrimp, soybean, tuna, walnut, and wheat
• Automatic component testing — milk, egg, and peanut protein components, added when initial results warrant it

• Tests true IgE-mediated allergy, not a generic 'sensitivity' screen.
• Useful before cutting foods out based on guesswork.
• Component-level detail is added automatically at no extra step, when indicated.

Fast for at least 8 hours before your draw. Results are interpreted by your clinician alongside your history.

• Estradiol, progesterone, total & free testosterone, DHEA-S — reproductive hormones
• LH & FSH — ovarian communication and cycle regulation
• SHBG — bioavailable hormone levels
• Anti-Müllerian hormone (AMH) — ovarian reserve
• Prolactin — ovulation and cycle disruption
• Thyroid panel — TSH, free T4, free T3
• Vitamin D & ferritin — nutrient and metabolic support

• Goes beyond a standard hormone panel to include ovarian reserve testing.
• Useful whether you're actively trying to conceive, planning ahead, or working through irregular cycles.
• Gives a clearer picture of how your hormonal system is functioning and how it may shift over time.

Cycle timing matters here: mid-luteal (days 19–23) for a fertility-focused read, or early-follicular (days 1–5) for a hormonal-transition read. Fast for at least 8 hours.

• Reproductive & ovarian health — estradiol, progesterone, testosterone (total & free), DHEA-S, FSH/LH, SHBG, prolactin, AMH
• Thyroid & immune regulation — TSH, free T4/T3, TPO & thyroglobulin antibodies, ANA panel
• Metabolic & cardiometabolic health — CMP, fasting insulin, A1c, leptin, lipid panel, Lp(a), hs-CRP, uric acid, homocysteine
• Blood health — CBC with differential
• Nutrient status — vitamin D, B12, folate, iron with TIBC, ferritin, magnesium, zinc, selenium

• The deepest fertility read we offer — hormones, thyroid, metabolic, and nutrient status in one draw.
• Especially useful if you're actively trying to conceive, navigating irregular cycles or perimenopause, or want a comprehensive assessment.
• Can be extended with any of the Expert Add-on panels below for an even deeper read.

Schedule your draw on day 2 or 3 of a standard 28-day cycle. Fast for at least 8 hours.

• Lipid panel with ratios, ApoB, Lp(a) — cholesterol balance and cardiovascular risk trend
• High-sensitivity CRP & uric acid — inflammation and metabolic stress
• CMP, fasting insulin & A1c — blood sugar and insulin sensitivity
• Leptin — energy-balance signaling
• CBC with differential & thyroid panel — overall status and metabolic regulation
• Vitamin B12 — energy and nerve function

• Tracks cardiometabolic trends — cholesterol, inflammation, blood sugar — while you're on GLP-1 therapy.
• Complements Tirzepatide and Semaglutide by giving objective data alongside how you're feeling.
• Recommended every 3–6 months for ongoing GLP-1 treatment.

Fast for at least 8 hours before your draw.

• Urinary NTx (collagen cross-linked N-telopeptide) — a marker of bone resorption and turnover

• A non-invasive, radiation-free way to keep an eye on bone turnover as GLP-1-driven weight loss progresses.
• Optional — useful if you'd rather skip imaging-based bone density or body-composition scans.
• Interpreted alongside your weight trajectory, nutrition, and overall clinical picture.

Fast for at least 8 hours before your draw.

• Plasma histamine — circulating histamine, often elevated during a mast-cell episode
• Tryptase — the primary clinical marker of mast-cell activity
• Homocysteine — methylation capacity, which affects histamine clearance

• Looks at mast-cell activity and histamine clearance together.
• Helpful if flushing, hives, GI upset, or brain fog show up without an obvious cause.
• A starting point for exploring whether MCAS or histamine intolerance may be involved.

Results are reviewed alongside your symptoms and history — this test doesn't diagnose MCAS on its own.

• EBV antibody panel — VCA IgM/IgG and EBNA IgG, to distinguish recent, past, or resolved infection
• EBV early antigen antibody (EA-D) — a marker of active or reactivated infection

• One draw distinguishes a past Epstein-Barr exposure from active or reactivated infection.
• Useful for unexplained, persistent fatigue, recurring flu-like symptoms, or brain fog.
• Most people have been exposed to EBV; this clarifies whether it's currently active.

• ANA screen (IFA method) — detects antinuclear antibodies, an early sign of autoimmune activity
• Automatic reflex to titer — measures antibody concentration if detected
• Automatic reflex to pattern — identifies the staining pattern, which can point toward a specific condition

• A first step in understanding whether autoimmune activity may be present.
• Useful for unexplained joint pain, fatigue, rashes, or hair loss.
• Especially relevant with a family history of autoimmune disease.

Fast for at least 8 hours before your draw. A positive result doesn't diagnose a specific condition on its own — your clinician interprets it alongside your symptoms.

• Everything in the Women's Fertility Expert panel — reproductive, thyroid, metabolic, and nutrient markers
• Morning serum cortisol — adrenal cortisol output
• ACTH — pituitary-to-adrenal signaling
• Reverse T3 — stress-related thyroid hormone conversion

• Adds specialized markers for adrenal output and stress-related thyroid signaling to the Fertility Expert panel.
• Useful for persistent fatigue, irregular cycles, or hormonal symptoms that may be stress-related.
• Connects the HPA axis to reproductive and thyroid hormone patterns.

Must be paired with the Women's Fertility Expert panel. Schedule your draw on day 2 or 3 of a standard 28-day cycle. Fast for at least 8 hours.

• Everything in the Women's Fertility Expert panel — reproductive, thyroid, metabolic, and nutrient markers
• Androstenedione — helps differentiate ovarian vs. adrenal androgen sources
• 17-Hydroxyprogesterone (17-OHP) — screens for a PCOS-mimicking adrenal condition
• ACTH & adiponectin — adrenal signaling and metabolic/insulin health
• IGF-1 — growth-hormone axis activity

• Helps clarify whether androgen excess is coming from the ovaries, adrenal glands, or metabolic pathways.
• Useful for suspected or diagnosed PCOS, or persistent hormonal symptoms needing more detail.
• Adds metabolic context often linked to androgen-driven symptoms.

Must be paired with the Women's Fertility Expert panel. Schedule your draw on day 2 or 3 of a standard 28-day cycle. Fast for at least 8 hours.

• Everything in the Women's Fertility Expert panel — reproductive, thyroid, metabolic, and nutrient markers
• CoQ10 — mitochondrial electron transport and antioxidant capacity
• GGT — a proxy for glutathione and detox capacity
• Free & total carnitine — mitochondrial fatty-acid transport
• Thiamine (B1) — mitochondrial fuel entry

• Looks at cellular antioxidant capacity and mitochondrial fuel, both tied to egg quality.
• Relevant if you've had embryo-quality concerns, multiple failed cycles, or known oxidative-stress risk factors.
• Adds a layer standard fertility panels don't cover.

Must be paired with the Women's Fertility Expert panel. Schedule your draw on day 2 or 3 of a standard 28-day cycle. Fast for at least 8 hours.

• Everything in the Women's Fertility Expert panel — reproductive, thyroid, metabolic, and nutrient markers
• Antiphospholipid antibody panel — lupus anticoagulant and antiphosphatidylserine antibodies
• Coagulation markers — aPTT, D-dimer, fibrinogen
• Extended autoimmune screening — anti-dsDNA, Sjögren's (SSA/SSB), rheumatoid factor & CCP, complement C3/C4
• Immunoglobulin panel & celiac screen — overall immune competence and malabsorption patterns

• A deeper look at immune and autoimmune patterns linked to recurrent pregnancy loss or implantation challenges.
• Especially useful with a history of recurrent loss, unexplained implantation failure, or positive autoimmune markers.
• Covers conditions frequently underdiagnosed in reproductive-age women.

Must be paired with the Women's Fertility Expert panel. Schedule your draw on day 2 or 3 of a standard 28-day cycle. Fast for at least 8 hours.

• Everything in the Women's Fertility Expert panel — reproductive, thyroid, metabolic, and nutrient markers
• Factor V Leiden & prothrombin gene mutation — the most common inherited clotting-risk variants
• PAI-1 genotype & Lipoprotein(a) — clot breakdown and prothrombotic risk
• Protein C & S activity, antithrombin III — natural anticoagulant function

• Screens for inherited clotting-risk factors that can affect implantation and placental development.
• Especially useful with recurrent pregnancy loss, implantation failure, or a history of placental complications.
• Looks at both genetic variants and natural anticoagulant protein levels.

Must be paired with the Women's Fertility Expert panel. Schedule your draw on day 2 or 3 of a standard 28-day cycle. Fast for at least 8 hours.

• Everything in the Women's Fertility Expert panel — reproductive, thyroid, metabolic, and nutrient markers
• MTHFR genotype (C677T, A1298C) — methylation cycle and folate metabolism
• Methylmalonic acid & vitamin B6 — functional B12 status and homocysteine metabolism
• Serum folate, vitamin A, vitamin E — micronutrient status
• Omega-3 index, copper, iodine — cellular membrane and thyroid-supporting nutrients

• Checks how well your body methylates and absorbs the nutrients that support hormone production and egg quality.
• Useful with elevated homocysteine, unexplained fatigue, restricted diets, or suspected malabsorption.
• Adds a biochemical layer that standard fertility panels don't reach.

Must be paired with the Women's Fertility Expert panel. Schedule your draw on day 2 or 3 of a standard 28-day cycle. Fast for at least 8 hours.