Precision Health Testing
Precision Health , Women
Measures the female hormone network in cycle context, alongside the thyroid, adrenal and metabolic systems that shape how it behaves.
From $497, drawn at a Quest near you. Self-pay. No membership required.
Who this may be useful for.
- Cycles, sleep, mood, energy or body composition have changed and you want the underlying systems measured.
- You are in or approaching the perimenopausal transition and want a baseline rather than a guess.
- Thyroid symptoms were screened with TSH alone and you want the fuller read.
- You want a hormone baseline recorded before making any change.
This list describes common reasons people order this panel. It is not a recommendation that you should, and nothing on this page decides whether a test is right for you.
What is measured
The systems behind the markers.
Sex hormones, cycle-timed
Estradiol on the ultrasensitive assay, progesterone by mass spectrometry, testosterone with binding proteins, and LH and FSH. Timing within the cycle changes what these mean, which is why the draw instructions matter.
Thyroid axis
TSH with free T4, and on the advanced panel the full direct read including free T3, reverse T3 and autoimmune antibodies.
Adrenal axis
On the advanced panel: the stress-hormone markers that sit upstream of the sex hormones and frequently explain them.
Metabolic and inflammatory context
Glucose, insulin, lipids and inflammation, because hormone results read differently against an insulin-resistant background.
Safety baseline
CMP, CBC and vitamin D.
What the panel includes.
Every test included is listed below. Expand a group to see the individual markers.
Precision Health Panel - Women
$497
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.
20 tests · 84 biomarkers · one blood draw
Sex hormones , deep read
11 markers
Sex hormones , deep read
- Estrogens, Fractionated, LC/MS· 3
- Progesterone, LC/MS/MS· 1
- FSH and LH· 2
- Testosterone, Free, Bioavailable and Total, LC/MS/MS· 5
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.
Thyroid , full direct read
4 markers
Thyroid , full direct read
- TSH· 1
- Free T4 (FT4)· 1
- Free T3· 1
- Reverse T3, LC/MS/MS· 1
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.'
Adrenal axis
2 markers
Adrenal axis
- Cortisol, AM· 1
- DHEA Sulfate, Immunoassay· 1
Metabolic + inflammation
27 markers
Metabolic + inflammation
- Insulin, Intact, LC/MS/MS· 1
- Hemoglobin A1c· 1
- Comprehensive Metabolic Panel· 18
- Lipid Panel, Standard· 6
- hs-CRP· 1
Hormone-axis micronutrients
7 markers
Hormone-axis micronutrients
- Zinc, RBC· 1
- Magnesium, RBC· 1
- Iron, TIBC and Ferritin Panel· 4
- Vitamin D, 25-Hydroxy, Total· 1
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.
Safety baseline
33 markers
Safety baseline
- CBC with Differential & Platelets· 33
Checkout is handled by Fullscript. The price shown is what you pay: the laboratory tests, the Quest draw fee, the authorization fee, and a flat service fee covering the order and the educational material.
How the testing works.
- 01
You order the panel.
Checkout runs through Fullscript. The lab order is issued under a physician order, which is what allows a laboratory to run the tests.
- 02
You get drawn at a Quest.
Choose a Quest Diagnostics location near you. Most panels here are a single draw. Fasting and, where relevant, cycle-timing instructions come with your order.
- 03
Results are released to you.
Turnaround is typically several business days from the draw, depending on which assays are in the panel.
- 04
You get the educational material.
Physician-designed material explaining the systems this panel measures, what each marker category describes, and general guidance on what an out-of-range result in each category tends to mean.
What these results can and cannot establish.
What they can do
- Put numbers on record for the systems this panel covers.
- Show where a marker sits relative to the laboratory's reference range.
- Give you and any physician you choose a shared starting point.
- Establish a baseline you can compare against later.
What they cannot do
- Diagnose a condition. A laboratory value is one input, not a diagnosis.
- Tell you what to take, stop, or change.
- Replace an evaluation that includes your history and examination.
- Establish a physician-patient relationship with Dr. Tagge.
If something comes back out of range.
Female hormone markers depend heavily on where you are in your cycle, so a value outside the reference range is often a timing question before it is a clinical one. Some results warrant a repeat draw on a specific cycle day. A result on the thyroid, metabolic or safety markers may warrant attention independent of the hormone picture.
An out-of-range value on its own does not tell you what to do about it. Take the result to a physician who can read it against your history: your own doctor, or Dr. Tagge through the Precision Health Assessment.
If a result is markedly abnormal, or you have symptoms that concern you, do not wait on an appointment. Contact your physician, or seek urgent care.
Testing and care are separate
This panel is a measurement. It is not the start of care.
Ordering a panel includes
- The laboratory order and the draw
- Your laboratory results
- Physician-designed educational material on the systems and markers measured
- General guidance on what an out-of-range result tends to mean
It does not include
- Individualized interpretation of your results by Dr. Tagge
- A consultation with a physician
- An individualized treatment plan
- An ongoing physician-patient relationship
Individualized physician work , your history, your results read together, and a plan built for you , is the Precision Health Assessment. It is the one way into individualized care in this practice.