The comprehensive workup. The labs a thorough clinician would run for you if insurance weren't in the way.

Women who want a complete baseline of their health data, across every major body system.

Especially useful if you're in perimenopause or approaching it, if you've been told your labs are "normal" despite feeling otherwise, if you're being proactive about your health in your 30s, 40s, or 50s, or if you simply want the most comprehensive lab picture available without multiple separate visits.

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General Health, Metabolic, and Cardiovascular

Complete Blood Count (CBC) with differential. Looks at red blood cells, white blood cells, and platelets, a general window into immune function, oxygen-carrying capacity, and overall blood health.

Comprehensive Metabolic Panel (CMP). Checks kidney function, liver function, blood sugar, and electrolyte balance.

Hemoglobin A1c. Your average blood sugar over the past three months, one of the most important markers for metabolic health.

Fasting insulin. Often the earliest warning sign of insulin resistance, rising years before blood sugar itself starts to climb. Rarely ordered in conventional care, but deeply informative.

Lipid panel with LDL/HDL ratio. A full cholesterol picture, including the ratio between LDL and HDL, which is often more meaningful than any single cholesterol number alone.

Uric acid. Linked to metabolic health, inflammation, and cardiovascular risk. Elevated levels can signal insulin resistance and are associated with joint discomfort as well.

hs-CRP (high-sensitivity C-reactive protein). A sensitive marker of low-grade, systemic inflammation. Useful for understanding cardiovascular risk and overall inflammatory burden.

Homocysteine. An amino acid that, when elevated, is linked to cardiovascular and cognitive risk. Often reflects underlying issues with B vitamins (B12, folate, B6) or methylation.

Nutrients

Vitamin D (25-OH). Widely under-measured and often low. Impacts energy, mood, immune function, and bone health.

Vitamin B12 and folate panel. Both are essential for energy production and red blood cell formation. Low B12 in particular is linked to fatigue, brain fog, tingling, and mood changes, and is often missed in routine bloodwork.

Iron panel (iron, TIBC, ferritin). A full look at iron status, not just hemoglobin. Ferritin reflects your iron storage. Iron and TIBC tell you whether your body is absorbing and transporting iron well. Low iron is one of the most common and most missed causes of fatigue, especially in women who menstruate.

Thyroid

TSH (thyroid-stimulating hormone). The brain's signal to the thyroid, telling it how much hormone to produce.

Free T4. The main hormone produced by the thyroid. "Free" means the active form available to your body, not bound to proteins.

Free T3. The more active thyroid hormone, converted from T4 in the body's tissues. Often the marker most closely tied to how you actually feel.

Reverse T3. An inactive form of T3 that the body produces under stress, illness, or nutrient depletion. Elevated reverse T3 can explain why someone has "normal" thyroid labs but still feels hypothyroid.

Thyroid peroxidase antibodies (TPO). An autoimmune marker. Elevated levels can point to Hashimoto's thyroiditis, often years before standard thyroid labs become abnormal.

Thyroglobulin antibodies. A second autoimmune thyroid marker. Reading TPO and thyroglobulin antibodies together gives a more complete picture of autoimmune thyroid activity.

Iodine, random urine. The raw material the thyroid uses to make thyroid hormone. Both deficiency and excess can disrupt thyroid function, and iodine status is rarely checked in conventional care. Requires a urine sample in addition to your blood draw.

Hormones

Testosterone, total and free. Not just a "male hormone." In women, testosterone influences libido, energy, mood, and muscle, and levels shift meaningfully with age.

Estradiol (ultrasensitive). The primary form of estrogen during reproductive years. The ultrasensitive version is more accurate at the lower levels often seen in perimenopause and postmenopause.

Progesterone. Essential for cycle regulation, sleep, and calm. Often the first hormone to decline in perimenopause.

FSH and LH. Signals from the brain to the ovaries. These help tell the story of where you are in your reproductive transition, useful in perimenopause especially.

DHEA-sulfate. An adrenal hormone that serves as a building block for other hormones and reflects your stress resilience.

SHBG (sex hormone binding globulin). A protein that determines how much of your testosterone and estrogen is actually available to your body. Without it, a testosterone number alone doesn't tell the full story.

Minerals

Zinc, RBC. Essential for immune function, wound healing, taste and smell, skin health, and hormone production. Measured inside the red blood cell for a more accurate picture than standard serum zinc.

Selenium, RBC. Critical for thyroid hormone conversion, antioxidant defense, and immune function. Measured at the cellular level for better accuracy.

Copper, plasma. Works in balance with zinc. Too little or too much can affect energy, mood, iron metabolism, and connective tissue health.

Ceruloplasmin. The main transport protein for copper. Reading ceruloplasmin alongside plasma copper gives a more complete understanding of how copper is being used in the body.

Chromium, blood. Supports blood sugar regulation and insulin sensitivity. Low levels can quietly contribute to cravings and blood sugar swings.

Magnesium, RBC. The more accurate version of magnesium testing. Standard serum magnesium can look normal even when your body's actual stores are depleted. Magnesium supports sleep, muscle function, blood sugar regulation, stress resilience, and over 300 enzyme processes in the body.

Ionized calcium. The biologically active form of calcium, more informative than total calcium alone. Calcium balance affects bone, nerve, muscle, and cardiovascular function.

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