Using a 100+ marker panel your GP has never run
Read against optimal ranges by the team who teach doctors globally
Click below to explain the last ten years
SPEAK TO AN EXPERTTen men per month. Hard cap. It is what one practitioner can properly read.
"For years I was told my testosterone was fine. Fine meant headaches, no drive and falling asleep on the couch at 8pm. What I tell people is not the number. My wife put her hand on the back of my neck one morning, the way she used to, and I realised she had not done that in two years. I had spent those two years blaming the marriage."
Property Developer
Aged 42
"My assistant knew not to book anything after two o'clock. Up at half four to train, then six coffees to get through the day, and by the afternoon I was counting hours. I was doing everything right and still going backwards. The difference now is that I am actually there at dinner instead of sitting at the table."
Law Partner
Aged 48
"I run diligence on everything. I had handed my own body to a GP who wrote a script and moved on, and never questioned it once. Four months in, my son asked me to paddle out at Manly with him. First time in years I said yes without doing the maths on whether I could."
Private Equity
Aged 54
"I am a doctor. For fifteen years I told patients their bloods were normal. I did exactly the same to myself, and blamed the job. Seeing my own panel read against optimal ranges was uncomfortable, because I had never been taught to read one that way. It has changed how I look at my own patients' results."
General Practitioner
Aged 49
"I did not recognise my own father in a photo. After the stroke he cannot get down on the floor with the grandkids and he is breathless walking to the shops. I did not join this because I felt terrible. I joined it because I am not doing that to my kids."
Former Professional Athlete
Aged 37
"I had already paid three grand for the fashionable test and got fifteen minutes with someone who told me it all looked normal. The team here read the same panel and walked me through a list of things nobody had mentioned. Same blood. Completely different conversation."
Chief Executive
Aged 45
Placeholder testimonials for IOH approval. Individual experience varies and nothing here is a promise of any particular outcome.
Before the panel, the mechanism
Look at how this market is built and you cannot unsee it. The large platforms sell your hair as one subscription. Your weight as another. Your mood as a third. Your sex life as a fourth. Four products, four monthly charges, four separate logins, and not one of them ever looks at the other three.
But the man with flat energy, a gut that arrived without a change in his diet, broken sleep, a short fuse and a libido that has quietly gone missing does not have four problems. He has one system running badly, showing up in four places at once. Selling him four subscriptions is not treatment. It is a business model, and it is the reason he has spent five years treating symptoms in the wrong order.
And here is the line nobody in this market quotes, published in Australian Family Physician:
"A normal testosterone level can be considered to be a sensitive biomarker of good health."
Read it twice, because it inverts the entire category. Your testosterone is not the problem to be medicated. It is the scoreboard. It reads low because something upstream is dragging it down, and the same guidance notes that losing under ten percent of body weight lifts it by two to three nanomoles on its own. Find what is dragging, and the number tends to follow. That is what a 100+ marker panel is actually for.
The method
Eight steps. One blood draw. A named human being who is accountable for what they tell you.
Over 100 markers drawn in a single visit at a collection centre near you. Roughly four times a standard panel, because the whole picture is the point and the one number your GP ran is not a picture.
Your results read against ranges for a high performing man your age, rather than the general population averages that have been calling you normal for a decade. A reference range is built to catch disease. It was never designed to describe you.
A trained human being reads your chemistry against your symptoms and your history. Not a template, not an algorithm. Judgement built across thousands of panels, by someone whose name you are told before you start.
Anything flagged is reviewed by a second set of eyes before it reaches you, so you never act on a single misread. Anything that belongs with a doctor is written up plainly for you to take to yours.
Written for what your results actually showed and for the week you actually have. What to eat on a Monday when you are in the car at six, not a generic PDF.
Nothing on hype and nothing you are guessing at. We do not sell supplements and we take no commission on any, which is the only reason this line is worth reading.
Built around your capacity and your calendar, including the version for the fortnight when work wins. Using that version is not failing the programme.
We sharpen what is not moving and hold what is. Then the panel is run again, side by side with the first, so the question of whether anything actually changed is answered with data rather than a feeling.
Click below to explain the last ten years
SPEAK TO AN EXPERTNot a criticism of your discipline. A description of the system you have been running inside.
Here is what that actually looks like, with the sources on it.
100+ vs 24
Markers we run against a standard Australian GP panel
25.4%
Of Australian direct to consumer tests include any consultation afterwards. The other three
quarters hand you a PDF
Published review of 484 AU tests
2015
The year the PBS restriction was tightened to exclude subsidised testosterone where low
levels are due primarily to age or weight
PBS public release document
10
Men per month. A hard cap, set by how many panels one practitioner can properly read
The panel
Open any group below. Every marker is here with the reason it matters to a man in your position, because "trust us, it is comprehensive" is not an argument and you would not accept it anywhere else in your life.
The belly, the brain fog and the bedroom. Your GP ran the first one on this list and stopped.
Testosterone, total. The one number your doctor ran. On its own it tells you very little about how much hormone your cells can actually use.
Free testosterone. The fraction that is not bound up and unavailable. This is the hormone doing the work, and a man can have a perfectly normal total with very little usable free. It is the single most common miss.
Sex hormone binding globulin. The protein that binds testosterone and takes it out of circulation. It also falls early in insulin resistance, which makes a low result one of the earliest warnings on the whole panel.
Luteinising hormone. The pituitary signal telling the testicles to produce. Low testosterone with a low LH means the problem is upstream in the signal, not in the factory. That distinction changes everything about what should happen next.
Follicle stimulating hormone. Read alongside LH to confirm whether testicular function or the brain's signalling is the actual constraint.
Oestradiol. Body fat contains aromatase, the enzyme that converts testosterone into oestradiol. Carry more of it and you convert more of the hormone you are trying to keep.
Testosterone to oestradiol ratio. Your conversion, as a single number. How much of the testosterone you still make is being turned into oestrogen by your own body fat. Almost nobody measures it and it is arguably the most useful figure on the panel.
Testosterone to LH ratio. Testicular responsiveness. A low ratio means the signal is being sent and not answered. A high LH with low testosterone means something different again, and that difference determines whether a script is the right answer or precisely the wrong one.
Prolactin, progesterone, DHEA-sulphate. Prolactin suppresses the pituitary signal and independently flattens libido, and is rarely tested. Progesterone sits upstream of both cortisol and testosterone, so it shows where your raw material is going under sustained stress. DHEA-S is a direct read on what a decade of that stress has left in reserve.
PSA: total, free, and free percentage. Standard prostate screening from 45, plus the ratio that carries the actual signal, which is the difference between a necessary referral and an unnecessary one.
The afternoon crash, and the fat around the middle that will not move.
Fasting insulin. Arguably the most important marker here and almost never ordered. Insulin rises years before glucose does, which means it flags the problem while it is still straightforwardly reversible.
C-peptide. Released alongside insulin but cleared more slowly, so it shows how hard your pancreas is genuinely working.
Glucose and HbA1c. Your fasting sugar, and your rough three month average. By the time these move, insulin has usually been elevated for years.
HOMA-IR. Your insulin resistance figure, calculated from fasting insulin against glucose. This is the single value that explains the belly, the two o'clock crash and the suppressed testosterone together, and it is usually the first thing to move when we get it right.
Why you are exhausted all day and cannot switch off at eleven at night.
Cortisol and ACTH. Your stress hormone and the pituitary signal driving it. High cortisol directly suppresses testosterone production and fragments sleep. Read together they show whether the problem is the adrenals or the brain instructing them.
Cortisol to DHEA-S ratio. Stress output against reserve. This is what a decade of running hot looks like on paper: catabolic drive outpacing your capacity to rebuild.
Aldosterone and renin, and the ratio between them. Governs sodium, potassium and blood pressure. The pairing screens for a genuinely under-diagnosed and treatable cause of blood pressure that does not respond to standard medication.
Why your metabolism has been running at half speed with textbook thyroid results.
TSH. The only thyroid marker most men ever get, and the reason a slowing metabolism goes unnoticed for a decade.
Free T4 and free T3. The storage form and the active form your cells actually use. Inflammation impairs the conversion between them.
Free T3 to free T4 ratio. Conversion efficiency, which is precisely how a man ends up with normal thyroid results and a metabolism at half speed.
IGF-1 and growth hormone. Recovery, lean mass and how quickly you rebuild after training. Growth hormone is released in pulses during deep sleep, so it is read alongside IGF-1 and your sleep picture rather than on its own.
The quiet fire that suppresses your thyroid conversion and your testosterone at the same time.
CRP and ESR. Your primary inflammation marker plus a slower moving one. Read together they separate something acute from something that has been running for years.
Homocysteine. Reflects B vitamin status and methylation capacity, and is an independent cardiovascular risk marker.
Neutrophil to lymphocyte ratio. The most established chronic stress and inflammation ratio in the literature. Rises with sustained cortisol.
Plus the composite ratios almost no report assembles: albumin to globulin, platelet to lymphocyte, CRP to albumin, CRP to lymphocyte, fibrinogen to albumin, systemic inflammation index and the HALP score. Individually each is a fragment. Together they are a read on your total inflammatory burden and your physiological resilience.
What your cholesterol number on its own is not telling you.
Total cholesterol, LDL, HDL, triglycerides, non-HDL. The standard five, of which total cholesterol is the one everyone fixates on and the least informative.
Triglycerides to HDL ratio. The fastest insulin resistance proxy there is. In a man your age this one ratio tells us more in a second than a full cholesterol panel does.
Triglycerides to LDL, LDL to total, HDL to total, LDH to HDL. These refine the particle picture. High triglycerides with modest LDL points to small dense particles, which is the pattern that actually drives risk and the one a standard report never surfaces.
No symptoms is not the same as no problem, and it is the reason clean eating stopped working.
ALT, AST and the ratio between them. Elevated ALT in a man your age is most commonly fatty liver, which is silent for years and sits directly upstream of insulin resistance. The ratio differentiates fatty liver from alcohol-driven stress: the same two enzymes your GP already ran, telling a story neither tells alone.
GGT. Sensitive to alcohol and oxidative stress and closely tracks metabolic syndrome. One of the more honest markers on the panel.
ALP and the bilirubins. Bile flow and bone turnover, and notably a low ALP can indicate zinc deficiency, which matters because zinc is required for testosterone production.
Amylase, lipase and the ratio. Your capacity to digest fat, which matters directly because the fat soluble vitamins and hormone precursors you need depend on it.
Albumin. Liver synthesis and protein status together, which matters if stomach acid has dropped and you are no longer breaking protein down properly.
The simple deficiencies quietly dragging everything else down.
The full iron study. Ferritin, iron, transferrin and transferrin saturation. Low means fatigue. High can mean inflammation, fatty liver, or haemochromatosis, an inherited iron overload condition that is comparatively common in Australia and quietly causes fatigue, joint pain and low testosterone. Ferritin alone will miss it.
Kidney and electrolytes. Creatinine, eGFR, urea, uric acid, sodium, potassium, chloride, bicarbonate and the anion gap. Establishes what your kidneys can handle before anything is recommended, and uric acid in particular rises with insulin resistance.
Minerals and vitamins. Calcium and corrected calcium, phosphate, magnesium and vitamin D3. Vitamin D functions as a hormone rather than a vitamin and is genuinely low in a large share of Australian men despite the climate.
Full blood count. Haemoglobin, haematocrit, red cell indices, platelets and the full white cell differential. Note that a high haematocrit in a man your age is a recognised flag for untreated sleep apnoea, and it is the primary safety marker if you are already on testosterone.
Same blood draw. A completely different question asked of it.
Apply, and if it is a fit you will have a pathology referral within 48 hours. If it is not a fit we will tell you on the call rather than afterwards.
What happens next
Click below to explain the last ten years
SPEAK TO AN EXPERTTen men per month. Hard cap.
Still got questions