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Testosterone

Insights Insights

Your blood test results indicate high levels of free, bioavailable and total testosterone. While high testosterone levels can be beneficial in certain cases, such as in individuals undergoing testosterone replacement therapy, it is important to note that excessively high levels can also lead to negative health consequences. Research shows that high levels of testosterone can increase the risk of cardiovascular disease, prostate cancer and liver disease. It's recommended that you discuss these results with your healthcare provider to determine any potential underlying causes and discuss appropriate next steps.

Sex Hormone Binding Globulin
low
Low Desirable 22 – 77 High
17.1 nmol/L
Testosterone, Free
high
Low Desirable 46.0 – 224.0 High
433.7 pg/mL
Testosterone, Bioavailable
high
Low Desirable 110.0 – 575.0 High
816.6 ng/dL
Testosterone, Total, MS
high
Low Desirable 250 – 1100 High
1409 ng/dL

Note: For additional information, please refer to https://education.questdiagnostics.com/faq/FAQ165 (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

Albumin
good
Low Desirable 3.6 – 5.1 High
4.1 g/dL

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

DHEA

Insights Insights

Your DHEA, UNCONJUGATED levels are not provided. In order to provide an accurate comment, I would need the specific test results.

Cortisol

Insights Insights

Your cortisol levels are normal, which is a good sign. Research shows that cortisol is an important hormone that helps regulate your body's response to stress and inflammation. It's recommended that you continue to maintain a healthy lifestyle and manage your stress levels to keep your cortisol levels in check.

Cortisol, A.M.
good
16.4 mcg/dL

Note: Reference Range 8 a.m. (7-9 a.m.) Specimen: 4.0-22.0

Thyroid Panel With TSH

Insights Insights

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

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Sample report
Comprehensive hormone panel for men and women experiencing fatigue, stress, and low energy

Hormone Test for Low Energy, Fatigue, and Stress

Vital 5 Hormone Checkup

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  • Uncover what's draining your energy.
  • Pinpoint your hormone imbalances.
  • Optimize your vitality with precision.
First results as soon as overnight*

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Prescription & fees included

Go directly to the lab, no extra fees

Easy to understand results

With friendly doctor's notes & guidance

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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, low energy, difficulty managing stress, weight changes, mood swings, or decreased motivation. It evaluates five key hormones that control your energy levels, stress response, metabolism, and overall vitality. Many people use this test when they suspect hormonal imbalances are affecting their daily performance and quality of life but want concrete answers about what's really going on.

How should I prepare for this test?

Fasting: 12 hours

You should fast for 12 hours before your blood draw, drinking only water during this time. Schedule your appointment between 7 AM and 9 AM for accurate hormone measurements, as levels naturally fluctuate throughout the day. If you use testosterone cream, avoid applying it to the inner elbow area for 24 hours before testing, and note that prednisone or prednisolone medications may affect cortisol results.

What's included in this test?

Estrogen, Total Dhea, Unconjugated Cortisol, am

This comprehensive panel evaluates your complete hormonal balance through testosterone (total, free, and bioavailable) which impacts energy, muscle mass, and mood, plus estrogen levels that affect weight and emotional well-being. It checks thyroid function with TSH and T4 to identify causes of fatigue and metabolism issues, measures DHEA for stress resilience and aging, and assesses morning cortisol to understand your stress response. Together, these five hormone markers provide a complete picture of what's affecting your vitality, energy, and overall health.

What happens after I get my results?
You'll receive detailed doctor notes in simple language explaining what your hormone levels mean for your energy, stress response, mood, and overall vitality. These notes include personalized recommendations like lifestyle changes, supplement suggestions, stress management techniques, or whether you should consider hormone optimization therapy. You'll also get the standard lab report and can track your hormone levels over time using our trends feature to see how your interventions are working.
When will I get my results?
You can expect your results within 7 business days after your blood sample is collected. If any confirmatory testing is needed for accuracy, the turnaround time may be slightly extended. You'll receive an email notification as soon as your results are ready to view in your secure online account.
Who should consider getting this test?
This test is perfect for anyone experiencing persistent fatigue, low motivation, difficulty recovering from workouts, or feeling like their energy isn't what it used to be. It's also valuable for people dealing with chronic stress, unexplained weight changes, sleep issues, or those wanting to optimize their vitality and performance. Both men and women in their 30s and beyond often use this panel to understand age-related hormonal shifts.
What symptoms indicate I may need this test?
Common signs include constant tiredness even after adequate sleep, difficulty handling stress, brain fog or poor concentration, decreased muscle mass or strength, stubborn weight gain, low libido, mood swings, or feeling burnt out. Physical symptoms like feeling cold frequently, hair thinning, or slow recovery from exercise can also indicate hormone imbalances worth investigating.
How can I naturally support my hormone balance?
Prioritize 7-9 hours of quality sleep each night, as this is when your body produces and regulates most hormones. Include regular strength training and moderate cardio exercise, which naturally supports testosterone, DHEA, and thyroid function. Manage stress through meditation, yoga, or deep breathing exercises to keep cortisol in check, and eat a balanced diet rich in healthy fats, lean proteins, and plenty of vegetables to provide the building blocks your body needs for hormone production.
What is cortisol and why does it matter?
Cortisol is your body's main stress hormone, produced by your adrenal glands to help you respond to challenges and wake up in the morning. While essential for survival, chronically high cortisol from ongoing stress can drain your energy, disrupt sleep, increase belly fat, weaken immunity, and interfere with other hormones like testosterone and thyroid. Measuring morning cortisol helps identify if stress is taking a toll on your body.
How often should I retest my hormone levels?
If you're making lifestyle changes or starting supplements to improve your hormones, retesting in 3-6 months helps you see if your interventions are working. For those on hormone therapy or medication, your healthcare provider may recommend testing every 3-4 months initially, then every 6-12 months once levels stabilize. If your initial results are normal but symptoms persist, consider retesting in 6 months as hormones naturally fluctuate over time.
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
Testosterone, Total 385 ng/dL
Demo results
Low Optimal 400 - 1000 High
385 ng/dL

What this means

Your total testosterone levels are slightly below the optimal range. While not critically low, this may contribute to occasional fatigue, reduced motivation, difficulty building or maintaining muscle mass, and lower energy throughout the day. Many people in this range benefit from lifestyle optimization.

* 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 Test for Low Energy, Fatigue, and Stress

Google
3,138 reviews
  • Uncover what's draining your energy.
  • Pinpoint your hormone imbalances.
  • Optimize your vitality 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.