Tier 1 - Start here:
Energy & Oxygen Utilization Screening:
This panel evaluates iron storage, oxygen delivery, mineral balance, and inflammation. It is often helpful for individuals experiencing fatigue, brain fog, cold extremities, hair thinning, dizziness, or poor stress tolerance. Results help determine whether deeper testing (gut, mold, mineral, mitochondrial) is warranted.
 
Tier 1 - Foundational Energy Panel looks at:
CMP
CBC (with differential and platelets)
Ferritin
Iron, Total + TIBC
Transferrin
Copper (serum)
Ceruloplasmin
Vitamin D
B12
Insulin
A1c
hsCRP
Lipid Panel - triglycerides, HDL, LDL, cholesterol, and ratios
 
This is your starting point, the foundation. Now lets look at some optional add-ons to consider:
 
Tier 2 - Thyroid Function & Conversion Add-on looks at:
Thyroid signaling (TSH)
Thyroid hormone production (Free T4)
Active cellular thyroid hormone (Free T3)
Stress-related conversion patterns (Reverse T3)
Autoimmune thyroid markers (TPO & Thyroglobulin antibodies)
 
Results help determine whether symptoms are related to thyroid production, impaired hormone conversion, autoimmune activity, or stress physiology.
 
Tier 3 - Hormone Optimization Add-on:
This add-on evaluates ovarian and adrenal hormone patterns that can contribute to fatigue, mood changes, sleep disruption, weight fluctuations, PMS, and cycle irregularities.
Estradiol (E2)
Progesterone (must be timed to luteal phase ~5–7 days after ovulation)
Total Testosterone
Free Testosterone
SHBG (Sex Hormone Binding Globulin)
DHEA-S
LH
FSH
Prolactin
 
Tier 4 - Mitochondrial function & cellular energy looks at:
CoQ10 (electron transport chain support)
LDH (cellular metabolic enzyme activity)
RBC Magnesium 
Uric acid (oxidative stress marker)
Homocysteine (methylation and redox balance)
 
Results help determine whether symptoms are related to estrogen dominance patterns, low progesterone, androgen imbalance, adrenal contribution, or hormone binding dynamics.
 
All labwork includes a 30-minute health coaching session where we review your results together through a functional and integrative perspective. You’ll leave with clear, personalized recommendations and next steps.
 
4. Mitochondrial Health & Cellular Energy
This advanced add-on evaluates cellular energy production, oxidative stress balance, and metabolic efficiency.
 
It measures:
CoQ10 (electron transport chain support)
LDH (cellular metabolic enzyme activity)
Fasting insulin (metabolic flexibility)
Uric acid (oxidative stress marker)
Homocysteine (methylation and redox balance)
 
This panel is helpful for individuals experiencing persistent fatigue, post-viral exhaustion, poor exercise tolerance, brain fog, metabolic resistance, or suspected mitochondrial stress.
 
This panel does not diagnose disease. It is intended to provide insight into patterns contributing to fatigue and stress physiology.
 
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