Practical Checklists

Quick reference checklists for TRT.

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Before Starting TRT

• [ ] At least 2 morning testosterone tests (7-10 AM)
• [ ] Confirmed low free testosterone (calculated from Total T + SHBG)
• [ ] Symptoms that align with low testosterone
• [ ] Ruled out reversible causes (sleep apnea, obesity, medications)
• [ ] Baseline labs: Total T, SHBG, LH, FSH, Estradiol (sensitive), CBC, metabolic panel, lipids, PSA (if >40)
• [ ] Considered fertility implications
• [ ] Understood it's a lifelong commitment
• [ ] Found a knowledgeable provider

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First 3 Months

Weeks 1-4:

• [ ] Started protocol, learned injection technique
• [ ] Tracking symptoms (energy, mood, libido, sleep)
• [ ] Monitoring blood pressure at home

Week 6-8:

• [ ] First follow-up blood work (Total T, Estradiol, CBC)
• [ ] Reviewed results, adjusted dose if needed

Month 3:

• [ ] Second follow-up labs
• [ ] Assess overall response
• [ ] Plan for ongoing monitoring (every 3-6 months once stable)

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Red Flags - Contact Your Doctor

• Hematocrit >54%
• Blood pressure consistently >140/90
• Chest pain or shortness of breath
• Leg pain or swelling
• Severe mood changes
• No improvement after 3+ months

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Quick Reference Ranges

Marker	Target	Concern
Free Testosterone	15-25 ng/dL	<10 ng/dL
Hematocrit	42-50%	>52%
Estradiol (sensitive)	20-40 pg/mL	<20 pg/mL
Blood Pressure	<130/80	>140/90

Free testosterone is the primary metric - total testosterone depends entirely on SHBG.

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Injection Supplies

• [ ] Testosterone (cypionate/enanthate)
• [ ] Syringes/needles (insulin syringes for SubQ)
• [ ] Alcohol swabs
• [ ] Sharps container

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Next up: Finding a Good Doctor - How to find a knowledgeable provider and what to look for.