oMeds
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Answer · hormone optimization

Am I a candidate for testosterone optimization (TRT)?

Short answer

Candidacy requires confirmed low testosterone on two morning draws with matching symptoms and no disqualifying conditions (active prostate or breast cancer, untreated severe sleep apnea, uncontrolled erythrocytosis, active fertility goal without enclomiphene alternative). A provider review confirms candidacy.

Reviewed by Dr. Laura PurdyJune 3, 2026

Full answer

TRT candidacy is established through the assessment, the full baseline biomarker panel, and a synchronous video review with a licensed provider. Candidacy requires symptomatic deficiency with confirmed low total and free testosterone on two morning draws, an acceptable cardiovascular and hematologic baseline, and no disqualifying conditions: active prostate or breast cancer, untreated severe obstructive sleep apnea, uncontrolled erythrocytosis, active fertility goal (Enclomiphene is reviewed instead), and selected cardiovascular contexts. The provider integrates symptoms, biomarkers, history, and goals before initiating.

Educational. Not a substitute for individualized provider review.

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