Recommended blood tests to verify or confirm a diagnosis of Male Hypogonadism

My PCP has still not given up trying to get my medical insurance to pay for my TRT. They have declined payment and gave the reason that one blood test was not enough for this diagnosis.
Currently I am paying for everything out of pocket and plan to continue even if the insurance declines.

I have been scheduled for another fasted blood draw in 3 weeks.
I would like to be smarter when discussing with him which tests I should have.

I have alread fowarded Nelson's TRMT for my maintanance values.

I would like to hear what other forum members think on which tests I should have done.
I don't know if it matters but I am 63, 5'9" 208#. My typical weight when active(last 10 years) is 185#
last blood test was back in December.

Order: Testosterone,Total, Serum - LC 004226

Name Date Value Units Range Source
Testosterone, Serum 12/13/2016 173.00 348-1197

I am currently on Testim 50mg daily. (day 20)
 
Thanks Sean, what do you think about these extra tests? Would they help my doc fight the insurance?
copy paste from the link you provided:
You can add DHT, DHEA, Free T3, free T4 and Prolactin in the menu below for a more comprehensive picture of your hormonal health.

Interesting discountLabs doesn't mention you need two of these X # of weeks apart to confirm Male Hypogonadism.
 
Anything that helps rule out other causes (such as thyroid) and points everything directly to the need for TRT would do nothing but help IMO.
The more exhaustive the panel the better picture you're going to get as well.
Maybe something else you hadn't thought of before could use some slight tweaking....
 

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TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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