My testosterone is high — what should I do?
Confirm with a repeat morning total and free testosterone, SHBG, estradiol, hematocrit, and LH/FSH. Elevated values with exogenous-pattern labs prompt a candidacy review. Persistent endogenous elevation with low LH requires a workup beyond optimization.
Full answer
An elevated testosterone reading is first reconfirmed on a morning draw with total testosterone, free testosterone, SHBG, estradiol, hematocrit, and LH/FSH. Exogenous-pattern findings (high T, suppressed LH/FSH) point to current or prior anabolic exposure and route to provider-reviewed normalization. Endogenous elevation with intact LH is uncommon and warrants evaluation for androgen-producing pathology — this is outside the optimization pathway and is referred. Hematocrit and estradiol guide acute risk. The oMeds assessment surfaces these patterns before any pathway initiation.
Educational. Not a substitute for individualized provider review.
- Methodology — Primary source · oMeds
- Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-06-03