Lab Testing Guide

Test before you stack.
Know your biology first.

Every peptide protocol should start with a baseline lab panel. This guide explains which biomarkers matter, what the numbers mean, and how to use them to build a protocol that fits your actual biology.

Data-driven protocols
8 key biomarkers covered
Reference-range context
Safety-first approach
Peptide-specific guidance

Jump to a biomarker

Your labs are your baseline.

Most platforms ask what your goal is. We start where the science starts, with what your body is actually doing right now.

1

Establish Your Baseline

Without baseline labs, you have no objective way to know whether a protocol is working, what's changing, or whether something is moving in the wrong direction. Your baseline is the starting line.

2

Identify Contraindications

Certain biomarker patterns, elevated IGF-1, suppressed cortisol, metabolic dysfunction, can make specific peptides inappropriate or outright risky. Labs reveal what the mirror doesn't.

3

Track Progress Objectively

In research contexts, labs are often repeated periodically so changes in markers such as IGF-1, inflammation, or hormones can be tracked as a trend over time. A provider decides on any repeat testing and how to interpret it.

The eight biomarkers that matter most.

Click any marker to expand the full guide, what it measures, why it is a useful baseline, and which peptide categories it informs.

IGF-1 (Insulin-like Growth Factor-1)

Growth Hormone Axis Recovery Longevity
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What It Measures
IGF-1 is produced primarily in the liver in response to growth hormone (GH) stimulation. It reflects overall GH axis activity and is the most practical proxy for assessing growth hormone status.
Reference context

Reference ranges for IGF-1 vary by laboratory, assay, age, and sex. Read your result against your lab's printed reference range, and review it with a provider. A single value matters less than a baseline tracked over time. See the full IGF-1 guide for deeper reference context.

IGF-1 is a common baseline marker in research involving GH secretagogues, including Ipamorelin, CJC-1295, Sermorelin, and Epithalon. Research suggests IGF-1 reflects overall GH-axis activity, which is why establishing a baseline and reviewing it with a provider is part of a careful, test-first approach.

  • Lower IGF-1: a variable clinicians may review alongside nutrition, liver, and thyroid context; interpretation belongs to a provider.
  • Higher IGF-1: a variable clinicians may review in the context of the full picture and history; interpretation belongs to a provider.
  • Trend over time: a baseline reviewed against your lab's printed reference range is generally more informative than a single reading.
Ipamorelin CJC-1295 Sermorelin Epithalon
Testing note: IGF-1 is a fasting morning blood draw. Results can vary with nutrition, sleep, and stress, so test under consistent conditions for the most reliable baseline.
View the full IGF-1 biomarker guide →

Testosterone (Total & Free)

Hormone Support Recovery Vitality
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What It Measures
Total testosterone measures all testosterone in the blood. Free testosterone measures the unbound, biologically active fraction. Both are needed for a complete picture of androgenic status.
Reference context

Reference ranges for total and free testosterone vary by laboratory, assay, age, and sex. Read your result against your lab's printed reference range, and review it with a provider. A baseline tracked over time is more informative than a single reading. See the full testosterone guide for deeper reference context.

GH secretagogues like Ipamorelin, CJC-1295, and Sermorelin are studied in the context of the broader hormonal picture. A baseline testosterone reading gives context that helps a provider interpret symptoms and the full hormone panel rather than any single marker in isolation.

  • Total and free testosterone together: reviewed as a pair, since binding proteins such as SHBG affect how the two relate.
  • The wider hormone panel: LH, FSH, SHBG, and estradiol provide the context a provider uses to interpret a testosterone result.
  • Trend over time: read against your lab's printed reference range and reviewed with a provider.
  • SHBG (Sex Hormone Binding Globulin)
  • LH and FSH (assess whether low T is primary or secondary)
  • Estradiol (E2), important for balance and side effect risk assessment
Ipamorelin CJC-1295 Sermorelin NAD+
View the full testosterone biomarker guide →

Cortisol (AM Serum)

Stress & Recovery Adrenal Health Sleep
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What It Measures
Cortisol is the primary stress hormone produced by the adrenal glands. AM serum cortisol reflects peak daily output and is the standard way to assess adrenal function and HPA axis health.
Reference context

Cortisol follows a daily rhythm, so timing matters, and reference ranges vary by laboratory, assay, and time of draw. Read your result against your lab's printed reference range, and review it with a provider. See the full cortisol guide for deeper reference context.

Some GH secretagogues, particularly GHRP-class compounds, have been studied for effects on cortisol release; Ipamorelin is generally described in research as having minimal cortisol stimulation compared with other GHRPs. A cortisol baseline gives a provider context for interpreting the wider picture.

  • Time of day: a morning draw is standard, since cortisol is highest early and declines through the day.
  • The full picture: a single value is reviewed alongside symptoms, history, and sometimes diurnal (4-point) testing by a provider.
  • Trend over time: read against your lab's printed reference range and interpreted by a provider.
Ipamorelin CJC-1295 Sermorelin Epithalon
Testing note: Always draw AM cortisol between 7-9 AM in a fasted state. Results drawn later in the day or after eating will significantly underestimate true peak output.
View the full cortisol biomarker guide →

hsCRP (High-Sensitivity C-Reactive Protein)

Inflammation Gut Health Cardiovascular Risk
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What It Measures
CRP is a protein produced by the liver in response to inflammation. High-sensitivity CRP (hsCRP) detects low-grade systemic inflammation, the chronic, subclinical kind associated with poor outcomes across metabolic, cardiovascular, and immune health.
Reference context

Reference ranges for hsCRP vary by laboratory and assay, and a single reading can be affected by recent infection or injury. Read your result against your lab's printed reference range, and review it with a provider. See the full hs-CRP guide for deeper reference context.

hsCRP is a common baseline in research involving compounds studied in inflammatory contexts, such as BPC-157, TB-500, and Thymosin Alpha-1. Research suggests hsCRP reflects low-grade systemic inflammation, which is one variable a provider may weigh when interpreting other markers.

  • Recent illness or injury: can transiently raise hsCRP, so timing and context matter when a provider reviews it.
  • The wider picture: hsCRP is reviewed alongside history and other markers rather than read in isolation.
  • Trend over time: read against your lab's printed reference range and interpreted by a provider.
BPC-157 TB-500 Thymosin Alpha-1 NAD+
View the full hs-CRP biomarker guide →

Fasting Insulin & Fasting Glucose

Metabolic Health Insulin Resistance Fat Loss
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What It Measures
Fasting insulin measures how much insulin is needed to maintain blood sugar after an overnight fast. Together with fasting glucose, it allows calculation of HOMA-IR, the most practical clinical measure of insulin resistance.
Reference context

Reference ranges for fasting insulin and glucose (and the HOMA-IR calculated from them) vary by laboratory, assay, and clinical context. Read your results against your lab's printed reference range, and review them with a provider. See the fasting insulin and fasting glucose guides for deeper reference context.

GH secretagogues such as Ipamorelin and CJC-1295 have been studied for transient effects on insulin sensitivity, while GLP-1 receptor agonists like Semaglutide and Tirzepatide are studied in metabolic contexts. A fasting insulin and glucose baseline gives a provider context for interpreting the metabolic picture.

  • Insulin and glucose together: reviewed as a pair (and via HOMA-IR) rather than as isolated numbers.
  • The wider metabolic picture: a provider weighs these alongside HbA1c, history, and symptoms.
  • Trend over time: read against your lab's printed reference range and interpreted by a provider.
Semaglutide Tirzepatide Ipamorelin CJC-1295 NAD+
Fasting insulin guide → Fasting glucose guide →

Vitamin D (25-OH Vitamin D)

Immune Health Hormone Signaling Longevity
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What It Measures
25-hydroxyvitamin D (25-OH D) is the storage form of vitamin D and the standard clinical measure of vitamin D status. It reflects dietary intake, skin synthesis, and liver conversion. Vitamin D functions as a steroid hormone precursor with receptors across nearly every cell type.
Reference context

Reference ranges and category cutoffs for 25-OH vitamin D vary by source, laboratory, and assay. Read your result against your lab's printed reference range, and review it with a provider. See the full vitamin D guide for cited public reference examples and deeper context.

Vitamin D functions as a steroid-hormone precursor with receptors across many cell types, and it is a common baseline in research involving immune-modulating compounds such as Thymosin Alpha-1. A vitamin D baseline gives a provider context for interpreting the wider picture.

  • 25-OH vitamin D specifically: this is the standard storage-form measure, not 1,25-OH (calcitriol).
  • Supplementation context: intake and recent supplementation are part of what a provider weighs when reviewing a result.
  • Trend over time: read against your lab's printed reference range and interpreted by a provider.
Thymosin Alpha-1 BPC-157 NAD+ Epithalon
View the full vitamin D biomarker guide →

TSH (Thyroid Stimulating Hormone)

Thyroid Function Metabolism Energy
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What It Measures
TSH is produced by the pituitary gland and signals the thyroid to produce T3 and T4 hormones. It's the primary screening test for thyroid dysfunction. A full thyroid panel (TSH + Free T3 + Free T4 + anti-TPO) provides a more complete picture.
Reference context

Reference ranges for TSH vary between laboratories and assays, and there is no single universal cutoff. Read your result against your lab's printed reference range, and review it with a provider. A full thyroid panel (TSH with Free T3, Free T4, and anti-TPO) gives a provider more context. See the full TSH guide for deeper reference context.

Thyroid status is part of the context in which other markers are read. Research suggests thyroid function influences the GH axis, so a TSH baseline (ideally with a full thyroid panel) gives a provider context for interpreting symptoms such as fatigue that overlap across several systems.

  • TSH is a screening test: a provider typically reviews it alongside Free T3, Free T4, and anti-TPO rather than alone.
  • Symptom overlap: thyroid and GH-axis symptoms overlap, which is why a provider interprets the full picture.
  • Trend over time: read against your lab's printed reference range and interpreted by a provider.
Sermorelin Ipamorelin CJC-1295 Thymosin Alpha-1
Testing note: TSH is a screening test and is often reviewed alongside Free T3, Free T4, and anti-TPO antibodies for a fuller thyroid picture. A provider decides which tests fit your situation.
View the full TSH biomarker guide →

HbA1c (Glycated Hemoglobin)

Blood Sugar Average Metabolic Risk Cardiovascular
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What It Measures
HbA1c reflects average blood glucose over the past 2-3 months by measuring the percentage of hemoglobin coated with glucose. It is the gold-standard measure of long-term glycemic control and is more informative than a single fasting glucose reading.
Reference context

HbA1c reflects average blood glucose over roughly the prior 2–3 months, and category cutoffs are defined by clinical bodies; reference context can vary by laboratory and by conditions affecting red blood cells. Read your result against your lab's printed reference range, and review it with a provider. See the full HbA1c guide for cited reference context.

HbA1c is a common baseline in research involving GLP-1 receptor agonists like Semaglutide or Tirzepatide, and in GH-secretagogue research where glucose metabolism is a relevant variable. A baseline gives a provider context for interpreting the metabolic picture over time.

  • An average, not a snapshot: HbA1c reflects a multi-month average and is reviewed alongside fasting glucose and insulin.
  • Red-blood-cell conditions: some conditions affect HbA1c accuracy, which a provider accounts for.
  • Trend over time: read against your lab's printed reference range and interpreted by a provider.
Semaglutide Tirzepatide Ipamorelin CJC-1295 NAD+
View the full HbA1c biomarker guide →

Browse the full biomarker library →

Which panel should you order?

Not sure where to start? Here are three panel tiers based on where you are in your research journey.

Tier 1, Starting Point
Essential Baseline
For anyone new to peptide research
  • Comprehensive Metabolic Panel (CMP)
  • Complete Blood Count (CBC with diff)
  • Fasting glucose + fasting insulin
  • HbA1c
  • hsCRP
  • TSH
  • Vitamin D (25-OH)
  • Lipid panel
This panel gives you the metabolic, inflammatory, and thyroid context needed to safely begin researching any peptide category.
Tier 2, GH Research Context
Growth Hormone Panel
Often reviewed in GH-secretagogue research
  • Everything in Tier 1
  • IGF-1
  • Free T3 + Free T4 (full thyroid)
  • Anti-TPO antibodies
  • Total testosterone + free testosterone
  • SHBG
  • LH + FSH
  • Estradiol (E2)
  • AM Cortisol
Relevant to research involving Ipamorelin, CJC-1295, Sermorelin, or Epithalon. In research contexts, IGF-1 is often tracked periodically, and a provider decides on any monitoring.
Tier 3, Advanced
Comprehensive Longevity Panel
Fuller picture for multi-marker research
  • Everything in Tier 1 + 2
  • ApoB + Lp(a)
  • DHEA-S
  • Homocysteine
  • Ferritin + serum iron
  • Omega-3 index
  • Uric acid
  • NAD+ levels (if available)
  • GH stimulation testing (if IGF-1 is low)
For those working with a longevity or functional medicine clinician on a multi-peptide protocol. Re-test quarterly.

How to order your labs.

Several options exist depending on your insurance coverage, location, and how much detail you want.

Your Primary Care Physician

Most basic panels are covered by insurance. Ask specifically for the Tier 1 markers, many are standard annual bloodwork. Limitation: physicians may not order less common markers without a clinical indication.

Direct-to-Consumer Labs

Services like Ulta Lab Tests, Walk-In Lab, and LabCorp's direct service allow ordering without a doctor. No insurance, you pay out of pocket. Cost-effective for comprehensive panels, typically $100-400 for full Tier 2.

Functional & Longevity Clinics

Clinics like Marek Health, Function Health, and Precision Health specialize in comprehensive panels with clinical interpretation. Best option if you plan to actually use findings to build a supervised protocol.

Always work with a licensed clinician to interpret your results and determine appropriateness of any peptide protocol. Lab values provide context, a qualified clinician provides the clinical judgment. This guide is for educational purposes only.

Ready to explore the peptides?

For educational and research purposes only. Not medical advice. Always consult a licensed healthcare provider before making any health decisions.