Hormone Balancing
Comprehensive Hormone Testing
Extended diagnostics, interpreted in person
A single TSH or total testosterone tells us very little. We run panels broad enough to distinguish between conditions that feel identical, then sit down and explain every marker.
Who this is for
Often right for
- Anyone told their labs were normal while symptoms persisted
- Perimenopausal symptoms where the picture is unclear
- Suspected thyroid dysfunction, including antibody testing
- Men with fatigue, low libido or loss of muscle mass
- Establishing a baseline before starting any hormone therapy
- Monitoring existing therapy that has never been re-tested properly
Booking commits you to nothing
What to expect
Your Comprehensive Hormone Testing visit
Deciding what to run
We choose the panel from your history rather than defaulting to the widest available. Testing markers we have no intention of acting on adds cost and confusion.
Timing the draw
Testosterone is drawn in the morning when it peaks; female sex hormones are timed to your cycle. Fasted where metabolic markers are included.
Blood draw in clinic
A single venepuncture covering the whole panel, usually under twenty minutes. Bruising is uncommon and settles quickly.
Physician interpretation
Results are reviewed against your symptoms before your appointment, not read cold in the room with you.
Results consultation
A full hour walking through every marker in plain language, including what we are deliberately not treating and why.
A written plan
You leave with your results, the interpretation and the plan in writing — yours to keep and to share with your own physician.
The science
Why it works
Most patients who reach us have been tested before and told everything was normal. Usually that means a narrow panel was run — often a TSH and little else — and compared against a reference range built from a general population rather than from healthy people your age. Reference ranges describe what is common, not what is optimal, and being inside one is not the same as being well.
Breadth is what makes a panel useful. Total testosterone without sex hormone binding globulin cannot tell you how much is actually available to your tissues. A TSH without free T4, free T3 and thyroid antibodies cannot distinguish early Hashimoto's from an adequately treated thyroid. Oestradiol drawn on the wrong cycle day is close to uninterpretable. Timing and completeness are not upsells; without them the result is genuinely ambiguous.
We also test the things that determine how hormones behave once they are circulating — fasting insulin and HbA1c, a full lipid panel, inflammatory markers, ferritin, B12, folate and vitamin D. Iron deficiency and untreated insulin resistance produce fatigue that looks exactly like a hormonal problem, and treating the wrong one wastes months.
What you get afterwards is a full appointment, not a results email. We walk through each marker, what it means in your context, what is genuinely abnormal, what is borderline and what we are choosing not to act on. Sometimes the honest conclusion is that your hormones are fine and the problem lies elsewhere. That is a useful result, and we will not manufacture a diagnosis to justify a prescription.
At a glance
- Appointment
- 20 minutes for the draw, fasted
- Timing
- Cycle-timed where relevant; morning draw for testosterone
- Results
- Typically 5–7 working days
- Review
- A full 60-minute physician appointment
- You receive
- A written interpretation and plan
- Re-testing
- At 8–12 weeks if treatment starts
Questions
Comprehensive Hormone Testing questions
- If it is recent, complete and correctly timed, we will absolutely use it — bring it in and we will tell you honestly whether it is sufficient. Often it is a TSH alone, or a testosterone drawn in the afternoon, and in those cases repeating it properly is the only way to get an interpretable answer.
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