How TRT Is Medically Prescribed: Labs, Diagnosis, and Safety Protocols

Testosterone Replacement Therapy (TRT) can dramatically improve energy, mood, body composition, and quality of life—but only when it is prescribed and monitored correctly. Unfortunately, many men are exposed to unsafe “testosterone clinics” and online hormone sellers that skip the most important part of treatment: medical evaluation.

At Core Aesthetic, TRT begins with science, not shortcuts.

Baseline Labs Are Required

Before anyone can be considered for TRT, a full set of baseline labs must be performed. Testosterone is only one piece of the picture. We evaluate:

• Total testosterone
  

• Free (bioavailable) testosterone
  

• Sex hormone binding globulin (SHBG)
  

• Estradiol (estrogen)
  

• Complete blood count
  

• Lipids, liver function, and metabolic markers
  

• PSA and other age-appropriate screening
  

These labs tell us not just whether testosterone is low, but whether TRT would be safe for your heart, blood, and prostate health.

Diagnosis Is Based on Data — Not Vibes

Feeling tired or unmotivated does not automatically mean you need testosterone. True hypogonadism is diagnosed only when both symptoms and lab values confirm deficiency. A man with normal levels does not benefit from TRT—and can actually be harmed by it.

Medicine is about matching numbers to symptoms, not chasing trends.

Ongoing Monitoring Is Non-Negotiable

Once TRT begins, monitoring becomes even more important. Testosterone changes red blood cell production, cholesterol, estrogen balance, and cardiovascular risk. At Core Aesthetic, follow-up labs are typically checked every 8–12 weeks during dose adjustment and several times per year thereafter.

This allows your provider to:

• Adjust dosing
  

• Prevent blood thickening
  

• Control estrogen
  

• Protect long-term health
  

TRT is not “set it and forget it.” It is an ongoing medical relationship.

Why Shortcuts Are Dangerous

Online clinics and underground hormone sources often skip labs, prescribe one-size-fits-all doses, and never follow up. This can lead to heart strain, blood clots, infertility, hormone crashes, and permanent suppression of your body’s natural production.

Shortcuts create problems. Medicine prevents them.

The Core Aesthetic Difference

At Core Aesthetic, TRT is physician-directed, lab-driven, and safety-first. We do not chase high numbers, we restore healthy balance.

Start with a proper TRT consultation and lab work at Core Aesthetic to determine if treatment is right for you.