Nelson Vergel
Founder, ExcelMale.com
This text provides information on managing testosterone replacement therapy (TRT) and monitoring blood test results. It covers various aspects, including the initial tests before starting TRT, different TRT options, adjusting dosage based on blood test results, monitoring for potential side effects, and the significance of specific blood values.
Highlights
- Doctors measure total and free testosterone levels and evaluate symptoms to diagnose low testosterone.
- TRT options include injections, creams, gels, pellets, and nasal gels.
- Follow-up blood tests at week six or eight help determine dosage adjustments and monitor levels like hematocrit, PSA, estradiol, and liver enzymes.
- Hematocrit levels should be monitored to prevent excessive increase, which may lead to cardiovascular issues.
- TRT is contraindicated for men with a PSA of four or higher, indicating a need to rule out prostate cancer.
- Estradiol levels should be balanced and the right test used.
- Managing water retention and blood pressure may be necessary for some individuals on TRT.
- Monitoring kidney function (egfr) and thyroid health (TSH, free T3) is important for overall well-being.