At Elysian, we check intiai labs prior to consultation, then again approximately 7 weeks after starting HRT to ensure adquate dosing and to plan for any changes in doses, if needed. After intial dosing, we will recheck levels with any dosing changes, every 6 months, and then annually. Dosing can be affected by stress, activity level, weight gain or loss, and other factors, so we want to monitor to ensure correct dosing and optimal hormone levels for our patients.