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Go directly to the lab, no extra fees
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We stand behind our service
Go directly to the lab, no extra fees
With friendly doctor's notes & guidance
Lab visit as quick as 10 mins in & out
This test is ideal if you're currently on TRT and need to monitor how your treatment is working. It helps check that your testosterone levels are in the right range, ensures your liver and kidneys are handling the treatment well, and monitors prostate health for any changes. Many men on TRT use this test every few months to make sure their hormone therapy is safe and effective.
You should fast for 12-14 hours before your test, which means no food or drinks except water during that time. Avoid ejaculation for 24 hours before the test for accurate PSA results, and if you're taking biotin supplements, stop them at least 72 hours before testing as they can interfere with results. If you use testosterone cream, make sure you haven't applied any to the inside of your elbow area for at least 24 hours, as this can cause falsely elevated results.
This comprehensive follow-up panel checks your total and free testosterone to ensure your TRT dosage is working properly and measures SHBG which affects how much testosterone is available to your body. It monitors your complete blood count to watch for increased red blood cells (a common TRT side effect), checks liver and kidney function to ensure your body is handling the treatment safely, evaluates your lipid panel for cardiovascular health, and includes a PSA test to monitor prostate health. Together, these measurements provide a complete safety and effectiveness check for men on testosterone replacement therapy.
What this means
Your total testosterone level is above the optimal reference range, which may indicate your TRT dosage is higher than needed. While many men feel great at this level, sustained elevation can increase risks like elevated red blood cell count, mood changes, or cardiovascular strain over time.
Recommended actions
Discuss dosage adjustment with your prescribing doctor to bring levels into optimal range
Monitor for symptoms like irritability, trouble sleeping, or excessive energy
Ensure you're checking hematocrit and hemoglobin regularly to watch for thickening blood
Retest in 6-8 weeks after any dosage changes to confirm new levels
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