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CBC (Includes DIFF/PLT)

Insights Insights

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

Estrogens

Insights Insights

Your estrogen levels are high, which means they are above the normal range for your age and sex. This may be due to a variety of factors, including certain medications or medical conditions. It's recommended that you follow up with your healthcare provider to determine the cause of the high estrogen levels and discuss any necessary treatment options.
Estrogens, Total, IA
high
Desirable < 404 High
688 pg/mL

Estradiol

Insights Insights

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.

Estrone

Insights Insights

Your estrone levels are within the normal range for your age and sex. Research shows that maintaining normal hormone levels can contribute to overall health and well-being. It's recommended that you continue to monitor your hormone levels regularly and seek medical advice if you experience any symptoms of hormone imbalance.
Estrone
good
91 pg/mL

Note: Adult Female Reference Ranges for Estrone: Follicular Phase: 10-138 pg/mL Luteal Phase: 16-173 pg/mL Postmenopausal Phase: < or = 65 pg/mL Pediatric Female Reference Ranges for Estrone: Pre-pubertal (1-9 years): < or = 34 pg/mL 10-11 years: < or = 72 pg/mL 12-14 years: < or = 75 pg/mL 15-17 years: < or = 188 pg/mL This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

FSH And LH

Insights Insights

Your FSH and LH levels are both within the normal range, which is a good indication of your reproductive health. Keep up with regular check-ups to monitor these levels and ensure everything stays in balance.
LH
good
3.1 mIU/mL

Note: Reference Range Follicular Phase 1.9-12.5 Mid-Cycle Peak 8.7-76.3 Luteal Phase 0.5-16.9 Postmenopausal 10.0-54.7

FSH
good
5.8 mIU/mL

Note: Reference Range Follicular Phase 2.5-10.2 Mid-cycle Peak 3.1-17.7 Luteal Phase 1.5- 9.1 Postmenopausal 23.0-116.3

Prolactin

Insights Insights

Your prolactin level is within the normal range. This is a positive finding, as it indicates that your body is producing an appropriate amount of prolactin. Prolactin plays a crucial role in various functions, including the production of breast milk in women. Research shows that a normal prolactin level is important for fertility, as high levels can interfere with the normal release of certain hormones involved in the reproductive process. However, given that your prolactin level is normal, there is no need to be concerned about any potential impact on your fertility at this time. It's recommended that you continue to monitor your hormone levels regularly and consult with your healthcare provider if you have any specific concerns or symptoms related to your reproductive health. They will be able to provide you with personalized guidance based on your individual circumstances.
Prolactin
good
Low Desirable 2.0 – 18.0 High
6.6 ng/mL

Progesterone

Insights Insights

Your progesterone levels are within the normal range. Research shows that progesterone plays an important role in the menstrual cycle and pregnancy. It's recommended that you discuss with your healthcare provider if you're experiencing irregular periods or having difficulty getting pregnant.
Progesterone
good
83.6 ng/mL

Note: Reference Ranges Female Follicular Phase < 1.0 Luteal Phase 2.6-21.5 Post menopausal < 0.5 Pregnancy 1st Trimester 4.1-34.0 2nd Trimester 24.0-76.0 3rd Trimester 52.0-302.0

Testosterone

Insights Insights

Your testosterone levels are within the normal range. This is a positive finding and indicates that your testosterone levels are appropriate for your age and sex. It's recommended that you continue to maintain a healthy lifestyle to support optimal hormone balance. Regular exercise, a balanced diet, and sufficient sleep are all factors that can contribute to maintaining normal testosterone levels. If you have any concerns or questions about your hormone levels, I would recommend discussing them with your doctor.
Testosterone, Total, MS
good
Low Desirable 250 – 1100 High
641 ng/dL

Note: For additional information, please refer to http://education.questdiagnostics.com/faq/ TotalTestosteroneLCMSMSFAQ165 (This link is being provided for informational/ educational purposes only.) This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics Nichols Institute Chantilly, VA. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Testosterone, Free
good
Low Desirable 35.0 – 155.0 High
84.6 pg/mL

Note: This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics Nichols Institute Chantilly, VA. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Dihydrotestosterone

Insights Insights

Your dihydrotestosterone levels are normal, which indicates that your body is producing the right amount of this hormone. Research shows that this hormone plays a role in male sexual development and function, as well as hair growth. Keep in mind that the normal range can vary depending on age and sex, so it's important to interpret the results in the context of your personal characteristics.
Dihydrotestosterone, LC/MS/MS
good
Low Desirable 12 – 65 High
32 ng/dL

Note: This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Sex Hormone Binding Globulin

Insights Insights

Your sex hormone binding globulin (SHBG) test results are normal. SHBG is a protein produced by the liver that binds to sex hormones, such as testosterone and estrogen, in the bloodstream. It plays a crucial role in regulating the availability of these hormones in your body. Having a normal SHBG level indicates that your liver is producing an appropriate amount of this protein, and your sex hormone levels are well-balanced. This is an important factor in maintaining optimal reproductive and overall health. It's great to see that your SHBG results are within the normal range. If you have any concerns about your hormone levels or symptoms you may be experiencing, it's always a good idea to discuss them with your healthcare provider. They can provide further guidance and take into account your specific medical history and individual needs.
Sex Hormone Binding Globulin
good
Low Desirable 10 – 50 High
48 nmol/L

DHEA Sulfate

Insights Insights

Your DHEA Sulfate levels are within the normal range. DHEA Sulfate is a hormone produced by the adrenal glands, and it plays a role in the production of other hormones, including testosterone. Normal levels indicate that your adrenal glands are functioning properly. Research shows that maintaining normal DHEA Sulfate levels is important for overall hormone balance and general well-being. It's recommended that you continue to monitor your hormone levels regularly to ensure they remain within the normal range. If you have any concerns or questions, it's always best to consult with your healthcare provider for further guidance.
DHEA Sulfate
good
Low Desirable 93 – 415 High
315 mcg/dL

IGF 1

Insights Insights

Your IGF 1, LC/MS test results are normal, which is a good sign. This test helps to evaluate growth hormone disorders and nutritional status, and in your case, everything looks good. Keep up the good work!
IGF 1, LC/MS
good
Low Desirable 83 – 456 High
199 ng/mL
Z Score (Female)
good
0.0 SD

Note: This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics Nichols Institute San Juan Capistrano. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Sample image
Sample report
Comprehensive transgender hormone panel monitoring estrogen, testosterone, and metabolic health during transition

Transgender Hormone Panel for Transition Monitoring

TransTesting+ Panel

Google
3,138 reviews
  • Pinpoint hormone imbalances affecting your mood
  • Reveal nutrient deficiencies impacting your energy
  • Clarify the cause of unexplained weight changes
$483 Example results
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 designed for transgender individuals who are monitoring their hormone levels during transition or considering hormone therapy. It helps track your body's response to hormone replacement therapy by measuring key hormones like estrogen, testosterone, and related markers that affect your physical changes, energy levels, and overall well-being. Many people use this test to ensure their hormone levels are in the right range for their transition goals and to catch any potential health concerns early.

How should I prepare for this test?

Fasting: 12 hours
No biotin: 72 hours

You should fast for 12 hours before your blood draw, which means no food or beverages except water during that time. If you're using testosterone cream, avoid applying it to the inner elbow area for at least 24 hours before testing, as this can affect results. If you take biotin supplements (vitamin B7 or B8), stop taking them at least 72 hours before your test, as high doses can interfere with some measurements.

What's included in this test?

Estrogen, Total Estrone Sex Hormone Binding Globulin Dhea Sulfate Estradiol Progesterone Prolactin Dihydrotestosterone, LC/MS/Ms

This comprehensive panel evaluates your hormonal balance through detailed measurements of estrogen (estradiol, total estrogens, estrone), testosterone (total and free), and DHT, which are critical for monitoring transition progress and ensuring safe, effective hormone therapy. It checks metabolic health, liver and kidney function to ensure hormone therapy isn't causing complications, and measures prolactin, FSH, LH, and other hormones that affect sexual function and overall wellness. It also includes a complete blood count and growth factors, providing a complete picture of how hormone therapy is affecting your body and helping identify any adjustments needed for optimal health during your transition.

What happens after I get my results?
You'll receive detailed doctor notes in simple language explaining what your hormone levels mean for your transition progress and overall health. These notes include personalized recommendations on hormone dosing considerations, lifestyle adjustments, or when to follow up with your healthcare provider. You'll also get the standard lab report and can track your hormone levels over time using our trends feature, which is especially helpful for monitoring how your body responds to hormone therapy adjustments.
When will I get my results?
Results are typically available within 7 business days after your blood sample is collected. If any confirmation testing is needed for specific markers, it may take a few extra days. You'll be notified as soon as your results are ready to view in your secure online account.
Who should consider getting this test?
This test is ideal for anyone currently on hormone replacement therapy for gender transition, those preparing to start hormone therapy, or individuals who want to establish baseline hormone levels before beginning treatment. It's also valuable for people who have been on hormones for a while and want to ensure their levels are optimized and that therapy isn't causing any metabolic or organ function issues.
What symptoms indicate I may need this test?
Consider this test if you're experiencing unexpected mood changes, fatigue, or physical changes that don't match your transition goals while on hormone therapy. It's also important if you notice symptoms like persistent headaches, vision changes, breast discomfort, liver-related symptoms like yellowing skin, or changes in energy and libido that concern you. Regular monitoring helps catch these issues early.
How can I naturally support my hormone health during transition?
Supporting your body during hormone therapy includes eating a balanced diet rich in fruits, vegetables, lean proteins, and healthy fats to support liver function and overall metabolism. Regular exercise, quality sleep, and stress management through mindfulness or yoga can help optimize hormone absorption and reduce side effects. Staying hydrated, limiting alcohol, and avoiding smoking are especially important as your body adjusts to hormone changes.
What is estradiol and why does it matter for transition?
Estradiol is the primary form of estrogen and is the key hormone responsible for feminizing physical changes during transition, including breast development, fat redistribution, and skin softness. Monitoring estradiol levels ensures you're in the right range to achieve your transition goals while avoiding levels that are too high, which can increase health risks. It's one of the most important markers to track throughout feminizing hormone therapy.
How often should I retest my hormone levels?
When starting hormone therapy or adjusting doses, most healthcare providers recommend testing every 3 months until levels stabilize in your target range. Once your hormones are stable and you're feeling well, testing every 6-12 months is typical for ongoing monitoring. If you experience new symptoms or make medication changes, your provider may recommend testing sooner to ensure everything is on track.
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.

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Demo results
Estradiol 145 pg/mL
Demo results
Low Optimal 100 - 200 High
145 pg/mL

What this means

Your estradiol levels are in the optimal range for feminizing hormone therapy. This range supports the physical changes you're working toward, including breast development and fat redistribution, while minimizing potential health risks. Maintaining this level is ideal for most people undergoing transition.

Recommended actions

Continue your current hormone therapy regimen as prescribed

Monitor for any side effects like headaches, mood changes, or breast tenderness

Maintain a healthy lifestyle with regular exercise and balanced nutrition

Retest in 3-6 months to ensure levels remain stable

* 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
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Get results Receive a clear, easy-to-digest health report by email & SMS within a few business days. Get answers, fast

Transgender Hormone Panel for Transition Monitoring

Google
3,138 reviews
  • Pinpoint hormone imbalances affecting your mood
  • Reveal nutrient deficiencies impacting your energy
  • Clarify the cause of unexplained weight changes
$483 Example results

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

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1 year ago

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