lessthanhalf
Explorer
Doctors handle low or borderline testosterone in wildly different ways. My own take is that this smells a bit sexist: a menopausal woman with symptoms isn't told no when she asks for hormone replacement, but a man whose test levels are low has to hunt for a doctor willing to actually treat him. Where I live, in Australia, being overweight alongside low test usually means no prescription at all — the official line is to drop weight first. I suspect the real issue is that people get uneasy about individuals steering their own testosterone; it's a strange cultural hangup. Over here, getting a script required an endocrinologist visit, and treatment was only approved because I had symptoms — essentially no libido — plus elevated fsh/lh. Had those numbers come back normal, the answer would have been no. In my own situation, I'd noticed my testicles had shrunk, which struck me as odd and was the reason I went to get checked. The US tends to be more relaxed about it.
Concerns about prostate cancer or heart disease risk are part of why this caution exists. At replacement doses, I believe the evidence is reasonably strong that heart disease risk doesn't rise, but the research isn't crystal clear, and some studies do point to increased risks. So a doctor who plays it safe, or who hasn't kept up with the newest research — and most general practitioners haven't, which is understandable given the near-infinite volume of research out there — will dodge prescribing whenever possible. It comes down to first do no harm. The other piece is that higher doses definitely cause trouble. Nobody on meso discusses the mental side effects of test, yet at higher doses anger and aggression problems are real and frequent, and depressed mood from sudden level drops is frequent too.
So your options are finding a doctor who's sympathetic, a clinic that specializes in test therapy, or going diy. Staying conservative with doses strikes me as wise, chiefly because high doses bring extra long-term risks.
Concerns about prostate cancer or heart disease risk are part of why this caution exists. At replacement doses, I believe the evidence is reasonably strong that heart disease risk doesn't rise, but the research isn't crystal clear, and some studies do point to increased risks. So a doctor who plays it safe, or who hasn't kept up with the newest research — and most general practitioners haven't, which is understandable given the near-infinite volume of research out there — will dodge prescribing whenever possible. It comes down to first do no harm. The other piece is that higher doses definitely cause trouble. Nobody on meso discusses the mental side effects of test, yet at higher doses anger and aggression problems are real and frequent, and depressed mood from sudden level drops is frequent too.
So your options are finding a doctor who's sympathetic, a clinic that specializes in test therapy, or going diy. Staying conservative with doses strikes me as wise, chiefly because high doses bring extra long-term risks.