Patient Name: Jane Doe Accession No: 123456

Patient Info: Jane.sample@sample.com

1234 SW Lab St. Report Date & Time: 02/02/15 10:50 am
Portland, OR 97223
FINAL REPORT
Patient Progress Report
Steroid Hormone Tests (Saliva)
2/2/2014 2/2/2015 2/2/2016 Normal Range
Estradiol 2.4 2.9 1.3-3.3 pg/mL
Progesterone 87 43 75-270 pg/mL
Ratio Pg/ E2 200 15 100-500
Testosterone 10 8 16-55 pg/mL
Estrone 10.3 10.5 5.8-34.2 pg/mL
Estriol 45 42 <68 pg/mL
Adrenal Hormone Tests (Saliva)
DHEA 12 10 2.0-23 ng/mL
Cortisol Morning 3.5 3.2 3.7-9.5 ng/mL
Cortisol Afternoon 1.5 1.3 1.2-3.0 ng/mL
Cortisol Evening 1.2 1.1 0.6-1.9 ng/mL
Cortisol Night 0.8 0.7 0.4-1.0 ng/mL
Thyroid Hormone Tests
fT3 4.2 3.1 2.5-6.5 pg/mL
fT4 2.1 1.3 0.7-2.5 ng/dL
TSH 2.7 4.6 0.5-3.0 uU/mL
TPO 109 110 0-150 IU/mL
Cardiovascular Disease & Diabetes Tests
Insulin 8.1 7.2 1.0-15 mIU/mL
HbA1c 5.8 5.8 <6%
Triglycerides 132 130 <150 mg/dL
Hs-CRP 2.2 2.1 <3.0 mg/L
Total Cholesterol 189 220 <200 mg/dL
HDL 68 70 >40 mg/dL
LDL 120 150 <130 mg/dL
Other Tests
SHBG 58 63 15-120 nmol/L
PSA 2.5 2.2 0.5-4.0 ng/mL
Vitamin D 38 20 32-100 ng/mL
LH 9.2 9.8 0.5-12.8 U/L
FSH 4.1 4.2 0.6-8.0 U/L

CLIA #: 6655 SW Hampton St. Suite 110 B Sonia Kapur PhD, HCLD
Portland, OR 97223 Ph: (503)344-1344; 1-800-215-8898 Laboratory Director