Lab Panel Pricing

Complete Blood Count (CBC) — ~14 markers

Blood counts  |  Anemia detection  |  Immune function  |  TRT monitoring

The CBC measures the three main cell types in your blood and their characteristics: red blood cells (which carry oxygen), white blood cells (immune defense), and platelets (clotting).

Key markers: Hemoglobin, Hematocrit, RBC, WBC with differential, Platelets, MCV, MCH, MCHC, RDW

Why we include it: Anemia is one of the most underdiagnosed causes of fatigue and poor recovery in both men and women. For men on TRT, hematocrit elevation (polycythemia) is a real risk — we monitor this at baseline and on follow-up. A high or low WBC can also signal immune or inflammatory conditions worth investigating.

Comprehensive Metabolic Panel (CMP) — 14 markers

Kidney function  |  Liver function  |  Electrolytes  |  Blood glucose

The CMP is the organ health report. It checks how well your kidneys and liver are filtering, whether your electrolytes are balanced, and your baseline blood glucose.

Kidney markers: BUN, Creatinine, eGFR, BUN/Creatinine Ratio — these tell us how well your kidneys are clearing waste. Declining eGFR can precede kidney disease by years, long before symptoms appear.

Liver markers: ALT, AST, Alkaline Phosphatase, Total Bilirubin, Albumin, Total Protein — liver enzymes elevate before symptoms do. We monitor these in patients on any medication, supplement protocol, or hormone therapy.

Electrolytes: Sodium, Potassium, Chloride, CO2, Calcium — electrolyte imbalances affect energy, muscle function, cardiac rhythm, and neurological status. Often overlooked in standard care.

Hormone Panel — 3 markers (men) / 6 markers (women)

Testosterone · Estradiol · SHBG (women) · Progesterone (women)

Total Testosterone: The starting point. But total T alone is often misleading — a man can have a “normal” 820 ng/dL with high SHBG and be functionally deficient.

Free Testosterone: The fraction not bound to proteins — what your tissues can actually use. This number frequently tells a different story than total T.

Estradiol (E2): Critical for both sexes. In men, E2 affects libido, bone density, cardiovascular health, and mood. Too high or too low — both cause problems. We look at the testosterone-to-estradiol ratio, not just isolated values.

For women — SHBG (Sex Hormone Binding Globulin): Elevated SHBG (common with oral contraceptives, thyroid dysfunction, and caloric restriction) reduces the bioavailability of both testosterone and estrogen. Understanding SHBG explains why some women feel hormonally off despite “normal” hormone levels.

For women — Progesterone: The balance between estrogen and progesterone drives cycle regularity, sleep quality, mood stability, and fertility. Progesterone deficiency is one of the most common and most commonly missed hormonal issues in women under 45.

Hemoglobin A1c (HbA1c) — 1 marker

Insulin resistance  |  90-day glucose average  |  Diabetes risk

A fasting glucose tells you what your blood sugar is doing right now. HbA1c tells you what it’s been doing for the past three months — a far more meaningful picture of metabolic health.

An HbA1c of 5.7-6.4% signals pre-diabetes — a fully reversible window that most patients don’t know they’re in because their doctor only ran a fasting glucose. Catching insulin resistance here, before it becomes Type 2 diabetes, changes the entire treatment trajectory. There is also a strong bidirectional relationship between insulin resistance and low testosterone — one drives the other, and optimizing both together produces dramatically better outcomes than treating either in isolation.

Lipid Panel — 5 markers

Cardiovascular risk  |  HDL · LDL · Triglycerides · Total Cholesterol

Markers: Total Cholesterol, HDL, LDL, Triglycerides, Non-HDL Cholesterol

Cardiovascular disease is the leading cause of death for men in the United States. The lipid panel is foundational — but context matters enormously. An LDL of 130 mg/dL in a 35-year-old with low inflammation and optimal HDL carries very different risk than the same number in someone with metabolic syndrome.

Triglycerides are particularly telling — elevated TG with low HDL is a classic marker of insulin resistance, even before HbA1c rises. The TG/HDL ratio is one of the most underutilized cardiovascular risk predictors in standard care.

Thyroid Panel — 2 markers

Thyroid function  |  Metabolism  |  Energy regulation

Markers: TSH (Thyroid Stimulating Hormone), Free T4

Thyroid dysfunction — particularly subclinical hypothyroidism — is one of the most common mimics of low testosterone and low energy. Fatigue, weight gain, brain fog, cold intolerance, and slowed recovery can all be thyroid-driven. Many men and women are treated for hormonal issues without anyone checking the thyroid. We check it on every patient. Thyroid dysfunction also elevates SHBG, which compounds hormonal imbalance if left untreated.

Vitamin B12 and Vitamin D — 2 markers

Neurological function  |  Immune health  |  Testosterone support  |  Energy

Vitamin D (25-OH): Deficiency affects over 40% of American adults and is directly linked to reduced testosterone production, immune suppression, depression, and increased cardiovascular risk. Optimal levels are 50-80 ng/mL — most people with “normal” labs are sitting at 25-35 ng/mL, which is insufficient for optimal function. Vitamin D is a steroid hormone precursor, not just a vitamin.

Vitamin B12: Critical for neurological function, red blood cell formation, and energy metabolism. Deficiency is common in patients on metformin, proton pump inhibitors, or plant-based diets — and it presents as fatigue, cognitive decline, and peripheral neuropathy. Frequently missed because standard labs only check B12 when someone is overtly symptomatic.

Women’s Panel Add-Ons — Ferritin, Progesterone, SHBG

Included in the Women’s Complete Panel (+$40)

Ferritin: The most commonly overlooked cause of fatigue in pre-menopausal women. Ferritin is the body’s iron storage protein — and chronic blood loss from menstruation depletes it long before hemoglobin drops. A woman can have a completely normal CBC and be severely iron-depleted. Optimal ferritin for energy and hair health is above 50 ng/mL; many women are under 15.

Timing note for women: Hormone levels (estradiol, progesterone) are highly cycle-dependent. For most accurate results, we recommend the blood draw on day 19-21 of your cycle (7-10 days after ovulation) to capture the mid-luteal progesterone peak. Women on hormonal contraceptives or post-menopausal women can draw at any time. We walk you through timing at your consultation.

Ready to see your full picture? Schedule a consultation and we’ll build your lab order the same day.

Free 30-minute consultation with Dr. Flores. Labs ordered at the end of the visit.