Metabolic & Thyroid Screening

HOMA-IR (Homeostatic Model Assessment of Insulin Resistance) measures how effectively your body uses insulin. Elevated HOMA-IR is a key marker in PCOS, pre-diabetes, and metabolic syndrome. Standard labs often report insulin as "normal" while HOMA-IR reveals functional resistance.

TSH alone misses many thyroid issues. Free T3, Free T4, and TPO antibodies reveal the full picture — including subclinical hypothyroidism, Hashimoto’s antibody patterns, and conversion problems that TSH alone cannot detect.

Insulin resistance drives androgen overproduction in PCOS, while thyroid dysfunction can worsen metabolic symptoms. Florya screens both together because treating one without addressing the other often leads to incomplete improvement.

A HOMA-IR score below 1.0 is generally considered optimal. Scores between 1.0-2.0 suggest early insulin resistance, while scores above 2.0 indicate significant insulin resistance. However, standard lab reports often only flag fasting insulin or glucose without calculating HOMA-IR, which can miss early metabolic dysfunction.

TSH is a pituitary hormone that signals the thyroid, but it does not reflect the complete thyroid picture. Free T3 and Free T4 measure actual thyroid hormone levels, while TPO antibodies detect autoimmune thyroid conditions like Hashimoto's. A "normal" TSH can coexist with subclinical hypothyroidism, poor T4-to-T3 conversion, or early Hashimoto's — all of which require the full panel to detect.