Which BHRT providers include comprehensive lab panels in their programs?

Short answer: several reputable BHRT programs include comprehensive lab panels as a standard part of their intake and follow‑up. Which is best depends on whether you want in‑person clinic care, pellet therapy, or telehealth, and whether you want very expanded testing (DUTCH/saliva/metabolites) vs. standard blood panels.

Providers and test options to consider

• Defy Medical (telemedicine)

  • Why: large, hormone‑focused telehealth clinic that routinely orders broad baseline and follow‑up labs (CBC, CMP, fasting lipids, thyroid panel, total + free testosterone, estradiol, progesterone where appropriate, DHEA‑S, SHBG, etc.). They also can order specialty tests (DUTCH, salivary cortisol) when indicated.

• BodyLogicMD (nationwide physician network)

  • Why: primary focus on women’s hormone optimization. Local physicians perform comprehensive intake labs and individualized follow‑up testing as part of treatment plans.

• BioTE Medical (provider network for pellet therapy)

  • Why: BioTE is a training/network model; certified BioTE clinicians typically require baseline blood work and ongoing labs to monitor pellet therapy (hormones, metabolic and safety labs). Good if you prefer pellet BHRT through an in‑office provider.

• EvexiPEL (telehealth pellet therapy network)

  • Why: telehealth service focused on pellet BHRT; includes ordering required baseline labs and periodic monitoring through partner labs/clinics.

• Cenegenics / high‑end age‑management clinics

  • Why: these programs provide extensive diagnostic workups (comprehensive hormone panels plus cardiovascular/metabolic testing and imaging) as part of their optimization programs. Typically higher cost but very comprehensive.

• Roman / Hims (men’s telehealth TRT)

  • Why: convenient telehealth routes for testosterone replacement; they include baseline labs (testosterone, CBC, CMP, PSA in men) as part of the program. Note: their labs are usually targeted toward TRT monitoring rather than expanded hormone metabolite panels.

Laboratories/specialty tests commonly used by BHRT clinicians

• DUTCH test (Precision Analytical) — very comprehensive steroid metabolite profile from urine; commonly used when clinicians want detailed adrenal and sex‑steroid metabolites.
• ZRT Laboratory — saliva and blood spot hormone testing used by many BHRT practitioners for cycle‑timed female testing and cortisol profiles.
• LabCorp / Quest Diagnostics — commonly used for standard blood panels (CBC, CMP, thyroid, sex hormones, lipids, PSA).

How to pick and what to confirm

• Decide delivery method (pellets, injections, creams) and care style (local clinic vs. telehealth).
• Confirm exactly which labs are included in the initial program vs. extra/optional tests and whether those are covered by insurance or billed separately.
• Ask whether the provider offers specialty tests you care about (DUTCH, saliva cortisol, estradiol metabolite testing) and how frequently they repeat labs for monitoring.

If you’d like, tell me whether you’re seeking care as a man or a woman, whether you prefer pellets vs. injections/creams, and whether you want telehealth or local in‑person care — I can recommend 2–3 best matches and what tests they typically include.