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Doctor’s Villa
Hormones & metabolism

Hormones & Metabolism

For fatigue, weight change and thyroid or blood-sugar questions that keep getting dismissed.

A full endocrine and metabolic workup in a single morning: thyroid with antibodies and ultrasound, adrenal and sex hormones, insulin resistance measured rather than guessed, and the nutrient deficiencies that mimic hormonal disease. Interpreted together, because in isolation each value looks normal.

This is the right package if

  • Persistent fatigue with normal routine bloods
  • Unexplained weight gain or loss
  • Hair loss, cold intolerance, low libido

Everything included

Thyroid

  • TSH, free T3, free T4, reverse T3
  • Anti-TPO and anti-thyroglobulin antibodies
  • Thyroid ultrasound with nodule assessment

Metabolic & adrenal

  • Oral glucose tolerance test with insulin curve
  • HbA1c, fasting insulin, HOMA-IR, C-peptide
  • Morning cortisol and DHEA-S
  • Full lipid panel with ApoB
  • Liver fat quantification by ultrasound elastography

Sex hormones & nutrients

  • Testosterone (total and free), SHBG, oestradiol
  • LH, FSH, prolactin
  • Vitamin D, B12, folate, ferritin, zinc, magnesium

What we add

  • Endocrinologist consultation with an interpreter
  • Results interpreted as a pattern, not value by value
  • A supplement and follow-up plan with dosages

How to prepare

You receive this as a dated countdown after booking, timed to your flight. Preparation is where most checkups fail, so we do not leave it to a generic PDF.

  1. 01Fast for 12 hours — the glucose tolerance test requires it
  2. 02Blood draw is between 07:00 and 09:00 for cortisol accuracy
  3. 03If you menstruate, tell us your cycle day; some hormones are only interpretable in a specific window
  4. 04Pause biotin supplements for 3 days — they distort thyroid assays

Not included

  • Flights and accommodation
  • Hormone therapy
  • Pituitary MRI (available as an add-on)

This page describes diagnostic services. It is not medical advice and it is not a diagnosis. Which examinations are appropriate for you is confirmed by a physician reviewing your medical intake before your appointment, and we will substitute or refund if a package turns out not to suit you.

Add individual tests

These can be done on the same trip. Conflicts with what is already in this package are flagged automatically in your cart.

Brain MRI + MR angiography

€490

Rules out aneurysms, tumours and small-vessel disease. The single highest-value add-on for anyone with stroke or aneurysm in the family.

  • Imaging
  • Result in 5 days
  • No fasting

Colonoscopy under sedation

€420

Full colonoscopy with polyp removal and histology included. Adds one day to your stay and requires bowel preparation.

  • Endoscopy
  • Result in 10 days
  • Fasting required

Gastroscopy under sedation

€290

Upper endoscopy with narrow-band imaging, H. pylori testing and biopsy if indicated.

  • Endoscopy
  • Result in 10 days
  • Fasting required

FDG PET-CT, torso

€1,180

Metabolic imaging from neck to pelvis. Adds functional information that CT and MRI alone cannot show.

  • Imaging
  • Result in 7 days
  • Fasting required

Coronary CT with calcium score

€380

Measures calcified plaque in your coronary arteries. Reclassifies cardiovascular risk more than any blood test.

  • Imaging
  • Result in 5 days
  • Fasting required

Breast MRI with contrast

€520

Recommended for dense breast tissue or a BRCA mutation, where mammography sensitivity drops sharply.

  • Imaging
  • Result in 7 days
  • No fasting