What should be tested when on trt

Ateam2023

Member
What bloods should my endo be pulling like hes not even checking for my estrogen levels or prostate function prolactin only tt ft and shbg and drug panel with cbc panel? Should i switch endo's he doesn't seem very effective
 
Your endo is doing things mostly right. However, he should not bother with Free T and do Estradiol, sensitive each time he checks your Total T. The idea is to be sure your E2 is staying in the normal range and that you have a fairly proportional amount of E2 given your measured Total T level.

Total T - four or five weeks after making ANY change to your dose and/or dosing frequency to get a reality check on your actual level; then something like 2 or 3 times a year once everything is dialed in.

SHBG - once a year or once every other year. It doesnt change much over the course of a year, so you dont need it every time you check your T level.

Free T - I've been on replacement for 15 years and I still do not trust this lab method. Skip this one and have him ask for Estradiol, sensitive instead.


You (and he) can calculate your Free T quite reliably from the following:


Your albumin can come from recent bloods from your annual physical or just use the default value of 4.3 g/dL you see in the link.

The normal Free T range used by the calculator is between 10 and 25 ng/dL.

Yes, your PSA (and CBC as well as other commonly monitored items from an annual physical) should also be checked and tracked, either by your endo or your physician.
 
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