LABS - Hormones & Bone Turnover Markers

‼️ Disclaimer (Read Before Purchasing)

All labs are performed through QUEST Diagnostics.
If you do not have a QUEST location within 1 hour of you, please contact membership@osteocollective.com before purchasing.

⚠️ Important Lab Testing Notice

  • If you reside in New York, New Jersey, or Rhode Island, please email membership@osteocollective.com before purchasing.
  • Hawaii and Alaska residents: please reach out to membership@osteocollective.com for specific instructions prior to ordering. Bone Turnover Markers are not available in these states.

By completing this purchase, you acknowledge that all lab orders are final and non-refundable once placed.


Overview

This comprehensive lab panel provides a deep look at your hormonal health and bone turnover activity — two of the most critical systems influencing bone density, energy, and long-term strength.
The Hormone portion evaluates thyroid, adrenal, and sex hormones to uncover imbalances that may impact metabolism, mood, and bone strength. The Bone Turnover portion measures markers that track how quickly your body is breaking down and rebuilding bone tissue.

Note: Purchasing this panel does not include a 1:1 provider visit. Your purchase includes the lab tests and a standard lab interpretation, but not a personalized assessment.


Included Labs

🩸 Hormone & Thyroid Markers

  • TSH (Thyroid-Stimulating Hormone): Identifies underactive or overactive thyroid conditions.
  • Free T4 (FT4): Measures the active form of thyroxine; used with TSH to assess thyroid health.
  • Free T3 (FT3): Evaluates the most active thyroid hormone and conversion efficiency.
  • Thyroid Peroxidase (TPO) & Thyroglobulin Antibodies: Screens for autoimmune thyroid disease (e.g., Hashimoto’s or Graves’).
  • Testosterone, Free & Total: Evaluates both active and total testosterone for hormone balance in men and women.
  • FSH & LH: Assess reproductive health, menopause status, and pituitary function.
  • Estradiol: A key form of estrogen vital for bone, cardiovascular, and reproductive health.
  • DHEA-Sulfate: Reflects adrenal function and supports sex hormone production.
  • Sex Hormone Binding Globulin (SHBG): Determines how much testosterone and estrogen are freely available.
  • Progesterone: Tracks menstrual cycle status or hormone therapy response.

🦴 Bone Turnover Markers (optional add-on when purchasing)

  • Procollagen Type I Intact N-Terminal Propeptide (P1NP): Marker of bone formation—higher levels indicate active bone building.
  • Collagen Type I C-Telopeptide (CTX): Marker of bone resorption—shows the rate of bone breakdown.
  • P1NP/CTX Ratio: Evaluates the balance between bone formation and resorption, providing insight into overall bone turnover state.

Note: Bone Turnover Markers are optional at checkout and unavailable in Hawaii and Alaska.


Why This Matters

Hormones drive nearly every aspect of bone health. Imbalances in thyroid, estrogen, testosterone, or cortisol can dramatically affect how bones remodel, recover, and retain density.

By pairing hormone analysis with bone turnover data (P1NP and CTX), this panel provides a complete picture of how your internal systems are influencing bone strength — and helps you track progress when following a bone-building or hormone-supportive plan.


What to Expect After Purchase

  1. 🕐 Within 24 hours (Mon–Fri): You’ll receive an email to create your Lab Report Dashboard account.
  2. 📋 After setup: Your Lab Requisition Form will be emailed within 24 hours (Mon–Fri) once your address is entered.
  3. 🧪 Collect samples: Visit your nearest QUEST Diagnostics location.
  4. 📄 Results: Viewable in your Lab Report Dashboard and included in your TOC file for reference.

If you have any questions or encounter issues, please contact support@osteocollective.com — we’re happy to help.

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