You’ve been told your labs are “normal”… so why do you still feel off?

Most standard testing is designed to detect disease—not the early changes that explain your symptoms.


What this guide will show you:

  • Why you can feel unwell even when labs are “normal”
  • Early signs of insulin resistance (before glucose rises)
  • Why LDL doesn’t tell the full story
  • What thyroid testing often misses (including Free T3)
  • When hormones help—and when they’re not enough

This is not a generic checklist

This guide reflects how I evaluate patients in clinical practice—
looking at patterns, not just whether numbers fall inside a lab range.

Most people are told they’re “fine” because nothing has crossed a threshold yet.

But symptoms often appear long before that.

A more complete approach looks at:

  • Metabolic health (including insulin—not just glucose)
  • Cardiovascular risk beyond LDL
  • Thyroid function beyond TSH
  • Hormonal context, when appropriate

Monica Relvas, MD
Board-Certified in Lifestyle Medicine & Obesity Medicine
PrecisionMedMD

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