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CBC (Includes DIFF/PLT)

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All of your CBC (INCLUDES DIFF/PLT) results are within the normal range. This means that there are no apparent abnormalities in your blood count and no signs of infection or anemia. Keep up with regular check-ups to ensure your continued good health.

White Blood Cell Count
good
Low Desirable 3.8 – 10.8 High
6.1 Thousand/uL
Red Blood Cell Count
good
Low Desirable 3.80 – 5.10 High
4.41 Million/uL
Hemoglobin
good
Low Desirable 11.7 – 15.5 High
13.0 g/dL
Hematocrit
good
Low Desirable 35.0 – 45.0 High
39.0%
MCV
good
Low Desirable 80.0 – 100.0 High
88.4 fL
MCH
good
Low Desirable 27.0 – 33.0 High
29.5 pg
MCHC
good
Low Desirable 32.0 – 36.0 High
33.3 g/dL
RDW
good
Low Desirable 11.0 – 15.0 High
12.0%
Platelet Count
good
Low Desirable 140 – 400 High
295 Thousand/uL
MPV
good
Low Desirable 7.5 – 12.5 High
9.4 fL
Absolute Neutrophils
good
Low Desirable 1500 – 7800 High
3520 cells/uL
Absolute Lymphocytes
good
Low Desirable 850 – 3900 High
2098 cells/uL
Absolute Monocytes
good
Low Desirable 200 – 950 High
348 cells/uL
Absolute Eosinophils
good
Low Desirable 15 – 500 High
92 cells/uL
Absolute Basophils
good
Desirable < 200 High
43 cells/uL
Neutrophils
good
57.7%
Lymphocytes
good
34.4%
Monocytes
good
5.7%
Eosinophils
good
1.5%
Basophils
good
0.7%

Comprehensive Metabolic Panel

Insights Insights

Most of your values are within the normal range. This is a positive outcome, indicating that your overall metabolism and organ function are functioning well. However, there are a couple of findings that are worth discussing. Your Urea Nitrogen (BUN) and Creatinine levels are high. Although they are only slightly elevated, it's important to monitor them closely. High BUN and Creatinine levels may suggest reduced kidney function or dehydration. I recommend discussing these results with your healthcare provider to determine the underlying cause and develop an appropriate management plan. It's worth noting that your EGFR, which is a measure of kidney function, is within the normal range. This is reassuring and suggests that your kidneys are still able to filter waste products effectively. Overall, it's important to remember that blood test results need to be interpreted in the context of your overall health and medical history. Your healthcare provider will be able to provide a more comprehensive analysis and guide you further based on these results.

Urea Nitrogen (BUN)
high
Low Desirable 7 – 25 High
26 mg/dL
Creatinine
high
Low Desirable 0.60 – 1.26 High
1.34 mg/dL
AST
good
Low Desirable 10 – 40 High
21 U/L
Glucose
good
Low Desirable 65 – 99 High
87 mg/dL

Note: Fasting reference interval

EGFR
good
Low Desirable > 60
71 mL/min/1.73m2
BUN/Creatinine Ratio
good
Low Desirable 6 – 22 High
19 (calc)
Sodium
good
Low Desirable 135 – 146 High
139 mmol/L
Potassium
good
Low Desirable 3.5 – 5.3 High
4.2 mmol/L
Chloride
good
Low Desirable 98 – 110 High
105 mmol/L
Carbon Dioxide
good
Low Desirable 20 – 32 High
25 mmol/L
Calcium
good
Low Desirable 8.6 – 10.3 High
9.9 mg/dL
Protein, Total
good
Low Desirable 6.1 – 8.1 High
7.4 g/dL
Albumin
good
Low Desirable 3.6 – 5.1 High
5.0 g/dL
Globulin
good
Low Desirable 1.9 – 3.7 High
2.4 g/dL (calc)
Albumin/Globulin Ratio
good
Low Desirable 1.0 – 2.5 High
2.1 (calc)
Bilirubin, Total
good
Low Desirable 0.2 – 1.2 High
0.6 mg/dL
Alkaline Phosphatase
good
Low Desirable 36 – 130 High
59 U/L
ALT
good
Low Desirable 9 – 46 High
29 U/L

Estradiol

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Your blood test results indicate that your estradiol levels are high. Estradiol is a form of estrogen, which plays a crucial role in various bodily functions. While it's normal for estrogen levels to fluctuate, persistently high levels may have implications for your health. Research shows that elevated estradiol levels can be associated with a range of symptoms and conditions. These can include mood swings, breast tenderness, weight gain, and even an increased risk for certain types of cancers. It's recommended that you discuss these results with your healthcare provider, who can provide further guidance and determine the most appropriate course of action. They may suggest additional tests or evaluations to better understand the underlying cause of the elevated estradiol levels. They can also discuss potential treatment options if necessary. Please note that in some cases, high estradiol levels may be a result of hormone replacement therapy (HRT) or testosterone replacement therapy (TRT), which are often used to address hormonal imbalances. If you are currently undergoing either of these therapies, it's important to consult with your healthcare provider to ensure that your treatment plan is appropriately balanced. Remember, your healthcare provider has access to your complete medical history and can provide personalized advice based on your specific situation.

Estradiol
high
Desirable < 39 High
90 pg/mL

Note: Reference range established on post-pubertal patient population. No pre-pubertal reference range established using this assay. For any patients for whom low Estradiol levels are anticipated (e.g. males, pre-pubertal children and hypogonadal/post-menopausal females), the Quest Diagnostics Nichols Institute Estradiol, Ultrasensitive, LCMSMS assay is recommended (order code 30289). Please note: patients being treated with the drug fulvestrant (Faslodex(R)) have demonstrated significant interference in immunoassay methods for estradiol measurement. The cross reactivity could lead to falsely elevated estradiol test results leading to an inappropriate clinical assessment of estrogen status. Quest Diagnostics order code 30289-Estradiol, Ultrasensitive LC/MS/MS demonstrates negligible cross reactivity with fulvestrant.

FSH

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It appears that your FSH level is low. FSH, or follicle-stimulating hormone, plays a crucial role in the reproductive system, specifically in the regulation of sperm production in men. A low FSH level may indicate various conditions or factors, such as a problem with the pituitary gland, hypothalamus, or testicles. It is important to evaluate these results in the context of your overall health and medical history. Research shows that low FSH levels can be associated with hormonal imbalances, testicular dysfunction, or certain medications. To further understand the implications of your low FSH level, additional testing and a thorough medical evaluation may be necessary. It's recommended that you discuss these results with your healthcare provider who can provide further guidance and interpretation based on your specific situation.

FSH
low
Low Desirable 1.6 – 8.0 High
<0.7
mIU/mL

LH

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Your LH (Luteinizing Hormone) levels are normal, which is a positive result. LH plays a crucial role in regulating hormone production and fertility. Normal LH levels indicate that your body is functioning properly in this aspect. It's a good sign that your reproductive system is functioning as expected. Keep up the good work!

LH
good
Low Desirable 1.5 – 9.3 High
6.6 mIU/mL

Thyroid Panel With TSH

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Your thyroid panel with TSH results are all within normal ranges, which is a good sign of your thyroid function. It's recommended that you continue to monitor your thyroid health through regular check-ups with your healthcare provider. If you experience any symptoms of thyroid issues such as unexplained weight changes, fatigue, or changes in your hair and skin, be sure to discuss them with your doctor.

T4 (Thyroxine), Total
good
Low Desirable 5.1 – 11.9 High
5.2 mcg/dL
Free T4 Index (T7)
good
Low Desirable 1.4 – 3.8 High
1.8
T3 Uptake
good
Low Desirable 22 – 35 High
35%
TSH
good
1.27 mIU/L

Note: Reference Range > or = 20 Years 0.40-4.50 Pregnancy Ranges First trimester 0.26-2.66 Second trimester 0.55-2.73 Third trimester 0.43-2.91

Testosterone

Insights Insights

Your testosterone levels are high, which could indicate an imbalance in your hormone levels. However, it's important to note that high testosterone levels can also be a result of testosterone replacement therapy or hormone replacement therapy. It's recommended that you discuss these results with your healthcare provider to determine the underlying cause and any necessary next steps.

Testosterone, Total, MS
high
Low Desirable 250 – 1100 High
2155 ng/dL

Note: For additional information, please refer to https://education.questdiagnostics.com/faq/TotalTestosteroneLCMSMS (This link is being provided for informational/educational purposes only.) (Note) This test was developed and its analytical performance characteristics have been determined by medfusion. It has not been cleared or approved by the FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes. MDF med fusion 2501 South State Highway 121,Suite 1100 Lewisville TX 75067 972-966-7300 Ithiel James L. Frame, MD, PhD

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Comprehensive hormone and thyroid test for fatigue, weight changes, and energy issues

Hormone & Thyroid Test for Fatigue and Weight Changes

Hormone Panel with Thyroid Profile

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3,138 reviews
  • Pinpoint the cause of your fatigue
  • Reveal hidden hormone imbalances effortlessly
  • Diagnose thyroid issues with precision
First results as soon as overnight*

90 day happiness guarantee

We stand behind our service

Prescription & fees included

Go directly to the lab, no extra fees

Easy to understand results

With friendly doctor's notes & guidance

Fast & convenient

Lab visit as quick as 10 mins in & out

90 day happiness guarantee

We stand behind our service

Prescription & fees included

Go directly to the lab, no extra fees

Easy to understand results

With friendly doctor's notes & guidance

Fast & convenient

Lab visit as quick as 10 mins in & out

What's this test for?

This test is ideal if you're experiencing unexplained fatigue, weight changes, mood swings, irregular periods, or low energy levels. It helps identify thyroid disorders and hormonal imbalances that may be affecting your metabolism, reproductive health, and overall vitality. Many people use this test when they suspect their symptoms are hormone-related but want concrete answers about what's really going on.

How should I prepare for this test?

Fasting: 12 hours
No biotin: 72 hours

You should fast for 12 hours before your blood draw, meaning no food or drinks except water. If you use testosterone cream, avoid applying it to the inside of your elbow area for at least 24 hours before testing, as it can affect results. If you take high-dose biotin supplements (vitamin B7, B8, or H), stop taking them at least 72 hours before your test, as they can interfere with some measurements.

What's included in this test?

Testosterone, Total, MS Estradiol FSH LH

This comprehensive panel evaluates your thyroid function through TSH, Free T4, and T3 uptake to identify causes of weight changes, fatigue, and temperature sensitivity. It measures reproductive hormones including testosterone, estradiol, FSH, and LH that affect energy, mood, libido, and fertility. The panel also includes a Complete Blood Count to check for anemia and a Comprehensive Metabolic Profile to assess kidney function, liver health, blood sugar, and electrolyte balance. Together, these measurements provide a complete picture of the hormonal and metabolic factors affecting your vitality and overall health.

What happens after I get my results?
You'll receive detailed doctor notes in simple language explaining what your hormone and thyroid levels mean for your energy, metabolism, mood, and reproductive health. These notes include personalized recommendations like lifestyle changes, dietary adjustments, supplement suggestions, or whether you should consider hormone therapy or follow up with an endocrinologist. You'll also get the standard lab report and can track your hormone and thyroid levels over time using our trends feature to see how your interventions are working.
Who should consider getting this test?
This test is ideal for anyone experiencing unexplained fatigue, difficulty losing or gaining weight, mood changes, low libido, or irregular menstrual cycles. It's especially useful for people concerned about thyroid problems, those experiencing symptoms of hormonal imbalance, athletes monitoring their performance, or anyone with a family history of thyroid disease. Both men and women can benefit from this comprehensive hormone and thyroid evaluation.
What symptoms indicate I may need this test?
Common symptoms include persistent fatigue or low energy despite adequate rest, unexplained weight gain or difficulty losing weight, feeling unusually cold or hot, mood swings or irritability, brain fog or difficulty concentrating, changes in libido or sexual function, irregular or heavy periods, thinning hair, dry skin, or muscle weakness. If you're experiencing several of these symptoms together, they may point to thyroid or hormonal imbalances.
How can I naturally support my hormone and thyroid health?
Focus on eating nutrient-dense foods including iodine-rich seafood, selenium from Brazil nuts and eggs, and zinc from shellfish and pumpkin seeds. Prioritize 7-8 hours of quality sleep each night and manage stress through yoga, meditation, or regular exercise. Limit processed foods and excess sugar, stay hydrated, and consider reducing exposure to endocrine disruptors in plastics and personal care products. Regular strength training can also help support healthy hormone levels.
What is TSH and why does it matter?
TSH (Thyroid Stimulating Hormone) is produced by your pituitary gland and tells your thyroid how much thyroid hormone to make. It's like a thermostat for your metabolism. When TSH is too high, it usually means your thyroid is underactive and not producing enough hormones, which can cause fatigue, weight gain, and feeling cold. When TSH is too low, your thyroid may be overactive, leading to weight loss, anxiety, and feeling hot.
What does high TSH mean?
High TSH typically indicates hypothyroidism, meaning your thyroid isn't producing enough thyroid hormone, so your pituitary makes more TSH to try to stimulate it. This can cause symptoms like fatigue, weight gain, feeling cold, constipation, dry skin, and brain fog. It's important to follow up with your doctor, as you may benefit from thyroid medication or further evaluation.
How often should I retest my hormone and thyroid levels?
If you're starting treatment or making lifestyle changes, retesting every 6-8 weeks helps monitor your progress. Once your levels stabilize, testing every 6-12 months is typical for ongoing monitoring. If you're experiencing new symptoms or your current approach isn't working, your doctor may recommend testing more frequently. Athletes or those actively optimizing hormones might test every 3-6 months.
How’s this work?
Getting your blood test with us is easy, private & backed by the power of science.

Long story short:
  1. In the test options, use the filters or search box to narrow your choices and find the test you want.
  2. If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
  3. Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout.
  4. If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
  5. When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
  6. Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way.
  7. You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!
  8. If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.
How do I know which test to get?
In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option.

Just text or call us at 754-799-7833, email us at [email protected], and we'll gladly help you. We've got your back and reply quickly.
Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
Absolutely! We totally understand that errors can happen. No worries, we're here to help you.

Just reach out to us via text at 754-799-7833 or shoot us an email at [email protected]. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you.

There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.

Our lab requires an address to be listed to generate an order.
Do you accept health insurance?
Only HSA & FSA is accepted.

Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts.

This policy applies to all insurance companies, including federal health insurance programs like Medicare.

If you have any questions, please text us at 754-799-7833 or email [email protected].
Can I cancel my order?
Yes.

We get it – sometimes your needs change.

As long as your samples haven’t been collected yet, we’re happy to help you cancel your order.

If you have any further questions, please text us at 754-799-7833 or email [email protected].

You can read more about our cancellation policy here.
How can I find a lab location near me?
During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).

Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym.

If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.

Here’s why 1,000,000+ customers chose us for affordable hassle-free private blood testing.

You get clinical lab reports & simplified health insights.
Save time & gas, go straight to the lab. Our doctors cover the rest.
Results start landing the next day after your lab visit.*
We don’t sell or share your data. Your time & privacy matter.
US-licensed doctors have your back if things get unclear.
No hidden fees, nice discounts for regular checkups.
Save a trip to the doctor, go directly to the lab
Instant orders, results often overnight*
Results explained in simple language
Reviewed by US licensed doctors
Fast & confidential, we never sell or share your data
No insurance needed, transparent pricing
Demo results
TSH (Thyroid Stimulating Hormone) 4.8 mIU/L
Demo results
Low Optimal 0.5 - 4.5 High
4.8 mIU/L

What this means

Your TSH is slightly elevated, which may indicate your thyroid is working harder than ideal. This can contribute to fatigue, weight gain, or feeling cold, and may benefit from closer monitoring and lifestyle adjustments.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.
Here’s how easy it is to get blood work done on your terms
Choose a checkup
Order your test Save a trip to the doctor. Your results will come with clear, friendly explanations. Takes 2 minutes
Book a lab
Book an appointment Visit any of our 4,000 nearby lab locations to have your samples collected. Book or walk-in
Choose a checkup
Get results Receive a clear, easy-to-digest health report by email & SMS within a few business days. Get answers, fast

Hormone & Thyroid Test for Fatigue and Weight Changes

Google
3,138 reviews
  • Pinpoint the cause of your fatigue
  • Reveal hidden hormone imbalances effortlessly
  • Diagnose thyroid issues with precision

1,000,000+ blood tests later, here's what our customers say

Google reviews 3138 reviews Next
Still got questions? Text our super-cool support team at 754-799-7833 to get help finding your ideal checkup.