Hormone Testing & Functional Lab Analysis

Comprehensive hormone and specialty lab testing at Seattle Integrative Medicine, offered through Dr. Joshua Farahnik's men's health and functional medicine practice. Testing includes bioidentical hormone assessment, testosterone panels, thyroid markers, and functional specialty labs. Supports individualized hormone balancing, testosterone replacement therapy evaluation, sexual health, and prostate health optimization.

Seattle Integrative Medicine provides hormone testing and functional laboratory analysis as a core component of the naturopathic medicine model practiced by its physician team. Dr. Joshua Farahnik (ND, MPH, RH(AHG)) leads the clinic's men's health, hormone, and functional lab work, offering bioidentical hormone therapy (BHRT), testosterone replacement therapy (TRT) evaluation, and specialty lab panels that extend well beyond a standard annual blood draw. In naturopathic functional medicine, hormone assessment typically includes a full sex hormone panel covering total and free testosterone, DHEA-S, estradiol, progesterone, and SHBG to characterize the androgen-to-estrogen ratio and binding protein dynamics; thyroid function testing including TSH, free T3, free T4, and reverse T3 to assess conversion efficiency, not just stimulating hormone alone; adrenal health markers including cortisol (ideally via 24-hour urine or four-point salivary cortisol for circadian mapping); and metabolic markers including insulin, fasting glucose, and HbA1c to assess insulin sensitivity as a driver of hormonal dysregulation. Dr. Farahnik's practice page also lists genetic testing and peptide therapy as additional tools, suggesting the clinic has the capacity to run functional genomics panels (such as MTHFR, COMT, or pharmacogenomic panels) alongside conventional hormonal workups. The clinic's men's health section explicitly notes that naturopathic doctors at Seattle Integrative Medicine support hormone balancing, sexual dysfunction, and prostate health utilizing laboratory testing. Hormone testing results at the clinic feed directly into individualized treatment plans that may incorporate bioidentical hormone replacement therapy, botanical medicine, nutritional interventions, or pharmaceutical support as appropriate. All lab work is ordered and interpreted by licensed naturopathic physicians within the clinical context of the whole patient. Located in Northgate, Seattle — a convenient North Seattle hub accessible by Link light rail.