{"id":631,"date":"2023-09-22T16:32:39","date_gmt":"2023-09-22T16:32:39","guid":{"rendered":"https:\/\/diyhrt.info\/?page_id=631"},"modified":"2024-11-07T02:15:46","modified_gmt":"2024-11-07T02:15:46","slug":"blood-testing","status":"publish","type":"page","link":"https:\/\/diyhrt.info\/blood-testing\/","title":{"rendered":"Blood testing"},"content":{"rendered":"
\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500<\/p>\n
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$50-$150 per test, depending on source<\/strong><\/p>\n Regular blood testing every ~3 months or so is useful, but not absolutely mandatory<\/b>\u00b9<\/strong>, especially if not particularly affordable or feasible. Here are some sources of private blood testing\u00b2 if you cannot access blood testing through the medical system:<\/p>\n (USA): https:\/\/www.privatemdlabs.com\/<\/a> International sources for blood testing are unfortunately rare. You can try to find local private blood testing services or ask a doctor if they can provide you with the appropriate blood lab requisition forms. Get your estradiol (E2) and total testosterone (T) tested every time.<\/b> Get your blood taken as close as possible to your next scheduled injection\/dose (Test your blood as far away as possible from a previous dose, right before your next scheduled dose. Preferably the day of your shot, or the day before). Trough levels most useful for injection monotherapy;<\/b> for determining if your testosterone is adequately suppressed at the lowest point of your injection cycle.<\/p>\n \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500<\/p>\n $50-$150 per test, depending on source<\/strong><\/p>\n Regular blood testing every ~3 months or so is useful, but not absolutely mandatory<\/b>\u00b9<\/strong>, especially if not particularly affordable or feasible. Here are some sources of private blood testing\u00b2 if you cannot access blood testing through the medical system:<\/p>\n (USA): https:\/\/www.privatemdlabs.com\/<\/a> International sources for blood testing are unfortunately rare. You can try to find local private blood testing services or ask a doctor if they can provide you with the appropriate blood lab requisition forms. Get your estradiol (E2) and total testosterone (T) tested every time.<\/b> Get your blood taken as close as possible to your next scheduled injection\/dose (Test your blood as far away as possible from a previous dose, right before your next scheduled dose. Preferably the day of your shot, or the day before). What should my total testosterone (T) reading be?<\/b> What should my estradiol (E2) reading be?<\/b> \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500<\/p>\n \u00b9 However, I strongly recommend regular blood tests (every 3 months) to get liver function tests (ALT\/AST) if you are taking bicalutamide, due to the extremely low but still present risk of severe liver toxicity. You can stop these tests after about a year or so (if your liver enzymes are normal on bica after a year you’re fine).<\/p>\n \u00b2 Most private blood testing lets you print off a requisition form, which you can bring to a local blood lab to get your blood drawn. You don’t have to mail anything in or take your blood at home.<\/p>\n \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500<\/p>\n
\n(USA): https:\/\/labsmd.com\/<\/a>
\n(USA): https:\/\/www.walkinlab.com\/<\/a>
\n(UK): https:\/\/www.medichecks.com\/products\/female-hormone-check-blood-test\/<\/a>
\n(UK, Ireland): https:\/\/www.medichecks.com\/ <\/a>
\n(UK): https:\/\/randoxhealth.com\/ <\/a>
\n(Canada): https:\/\/bloodtestscanada.com\/ <\/a>
\n(Sweden): https:\/\/werlabs.se\/<\/a>
\n(NL): https:\/\/www.bloedwaardentest.nl\/<\/a>
\n(NZ): https:\/\/www.pathlab.co.nz\/patient-requested\/<\/a><\/p>\n
\nUnfortunately, depending on your circumstances, you may be unable to find a way to get blood tests.<\/i><\/p>\n
\nYour blood levels of estradiol and testosterone when taken at this time are called \u2018trough levels\u2019<\/b>, because they are the levels of E2 and T that are present in your body at the lowest point in your HRT dosing regimen.<\/p>\nThe most essential component of transfeminine HRT is to get total testosterone (T) below 50ng\/dL and estradiol (E2) above 100pg\/mL<\/h6>\n
Blood testing (transmasculine):<\/strong><\/h2>\n
\n(USA): https:\/\/labsmd.com\/<\/a>
\n(USA): https:\/\/www.walkinlab.com\/<\/a>
\n(UK, Ireland): https:\/\/www.medichecks.com\/ <\/a>
\n(UK): https:\/\/www.medichecks.com\/products\/ultimate-performance-blood-test<\/a>
\n(Canada): https:\/\/bloodtestscanada.com\/ <\/a>
\n(Sweden): https:\/\/werlabs.se\/<\/a>
\n(NL): https:\/\/www.bloedwaardentest.nl\/<\/a>
\n(NZ): https:\/\/www.pathlab.co.nz\/patient-requested\/<\/a><\/p>\n
\nUnfortunately, depending on your circumstances, you may be unable to find a way to get blood tests.<\/i><\/p>\n
\nYour blood levels of estradiol and testosterone when taken at this time are called \u2018trough levels\u2019<\/b>, because they are the levels of E2 and T that are present in your body at the lowest point in your HRT dosing regimen.<\/p>\n
\nThe Endocrine Society\u2019s 2017 clinical guidelines for transgender HRT recommend that trans men maintain \u201ctestosterone levels in the physiologic normal male range\u201d, a range which is typically given as 300\u20131000 ng\/dL.<\/b> Slightly higher or lower testosterone levels above or below this range are not something to worry about unless your estradiol levels are also too high.<\/p>\n
\nThe typical range for adult males is 10 \u2013 50 pg\/ml<\/b> although this varies due to age and individual factors. Try to aim within this range, although slightly higher levels are not something to worry about. Try to keep your estradiol under 70pg\/mL
\nOccasional testing of Complete Blood Count (CBC), Liver Function Tests (LFT)\/Liver enzymes, Clotting factors test, and Lipid profile test (cholesterol, triglycerides) can be useful to monitor certain health risks associated with testosterone therapy.<\/p>\n\ud83d\udce2 Footnotes:<\/strong><\/h2>\n