Balanced hormones drive energy, mood, metabolism, sleep, fertility, and healthy aging. When they drift—subtly or a lot—you can feel it.
Who should consider hormone testing?
- Low energy / brain fog / poor sleep
- Weight gain or hard-to-lose weight, especially around the middle
- Mood changes: anxiety, low mood, irritability
- Cycle changes (short/long cycles, heavy/light flow), PMS/PMDD, perimenopause/menopause symptoms
- Acne, hair loss or excess hair growth, skin oiliness
- Low libido / erectile concerns
- Hot flashes/night sweats, temperature intolerance
- Blood sugar swings, sugar cravings
- Cold hands/feet, constipation, hair thinning
We individualize panels, choosing the right subset based on symptoms, age, cycle status, and medications.
What we test
Sex hormones
- Estradiol (E2)
- Women: cycle regularity, ovulation, hot flashes, bone health
- Men: mood/libido via aromatization, body composition
- Urinary estrogen metabolites (2-OH/4-OH/16-OH)
- Women & Men: estrogen detox pathways; symptom/risk context
- Progesterone
- Women: luteal phase adequacy, PMS/PMDD, fertility, perimenopause symptoms
- Men: sleep/mood
- Testosterone (Total/Free) + SHBG
- Women: low = fatigue/low libido; high = acne/hirsutism (PCOS)
- Men: screens hypogonadism; energy, strength, libido
- DHEA-S
- Women: low = fatigue; high = acne/hirsutism
- Men: supports androgen pool, stress resilience
- Pregnenolone
- Both: neurocognition/sleep
- LH / FSH
- Women: Day-3 “baseline” for ovarian reserve clues; LH:FSH ↑ suggests PCOS
- Men: distinguishes primary vs secondary hypogonadism
- Prolactin
- Both: high levels can disrupt cycles/ovulation (women) or lower T/ED (men)
Adrenal & stress
- Cortisol (diurnal pattern)
- Both: fatigue, sleep issues, weight change; maps stress rhythm
Thyroid & autoimmunity
- TSH, Free T4, Free T3
- Both: metabolism, energy, mood, weight
- TPOAb / TgAb
- Both: screens Hashimoto’s—even with normal TSH
Metabolic health
- Fasting glucose, insulin, HbA1c
- Women: PCOS/insulin resistance; weight and fertility links
- Men: cardiometabolic risk; often tied to low T
- Lipid panel
- Both: cardiovascular risk; influenced by thyroid/sex hormones
- Vitamin D (25-OH)
- Both: bone, immune, mood, hormone signaling
- Ferritin + Iron panel
- Women: heavy menses → low ferritin (fatigue/hair loss)
- Men: low or high iron affects energy and performance
How we test
- Blood
- Saliva
- Urine
- Cycle timing
Preparation checklist
- Fasting 8–12h for glucose/insulin/lipids. Hydrate with water.
- Morning draws for testosterone, cortisol, thyroid
- Pause biotin (vitamin B7) supplements 48–72h before bloodwork
- Avoid strenuous exercise, heavy alcohol, sauna, and new supplements for 24h prior, unless prescribed
- Tell us about hormone therapy, birth control, steroids, thyroid meds—we’ll time tests appropriately
- Certain conditions/meds change interpretation
- If you’re pregnant, breastfeeding, or on fertility treatment, we’ll tailor the panel and timing.
- Abnormal results outside naturopathic scope are referred promptly to your family doctor/specialist.
What happens after testing?
- Clinical interpretation: we connect your symptoms with patterns (not one number in isolation).
- Plan: nutrition, sleep, stress metrics, movement, targeted nutraceuticals, botanicals, and, where appropriate refer elsewhere for, prescription or bio-identical hormone therapy
- Follow-up labs: typically, 8–12 weeks after interventions
- Ongoing optimization: seasonal/cycle-aware adjustments and relapse prevention.
Ready to (re)balance?
- Book an initial hormone consult (includes a symptom inventory and personalized testing map).
- Bring recent labs (last 6–12 months) so we don’t repeat what you already have.
