We do not have a maximum level for treatment. Some patients require a higher dosage for symptom relief, and there is no toxic or unsafe threshold of total testosterone in the body.

For this reason, the FDA has not created an upper limit for dosages of testosterone, and there is no set treatment protocol or max dose.

We do have the rare patient who may need 300mg/wk. In those patients, we do more frequent follow-up and lab tests to more closely monitor their health.

We start off planning to do the easiest testing first, meaning Total Testosterone. This test is ordered after (and included in the cost of) the initial consultation. This is because the $49 price point is the competitive range people are willing to pay when starting with a digital TRT practice based on our experience.

That said, if someone has an interest in deeper science for their own sake at the start we will expand the testing. If we hear they have E2 issues previously, we may add in more at cost. Up to Testosterone (free & total), PSA, SHBG, Estradiol, LH for about another $50.

We tend to save more in-depth testing for when someone is having side effects and something isn't quite making sense around weeks 7 or 8. I'd say this happens around 5% of the time as we work with starting ranges that are very low on side effect chance.

After that, its dependent on dose for frequency and conditions for scope. The average no side effect gentleman may end up with very little additional testing needed.