Do you guys provide over 200mg per week? I felt so could on 300mg a week. I didn’t realize that was on higher dose at the time. Maybe I won’t need above 160-200mg a week just curious if you have a max weekly. Thanks

AlphaMD's Answer

There is no set maximum level for treatment. Some patients require a higher dosage for symptom relief, and there is no toxic or unsafe threshold of total testosterone in the body.

For this reason, the FDA has not created an upper limit for dosages of testosterone, and there is no single set treatment protocol or max dose.

Rarely, a patient may need 300mg/wk. In those cases, the provider overseeing their care orders more frequent follow-ups and lab tests to more closely monitor their health.

The plan typically starts with the easiest testing first, meaning Total Testosterone. This test is ordered after (and included in the cost of) the initial consultation. This is because the $49 price point is the competitive range people are willing to pay when starting with a digital TRT practice based on our experience.

That said, if someone has an interest in deeper science for their own sake at the start the testing can be expanded. If we hear they have E2 issues previously, their provider may add in more at cost. Up to Testosterone (free & total), PSA, SHBG, Estradiol, LH for about another $50.

More in-depth testing tends to be saved for when someone is having side effects and something isn't quite making sense around weeks 7 or 8. I'd say this happens around 5% of the time as providers start with dosing ranges that are very low on side effect chance.

After that, its dependent on dose for frequency and conditions for scope. The average no side effect gentleman may end up with very little additional testing needed.