If you don’t have the option of working with a knowledgeable doctor to order tests and help you understand the results, a good alternative is to order tests directly yourself, from one of the companies below. The highest priority tests are:
- Thyroid hormones and antibodies
- Vitamin D
Self- Testing Options: United States
There are two main ways to self-order lab tests in the U.S. — the first is to place the order with an online service that gives you a requisition form to take to a local blood draw facility (such as Quest or Labcorp). Companies that offer this type of testing include Life Extension and Ulta Lab Tests.
The second is home-based testing services, such as Everlywell, which can be a little more expensive, but often more convenient because you send in a finger-prick blood sample you collect at home.
Everlywell Recommended Tests
- Vitamin D $79
- Women’s Fertility Test (estradiol, FSH, TSH, LH, testosterone) $159
- Thyroid Test (TSH, TPO antibodies, FT3, FT4) $159
Life Extension Recommended Tests (take order to Quest or Labcorp)
- DHEA-S Test
- Vitamin D Test $35
- Thyroid Antibody Blood Panel Test $74
- Thyroid Panel (TSH, T4, Free T4, Free T3) $56
- Weight Loss Basic Panel $98 (CBC, DHEA-S, free & total testosterone, progesterone, estrogen, TSH, free T3, insulin, HbA1C)
Self- Testing Options: United Kingdom
In the U.K, the best option is MediChecks, which offers over 80 different blood tests, using finger-prick samples you can collect yourself at home. They have just launched a range of new fertility tests, with panels covering AMH, thyroid health, and vitamin D.
- Future Fertility Blood Test (AMH, FSH, Estrogen)
- DHEA Sulphate
- Preparing for Pregnancy Blood Test (FSH, TSH, Vitamin D)
- OR: Thyroid Check Ultra Vite (Thyroid antibodies, TSH, FT3, FT4, Vit D, Ferritin, B12, Folate, CRP).
Medichecks is offering 20% off their fertility tests until 8th May, 2020, with code FERTILITY20
Normal Ranges for Lab Values
- Age 18-29 years 44-332 µg/dL (1.19-9.00 µmol/L)
- Age 30-39 years 31-228 µg/dL (0.84-6.78 µmol/L)
- Age 40-49 years 18-244 µg/dL (0.49-6.61 µmol/L)
- Testosterone (bioavailable): 0.8-10.0 ng/dL (0.03-0.35 nmol/L)
- Testosterone (free): 0.3-1.9 ng/dL (0.01-0.07 nmol/L)
- Testosterone (total): 8-60 ng/dL (0.3-2.1nmol/L)
- Deficient: below 20 ng/ml (50 nmol/l)
- Insufficient: 20 –30 ng/ml (50–75 nmol/l)
- Sufficient: at least 30 ngl/ml (75 nmol/l)
- Optimal: at least 40 ng/mL (100 nmol/L).
- Hyperthyroid: below 0.5 mIU/L
- Optimal for fertility & miscarriage prevention: ~ 1 mIU/L
- Normal: 1- 2.5 mIU/L
- Subclinical hypothyroid: 2.5-4.5 mIU/L
- Hypothyroid: >4.5 mIU/L