Considering TRT (testosterone replacement therapy)? Or already on it? Then here’s something every Ascend client needs to know:

Your results are only as good as your data.

TRT can be life-changing—but it’s not something you just “jump into.” Blood work is your blueprint. Whether you're exploring it for low energy, stalled muscle growth, mood changes, or hormonal imbalance, the foundation must be solid. Here's why testing before and during TRT is non-negotiable.

Step 1: Blood Work Before TRT—It’s Not Optional

Before you touch a needle or take a gel, your body needs to be understood. Comprehensive blood testing does more than just confirm “low T.”

Here’s what we’re really looking at:

• Total and Free Testosterone: Are levels actually low or just low-normal?

• Estrogen (E2): High or imbalanced estrogen can sabotage TRT and create unwanted symptoms.

• LH & FSH: These pituitary hormones tell us why testosterone might be low—testicular vs. pituitary issue.

• SHBG: Helps us understand how much testosterone is actually available to your body.

• Thyroid Panel: A sluggish thyroid can mimic low T symptoms—and worsen if ignored.

• Prolactin: Elevated levels can signal pituitary dysfunction or impact testosterone regulation.

• PSA (for men 40+): Baseline screening for prostate health, crucial before initiating TRT.

🔍 Why it matters: These markers help us rule out deeper issues (like thyroid dysfunction, pituitary problems, or lifestyle-driven suppression) before assuming TRT is the answer.

Step 2: Ongoing Monitoring—Because Hormones Don’t Stand Still

Once you start TRT, your body changes. And those changes need monitoring to keep you safe and progressing.

Key tests every 3–6 months:

• Testosterone (total + free): To ensure you're not under- or overdosed.

• Estradiol (E2): TRT can spike estrogen, causing mood swings, water retention, or gyno.

• Hematocrit & Hemoglobin: TRT thickens blood in some users, increasing clot risk if unchecked.

• Liver & Kidney Function: Especially if using oral options or stacking with supplements.

• Lipid Profile: TRT can affect HDL (good cholesterol), so tracking this is key for long-term health.

• PSA (if over 40): Ongoing prostate safety monitoring.

🧠 Remember: Hormones are powerful. Even if you feel “fine,” elevated markers can build silently in the background. Regular testing keeps you on track, optimised, and safe.

Our Take at Ascend

At Ascend Performance, we’re not here to judge your choices—we’re here to guide them. If you're exploring TRT, we want it to be data-backed, goal-aligned, and medically supervised.

We also work with trusted professionals and offer blood test preparation guides and follow-up systems to ensure you get accurate results every time.

Final Word

TRT isn’t a shortcut—it’s a medical intervention. And like any serious tool, it requires precision. Blood testing is that precision.

✅ Thinking about TRT?
✅ Already on it?
Let’s make sure your health stays the top priority.