Comprehensive Hormone Panel on Salt Spring Island
The full picture of your hormonal landscape.
A comprehensive hormone panel goes far beyond the basic hormone tests offered in standard bloodwork. Using dried urine or saliva collection, this testing maps your complete hormonal landscape, including 4-point cortisol measurements, cortisol awakening response (CAR), estrogen and progesterone metabolites, testosterone, DHEA, and melatonin.
Standard blood tests measure total hormone levels at a single point in time. But hormones fluctuate throughout the day (cortisol), throughout the month (estrogen and progesterone), and are metabolized through pathways that matter as much as the hormones themselves. Research in the Journal of Clinical Endocrinology & Metabolism has shown that hormone metabolite patterns can reveal risks and imbalances that total hormone levels alone miss entirely.
I use comprehensive hormone panels to understand not just your hormone levels, but how your body processes and clears them. Estrogen metabolites, for example, can follow pathways that are either protective or potentially harmful, and this distinction is invisible on standard blood tests. The 4-point cortisol map shows your daily rhythm (not just a single snapshot), revealing patterns of adrenal dysfunction that explain fatigue, sleep disruption, and stress intolerance.
This testing is the foundation for bioidentical hormone therapy prescriptions and adrenal support protocols. I use the results to prescribe with precision, choosing the right hormones, forms, and doses based on your unique metabolic picture. Follow-up testing ensures we're achieving optimal balance, not just moving numbers into a reference range.
Why Comprehensive Hormone Panel
Beyond Blood Tests
Measures hormone metabolites and daily rhythms that standard bloodwork can't capture.
Metabolic Pathway Insight
Reveals how your body processes hormones, information critical for safe and effective hormone therapy.
Precision Prescribing
Results guide exact hormone choices, forms, and doses for truly individualized treatment.
Who Comprehensive Hormone Panel Is For
Menopause & Perimenopause
Andropause (Low Testosterone)
Adrenal Fatigue & Burnout
Insomnia & Sleep Issues
PMS & Menstrual Irregularities
Thyroid-Hormone Interactions
Low Libido
Weight Gain
Mood Swings & Anxiety
Monitoring Hormone Therapy
Sample Report
What to Expect
Collection Kit
You receive a take-home collection kit (dried urine or saliva). Samples are collected at specific times throughout the day to capture your hormonal rhythm.
At-Home Collection
Follow the simple instructions to collect samples at the specified times. No office visit is needed for the collection itself.
Results in 2-3 Weeks
The lab analyzes your samples and generates a detailed report with hormone levels, metabolite pathways, and daily cortisol mapping.
Treatment Planning
I review the full report with you, explain what the patterns mean, and use the data to guide hormone therapy, adrenal support, or lifestyle interventions.
Frequently Asked Questions
Related Services
Bioidentical Hormones
Bioidentical hormones are prescription hormones that are structurally identical to what your body produces naturally. Because they match your biology exactly, they tend to be better absorbed with fewer side effects than synthetic alternatives.
Targeted Supplementation
Not all supplements are created equal, and more isn't always better. I prescribe professional-grade supplements based on your lab work, health history, and specific deficiencies. The goal is precision: the right nutrients, in the right forms, at the right doses.
Clinical Nutrition
Clinical nutrition addresses nutrient deficiencies, optimizes digestion, and builds a plan around your life. Whether you're managing a chronic condition, working through gut issues, or just want to feel better day-to-day, I'll focus on whole foods, targeted supplementation, and realistic lifestyle shifts.
Ready to get started?
Book a consultation and I'll build a treatment plan tailored to your health goals.