01/09/2026
Providers and insurance want 2 separate 7:00am tests, which is when testosterone levels are highest. Men don’t live their lives at 7:00am. I’ve seen levels drop dramatically by early afternoon. Too much emphasis on total T levels and not enough understanding of s*x hormone binding globulin, free and bioavailable levels. Not to mention, SYMPTOMS. Estradiol levels are important as well. Finally, subclinical or compensated hypogonadism presents with symptoms of low testosterone, despite normal serum testosterone, frequently due to elevated LH or high S*x Hormone-Binding Globulin (SHBG.) However, physicians only tend to look at total T and ignore symptoms. As a result, we have a generation of men who go out and self-treat with black market testosterone, inappropriately. So we have a big problem on the horizon with all these men who were turned away to treat themselves.
Low testosterone is about health, not just strength. It can be a sign of issues like diabetes, metabolic problems, or depression. That makes a testosterone test more than routine bloodwork. It’s a simple window into a man’s overall health.