WHAT WE TEST
See the whole picture.
Five systems, 41 markers, one blood draw. Here’s what each of them is, and why it’s on the list.
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Hormones

Hormones are at the centre of it all. As oestrogen and progesterone fall, your brain responds by increasing FSH and LH. Testosterone, thyroid hormones and prolactin shift too. These changes explain many of the symptoms women notice first: hot flushes, sleep disruption, mood changes and cycle irregularity.

OestradiolE2
The most potent form of oestrogen before menopause, supporting bone strength, blood vessel flexibility, brain function, mood, vaginal health, and menstrual cycle regulation.
Follicle Stimulating HormoneFSH
Produced by the brain to stimulate the ovaries to develop follicles and produce oestradiol; the key signal in the hormonal conversation between brain and ovaries.
Luteinising HormoneLH
Released by the brain to trigger ovulation mid-cycle and support the production of oestradiol and progesterone.
ProgesteronePROG
Produced after ovulation, progesterone balances oestradiol, calms the nervous system, supports sleep, stabilises mood, and regulates cycle length.
TestosteroneTEST
Supports libido, energy, muscle and bone strength, red blood cell production, cognitive function, and mood; produced by both the ovaries and adrenal glands.
Sex Hormone Binding GlobulinSHBG
A liver protein that binds oestrogen and testosterone in the blood; only unbound (free) hormones are available to act on tissues, so SHBG directly affects how much of your hormones are biologically active.
Free Androgen IndexFAI
A calculated value using testosterone and SHBG that estimates how much testosterone is free and biologically active rather than bound and inactive.
Thyroid Stimulating HormoneTSH
The most sensitive early marker of thyroid function, produced by the brain to stimulate the thyroid gland; usually the first to change if thyroid activity shifts.
ThyroxineFree T4
The main hormone produced by the thyroid gland, circulating in the blood as a store that is later converted to the active T3 in tissues throughout the body.
TriiodothyronineFree T3
The most biologically active thyroid hormone, regulating energy use, body temperature, heart rhythm, and brain function; mostly produced by converting T4 in tissues rather than by the thyroid directly.
Thyroid Peroxidase AntibodiesAnti-TPO
Antibodies indicating the immune system is reacting against an enzyme the thyroid uses to produce hormones; the more clinically relevant of the two thyroid antibody markers.
Thyroglobulin AntibodiesAnti-TG
Antibodies indicating the immune system is reacting against a protein the thyroid uses to make hormones; less specific than Anti-TPO and best interpreted alongside your full thyroid panel.
ProlactinPRL
A pituitary hormone best known for milk production but also influencing menstrual cycle regulation, breast tissue health, mood, and energy; rises naturally with stress, exercise, and certain medications.
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Bone

Bone health is one of the least visible changes in midlife. Oestrogen directly supports bone density, so as levels decline, bone turnover increases. Most women won't know anything has shifted until much later. These markers show how your calcium, vitamin D, and bone-regulating hormones are balanced right now.
A DEXA scan remains the most accurate way to assess bone strength. Blood tests are best used alongside clinical assessment and imaging when needed.

Alkaline PhosphataseALP
An enzyme reflecting bone turnover (how actively bone is being broken down and rebuilt), most powerful when read alongside calcium, vitamin D, and PTH to build a complete bone health picture.
CalciumCA
Vital for bone strength, muscle function, and nerve signalling; interpreted alongside vitamin D, PTH, and ALP, calcium helps reveal how your body is managing one of its most important minerals during hormonal change.
PhosphatePHOS
Partners with calcium to form the mineral structure of bones and teeth, and is essential for energy metabolism and cell function.
Parathyroid HormonePTH
Regulates calcium and phosphate by mobilising calcium from bone when blood levels fall; tracking PTH alongside calcium and vitamin D shows how hard your body is working to maintain mineral balance.
Vitamin DVIT D
A fat-soluble hormone precursor made from sunlight on skin that helps the gut absorb calcium and phosphate, supporting bone strength, muscle function, immune regulation, and mood.
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Heart & Metabolism

The way your body handles blood sugar, cholesterol, and inflammation shifts during perimenopause. Falling oestrogen is linked with rising cholesterol, higher blood sugar, and changes in how fat is stored. These markers show your cardiovascular and metabolic health in midlife.

HaemoglobinHGB
The protein in red blood cells that carries oxygen from the lungs to every tissue in the body and a key marker of blood health and energy levels.
Red Blood CellsRBC
Carry haemoglobin and deliver oxygen throughout the body; the count reflects how well your body is producing and maintaining these cells.
White Blood CellsWBC
The frontline of your immune system, fighting infections, responding to inflammation, and playing a role in allergic reactions.
PlateletsPLT
Small cell fragments that help your blood clot by rushing to the site of injury; the count reflects your blood's clotting capacity.
Total CholesterolTC
A combined measure of all cholesterol types (both protective HDL and less desirable LDL); paired with your individual lipid markers, it gives the full cardiovascular picture.
LDL CholesterolLDL-C
Carries cholesterol from the liver to tissues; when elevated, excess cholesterol can accumulate in artery walls over time, making LDL the primary target for cardiovascular risk reduction.
HDL CholesterolHDL-C
Carries cholesterol away from the arteries back to the liver for processing; higher HDL is generally protective, while lower HDL means less cholesterol is being cleared.
Cholesterol RatioTC : HDL
Divides total cholesterol by HDL to give a more complete picture of cardiovascular context than total cholesterol alone.
TriglyceridesTG
A type of fat in the blood, stored after eating and released for energy between meals; more directly influenced by refined carbohydrates, sugars, and alcohol than by dietary fat.
C-Reactive ProteinCRP
A sensitive marker of inflammation produced by the liver; tracking CRP over time reveals patterns of chronic low-grade inflammation that are particularly relevant during hormonal change.
HbA1cHBA1C
Reflects average blood sugar over the past two to three months by measuring glucose attached to haemoglobin.
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Stress

Cortisol and DHEA-S regulate how you respond to stress, and they interact directly with your sex hormones. Many women in perimenopause notice that stress feels harder to manage and recovery takes longer. These markers give insight into how your adrenal system is working alongside the hormonal transition.
Cortisol and DHEA-S vary naturally through the day. A single blood test offers a snapshot; we encourage retesting over time to see the fuller pattern.

CortisolCORT
The body's primary stress hormone, following a strong daily rhythm (highest in the morning, lowest at night) and regulating energy, blood pressure, immune function, and blood sugar.
DHEA-SDHEAS
The most abundant steroid hormone in the body, made in the adrenal glands as a precursor for oestrogen and testosterone, helping buffer the effects of cortisol.
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Nutrition

Nutrition underpins everything. During perimenopause, heavy or irregular bleeding can deplete iron stores. After menopause, your body's needs shift as bones, muscles, and metabolism change. B12 absorption can decline with age. This panel shows whether your body is getting what it needs for energy, immunity, bones, and long-term wellbeing.

Serum IronFE
Measures iron circulating in the blood at the moment of testing; part of the full iron panel that together reveals the complete picture of your iron status.
FerritinFERR
The protein that stores iron in cells throughout the body and the most reliable single marker of overall iron reserves; interpreted alongside CRP and your other iron markers for the fullest picture.
Total Iron Binding CapacityTIBC
Measures how much capacity the blood has to carry iron; rises when iron is low as the body increases transport capacity, helping reveal early iron changes before other markers shift.
TransferrinTRF
The main protein that binds and carries iron in the blood; rises when iron is low to maximise transport efficiency, adding context to your ferritin and serum iron.
Transferrin SaturationTSAT
The percentage of transferrin currently carrying iron, showing how loaded the transport system is; one of the earliest markers to shift when iron status is changing.
AlbuminALB
A liver protein reflecting overall nutritional status that transports hormones, vitamins, and medications through the blood.
MagnesiumMG
Involved in over 300 body processes including muscle relaxation, nerve function, energy production, bone health, and blood sugar regulation; one of the most underappreciated minerals in midlife health.
FolateB9
Supports DNA synthesis, red blood cell formation, and mood regulation; works closely with B12, which is why both are included for a complete picture.
Vitamin B12B12
Supports nerve health, memory, mood, red blood cell formation, and DNA synthesis; absorption can decline with age and certain medications, making it especially important to track in midlife.
ZincZN
Vital for immune function, skin repair, wound healing, taste and smell, thyroid hormone metabolism, and the conversion of T4 to active T3.
