What specific tests are needed?

Before starting hormone replacement therapy (HRT), several specific tests are recommended to ensure safety and effectiveness. Here are key insights from experts:

1. Baseline Hormone Levels: Measure levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol, progesterone, and testosterone. These baseline tests help understand the starting point before HRT begins 1.

2. Comprehensive Hormone Panel: Utilize tests like the DUTCH test to assess estrogen, progesterone, testosterone, cortisol, and their metabolites. This can help evaluate your overall hormone status and liver detoxification pathways, which are crucial for determining how you might respond to HRT 2.

3. Metabolic and Nutrient Panel: Test for insulin levels and other metabolic markers to understand your health status. Nutrient levels, including those affecting thyroid function, should also be evaluated 3 4.

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     Hormone Replenishment Insights

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     Hormone Replacement Insights

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     Hormone Testing Insights

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     Hormone Balance Insights

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4. Thyroid Function Tests: Since thyroid health is closely connected with overall hormonal balance, assessing thyroid function with tests for TSH, free T4, and free T3 can be beneficial 4.

5. Bone Density Test: Establish a baseline for bone health, especially if you are at risk for osteoporosis, as HRT can impact bone density 1.

6. GI Health Check: Consider a GI map to evaluate gut health and processes like inflammation and beta-glucuronidase activity, which can affect hormone metabolism 2.

These tests, alongside assessing symptoms and lifestyle factors, can help tailor HRT to individual needs, optimizing safety and effectiveness. Consult with healthcare professionals to interpret test results and determine the best course of action.