We believe the bare minimum for assessing hormonal status and endocrine function is the five hormone panel: Estrogen, Progesterone, Testosterone, DHEA and am Cortisol. When there are any sleep disruptions or high cancer risk profiles we also recommend the night Cortisol level. But in general as a basic guideline, an excellent starting place for men and women is the five hormone panel.
Below you will find the various panels offered and the associated symptoms.
Comprehensive Panel: Total: 8 Tests
E2, Pg, T, DHEA, am, noon, evening and pm Cortisol
Comprehensive Panel: This assessment is used for men and women who have many of the symptoms described below, and it combines a complete adrenal function panel in addition to an assessment of sex hormone levels. It is for compromised individuals who are having the short comprehensive and adrenal function symptoms. It is especially important to assess those mid-day Cortisol levels in individuals who are experiencing blood sugar dysregulation, hyperlipidemia, weight gain around the waist, bone loss, infertility, sensitivity to chemicals and increased joint pain.
o Achieving Optimal Wellness
o Weight gain
o Multiple chemical sensitivity
o High blood sugar and/or high lipids (cholesterol and triglycerides)
o Insomnia
o Chronic Fatigue syndrome or Fibromyalgia
o Plus Basic Panel symptoms
Short Comprehensive Panel: Total: 6 Tests
E2, Pg, T, DHEA, and am/pm Cortisol.
Short Comprehensive Panel: This assessment is used for both men and women who are having symptoms related to sex hormone deficiencies or excesses (E2, P and T) and will also render an abbreviated adrenal assessment with DHEA and am/pm Cortisol.
Women Experiencing:
o Fatigue
o Sleep disturbance
o Family history of breast cancer
o Plus Basic Panel symptoms
Men Experiencing:
o Decreased Libido
o Decreased Erection
o Decreased Stamina
o Decreased Mental Sharpness
o Decreased Muscle Size
o Tearful / Moodiness
o ElevatedTriglycerides and/or High Cholesterol
Basic Hormone Panel: Total: 5 Tests
E2, Pg, T, DHEA, and am Cortisol.
Basic Hormone Panel: This assessment is used for both men and women who are having any of the symptoms listed below (when there are any sleep disruptions or high cancer risk profiles we also recommend the night Cortisol level):
o Hot flashes
o Night sweats
o Breast tenderness
o Forgetfulness
o Irregular menstrual cycle
o Anxiety/depression
o Prostate gland problems
o Irritability
o Loss of strength / muscle
o Vaginal dryness
Adrenal Stress Panel: Total: 5 Tests
DHEA & 4 diurnal Cortisol: am, noon, evening and pm.
Adrenal Stress Panel is used when individuals are complaining of:
o Fatigue
o Weakness
o Insomnia
o Headaches
o Irritability
o Nervousness
o Sugar Cravings
o Dizzy Spells
o Decreased Stamina
o In addition, all individuals with chronic disease will have changes/compromises in their adrenal function.
Cortisol Panel: Total: 4 Tests
4 Diurnal Cortisol: am, noon, evening and pm.
The Cortisol Panel is used when individuals are complaining of the same symptoms listed above in the Adrenal Stress Panel, however may not require DHEA testing.
o Fatigue
o Weakness
o Insomnia
o Headaches
o Irritability
o Nervousness
o Sugar Cravings
o Dizzy Spells
o Decreased Stamina
o In addition, all individuals with chronic disease will have changes/compromises in their adrenal function
Abbreviated Cortisol: Total: 2 Tests
2 diurnal Cortisol: am and pm.
Estradiol: E2 Only: Total: 1 Tests
Estriol: E1 Only: Total: 1 Tests
Progesterone: Pg Only: Total: 1 Tests
Testosterone: T Only: Total: 1 Tests
DHEA: D Only: Total: 1 Tests
Of course you could also call the Lab to get advice on which panel should be utilized for a specific patient's circumstance!
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