Comprehensive Lab Panel for Men & Women

Thrive Wellness Institute

Prior to Hormone Optimization & Peptide Therapy

Before beginning any hormone or peptide therapy, it’s essential to have a comprehensive Hormone Test along with a complete metabolic and inflammatory baseline. This helps us create a personalized, safe, and effective treatment plan tailored to your unique biochemistry and goals.

Detailed Diagnostics

Explore Our Comprehensive Health Panels

Take a deeper look into your health with our full range of diagnostic panels. Each one is designed to uncover the root causes of hormonal, metabolic, and performance-related concerns empowering you with real data to make real change.

Core Hormone Panel

Test	Why It Matters
Estradiol (E2)	Assesses estrogen levels for cycle balance, mood, cognition, and tissue health
Progesterone	Key for sleep, mood, menstrual regularity, and estrogen balance
Testosterone (Total & Free)	Supports libido, muscle tone, energy, and mood
Sex Hormone Binding Globulin (SHBG)	Regulates free hormone levels
DHEA-S (Dehydroepiandrosterone Sulfate)	Adrenal reserve and androgen precursor
Pregnenolone	Precursor to all steroid hormones, often low in stress or aging
Luteinizing Hormone (LH)	Helps assess ovarian function and ovulation status
Follicle Stimulating Hormone (FSH)	Indicates reproductive aging or menopausal transition
Prolactin	Elevated levels may suppress ovulation or libido
AMH (Anti-Müllerian Hormone) (if fertility or ovarian reserve assessment needed)	Marker of egg supply and ovarian function

Cardiometabolic Health Panel

Understanding cardiovascular, metabolic, and insulin-related markers ensures safety and longevity in therapy.

Test	Purpose
Comprehensive Metabolic Panel (CMP)	Kidney, liver, and electrolyte status
Complete Blood Count (CBC)	Evaluates red/white cells, hematocrit (important for TRT safety)
Lipid Panel (Total, LDL, HDL, Triglycerides)	Cardiovascular risk screening
Hemoglobin A1C	3-month blood sugar control
Fasting Insulin	Insulin sensitivity and metabolic health
High-Sensitivity CRP (hs-CRP)	Systemic inflammation marker
Homocysteine	Cardiovascular and methylation marker
ApoB (optional)	Better predictor of cardiovascular risk than LDL

Nutritional & Longevity Markers

Optimizing these improves response to peptides, recovery, and long-term cellular health.

Test	Purpose
Vitamin D (25-OH)	Supports hormone production and immune function
Vitamin B12 (MMA or Active B12)	Mitochondrial and nervous system function
Magnesium (RBC)	Intracellular magnesium status
Zinc / Copper Ratio	Hair, immune, and antioxidant balance
Ferritin & Iron Panel	Energy, oxygen transport, and inflammation
Uric Acid	Metabolism and antioxidant status
IGF-1	Baseline for growth hormone (GH) / peptide response tracking
LDH / AST / ALT / GGT	Liver function and mitochondrial stress

Optional Add-Ons Based on Symptoms

Test	Recommended If…
PSA (Prostate-Specific Antigen)	Over age 40 or family history of prostate issues
Testosterone: Epitestosterone Ratio (T/E ratio)	Baseline before exogenous hormone use
EBV / CMV Panel	Fatigue or suspected viral burden
Heavy Metal Panel	Brain fog, low energy, or environmental exposures
Comprehensive Stool Test or GI MAP	Gut-related symptoms, immune dysfunction, or autoimmune risks
Sexually Transmitted Infection Panel	For sexually active individuals before hormone or peptide therapy

🧑‍⚕️ Why This Matters

At Thrive, we don’t guess—we test and tailor. These labs allow us to:

Confirm root causes of fatigue, weight gain, low libido, or brain fog
Personalize hormone and peptide doses for maximum benefit and minimal side effects
Monitor safety markers like hematocrit, liver function, and cardiovascular risk
Track your progress objectively over time

📆 Next Steps

Schedule your blood draw or bring in recent lab results (within 90 days)
Meet with your provider to review and build your custom optimization plan
Begin peptide and hormone therapy with confidence and clarity

🧠 Thrive isn’t about average. It’s about optimal.

Thyroid & Adrenal Health Panel

Thyroid and adrenal function are foundational for hormonal balance, metabolism, and energy.

Test	Why It Matters
TSH	Primary thyroid screening marker
Free T3 & Free T4	Active thyroid hormones that control energy and metabolism
Reverse T3	Marker of stress-related thyroid suppression
Thyroid Peroxidase Antibodies (TPO Ab)	Screens for autoimmune thyroid disease
Cortisol (AM serum or DUTCH panel if advanced needed)	Reflects adrenal stress response and circadian rhythm

Safety & Metabolic Monitoring`

Test	Why It Matters
Complete Blood Count (CBC)	Monitors hematocrit, hemoglobin (esp. with TRT)
Comprehensive Metabolic Panel (CMP)	Assesses liver, kidney function, electrolytes
Lipid Panel	Tracks cardiovascular markers affected by HRT
Hemoglobin A1C	Glucose control over time
Fasting Insulin (optional)	Assesses insulin resistance (especially with GH peptides)
High-Sensitivity CRP (hs-CRP)	Tracks systemic inflammation
PSA (Prostate-Specific Antigen, men >40)	Prostate monitoring with TRT
AST / ALT / GGT / LDH	Liver stress monitoring—important for some peptides & hormones

Summary: Lab Goals by Therapy

Therapy	Key Follow-Up Labs
TRT / Testosterone	Total T, Free T, E2, DHT, CBC, PSA, Lipids
Bioidentical Estrogen / Progesterone (Women)	E2, Progesterone, SHBG, Lipids, CRP
Peptides (GH secretagogues)	IGF-1, Fasting insulin, A1C, CMP, Lipids
DHEA / Pregnenolone	DHEA-S, Pregnenolone, SHBG, E2/Test balance
Hair restoration peptides (GHK-Cu, PTD-DBM)	Ferritin, Zinc/Copper, DHT
Autoimmune / Gut support peptides (BPC-157, TB-500, KPV)	CRP, CBC, CMP, symptom tracking (clinical)**

📈 What We’re Looking For:

Are hormones in optimal range (not just “normal”)?
Is your blood chemistry safe (no excessive thickening, liver strain, or inflammation)?
Are your symptoms improving—energy, mood, libido, sleep, cognition, recovery?
Do we need to adjust peptide/hormone dosing or add support (e.g., nutrient, gut, or adrenal support)?

🧠 Thrive Is About Precision, Progress & Partnership

We don’t just prescribe—we track, optimize, and evolve your plan based on your body’s feedback. Labs are a key tool to ensure your therapy stays safe, personalized, and effective.

📞 Schedule your post-therapy lab review today or visit Book Now to continue your journey toward peak wellness.

Take Control of Your Health

Start with Data. Optimize with Precision.

Your performance, energy, and longevity begin with what’s happening inside your body. Our Comprehensive Lab Panel for Men gives you the insights you need to make informed, targeted decisions about your health.

Labs Thrive Wellness Institute

A Patient’s Guide to Hormone & Peptide Optimization

Lab testing is one of the most powerful tools we use to understand your body, identify imbalances, and guide safe, personalized treatment with peptides and hormones.

This guide helps you understand what your key lab values mean—and how they connect to how you feel

HORMONE LABS

Lab Test	What It Means	Why It Matters
Total Testosterone	All testosterone in your bloodstream	Low levels can cause fatigue, low libido, brain fog, and muscle loss (in both men & women)
Free Testosterone	Active, usable testosterone	If this is low (even with normal total T), you may feel symptoms of low T
Estradiol (E2 – Sensitive)	Primary estrogen in men and women	Low: hot flashes, mood swings, vaginal dryness; High: breast tenderness, weight gain, water retention (men too!)
Progesterone	Balancing hormone to estrogen (especially for women)	Low: anxiety, insomnia, estrogen dominance; needed for sleep, calm mood, menstrual balance
DHT (Dihydrotestosterone)	Strong form of testosterone	High: can cause acne, hair loss, prostate issues (in men); Low: may blunt sexual function
SHBG (Sex Hormone Binding Globulin)	Regulates free hormone levels	High SHBG = less free T or E2; affected by thyroid, stress, or birth control
LH / FSH	Brain’s signal to produce sex hormones	Helps us see if your body is naturally producing hormones or relying on therapy
DHEA-S	Made by adrenal glands; precursor to T & E2	Low levels: fatigue, low libido, poor stress resilience
Pregnenolone	“Mother hormone” of all others	Low levels can block production of other hormones; affects brain, mood, memory

THYROID & ADRENAL LABS

Test	What It Means	Why It Matters
TSH	Tells thyroid to make hormones	High = underactive thyroid; Low = overactive or suppressed
Free T3 & Free T4	Active thyroid hormones	Low = fatigue, weight gain, cold sensitivity, depression
Reverse T3	“Blocked” thyroid hormone	High reverse T3 = your body’s slowing metabolism under stress
TPO Antibodies	Thyroid autoimmunity marker	High = Hashimoto’s or inflammation that damages thyroid
Cortisol (AM)	Stress hormone (should be high in morning)	Low = burnout, fatigue; High = anxiety, sleep problems, inflammation

METABOLIC & SAFETY MARKERS

Test	What It Means	Why It Matters
Complete Blood Count (CBC)	Blood cell health	High red blood cells from TRT = risk of thick blood; Low can indicate anemia or inflammation
Comprehensive Metabolic Panel (CMP)	Liver, kidney, electrolyte status	Screens for organ health and therapy safety
Lipid Panel (Total, LDL, HDL, Trigs)	Cholesterol levels	Hormones can affect lipids; we want protective ratios, not just low numbers
Hemoglobin A1C	Average blood sugar (3 months)	High = insulin resistance, inflammation, aging faster; goal is <5.2–5.4% for optimal health
Fasting Insulin	Blood sugar regulation	High insulin = fat gain, low energy, inflammation, harder time losing weight
CRP (High Sensitivity)	Inflammation in your body	High = systemic inflammation; we aim for <1.0 for healthy aging
PSA (men only)	Prostate health marker	Ensures TRT is not irritating prostate or increasing long-term risk
AST / ALT / GGT / LDH	Liver enzymes	Elevated = liver stress or poor detox support (monitor during therapy)

NUTRIENTS & LONGEVITY MARKERS

Test	Why It Matters
Vitamin D	Needed for hormone function, immunity, and mood. Low = fatigue, aches, hormone resistance. Optimal = 60–90 ng/mL
Vitamin B12 / MMA	Essential for energy, cognition, nerve health. Deficiency common in vegetarians, older adults
Magnesium (RBC)	Critical for hormones, muscle recovery, sleep. Blood levels often misleading—RBC more accurate
Ferritin / Iron Panel	Fatigue, hair loss, brain fog can be from low or high iron. Women often low, men may be too high
Zinc / Copper Ratio	Affects immune system, testosterone, skin, and hair. Ideal ratio: 1.3–1.5:1 (Zn:Cu)
IGF-1	Reflects GH (growth hormone) activity. Used to measure response to peptides like CJC-1295, Tesamorelin

HOW THIS CONNECTS TO YOUR SYMPTOMS

Symptom	Potential Lab Clues
Fatigue / burnout	Low cortisol, low testosterone, low T3, low iron, high CRP
Low libido	Low free T, low DHEA, high SHBG, low E2
Weight gain	High insulin, high estrogen, low thyroid, low T
Brain fog	Low thyroid, low pregnenolone, low B12, low progesterone
Sleep issues	Low progesterone, low magnesium, high cortisol
Anxiety / mood swings	Low progesterone, high estrogen, low DHEA, high rT3
Poor recovery / sore muscles	Low T, low IGF-1, low magnesium or iron
Hair loss (men & women)	High DHT, low ferritin, thyroid issues, low zinc, high stress hormones

✅ Next Steps at Thrive

After reviewing your labs, we’ll:

Personalize your hormone & peptide therapy
Track how your symptoms align with your labs
Use targeted nutrients, peptides, or lifestyle tools to bring values into optimal range

💡 We don’t chase numbers—we optimize how you feel.

🔬 How We Treat Abnormal Lab Values

A Precision-Based Approach at Thrive Wellness Institute

At Thrive, we go beyond just identifying “normal” labs—we look for optimal ranges and align them with your symptoms, goals, and biology. Here’s how we respond to some of the most common lab imbalances seen in hormone and peptide therapy.

THYROID & STRESS AXIS

Abnormal Lab	Symptoms	Treatment Strategy
High TSH / Low Free T3/T4	Fatigue, cold hands, weight gain	Thyroid hormone (T3/T4 combo or low-dose NDT), selenium, avoid goitrogens, address adrenal health
High Reverse T3	Sluggish metabolism, brain fog	Reduce inflammation, correct low T3, treat adrenal fatigue, increase protein, optimize sleep
Elevated Cortisol	Anxiety, poor sleep, belly fat	Phosphatidylserine, adaptogens (ashwagandha, rhodiola), breathwork, sleep protocol
Low AM Cortisol	Fatigue, dizziness, low motivation	Adrenal support (licorice root, vitamin C, B5), circadian rhythm repair, DHEA/pregnenolone if low

LONGEVITY / NUTRIENT MARKERS

Abnormal Value	Symptoms	Treatment
Low Vitamin D (<50 ng/mL)	Mood swings, low immunity, fatigue	Supplement 5,000–10,000 IU/day with K2, sun exposure
Low Ferritin / Iron	Fatigue, hair loss, poor endurance	Iron bisglycinate, check gut absorption, optimize menstrual health in women
High Ferritin (men)	Inflammation, oxidative stress	Phlebotomy, reduce red meat, curcumin
Low B12	Brain fog, tingling, fatigue	Methyl B12 or hydroxocobalamin injections or sublingual
Zinc/Copper Imbalance	Skin, hair loss, immune dysregulation	Adjust doses to correct 1.3–1.5:1 Zn:Cu ratio, test serum levels quarterly

🧠 Thrive’s Treatment Philosophy

We don’t just treat lab numbers—we treat people. That means:

Matching therapy to your symptoms and goals, not just lab cutoffs
Using the lowest effective dose of hormones, peptides, and nutrients
Re-testing at regular intervals to track progress

Prioritizing safety, performance, and longevity in every protocol