The Core Panel.

<sup>Your sex hormones govern far more than reproduction — they drive energy, body composition, libido, muscle recovery, mood, and cognitive sharpness. Testosterone, DHEA-S, and estradiol together give Paige a clear picture of where your hormone production actually stands, and SHBG tells her how much of what you're producing your body can actually use. These are the markers most often under-evaluated in conventional care.

 _{Estradiol (E2)     DHEA-Sulfate     Testosterone, Total     Testosterone, Free     Sex Hormone Binding Globulin     FSH (Follicle-Stimulating Hormone)      LH(Luteinizing Hormone)}</sup> 

<sup>TSH is the screening marker for thyroid function — the signal your brain sends to tell your thyroid how hard to work. An abnormal TSH is often the first flag that something in the thyroid system is off. This panel uses TSH as the entry point; the Hormone Panel expands to Free T3, Free T4, Reverse T3, and antibodies for a complete thyroid picture.

_{TSH (Thyroid-Stimulating Hormone)}</sup>

<sup>Your liver is central to hormone metabolism, detoxification, and energy production. These enzymes signal how hard your liver is working and whether there's any cellular stress or damage happening quietly in the background — which is common and commonly missed. Elevated liver enzymes can reflect everything from fatty liver to medication effects to metabolic strain from poor hormone balance.

_{ALT (Alanine Aminotransferase / SGPT)    AST (Aspartate Aminotransferase / SGOT)     Alkaline Phosphatase (ALP)     Bilirubin, Total}</sup>

^{These four markers from the Comprehensive Metabolic Panel give Paige a window into how your body is handling blood sugar and protein metabolism. Glucose is the foundational blood sugar marker; Total Protein and Albumin reflect nutritional status and liver protein production; Calcium connects to metabolic signaling, muscle function, and bone health. For deeper metabolic investigation — insulin resistance, lipid patterns, HbA1c — the Hormone Panel covers all of it.}
 

^{_{Glucose     Albumin     Total Protein     Calcium}}

^{Vitamin D deficiency is one of the most prevalent and most impactful nutritional gaps in Paige's patient population — and one of the most underappreciated drivers of fatigue, immune dysfunction, mood changes, and hormonal imbalance. It's included in this panel because no hormonal picture is complete without it. The Hormone Panel adds B12, folate, magnesium, zinc, and iron for a full nutrient workup.
 
_{Vitamin D, 25-OH, Total}}

^{The kidneys filter your blood, regulate fluid balance, and are often the first organ to reflect strain from metabolic dysfunction, chronic inflammation, or medication load. BUN and creatinine measure waste clearance; eGFR is the overall filtration rate and a sensitive early marker of kidney function decline — one Paige monitors in all patients, especially those on long-term hormone protocols or medications.}
 

_{^{BUN (Blood Urea Nitrogen)      eGFR (Estimated Glomerular Filtration Rate)      Creatinine}}

^{Electrolytes regulate every cell in your body — nerve signaling, muscle contraction, fluid balance, and pH. Imbalances here are often behind symptoms that seem unrelated: fatigue, muscle cramps, brain fog, heart palpitations, and poor recovery. Sodium, potassium, and chloride are the primary electrolytes; CO₂ (bicarbonate) reflects your body's acid-base balance, which is closely tied to adrenal and kidney function}
 

_{^{Sodium     CO₂ (Bicarbonate)      Potassium     Chloride}}

^{The CBC with differential gives Paige a complete picture of your blood cell populations — how well your red cells are carrying oxygen, how your immune system is activated, and whether there are patterns suggesting anemia, infection, inflammation, or immune dysregulation. It's one of the most information-dense panels in medicine, and Paige reads it alongside your hormone and metabolic markers to catch things that don't show up when any one marker is read in isolation.}