Men's Health · 3 min read
TRT Side Effects and Why Monitoring Matters
TRT done right is safe. TRT done blind is dangerous. The difference is bloodwork.
What we monitor
Quarterly: total and free testosterone, estradiol (E2), hematocrit (red blood cell volume), lipid panel, PSA (over 40).
Common adjustments
If estradiol climbs too high → consider anastrozole. If hematocrit climbs → blood donation or dose reduction. If T isn't moving → frequency or dose adjustment.
Risks of un-monitored TRT
Elevated hematocrit → cardiovascular risk. Aromatized estrogen → bloating, mood, libido issues. Suppressed fertility without an adjunct plan.
The BestRx approach
Bloodwork before prescribing, quarterly labs included, dose adjusted based on YOUR labs — not a generic protocol.
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