Complete Male Blood Work Panel
Full Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Comp. Metabolic Panel (14)
CBC with Differential/Platelet
Estradiol
DHEA Sulfate
Hemoglobin A1c
Lipid Panel
Luteinizing Hormone (LH)
Prolactin
PSA Total (Reflex to Free)
Testosterone [Free]
Testosterone [Total]
Vitamin B12
Vitamin D
TSH
T4 Free
T3 Free
SHBG
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Should be Empty: