Labs & biomarkers

Start with your numbers.

Bloodwork guides most Ellia protocols. Some panels are required before a clinician can prescribe; others are simply a way to see where you stand before deciding anything. Each panel is priced separately from your treatment fee.

CLIAcertified reference labs
Rawlab reports provided
Reviewedby a licensed provider
Why labs first

A protocol built on measurements, not assumptions.

Hormone and metabolic therapy depends on knowing your baseline and watching how it moves. Some panels are required before a clinician can prescribe at all, and others are repeated during treatment so dosing can be adjusted against real numbers. You receive your raw lab reports either way.

A licensed clinician reviews every result and will contact you if anything is abnormal. Lab panels are offered for wellness monitoring. They are not intended to diagnose, treat, cure or prevent any disease.

Required panels

Required to start or continue treatment.

These are not upsells. Your clinician needs them to start or continue these protocols.

Most panels are offered through more than one lab network. Choose the one with a draw site near you.

Required · Weight Loss & Body Composition

Required: GLP-1 Panel

A required panel that tracks lab biomarkers while you use GLP-1 therapy. Complete it within 60–90 days of starting treatment to continue it, then annually.

Required · Men’s Hormonal Health

Required: Men’s TRT Initial Panel

A required lab panel from the past 6 months to evaluate eligibility for starting testosterone therapy.

Required · Men’s Hormonal Health

Required: Men’s TRT Maintenance Panel

A required lab panel that must be taken at 90 days, then annually, and whenever your clinical team requests it, to evaluate ongoing eligibility and personalized dosing for testosterone therapy.

Required · Women’s Hormonal Health

Required: Women’s TRT Initial Panel

A required lab panel from the past 12 months to evaluate eligibility for starting testosterone therapy.

Required · Women’s Hormonal Health

Required: Women’s TRT Maintenance Panel

A required lab panel that must be taken at 90 days, then annually, and whenever your clinical team requests it, to evaluate ongoing eligibility and personalized dosing for testosterone therapy.

Monitoring during treatment

During GLP-1 treatment

Extended: GLP-1 Metabolic & Cardiovascular Panel

A monitoring panel that tracks metabolic, cardiovascular and inflammation markers during GLP-1 therapy, which your provider may recommend periodically.

During GLP-1 treatment

Extended: GLP-1 Bone Health Panel

A monitoring panel that measures a urine marker of bone turnover during GLP-1 therapy, which your provider may recommend periodically.

During sermorelin treatment

Optional: Sermorelin Thyroid Panel

A focused lab panel that monitors thyroid function in people using sermorelin. Recommended every 6–12 months, or sooner if clinically indicated.

During peptide treatment

Growth Hormone (IGF-1) Panel

A focused lab panel that measures IGF-1, a marker of growth hormone activity, in people using sermorelin.

Start here

Comprehensive panels.

The widest baseline Ellia offers, and the usual first step for anyone not yet on a protocol.

Most complete starting point

Women’s Comprehensive Panel

A women’s comprehensive lab panel that brings together foundational testing across hormonal, metabolic, cardiovascular, inflammatory, and nutrient health. Designed to provide a whole body view of women’s health and support personalized, proactive care.

Most complete starting point

Men’s Comprehensive Panel

A men’s comprehensive lab panel that brings together foundational testing across hormonal, metabolic, cardiovascular, inflammatory, and nutrient health. Designed to provide a whole body view of men’s health and support personalized, proactive care.

Extended screening

Women’s Extended Comprehensive Panel

A women’s extended comprehensive lab panel that brings together foundational testing across hormonal, metabolic, cardiovascular, inflammatory, and nutrient health, along with additional markers to support extended screening.

Extended screening

Men’s Extended Comprehensive Panel

A men’s extended comprehensive lab panel that brings together foundational testing across hormonal, metabolic, cardiovascular, inflammatory, and nutrient health, along with additional markers for extended screening.

Targeted panels

Narrower questions.

Ordered on their own or alongside a protocol when something specific needs watching.

Metabolic health

Metabolic

Metabolic Health Panel

A foundational lab panel that measures metabolic function and blood sugar markers. Useful for establishing a baseline.

Metabolic

Metabolic Health + Lipids Panel

A lab panel that measures metabolic and blood sugar markers along with a lipid panel.

Metabolic · Advanced

Ignite: Advanced Metabolic Panel

An advanced lab panel designed to evaluate metabolic efficiency, insulin sensitivity, and appetite signaling. Ideal for individuals with stubborn metabolic symptoms, weight resistance, or energy dysregulation who need deeper insight beyond standard metabolic testing.

Cardiovascular & inflammation

Cardiovascular

Cardiovascular Health & Inflammation Panel

A foundational lab panel that measures a lipid panel with ratios, hs-CRP, Lp(a), ApoB, uric acid and homocysteine. Useful for establishing a baseline.

Cardiovascular · Advanced

Guard: Advanced Cardiovascular Panel

An advanced lab panel that adds ApoE, small dense LDL and an omega-3 index to the heart health and inflammation markers.

Inflammation

Regulate: Inflammation Panel

A lab panel that measures inflammation markers: hs-CRP, homocysteine, uric acid and ferritin.

Hormonal & immune health

Hormonal

Women’s Hormonal Health Panel

A foundational lab panel designed to assess key hormones that influence energy, metabolism, menstrual health, and hormonal balance in women.

Hormonal

Men’s Hormonal Health Panel

A foundational lab panel designed to assess key hormones related to energy, metabolism, reproductive health, and prostate monitoring in men. Ideal for establishing a baseline or evaluating symptoms commonly associated with hormonal imbalance.

Stress & energy

Restore: Advanced Stress & Energy Panel

A focused lab panel designed to evaluate hormone balance, stress physiology, and energy metabolism. Ideal for individuals with persistent fatigue, burnout, or complex symptoms who need a deeper, more integrative assessment beyond foundational hormone testing.

Immune

Defend: Advanced Immune Panel

A lab panel that measures immune and autoimmune markers, including an ANA panel, CCP antibody and thyroid antibodies, alongside hormonal markers.

Immune

Stabilize: MCAS Panel

A targeted lab panel designed to evaluate mast cell activity and histamine metabolism, helpful for understanding symptoms like flushing, hives, GI upset, or unexplained allergic-type reactions.

Immune

Detect: Epstein-Barr Virus (EBV) Panel

A lab panel that measures antibodies to the Epstein-Barr virus (EBV). A clinician interprets the results alongside your symptoms and history.

Immune

Screen: ANA Panel

A lab panel that measures antinuclear antibodies (ANA). A positive result is common and does not, on its own, mean you have an autoimmune condition.

Nutrient health

Nutrient

Nutrient Health Panel

A foundational lab panel that measures key vitamins and minerals, including vitamin D, B12, folate, iron, ferritin, magnesium and zinc. Useful for establishing a baseline.

Detox

Detox Panel

A lab panel that measures blood levels of arsenic, cadmium, cobalt, lead and mercury, along with glutathione.

Allergy

Sensitivity: Advanced Food Allergy Panel

An advanced lab panel designed to assess IgE mediated food allergies that may contribute to immune reactions, digestive symptoms, skin changes, or systemic inflammatory responses.

Fertility health

Fertility

Women’s Fertility Basic Panel

A lab panel designed to evaluate reproductive hormones and ovarian reserve markers that influence fertility, cycle regularity, and reproductive planning.

Fertility

Women’s Fertility Expert Panel

A comprehensive lab panel designed to deep dive into reproductive hormones, metabolic health, thyroid function, and key biomarkers that influence fertility, cycle regulation, and long term hormonal balance.

Expert add-on

Expert Add-on: Stress & HPA Axis Regulation Panel

An expanded lab panel that evaluates stress physiology, cortisol signaling, and HPA axis regulation that may influence hormone balance, thyroid function, and reproductive health.

Expert add-on

Expert Add-on: Hormone Bioavailability, Androgen Excess & Metabolic Depth Panel

An expanded lab panel that measures androgens, hormone-binding proteins and related metabolic markers, as an add-on to a fertility panel.

Expert add-on

Expert Add-on: Oxidative Stress, Antioxidant Capacity & Mitochondrial Function Panel

An expanded lab panel that evaluates oxidative stress, antioxidant capacity, and mitochondrial function.

Expert add-on

Expert Add-on: Immune Regulation & Autoimmune Activity Panel

An expanded lab panel that measures immune and autoimmune markers, as an add-on to a fertility panel.

Expert add-on

Expert Add-on: Reproductive Thrombophilia & Implantation Coagulation Risk Panel

An expanded lab panel that measures inherited clotting-risk markers and coagulation factors, as an add-on to a fertility panel. Results should be reviewed with a clinician.

Expert add-on

Expert Add-on: One-Carbon Metabolism Depth, Methylation & Micronutrient Absorption Panel

An expanded lab panel that evaluates one carbon metabolism, methylation pathways, and micronutrient absorption that may influence metabolic and reproductive health.

Common questions

What you need to know.

For some protocols, yes. Testosterone, enclomiphene and hCG need labs before you start. GLP-1 care needs a panel 60 to 90 days after you start. Estradiol and progesterone need no labs. A licensed clinician reviews your results and decides independently whether treatment is appropriate.

At a CLIA-certified reference lab near you. Collection is routed to the network that serves your state, and your results are returned as raw lab reports.

Yes. A comprehensive panel is a reasonable place to start if you want to see where you stand before deciding anything. A licensed clinician still reviews your results and will contact you if anything is abnormal. Nothing obliges you to continue.

The GLP-1 panel is drawn 60 to 90 days after you start, then once a year. TRT maintenance panels are repeated within 90 days of starting, then annually. Your clinician may ask for additional testing based on your results.

A licensed clinician reviews every result and will contact you if anything is abnormal. For panels tied to your treatment, your provider also uses the results to adjust your plan. You receive the raw reports too, so the numbers are yours to keep and to share with any other clinician.

Know where you actually stand.

Start with a panel. Your provider reads the results into whatever comes next.

Must be 18 or older. Lab availability varies by state. Panels are offered for wellness monitoring and are not intended to diagnose, treat, cure or prevent any disease.