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Western Medical / Labs & Diagnostics
Labs & Diagnostics

The labs you need, the labs you want

Private-pay diagnostics without the gatekeeping. Order the advanced panels most annual physicals never include, get them read by someone who will sit down and explain every line, and leave with a plan — not a portal message that says “normal.”

Book a lab consult See the panels
No referral required
Private pay · transparent pricing
3–7 business days
Typical turnaround
The Gap

Standard labs are built to catch disease, not to prevent it

A routine annual panel is a screening tool. It is calibrated to answer three questions: are you diabetic, are you hypertensive, do you need a statin. Below those thresholds, everything reads “within normal limits” — and normal is a population average that includes a lot of people who are not well.

The functional decline, the early metabolic dysfunction, the nutrient depletion, the hormonal drift — those precede diagnosable disease by years, sometimes decades. That window is exactly where advanced diagnostics work, and it is exactly what a fifteen-minute insurance visit has no time to look for.

We are not against your primary care physician — we work alongside them and will send them everything. We are simply able to order more, spend longer on it, and treat any move away from optimal as something worth discussing.

What We Can Order

Six domains, assembled around you

These are the panels available, not a package you must buy. Most people start with cardiometabolic and hormones, and add from there once we have seen the first set.

Cardiometabolic
ApoB · Lp(a) · LDL particle number & size · hs-CRP · fasting insulin · HOMA-IR · HbA1c · uric acid · homocysteine

A standard lipid panel tells you cholesterol. ApoB counts the particles that actually deposit in your artery wall — and insulin resistance is measurable years before glucose ever moves.

Hormones
Total & free testosterone · estradiol · progesterone · DHEA-S · SHBG · LH/FSH · cortisol

Symptoms are not a number. Full sex-hormone and adrenal panels tell us whether fatigue, sleep loss, and mood shifts are hormonal — and give us a baseline to dose against.

Thyroid, in full
TSH · free T3 · free T4 · reverse T3 · TPO & thyroglobulin antibodies

TSH alone is the most common near-miss in medicine. Conversion problems and autoimmune thyroid disease hide entirely behind a “normal” TSH.

Inflammation & immune
hs-CRP · ferritin · ESR · CBC with differential · celiac and autoimmune screens as indicated

Chronic low-grade inflammation is upstream of most of what we treat downstream — cardiovascular disease, metabolic disease, and pain that will not settle.

Nutrients & micronutrients
Vitamin D · B12 · folate · magnesium RBC · zinc · iron studies · omega-3 index

At 6,500 feet, with the training loads people carry here, depletion is common and correctable. It is also the fastest thing on this page to fix.

Biological age & longevity
Epigenetic methylation age · pace-of-aging · body composition (InBody 580) · VO₂-adjacent markers

Chronological age is fixed. Biological age moves — and having a number to move is what makes a longevity plan measurable rather than aspirational.

Normal vs. Optimal

“Normal” is a reference range. It is not a goal.

A lab’s reference range is the middle 95% of the people who happened to get tested at that lab. It describes a population, most of whom are not thriving. Optimal ranges come from the outcomes literature — where risk is actually lowest.

Vitamin D
“Normal” from 30 ng/mL

Most longevity and immune data favor 40–60 ng/mL — a range a standard panel would never flag you toward.

Fasting insulin
Often not ordered at all

Frequently elevated for a decade before glucose budges. It is the earliest honest signal of metabolic trouble we have.

Free T3
Buried behind TSH

You can have a textbook TSH and still be under-converting to active thyroid hormone. Symptoms know before the screen does.

How It Works

Four steps, and none of them are rushed

01
A consult before a needle

We start with your history, symptoms, training, sleep, family risk, and what you actually want to know. Panels are built from that conversation — not pulled off a shelf.

02
The draw, here

Blood is drawn on site, fasting where required, and sent to CLIA-certified reference labs. Most results return within three to seven business days.

03
A real review

A full sit-down, not a portal message that says “normal.” We walk your numbers line by line, show you where each sits against optimal, and tell you what is worth acting on and what is noise.

04
A plan, then a re-test

Nutrition, training, supplementation, peptides, hormone therapy, or a referral out — whatever the data supports. Then we re-test in 8 to 12 weeks and measure whether it worked.

Body Composition

The InBody 580 — what the scale will never tell you

Weight is a single number hiding four different stories. The InBody 580 separates them in about sixty seconds, standing fully clothed, using direct segmental multi-frequency bioelectrical impedance — no calipers, no pinching, no water tank.

You leave with a printed sheet, not a vague verdict: skeletal muscle mass and body fat mass measured separately, segmental lean mass for each arm, each leg, and your trunk, visceral fat level, total body water with the intracellular and extracellular split, phase angle as a marker of cell integrity, and basal metabolic rate.

Muscle vs. fat
Measured separately, so a stable weight still shows real change.
Segmental lean mass
Limb-by-limb, which exposes asymmetry after injury or surgery.
Visceral fat
The metabolically dangerous fat around the organs, not the kind you can pinch.
Water & phase angle
Hydration balance and cellular health — an early signal of inflammation.
InBody 580 or a result sheet
Labs + Body Composition

Together, the two answer questions neither can answer alone

Bloodwork tells us what your physiology is doing. The InBody tells us what your body is doing about it. Run on the same day and re-tested together at 8 to 12 weeks, they turn a plan into something measurable.

Insulin resistance you can see

Fasting insulin, HOMA-IR, HbA1c, and triglycerides next to your visceral fat level. High visceral fat with rising insulin is a metabolic trajectory, not a weight problem — and both numbers move together when the plan works.

Losing fat, keeping muscle

On GLP-1 therapy or a peptide protocol, the scale cannot tell fat loss from muscle loss. Skeletal muscle mass alongside thyroid, testosterone, IGF-1, and protein markers shows whether the weight coming off is the weight you wanted gone.

Fatigue with a cause

Low phase angle and shifted extracellular water beside hs-CRP, ferritin, vitamin D, and thyroid antibodies separate inflammation and hormonal causes from simple under-recovery — for the athlete and the exhausted alike.

Both are included in the longevity and metabolic panels, and the InBody scan can be added to any lab visit. Every scan is taken under the same conditions — same time of day, same hydration guidance — so the comparison is honest.

The Whole Picture

Numbers are only useful next to a person

A lab result read in isolation is a trivia fact. Read alongside your body composition from the InBody 580, your sleep, your training load, your stress, and what you came in saying — it becomes a direction.

That is the advantage of sitting inside a building that also does hormone therapy, peptides, IV nutrition, acupuncture, and bodywork. When your labs point somewhere, the next step is usually a door down the hall, and everyone involved is reading the same data.

And when the data points outside what we do, we say so. Referral is not a failure — sending you to a cardiologist with an ApoB and an Lp(a) already in hand is one of the most useful things this page can produce.

Labs FAQ

Questions, answered honestly

No — this is private pay, and that is deliberate. It is what lets us order what is clinically useful rather than what a payer will approve, and it is why our pricing is posted rather than mysterious. You are welcome to submit a superbill to your insurer; many patients get partial reimbursement.
We provide it. Your panel is ordered by our provider after your consult — no outside referral needed.
Gladly, and we encourage it. We will send the full report to whomever you name. We are additive to your primary care, not a replacement for it.
No, and we will tell you when to stop. Every marker ordered without a reason is a chance at a false positive and a month of unnecessary worry. We order what will change a decision.
Eight to twelve weeks after starting an intervention, so we can see whether it worked, and then every six to twelve months once things are stable. Testing without a follow-up plan is just data collection.
Start with data

Stop guessing about your own body

One consult, one draw, and a real conversation about what your numbers mean. Everything we do downstream — hormones, peptides, weight loss, IV nutrition — works better when it starts here.

Book a lab consult