TRT Protocol

Overview

TRT is not a one-size-fits-all treatment. The specific protocol — including medication type, dose, frequency, and supportive agents — is individualized based on your labs, symptoms, goals, and clinical response.

General Framework

1. Baseline Labs: Total testosterone, free testosterone, SHBG, LH, FSH, estradiol, CBC, metabolic panel, and PSA.
2. Provider Evaluation: Review of labs, symptoms, health history, and goals to determine candidacy and appropriate protocol.
3. Medication Selection: Typically testosterone cypionate or enanthate via injection. Topical options may also be considered.
4. Starting Dose: Conservative starting doses are typically used, with adjustments based on response and follow-up labs.
5. Supportive Agents: HCG, gonadorelin, or anastrozole may be added depending on your goals and lab results.
6. Follow-Up Labs: Labs are typically repeated at 6–8 weeks, then every 3–6 months once stable.

Provider Oversight & Candidacy

All treatment protocols at OakMD are supervised by licensed medical providers. Candidacy is determined on an individual basis following a thorough review of your health history, goals, and lab work where applicable.