TRT Diary guide
TRT Baseline Checklist: What to Record Before Starting
A TRT baseline is the snapshot you take before treatment changes anything. It gives you and your clinician something concrete to compare against later.
TRT baseline checklist
- Main symptoms and when they started.
- Sleep quality, mood, libido, energy, focus, training recovery, and sexual function.
- Blood pressure, pulse, weight, waist, and optional progress photos.
- Current medications, supplements, alcohol use, nicotine use, and major health history.
- Recent lab work, including testosterone results and CBC markers when available.
- Fertility plans, prostate history, cardiovascular history, and questions for your clinician.
Free template
TRT baseline checklist XLSX
A pre-treatment checklist for symptoms, vitals, labs, history, fertility goals, and questions to review with a clinician. Styled XLSX opens in Excel, Numbers, and Google Sheets. CSV is still available.
What a baseline should answer
A good baseline helps answer a simple question later: what actually changed after TRT began? Without that starting point, it can be hard to separate real progress from day-to-day noise.
Record both how you feel and what can be measured. Symptoms matter, but so do blood pressure readings, body measurements, lab results, and the timeline of appointments.
Bring context, not conclusions
Your baseline should help your clinician understand the pattern. It should not be used to self-diagnose, start therapy without medical care, or change prescribed treatment on your own.
If you already have lab results, store the report date, result values, reference ranges, and any clinician comments so they can be reviewed together.
Baseline entry template
| Field | What to record |
|---|---|
| Symptoms | Energy, mood, libido, erections, sleep, focus, and recovery. |
| Vitals | Blood pressure, pulse, weight, and waist. |
| Labs | Testosterone tests, CBC, lipids, CMP, PSA if relevant, and report date. |
| History | Medications, supplements, fertility goals, prostate history, and cardiovascular history. |
| Questions | What to ask your doctor before making treatment decisions. |
FAQs
When should I make a TRT baseline entry?
Make a baseline entry before starting TRT or before any major treatment change, then update it when new labs or appointment notes are available.
Do I need baseline blood pressure before TRT?
Blood pressure is useful to track and discuss with your clinician, especially because testosterone products can affect blood pressure in some people.
Should I include photos in my baseline?
Photos are optional. Some people use them to track body composition changes, but symptom notes and clinical data are usually more important for medical visits.