These levels may be key in helping to diagnose any underlying issues. Testosterone levels vary at different stages of life. Anyone who feels they have high T levels should contact a doctor. Those with low T who have testosterone therapy may find improvement in their symptoms. Pharmacies and various companies may sell at-home testosterone tests. There’s very little risk to getting a testosterone blood test. Blood tests are a very common and essential part of medical testing. The entire procedure (blood draw) for a testosterone test usually takes less than five minutes. Low levels may indicate a delay in sexual development. In this article, we’ll break down why saliva testing can give you a clearer, more precise picture of your hormonal health than blood tests. Our results also showed, for the first time, a diurnal variation in Sal-T concentrations in both males and females. Sal-T measured by LC-MS/MS correlated significantly with serum-T across the full adult range of concentrations in males as well as females. We applied an optimum collision energy of 26 eV and dwell value of 0.02 s for testosterone and the internal standard (IS). The UPLC-MS/MS consisted of Xevo-TQD detector with an atmospheric pressure ionization interface, Acquity UPLC H-Class system, and integrated solvent and sample manager (Waters Corporation, Milford, MA, USA). The Research Ethics Committee of King Faisal Specialist Hospital and Research Center (KFSHRC) approved the study. Testosterone, d3-testosterone, as well as ammonium acetate, acetonitrile, and methyl tert-butyl ether were purchased from Sigma-Aldrich MO, USA; IsoScience, PA, USA; and Fisher Scientific, NJ, USA, respectively. For optimal results, combine testosterone therapy with a balanced diet and a structured training program. Consult with a healthcare professional for regular check-ups and to manage any side effects effectively. Calculated free-T concentrations were derived from law of mass action equations (Vermuelen) using serum-T, SHBG and albumin concentrations (18). About 15 mL of venous blood was drawn from an antecubital vein to give 3 x 2.5mL aliquots of serum (in cryovials for storage at -80°C). All samples were identified by unique codes; no personal identifying information was available to laboratories. Saliva samples were immediately frozen to -20°C, thawed the following day, and then centrifuged at 1500 g for 15 minutes to precipitate mucopolysaccharides. Participants were asked to spit or drool directly into a 4 mL sealable polystyrene tube (Bibby Sterilin Ltd, Staffordshire, UK) and to provide at least 3 mL of saliva. T in saliva is thought to be closely related to the component of circulating T to which tissues androgen receptors are exposed. These results lay the foundation for further exploration of the clinical application of Sal- T as a reliable alternative to serum testosterone in the diagnosis and management of androgen disorders and assessment of androgen status in clinical research.