The Decode Clinic
Normal isn't the same as optimal.
Real lab testing for women, read against fertility- and longevity-optimal ranges by a specialist in natural women's health, with a clear, personalized plan at the end. Not a printout of numbers you're left to decode alone.
Available to patients 18+ in the US, outside NY, NJ, RI, and HI.
Pick your panel
Choose by where you are in life, not by a diagnosis. Not sure? Start with Women's Optimal Decode.
Get your sample
Walk into any Quest, no appointment, or use an at-home kit for the advanced tests.
Get your results and a plan
Your numbers read against optimal ranges, with a personalized plan and a supplement protocol to match.
Self-serve blood panels
The Decode panels
Order online, draw at any Quest, then get your results with a personalized plan from Dr. Laurie: a clear explanation of what your numbers actually mean and how they affect your fertility, hormones, and health, plus a supplement protocol to match.
Women's Optimal Decode
Your full picture in one draw: hormones, thyroid, blood sugar, iron and inflammation. Whether you're trying to conceive or just want to feel like yourself again.
Men's Optimal Decode
The full read for him: testosterone and free testosterone, metabolism, thyroid, energy and fertility. Know exactly where you stand.
Core Female Hormone Decode
Your day-3 reproductive read: estradiol, FSH, LH, AMH, and prolactin.
PCOS / PMOS Decode
Find your type and the real driver behind it, androgens plus the insulin underneath.
Thyroid Decode
The full thyroid picture a single TSH always misses, including reverse T3 and antibodies.
Inflammation Decode
What's quietly fueling the fatigue, the puffiness, the "off." It's not in your head.
Nutrient Decode
What your body actually runs on, measured, not guessed from the label on the bottle.
Advanced Lipid Decode
The deep heart read your basic cholesterol panel skips: ApoB, fractionation, Lp(a).
Heart & Longevity Decode
Your whole-body read in one draw: heart, metabolism, hormones, thyroid, and nutrients, the markers that shift years before disease shows up. The "give me everything" panel.
Advanced testing, guided by Dr. Laurie
When you want to go deeper
Specialty tests that look where bloodwork can't: your hormone metabolites, your gut, your cellular metabolism. These are ordered by request so Dr. Laurie can set them up for you.
DUTCH Complete Decode
Dried urine · at-home kit
Deep hormone and cortisol mapping with metabolites, the full picture of how your hormones rise, fall, and clear across the day.
Who this is for & what it measures
Who it's for: Women whose hormones feel off in ways a single blood draw never explains, worsening PMS, irregular or painful cycles, low mood or libido, trouble sleeping, trouble conceiving with "normal" bloodwork, or the shifts in sleep, mood and energy that arrive as your cycles start changing in your late 30s and 40s. Also anyone wanting to understand and optimize their hormones for the decades ahead.
Women or men: Both (this read leans female, but men can run it for hormones and adrenals).
Signs it fits: worsening PMS, spotting before your period, a short or fragile luteal phase, acne or unwanted hair, low libido, wired-but-tired evenings, trouble sleeping, cycle-linked anxiety, unexplained trouble getting pregnant.
What it measures (about 35 markers, dried urine):
→ Your three estrogens (estrone, estradiol, estriol), and how you break estrogen down, the protective path versus the more inflammatory one, plus the methylation step that decides how safely it clears.
→ Progesterone, read through its metabolites and timed to your own ovulation, not a fixed calendar day. It shows whether you actually ovulated and how strong the back half of your cycle is.
→ Your full androgen profile, DHEA and testosterone and the metabolites they convert into, including the potent DHT pathway behind acne, hair changes and the androgen side of PMOS.
→ Your adrenals across a whole day: your free cortisol pattern morning to night, cortisone, and metabolized cortisol, which show how much your adrenals truly make and whether your rhythm is healthy or flat. With DHEA, that's your stress resilience.
→ Markers most panels skip: melatonin, an oxidative-stress marker, and organic-acid markers for B6, B12, glutathione, and your dopamine and adrenaline activity.
Why it matters: This is the why behind your hormones, not just the what. It ties your cycle, stress, sleep and nutrient status into one picture, the picture that drives fertility now and how well you age.
Organic Acids (OAT) Decode
Urine · at-home kit
Your cellular metabolism: mitochondrial function, yeast and bacterial overgrowth, oxalates, and detox markers.
Who this is for & what it measures
Who it's for: This is a genuinely powerful fertility test. The egg is the most mitochondria-rich cell in your body, so the OAT's read on cellular energy is one of the most direct windows into egg quality we have, which makes it valuable for anyone trying to conceive, especially with egg-quality concerns. It's also for anyone with fatigue, brain fog, low mood, sugar cravings, or recurrent yeast and gut trouble.
Women or men: Both.
Signs it fits: persistent fatigue, brain fog, low mood or anxiety, sugar and carb cravings, bloating or recurrent yeast, reacting to lots of foods, or wanting to support egg quality at the cellular level.
What it measures (76 markers, one urine sample):
→ Mitochondrial energy markers, how well your cells turn food into fuel. The roughly 90-day egg-maturation window is one of the most energy-hungry things your body does, so weak cellular energy shows up here before it shows up as egg quality.
→ Yeast and bacterial markers, overgrowth that drives inflammation, cravings, and a disrupted terrain that pulls on hormones and implantation.
→ Oxalates, which Mosaic alone measures, tied to pain, mineral loss and oxidative stress.
→ Neurotransmitter metabolites, your dopamine and serotonin pathways.
→ Oxidative stress and nutrient markers, cellular wear plus your real need for specific B-vitamins and antioxidants, the raw materials for healthy hormones and eggs.
Why it matters: This is the terrain under everything. For fertility it's egg-energy and inflammation; for longevity it's mitochondrial health and oxidative stress, the two things most tied to how you age.
GI-MAP Decode
Stool · at-home kit
Your gut, in detail: microbiome, pathogens, digestion, and the estrobolome that recycles your estrogen.
Who this is for & what it measures
Who it's for: Anyone with digestive symptoms, skin issues, food sensitivities, autoimmune patterns or unexplained inflammation, and anyone who senses the gut is driving their hormones or how they feel.
Women or men: Both.
Signs it fits: bloating, gas, irregular or uncomfortable digestion, reflux, skin flares, food reactions, fatigue, brain fog, or a hormone picture that won't budge.
What it measures (stool, DNA/qPCR, 50+ organisms plus gut-health markers):
→ Pathogens and overgrowth: H. pylori, bacteria, parasites, viruses and yeast, and the dysbiosis underneath chronic symptoms.
→ Beta-glucuronidase, your estrobolome marker, the gut bacteria that recycle estrogen. When it runs high, estrogen your liver tried to clear gets reabsorbed instead of eliminated, tipping your hormone balance. The direct gut-to-hormone link.
→ Calprotectin, a real measure of intestinal inflammation.
→ Secretory IgA, your gut's immune front line.
→ Digestion markers (elastase, steatocrit), whether you're breaking down and absorbing the nutrients your hormones and eggs are built from.
Why it matters: Your gut sets your inflammation, your absorption, and through the estrobolome, your estrogen. For fertility that's terrain and hormone balance; for longevity the gut is the hub of your immune and metabolic health.
NutrEval Decode
Blood + urine · lab draw
The 125+ marker nutritional and metabolic deep-dive: amino acids, fatty acids, organic acids, antioxidants, minerals.
Who this is for & what it measures
Who it's for: Women building toward pregnancy who want their nutrient foundation solid, anyone with fatigue or recovery that's off despite doing everything right, and anyone optimizing for the long game.
Women or men: Both (needs a quick blood draw plus a urine sample).
Signs it fits: fatigue, slow recovery, low resilience, preparing your body for conception, or wanting the most complete nutrient picture there is.
What it measures (125+ biomarkers, blood + urine):
→ Amino acids, the building blocks your body uses to make hormones and neurotransmitters.
→ Fatty acids (your omega-3 to omega-6 balance), the anti-inflammatory fats behind egg quality, the uterine lining, and your heart and brain.
→ Organic acids and B-vitamin markers, your mitochondrial energy and methylation, the machinery behind egg quality, healthy cell division, and the neural tube in the first weeks.
→ Antioxidants (CoQ10, glutathione, vitamin E) and oxidative stress, the protection your eggs and aging cells depend on.
→ Minerals (magnesium, zinc) and vitamin status, the cofactors ovulation and hormones run on.
Why it matters: Nutrients are the raw material for every hormone you make and every egg you mature. This is the foundation panel, what your body actually has to work with, for fertility now and how you age.
"Normal is the absence of disease. Optimal is the presence of health. I read your labs for the second one."
Frequently Asked Questions
What's included in the price?
Everything. Each panel price covers the lab itself, your results read personally by Dr. Laurie against fertility, hormone, and longevity optimal ranges, and a personalized written plan with a supplement protocol to match. There is no separate consult fee.
Who actually reviews my results?
Dr. Laurie Terzo reviews every panel herself. You're not getting an automated report read by software, you're getting a specialist's read and a real next step.
Do I need to fill anything out?
Yes, a short intake so Dr. Laurie can read your results in the context of your symptoms, history, and goals. You'll complete it after you order a panel, or as the first step when you request an advanced test.
How do I get my results and my plan?
Your results come back securely in your Fullscript account. For the blood panels, you'll find them there with a personalized written plan from Dr. Laurie. For the advanced tests, you'll also get a recorded video walkthrough so she can talk you through exactly what your results mean and what to do next.
How do the advanced tests (DUTCH, OAT, GI-MAP, NutrEval) work?
They can't be ordered self-serve, so you tap "I'm interested" and complete a short intake. Dr. Laurie sets the test up for you, you check out securely and your kit ships to your door, and once results are in you get your recorded walkthrough and written plan.
Can I order if I live in NY, NJ, RI, or HI?
Lab ordering through this service isn't available in NY, NJ, RI, or HI due to state rules, so unfortunately we can't offer testing there at this time.