1----- Estradiol- sensitive via LC/MS test (not EIA!) [Quest Labs code 30289]
(Labcorp code: 140244) (baseline, week 6 or 8, month 6)
GOAL: 20-50 pg/mL
2 ------- Testosterone, Free, Bio/Total (LC/MS/MS) (baseline, week 6-8, month 6, then yearly)
GOAL: Total testosterone over 500 ng/mL and free T 2 percent or more of total T.
3 ------- DHEAs (baseline, month 6, month 12 (if supplementing))
4 ------- Comprehensive Metabolic Panel w/EGFR (baseline, week 6-8, month 6 and then once a year)
GOAL: Normal CBC including liver enzyme elevations under 20 percent and eGFR over 60
5 ------- CBC w/ diff/PLT (baselines, week 6-8, month 6 and then once or twice per year)
GOAL: Normal CBC
6 ------- Lipid profile (fasting sample) (baselines, month 6, then once per year unless high)
GOAL: Normal lipids
7 ------- T3, free (for those with low thyroid symptoms)
GOAL: Upper quartile free T3
8 ------- T4, free (for those with low thyroid symptoms)
Goal: Normal free T4
9 ------- Ultrasensitive TSH (baseline, month 6, yearly after that depending on value and treatment)
GOAL: TSH under 2.5
10 -------- Prostatic Specific Antigen (PSA) (Baseline before testosterone treatment, 6-8 weeks after and then yearly)
GOAL: PSA under 3
11-------- LH and FSH (for men not on testosterone yet)- Used to diagnosed primary or secondary hypogonadism. Do not waste money testing your LH and FSH if you are on testosterone since they will be undetectable.
Blood Tests Needed Before and During Testosterone Replacement Therapy