Basic labs on patients who have not had basic lab work done in the past three months. CBC, CMP, TSH, A1C, Lipid Panel. [TSH will not be duplicated if basic +HRT labs are drawn together.]
Schedule next visit after lab work results have returned.
Initiation of therapy with Nurse Practitioner
Discuss identified symptoms on assessment form
Discuss lab results
Give client plan of therapy
Educate client on goals and expectations
Send hormone therapy prescription to pharmacy (amount for one month only)
Appointment made for 1 month
Follow-up appointment #1
Client fills out another symptom form
Results of therapy are discussed
Plan is discussed
Testosterone and DHEA levels (and others if indicated) drawn for men
Prescription sent for 1 month therapy for women
1 month prescription sent for male clients after results of lab values are received.
Appointment made for 1 month later.
Lab work repeated every three months or when lab values or symptoms are unstable
Repeat appointments performed every 3 months after initiating 3 month prescription therapy.
