Guessing is not a treatment plan. Physician-reviewed lab testing, from a comprehensive baseline panel to specialty tests for hormones, gut health, fertility, and cancer screening, drawn locally or collected at home and explained to you rather than emailed as a PDF.
Is anything wrong right now? That's a good question, and it isn't the only one worth asking. A standard panel is built to catch disease, so it checks a narrow set of markers against ranges wide enough to cover a whole population. Plenty of what determines how you feel, and how the next twenty years go, sits inside those ranges and never gets looked at.
WHAT GETS LOOKED AT
ILLUSTRATIVE
A standard physical
Refuvia Baseline Panel
Cholesterol and lipids
Blood sugar · glucose
A1c and fasting insulin
Thyroid
Sex hormones · testosterone, free and total
Nutrients and inflammation
A physician walks you through it
coveredusually not
Illustrative. What a standard panel covers varies.
A yearly checkup asks one question.
Is anything wrong right now? A standard panel is built to catch disease, so it checks a narrow set of markers against ranges wide enough to cover a whole population. Plenty of what determines how you feel sits inside those ranges and never gets looked at.
WHAT GETS LOOKED AT
Standard physical
Refuvia panel
Cholesterol and lipids
Blood sugar
A1c and fasting insulin
Thyroid
Sex hormones
Nutrients and inflammation
A physician walks you through it
coveredusually not
Illustrative. What a standard panel covers varies.
What do you want to know?
Most people start with the Baseline Panel. If you already have a specific question, start there instead.
Where do I stand overall?→
Are my hormones behind how I feel?
How is my body handling sugar?
Is my gut part of this?
Why is my energy or mood off when my labs look fine?
Are we having trouble conceiving?
Can I screen for cancer signals earlier?
THE TEST THAT ANSWERS IT
Refuvia Baseline Panel
$199
The broadest ground for the least money. Comprehensive testing across hormones, metabolic markers, lipids, and more, physician-reviewed and explained to you. Two tests are $349, so you can see what changed.
Most people start with the Baseline Panel. If you already have a specific question, start there instead.
Where do I stand overall?–
THE TEST THAT ANSWERS IT
Refuvia Baseline Panel
$199
The broadest ground for the least money. Comprehensive testing across hormones, metabolic markers, lipids, and more, physician-reviewed and explained to you. Two tests are $349, so you can see what changed.
Why is my energy or mood off when my labs look fine?+
Are we having trouble conceiving?+
Can I screen for cancer signals earlier?+
WHERE MOST PEOPLE START
The panel your yearly physical should have been.
Comprehensive testing across the systems that actually drive how you feel. Physician-reviewed, drawn at a local lab, and explained to you in plain terms. It's the clearest starting point for anything else you do here, and the baseline every later result gets compared against.
WHAT IT COVERS
Hormonaltestosterone · TSH · thyroid
The system most often behind fatigue, mood, sleep, and libido complaints. Thyroid sits here too, quietly responsible for energy, weight, and temperature.
MetabolicA1C · glucose · insulin
How your body is handling fuel, from a comprehensive metabolic panel, A1c, and insulin, and how your organs are doing.
Lipidscholesterol · triglycerides · ApoB
Cholesterol and fats, the core of your cardiovascular picture.
Vitamins & inflammationvitamin D · ferritin · hs-CRP
Nutrient levels and a marker of inflammation, where the panel covers them.
And more.
Organ function, blood count, and nutrient markers too, listed in full just below.
Two tests are $349, which is worth it if you want a baseline now and a second look later to see what changed.
WHAT HAPPENS AFTER YOU ORDER
A draw at a local lab
No clinic visit, no appointment to travel to.
A physician reviews it
Usually a few business days after your draw.
You find out what it means
Explained to you, not emailed as a PDF.
WHERE MOST PEOPLE START
The panel your yearly physical should have been.
Comprehensive testing across the systems that actually drive how you feel. Physician-reviewed, drawn at a local lab, and explained to you in plain terms.
The system most often behind fatigue, mood, sleep, and libido complaints. Thyroid sits here too.
Metabolic
How your body is handling fuel, from a comprehensive metabolic panel, A1c, and insulin.
Lipids
Cholesterol and fats, the core of your cardiovascular picture.
Vitamins & inflammation
Nutrient levels and a marker of inflammation, where the panel covers them.
And more.
Organ function, blood count, and nutrient markers too, listed in full just below.
WHAT THE BASELINE PANEL MEASURES
Every marker in the panel.
One blood draw at a local lab covers all of it. A physician reviews every result and explains what it means for you, rather than emailing a PDF.
Heart
Apolipoprotein B
hs-CRP, cardiac risk
Lipid panel with VLDL, ratios, and CHD risk
Metabolic
Glucose
Insulin
Hemoglobin A1c
Organ function
Comprehensive Metabolic Panel (CMP-14)
Liver: ALT, AST, ALP, bilirubin, albumin
Kidney: BUN, creatinine, eGFR
Electrolytes: sodium, potassium, chloride, CO2
Blood
CBC with differential and platelets
Nutrients
Ferritin
Iron and TIBC
Magnesium
Vitamin D, 25-hydroxy
Hormones
Thyroid profile with TSH (men)
TSH (women)
Testosterone, free and total (men)
Testosterone, total (women)
Hormone markers differ for men and women, as noted. The Baseline Panel is $199 one time, or $349 for two if you want a second look later to see what changed.
One blood draw at a local lab covers all of it. A physician reviews every result and explains what it means for you, rather than emailing a PDF.
Heart
Apolipoprotein B
hs-CRP, cardiac risk
Lipid panel with VLDL, ratios, and CHD risk
Metabolic
Glucose
Insulin
Hemoglobin A1c
Organ function
Comprehensive Metabolic Panel (CMP-14)
Liver: ALT, AST, ALP, bilirubin, albumin
Kidney: BUN, creatinine, eGFR
Electrolytes: sodium, potassium, chloride, CO2
Blood
CBC with differential and platelets
Nutrients
Ferritin
Iron and TIBC
Magnesium
Vitamin D, 25-hydroxy
Hormones
Thyroid profile with TSH (men)
TSH (women)
Testosterone, free and total (men)
Testosterone, total (women)
Hormone markers differ for men and women, as noted. The Baseline Panel is $199 one time, or $349 for two if you want a second look later to see what changed.
These run from the same blood draw as the Baseline Panel, so nothing here means a second appointment. You pick the ones you want during intake, with the price for each shown as you choose, and your clinician can tell you which are worth running for you.
DHEA-S, FSH and LH, prolactin, free and total testosterone, estradiol, and SHBG.
Women's hormone panel
AMH, DHEA-S, FSH and LH, prolactin, total testosterone, estradiol, and SHBG.
Stress and aging
DHEA-sulfate, IGF-1, and a morning cortisol.
HEART, KIDNEYS, AND INFLAMMATION
Homocysteine
A single marker tied to cardiovascular and methylation questions.
Electrolyte panel
Sodium, potassium, chloride, and carbon dioxide.
Urinalysis, with microscopic
Protein, glucose, ketones, blood, microalbumin, and sediment, with a reflex to culture where it's indicated.
SCREENING
PSA, free and total
Total PSA, free PSA, and the ratio between them.
APOE genotype
The APOE variant pair, the gene most discussed in research on Alzheimer's risk.
Lyme disease, two-tier
Modified two-tier testing, with reflex to IgG and IgM where the first result calls for it.
Heavy metals
Arsenic, lead, and mercury, from whole blood.
ALLERGY AND IMMUNITY
Autoimmunity (ANA)
Antinuclear antibodies, by multiplex immunoassay.
Food allergy profile
An allergen panel by food. Contents vary, so ask your clinician which profile fits.
Respiratory allergy profile
A regional allergen panel with total IgE, selected for where you live.
Single markers can be added too, from omega-3 and zinc to uric acid, leptin, and iodine. If what you're after isn't listed, ask the care team and they'll tell you whether it can be run.
These run from the same blood draw as the Baseline Panel, so nothing here means a second appointment. You pick the ones you want during intake, with the price for each shown as you choose, and your clinician can tell you which are worth running for you.
DHEA-S, FSH and LH, prolactin, free and total testosterone, estradiol, and SHBG.
Women's hormone panel
AMH, DHEA-S, FSH and LH, prolactin, total testosterone, estradiol, and SHBG.
Stress and aging
DHEA-sulfate, IGF-1, and a morning cortisol.
HEART, KIDNEYS, AND INFLAMMATION
Homocysteine
A single marker tied to cardiovascular and methylation questions.
Electrolyte panel
Sodium, potassium, chloride, and carbon dioxide.
Urinalysis, with microscopic
Protein, glucose, ketones, blood, microalbumin, and sediment, with a reflex to culture where it's indicated.
SCREENING
PSA, free and total
Total PSA, free PSA, and the ratio between them.
APOE genotype
The APOE variant pair, the gene most discussed in research on Alzheimer's risk.
Lyme disease, two-tier
Modified two-tier testing, with reflex to IgG and IgM where the first result calls for it.
Heavy metals
Arsenic, lead, and mercury, from whole blood.
ALLERGY AND IMMUNITY
Autoimmunity (ANA)
Antinuclear antibodies, by multiplex immunoassay.
Food allergy profile
An allergen panel by food. Contents vary, so ask your clinician which profile fits.
Respiratory allergy profile
A regional allergen panel with total IgE, selected for where you live.
Single markers can be added too, from omega-3 and zinc to uric acid, leptin, and iodine. If what you're after isn't listed, ask the care team and they'll tell you whether it can be run.
What are my hormones actually doing across the day?
An all-inclusive look at your hormones and how your body breaks them down, including cortisol, estrogen, progesterone, and testosterone. Collected as dried urine samples at home, which is what lets it show daily patterns a single blood draw can't.
One time. One 14-day sensor you wear on your arm, plus a visit with a licensed clinician. You see your glucose respond to meals, sleep, and exercise in real time.
A continuous glucose monitor does not diagnose diabetes.
An advanced stool analysis covering digestion, absorption, microbiome balance, inflammation, and gut barrier integrity. Collected at home. Often used when bloating, fatigue, or irregularity haven't been explained.
Everything in the gut biome analysis, plus DNA sequencing that maps the specific bacteria and fungi present. For a deeper look at long-running digestive issues, or for personalizing nutrition.
Is something upstream affecting my energy and mood?
Evaluates the biochemical pathways behind energy production, detoxification, neurotransmitter balance, and cardiovascular health, including genetic variations and nutrient status. Your provider reviews the results and builds a plan that may include targeted nutrition, supplementation, and lifestyle changes.
Is something upstream affecting my energy and mood?
The pathways behind energy production, detoxification, neurotransmitter balance, and cardiovascular health, including genetic variations and nutrient status.
A draw at a local lab for blood tests, or a kit at home for the DUTCH, gut, and fertility tests. No clinic visit needed.
A physician reviews your results.
Not an algorithm, and not a portal dump.
You find out what it means.
And if treatment makes sense, what your options are.
Four steps, about a week.
Order your test.
Online, in a few minutes.
Collect.
A draw at a local lab for blood tests, or a kit at home for the DUTCH, gut, and fertility tests.
A physician reviews your results.
Not an algorithm, and not a portal dump.
You find out what it means.
And if treatment makes sense, what your options are.
A result is only useful if someone explains it.
Here's what happens once your numbers are back.
Something needs attention.
Your clinician explains what it means and what your options are, whether that's treatment, a more specific test, or simply watching it.
Everything's in range.
That's worth knowing too, and now you have a baseline. The next time something changes, there's something real to compare it against.
You want to track progress.
Test again after a few months on a plan and see what actually moved. That's what the two-test option is for.
A result is only useful if someone explains it.
Here's what happens once your numbers are back.
Something needs attention.
Your clinician explains what it means and what your options are, whether that's treatment, a more specific test, or simply watching it.
Everything's in range.
That's worth knowing too, and now you have a baseline to compare against.
You want to track progress.
Test again after a few months on a plan and see what actually moved. That's what the two-test option is for.
Everything else here works better with a baseline.
If you start hormone therapy, your clinician needs to know where you began in order to adjust later. If you start a weight program, metabolic markers show what's actually changing underneath the number on the scale. If you're here for longevity, a baseline is the only way to know whether anything is moving.
Treatment without measurement is guessing, and it's guessing you paid for.
Your TRT first month already includes a baseline panel. Hormone therapy for women includes comprehensive testing between your consult and your results visit.
Everything else here works better with a baseline.
If you start hormone therapy, your clinician needs to know where you began in order to adjust later. If you start a weight program, metabolic markers show what's actually changing underneath the number on the scale.
Treatment without measurement is guessing, and it's guessing you paid for.
The Refuvia Baseline Panel is $199, or $349 for two. Specialty tests run from $149 for a continuous glucose monitor to $1,095 for the Galleri test or the gut biome analysis with Microbiomix. Every price is on this page.
Which test should I start with?+
Most people start with the Refuvia Baseline Panel, because it covers the broadest ground for $199. If you already have a specific question, like your gut, your fertility, or how your body handles sugar, start with the test built for it.
Where do I get my blood drawn?+
At a local lab. The DUTCH, gut, and fertility tests are collected at home instead. Nothing requires a clinic visit.
How long do results take?+
Typically a few business days after your draw for the Baseline Panel, and about a week for the at-home fertility test. A physician reviews your results before you see them.
Do I need labs before starting treatment?+
It depends. Hormone therapy requires it, and both TRT and HRT include testing in their first month. Weight and longevity programs don't require labs to begin, though your clinician may recommend them.
Will someone explain my results?+
Yes. A physician reviews your results, and they're explained to you rather than handed over as a document to interpret yourself.
Why would I test twice?+
A second test shows what changed. It's the most direct way to see whether a plan is working, which is why the Baseline Panel is $349 for two.
Do you take insurance?+
No. Refuvia doesn't bill insurance, so there are no claims or prior authorizations. Lab testing is usually HSA and FSA eligible.
Questions about lab testing.
How much does lab testing cost?+
The Refuvia Baseline Panel is $199, or $349 for two. Specialty tests run from $149 for a continuous glucose monitor to $1,095 for the Galleri test or the gut biome analysis with Microbiomix.
Which test should I start with?+
Most people start with the Refuvia Baseline Panel, because it covers the broadest ground for $199. If you already have a specific question, start with the test built for it.
Where do I get my blood drawn?+
At a local lab. The DUTCH, gut, and fertility tests are collected at home instead. Nothing requires a clinic visit.
How long do results take?+
Typically a few business days after your draw for the Baseline Panel, and about a week for the at-home fertility test. A physician reviews your results before you see them.
Do I need labs before treatment?+
It depends. Hormone therapy requires it, and both TRT and HRT include testing in their first month. Weight and longevity programs don't require labs to begin.
Will someone explain my results?+
Yes. A physician reviews your results, and they're explained to you rather than handed over as a document to interpret yourself.
Why would I test twice?+
A second test shows what changed. It's the most direct way to see whether a plan is working, which is why the Baseline Panel is $349 for two.
Do you take insurance?+
No. Refuvia doesn't bill insurance, so there are no claims or prior authorizations. Lab testing is usually HSA and FSA eligible.
The Galleri test is not FDA-approved. It is intended to complement, not replace, standard cancer screening. A continuous glucose monitor does not diagnose diabetes.
The Galleri test is not FDA-approved. It is intended to complement, not replace, standard cancer screening. A continuous glucose monitor does not diagnose diabetes.
