|
Testosterone
|
|
|
Impression
• • •
|
Baseline
|
|
Total Testosterone
|
PSA
|
|
Continue with dose of testosterone
|
Additional comments
|
|
Dose given today
|
Site administered
|
|
Lot Number
|
Expiration
|
|
Patient is day of
/
|
Additional comments
|
|
Full panel due on or after
|
Additional comments
|
|
TT/cFT/E due on or after
|
Additional comments
|
|
Vitamin Therapy Injection Given
• • •
|
Site administered
|
|
Lot Number
|
Expiration
|
|
Plan
|
|
|
|
|
|
Labs were taken on
|
Total Testosterone
|
|
cFT
|
Estradiol
|
|
AUA due
|
|
|
Sermorelin
|
|
|
Patient was given sermorelin for
• • •
|
Additional comments
|
|
Dosage given
|
Additional comments:
|
|
HCG
|
|
|
Plan
|
|
|
Phentermine
|
|
|
Plan
|
|
|
Naltrexone
|
|
|
Plan
|
|
|
ED Medication
|
|
|
Plan
|
|
