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, LC/MS/MS
Mass-spec, matching the rest of the sex-hormone assays here. 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 a local Quest draw site. The draw itself takes ten minutes.
Day 7 to 10
Results ready
I review your results against functional optimal ranges, not just disease cutoffs.
Week 2
Precision Health 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 ask me to call you.
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
The panel is the snapshot; ongoing care is the relationship. A membership keeps a doctor who knows you in your phone and puts your metabolism on a testing rhythm, measured and corrected at what I pay. The right move when one read isn’t the question.
How membership worksOr read about how longevity is built in.
Related 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. Drawn at a local Quest. Itemized receipt provided.