'Doctors Should Prescribe TRT Only for Sexual Dysfunction'

[derrickb]

LOL, I saw that commercial and thought the same thing!

[systemlord]

The standards are lower these days. I remember the commercials that freezes fat and redistributes it, how about get off your butt and go to the gym!

[dragon1952]

I hear ya. People these days want everything handed to them on a silver platter.

[rwr410]

It’s also considered sexist, inconsiderate and offensive now to show a slim sexy body as either desirable or attainable.

[cutback4197]

It also saves them from “these results aren’t typical” message when someone loses like 100lbs. Im also assuming nutrisystem and the nerworks do not want complaints for fat shaming

[luidox33]

This had me in tears laughing so hard. Apparently the man died of excessive hormones in the 500 range LOL

https://www.google.com/amp/s/www.fatherly.com/health-science/testosterone-low-testosterone-and-the-mens-health-crisis/amp/

[systemlord]

@luidox33

This had me in tears laughing so hard. Apparently the man died of excessive hormones in the 500 range LOL

This is what happens when you don’t get properly elevated, if the medical condition causing the low-T isn’t addressed (heart failure) and is severe enough that TRT will worsen your condition, it’s not TRT’s fault, the doctor is responsible.

A lot of the TRT Clinics aren’t staffed by competent MD doctors and the testing is minimal. It’s obvious corners are being cut so these clinics can draw in more customers. The profit margins of these clinics is insanely high.

[derrickb]

Testosterone levels have to be below 300 nanograms per deciliter to qualify as low. Lester’s were well in the 500 range when he was pronounced dead, according to court documents.

Well DUH, he was on TRT. His levels were normal because that is what he was being treated for.

Like many testosterone consumers, he currently drives several hours to a compounding pharmacy to obtain an off-brand testosterone gel at a compounding pharmacy, per his doctor’s recommendation. Over the past seven years of taking it, his levels have increased to 300 ng/dL, but has only noticed modest improvements to his mood and energy, and credits increased bone density to taking calcium and vitamin D supplements rather than testosterone. He hopes to eventually cease treatments and the long expensive drives to obtain his testosterone gel but is not sure if he made the right choice.

WTF? I get my testosterone at Walgreen’s just down the street and and my insurance pays for it. And why would a doctor be keeping him at 300 ng/dL? No wonder he hasn’t seen any improvement. His doctor is incompetent.

[systemlord]

@derrickb

His levels were normal because that is what he was being treated for.

We assume his levels were normal, no mention of Free T testing or any measurements of SHBG.

[unreal24278]

@derrickb

And why would a doctor be keeping him at 300 ng/dL?

You’ll probably find this in Australia too… I recall getting my test checked and the ref range (this was before I developed hypogonadism) was 4-20nmol… As a youngster my test levels were high, they progressively dropped after the age of 14 til they reached the all time lowest test of (officially) the low 200’s but privately 100 and something (ng/dl)… I was about 14nmol during this test (so around 400?), parents said nothing was wrong (one is a medical professional) as the “reference range” was 4-20nmol (meaning like 570 is the cut-off lol)… wouldn’t be surprised if many endo’s here keep their patients at below 400-350…

[derrickb]

@systemlord

We assume his levels were normal, no mention of Free T testing or any measurements of SHBG.

True but they were trying to make it sound like the fact that the guy was 500 ng/dL meant that he should never have been prescribed TRT in the first place and clearly that is not what is indicated there. All we can tell is that he was given enough exogenous testosterone as part of his therapy to put his total test at 500 ng/dL. Nothing more, nothing less.

[derrickb]

@unreal24278

… wouldn’t be surprised if many endo’s here keep their patients at below 400-350…

Seems crazy. I was at 303 ng/dL when I sought help from my doc due to the symptoms. In fact I first went to see the doc due to the symptoms a year earlier and the test came back at 370 ng/dL and he didn’t recommend it then. Things had gotten a little worse by the following year so I tested again and he was ok to start my treatment at 303 ng/dL. He aims for 500-600 ng/dL which I think is reasonable if conservative.

[unreal24278]

Is conservative given he’s treating numbers rather than symptomatology

[derrickb]

My doc was reasonable about the symptoms. I use the gel and he first put me on 50mg/day. After the first month I tested at 515ng/dL and felt I still wasn’t quite right. I asked him to try upping the dose to 100mg/day but he suggested we try 75mg/day first which I did and everything seems fine now. So conservative in that he has an idea in his mind of where he’d like to see T levels but he’s not against raising the dose if that is indicated. I’m sure there are some docs who would be happy to prescribe whatever dose I asked for regardless of symptoms.

[highpull]

It seems the author did not bother to look at the other side of the story. In today’s world, you have to wonder if the media have an agenda. Interesting times.

Masculinity Is Not Toxic, but It Might Be Diseased

https://www.fatherly.com/love-money/finances/erectile-dysfunction-economic-impact/

[so_low_bro]

This author is not qualified to objectively write on these topics. Ask her about how hard her erections are and you’ll see what I mean.

[highpull]

I think she has an agenda. Anti men.

[so_low_bro]

Without question. She’s solidly New York “elite.” She’s fit and doesn’t have purple hair, so it’s purely political, not mental illness or emotional problems.

[luidox33]

Question for you guys. My doctor won’t prescribe HGH. I’m reading that if you take doses of melatonin every night you can get the same relative natural benefits of HGH? Is there any truth to this in anyone’s opinion here?

[luidox33]

Oh that’s wonderful news. I’m going to have to get me some melatonin