51-Analyte Lab Panel.
Not the 4 Everyone Else Tests.
You can't optimize what you don't measure. Our comprehensive lab panel tests 51 biomarkers across hormones, blood health, metabolic function, liver, kidney, thyroid, iron, lipids, and more — because TRT requires real data, not guesswork.
Why We Test 51 Analytes
When Others Test 4
Most telehealth TRT companies test total testosterone, maybe a basic CBC, and call it a day. They're testing just enough to justify a prescription — not enough to safely manage your care.
Testosterone therapy affects your entire body — your blood viscosity (hematocrit), estrogen balance, liver function, metabolic health, thyroid, iron levels, and more. Without comprehensive baseline data, your physician can't identify pre-existing conditions, predict side effects, or optimize your protocol.
Our 51-analyte panel gives your physician the complete picture. It's the difference between treating symptoms and treating the whole patient.
51-Analyte Lab Panel Breakdown
Every marker we test, what it measures, and why it matters for your testosterone therapy and overall health.
Hormones (8 analytes)
Total Testosterone
The total amount of testosterone in your blood (bound + unbound). The primary marker for diagnosing low T. Normal range: 300–1,000 ng/dL.
Free Testosterone ⭐
The bioavailable testosterone your body can actually use. Most telehealth skips this. You can have "normal" total T but low free T — and feel terrible. This is the clinically meaningful marker.
Estradiol (E2)
The primary estrogen in men. TRT can increase estradiol through aromatization. Keeping E2 balanced helps you feel your best — better mood, less water retention, and optimal results from your TRT protocol.
SHBG (Sex Hormone-Binding Globulin)
A protein that binds testosterone, making it unavailable. High SHBG = low free T even with normal total T. Essential for understanding your true testosterone status.
LH (Luteinizing Hormone)
Signals the testes to produce testosterone. Helps distinguish between primary (testicular) and secondary (pituitary) hypogonadism. Important for determining treatment approach.
Prolactin
Elevated prolactin can suppress testosterone production and cause sexual dysfunction. May indicate pituitary issues. Important for ruling out secondary causes of low T.
DHEA-S
An adrenal androgen precursor. Low DHEA-S can contribute to fatigue and low libido independently of testosterone. Helps evaluate adrenal function and overall hormonal health.
Cortisol
The primary stress hormone. Chronically elevated cortisol suppresses testosterone production and promotes fat storage. Helps identify stress-related contributors to low T symptoms.
Complete Blood Count (CBC) (15 analytes)
The CBC is critical for TRT safety monitoring. Testosterone stimulates red blood cell production — we monitor your hematocrit at every visit to make sure your levels stay in a healthy range. This is routine and one of the reasons regular lab work matters.
White blood cells — immune function
Red blood cells — oxygen transport
Oxygen-carrying protein in RBCs
RBC percentage — key TRT safety marker
Mean cell volume — RBC size
Mean cell hemoglobin
Mean cell hemoglobin concentration
Red cell distribution width
Blood clotting cells
Primary infection fighters
Adaptive immune cells
Tissue immune defense
Allergy/parasite response
Inflammatory response
Mean platelet volume
Comprehensive Metabolic Panel (CMP) (14 analytes)
The CMP evaluates kidney function, electrolytes, blood sugar, and liver enzymes. Essential for establishing a safe baseline before starting TRT and monitoring ongoing metabolic health.
Fasting blood sugar — diabetes screening
Blood urea nitrogen — kidney function
Kidney filtration rate marker
Estimated glomerular filtration rate
Fluid balance & nerve function
Heart rhythm & muscle function
Electrolyte balance
Acid-base balance
Bone health & muscle function
Nutritional status & liver function
Liver synthetic function
Liver & bile duct health
Liver enzyme — TRT safety marker
Liver enzyme — TRT safety marker
Lipid Panel (4 analytes)
TRT can affect cholesterol levels. Monitoring lipids ensures cardiovascular safety throughout treatment.
Overall lipid level
"Bad" cholesterol
"Good" cholesterol
Blood fat level
Liver (2 analytes)
Liver and bone health marker. Elevated levels can indicate liver obstruction or bone disorders.
Sensitive marker for liver stress, alcohol use, and bile duct function. Important baseline before starting TRT.
Iron Studies (3 analytes)
Iron storage protein. Low ferritin causes fatigue that mimics low T symptoms. TRT can increase iron demand.
Circulating iron levels. Both low and high iron cause symptoms and affect TRT response.
Measures the blood's capacity to transport iron. Helps differentiate types of anemia and iron disorders.
Thyroid (2 analytes)
Primary thyroid function marker. Hypothyroidism causes fatigue, weight gain, and brain fog — symptoms identical to low T. Must be ruled out.
Active thyroid hormone. Confirms thyroid function when TSH is borderline. Essential for accurate diagnosis.
Other Key Markers (3 analytes)
3-month average blood sugar. Screens for diabetes and pre-diabetes. Insulin resistance and low T are closely linked.
Prostate health screening. Monitored during TRT as testosterone can stimulate prostate tissue. Essential safety marker.
Critical for testosterone production, immune function, and bone health. Very common deficiency in the Pacific Northwest.
Why Free Testosterone Matters
More Than Total Testosterone
The Problem with Total T Only
Only 2–3% of testosterone in your blood is "free" — unbound and biologically active. The rest is bound to SHBG (sex hormone-binding globulin) and albumin, making it unavailable for your body to use.
A man with total T of 450 ng/dL and high SHBG might have the free testosterone of someone with total T of 250 ng/dL. Testing only total T would miss this entirely.
Who Tests Free T?
4-Panel vs. 7-Panel vs.
51-Analyte: What's the Difference?
Standard and Complete plan patients receive the full 51-analyte panel at their first visit. Follow-up labs use the 7-panel. Essential plan patients start with the 4-panel and can upgrade.
Lab Fees & Insurance
Lab testing at Revive is billed directly to you (cash-pay) and is not submitted to insurance. However, this transparency means you know exactly what you're paying — no surprise bills, no insurance negotiation.
Lab pricing: 4-panel ($159), 7-panel ($217), 51-analyte lab panel included with your $99 first visit.
All lab costs are FSA/HSA eligible. Many patients offset these costs entirely with the savings on insurance-covered medications compared to telehealth pricing.
Get the Full Picture
Book your first visit and get the comprehensive lab panel that most clinics don't offer. 51 analytes, physician-reviewed, results in 24 hours. Your treatment is only as good as the data behind it.
Book Your First Visit — $99 →Or call us: (206) 960-4770 · Seattle · Kirkland · Federal Way