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CategoryTRTTRT
Evidence strengthModerate evidenceStrong evidence
Evidence Score4/55/5
User rating4.6 (52)4.7 (52)
Typical doseSHBG is measured once from a venous blood sample, ideally together with total testosterone drawn in the morning (7:00–10:00), in the same drawNot applicable — this piece describes the full diagnostic pathway preceding TRT, not a drug dosing schedule
FormBlood test: SHBG + total testosterone; for a borderline result, it's worth adding albumin to calculate free testosterone (Vermeulen formula) or ordering a direct free testosterone measurement by equilibrium dialysisBlood tests: total testosterone (2x morning), free testosterone, SHBG, LH, FSH, prolactin, estradiol, complete blood count with hematocrit, PSA, lipid panel, fasting glucose or HbA1c, liver function tests, TSH; plus a digital rectal exam and an ADAM/AMS symptom questionnaire
Average price
Monthly cost
Time to effectsNot applicable — this piece concerns interpreting a test result, not a therapeutic intervention.Not applicable — a diagnostic pathway preceding any possible start of therapy, usually taking several weeks.
Who it's forPeople with a borderline or ambiguous total testosterone resultMen with symptoms suggesting testosterone deficiency (reduced libido, erectile dysfunction, chronic fatigue, loss of muscle mass) considering TRT