Free class60 minutesWatch any time
You are not crazy. You are undertested.
An hour for women 40 to 52 who have been told their labs are normal and no longer believe that closes the question. Six markers a standard physical usually skips - and what they say when they are read as a set.
Dr Ana Reis
Vitality Hormone Clinic. Licensed in Texas, Florida and Colorado. Caps at 25 active patients and reads every lab herself.
- Women 40-52
- Texas, Florida, Colorado
- Telehealth
- No protocol sold in the hour
Your labs being normal is where this conversation starts, not where it ends.
What the hour covers
The six markers, and what each one is actually measuring
Your physical ran one TSH. These are the six the workup runs instead, drawn on one date so they can be read against each other rather than recalled from different years.
01
Full thyroid panel, with antibodies
The axis, not one number from it.
A screening TSH is a single value from a single axis. The full panel reads the axis, and it looks for antibodies that a screening number is not asked to report.
Kit via Rupa Health.
02
Fasting insulin and glucose
Drawn together, read as a pair.
Most physicals return a fasting glucose. Insulin is ordered in the same draw here, because one of those two values does not describe the other.
Kit via Rupa Health.
03
Cortisol rhythm across the day
The shape of the curve, not one point on it.
Collected at several points across a single day rather than once in the morning, so what is visible is a rhythm and not a dot.
Kit via Rupa Health.
04
Ferritin
Stored iron, stated as a number.
A standard blood count does not report stored iron. Ferritin is read as its own value against the rest of the panel, on the same date.
Kit via Rupa Health.
05
Vitamin D
On the same page, on the same date.
Ordered with the others so it can be read alongside them rather than recalled from a result taken in a different year.
Kit via Rupa Health.
06
DUTCH clearance testing
Added when cycles are irregular.
A clearance test reads how hormones are processed, not only what is present in a single draw. It is added to the workup when cycles are irregular.
Kit via Precision Analytical.
The recording is chaptered, so you can watch it in pieces. Most women take two or three sittings.
Save my seatChapter three
Why nothing has worked yet
Four serious attempts, and one structural reason all four failed. Every one of them intervened before anything was measured - which is a sequencing problem, not a verdict on your discipline.
01
Keto and fasting
Effort applied ahead of a measurement, with nothing to check it against and no way to correct it when it stalled.
02
The antidepressant
Aimed at mood, and prescribed without the rest of the panel in front of anyone.
03
The gym
Load added to a system nobody had measured, then quietly filed under a failure of discipline.
04
The supplements
Months of bottles with no test behind them, so nothing could be confirmed and nothing could be corrected.
A pattern cannot be treated before it has been read.
The mechanism
One string on the piano
A screening TSH is one number from one axis. It was checked, it was in tune, and the conclusion drawn was that the whole instrument is fine.
Your labs being normal is where this conversation starts, not where it ends.
What the physical ran
TSH
One value. One axis.
Reported: within range
A screening panel answers whether any single value sits outside the population range.
What it did not
- 01Full thyroid panel, with antibodies
- 02Fasting insulin and glucose
- 03Cortisol rhythm across the day
- 04Ferritin
- 05Vitamin D
- 06DUTCH clearance testingwhen cycles are irregular
Who the hour is for
Worth an hour of your evening, or worth skipping
Disqualifying openly is the most credible thing this practice does, so it happens here rather than at minute fifty-eight.
Watch this if
- 01You are 40 to 52, and something changed that effort has stopped fixing.
- 02You have been told your labs are normal - more than once - and you no longer believe that closes the question.
- 03You have already tried at least one serious thing that did not work, and quietly blamed yourself for it.
- 04You live in Texas, Florida or Colorado, and telehealth suits how your week runs.
This is not for
- 01Anyone outside Texas, Florida or Colorado - Dr Ana holds licences in those three states only.
- 02Anyone who wants a prescription this week. Nothing is prescribed before the workup is read.
- 03Anyone unwilling to spend the first two weeks testing before a protocol begins.
If one of these is you, the appointment checklist is still free and still worth having at your next physical.
Before you sign up
The questions worth asking first
If a question here changes your mind about watching, that is the answer doing its job.
Is this a sales pitch with a class in front of it?
I do not live in Texas, Florida or Colorado.
Do I need lab results before I watch?
What do you do with my information?
If I go further than the class, what does it cost?
How long is it, really?
Sixty minutes, and nothing sold in them.
It is already recorded. The link does not expire, and there is no countdown on this page for the same reason there is no countdown in the hour.