Hormone Panel
Comprehensive Endocrine Assessment
A clinically curated assessment of the hormones that influence energy, body composition, mood, sexual health, and recovery.
About Hormone Panel
Our hormone panel is a careful, sex-specific look at the endocrine systems that most influence how you feel and function — gonadal hormones (testosterone, estradiol, progesterone, SHBG), adrenal output (cortisol, DHEA-S), thyroid (TSH, free T4, free T3, antibodies when indicated), and related markers like prolactin and LH/FSH.
We test what's likely to be informative based on your sex, age, symptoms, and goals — not a sweeping all-in-one test of every measurable hormone. Selective testing produces interpretable results; over-testing produces noise.
Most assessments are done with a morning blood draw, sometimes paired with timed cortisol or other dynamic testing when clinically appropriate.
The clinical significance
Hormones drive enormous amounts of how we feel — energy, libido, sleep quality, mood, motivation, body composition, recovery from training, and resilience to stress. When something feels off in those areas, hormones are often part of the picture.
Standard practice is to wait until symptoms are obvious or values fall outside broad reference ranges before testing. We test earlier and interpret more rigorously, so changes are caught while they're still easy to address.
Hormone replacement and optimization are nuanced topics. The right answer for any given patient depends on labs, symptoms, goals, age, and risk profile considered together — not on a single number or a one-size protocol.
Specific markers and outputs
- For men: total and free testosterone, SHBG, estradiol, LH, FSH, DHEA-S, prolactin
- For women: estradiol, progesterone, total testosterone, SHBG, DHEA-S, FSH, LH, prolactin (cycle-timed when relevant)
- Adrenal: morning cortisol, with extended testing when warranted
- Thyroid: TSH, free T4, free T3, reverse T3 and antibodies when clinically indicated
Who we typically order this for
- Patients with symptoms suggestive of hormonal dysfunction — low libido, persistent fatigue, mood changes, sleep disturbance, or unexplained changes in body composition.
- Men in their 30s and beyond who want a thoughtful baseline of testosterone and related markers.
- Women navigating perimenopause or menopause who want a comprehensive picture and a discussion of options grounded in their actual physiology.
- Patients who have read or been sold on hormone optimization and want a careful, evidence-based second opinion before starting therapy.
The practical experience
- A morning blood draw, ideally between 7 and 10 a.m., is the foundation of most hormone testing.
- We ask about symptoms, sleep, training load, stress, and medications — context matters as much as the numbers.
- Results are reviewed in person or by video, with time to discuss what they mean and what (if anything) to do about them.
Reading the numbers in context
We interpret hormones in the context of your symptoms, life stage, goals, and the rest of your evaluation. A 'normal' lab in someone with clear symptoms still warrants a serious conversation. An 'abnormal' lab in a patient who feels great may not require action.
When therapy is appropriate, we discuss it openly — risks, benefits, alternatives, monitoring schedule, and what 'success' looks like. When it's not, we say so.
Most hormone panels are revisited every 6 to 12 months, with adjustments to the panel as your situation evolves.
Frequently asked
Do you prescribe testosterone replacement therapy?
When clinically appropriate, yes. We're conservative — we look at total picture, not a single lab value, and we have honest conversations about risks, benefits, and alternatives. We're equally honest when therapy isn't the right answer.
What about HRT for women?
Yes, in appropriate patients. We support evidence-based hormone therapy across perimenopause and menopause and discuss it in the context of cardiovascular risk, bone health, symptoms, and personal preferences.
I had a hormone panel last year that was 'normal' — should I retest?
If symptoms are present, often yes. 'Normal' on a standard report is a wide range that includes many people who don't feel well. We may add markers, retime the draw, or interpret existing results more carefully in context.
Hormone Panel is part of the Executive Evaluation.
Included with the Executive Evaluation. Comprehensive patients can add it through ongoing care. Every test we order is interpreted in person by your physician and integrated into a single, written plan — not handed back as a stack of numbers.