What we read, and why ‘in range’ was never the question.
The diagnostic philosophy behind Men’s Performance, marker by marker, in the level of detail your annual physical never gave you.
Why your annual physical missed it
Fifteen minutes and five labs was never going to find this.
A standard annual physical is built to catch disease, not to explain why a healthy-looking man in his thirties or forties feels like a slower version of himself. It runs a handful of labs against a population-average reference range, and if every number lands somewhere inside that range, the visit ends with “everything looks normal.” That sentence is true and also not very useful, because it was never measuring the thing you actually walked in asking about.
The labs that would catch what you’re describing exist. The clinical framework to read them in context exists. Most primary care visits simply do not run them, and the ones that do still hand you a printout with a checkmark next to a number sitting at the bottom of a range, without ever asking how you slept last night, how your training is going, or how your recovery has changed.
What the panel covers
A comprehensive panel, grouped by system.
Forty-plus markers is the floor, not the ceiling. The exact panel is built around your history and your symptoms, but every intake draws from these four groups.
Hormones
The axis most men come in asking about, and the one most annual physicals skip past. Total and free testosterone, SHBG, LH, FSH, DHEA-S, and estradiol, read together instead of one at a time.
- Total testosterone
- Free testosterone
- SHBG
- LH
- FSH
- DHEA-S
- Estradiol
Thyroid axis
Fatigue, weight change, and mood get pinned on testosterone by default. The thyroid axis is checked alongside it so it isn’t missed.
- TSH
- Free T3
- Free T4
Metabolic
Energy and recovery are downstream of how your body handles glucose and lipids, not just what your hormone panel shows.
- Fasting glucose
- Fasting insulin
- HbA1c
- Lipid panel
Inflammatory and cortisol
Chronic low-grade inflammation and a dysregulated stress response both look like “tired all the time” on the surface. This is where that gets separated out.
- hs-CRP
- AM cortisol
Normal vs. optimal
“In range” and “optimal” are not the same claim.
A reference range is a statistical description of a population, not a target for you specifically. Testosterone’s normal range is still built largely on a 70-year-old population study, and a number sitting at the bottom of that range clears the checkbox without ever asking whether it explains the fatigue, the slower recovery, or the libido that isn’t what it used to be.
“Normal” sitting at the bottom of that range is a clinical picture, not a clean bill of health. Every marker on your panel is read against your symptoms, your sleep, your training, and your body composition, not just against where the lab drew the line between “flagged” and “not flagged.” Optimal is what you came here to find.
How results turn into a plan
The panel is the input. The plan is what happens next.
Your results are reviewed in the context of your symptoms during a follow-up consultation, then used to guide the treatment plan that best aligns with your labs, history, and goals.
Getting your blood drawn
One visit to the practice. That’s the whole logistics story.
The blood draw happens at the practice on Montgomery Road, scheduled around your consultation. No fasting instructions or prep steps beyond what you’re told directly when the draw is booked. Results are reviewed with you in a follow-up conversation, not left on a portal for you to interpret alone. If you have any questions before booking, the complimentary consultation is the place to ask them, and the contact page has every way to reach the practice.