This panel is for women in their 30s and 40s who feel like something’s changed, but can’t quite get answers. Maybe you’ve noticed weight gain, poor sleep, gut issues, or anxiety creeping in, and your doctor tells you “everything looks normal.” This panel is designed for women in the perimenopause transition who want to understand what’s really going on with their body and get a personalized, data-backed plan to feel like themselves again.

If you’ve had your primary care physician run labs before but didn’t get clear answers or a real plan, this will help. Most of the clients we work with have had labs done by other providers but are still experiencing the same symptoms. Some may feel a little bit better, but not as well as they hoped. In many cases, they are missing key labs, were not given context on how their lab data connects to their symptoms, had results interpreted using overly broad reference ranges, or were simply not working with a practitioner who specializes in gut health or perimenopause. As a result, they missed out on the expert guidance they needed. If you’re unsure whether this lab panel is right for you, reach out before purchasing.

This panel is designed specifically to evaluate the most common imbalances we see during perimenopause—those affecting energy, mood, metabolism, sleep, inflammation, and hormone regulation.

• Complete Blood Count (CBC)
  Screens for anemia, nutrient deficiencies, and immune imbalances, which can contribute to fatigue, brain fog, and low resilience during hormonal shifts.
• Comprehensive Metabolic Panel (CMP)
  Assesses blood sugar regulation and electrolytes.
• Lipid Panel
  Evaluates cholesterol and triglycerides. As estrogen declines, lipid levels can change and increase cardiovascular risk—this helps track that shift.
• Hemoglobin A1C
  Reflects average blood sugar over the past 3 months. Blood sugar swings often worsen in perimenopause and can affect mood, energy, and weight.
• Fasting Insulin
  Detects early signs of insulin resistance, which is common in perimenopause due to changing hormone levels and can make weight loss more difficult.
• Vitamin D
  Essential for hormone balance, immune health, bone density, and mood. Many women are low in vitamin D, especially during midlife transitions.
• Thyroid Panel (TSH, Free T3, Free T4, TPO, TG antibodies)
  Thyroid symptoms often mimic perimenopause symptoms—fatigue, weight changes, mood swings, hair thinning—so a full thyroid picture is critical.
• Estradiol
  The primary form of estrogen, which declines unevenly during perimenopause. Tracking estradiol can help explain symptoms like hot flashes, anxiety, and cycle changes.
• Progesterone
  Typically drops before estrogen and contributes to sleep issues, irritability, and heavier or irregular periods. Understanding your progesterone level is key for symptom relief.
• Testosterone (Free and Total)
  Affects libido, muscle maintenance, motivation, and mood. Levels can decline or become imbalanced with SHBG and other hormones during perimenopause.
• DHEA-S
  A precursor hormone that helps with stress resilience, energy, and hormonal balance. Chronic stress and aging can lower DHEA, intensifying perimenopausal symptoms.
• Sex Hormone Binding Globulin (SHBG)
  Helps interpret the availability of estrogen and testosterone. Elevated SHBG can bind up hormones, making them less bioavailable and worsening symptoms.
• Iron Panel (serum iron, ferritin, TIBC, transferrin saturation)
  Heavy or irregular periods in perimenopause can deplete iron stores, contributing to fatigue, shortness of breath, and hair loss.
• C-Reactive Protein (CRP)
  A marker of systemic inflammation. Chronic inflammation can worsen hormonal symptoms and increase risk for long-term conditions.

Most at-home lab services and DIY platforms give you a long list of results but little to no personalized context or expert interpretation. You receive numbers and charts, but are often left wondering, What does this actually mean for me?

What sets this lab panel apart is not just the testing itself, but the depth of the interpretation. As a Functional Medicine Registered Dietitian Nutritionist with expertise in gut health and perimenopause, I don’t just look at whether your markers fall within a broad “normal” range. I assess whether they are optimal for your body, your symptoms, and your goals.

Your results are reviewed through a clinical lens that takes into account your history, lifestyle, and the patterns that may be driving your symptoms. You’ll receive clear, relevant insights and a step-by-step explanation of how your results connect to what you're feeling.

This is not generic lab feedback. It’s targeted, root-cause guidance designed to help you truly understand what your body is telling you and what to do about it.

If you’re navigating both perimenopause and digestive symptoms, I recommend starting with the GI-MAP stool test. Hormone health and gut health are deeply connected. Your gut plays a major role in metabolizing and eliminating hormones like estrogen, supporting nutrient absorption, and regulating inflammation—all of which can affect how you feel during perimenopause.

If there’s underlying gut dysfunction like dysbiosis, bacterial overgrowth, parasites, or poor detoxification, it can make hormone symptoms like bloating, fatigue, mood swings, and irregular cycles even worse.

The GI-MAP gives us a comprehensive view of your gut microbiome, digestive function, and immune activation so we can identify what’s driving your symptoms and address those root causes first. Supporting the gut often creates a stronger foundation for hormone balance, so this is the best place to start for most women dealing with both.

Once you purchase your lab panel, your lab orders will be sent to you via email within 5 to 7 business days. After you complete your blood draw, lab results are typically available within 3 weeks. Please allow an additional 2 weeks for your full interpretation.

This package includes the lab results and a personalized practitioner interpretation, but it does not include supplement recommendations. If you want that level of support, I recommend applying for my 1:1 functional nutrition program after receiving your results.

You don’t have to – that’s exactly what I’m here for. Unlike self-pay lab services or AI-generated reports that leave you to interpret confusing data on your own, I provide a clear, personalized interpretation of your results.

You'll get expert guidance on what each finding means, how it connects to your symptoms, and what steps we can take next. This level of personalized, clinically informed interpretation is what sets our perimenopause health lab process apart – it's not just a test, it's real answers built around you.

Yes, many clients have successfully used HSA/FSA cards to purchase this test, but please double-check with your plan before purchasing, as coverage can vary.

You’ll receive your test results by PDF, along with my written and video interpretation and personalized notes. If the results show that further support is needed, you’ll have the option to apply your $300 credit toward my full 1:1 program.