Salviary steroid testing for anything other than cortisol are an utter waste of money. Self-testing of serum levels can be obtained through www.discountedlabs.com. Many of us use them to track our own progress.
A PSA when androgen replacement therapy is initiated is a required test. A baseline must be obtained as a PSA score can, and does, rise during treatment. The discreet score is important, as is the rate of rise. You have no baseline to know where you stood when TRT began. Get one as soon as you can. Repeat that test annually.
No CBC was captured. Hematocrit and hemoglobin are critical values to follow as a great number of men see those numbers rise. Should they reach a certain level, blood must be given. Get one as soon as you can.
You need far more thyroid evaluation. Don't let them brush you off with the comment that your TSH is "normal."
Estradiol, measured with the LC, MS/MS test, is an essential hormone to evaluate while on TRT. It's a necessary hormone, and it can be a tricky one to balance against your total testosterone.
While you're at it, get a new doctor. You deserve far better treatment than has been provided...and that you paid for. It's a sad story, one we see here all the time - doctors who don't understand androgen replacement. I initially consulted an endocrinologist who holds an endowed chair at a local medical school in the city in which I live. I didn't get a protocol that helped until I left his practice. Your care is mismanaged and that is simply wrong.
