Everything in the Core panel plus the fractionated estrogens (E1, E2, E3), DHEA-S, AM cortisol, intact insulin, the full thyroid axis with reverse T3 , and the hormone-axis micronutrients (zinc RBC, magnesium RBC, iron panel) that matter more for women given monthly iron losses and the perimenopause arc. For the visitor who wants the full optimization read.
What’s tested
biomarkers
Grouped by clinical axis. Notes flag the markers where the assay choice or interpretation matters most.
Why these matter
Estrogens, Fractionated, LC/MS
Estrone (E1), Estradiol (E2), and Estriol (E3) , the E1:E2 ratio is the early signal of the perimenopause transition.
Progesterone, Immunoassay
Cycle-day-timed for ovulation confirmation.
Why these matter
Reverse T3, LC/MS/MS
The stress brake. fT3:rT3 ratio is the optimization-tier number when standard thyroid labs look 'normal.'
Why these matter
Zinc, RBC
Required for ovarian function and sex hormone synthesis.
Magnesium, RBC
Affects free testosterone, sleep, and glucose handling.
Iron, TIBC and Ferritin Panel
More important for women than men given monthly iron losses. Full iron read with ferritin.
Typical journey timeline
The end-to-end from ordering the panel to following the plan.
Day 0
Lab booking & intake
Complete a short intake form and pick a Quest location nearby.
Day 1 to 5
Lab test
Visit any of 2,000+ Quest draw sites. The draw itself takes ten minutes.
Day 7 to 10
Results ready
Dr. Tagge reviews your results against functional optimal ranges, not just disease cutoffs.
Week 2
Wellness plan delivered
A written interpretation and a personalized plan across nutrition, movement, sleep, and supplements.
Month 3 to 6
Personalized follow-up
A short check-in on your progress against the goals identified in the plan.
Questions
Reach Dr. Tagge directly. Text the quick question, email the longer one, or schedule a free 30-minute Precision Call.
The other way
The panel
A snapshot. Yours to keep. Includes the lab work and a physician’s interpretation. The right move when one read is the question.
The relationship
Direct access to Dr. Tagge for ongoing care. Whatever panel makes sense, whenever you need it, read in the context of the story you’re building together. The right move when one read isn’t the question.
Become a memberRelated panels
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A comprehensive thyroid read. TSH with full T3/T4, reverse T3, autoimmune antibodies, plus selenium and iodine for synthesis. Includes a physician's interpretation.
Includes a physician’s interpretation. Quest blood draw at 2,000+ locations. HSA / FSA eligible.