Step 01 — the baseline. A full biomarker panel drawn at intake, read against optimization ranges, and held as the foundation for every protocol that follows.
$325 cash pay, one-time—or billed through your insurance. Required for every new patient before any ongoing care begins.
Most clinics run a handful of labs and tell you "everything looks normal." We run over 90 biomarkers — metabolic, cardiovascular, hormonal, blood, kidney, liver, nutrient, and mineral status — and read them against the ranges that matter for optimization, not disease detection.
Fasting glucose, insulin, HbA1c, HOMA-IR, full lipid panel with ApoB and Lp(a), inflammatory markers, and homocysteine.
TSH, free T3, free T4, reverse T3, antibodies; total and free testosterone, estradiol, progesterone, DHEA-S, SHBG; IGF-1 and cortisol.
Complete blood count with differential, comprehensive metabolic panel, liver enzymes, kidney function, and iron studies.
Vitamin D, B12, folate, magnesium (RBC), zinc, copper, selenium — often the difference between feeling flat and feeling optimized.
The payment path you choose determines where you can get your draw done — so it's worth understanding the tradeoffs before you book.
You pay the flat $325 fee and know exactly what it costs. Your draw happens in one of two places:
Heads up for Quest/FullScript: zinc, copper, and selenium aren't included in the panel Quest runs for us — Quest prices micronutrients unusually high. If you'd like them added, it's an extra $50. Quest also charges a $10 lab draw fee at the time of your visit. In-clinic draws at TAI include zinc, copper, and selenium as part of the flat $325, with no additional draw fee.
We issue a lab requisition you can take to any lab in your insurance network. Results route back to us regardless of where the draw happens.
Insurance plans don't always cover every marker we order, and out-of-network labs may not be covered at all. Depending on your policy, you may still receive a bill — sometimes a large one — for portions of the panel your plan declines. That risk is yours, not ours. If predictable pricing matters more than using your benefits, the cash-pay path is usually the safer call.
A few things to get right so the numbers we read are actually yours — not a reflection of last night's dinner or this morning's multivitamin.
Water is fine — encouraged, actually. No food, no coffee, no juice, no cream in anything. For the cleanest reads on glucose, insulin, and lipids, stick to water only.
Start early. Aim for 80–100 oz of water per day for the 2–3 days leading up to your appointment — sustained hydration makes for an easier, cleaner draw. On the day of, however, do not exceed 24 oz within the 2 hours before your draw, as acute over-hydration can dilute certain lab values and affect your results.
Discontinue all vitamins and supplements — especially anything containing biotin (hair/skin/nails formulas, B-complex, prenatals) — for 5 to 7 days before your draw. Biotin can significantly skew thyroid and hormone results. Prescription medications: continue as normal unless your prescriber has told you otherwise.
Cortisol, testosterone, and several other hormones follow daily rhythms. Mornings give us the cleanest read against published reference curves. If you're going to a Quest or in-network lab, we recommend booking an appointment between 7 AM and 9 AM. Walk-ins are usually welcome too — just know the wait can be long without an appointment.
If you're menstruating, schedule your draw for days 19, 20, or 21 of your cycle (counting day 1 as the first day of your period). That's the mid-luteal window when progesterone peaks — essential for an accurate read on hormone status. Postmenopausal or on continuous HRT? Any day works.
From draw to protocol in about two weeks.
Fifteen to twenty minutes, start to finish. In-clinic, at Quest, or at your in-network lab of choice. You leave; we handle the rest.
Most markers return within a week; a few specialty panels take up to ten days. We review them before you see them.
You book the $149 Lab Review & Treatment Plan consultation. We walk you through every finding and build the protocol that fits your goals.
Yes. We'll issue a requisition you can take to any lab in your network. Be aware, though: insurance may not cover every marker we order, and out-of-network labs can leave you with unexpected charges. Cash pay ($325 flat) is often the more predictable choice — see the full disclosure above.
Yes. We'll provide an itemized receipt you can submit to your HSA or FSA administrator for reimbursement.
Most markers return within 5–7 days. A few specialty panels (certain hormones, Lp(a)) can take up to 10 days. We'll message you the moment everything is back.
For most ongoing patients, we retest relevant markers every 3–6 months, and run the full comprehensive panel annually. Included in the All-Inclusive membership; à la carte for everyone else.
$325 cash pay, or billed through your insurance. Cash-pay draws happen in-clinic at TAI or at Quest via FullScript; insurance patients can use any in-network lab. Either way, results route back to us.
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