Diagnosis before prescription
Two morning tests, one clear answer
Testosterone peaks in the early morning and varies from day to day. That’s why low T is confirmed with two blood draws on separate mornings, at a lab near you in Michigan, before treatment is considered.
Test 1Early morning drawBefore 10 a.m., ideally after a normal night’s sleep
Test 2A different morningRepeats the check so one off day doesn’t decide your care
Low~300 ng/dLTypical
Symptoms count too. A low number alone isn’t enough, and neither are symptoms without a low number.
Your first year of check-ins
Blood work every three months keeps your dose right and catches side effects such as a rising red blood cell count early.
- StartTwo morning testosterone tests, blood count, PSA when indicated, and LH to look for a cause
- Month 3Testosterone level on treatment and hematocrit; first dose adjustment if needed
- Month 6Levels, hematocrit and blood pressure; review of symptoms and side effects
- Month 9Levels and blood count; dose stays the same if you're in range and feeling well
- Month 12Yearly review, including PSA when indicated, and a plan for the year ahead
Prescribing testosterone in Michigan
Testosterone is a Schedule III controlled substance, so both federal and Michigan rules shape how it is prescribed. Federal telemedicine flexibilities let clinicians prescribe it without a prior in-person visit through December 31, 2026.
- Clinicians treating you are licensed for patients in Michigan and follow its controlled-substance rules.
- Federal law allows no more than five refills within six months of each prescription.
- If rules change, or your situation calls for it, the care team tells you whether a live video or in-person visit is needed.
- You can verify a clinician's license with the Michigan Board of Medicine.
