- Comprehensive Lab Panel
- $199
- Specialty tests
- $189 to $1,095
- Treatment required?
- No
- Results reviewed by
- A licensed clinician
Why testing usually comes first
Midlife symptoms overlap in confusing ways. Tiredness can trace to iron deficiency, thyroid disease, poor sleep, low testosterone, depression or a medication side effect. Weight change can reflect insulin resistance, menopause, muscle loss or habits. Treating on symptoms alone risks missing the real cause.
Lab results let your clinician check common, treatable explanations and screen for reasons a treatment would be unsafe. For hormone therapy, testosterone therapy and GLP-1 weight-loss medication, specific baseline tests are part of deciding whether treatment is appropriate and how to monitor it.
What the comprehensive panel looks at
Our Comprehensive Lab Panel ($199) is the usual starting point. It is built to cover the systems most often involved in midlife complaints, grouped broadly as:
- Metabolic health: glucose, A1c and markers related to insulin resistance.
- Heart and inflammation: a lipid profile and inflammation markers.
- Hormones: sex hormones and related binding proteins relevant to your sex and age.
- Thyroid function.
- Blood counts, including hematocrit.
- Kidney and liver function.
- Selected nutrients such as vitamin D, B12 and iron stores.
Specialty tests and what they are for
Some questions need a more focused test. These are ordered when your clinician thinks the result could change a decision:
- DUTCH Test ($449): a dried urine hormone panel looking at hormone metabolites and daily cortisol pattern.
- Continuous Glucose Monitor ($189, one 14-day sensor with a clinician visit included): a wearable sensor showing how your glucose responds to food, sleep and exercise.
- Methylation Health Panel ($549): markers related to B-vitamin and methylation pathways.
- Gut Biome Analysis ($625) and GI Effects + Microbiomix ($1,095): stool-based tests of the gut microbiome and digestive markers.
- Male Fertility Test ($299): a semen analysis, useful before testosterone therapy for men who may want children.
- Galleri Multi-Cancer Early Detection Test ($1,095): a blood test that looks for signals shared by many cancers.
A note on lab-developed tests
Some specialty tests are lab-developed tests, designed and run within a single laboratory. In the United States, clinical labs are regulated under the Clinical Laboratory Improvement Amendments (CLIA), which set quality standards for testing. Lab-developed tests, however, are generally not FDA-approved or FDA-cleared; a 2024 FDA rule that would have expanded oversight was vacated by a court in 2025.
That does not make these tests useless, but it means their clinical value is often less established than standard blood tests. Tests such as Galleri add information; they do not replace recommended screening like colonoscopy, mammography or cervical screening.
What happens after your results come back
A licensed clinician reviews your results alongside your symptoms and history and explains what they mean. Results just outside a reference range are not always a problem, and results inside the range do not guarantee all is well. Context matters.
From there, you might start a treatment, make lifestyle changes, repeat a test to confirm a finding, or be advised to see your primary care clinician or a specialist. "Nothing needs treating right now" is a legitimate result.
Getting accurate results
Small details change lab values. Follow the preparation instructions you receive, including whether to fast and what time to test. Testosterone is usually measured in the morning. Hard exercise, some supplements such as biotin, recent illness and the phase of a menstrual cycle can all affect results. Tell your clinician about every supplement and medication you take.
How testing connects to the rest of your care
Your results feed directly into the other HealifyMD programs. A lipid profile, A1c and liver markers shape a weight-loss plan and help track whether it is improving your metabolic health. Hormone levels, blood counts and PSA guide decisions about testosterone therapy. For women, hormone testing is used more selectively, because during perimenopause hormone levels swing widely and symptoms often matter more than a single number.
Labs also act as a safety net once you are on treatment. Testosterone therapy can raise hematocrit, so it is checked periodically. Some medications affect kidney or liver function, so those are rechecked as needed. Testing is how a plan stays individualized over time rather than fixed at the first visit.
How often to retest
There is no single schedule. People starting hormone, testosterone or GLP-1 treatment usually retest within the first few months and then periodically. Your clinician sets the timing based on what you are taking and what your first results showed. Each test is priced separately.