Back to ContentBloodwork

Bloodwork 101: What to Test and Why

8 min read|By James Quilter

If you are serious about optimizing your health and performance, bloodwork is non-negotiable. It is the only way to see what is actually happening inside your body instead of guessing based on how you feel.

At a minimum, you should be getting a comprehensive metabolic panel, complete blood count, lipid panel, thyroid panel (TSH, Free T3, Free T4), and hormone panel (Total Testosterone, Free Testosterone, Estradiol, SHBG) every 6 to 12 months.

Testosterone is the marker most men care about, and for good reason. But looking at Total T alone is not enough. Free Testosterone is what your body actually uses. You can have total T in the normal range but low free T if your SHBG is elevated. That is why you need the full picture.

Thyroid markers tell you about your metabolism. If your TSH is elevated and Free T3 is low, your metabolism is sluggish. This impacts fat loss, energy, mood, and training performance. Many men have subclinical thyroid issues that never get caught because they only test TSH.

Lipids matter more than people think, especially if you are using any kind of protocol or supplement stack. Track your LDL, HDL, triglycerides, and ideally ApoB. These tell you about cardiovascular risk.

Other markers worth tracking: fasting insulin (metabolic health), Vitamin D (immune function, mood), ferritin (iron stores), and liver enzymes (AST/ALT). If you are running any protocols, liver and kidney markers are essential.

Get your bloodwork done fasted, in the morning, and consistently at the same lab. Compare your results over time, not against a single snapshot. Trends matter more than any individual number.

Ready to stop guessing?

Get a personalized plan built around your goals, your body, and your life.