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Health Optimization Dashboard

Tiffany Scott  ·  DOB 01/16/1979  ·  Last updated October 20, 2026

Jul 2025
Discovery — partial panel
Nov 2025
Expanded panel · amenorrhea
Mar 2026
Full picture · protocol launch
Jun 2026
Complete panel + DEXA + RMR
Aug 2026
Phase 3 · Levo · BHRT active
Oct 2026
Phase 4 · Full BHRT · Retatrutide
Levothyroxine started July 13, 2026 · 32.5mcg daily. Testosterone (lower-strength compound) 1 click daily · Estradiol cream 1 click Mon–Fri · both active. Retatrutide 15 IU once weekly added Oct 2026.
Oct 6, 2026 labs: Ferritin 96 ✓ (target hit) · TSH 5.28H (not settled — Levo stopped this phase) · TPO Ab 390H (up from 276) · Free T3 3.6 ✓ · Total T 102H (T cream working) · SHBG 55 ✓ (in range) · FSH 77.5 (major jump) · Estradiol still <30 (E cream started post-labs)
Active medications — started 2026
Levothyroxine
32.5 mcg / day
Stopped — this phase · TSH reassess next draw
● Stopped Oct 2026
Testosterone (compounded cream)
1 click / day
Lower-strength compound · topical · updated formulation
Started July 27, 2026
Estradiol cream
1 click · Mon–Fri
Compounded · topical · Phase 4
Added Oct 2026
Retatrutide
15 IU · once/week
Injectable · 4-week cycle · Phase 4
Added Oct 2026
DHEA (compounded cream)
20 mg / day
Compounded · topical · combined with testosterone
Started July 27, 2026
Progesterone
100 mg / day
Oral capsule · supports estrogen balance · Phase 4
Phase 4 active · Oct 2026
Steroid precursor hormones
Pregnenolone
128 ng/dL
Ref: 22–237 · Target: 80+
53↑128
More than doubled — past target
DHEA-S
152 mcg/dL
Ref: 15–205 · DHEA cream started Jul 27
216→218↓152
Recheck Sep — DHEA active
Magnesium, RBC
5.1 mg/dL
Ref: 4.0–6.4 · mid-range
Adequate
Thyroid — Levothyroxine started Jul 13
TSH
5.28 mIU/L
Target: 2.0–3.5 · Oct 6, 2026
9.94↓4.91↓4.54↑5.28
Not settled — Levo still active at draw (should have tapered off Sep 7) · Recheck next labs
TPO antibodies
390 IU/mL
Target: 250–325 · Oct 6, 2026
468↓464→276↑390
Rising — above prior target range
Free T4
1.0 ng/dL
Ref: 0.8–1.8 · last drawn Jun 2026
0.9→0.8↑1.0
Expect rise with Levo — recheck Sep
Free T3
3.6 pg/mL
Ref: 2.3–4.2 · Oct 6, 2026
3.2→2.7↑3.2↑3.6
✓ Mid-range — clean conversion
Reverse T3
8 ng/dL
Ref: 8–25
Optimal — no T4 pooling
Hormones — BHRT active as of Jul 27
Estradiol (E2)
<30 pg/mL
Follicular ref: 30–144 · last drawn Jun 2026
87↑97↓<30
Recheck Sep — use ultrasensitive assay
Estrone (E1)
23 pg/mL
82↓23
Recheck Sep
Total Estrogen
53 pg/mL
214↓53
Recheck Sep
Free Testosterone
— pg/mL
Target: 4.0–6.0 · not ordered Oct 6
4.6↓2.1↓2.0
Order with next draw
Total Testosterone
102 ng/dL
Ref: 2–45 · Oct 6, 2026 · HIGH — lower-strength compound now active
35↓27↓23↑102
T cream working — dose adjusted down
SHBG
55 nmol/L
Target: 55–65 · Oct 6, 2026
60↑82↓79↓55
✓ Bottom of target range
LH
13.1 mIU/mL
28.3↓3.4↑13.1
Recheck Sep
FSH
77.5 mIU/mL
Postmenopausal ref: 23–116 · Oct 6, 2026
40.9↓9.2↑13.1↑77.5
Major jump — ovarian transition
Progesterone
0.5 ng/mL
Last drawn Jun 2026 · 100mg oral Phase 4 active
0.6→0.5
100mg capsule daily — recheck next draw
Prolactin
8.9 ng/mL
Stable · normal
AMH
0.01 ng/mL
Ovarian reserve depleted
Iron & Anemia — primary rate limiter
Ferritin
96 ng/mL
Target: 70–100 · Oct 6, 2026
27→29↓19↑96
✓ Target reached — iron protocol complete
RBC
4.12 M/uL
3.76↑4.25↓3.59↑4.12
Recovered to normal range
Hemoglobin
12.7 g/dL
11.8↑13.3↓11.3↑12.7
Back in range
Hematocrit
38.2 %
37.2↑40.6↓34.4↑38.2
Back in range
Serum Iron
63 mcg/dL
131↓63
Low-normal
% Saturation
20 %
39↓20
In range, dropping
IGF-1 & Cortisol
IGF-1
244 ng/mL
Target: 180–250
157↑244
Within target · Z-score 0.2 → 1.2
Cortisol AM
10.7 mcg/dL
18.3↓10.7
Normalized
Not rechecked — Oct 6 draw
The following markers were not ordered on the Oct 6 lab draw. Prior values still shown on their respective cards — flag for next draw.
Free T4
0.9 ng/dL
Last drawn Jun 2026
Order next draw — Levo now stopped
Reverse T3
14 ng/dL
Last drawn Jun 2026
Order next draw
Estradiol (E2)
—
Last drawn Jun 2026 · E2 cream now active
Order next draw — baseline on cream
Progesterone
—
Last drawn Jun 2026 · 100mg capsule now active
Order next draw — baseline on Prog
Free Testosterone
—
Last drawn Jun 2026
Order next draw — T still elevated
Pregnenolone
128 ng/dL
Last drawn Jun 2026
Recheck next draw
DHEA-S
152 mcg/dL
Last drawn Jun 2026
Recheck next draw — DHEA cream active
IGF-1
244 ng/mL
Last drawn Jun 2026
Recheck — GH peptides ongoing
Homocysteine
7.3 umol/L
Last drawn Jun 2026
Recheck next draw
hs-CRP
0.3 mg/L
Last drawn Jun 2026 · standard CRP <3.0 Oct 6
Upgrade to hs-CRP next draw
Magnesium (RBC)
—
Not recently drawn
Order next draw
DEXA + RMR baseline complete — June 19, 2026. BF goal: 18–20%. Prior 24.9% was a Hume Health BIA reading — kept as reference only.
DEXA — total body composition
Total body fat
33.4%
Target: 18–20%
Total mass
194.4 lbs
Fat mass
65.0 lbs
Lean mass
122.8 lbs
BMC (bone)
6.7 lbs
Fat-free mass
129.5 lbs
Regional breakdown
RegionFat %TotalFatLean
Arms34.1%26.0 lbs8.8 lbs16.2 lbs
Legs34.2%72.8 lbs24.9 lbs45.3 lbs
Trunk34.2%84.8 lbs29.0 lbs53.9 lbs
Android36.9%12.3 lbs4.5 lbs7.6 lbs
Gynoid36.5%30.9 lbs11.3 lbs19.1 lbs
Visceral fat & distribution
VAT volume
33.40 in³
Ideal: 0–52
Healthy range
A/G Ratio
1.00
Optimal: <1.0
At threshold
Bone density
1.442 g/cm²
T-score 3.6 · Z-score 1.8
Excellent
RMR — metabolic baseline
RMR
1,674 kcal/day
BMI
28.73
Maintenance
2,000–2,050 kcal
Suggested deficit
1,650–1,700 kcal
Lipids
Total Cholesterol
211 mg/dL
197191215↓211
Slightly down — BHRT active
LDL
138 mg/dL
122115139↓138
Stable — monitor
HDL
58 mg/dL
616461↓58
Slight dip — monitor
Triglycerides
63 mg/dL
574163
Pristine
Metabolic
Glucose
94 mg/dL
8197100↓94
Back in range
HbA1c
5.3 %
5.45.55.3
Improving
Insulin
6.7 uIU/mL
Target: <10 · Oct 6, 2026
11.5↓6.7
✓ Excellent — improved by 42%
Homocysteine
7.3 umol/L
Excellent
CRP
<3.0 mg/L
Ref: <3.0 standard assay · Oct 6, 2026
✓ Normal — hs-CRP to add next draw
Lipoprotein(a)
<10 nmol/L
Optimal: <75 nmol/L · Oct 6, 2026 · New marker
✓ Excellent cardiovascular risk marker
Liver & kidney
AST / ALT
17 / 12
Pristine
eGFR
90–105
Excellent
Urine ACR
3 mg/g
No albuminuria
Omega fatty acids
EPA+DPA+DHA
4.6 % by wt
Optimal: ≥5.5
Upgrading omega-3
Omega-6/3 Ratio
8.6
In range
Autoimmune
ANA Screen
Positive
Watch and wait
ANA Titer
1:80
Recheck 6–12 mo
ANA Pattern
Nucleolar
Monitor
Inflammatory & CBC
hs-CRP
0.3 mg/L
Excellent
ESR
6 mm/h
Normal
WBC
3.5 K/uL
Low-stable
Platelets
291 K/uL
Normal
Vitamin D
39 ng/mL
Target: 60–80 · Oct 6, 2026
3029↑35↑38→39
Barely moving — still well below target
Selenium
142 mcg/L
Optimal
Zinc
67 mcg/dL
Low-normal
B12
374 pg/mL
MMA confirms adequate use
Folate
18.8 ng/mL
Normal
CoQ10
1.12 ug/mL
Adequate
Magnesium (serum)
1.8 mg/dL
Low-normal
Magnesium RBC
5.1 mg/dL
Adequate
Compounded testosterone (lower strength) + DHEA 20mg started July 27, 2026 · Estradiol cream + Progesterone 100mg added Oct 2026.
Levothyroxine stopped this phase · Was supposed to taper to M/W/F starting Sep 7 then off Sep 21 — accidentally continued daily until Oct 6 labs · TSH 5.28 not settled at time of draw — recheck next labs.
Phase 4 active · Oct 2026: Estradiol cream Mon–Fri, Progesterone 100mg daily, lower-strength Testosterone, Retatrutide 15 IU weekly (4-week cycle). Anemia resolved — CBC normalized Oct 6, 2026. Tesamorelin cycled off 14 days prior to Oct 19, resumed Oct 18.
Medications — active prescriptions
Levothyroxine
32.5 mcg / day
Stopped — this phase · TSH reassess next draw
● Stopped Oct 2026
Testosterone (compounded cream)
1 click / day
Lower-strength compound · topical · updated formulation
Started July 27, 2026
Estradiol cream
1 click · Mon–Fri
Compounded · topical · Phase 4
Added Oct 2026
Retatrutide
15 IU · once/week
Injectable · 4-week cycle · Phase 4
Added Oct 2026
DHEA (compounded cream)
20 mg / day
Compounded · topical · combined with testosterone
Started July 27, 2026
Supplements — daily
  • Selenium selenomethionine 200mcg · Thorne
  • Zinc bisglycinate Thorne
  • Vitamin D3 drops 10,000 IU · Thorne
  • Magnesium glycinate 200mg
  • NR + Quercetin Phytosome + Trans-Resveratrol 500/250/150mg · Reus Research
  • Creatine
  • Collagen powder
  • Ashwagandha powder
  • Baja Gold salt
  • Iron bisglycinate 108mg / 3 caps loading · Thorne · Ferritin 96 — target reached
  • Boron 5mg · Pure TheraPro Rx
  • DIM + BioPerine 200mg
  • Resciency Mitochondrial & ATP 4 caps
  • Timeline Urolithin A 500mg / 2 softgels
  • Omega-3 high EPA 3 softgels
Peptides — Phase 3 / Phase 4 (started Aug 3, 2026)
Morning — Fasted — Daily
KPVDaily
300 mcg · 10 units
Gut barrier health & targeted anti-inflammatory support
Recon: 10mg + 2 mL BAC
BPC-157Daily
500 mcg · 10 units
Angiogenesis, tendon & ligament tissue repair
Recon: 10mg + 2 mL BAC
GlutathioneDaily
200 mg · 20 units
Master cellular antioxidant & hepatic detoxifier
Recon: Vial equiv. + 2 mL BAC
Thymosin Alpha-1Mon / Thu
1.5 mg · 25 units
T-cell maturation & immune system resilience
Recon: 10mg + 2 mL BAC
Midday / Post-Training
TB-500Mon / Thu
1.25 mg · 25 units
Systemic soft-tissue mobility & cellular migration
Recon: 10mg + 2 mL BAC
GHK-Cu (Copper)Daily
2.0 mg · 10 units
Collagen synthesis & extracellular matrix remodeling
Recon: 50mg + 2.5 mL BAC
11:00 PM — Empty Stomach — 5 Days On / 2 Off
CJC-1295 (No DAC)5 on / 2 off
250 mcg · 10 units
Pulsatile growth hormone secretagogue base
Recon: 10mg + 2 mL BAC
Ipamorelin5 on / 2 off
300 mcg · 10 units
Clean, cortisol-flat GH receptor activation
Recon: 10mg + 2 mL BAC
Once Weekly — Injectable
RetatrutideOnce / week
15 IU · injectable
GLP-1/GIP/Glucagon triple agonist · body composition & metabolic optimization · 4-week cycle
Phase 4 active · Oct 2026
Cognitive — Injection — 20-Day Cycle
CerebrolysinDaily · 20 days on / 3 mo off
10 mL · injectable
Neuroprotection, cognitive enhancement & neuroplasticity
Cycle 1: Aug 6 – Aug 25, 2026 · Complete · Next cycle: Nov 2026
Cycle management & deferred
TesamorelinPhase 4 active
Cycled off 14 days prior to Oct 19 · Resumed Oct 18, 2026
MOTS-c
Replenishment deferred until anemia resolves
5-Amino-1MQ
Deferred until anemia resolves
Log of peptide names, doses, and timing as recorded across protocol documents.
November 17, 2025 — Phase 1 start
PeptideDoseTiming
KPV500 mcgMorning
BPC-157250 mcgTwice daily
TB-5005 mgWeekly, 6 weeks
Tesamorelin2 mgNightly
CJC-1295 / Ipamorelin300 / 300 mcgNightly
GHK-Cu (optional)100 mcgDaily
January 13, 2026 — Weekly checklist, Weeks 4–12
PeptideDoseTiming
KPV250 mcgMorning, daily
BPC-157250 mcgEvening, daily
Tesamorelin1 mg (40 units)Night, empty stomach
CJC-1295 / Ipamorelin300 mcgNight, empty stomach
TB-500500 mcgMon + Thu, non-training days
March 30, 2026 — Order + dosing schedule
PeptideDoseTiming
CJC-1295 / Ipamorelin15 unitsMorning, fasted
MOTS-c20 unitsPost-workout
Tesamorelin20 unitsEvening, before bed
BPC-15720 unitsEvening, before bed
TB-50020 unitsEvening, before bed
MOTS-c usage note
PeptideStatus
MOTS-cUsed March–May 2026. Replenishment deferred until anemia resolves.
August 3, 2026 — Phase 3 start
PeptideDoseTiming
KPV300 mcg · 10 unitsMorning fasted, daily
BPC-157500 mcg · 10 unitsMorning fasted, daily
Glutathione200 mg · 20 unitsMorning fasted, daily
Thymosin Alpha-11.5 mg · 25 unitsMorning fasted, Mon/Thu
TB-5001.25 mg · 25 unitsMidday/post-training, Mon/Thu
GHK-Cu (Copper)2.0 mg · 10 unitsMidday window, daily
CJC-1295 (No DAC)250 mcg · 10 units11pm, empty stomach, 5 on/2 off
Ipamorelin300 mcg · 10 units11pm, empty stomach, 5 on/2 off
B12 (front-load)1 mL3x/week · 4 weeks · Phase 3 start
October 19, 2026 — Phase 4 start
Peptide / InjectableDoseTiming
Retatrutide ▶ NEW15 IUOnce/week · 4-week cycle
Continuing from Phase 3 — no changes:
KPV300 mcg · 10 unitsMorning fasted, daily
BPC-157500 mcg · 10 unitsMorning fasted, daily
Glutathione200 mg · 20 unitsMorning fasted, daily
Thymosin Alpha-11.5 mg · 25 unitsMorning fasted, Mon/Thu
TB-5001.25 mg · 25 unitsMidday/post-training, Mon/Thu
GHK-Cu (Copper)2.0 mg · 10 unitsMidday window, daily
CJC-1295 (No DAC)250 mcg · 10 units11pm, empty stomach, 5 on/2 off
Ipamorelin300 mcg · 10 units11pm, empty stomach, 5 on/2 off
B121 mLOnce/month maintenance
Composite biological age
33–38
Chronological: 47
Established March 2026 · DEXA bone density (T-score 3.6, Z-score 1.8) reinforces young-skeletal-age component
CV age 32–35 VO2max 48.58 RHR 57 BP 116/79 Bone T-score +3.6 VAT 33.4 in³ (healthy)
Genetic variants
Risk variants confirmed
COMT
DIM + Ca-D-glucarate w/ BHRT
MAO-A
BHRT urgency ↑
AHCY + MAT1A
Methylated B vitamins
SHMT1
Methylfolate required
ACAT
Contextualizes LDL
Normal variants
MTHFR
Normal
MTR / MTRR
Normal
BHMT / CBS
Normal
VDR
Normal
Thyroid ultrasound images — viewer loads from thyroid_ultrasound_viewer.html in the same folder. Use arrow keys or filmstrip to navigate images.
⚠ Allergic reaction event — Oct 18–20, 2026. Suspected trigger: one or more of 5 injections given Oct 18 ~10:45 PM. Still resolving as of Oct 20, 2:20 PM.
Injections administered — Oct 18, ~10:45 PM
Last meal 3–4 hours prior · All separate shots at separate injection sites
Retatrutide
⚠ Suspected trigger
Phase 4 active
GHK-Cu (Copper)
Phase 3 active
2.0mg · 10 units
CJC-1295 / Ipamorelin
Phase 3 active
250mcg / 300mcg
B12
One-off
Not in regular protocol
Tesamorelin
Phase 3 active
Cycled off 14 days prior — resumed Oct 18
Wave 1 — Oct 18, ~11:10 PM (20–30 min post-injection)
Symptoms
Intense itching
Around injection sites
Hives
Thighs, stomach, back — within 5–10 min of itching onset
Facial swelling
Lower jaw, lips, nose
Actions taken
Called a friend for help
Benadryl 1 tablet
Lukewarm shower
To ease itchiness while Benadryl kicked in
Aloe vera applied topically
After midnight — Oct 19
Symptoms
Still very itchy
Mild nausea
~20–30 min after second Benadryl dose
Urge to use bathroom
Normal bowel movement
Actions taken
Benadryl 2 tablets
Water only
Used bathroom — normal
Sleep ~1.5 hrs
After 2:00 AM — Oct 19 (2nd hive wave)
Symptoms
Heavier nausea
Second bowel movement
Normal
Elevated temp + sweating
Vomiting
Once — clear water only, little to no bile. Felt better immediately after.
Hive resurgence — new locations
Arms, back of thighs, glutes, calves, tops of feet
Hands and feet swollen
Itchiness mild — face swelling subsided
Actions taken
Shower — cleaned up
Benadryl 2 more tablets
For hive resurgence
Rest — ~1 hr nap
Sleep 3–4 hrs after symptoms calmed
Oct 19 — 9:30 AM
Symptoms
Hives + itchiness returned
Shins, shoulders, abdomen, breasts, front of thighs
Hands and feet still slightly swollen
Actions & results
Lukewarm shower
Zyrtec 10mg ~2:30 PM
Friend picked up Zyrtec, Cortizone cream, electrolytes + food
Cortizone cream applied
Gatorade sipped
All symptoms cleared within 30–60 min
Appetite returned (moderate) — baked chicken + fruit · No symptoms for ~12 hrs
Oct 20 — 1:40 AM
Symptoms
Itchiness + smaller hives creeping back
Actions & results
Cortizone cream — itchiness persisted at 30 min
Second Zyrtec 10mg taken
Directed once daily but body burning through faster than expected — symptoms subsided, slept through night until 8:30 AM alarm, snoozed to ~11:00 AM
Oct 20 — Current status (~2:20 PM)
Zyrtec withheld this afternoon — avoiding system overload. Monitoring.
Current symptoms
Mild itchiness in 4 small areas
Right eye slightly heavy
Not closed — similar feel to eyelash extensions — very tolerable
Actions taken
Lukewarm shower
No washcloth — mild castille soap
Aloe vera applied
Cortizone cream on itchy areas
First meal: 3 eggs
Sipping water
Status
✓ No nausea
✓ No vomiting since first episode
✓ No visible hives
● Mild itchiness remains — tolerable
Medications used during event
Benadryl (diphenhydramine)
Multiple doses
1 tab Wave 1 · 2 tabs midnight · 2 tabs hive resurgence — partial relief only
Zyrtec (cetirizine) 10mg
Most effective
Oct 19 ~2:30 PM + Oct 20 1:40 AM — full symptom clearance within 30–60 min each dose
Cortizone cream
Topical relief
Applied Oct 19–20 to itchy areas
Aloe vera
Soothing
Acute phase + Oct 20 for dry skin
Body composition targets
Current weight
194.4 lbs
Target: 161–163 lbs
Current BF (DEXA)
33.4%
Target: 18–20%
Lean mass
122.8 lbs
Preserve
RMR
1,674 kcal/day
Deficit 1,650–1,700
September 2026 lab targets
TPO antibodies
276 → 250–325
TSH
4.54 → 2.0–3.5
Levo started Jul 13
Free Testosterone
2.0 → 4.0–6.0
T cream started Jul 27
DHEA-S
152 → monitor
DHEA cream started Jul 27
SHBG
79 → 55–65
Ferritin
19 → 70–100
Vitamin D
38 → 60–80
FSH
Add to order
Clinical sequencing
1
Anemia correction — iron loading active, September confirmation
2
Levothyroxine 32.5mcg — started July 13, 2026
3
Compounded testosterone 15mg + DHEA 20mg — started July 27, 2026
4
Phase 3 peptide protocol — started August 3, 2026
5
MOTS-c restock decision — after anemia resolves
6
September 2026 — full panel + FSH + ultrasensitive estradiol
7
New functional medicine / telehealth provider transition