🔄 TRT Monitoring

♂ Built for men · 9 markers · $198.45 with code CAMERON ~~$220.50~~

Currently on testosterone therapy. Standard cadence is 6–8 weeks after any dose change, then every 6–12 months once stable.

🩸 Order this exact panel — 10% off

All 9 markers load into your cart in one click. No doctor's visit, drawn at any Quest location in the US, results by email in about two weeks. Code CAMERON applies automatically.

Add all 9 markers — $198.45 → Open the full Bloodwork Vault →

Why this panel

TRT monitoring exists to catch three things early: rising hematocrit, prostate changes, and adverse lipid shifts. This panel covers all three plus the hormone levels you're actually titrating.

💡 What most people missDraw timing dominates the result, and most men get it wrong. On weekly injections, a trough draw (immediately before your next shot) and a peak draw (2–3 days after) can differ by 40% or more — comparing a peak to a previous trough produces phantom problems and unnecessary dose changes. Pick trough, write it down, and use it every single time. On hematocrit: rising hematocrit is the most common reason men have to reduce or stop, and the usual first response should be reassessing dose, injection frequency and sleep apnea — not routine blood donation, which drives iron deficiency and its own fatigue.

⏰ When to get it drawnTrough — immediately before your next dose. Morning, fasted. Use identical timing every time or the trend is meaningless.

What's inside

This panel covers 9 markers chosen for this specific situation. The full list, the clinical reasoning behind each marker, draw timing and how to interpret your results are available to Academy members.

🔒 Panel and protocol are inside the Academy

Every marker and why it's here — plus the full evidence-graded TRT Monitoring protocol: why your testosterone number is probably meaningless, the oestradiol myth that causes most of the symptoms men blame on TRT, what the 5,204-man cardiovascular trial actually found in its secondary endpoints, and the fertility conversation nobody has in time. $10/mo, cancel anytime.

Unlock the full panel →

A few of the markers — free to read

These explainers are free: what each one measures, the optimal range rather than just the lab range, and what actually moves it.

Estradiol, Sensitive (LC/MS-MS)Total T [LC/MS] & Free T [Eq. Dialysis]SHBG (Sex Hormone-Binding Globulin)Complete Blood Count (CBC) w/ Differential

Frequently asked questions

What blood tests are in the TRT Monitoring panel?

9 markers: Total T [LC/MS] & Free T [Eq. Dialysis], Estradiol, Sensitive [LC/MS-MS], SHBG (Sex Hormone-Binding Globulin), Complete Blood Count (CBC) w/ Differential, PSA Total + Free + % Free, Comprehensive Metabolic Panel (CMP), Lipid Panel, ApoB (Apolipoprotein B), hs-CRP (C-Reactive Protein, High Sensitivity).

How much does the TRT Monitoring panel cost?

$220.50 before discount, $198.45 with code CAMERON applied automatically. Individual markers add a one-time $10 draw fee. Ordered through Marek Diagnostics and drawn at any Quest Diagnostics location in the US.

Do I need a doctor's order for these tests?

No. These are ordered direct-to-consumer through Marek Diagnostics — you order online, walk into a Quest location, and results are emailed to you in about two weeks. No physician visit or insurance required. Not available in NY, NJ or RI.

When should I get the TRT Monitoring panel drawn?

Trough — immediately before your next dose. Morning, fasted. Use identical timing every time or the trend is meaningless.

Important: This page is education only, not medical advice and not a diagnosis. A panel is a starting point for a conversation with a clinician, not a substitute for one. Reference ranges vary by laboratory and assay — always compare against the range printed on your own report.