Follow-up TRT Lab Panel for Men - Access

This follow-up lab panel is required for all males undergoing TRT through Defy Medical in order for the physicians to review the patient's response to the medications that have been prescribed. This will include an overview of sex hormone levels, thyroid function, adrenal health, and information about hematocrit (red blood cell volume), and liver and kidney function. This panel includes the following tests: 

• Complete Blood Count (CBC) with Differential/Platelets - One of the most commonly ordered tests for routine checkups and/or physical exams. A CBC with Differential measures the levels of red blood cells (RBCs), white blood cells (WBCs), Platelet count, Hemoglobin, Hematocrit, RDW, MCV, MCH, MCHC, Neutrophils, Absolute Lymphocytes, Monocytes, Eosinophils, and Basophils. This test can be used to aid in diagnosing and treating a large number of other conditions. To read more about this test, click here. 

• Comprehensive Metabolic Panel (CMP-14) - A chemical screening of 14 blood tests, which serve as an initial medical screening tool to review overall health. These 14 tests include Alanine aminotransferase (ALT/SGPT); albumin: globulin (A:G) ratio; albumin, serum; alkaline phosphatase, serum; aspartate aminotransferase (AST/SGOT); bilirubin, total; BUN; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; creatinine, serum; eGFR calculation; globulin, total; glucose, serum; potassium, serum; protein, total, serum; sodium, serum. This CMP-14 function as a check for kidney function, liver function, electrolyte, and fluid balance. To read more about this test, click here. 

• Lipid Panel - Evaluates risk for developing atherosclerosis (arterial plaque) and coronary heart disease. To read more about this test, click here. 

• Testosterone Free and Total - Testosterone is a hormone produced in the body, which helps to maintain reproductive tissues; stimulate sperm production; stimulate and maintain sexual function; increase muscle mass and strength; maintain bone strength; as well as decrease risk of disease and death. Free testosterone measures the amount of testosterone that can be used by the body. Total Testosterone measures the amount of testosterone in your blood. To read more about this test, click here. 

• Estradiol Sensitive (LC/MS) - Estradiol Sensitive is the most accurate test for estradiol (E2) in men. This test is recommended for men considering or undergoing testosterone replacement therapy (TRT), especially before prescribing any type of "estrogen blocker" (aromatase inhibitor/AI or selective estrogen receptor modulator/SERM). To read more about this test, click here. 

• DHEA-Sulfate - Dehydroepiandrosterone (DHEA) is a hormone that is secreted by the adrenal gland and is also made in the brain. DHEA is a precursor to androgen and estrogen production (male and female sex hormones). DHEA levels in the body begin to decrease after the age of 30 and levels have been seen to decrease more rapidly in females. To read more about this test, click here. 

• Thyroid Stimulating Hormone (TSH) - Produced and secreted by the pituitary gland to stimulate the thyroid gland to produce T3 and T4. TSH is used as a first line screening tool to assess thyroid disease. Additionally, health care providers check TSH to monitor disease progression and treatment. To read more about this test, click here. 

• Prostate Specific Antigen (PSA) - PSA is produced exclusively by cells of the prostate gland. Used in conjunction with the digital rectal exam (DRE), PSA is a useful screening test for benign prostate enlargement, prostatitis, and prostate cancer development. To read more about this test, click here. 

• Sex Hormone Binding Globulin (SHBG) - SHBG levels are under the positive control of estrogen and thyroid hormones, while they are suppressed by androgens. These influences dynamically control the liver synthesis of this carrier protein. To read more about this test, click here.