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Sacramento · Guide · Hormones and energy

Hormone testing in Sacramento

Feeling tired, foggy or not quite yourself has many possible causes, and hormones are only some of them. Here's which tests are worth doing first, what each one can show, and which Sacramento clinics offer them.

Main tests
A thyroid test and a blood count Other hormones when your symptoms point to them
What you do
A blood draw, often early in the morning Some on a set day of your cycle
You get
Results read against your symptoms Treatment only if something is clearly off
Sacramento photograph by Leo_Visions · Unsplash

The tests, in plain English

Start with your regular doctor and a thyroid test, because an underactive thyroid is one treatable cause of tiredness. A blood count can check for anemia, a shortage of healthy red blood cells. Testosterone, menopause hormones and cortisol, made by your adrenal glands, are worth testing when your symptoms point to them, not as a routine screen.

Think of hormones as messages your body sends through the mail. A blood test is a snapshot of what's in the mailbox at one moment, and some of these messages arrive in waves through the day or the month. That's why when you test can matter as much as what you test.

A blood tube in front of a day-to-night arc with a sun and a moon
Some hormones rise and fall through the day, so the time of your blood draw can change the result.

Thyroid (TSH)

Usually the first thyroid test.

Free T4 and thyroid antibodies

Free T4 measures the thyroid hormone itself.

Testosterone

Levels are highest in the morning, so the test is done early, after fasting, and repeated before anyone calls it low.

FSH and estradiol

FSH, follicle stimulating hormone, changes through the monthly cycle, and estradiol is the main estrogen before menopause. Both shift a lot during the menopause transition. After 45, menopause is usually recognized from your symptoms and periods, and a blood test often adds little.

Cortisol

Made by your adrenal glands, cortisol affects almost every organ in your body.

Blood count and iron

Not hormones, but often checked alongside them.

Saliva and urine hormone panels

Some clinics measure hormones in saliva or dried urine instead of blood. Menopause specialists have called saliva testing unreliable for guiding treatment. Before paying for either kind of panel, ask what a result would change.

Showing 7 clinics that address hormones & energy in Sacramento

How we order clinics
Blanca Avila, FNP-BC, Anti-Aging Medical Solutions

Anti-Aging Medical Solutions

Scripps Drive, Sacramento
Hormones & energy

Anti-Aging Medical Solutions is an aesthetics and wellness practice on Scripps Drive in Sacramento, where Blanca Avila, FNP-BC sees patients. Under functional medicine it lists hormone therapy, including bioidentical hormone replacement therapy, thyroid optimization, medical weight loss with semaglutide or tirzepatide, and vitamin boosters. It also offers laser and skin treatments.

Describes its care in general terms rather than a published test menu.

See if it’s a fit
Jonathan Kaplan, MD, MPHJennifer Cooper, APRN, NP

Elixyr Labs

2nd Ave, Sacramento
Jonathan Kaplan, MD
Advanced diagnostics & emerging careMen’s health & testosteroneHormones & energy

Elixyr Labs is a nurse-led functional medicine and aesthetics practice founded by ICU nurse Andrea McAuliff, RN, with offices in Sacramento and Folsom; this record is the Sacramento office. It offers IV therapy, peptide therapy, hormone therapy and TRT, starting from its Body Blueprint lab panel. Plans are reviewed by its medical director, Jonathan Kaplan, MD, MPH, and nurse practitioner Jennifer Cooper, APRN, NP. Led by Jonathan Kaplan, MD.

Tests & services

Peptide therapy IV vitamin therapy Testosterone therapy
See if it’s a fit
Nishant Sahni, MD, MS, Private MD

Private MD

Iron Point Rd, Folsom
Nishant Sahni, MD
Advanced diagnostics & emerging careMidlife & menopauseHeart & circulation

Private MD is a concierge and direct primary care internal medicine practice on Iron Point Rd in Folsom, run by Nishant Sahni, MD, MS, a board-certified internist. Members keep their own insurance. Its Advanced Cardiac Prevention Program includes an advanced lipid panel with ApoB and Lp(a), and it prescribes testosterone, hormone therapy for women and FDA-approved peptides. Led by Nishant Sahni, MD.

Tests & services

GLP-1 weight loss program Peptide therapy Advanced lipid panel Menopause hormone therapy +1 more
See if it’s a fit
Dr. Vincent Covelli, MDSomer Schreiber-Small, FNP-C

Synchronicity Health

Gateway Oaks Dr, Sacramento
Dr. Vincent Covelli, MD
Men’s health & testosteroneHormones & energyMetabolic health & blood sugar

Synchronicity Health is a nurse practitioner practice on Gateway Oaks Dr in Sacramento, where Somer Schreiber-Small, FNP-C sees patients and Dr. Vincent Covelli, MD is the supervising physician. It offers testosterone and bioidentical hormone therapy by injection, pellet or cream, GLP-1 medical weight loss, vitamin and lipotropic injections and direct primary care, mostly on monthly plans. Led by Dr. Vincent Covelli, MD.

Tests & services

GLP-1 weight loss program Menopause hormone therapy Testosterone therapy Vitamin & lipotropic injections
See if it’s a fit

Sacramento Center for Health & Healing

Capitol Ave, Sacramento
Charles Carpenter, MD
Hormones & energyMen’s health & testosterone

Sacramento Center for Health & Healing is a private-pay practice on Capitol Ave in Sacramento, where its founder and Medical Director, Charles Carpenter, MD, MPH, treats women and men with bioidentical hormones (estrogen, testosterone, progesterone and DHEA) and thyroid hormones. He also sees patients for adrenal fatigue, digestive disorders and weight loss. Led by Charles Carpenter, MD.

Tests & services

Menopause hormone therapy Thyroid treatment
See if it’s a fit

Weight 2 Lose Wellness Clinic

Elk Grove Blvd, Elk Grove
Advanced diagnostics & emerging careHormones & energyMedical weight loss

Weight 2 Lose Wellness Clinic is a medical weight loss clinic on Elk Grove Blvd in Elk Grove, founded by Anitra Daniels, MSN, a family nurse practitioner. It offers medical weight loss with semaglutide or tirzepatide, bioidentical hormone replacement, testosterone replacement therapy for men after laboratory testing, and NAD+, glutathione and vitamin B12 injections. Services are self-pay.

Tests & services

Menopause hormone therapy NAD+ therapy Vitamin & lipotropic injections
See if it’s a fit

Well Aging Med

Gibson Drive, Roseville
Denise Bogard, MD, Benjamin Campbell, DO and 1 more
Advanced diagnostics & emerging careHeart & circulationHormones & energy

Well Aging Med is an anti-aging, integrative and functional medicine practice in Roseville led by internist Denise Bogard, MD, with Benjamin Campbell, DO and a nursing team. Specialty testing includes a food sensitivity blood test, a MaxPulse cardiovascular assessment and take-home hormone, stool and sleep tests. It also offers bioidentical hormone pellets, peptide, IV and PRP therapy. Led by Denise Bogard, MD, Benjamin Campbell, DO, Tara O’Neal, MD.

Tests & services

Peptide therapy Food sensitivity testing IV vitamin therapy Menopause hormone therapy +1 more
See if it’s a fit

How a hormone checkup usually goes

  1. Your symptoms first

    What you feel, when it started, your sleep, periods, mood and medicines. This decides which tests make sense.

  2. The right timing

    Many draws happen early in the morning, and some on a set day of your cycle. Ask when and why.

  3. Results in context

    A number is read against your symptoms, not just a range. A low result is usually repeated before anything changes.

  4. A plan and a date

    Treatment only if something is clearly off, and when to recheck. Ask if your regular doctor gets a copy.

If you have a racing heart, weight change you can't explain, or low mood that feels serious, see your doctor soon. That needs a diagnosis, not a hormone panel.

Go deeper

Explainer Longevity clinic vs. regular doctor

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Explainer Biomarker testing vs an annual physical

What your yearly checkup covers, what a longevity blood panel adds, and how to use both together.
Starting guide I feel healthy. Why test anything?

The case for looking early, the real downsides of testing while healthy, and how to work out which question you are actually asking.

Common questions

Which clinics in Sacramento address hormones & energy?

7 in our Sacramento guide: Anti-Aging Medical Solutions, Elixyr Labs, Private MD, Synchronicity Health, Sacramento Center for Health & Healing, Weight 2 Lose Wellness Clinic and Well Aging Med.

My labs came back normal. Could it still be my hormones?

It's less likely for the hormones that were tested, but timing matters for some of them. Tiredness also has plenty of other causes, like poor sleep, low mood or anemia. Ask what was tested, when it was drawn, and what else could explain how you feel.

Should I get my hormones tested if I feel fine?

Usually not. A national screening panel found too little evidence to test thyroid function in adults without symptoms, and the main hormone specialists' society advises against screening men for low testosterone. Testing works best when it answers a question your symptoms raise.

What about hormone therapy?

It's a separate decision from testing. Hormone therapy is the most effective treatment for menopause hot flashes, and for women under 60 or within 10 years of menopause, with no reason to avoid it, the benefits usually outweigh the risks. Testosterone treatment is meant for men with symptoms and a confirmed low level.

I just want a thyroid or testosterone test. Where do I start?

Our hormone testing page lists the clinics near you that offer hormone blood tests. If a result comes back off, the usual next step is a repeat test, so ask who will review it with you.

What does this cost, and will insurance cover it?

Thyroid and other hormone tests are often covered when your doctor orders them for symptoms. Broad hormone panels sold as a package, and saliva or urine panels, are usually self-pay. Our guides on cost and insurance go deeper.

How do you decide which clinics appear on this page?

A clinic appears here when its own published material shows it offers this kind of testing at that location.

Sources (18)
  1. National Institute of Diabetes and Digestive and Kidney Diseases, Thyroid tests
  2. MedlinePlus, TSH (thyroid stimulating hormone) test
  3. National Institute of Diabetes and Digestive and Kidney Diseases, Hypothyroidism (underactive thyroid)
  4. MedlinePlus, Thyroid antibody tests
  5. U.S. Preventive Services Task Force, Thyroid dysfunction: screening (2015)
  6. Endocrine Society, Testosterone therapy in men with hypogonadism: clinical practice guideline (2018)
  7. MedlinePlus, Testosterone levels test
  8. MedlinePlus, Follicle-stimulating hormone (FSH) levels test
  9. MedlinePlus, Estrogen levels test
  10. American College of Obstetricians and Gynecologists, Should I have hormone testing before starting hormone therapy?
  11. National Institute for Health and Care Excellence, Menopause: identification and management (NG23)
  12. MedlinePlus, Cortisol test
  13. MedlinePlus, Fatigue
  14. National Heart, Lung, and Blood Institute, Anemia
  15. MedlinePlus, Complete blood count (CBC)
  16. MedlinePlus, Ferritin blood test
  17. The North American Menopause Society, 2012 hormone therapy position statement, Menopause
  18. The North American Menopause Society, 2022 hormone therapy position statement, Menopause

This page is educational information, not medical advice, and it is not a recommendation to have or to skip any test or treatment. What is worth testing depends on your age, your history and your symptoms, so discuss it with a clinician who knows them. If you have a racing heart, weight change you can't explain, a mood change that feels serious or another symptom that concerns you, seek a medical evaluation rather than a hormone panel.

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