Every essential marker—measured, monitored, optimized for your peak performance.
CLAIM YOUR EDGEHigh Noon Hormones covers all core and optimization labs—no extra fees—so you focus on results, not paperwork. Continuous tracking catches complications early, enables data-driven dose tweaks, and adapts care as your body changes.
exceed safe thresholds within one year on TRT
Measures: All circulating testosterone (bound + free).
Why It Matters: Confirms deficiency (<300 ng/dL) and guides dosing to target (500–900 ng/dL).
Statistic: 38.7% of men ≥45 have Total T <300 ng/dL at baseline.
Current level: 650 ng/dL
Optimization Status: Optimal
Measures: Unbound, bioactive testosterone available to tissues.
Why It Matters: Total T can be normal even when Free T <50 pg/mL, causing lingering symptoms.
Measures: Hct (%) and Hgb (g/dL).
Why It Matters: TRT stimulates red cell production; Hct >54% (Hgb >18.5) raises clot risk. Nearly half of men on TRT exceed thresholds within one year.
Measures: AST/ALT, creatinine, electrolytes, glucose.
Why It Matters: Prevents unnoticed liver or kidney injury from high-dose TRT.
Measures: HDL, LDL, triglycerides.
Why It Matters: TRT may lower HDL by up to 10% and alter LDL/TG, impacting cardiovascular risk.
Measures: Circulating estrogen (pg/mL).
Why It Matters: E₂ >30 pg/mL causes gynecomastia and mood swings; E₂ <10 pg/mL impairs bone health and libido.
Measures: PSA level (ng/mL).
Why It Matters: TRT can accelerate prostate growth. PSA >4.0 (or >3.0 in high-risk men) warrants urology evaluation.
| Timepoint | Tests Included |
|---|---|
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Total T; Free T; CBC (Hct/Hgb); CMP; Lipid Panel; Estradiol; PSA |
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Total T; Free T |
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Total T; Free T; CBC; CMP; Lipid Panel; Estradiol; PSA; SHBG; LH; FSH; Thyroid Panel; Cortisol; DHEA-S |
How we intervene: Therapeutic phlebotomy, dose adjustment, or donation-based blood removal when Hct exceeds 52%.
How we intervene: Selective aromatase inhibitors to balance estradiol when levels exceed optimal range.
How we intervene: Dose and delivery method adjustments to minimize liver and kidney stress.
How we intervene: Urological referral for PSA velocity >0.75 ng/mL/year or absolute level >4.0 ng/mL.
How we intervene: hCG co-therapy to maintain testicular function and spermatogenesis during TRT.
How we intervene: Balanced estradiol optimization prevents bone density loss and metabolic dysfunction.
All core and optimization labs are included—no hidden fees. Your data drives your dose, ensuring safe, effective, and personalized TRT.
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