Dr. Amy Nett: Well, because of the menstrual issues, I would think about getting hormone testing. I’d probably start with Precision Analytical. I would do a complete hormone profile. You want adrenal information in there as well because, remember, there’s the hypothalamic-pituitary-adrenal-thyroid-gonadal axis, so cortisol can also affect thyroid. Do the 24-hour collection. If you don’t have a good answer there in terms of what’s going on hormonally, they also have cycle mapping, where patients are collecting urine samples throughout the month and you get a better idea of the estrogen-to-progesterone ratio.