The 51-Biomarker Panel Behind Better TRT.
Drawn In-Clinic. Reviewed by a Doctor.
Telehealth home kits check less than half the markers I do. I run a 51-biomarker panel at your first visit, drawn on-site and read by me or Dr. Merlino, so your treatment is built on the whole picture — not a guess.
Free Consult →A 51-biomarker lab panel — included in your $99 first visit.
Your $99 first visit includes a 51-biomarker lab panel, drawn on-site and read by your doctor.
Why We Test 51+ Biomarkers
When Others Test 4
Most telehealth TRT companies test total testosterone, maybe a basic CBC, and call it a day. They're testing just enough to justify a prescription — not enough to safely manage your care.
Testosterone therapy affects your entire body — blood viscosity (hematocrit), estrogen balance, liver and kidney function, metabolic health, thyroid, iron, and lipids. Without baseline data, your doctor can't identify pre-existing conditions, predict side effects, or optimize your protocol.
Our 51-biomarker panel gives your doctor the complete picture — the difference between treating a number and treating the whole patient.
Everything We Measure — and Why
A full hormonal, metabolic, and safety workup across every system TRT touches.
Hormones
The full hormonal picture — not just a single testosterone number. Reveals why your levels are low and how to treat it safely.
Complete Blood Count (CBC)
Critical TRT safety monitoring — testosterone raises red blood cell production, so we watch your hematocrit at every visit.
Comprehensive Metabolic Panel
Kidney function, electrolytes, blood sugar, and liver enzymes — a safe baseline before TRT and ongoing metabolic health.
Heart & Lipids
TRT can shift cholesterol. Monitoring lipids keeps your cardiovascular health on track throughout treatment.
Iron Stores
Low iron causes fatigue that mimics low T, and TRT increases iron demand. We check your iron stores.
Thyroid, Blood Sugar & Prostate
Rules out thyroid and diabetes look-alikes for low T, and establishes your prostate safety baseline.
Calculated Free Testosterone —
The Marker That Actually Matters
Why Total T Alone Misleads
Only 2–3% of testosterone in your blood is "free" — unbound and biologically active. The rest is bound to SHBG and albumin, unavailable for your body to use.
A man with total T of 450 ng/dL and high SHBG can have the free testosterone of someone at 250. Testing total T alone misses this entirely.
Why We Calculate It
We derive free testosterone from Total T + SHBG — the calculated method endorsed for accuracy over the cheaper "direct" immunoassay, which is unreliable in men.
It's the difference between a number you can trust and one you can't.
Checkup Labs vs. the
51-Biomarker First-Visit Panel
Every patient gets the full 51-biomarker panel at the first visit. At checkups, labs use your insurance, or our discounted price (about $40).
Your Labs Must Satisfy Insurance PA Requirements
Every major carrier requires specific lab tests before approving testosterone therapy. Revive's 51-biomarker panel covers all 9 PA requirements. Telehealth panels cover 1.
| Lab Test Required for PA | Revive 51-biomarker panel |
Telehealth typical panel |
Carriers Requiring It |
|---|---|---|---|
| Total Testosterone | ✓ | ✓ | All carriers |
| Free Testosterone | ✓ | ✗ | UHC, Kaiser (BMI ≥ 30), Aetna |
| LH (Luteinizing Hormone) | ✓ | ✗ | Kaiser, all (diagnosis) |
| FSH (Follicle-Stimulating Hormone) | ✓ | ✗ | Kaiser, all (diagnosis) |
| Prolactin | ✓ | ✗ | Kaiser, all (rule out prolactinoma) |
| Estradiol | ✓ | ✗ | Best practice; supports PA documentation |
| PSA (Prostate-Specific Antigen) | ✓ | ✗ | Kaiser (50+), UHC, Aetna |
| Hematocrit / CBC | ✓ | ✗ | Kaiser (<50%), all (safety baseline) |
| HbA1c / Metabolic Panel | ✓ | ✗ | UHC (reversible causes evaluation) |
Incomplete lab work is the leading cause of PA denials. Every Revive patient's first-visit panel satisfies PA documentation requirements for Premera, Regence, UHC, Aetna, Cigna, Kaiser, and Medicare. View all carrier coverage →
What a Mail-In Kit Can't Give You
In-Person Doctor
A real doctor reviews your results and builds your protocol — not an algorithm.
Same-Day In-Clinic Draw
Blood drawn on-site by our team — no mail-in kits, no fingersticks, no guesswork.
Results in 24 Hours
Fast turnaround so treatment planning starts at your very first visit.
Included & PA-Ready
Included with your $99 first visit and built to satisfy insurance prior-authorization.
Lab Fees & Insurance
At Revive, the full 51-biomarker panel is included with your $99 first visit. Follow-up labs: use your insurance, or pay our discounted price (about $40).
Follow-up lab pricing: our discounted price (about $40) per round covers total testosterone, calculated free testosterone, SHBG, CBC, estradiol, PSA, AST and ALT. The blood draw is part of your visit fee. Any other test your doctor orders is billed per test.
With insurance: you have the blood draw at our clinic and the lab bills your insurer directly. Revive does not bill your insurance.
Your $99 visit and any follow-up labs are FSA/HSA eligible.
Get the Full Picture
Book your first visit and get the lab panel most clinics don't offer — 51+ biomarkers, doctor-reviewed, results in 24 hours. Your treatment is only as good as the data behind it.
Free Consult →Prefer to talk it through?
Book your free consult online anytime.