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<h1>Blood Tests</h1>
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<h2>Blood tests (transfem)</h2> <br>
<h4> Last updated March 2022 </a>
</h4>
<h6>Most important: Aim for testosterone levels <50ng/dL and estradiol levels >100pg/mL</h6>
<h6>Estradiol monotherapy</h6>
<p>
Critical every time: E2, T<br>
Useful if you can get them once in a while: SHBG, albumin, PRL, FBC, DHT
</p>
<h6>Estradiol + cyproterone acetate</h6>
<p>
Critical every time: E2, T, PRL<br>
Useful if you can get them once in a while: B12, LFT, SHBG, albumin, FBC, DHT
</p>
<h6>Estradiol + bicalutamide</h6>
<p>
Critical every time: E2, T, LFT (=AST, ALT)<br>
Useful if you can get them once in a while: SHBG, albumin, PRL, FBC, DHT
</p>
<h6>Estradiol + GnRH agonist</h6>
<p>
Critical every time: E2, T<br>
Useful if you can get them once in a while: Fasting glucose or A1C, SHBG, albumin, PRL, FBC, DHT
</p>
<h6>Estradiol + spironolactone</h6>
<p>
Critical every time: E2, T, U&E<br>
Useful if you can get them once in a while: SHBG, albumin, PRL, FBC, DHT
<br><br>
Raloxifene + CPA/Bica<br>
Critical every time: E2, T, PRL, AST, ALT<br>
Useful if you can get them once in a while: BAP or ALP, vitamin D, T4, TSH, SHBG, albumin, FBC
<br><br>
Raloxifene + GnRH agonist<br>
Critical every time: E2, T<br>
Useful if you can get them once in a while: BAP or ALP, vitamin D, fasting glucose or A1C, SHBG, albumin,
PRL,
FBC, DHT, T4, TSH
<br><br>
AMAB pre-HRT baseline<br>
From most to least useful: PSA if aged >40, FBC, T, E2, PRL, fasting glucose or A1C, T4, TSH
<br><br>
Hair loss despite HRT<br>
From most to least useful: T, E2, FBC, T4, TSH, ferritin, vitamin B12, folate, HIV 1 & 2 antibodies, DHT,
cortisol, fasting glucose or A1C
<br><br>
</p>
<li>Stop taking all vitamin supplements at least 3 days before your test</li>
<li>Health conditions or meds may necessitate extra tests - ask us</li>
<li>I generally prefer bloods taken at trough, i.e. right before you'd normally take your next dose</li>
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