Diagnostics
A practical, tiered testing framework
Diagnostics support baseline assessment, risk profiling, and safer HRT monitoring — compatible with decentralised at‑home testing and local phlebotomy hubs.
Onboarding
Baseline panel (example)
This is an example panel and should be adapted to clinical protocols and patient context.
- Thyroid profile (TSH, FT4 ± FT3)
- Full blood count, ferritin
- Vitamin D
- Liver & renal function
- Hormone markers as clinically indicated
Risk profiling
Cardio‑metabolic panel
- Lipids
- HbA1c
- hs‑CRP (where appropriate)
- Insulin (optional)
The platform can prompt screening when symptom patterns suggest elevated risk (e.g., weight change + fatigue + sleep disruption) — while ensuring clinician review before action.
Optimisation
HRT monitoring
- Oestradiol (and progesterone as needed)
- SHBG
- Testosterone (total + free where appropriate)
- LFTs
Monitoring intervals depend on tier and clinical context. The platform can automate reminders and provide result trends, reducing missed follow‑ups.
Tier 3–4
Advanced add‑ons
- ApoB, Lipoprotein(a)
- Thyroid antibodies (anti‑TPO, anti‑TG)
- Cortisol (morning)
- Bone markers and DEXA referral when indicated
Advanced tests such as DUTCH can be positioned as optional lifestyle insight add‑ons — not required for standard
menopause diagnosis or routine HRT decisions.
Testing frequency
Example by subscription tier
| Tier | Monitoring approach | Typical testing cadence (example) |
|---|---|---|
| Tier 1 | Education + tracking | No routine testing included; prompts to seek care when needed. |
| Tier 2 | Clinician access | Baseline + annual monitoring; additional tests as clinically indicated. |
| Tier 3 | Bundled diagnostics | Baseline + 6–12 month monitoring + HRT panels as needed. |
| Tier 4 | Advanced support | Baseline + 6‑month monitoring + advanced markers and higher‑touch reviews. |
All testing should follow clinician judgement and protocol alignment.