Generally, we like to get our hormone levels drawn between 7 am and 8 am.
Many of the hormones fluctuate widely during the day, and peak levels are in the
early morning hours. It makes sense, then, to check them when they peak, thereby
permitting consistent results from which an intelligent clinical decision can be
made. Blood levels are more reproducible than are levels derived from saliva,
and insurance (including Medicare) covers blood testing.
Saliva testing, at this time, is not FDA approved, and is therefore not a
covered expense. Having performed concurrent saliva and blood testing in a
number of patients, I have not found the saliva levels to be nearly as useful as
the blood levels, and for this reason, I prefer the blood studies over saliva
The hormone levels that are most valuable to my evaluation include: cortisol
(am), total testosterone, total estrogen, estradiol, progesterone, DHEAs,
pregnenolone, T-3, T-4, & TSH.
Because of the problems that we frequently see with “Euthyroid-Sick
Syndrome,” which is a common presentation of mis-diagnosed auto-immune thyroid
disease, we obtain anti-thyroglobulin and thyroid peroxidase (TPO) levels.
Undiagnosed auto-immune thyroid disease is extremely common, and commonly
presents as ‘fibromyalgia,’ ‘chronic fatigue syndrome,’ ‘syndrome X,’ and “low
metabolism.” The first indicator is low resting body temperature. That is,
temperatures that rarely, if ever, reach 99 deg F.
Blood is drawn at our facilities for your convenience.
Micronutrient deficiencies are identified, and an intelligent and cost-effective replacement is begun.
Without knowing what is missing, how can you intelligently replace it?
The Nutrient and Blood analysis is currently covered by various (if not all) insurance companies.
The test is performed every 6 months after initiation of treatment.