question from a user
AlphaMD's Answer
In general, a licensed provider orders blood tests for all new patients or accepts recent lab work in place of that. If they're an established TRT patient & can provide proof of previous testing or current treatment, the provider can accept that as well. (If a current TRT patient gets tested, their levels are just going to be high/normal.)
After the initial testing, the provider overseeing your care adjusts re-testing needs based on dosing & symptoms. As long as someone is under 200mg/week Testosterone as a treatment and they're feeling good, frequent testing typically isn't required. This is due to 200mg/week or below being the generally safe treatment area due to precedent with the DEA & how well most patients do at this number. Providers may check as needed after that, but it's per patient.
Once a patient moves above 200mg/week, that's considered "experimental" by the DEA standards. Since Testosterone is a controlled substance, providers want to make sure they stay right by those standards & keep patients safe. As doses go up, the frequency and depth of required testing increases. Things like Estrogen, Cholesterol, CBCs, hematocrits, etc are things a provider would want to take looks at.
No patient has ever had to be cut off for RBC like that, every person who has had symptoms has followed suggestions to lower it. If it was exceedingly high and the patient was completely ignoring ad... See Full Answer
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