Before Dr. Jay can build your protocol, he needs to see the full picture. These four panels are the minimum required data set — not because they are convenient, but because each one answers a question that cannot be answered any other way.
$35–$70
Metabolic & Insulin
$85–$130
Thyroid Panel
$499
DUTCH Complete
$45–$65
CMP + hsCRP
Prices are approximate and vary by provider. The DUTCH test ($499) is the largest single cost. Blood panels can often be bundled for savings through Ulta Lab Tests or Walk-In Lab.
Complete your labs before booking
Dr. Jay does not order labs during consultations. You must arrive with all four panels completed and results in hand. Consultations without complete labs will be rescheduled.
Insulin resistance is the most underdiagnosed driver of hormonal dysfunction, fatigue, weight gain, and cognitive decline. Standard glucose testing misses it entirely — fasting insulin and HOMA-IR reveal what your doctor's routine bloodwork never shows.
Fasting Insulin
The earliest and most sensitive marker of insulin resistance. Elevated fasting insulin precedes elevated glucose by years.
Must be fasting (10–12 hours). Water only.
HOMA-IR
Calculated from fasting insulin and fasting glucose. Quantifies your degree of insulin resistance on a continuous scale.
Calculated — not a separate draw. Requires fasting insulin + fasting glucose.
Serum Glucose (Fasting)
Baseline blood sugar. Used alongside fasting insulin to calculate HOMA-IR and assess metabolic status.
Must be fasting (10–12 hours).
HbA1c
3-month average blood sugar. Reveals chronic glucose dysregulation that a single fasting glucose reading can miss.
No fasting required.
Triglycerides
Elevated triglycerides are a direct signal of carbohydrate excess and insulin resistance — more predictive of metabolic disease than LDL.
Must be fasting (10–12 hours).
HDL Cholesterol
Low HDL is a hallmark of insulin resistance and metabolic syndrome. The triglyceride-to-HDL ratio is one of the most reliable insulin resistance proxies available.
Part of a standard lipid panel.
Where to Order
Tip: HOMA-IR Calculation Panel (includes fasting insulin + glucose)
Standard TSH testing is a 1970s diagnostic tool. It tells you whether the pituitary is signaling the thyroid — not whether the thyroid is actually producing, converting, or delivering active hormone to your cells. A complete panel is the only way to see the full picture.
hsTSH (High-Sensitivity TSH)
The pituitary's signal to the thyroid. Useful as a starting point, but meaningless in isolation.
No fasting required.
Total T4
Total thyroxine — the storage form of thyroid hormone. Measures production capacity.
No fasting required.
Total T3
Total triiodothyronine — the active form. Reflects overall T3 availability before accounting for binding proteins.
No fasting required.
Free T4
The unbound, bioavailable storage hormone. Low Free T4 indicates underproduction.
No fasting required.
Free T3
The unbound, bioavailable active hormone. This is what actually enters cells and drives metabolism. The most clinically important thyroid marker.
No fasting required.
Reverse T3 (rT3)
The inactive, blocking form of T3. Elevated rT3 — often from chronic stress, inflammation, or caloric restriction — occupies T3 receptors and creates functional hypothyroidism even when TSH appears normal.
No fasting required. Often requires a separate order.
Where to Order
Tip: Free T3, Free T4, RT3 and TSH Panel
Standard serum hormone tests measure total levels at a single point in time. They miss metabolite patterns, cortisol rhythm, and how hormones are actually being used and cleared by the body. The DUTCH test is the only method that provides this complete picture.
DUTCH Complete™
Dried urine testing for comprehensive hormones. Measures estrogen, progesterone, testosterone, DHEA, and their metabolites — plus cortisol and cortisone across a full 24-hour rhythm. Reveals how hormones are being produced, used, and cleared.
At-home urine collection kit. Takes 24 hours to complete. Results in 5–7 business days.
Where to Order
Tip: DUTCH Complete™ — the standard for comprehensive hormone metabolite testing
Chronic low-grade inflammation is the common thread running through every hormonal dysfunction pattern. hsCRP quantifies it. The CMP provides the organ-level baseline — liver, kidney, electrolytes, and protein status — that contextualizes everything else.
Comprehensive Metabolic Panel (CMP)
14-marker panel covering glucose, electrolytes, kidney function (BUN, creatinine), and liver enzymes (ALT, AST, ALP). Establishes the organ-level foundation before any intervention.
Must be fasting (8–12 hours) for accurate glucose reading.
hsCRP (High-Sensitivity C-Reactive Protein)
The most sensitive blood marker of systemic inflammation. Elevated hsCRP is associated with insulin resistance, thyroid dysfunction, sex hormone imbalance, and cardiovascular risk. A value above 1.0 mg/L warrants investigation.
No fasting required. Avoid testing during acute illness.
Where to Order
Tip: Lipid Panel and C-Reactive Protein Cardiac (hsCRP) + CMP
Lab ordering links are provided for informational convenience. Prices are approximate and subject to change. Dr. Jay is not affiliated with any of the listed lab services. Always confirm test names and codes with your chosen provider to ensure the correct panels are ordered.
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