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Lab Decoder™
Enter your lab values below to see where you fall — not just within the "normal" range, but within the optimal range for how you actually feel.
Science Meets Sisterhood
Educational Tool Only. This tool is for informational and educational purposes. It does not constitute medical advice, diagnosis, or treatment. The reference ranges shown reflect Dr. Jess's clinical synthesis of peer-reviewed research and professional society guidelines (including NAMS, ASRM, ISSWSH, ACC/AHA, and the Endocrine Society) where available — they are not official laboratory standards, and for some markers the underlying research is limited or mixed, as noted in the results below. Always discuss your lab results with your licensed healthcare provider. — Dr. Jess Johnson, PharmD, BCACP

Thyroid Panel

Standard TSH alone misses a lot. These markers reveal how well your thyroid is producing, converting, and delivering active hormone to your cells.

Thyroid Stimulating Hormone
TSH
Lab Normal
0.45 – 4.5
mIU/L
✦ Optimal
1.0 – 2.0
mIU/L
mIU/L
Free Thyroxine
Free T4
Lab Normal
0.82 – 1.77
ng/dL
✦ Optimal
1.1 – 1.6
ng/dL
ng/dL
Free Triiodothyronine
Free T3
Lab Normal
2.0 – 4.4
pg/mL
✦ Optimal
3.2 – 4.2
pg/mL
pg/mL
Reverse Triiodothyronine
Reverse T3
Lab Normal
9.2 – 24.1
ng/dL
✦ Optimal
< 15
ng/dL
ng/dL
Thyroid Peroxidase Antibodies
TPO-Ab
Lab Normal
< 34
IU/mL
✦ Optimal
< 15
IU/mL
IU/mL

Sex Hormone Panel

Hormones don't work in isolation. These markers paint the full picture of your hormonal ecosystem — cycle phase, life stage, and symptoms all matter in interpretation.

Estradiol (E2)
E2
Lab Normal (follicular)
12.5 – 166
pg/mL
✦ Optimal (perimenopausal)
50 – 150
pg/mL
pg/mL
Progesterone
P4
Lab Normal (luteal)
1.8 – 24.0
ng/mL
✦ Optimal (luteal)
7 – 20
ng/mL
ng/mL
Total Testosterone
Total T
Lab Normal (women)
15 – 70
ng/dL
✦ Optimal (women)
25 – 55
ng/dL
ng/dL
Free Testosterone
Free T
Lab Normal (women)
0.1 – 6.4
pg/mL
✦ Optimal (women)
1.0 – 3.5
pg/mL
pg/mL
Sex Hormone Binding Globulin
SHBG
Lab Normal (women)
17 – 124
nmol/L
✦ Optimal (premenopausal)
30 – 90
nmol/L
nmol/L
DHEA-Sulfate
DHEA-S
Lab Normal (women 30–50)
35 – 430
µg/dL
✦ Optimal (women)
150 – 300
µg/dL
µg/dL
Follicle Stimulating Hormone
FSH
Lab Normal (follicular)
3.5 – 12.5
mIU/mL
✦ Perimenopause signal
> 10 rising trend
mIU/mL
mIU/mL
Luteinizing Hormone
LH
Lab Normal (follicular)
2.4 – 12.6
mIU/mL
✦ Optimal context
LH:FSH ratio < 2:1
mIU/mL
mIU/mL

Metabolic Panel

Metabolic health is deeply connected to hormone balance. These markers reveal how your body is managing blood sugar, insulin sensitivity, and cardiovascular risk — often years before disease develops.

Fasting Blood Glucose
FBG
Lab Normal
70 – 99
mg/dL
✦ Optimal
72 – 85
mg/dL
mg/dL
Fasting Insulin
F-Insulin
Lab Normal
2.6 – 24.9
µIU/mL
✦ Optimal
< 8
µIU/mL
µIU/mL
Hemoglobin A1c
HbA1c
Lab Normal
< 5.7%
%
✦ Optimal
4.8 – 5.3%
%
%
HOMA-IR (Insulin Resistance Index)
HOMA-IR
Lab Normal
< 2.0
calculated
✦ Optimal
< 1.0
calculated
Calculate: (Fasting Insulin × Fasting Glucose) ÷ 405
index
Total Cholesterol
TC
Lab Normal
< 200
mg/dL
✦ Optimal
150 – 199
mg/dL
mg/dL
LDL Cholesterol
LDL-C
Lab Normal
< 130
mg/dL
✦ Optimal
< 100
mg/dL
mg/dL
HDL Cholesterol
HDL-C
Lab Normal (women)
> 50
mg/dL
✦ Optimal (women)
> 70
mg/dL
mg/dL
Triglycerides
TG
Lab Normal
< 150
mg/dL
✦ Optimal
< 80
mg/dL
mg/dL
Lipoprotein(a)
Lp(a)
Lab Normal
< 75
nmol/L
✦ Favorable
< 125
nmol/L
nmol/L
Apolipoprotein B
ApoB
Lab Normal
< 90
mg/dL
✦ Goal (avg. risk)
< 90
mg/dL
mg/dL

Inflammatory Markers

Chronic low-grade inflammation is a silent driver of hormone dysregulation, fatigue, and metabolic dysfunction. These markers catch it early.

High-Sensitivity C-Reactive Protein
hs-CRP
Lab Normal
< 3.0
mg/L
✦ Optimal
< 1.0
mg/L
mg/L
Ferritin
Ferritin
Lab Normal (women)
12 – 150
ng/mL
✦ Optimal (women)
50 – 100
ng/mL
ng/mL
Homocysteine
HCY
Lab Normal
< 15
µmol/L
✦ Optimal
< 7
µmol/L
µmol/L
Erythrocyte Sedimentation Rate
ESR
Lab Normal (women)
0 – 20
mm/hr
✦ Optimal
< 10
mm/hr
mm/hr

Adrenal & Key Nutrients

Cortisol dysregulation and nutrient deficiencies are often the hidden roots of fatigue, mood changes, and poor hormone metabolism. These are frequently missed on standard panels.

Cortisol (Morning)
AM Cortisol
Lab Normal (AM)
6 – 23
µg/dL
✦ Optimal (7–9 AM)
14 – 20
µg/dL
µg/dL
Vitamin D (25-OH)
Vit D
Lab Normal
30 – 100
ng/mL
✦ Optimal
60 – 80
ng/mL
ng/mL
Magnesium (RBC)
RBC Mg
Lab Normal
4.2 – 6.8
mg/dL
✦ Optimal
5.5 – 6.5
mg/dL
mg/dL
Vitamin B12
B12
Lab Normal
200 – 900
pg/mL
✦ Optimal
600 – 900
pg/mL
pg/mL
Zinc (Serum)
Zinc
Lab Normal
60 – 130
µg/dL
✦ Optimal
90 – 120
µg/dL
µg/dL