Frequently Asked Questions

Specialty lab testing may benefit patients experiencing persistent symptoms despite normal standard lab results, including unexplained fatigue, weight management challenges, mood changes, irregular cycles, thyroid symptoms, digestive concerns, inflammation, or autoimmune symptoms. Women in perimenopause and menopause, individuals with family histories of autoimmune conditions, and patients seeking preventive health optimization may also benefit from more advanced testing.

Depending on your symptoms, health history, and goals, Besana may recommend specialty testing for hormones, thyroid function, metabolic health, nutrient status, autoimmune markers, food sensitivities, gut health, heavy metals, environmental toxins, genetic markers, and DNA-based testing. These tests are selected based on your individual needs and are billed separately from your consultation or treatment program.

Advanced thyroid testing at Besana may evaluate more than standard TSH testing. Depending on your symptoms and clinical needs, testing may include TSH, Free T3, Free T4, Reverse T3, TPO antibodies, and other markers that influence thyroid function. Thyroglobulin antibodies may also be tested when appropriate. These detailed markers can help reveal thyroid patterns or autoimmune involvement that may not appear on standard screening labs.

Most specialty lab test results are available within two weeks after sample collection. The exact timeline depends on the specific tests ordered, as some panels may process more quickly than others. A lab review appointment is typically scheduled about two weeks after sample collection so your provider can review your results, explain what they mean, and discuss next steps.

Fasting requirements depend on the specific tests ordered. Some hormone, metabolic, or nutrient panels may require eight to twelve hours of fasting, while others can be drawn at any time. Detailed preparation instructions are provided when your testing appointment is scheduled so you know exactly what to do before your labs.

It depends on the specific test and laboratory. Some specialty labs may bill insurance directly, including certain tests through labs such as Avisetest and Natera. Other specialty labs are private pay and require an additional out-of-pocket fee. Because coverage varies by lab and insurance plan, our team will review the expected payment process before testing is ordered. Any insurance coverage, reimbursement, or patient responsibility is determined by your insurance plan and the laboratory.