It’s difficult to say, but yes, I think some simply do not want to take what they perceive to be a risk. Everyone bases their decision making on what they have been taught and their own individual clinical experience. Also, they base clinical decision making in part on what they read, which may include items like the DEA memorandum I posted.
Generally, it’s older doctors that seem to have an anti testosterone bias. I have even seen patients (dx with prostate cancer) treated very differently by doctors within the same group. Interestingly, I know a few TRT/HRT doctors who will not give testosterone to a man under 40.
As for his statement that testosterone is not worth it until you’re about 50, I do not understand why he thinks increasing testosterone with a drug that essentially screws with your brain chemistry is worth it, but increasing testosterone by giving you the real thing is not.