Program · MON
Ongoing monitoring
Treatment is a schedule, not a single prescription. Labs and visits on set dates, clear lines we act on, and a reminder before anything is due. Also for men moving their care here.
In plain words.
Testosterone therapy is safest when someone is watching the numbers. Hematocrit, PSA, blood pressure and your testosterone level itself can all drift, and most of that drift has no symptoms. You find it with blood work, on a schedule.
Every man on treatment here has a monitoring calendar. You get a reminder two weeks before each draw. If you are already on testosterone from another clinic or an online service, you can move your monitoring, or all your care, here.
Who uses this
- Men on testosterone therapy with us
- Men on testosterone from an online service who have not had a blood count in a while
- Men moving to Tulsa who need a new prescriber
- Men who want a second set of eyes on their numbers
Candidacy
Decided by your labs and a licensed clinician.
Not by a quiz, and not by what you ask for. These are the questions the clinician works through with you.
It may fit if
- You are on testosterone therapy now, or stopped in the last 6 months
- You can bring your current prescription and any past labs
- You are willing to follow the monitoring schedule
Not the right call if
- You use anabolic steroids or doses well above medical ranges. We will help you taper and refer you, but we will not continue those doses
- You only want refills without labs
How it works here
What happens, and when.
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Transfer visit
Bring what you have
Current prescription, dose, last labs. We draw the panel we are missing.
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Results
Your calendar
Your monitoring dates, set around your dose and your history.
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Each check
Labs, then a review
Draw in the morning, results in 2 to 4 days, a short visit or message.
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Two weeks ahead
A reminder
Text or email, your choice, with no health details in it.
What we check, and when.
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Testosterone level
Timed to your dose, usually halfway between injections, so the number means something.
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Hematocrit
The share of red cells in your blood. The number we watch most closely on testosterone.
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PSA
For men 40 and over. We look at the trend, not just one reading.
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Blood pressure
At every in-person visit, and before any dose change.
Safety
The lines we act on.
- Hematocrit above 54%
- We lower or pause the dose, arrange a blood donation if it fits, and recheck in 4 to 6 weeks.
- PSA rises quickly
- A rise of more than 1.4 ng/mL within a year, or a new prostate finding, gets a referral to urology.
- Testosterone above range
- We lower the dose. More is not better and raises the other risks.
- Blood pressure climbs
- We recheck, adjust and coordinate with your primary care doctor.
- Labs overdue
- We do not refill until labs are current. You get a reminder two weeks before they are due, so this rarely comes up.
Hematocrit · illustrative year on TRT
49.6%
Not a real patient
| When | Hematocrit (%) |
|---|---|
| Start | 44.2 |
| Wk 8 | 47.1 |
| Mo 5 | 50.3 |
| Mo 8 | 54.6 |
| Mo 10 | 50.8 |
| Mo 12 | 49.6 |
Monitoring
Your calendar, from the first draw on.
Week 0
Baseline
Before anything is prescribed.
What we check
- Two morning testosterone levels
- Complete blood count
- PSA (40 and over)
- Metabolic panel and cholesterol
- LH, SHBG, estradiol
What we decide
Whether treatment fits at all, and which form. Fertility plans and sleep apnea come up here, before the first dose.
Weeks 6 to 8
First recheck
Is the dose right?
What we check
- Testosterone, timed to your dose
- Hematocrit
- Blood pressure
- Side effects check
What we decide
Raise, lower or keep the dose. Most dose changes happen here.
Months 3 to 6
Settling in
How are you, and how is your blood?
What we check
- Testosterone
- Hematocrit
- PSA (40 and over)
- Estradiol if symptoms suggest it
What we decide
Whether the treatment is worth continuing. If symptoms have not changed, we say so.
Month 12
Year review
The full panel, again.
What we check
- The full baseline panel
- Blood pressure and weight
- A sit-down visit
What we decide
Keep going, adjust, or plan a taper. Your call, with the numbers in front of you.
Every 6 to 12 months
Ongoing
For as long as you are on it.
What we check
- Testosterone
- Hematocrit
- PSA by age
- Blood pressure
What we decide
Refills stay tied to current labs. A reminder goes out two weeks before each draw.
What it costs · Monitoring check
$89 to $129 per check
Included
- The draw and lab fees for the monitoring panel
- A clinician's review and a short visit or message
- Reminders before each check
Not included
- Prescribing, if you keep your current prescriber
- Already included for men in TRT monthly care
Common questions.
All questionsMy online TRT service never checked my blood count. Is that a problem?
It might be. Hematocrit can climb without symptoms. Book a monitoring check and we will tell you where it stands.
Can you take over my prescription?
Usually yes, after a transfer visit and current labs. If your dose is above usual medical ranges, we will talk about bringing it down.
What do the reminder texts say?
"Baseline: you have labs due by [date]. Reply BOOK or call (918) 555-0143." Nothing about what the labs are for.
Other programs
Labs + consult · $189 to $249
Start with a number, not a guess.
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.