Blood Testing for Bioidentical Hormone Therapy
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Hormone Therapy Blood Tests
Hormone therapy blood tests are tests that measure the levels of hormones in the blood. These tests can be used to help diagnose and manage various hormonal conditions, including hormonal imbalances, endocrine disorders, and hormonal cancers. Some examples of hormones that may be tested in hormone therapy blood tests include testosterone, estrogen, progesterone, and thyroid hormones.
Hormone therapy blood tests are typically ordered by a healthcare provider and may be used in conjunction with other tests and procedures to diagnose and manage a patient’s condition. The results of these tests can help the healthcare provider determine the appropriate course of treatment for the patient, which may include hormone replacement therapy or other medications.
It is important to follow the instructions of the healthcare provider and to have blood tests done at the recommended intervals to ensure accurate results and effective treatment.
When ordering your blood test in the USA on the affiliate DirectLabs website, select the Anti-Aging Panel, male if you are a man, and Anti-Aging Panel, Female if you are a female. The DirectLabs Anti-Aging Blood Test Cost is approximately $314 for the complete anti-aging panel.
Blood Draw Basics
Fasting Required: Yes 10-12 hours water only.
Specimen: Blood Lab
Quest Diagnostics Results: 4-7 days typical.
Note: Result turnaround times are an estimate and are not guaranteed. The Quest Diagnostics reference lab may need additional time due to weather, holidays, confirmation/repeat testing, or equipment maintenance.
Give yourself plenty of time to receive your blood test results prior to your initial consultation with our medical staff.
Blood Testing for Optimal Hormone Replacement Dosing
Jeff Ugalde, M.D.
Medical Director
Board-certified in Anti-Aging and Regenerative Medicine by the American Academy of Anti-Aging Medicine.
Importance of Understanding Your Results
We advise patients they should take charge and know their blood test results inside and out. The more you understand your blood test results more involved you become in controlling your health and biological age. The key is delaying or reversing the effects of aging on our bodies. Whether that’s maintaining a youthful appearance or just having peace of mind you’re able to keep up with your kids and grandkids.
How Often Should You Get Tested for Hormone Levels
In general, once you get dialed in on the optimal levels of hormone replacement, you should get your labs updated about twice a year. Once every six months or so. Some individuals may require more frequent testing if they experience a difficult time of keeping their hormone levels constant.
Your Blood Test Overview
The Lipid Panel
A blood test lipid panel is a type of blood test that measures the levels of lipids (fats) in your blood. Lipids are important for many functions in the body, including providing energy, building cell membranes, and carrying fat-soluble vitamins. A lipid panel typically measures the levels of four types of lipids:
Total cholesterol: This is a measure of all the cholesterol in your blood, including LDL cholesterol (also called “bad” cholesterol) and HDL cholesterol (also called “good” cholesterol).
LDL cholesterol: This is a measure of the low-density lipoprotein cholesterol in your blood. LDL cholesterol is often referred to as “bad” cholesterol because high levels of LDL cholesterol can contribute to the build-up of plaque in your arteries, increasing the risk of heart disease and stroke.
HDL cholesterol: This is a measure of the high-density lipoprotein cholesterol in your blood. HDL cholesterol is often referred to as “good” cholesterol because it helps to remove LDL cholesterol from the bloodstream and can protect against heart disease.
Triglycerides: These are a type of fat found in your blood. High levels of triglycerides can increase the risk of heart disease and stroke.
The lipid panel is often used to assess the risk of developing heart disease and to monitor the effectiveness of treatment for people with high cholesterol or other lipid disorders. It is typically ordered as part of a routine health examination or when someone has risk factors for heart disease, such as high blood pressure, diabetes, or a family history of heart disease.
Consider ordering your DirectLabs Anti-Aging Hormone Panel today and speak with our physician about our anti-aging protocols.
The Comprehensive Metabolic Panel (CMP)
A comprehensive metabolic panel (CMP) is a blood test that measures the levels of various substances in your blood. It is used to assess the overall health of your kidneys, liver, and electrolyte and acid/base balance. The CMP typically includes tests for:
Glucose: This is a measure of your blood sugar level. High levels of glucose can be a sign of diabetes.
BUN (blood urea nitrogen): This is a measure of the amount of waste product produced by the liver and filtered by the kidneys. High levels of BUN can be a sign of kidney disease or other problems with the kidneys or liver.
Creatinine: This is a measure of the amount of creatinine in your blood, which is a waste product produced by the muscles. High levels of creatinine can be a sign of kidney disease.
Sodium: This is a measure of the amount of sodium in your blood. Sodium is an electrolyte that helps to regulate the balance of fluids in your body.
Potassium: This is a measure of the amount of potassium in your blood. Potassium is an electrolyte that helps to regulate the heartbeat and muscle function.
Chloride: This is a measure of the amount of chloride in your blood. Chloride is an electrolyte that helps to regulate the balance of fluids in your body.
CO2 (carbon dioxide): This is a measure of the amount of carbon dioxide in your blood. Carbon dioxide is a waste product produced when your body breaks down food for energy.
Calcium: This is a measure of the amount of calcium in your blood. Calcium is important for building and maintaining strong bones.
Albumin: This is a measure of the amount of albumin in your blood. Albumin is a protein produced by the liver that helps to maintain the balance of fluids in your body.
The CMP is often used as a routine screening test to check for any underlying health problems, such as kidney or liver disease, or to monitor the effectiveness of treatment for certain conditions. It may be ordered as part of a routine health examination or when someone has symptoms that may be related to problems with the kidneys, liver, or electrolyte balance.
Thyroid Stimulating Hormone (TSH)
TSH (thyroid-stimulating hormone) is a hormone produced by the pituitary gland that plays a crucial role in the regulation of thyroid function. The thyroid gland, located in the neck, produces hormones that help to regulate metabolism, energy levels, and other important body functions.
When the level of thyroid hormones in the blood becomes too low, the pituitary gland releases TSH to stimulate the thyroid gland to produce more thyroid hormones. When the level of thyroid hormones in the blood becomes too high, the pituitary gland reduces the production of TSH, leading to a decrease in the production of thyroid hormones.
A TSH blood test is used to assess thyroid function and to diagnose thyroid disorders. It is often ordered as part of a routine health examination or when someone has symptoms that may be related to a thyroid disorder, such as fatigue, weight changes, or difficulty regulating body temperature.
A normal TSH level typically falls within a certain range, which may vary slightly depending on the laboratory and the specific assay used. An abnormal TSH level may indicate an underactive thyroid (hypothyroidism) or an overactive thyroid (hyperthyroidism).
Complete Blood Count (CBC)
A complete blood count (CBC) is a blood test that is commonly used to evaluate overall health and screen for a wide range of disorders, including anemia, infections, and cancer. It measures several components of the blood, including:
Red blood cells (RBCs): These cells contain hemoglobin, which carries oxygen to the body’s tissues. A low RBC count (anemia) may indicate a deficiency in iron or other nutrients, or it may be a sign of bleeding or a chronic illness.
White blood cells (WBCs): These cells are part of the body’s immune system and help to fight infections. An elevated WBC count may indicate an infection or inflammation.
Platelets: These cells help with blood clotting. A low platelet count (thrombocytopenia) may increase the risk of bleeding and bruising.
Hemoglobin: This protein in red blood cells carries oxygen to the body’s tissues. A low hemoglobin level (anemia) may cause fatigue and shortness of breath.
Hematocrit: This is the percentage of red blood cells in a sample of blood. A low hematocrit may indicate anemia.
A CBC is often ordered as part of a routine health examination or as part of the evaluation of symptoms such as fatigue, shortness of breath, or bruising. The results of a CBC can provide important information about a person’s overall health and help diagnose and monitor a wide range of medical conditions.
Insulin-Like Growth Factor 1 (IGF-1)
Insulin-like growth factor 1 (IGF-1) is a protein that plays a role in growth and development. It is produced by the liver and other tissues in response to growth hormone (GH) released by the pituitary gland. IGF-1 is similar in structure to insulin and has many of the same effects on the body, including promoting the growth and division of cells.
IGF-1 levels can be measured through a blood test. High levels of IGF-1 may be a sign of GH excess, which can occur with conditions such as acromegaly (a condition characterized by abnormal growth of the hands, feet, and face) or gigantism (abnormal growth in children). Low levels of IGF-1 may be a sign of GH deficiency, which can occur with conditions such as pituitary dwarfism.
IGF-1 levels can also be affected by age, nutrition, and other factors. For example, levels of IGF-1 tend to be higher in children and adolescents and decrease with age. Malnutrition or certain medical conditions such as liver disease or kidney failure can also lower IGF-1 levels.
IGF-1 is being studied as a potential treatment for various conditions, including muscle wasting and osteoporosis, but more research is needed to determine its safety and effectiveness. It is not currently approved for use in the United States.
Consider ordering your DirectLabs Anti-Aging Hormone Panel today and speak with our physician about our anti-aging protocols.
HGH / IGF-1 Indirect Assay Table
| PITUITARY | DESCRIPTION OF IGF-1 BLOOD TEST RANGES | IGF-1 RANGE NG/ML |
|---|---|---|
| IGF-1 | IGF-1 levels are directly related to growth hormone secretion and/or HGH therapy. The best levels for healthy adults is in the upper physiological range (290-315ng/ml). Some patients will require HGH dosage adjustments to achieve optimal levels of IGF-1. | 200-320 ng/ml |
The HGH / IGF-1 table shown above was reconstructed by Dr. Jeffry S. Life, M.D. Ph.D., The Life Plan: How Any Man Can Achieve Lasting Health, Great Sex, and a Stronger, Leaner Body, Edition May 2011, page 323.
Estradiol
Estradiol is a type of estrogen, a female sex hormone. It is produced in small amounts by the testicles, adrenal glands, and fat cells in men. In women, estradiol is produced by the ovaries and is responsible for the development of female secondary sexual characteristics and the regulation of the menstrual cycle.
Normal estradiol levels in men vary depending on age and other factors. In general, normal estradiol levels in men are considered to be between 15 and 70 picograms per milliliter (pg/mL). However, it is important to note that these levels can vary somewhat from laboratory to laboratory, and it is important to consult with a healthcare provider to interpret the specific results of a blood test.
Elevated estradiol levels in men may be a sign of a hormonal imbalance or an underlying medical condition. Causes of high estradiol levels in men may include testicular tumors, liver disease, and certain medications. Low estradiol levels in men may also be a sign of an underlying condition, such as pituitary gland problems or testicular failure. It is important to discuss any concerns about estradiol levels with a healthcare provider.
DHEA Blood Levels
Dehydroepiandrosterone (DHEA) is a hormone produced by the adrenal gland. It is a precursor to other hormones, including estrogen and testosterone. DHEA levels naturally decrease with age, and levels are generally higher in men than in women.
DHEA levels can be measured through a blood test. Normal levels of DHEA vary depending on age, sex, and other factors. In general, normal DHEA levels in men are considered to be between 150 and 700 micrograms per deciliter (mcg/dL), while normal levels in women are considered to be between 50 and 350 mcg/dL. However, it is important to note that these levels can vary somewhat from laboratory to laboratory, and it is important to consult with a healthcare provider to interpret the specific results of a blood test.
DHEA levels may be measured for a variety of reasons. Low DHEA levels may be a sign of an adrenal gland disorder or a deficiency in DHEA, while high DHEA levels may be a sign of an adrenal gland tumor or an excess of DHEA. DHEA supplements are sometimes used to treat conditions such as adrenal insufficiency, but more research is needed to determine the safety and effectiveness of these supplements. It is important to discuss any concerns about DHEA levels or the use of DHEA supplements with a healthcare provider.
Testosterone, Total
Testosterone total is a blood test that measures the total amount of testosterone in the blood. Testosterone is a male sex hormone that is produced by the testicles and is responsible for the development of male secondary sexual characteristics, such as facial hair and a deep voice. It is also involved in bone density, muscle mass, and sperm production.
Normal testosterone levels vary depending on age, sex, and other factors. In general, normal testosterone levels in men are considered to be between 300 and 1,000 nanograms per deciliter (ng/dL). However, it is important to note that these levels can vary somewhat from laboratory to laboratory, and it is important to consult with a healthcare provider to interpret the specific results of a blood test.
Testosterone total may be measured for a variety of reasons. Low testosterone levels may be a sign of hypogonadism, a condition in which the testicles do not produce enough testosterone, or of other underlying medical conditions. High testosterone levels may be a sign of an adrenal gland tumor or an excess of testosterone. Testosterone replacement therapy may be used to treat low testosterone levels, but it is important to discuss the risks and benefits of this treatment with a healthcare provider.
Testosterone, Free
A free testosterone blood test measures the amount of testosterone in the blood that is not bound to proteins. Testosterone is a male sex hormone that is produced by the testicles and is responsible for the development of male secondary sexual characteristics, such as facial hair and a deep voice. It is also involved in bone density, muscle mass, and sperm production.
Testosterone in the blood can be bound to proteins such as sex hormone-binding globulin (SHBG) or albumin, or it can be “free,” meaning that it is not bound to proteins and is available for use by the body. Free testosterone makes up a small fraction of total testosterone, but it is thought to be the most biologically active form of testosterone.
Normal free testosterone levels vary depending on age, sex, and other factors. In general, normal free testosterone levels in men are considered to be between 50 and 220 picograms per milliliter (pg/mL). However, it is important to note that these levels can vary somewhat from laboratory to laboratory, and it is important to consult with a healthcare provider to interpret the specific results of a blood test.
Free testosterone levels may be measured for a variety of reasons. Low free testosterone levels may be a sign of hypogonadism, a condition in which the testicles do not produce enough testosterone, or of other underlying medical conditions. High free testosterone levels may be a sign of an adrenal gland tumor or an excess of testosterone. Testosterone replacement therapy may be used to treat low testosterone levels, but it is important to discuss the risks and benefits of this treatment with a healthcare provider.
Consider ordering your DirectLabs Anti-Aging Hormone Panel today and speak with our physician about our anti-aging protocols.
PSA
The prostate-specific antigen (PSA) blood test is used to screen for prostate cancer in men. The prostate is a gland in the male reproductive system that produces fluid that is added to sperm to make semen. PSA is a protein produced by the prostate gland, and levels of PSA in the blood can be measured through a blood test.
Normal PSA levels vary depending on age and other factors. In general, a normal PSA level is considered to be less than 4 nanograms per milliliter (ng/mL). However, it is important to note that these levels can vary somewhat from laboratory to laboratory, and it is important to consult with a healthcare provider to interpret the specific results of a blood test.
Elevated PSA levels may be a sign of prostate cancer or other conditions such as an enlarged prostate (benign prostatic hyperplasia) or a prostate infection. However, it is important to note that PSA levels can also be elevated in the absence of cancer, and other factors such as age, race, and diet can affect PSA levels. A biopsy may be needed to confirm the presence of prostate cancer.
The PSA test is typically recommended for men over the age of 50, or for younger men who have an increased risk of prostate cancer due to family history or other factors. It is important to discuss the risks and benefits of the PSA test with a healthcare provider.
Uric Acid
A uric acid blood test is a laboratory test used to measure the level of uric acid in the blood. Uric acid is a waste product that is produced when the body breaks down purines, which are found in certain foods and are also produced by the body. Uric acid is normally eliminated from the body through the urine, but if the body produces too much uric acid or the kidneys do not eliminate it efficiently, the level of uric acid in the blood can rise.
Normal uric acid levels vary depending on age, sex, and other factors. In general, normal uric acid levels in men are considered to be between 3.5 and 7.2 milligrams per deciliter (mg/dL), while normal levels in women are considered to be between 2.6 and 6.0 mg/dL. However, it is important to note that these levels can vary somewhat from laboratory to laboratory, and it is important to consult with a healthcare provider to interpret the specific results of a blood test.
Elevated uric acid levels in the blood (hyperuricemia) can lead to the formation of uric acid crystals in the joints, which can cause gout, a form of arthritis. High uric acid levels can also increase the risk of kidney stones. Uric acid levels can be affected by various factors, including diet, alcohol intake, and certain medications. A healthcare provider may order a uric acid blood test to diagnose or monitor conditions such as gout or kidney disease.
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Bioidentical hormone replacement therapies for men and women.
Order your bioidentical hormone therapy blood testing in the USA.
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