Testosterone, Free
The biologically active fraction of testosterone, most useful when SHBG is skewing the total.
Consider this test if:
- Low libido, fatigue, low mood, or loss of muscle mass with a borderline total testosterone
- Obesity, diabetes, thyroid or liver disease, or another condition that alters SHBG
- Hirsutism, acne, irregular cycles, or suspected PCOS in women
- Confirming a hypogonadism workup when total testosterone alone is ambiguous
- Monitoring androgen status on testosterone therapy or anti-androgen treatment
- HSA/FSA eligible
- Typical results in 2-4 days · Reviewed by a real clinician
- Drawn at a CLIA/CAP-accredited lab near you ·
Pre-test considerations
Draw in the morning, ideally before 10 am, when testosterone peaks. Fasting is generally recommended, since recent meals can affect the result. Note any testosterone, steroid, or anticonvulsant use, as these shift both testosterone and SHBG. A low or borderline result is usually confirmed with a repeat fasting morning draw before any conclusion.
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What this test is for
Free testosterone is the small portion (roughly 2 to 4 percent) of testosterone that is unbound and biologically active, while most testosterone circulates bound to SHBG and albumin. It is typically derived from measured total testosterone, SHBG, and albumin, and it becomes more informative than total testosterone alone when SHBG is altered by obesity, diabetes, thyroid disease, liver disease, aging, or certain medications. In men, low free testosterone is investigated alongside symptoms of hypogonadism such as low libido, fatigue, reduced muscle mass, erectile difficulty, and low mood; in women, high free testosterone is a sensitive marker for hyperandrogenism, hirsutism, acne, and PCOS.
This is the free fraction; the separate Total Testosterone test is the standard morning screening number, and Bioavailable Testosterone adds the loosely albumin-bound portion. Free testosterone is the form to add when total sits near the lower limit or when a condition is shifting SHBG.
- Specimen
- Serum or plasma
- Measures
- Mass concentration
What you'll learn
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Insights that connect the dots. A clinician reads your whole picture, not one result in isolation, connecting family history, past results, and lifestyle into clear next steps.
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Your personalized action plan. Nutrition, supplements, and training in one clinician-reviewed protocol, updated as your results change.
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Track your trends. Upload results from any lab and see each biomarker trend over time, so you know what is working.
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Never miss a recheck. Mito tells you what is worth retesting and when, then reminds you so nothing slips.
What to expect
- 1 Book instantly
Click, book, done. Choose a convenient lab location near you. Transparent, up-front pricing.
- 2 Quick lab visit
Testing to fit your busy schedule, usually 15 minutes or less. Walk-in and appointments available.
- 3 Typical results in 2-4 days
Your results post straight to your dashboard as soon as the lab completes them.
- 4 Expert guidance
Included with Mito membership. A clinician reviews your results and your personalized action plan follows, with clear next steps.
Everything your health needs,
in one membership
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Every test at our cost
Members pay our cost on every test, with lab fees passed straight through. The full receipt is itemized, never padded.
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Continuous tracking, all in one place
Upload past labs and watch your trends over time. Every marker and visit lives in one longitudinal record, so all your care stays together.
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Year-round clinician support
Text anytime and get clinician-reviewed answers. When you want to go deeper, 1:1 consultations are available at affordable rates.
All for $9/month
Order any test or consult without joining. For $9/month, members unlock member prices, trend tracking, and year-round clinician guidance.
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$9 /mo
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Without membership
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Frequently asked questions
View all FAQsHow does pricing work?
Every test shows the member price next to the standard non-member price, so you can see what membership saves you. The member price is our cost, covering the lab and what it takes to run the service. It is never a profit on the test itself. Mito makes its money on the $9 membership, not on marking up your tests. Membership is $9 per month, and any applicable lab order or draw fee is itemized before you pay.
Where do I get tested?
Choose an available partner lab at checkout. If your cart contains multiple blood tests, Mito helps consolidate the eligible tests at one lab when possible. At-home kits and scans follow the collection or appointment process shown on their product page.
Is this eligible for HSA/FSA?
Yes. Eligible tests can be paid for with an HSA or FSA card at checkout.
When will I get my results?
Your results appear in your Mito dashboard after the laboratory completes processing. A clinician then reviews them before your analysis and personalized action plan are finalized. Timing varies by test, and specialty assays and at-home kits may take longer.
Do I need a physician's order?
No. Mito provides the laboratory order when one is required, so you do not need to arrange a separate physician visit before purchasing.
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