We do require bloodwork, most TRT companies will since Testosterone is a controlled substance & it's good to have this info on file even if someone is very symptomatic.

However, the interesting thing about hypogonadism is that there's no one level that directly indicates someone is hypogonadal. We view this as a syndrome, meaning decisions around treatment are determined more by symptoms than levels.

We have had patients come to us above 500 who had symptoms of hypogonadism and benefited from treatment, who have been turned away by other doctors for being too high but clearly suffering. This is an extension of health insurance trying to avoid paying for treatments that aren't life threatening at any cost.

That being said, and given that each patient is unique, we don't shoot for any specific Testosterone levels in a patient's treatment. Our goal is to treat their symptoms as each patient needs. It can actually be harmful to treat patients to a standard goal when each person is so unique - as you increase the likelihood of giving a patient potential side effects going over the dose that would best suit them, or limiting their dose (even if it's low) because their personal levels are high.

Like any businesses goal, in marketing, it's to get people to buy your product, and men really love being able to look at a number and a hard rule. That's why you see Testosterone numbers referenced so much in advertisements. We would advise to not get swept up too much chasing numbers rather than searching for what makes you feel like your best self.