Skip to main content
How it works

From first message to first dose, your physician leads the way.

No AI gatekeepers. No drive-thru prescriptions. Every clinical decision is made by a state-licensed physician based on your labs and your history. Here's what that looks like, step by step.

21+ available nationwide Endocrine Society 2018 protocols AUA 2018 protocols HIPAA-compliant
The path

Four steps. No shortcuts.

From eligibility to ongoing monitoring, the same licensed physician sees you through. The whole process — first contact to first dose — typically takes 7–14 days.

1
Eligibility check

A short, private screen confirms you're a U.S. resident, 21 or older, and a likely candidate. We ask about symptoms, medical history, contraindications, and your goals around fertility.

~3 minutes
2
Comprehensive labs

We send a requisition to a Quest or Labcorp Patient Service Center near you. One comprehensive morning fasting draw — the full hormone, metabolic, and prostate panel — reviewed alongside your clinical history.

3–5 days
3
Physician video visit

A 30-minute video consult with a state-licensed physician — not a sales call. We review your labs and history, discuss benefits and risks (including fertility and the TRAVERSE cardiovascular data), and decide together whether treatment is right for you.

30 minutes
4
Treatment & monitoring

If you're a candidate, we e-prescribe to a licensed compounding pharmacy that ships to your home. Follow-up labs at 3 and 6 months, then every 6–12 months, keep care safe and dialed in.

Ongoing
What the workup actually looks like

This is the panel we run. And how your physician reads it.

No screenshots from another clinic. Below is an anonymized example of the lab panel an Aurafil patient receives — and the physician's interpretation that turns numbers into a treatment decision.

Comprehensive hormone panel

Patient #A472 · 38M

Collected 06:42 fasting Quest lab
  • Total Testosterone 312ng/dL 264 – 916
  • Free Testosterone 6.4pg/mL 8.7 – 25.1
  • SHBG 58nmol/L 10 – 50
  • LH 4.2mIU/mL 1.7 – 8.6
  • FSH 3.1mIU/mL 1.5 – 12.4
  • Estradiol (sensitive) 22pg/mL 8 – 35
  • Hemoglobin / Hematocrit 15.1/ 44.8% 13.5 – 17.5
  • PSA 0.7ng/mL < 2.5 (age-adj.)
  • Lipid panel LDL 118HDL 41 LDL < 100 · HDL > 40
  • CMP / Liver / Kidney WNL Within normal limits
Specimen A472 · 06.42 · fasting Aurafil · reviewed

Example panel for illustration. Reference ranges follow Endocrine Society 2018 / AUA 2018 guidance. Actual numbers, interpretation, and treatment decisions vary per patient and are made only after a video visit with your state‑licensed physician.

The complete workup

Every panel we order. Every reason we order it.

A "low T" reading in isolation isn't a diagnosis. We run the full HPG-axis panel plus the safety labs you need before starting therapy.

Hormones

Gonadal axis

  • Total testosterone ×2 morning fasting
  • Free testosterone bioavailable fraction
  • SHBG binds testosterone in serum
  • LH & FSH pituitary signaling
  • Sensitive estradiol aromatase activity
  • Prolactin, TSH rule out pituitary / thyroid
Safety

Baseline & ongoing

  • CBC with hematocrit erythrocytosis risk
  • Comprehensive metabolic panel liver & kidney
  • Lipid panel CV risk monitoring
  • HbA1c insulin sensitivity
  • PSA age-appropriate prostate screen
  • Ferritin & vitamin D recovery markers
Why we insist

Morning fasting, full panel

Testosterone follows a circadian rhythm and peaks in the early morning. We require your draw be fasting, between 7 and 10 AM, and include the full diagnostic panel — not just a single T value.

Why it matters: a single afternoon reading regularly mis-labels healthy men as hypogonadal — and healthy men as fine when they're not. The full panel plus your clinical picture is how the diagnosis is actually made.

If labs say "no"

About a third of men aren't candidates.

If that's you, we'll explain why — and discuss alternatives. Sleep, body composition, alcohol, medication side effects, and undiagnosed sleep apnea all suppress testosterone. We'll point you to the right workup, not write a prescription you don't need.

Timeline

From check to first dose, week by week.

Most patients are evaluated, diagnosed (or ruled out), and — if appropriate — started on therapy within two weeks. Here's what each week looks like.

  1. Day 0

    You start the eligibility check.

    Three minutes. No card on file. We confirm you're a U.S. resident, 21+, and a likely candidate. You get a lab requisition emailed the same day.

  2. Days 1–7

    Morning fasting draw.

    You walk into a Quest or Labcorp Patient Service Center near you — no appointment required for most. One morning, fasting, between 7 and 10 AM. Results return to us within 3–5 business days.

  3. Days 7–10

    Physician interpretation.

    Your state-licensed physician reviews the panel against the clinical picture you submitted. You get a 30-minute video visit on the calendar. No upsells, no "concierge" tier.

  4. Days 10–14

    Treatment, or honest answer.

    If you're a candidate, we e-prescribe to a licensed compounding pharmacy that ships discreetly to your home. If you're not, we tell you why and what to do instead.

  5. Months 3 & 6

    Follow-up labs & dose tuning.

    Repeat panel checks safety (hematocrit, PSA, lipids) and treatment response (free T, estradiol). Dose adjustments only when the labs and how you feel agree.

Ready to find out?

The first step is a 3-minute eligibility check.

No card on file. No commitment. If you're a candidate, we'll send your lab requisition the same day.