Case Study: Is a Second Morning Sample of Total Testosterone Level Necessary for Diagnosis?

Written by: LowT Center Clinical Team

Medically reviewed by: Michael Seay, MSN, APRN, FNP-BC

Posted: Jan 1, 2017

Updated: Jan 8, 2020

Because of fluctuations of serum testosterone levels, some professional associations (and thus insurance companies) have dictated a second morning sample is necessary to verify a low testosterone diagnosis. Low T Center believes that if the first sample is below a particular threshold, a second sample is not warranted. After analyzing samples from 249 patients in a pilot study, Low T Center concludes a second sample leads to unnecessary cost and phlebotomies for patients within the low threshold.

Download the case study to learn more.

Medically reviewed by:
Micheal Seay, MSN, APRN, FNP-BC
Michael Seay, MSN, APRN, FNP-BC
Michael Seay is a Board-Certified Family Nurse Practitioner (FNP-BC) with over 16 years of clinical experience in emergency medicine, urgent care, gastroenterology, geriatric care, and hormone optimization therapy for men and women. He holds a Master of Science in Nursing from Walden University and a Bachelor of Science in Nursing from Platt College School of Nursing. He is certified in hormone pellet placement and weight loss therapies, with a clinical focus on individualized, patient-centered care.

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Disclaimer: This article is made available for general, entertainment and educational purposes only. The opinions expressed herein do not necessarily reflect those of Low T Center. You should always seek the advice of a licensed healthcare professional.