The Hormone
Panel.

<sup>This panel expands beyond the Core's foundational sex hormones to add Progesterone and Prolactin — two markers that dramatically change the clinical picture, especially for women. Progesterone is one of the most commonly deficient hormones in perimenopause and is central to sleep, mood, and cycle regularity. Prolactin affects libido, fertility, and estrogen balance and is frequently overlooked in routine panels. Together, these nine markers give Paige a complete hormonal performance profile for both men and women.

 _{Estradiol (E2)     DHEA-Sulfate     Testosterone, Total     Testosterone, Free     Sex Hormone Binding Globulin     FSH (Follicle-Stimulating Hormone)      LH(Luteinizing Hormone)  Progesterone ♀        Prolactin         PSA Total to Relex ♂}</sup>

<sup>This is how thyroid should actually be evaluated. TSH alone — the only marker most physicians order — tells you whether the brain is asking the thyroid to work harder or slower. It doesn't tell you whether the thyroid responded, whether T4 is converting to active T3, whether Reverse T3 is blocking that conversion, or whether an autoimmune process is quietly attacking the gland. Paige reads all six markers together, because thyroid dysfunction is the most commonly missed driver of fatigue, weight resistance, depression, hair loss, cold intolerance, and hormonal disruption — and it's missed precisely because most labs stop at TSH.

_{TSH (Thyroid-Stimulating Hormone)       
Free T3 (Triiodothyronine, Free)     Free T4 (Thyroxine, Direct)     Reverse T3     Thyroid Peroxidase (TPO) Antibody     Thyroglobulin Antibody}</sup>

<sup>Cortisol and DHEA-S work in concert to regulate stress response, cognitive function, memory, and mental clarity. Cortisol is your primary stress hormone — it follows a daily rhythm, and when that rhythm is disrupted, the downstream effects on brain function, sleep, immune response, and hormone production are significant. DHEA-S (already included in the sex hormone section) is cortisol's counterbalancing partner, and reading both together reveals the state of your HPA axis — the stress-response system that governs more of how you feel than most people realize.

_{Cortisol, Total      Prolactin}</sup>

<sup>High-sensitivity CRP (hs-CRP) is the most clinically useful general inflammation marker available. It's sensitive enough to detect low-grade chronic inflammation — the kind that doesn't cause obvious symptoms but quietly drives cardiovascular disease, metabolic dysfunction, autoimmune activation, hormonal disruption, and accelerated aging. Many of Paige's patients have mildly elevated hs-CRP for years before anyone connects it to how they feel. The Full Health Panel adds Sed Rate and Rheumatoid Factor for a more complete inflammatory picture, particularly for patients with autoimmune concerns.

_{hs-CRP (High-Sensitivity C-Reactive Protein)}</sup>

^{This is where Paige goes significantly deeper than the Core Panel. Fasting insulin is one of the most important and most under-ordered markers in medicine — it reveals insulin resistance years before blood sugar or HbA1c becomes abnormal, and insulin resistance drives weight gain, fatigue, inflammation, hormonal imbalance, and long-term cardiovascular risk. HbA1c shows the three-month blood sugar average. The lipid panel gives Paige the standard cardiovascular risk picture. Together with the metabolic baseline from the CMP, these markers tell a complete story about how your body is handling energy — and where things are starting to go sideways before they become a diagnosis.}

^{_{Glucose     Albumin     Total Protein     Calcium        Insulin, Fasting       Hemoglobin A1c (HbA1c)      Total Cholesterol      HDL Cholesterol      LDL Cholesterol      Triglycerides      VLDL Cholesterol}}

^{Nutrient status is one of the most overlooked pieces of the hormonal and metabolic puzzle. Iron deficiency — particularly low ferritin — is a leading cause of fatigue, hair loss, and poor recovery, and it's routinely missed because most labs only check serum iron without ferritin. This panel checks all four iron markers together, giving Paige a complete picture of your iron stores and transport. Vitamin D remains essential context for hormonal interpretation. The Full Health Panel adds B12, folate, magnesium, and zinc for patients who want the complete nutritional picture.
 
_{Vitamin D, 25-OH, Total     Serum Iron      Transferrin Saturation    TIBC (Total Iron Binding Capacity)     Ferritin}}   

<sup>Your liver is the primary site of hormone metabolism and detoxification — it processes and clears estrogen, cortisol, testosterone metabolites, and virtually every medication or supplement you take. Liver enzyme elevation is one of the earliest signals of metabolic strain, fatty liver disease, or medication-related stress, and it frequently coexists with hormonal imbalance without anyone connecting the two. Paige monitors these in all patients, particularly those on HRT, peptides, or other long-term protocols.

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

^{Kidney function is a non-negotiable safety marker in any comprehensive panel, particularly for patients on long-term hormone therapy, peptides, or any prescription protocol. BUN and creatinine measure how well your kidneys are clearing metabolic waste; eGFR gives the overall filtration rate and is a sensitive early indicator of declining kidney function — often years before symptoms appear. Paige uses these to monitor safety baselines and catch early changes before they become problems.}
 

_{^{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.}