Baseline + follow-up at 3 months; ongoing monitoring every 6-12 months
None
Hormones are the signaling molecules that orchestrate virtually every physiological process in your body — from metabolism and energy production to mood, sleep, body composition, libido, cognitive function, and immune regulation. Yet most conventional hormone testing checks only a handful of markers (typically TSH and maybe total testosterone) and declares you "normal" if you fall within the broad reference range.
The problem with this approach is twofold. First, conventional reference ranges are wide enough to include individuals with clear symptoms of hormonal dysfunction. A TSH of 4.0 mIU/L is "normal" by most lab standards, but many endocrinologists recognize that optimal thyroid function is associated with TSH below 2.5, and patients with TSH above 3.0 often report fatigue, brain fog, weight gain, and cold intolerance that resolve with optimization. Second, isolated markers miss the relationships between hormones. Testosterone without SHBG tells you nothing about free (bioavailable) testosterone. TSH without free T3, free T4, and reverse T3 misses subclinical thyroid dysfunction and conversion issues.
Our Hormone Assessment Panel is comprehensive by design. It covers the complete thyroid cascade (TSH, free T3, free T4, reverse T3, thyroid antibodies — TPO and TG), sex hormones (total and free testosterone, estradiol, progesterone, SHBG, LH, FSH, prolactin, DHEA-S), adrenal markers (cortisol, DHEA-S, cortisol-to-DHEA ratio), metabolic hormones (fasting insulin, leptin, adiponectin), and growth factors (IGF-1, IGFBP-3). Results are interpreted not as isolated data points but as an integrated hormonal picture.
Hormonal decline is one of the most tangible manifestations of aging. Testosterone peaks in the mid-20s and declines 1-2% per year thereafter. Thyroid function progressively slows. DHEA — the precursor to both testosterone and estrogen — drops by 80% between ages 25 and 75. Estrogen and progesterone decline sharply during perimenopause. These declines are not inevitable sentences — they are measurable, monitorable, and in many cases, safely addressable.
This panel is the diagnostic foundation. What follows — whether lifestyle optimization, targeted supplementation, or physician-supervised hormone therapy — is determined by your results, symptoms, and goals. Book a consultation with our longevity physician to schedule your comprehensive hormone assessment.
All hormone therapy protocols include a mandatory endocrinologist assessment and prescription in addition to the longevity physician's oversight. No hormonal intervention is initiated without specialist sign-off.
Suitable For
Men and women experiencing fatigue, low libido, brain fog, or mood changesAdults over 35 seeking baseline hormonal assessmentWomen in perimenopause or menopauseMen with suspected low testosteroneAnyone with unexplained weight gain, muscle loss, or sleep disruptionIndividuals considering hormone optimization therapy
A comprehensive panel should include full thyroid cascade (TSH, fT3, fT4, rT3, antibodies), sex hormones (testosterone, estradiol, SHBG, DHEA-S, LH, FSH), cortisol, fasting insulin, and IGF-1 at minimum. Our Hormone Assessment Panel covers all of these and more. Your physician will interpret the results as an integrated hormonal picture, not isolated numbers.
My previous lab work showed "normal" hormones but I still feel tired. Why?
Conventional reference ranges are extremely broad and designed to detect disease, not optimize health. You can be "normal" on paper while functioning at 30% of your optimal hormonal capacity. Our longevity-optimized interpretation identifies where your hormones fall relative to peak function, not just disease thresholds.
Is this panel for both men and women?
Yes. The panel is comprehensive and covers the full hormonal spectrum relevant to both sexes. While specific markers are interpreted differently for men and women, the assessment is designed to provide a complete picture for any adult regardless of sex.
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