The contents of this package are your first step to restore your vitality.

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Please take your time to read this carefully and answer all the questions as completely as possible.

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Thank you for your interest in BIoTE Medical. In order to determine if you are a candidate for bio-identical testosterone pellets, we need laboratory and your history forms. We will evaluate your information prior to your consultation to determine if BIoTE Medical can help you live a healthier life. 

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Please complete the following tasks before your appointment:

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2 weeks or more before your scheduled consultation: Get your blood labs drawn at any Quest Diagnostics or LabCorp. If you are not insured or have a high deductible, call our office for self-pay blood draws. We request the tests listed below. It is your responsibility to find out if your insurance company will cover the cost, and which lab to go to. 

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Please note that it can take up to two weeks for your lab results  to be received by our office.

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YOUR BLOOD WORK PANEL MUST INCLUDE THE FOLLOWING TESTS:

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____________Estradiol

____________FSH

____________Testosterone Total

____________TSH

____________T4, Total

____________T3, Free

____________T.P.O. Thyroid Peroxidase

____________CBC

____________Complete Metabolic Panel

____________Vitamin D, 25-Hydroxy (Optional)

____________Vitamin B12 (Optional)

____________LipI’d Panel (Optional) (Must be a fasting blood draw to be accurate)

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Female Post Insertion Labs Needed at 4,6 or 8 Weeks based on your practitioners choice:

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___________FSH

___________Testosterone Total

___________CBC

___________Lipid Panel (Optional) (Must be a fasting blood draw to be accurate)

___________TSH, T4 Total, Free T3, TPO (Needed only if you’ve been prescribed thyroid medication)

___________Estradiol