The Med Vow

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Labs may be cash pay at the prices below, or we can submit to Quest Labs. *Insurance coverage is not guaranteed.

Basic Panel
85$

CBC, CMP, PSA, Total Testosterone

Middle Ground
150$

CBC, CMP, PSA, Free/Total Testosterone, Estradiol, TSH, T3, T4, Calcium, LH, FSH, Lipid Panel

The Works
300$

CBC, CMP, PSA, Free/Total Testosterone, Estradiol, TSH, T3, T4, Reverse T3, Calcium, LH, FSH, Lipid Panel, Homocysteine, Vitamin D, B12, HBA1C, SBGH

CBC (Complete Blood Count)

Evaluates red blood cells, white blood cells, and platelets.

  • Screens for anemia (fatigue, weakness)
  • Detects infection or inflammation (elevated WBC)
  • Flags bleeding/clotting issues (platelet abnormalities)
  • Useful baseline for almost any systemic complaint

CMP (Comprehensive Metabolic Panel)

Looks at electrolytes, kidney function, liver enzymes, and glucose.

  • Kidney health (creatinine, BUN)
  • Liver function (AST, ALT, bilirubin, ALP)
  • Electrolyte balance (sodium, potassium, CO₂)
  • Glucose screening
  • Helpful for medication safety and metabolic status

PSA (Prostate-Specific Antigen)

Screens and monitors prostate health.

  • Prostate cancer screening (not diagnostic alone)
  • Monitors BPH (enlarged prostate)
  • Baseline before or during testosterone therapy
  • Tracks prostate changes over time

Free & Total Testosterone

Assesses androgen status.

  • Total testosterone = overall circulating hormone
  • Free testosterone = biologically active portion
  • Helps evaluate: low libido, fatigue, low muscle mass, mood changes
  • Critical for TRT dosing and monitoring response

Estradiol (E2)

Measures estrogen levels (important in men and women).

  • In men on TRT: monitors aromatization of testosterone
  • Helps explain symptoms like water retention, gynecomastia, mood swings
  • In women: evaluates menstrual/hormonal status

TSH (Thyroid Stimulating Hormone)

Primary screening test for thyroid function.

  • Detects hypothyroidism or hyperthyroidism
  • Often first-line thyroid marker
  • Helps guide whether further thyroid testing is needed

T3 (Triiodothyronine) & T4 (Thyroxine)

Active thyroid hormone (T3) and storage hormone (T4).

  • Clarifies thyroid function beyond TSH
  • Detects conversion problems (T4 → T3)
  • Helps evaluate persistent symptoms despite “normal TSH”

Reverse T3 (rT3)

Inactive thyroid metabolite.

  • Elevated in stress, illness, calorie restriction, inflammation
  • Can indicate “low thyroid activity at tissue level” despite normal labs
  • Sometimes used in complex fatigue/metabolic cases (controversial but clinically used in functional medicine)

Calcium

Measures blood calcium balance.

  • Parathyroid function screening
  • Bone metabolism assessment
  • Can reflect vitamin D issues or malignancy in rare cases
  • Important for neuromuscular function

LH (Luteinizing Hormone)

Pituitary hormone that stimulates testosterone production.

  • Distinguishes primary vs secondary hypogonadism
  • Helps determine if low T is testicular vs pituitary origin
  • Useful before TRT decisions

FSH (Follicle-Stimulating Hormone)

Works alongside LH in reproductive function.

  • Evaluates sperm production / fertility status
  • Helps assess testicular function
  • Important in infertility or low testosterone workups

Lipid Panel

Measures cholesterol and cardiovascular risk.

  • LDL (“bad” cholesterol) and HDL (“good”)
  • Triglycerides
  • Assesses heart disease risk
  • Important in TRT patients (can affect lipids)

Homocysteine

Marker of methylation and vascular risk.

  • Elevated levels linked to cardiovascular disease risk
  • Can reflect B12, folate, or B6 deficiency
  • Used in advanced cardiovascular/metabolic screening

Vitamin D (25-OH Vitamin D)

Assesses vitamin D stores.

  • Bone health (calcium absorption)
  • Immune function
  • Muscle strength and mood regulation
  • Common deficiency in many adults

Vitamin B12

Evaluates neurologic and hematologic health.

  • Prevents anemia and neuropathy
  • Important for energy production and cognition
  • Deficiency can mimic fatigue, brain fog, tingling

HbA1c (Hemoglobin A1c)

3-month average blood glucose.

  • Screens for prediabetes and diabetes
  • Tracks long-term glucose control
  • Useful even when fasting glucose is normal

SHBG (Sex Hormone Binding Globulin)

Protein that binds testosterone.

  • Determines how much testosterone is “free vs bound”
  • Helps interpret low T symptoms when total T is normal
  • Influences TRT dosing strategy
  • Can be elevated by aging, hyperthyroidism, low carb intake; lowered by insulin resistance