Hormones Core
- Total testosterone Morning, fasting
- Free testosterone Morning, fasting
- SHBG Any time
- LH and FSH Morning
- Estradiol Morning
- Prolactin If indicated
Testosterone, tested twice.
A low reading is a question, not a diagnosis. We repeat it, look for other causes, and discuss treatment only when your numbers and your symptoms agree and a licensed clinician decides.
Testosterone is a prescription controlled substance. It is never used for performance, and compounded medications are not FDA-approved. Peptides are clinician-guided, where appropriate, and the evidence is still emerging.
Morning draw
2 of 2
Tue, 7:40 AM. Fasting, partner lab. A clinician reviews both results together. Sample card.
Common symptoms. Many possible causes.
Low testosterone shares symptoms with poor sleep, stress, thyroid problems and more. Check what you have noticed, and bring the list to your assessment. This does not diagnose anything.
Anything you have noticed for more than a few weeks
These checkboxes stay in your browser. Having several does not mean you have low testosterone, and having none does not rule it out.
You checked
0
Start by checking anything that fits.
Nothing here is scored or sent anywhere. It only helps you decide what to mention to a clinician.
Other common causes a clinician checksPoor sleep or sleep apnea, stress and low mood, thyroid problems, anemia, some medications, alcohol, and extra body weight.
Bring this to your assessment ↗
The path, in five steps.
Treatment is the last step, not the first. You can stop at any point, and many men finish at step four with a plan that does not include testosterone.
- Day 0
Assessment
Symptoms, history, medications and your goals, including whether you want children.
- Within a week
Morning draw one
Total and free testosterone, SHBG, LH and more, fasting and before 10 AM.
- A different day
Morning draw two
The same panel again, because one reading can be a bad day, a bad night or an illness.
- Video visit
Clinician review
Both results, your symptoms and other causes, read together with a licensed clinician.
- If appropriate
Decide and monitor
Lifestyle first, treat the cause, or discuss treatment. Any plan comes with regular labs.
The panel behind every decision.
Draw timing matters, so each marker carries its instructions. Your clinician sets the exact order, and every result is reviewed in a visit, not just an app notification.
Blood and safety Core
- Complete blood count Includes hematocrit
- PSA If age-appropriate
- Comprehensive metabolic panel Fasting
- Lipid panel Fasting
Metabolic and other Common
- HbA1c Any time
- TSH Morning
- Vitamin D Any time
- Ferritin and iron Morning
Labs are drawn at a partner lab near you. Essentials and Metabolic bill panels at partner-lab rates, and Complete includes quarterly panels.
Start assessment ↗What a clinician may discuss.
These options show the range of care. They are not a recommendation, and a clinician decides which, if any, fits your labs, symptoms and history.
Sleep and lifestyle first
Sleep, weight, alcohol and strength training all move testosterone. This is the base layer every other option builds on.
A clinician decidesTreat the cause
Sleep apnea, thyroid disease, a medication effect or a pituitary problem can each lower testosterone, and each has its own treatment.
A clinician decidesTestosterone therapy
Gel, injection or other forms, considered only when repeated morning levels and symptoms agree. Dose and form are set after a risk review, with regular labs.
A clinician decidesFertility kept in view
Testosterone can lower sperm production. If you want children now or later, your clinician reviews alternatives and a referral before anything starts.
A clinician decidesIf treatment starts, the labs keep coming.
Monitoring is part of the plan, not an extra. A typical schedule is below, and your clinician sets your own.
| Check | Start | Month 3 | Month 6 | Month 12 |
|---|---|---|---|---|
| Testosterone levelMorning draw | ||||
| HematocritRed blood cell volume | ||||
| PSAIf age-appropriate | Not scheduled | Not scheduled | ||
| Blood pressureHome readings | ||||
| Symptoms and sleepVisit with clinician |
Who testosterone may not be right for.
Treatment carries real risks for some men. These are common reasons a clinician may decline or pause it.
Eligibility is always a licensed clinician’s decision. A clinician may decline a request even when no item on this list applies.
- Prostate or breast cancer, current or suspected.
- Wanting to father children now or soon.
- Untreated severe sleep apnea.
- A high hematocrit, or a history of blood clots.
- A recent heart attack or stroke, or uncontrolled heart failure.
- Under 18, or any use for performance or bodybuilding.
Peptides: what is known, and what is not.
Interest in peptides runs well ahead of the research. We explain what is known and what is not, and a clinician decides whether one has any place in your plan.
Sermorelin
Sermorelin is a synthetic analog of growth hormone-releasing hormone. Researchers have studied its effect on the body’s own growth hormone signaling. Clinicians consider it for select patients, and dose and schedule are set individually.
- Form
- Injectable, prescribed by dose and schedule
- Compounded
- Compounded versions are not FDA-approved.
- Claims
- We make no efficacy claims for sermorelin, and results vary.
Sleep and recovery come first
- Seven to nine hours, at consistent times
- Strength training and enough protein
- Alcohol cut back, and sleep apnea screened
- Training load matched to how you recover
A peptide is not a substitute for any of these, and your clinician will say which comes first for you.
What we do not offer
BPC-157 and similar peptides are widely discussed online. The evidence in people is limited, and the FDA has raised safety concerns about some of them for compounding. We explain what is known, we only prescribe products that a licensed U.S. pharmacy can supply, and we never sell anything labeled for laboratory use.
Complete: $449 a month.
Testosterone evaluation, monitoring and the peptide consult live in the Complete plan, together with weight care and quarterly labs. Medication is billed by the pharmacy.
Quarterly labs included
Complete
$449/mo
Weight care plus hormone and recovery evaluation.
Start with Complete ↗- Baseline and quarterly lab panels, read in a visit
- Testosterone evaluation and monitoring when a clinician decides it is appropriate
- Peptide consult where appropriate (evidence still emerging)
- GLP-1 weight care evaluation, if a clinician decides it is appropriate
- Quarterly visit with an endocrinologist, and monthly check-ins
Testosterone, when prescribed, is about $40 to $120 a month at the pharmacy depending on form. Compounded medications are not FDA-approved. Membership does not promise a prescription.
Questions men ask first.
A clinician answers anything else before you commit to a plan.
Not here. Treatment starts with two separate morning blood draws and a clinician review. A symptom quiz alone is never enough, and we do not prescribe on one.
It carries real risks, including a higher red blood cell count, higher blood pressure, lower sperm production and worsened sleep apnea. That is why a clinician screens first and monitors with labs. Some men should not take it, and a clinician decides.
It can lower sperm production, sometimes substantially. If you want to have children now or later, tell your clinician at the start so the alternatives and a referral can be reviewed.
Not necessarily. Many men continue for a long time when it helps, but you can ask to review, lower or stop at any visit, and your clinician helps plan that.
Compounded peptides are not FDA-approved. They are clinician-guided, where appropriate, the evidence is still emerging, and we make no efficacy claims. A clinician decides whether one fits.
Yes, often. A clinician may decline or pause treatment when labs, history or goals say it is not a fit, and we would rather say so than sell you a plan.
Important Safety Information
Testosterone is a controlled substance with real risks
Testosterone can raise red blood cell count, which raises the risk of blood clots, and it can raise blood pressure. It can lower sperm production and fertility, worsen sleep apnea, and cause acne, swelling, and breast tenderness or enlargement. Topical products can transfer to others, especially children and women. Testosterone is not for men with prostate or breast cancer, and it is never used for performance. Monitoring labs are part of every plan.
Peptides
Peptide therapy is clinician-guided, where appropriate, and the evidence is still emerging. Compounded peptides, including compounded sermorelin, are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness or quality.
Results vary
Treatment is prescribed only when a licensed clinician decides it is appropriate, and results vary from person to person.
If you are also on GLP-1 weight care
Boxed warning: risk of thyroid C-cell tumors
GLP-1 medicines such as semaglutide and tirzepatide caused thyroid C-cell tumors in rodents. It is not known whether they cause these tumors, including medullary thyroid carcinoma (MTC), in people. Do not use if you or a family member has had MTC, or if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Tell your clinician right away about a neck lump, hoarseness, trouble swallowing or shortness of breath.
Common side effects
- Nausea, vomiting and diarrhea
- Constipation and stomach pain
- Reduced appetite and tiredness
Serious risks
- Pancreatitis (severe, lasting stomach pain)
- Gallbladder problems
- Low blood sugar, especially with some diabetes medicines
- Kidney problems, often after dehydration
Pregnancy
GLP-1 medicines are not for use in pregnancy. Tell your clinician if you or a partner is pregnant or planning a pregnancy.
Results vary
Medication is for adults, is used with nutrition and activity, and is prescribed only when a licensed clinician decides it is appropriate. Results vary from person to person.
For severe symptoms, seek emergency care. This page describes a fictional sample practice and is not medical advice.
Start with the first draw.
Take the assessment, and a licensed clinician reviews it and orders labs if that is the right next step.