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Most Fresno patients are paying for supervision, prescription medications, labs, and coaching, not just a single shot or pill
& Xu, F
Monitoring Requirements Combining these therapies requires careful lab monitoring, including: Total and free testosterone levels Estradiol (to ensure proper aromatase balance) Complete blood count (TRT can increase hematocrit) Metabolic panel (fasting glucose, HbA1c, lipids) PSA (prostate-specific antigen) Liver and kidney function Thyroid function Labs should be checked at baseline, at 6-8 weeks after initiation, and then every 3-6 months during ongoing treatment
Most are administered via injection into the abdomen
10.1016/S0140-673601478-2 Lancet
Risk: Associated with type III hyperlipoproteinemia and premature CVD when homozygous (E2/E2)
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