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Nothing is prescribed until a clinician has read two morning lab draws. How it works

How it works

Measure. Decide. Then monitor.

No quiz decides anything here. Your history, two early-morning blood draws and an exam do, read by a licensed clinician who sits down with you. Here is every step, with the days it usually takes.

Labelled blood sample tubes waiting beside a centrifuge in warm morning light

The steps

  1. Day 1

    Book online, or call.

    Five short steps, about 6 minutes: what you are noticing, recent labs and medications, what you want from the visit, and a morning slot. Prices are shown before you send anything, and you pay at your first draw.

  2. Days 2 to 5

    Two morning draws.

    Testosterone is highest early in the day and changes from day to day, so one reading is not enough. Each draw takes about 10 minutes in a room with a door that closes. If the first one is normal and your symptoms point elsewhere, the clinician may skip the second.

    • 7:00 to 10:30 a.m. on weekdays, 8:00 to 11:00 a.m. Saturdays
    • Water is fine. Skip food and coffee for 8 hours
    • Stop biotin supplements 3 days before
    A technician in blue gloves holds up a blood sample tube beside a rack of samples
  3. About day 7

    A results visit, with every number explained.

    40 minutes with a clinician, in person or on video. You see your numbers next to the lab's own ranges, and you hear what each one means for you. You keep the PDF.

    Sample panel · illustrative

    7:40 a.m. draw

    Draw 1 of 2
    • Total testosterone 248 ng/dL
      Below range Range 264 to 916
    • Free testosterone 5.1 ng/dL
      Low end Range 4.6 to 22.4
    • Hematocrit 44.2 %
      In range Range 38.5 to 50
    • PSA 0.8 ng/mL
      In range Range 0 to 4
    • LH 3.1 mIU/mL
      In range Range 1.7 to 8.6
    Not a real patient. One low reading is not a diagnosis: a second morning draw, your symptoms and a clinician's exam come first. Ranges vary by lab.
  4. Same visit

    The decision has three gates.

    Testosterone therapy is only on the table when all three line up. Even then, it is your call, made with the risks in front of you.

    Gate 1

    Symptoms

    The kind that low testosterone causes, and that bother you.

    Gate 2

    Two low morning readings

    On different days, measured the same way.

    Gate 3

    History and exam

    No reason it would be unsafe, and other causes looked at.

    All three line up

    Treatment may fit. We go through fertility, blood counts, prostate and the monitoring calendar, then you decide. Many men take a week to think it over.

    They do not

    No testosterone. We look at sleep, thyroid, weight, mood and medications with you, or send a summary to your own doctor. You pay only for what you already had.

  5. From week 6

    Then a calendar, for as long as you are on it.

    Labs on set dates, a reminder two weeks before each one, and refills tied to labs being current. If a number crosses a line, we act and tell you why.

    The lines we act on
    1. Week 0 Baseline Two morning testosterone levels, Complete blood count, PSA (40 and over)
    2. Weeks 6 to 8 First recheck Testosterone, timed to your dose, Hematocrit, Blood pressure
    3. Months 3 to 6 Settling in Testosterone, Hematocrit, PSA (40 and over)
    4. Month 12 Year review The full baseline panel, Blood pressure and weight, A sit-down visit
    5. Every 6 to 12 months Ongoing Testosterone, Hematocrit, PSA by age

Visits

In person, or on video?

Video visits work for patients anywhere in Oklahoma. Draws, exams and scans happen here.

Which visits can be on video
Visit Where
First and second draw In personOur draw room, 7:00 to 10:30 a.m.
Results visit In person or videoIn person if you need a blood pressure check or exam
Weeks 6 to 8 recheck Draw in person, review eitherA short visit or a message
Monitoring checks Draw in person, review eitherReminder two weeks ahead
Weight check-ins In personFor the body composition scan
ED and hair follow-ups Video, usuallyHair photo check-ins are in person

Labs + consult · $189 to $249

Ready for the first draw?

Book two morning draws and a 40-minute results visit with a clinician. If treatment does not fit, we say so, and you leave with your results and a plan.

Rather talk first? (918) 555-0143, weekdays 7 a.m. to 5:30 p.m.

Important safety information

Every treatment here is prescribed only after a licensed clinician reviews your history and labs. This is a summary, not medical advice. Questions

Testosterone therapy
Not for men with normal testosterone, prostate or breast cancer, or a high hematocrit. Can cause infertility that does not always reverse, raise red blood cell counts and PSA, and worsen sleep apnea. Requires blood work at 6 to 8 weeks, 3 to 6 months, 12 months and every 6 to 12 months after. Gel can transfer to others by skin contact. Testosterone is a Schedule III controlled substance.
ED medication
Never take with nitrates or poppers: blood pressure can drop dangerously. Get emergency care for sudden vision or hearing loss, or an erection lasting more than 4 hours. Common side effects are headache, flushing and a stuffy nose.
GLP-1 medicines
Not used with a personal or family history of medullary thyroid cancer or MEN2. Nausea and constipation are common early. Severe belly pain can signal pancreatitis or gallbladder problems and needs urgent care.
Finasteride and minoxidil
Finasteride can cause sexual side effects and mood changes, and it halves PSA readings. Minoxidil can cause shedding at first, scalp irritation and, as a tablet, dizziness or fluid retention. Benefits fade after stopping.
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