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Complete sex hormone mapping beyond basic bloodwork
A comprehensive hormone panel goes far beyond standard estradiol and testosterone testing, measuring total and free hormones, SHBG, DHT, androstenedione, pregnenolone, and progesterone — painting a complete picture of your hormonal cascade.
Standard hormone panels often miss the nuances that drive symptoms: high SHBG binding up free testosterone, DHT dominance causing hair loss and acne, or pregnenolone deficiency at the top of the steroid hormone cascade starving all downstream hormones.
Hormone health isn't about one number being 'in range' — it's about the relationships between hormones. A woman can have normal estrogen but crushing symptoms if progesterone is low, creating estrogen dominance. A man can have normal total testosterone but feel terrible if SHBG is sky-high, leaving little free testosterone available. Gabriel uses comprehensive hormone mapping to identify the precise imbalances driving your symptoms and to guide bioidentical hormone protocols with surgical precision.
A blood draw at a local lab or at-home finger prick kit. For menstruating women, timing matters — progesterone should be tested on day 19–21 of your cycle (luteal phase). Results arrive in 3–5 business days. Upload to Gabriel for integration with your DUTCH test, genomics, and symptom patterns.
Conventional practitioners read these results through a disease-focused lens — looking for what's broken. Gabriel reads them through a holistic lens — looking for what's out of balance and how to restore it. We see optimal ranges, not just "normal" ranges. We connect findings across all your diagnostics to reveal patterns that siloed specialists miss.
A comprehensive panel typically covers estradiol, progesterone, testosterone (total and free), DHEA-S, cortisol, sex hormone-binding globulin (SHBG), FSH, LH, and sometimes thyroid hormones. The specific markers depend on whether you're investigating fertility, menopause, adrenal health, or general hormonal balance.
Standard hormone panels use blood draws and measure circulating levels at a single point in time. The DUTCH test uses dried urine to measure hormones plus their metabolites, showing how your body processes and clears hormones. Blood panels are good for screening; DUTCH provides deeper metabolic insight.
For cycling women, day 3 of your period for FSH/LH/estradiol, and days 19-22 for progesterone. For men, early morning (before 10 AM) when testosterone peaks. Cortisol should ideally be tested via 4-point saliva or DUTCH for diurnal pattern, not a single blood draw.
Blood hormone panels range from $100-300 through direct-to-consumer labs. Through a practitioner, costs may be higher but include interpretation. Insurance often covers basic panels (testosterone, thyroid, estradiol) with appropriate symptoms documented.
Tell Gabriel your symptoms and health goals. Get personalized diagnostic recommendations backed by evidence, not guesswork.