A full body checkup runs 74 to 163 tests for a couple of thousand rupees, and it will genuinely cover your thyroid, iron and vitamins. What it leaves out is free testosterone, SHBG, sensitive estradiol, LH, FSH and ApoB. So you can spend the money, collect a hundred numbers, and still not have the four that answer your actual question. Tell it what is wrong and it tells you what to ask for.
This changes the panel more than anything else you will tell it. Some markers are worth testing only if you are enhanced, and some become mandatory rather than optional.
Once your results are back, run them through the Bloodwork Analyzer. If your symptoms point at thyroid specifically, pair this with the Thyroid Assessment Engine.
Packages are built for breadth across a general population, not depth for a specific question. They include what is cheap to run in bulk and exclude what is not, which is why free testosterone, SHBG, sensitive estradiol, LH and FSH are almost never in them. Those are the markers that answer questions about libido, energy and recovery.
Free testosterone with SHBG, if the question is hormonal. Total testosterone on its own cannot be interpreted, because SHBG determines how much of it is actually available to tissue. Ordering one without the other produces a number nobody can read.
For lipids, glucose and insulin, yes, ten to twelve hours. For most hormones, no, though timing matters more than fasting does. Testosterone, LH and cortisol all follow a daily rhythm and should be drawn before 10am.
Biotin interferes with the assays used for thyroid and several hormone tests, and it can produce results that look like a genuine abnormality. Stop it at least 48 hours before any blood draw, and a week is safer.
No. It tells you which tests to ask for so the money goes on numbers that can answer your question. Interpreting the results belongs with a doctor holding the actual report.
