Trt replacement therapy

I think this approach is fine. I must say having been doing this for years, treating hundreds and thousands of men I have been underwhelmed with the results with topicals. Injections can cause peaks and valley and I have many younger men inject twice a week that smooths out the peaks and valleys. I think it is appropriate to follow the advice of your primary doctor and endocrinologist. I have just seen too many men spend months or years with gels with sub optimal results. Many men are diagnosed with depression and are not really depressed (I have no idea if this applies to you), but the presumed depression is base dupon low T.
My recommendation would be to pursue this but if a few months pass and results are modest consider another approach. Pellets are one approach to have smooth levels of T and are placed every 4 months.

Other significant adverse effects of testosterone supplementation include acceleration of pre-existing prostate cancer growth in individuals who have undergone androgen deprivation; increased hematocrit , which can require venipuncture in order to treat; and, exacerbation of sleep apnea . [24] Adverse effects may also include minor side-effects such as acne and oily skin, as well as, significant hair loss and/or thinning of the hair, which may be prevented with 5-alpha reductase inhibitors ordinarily used for the treatment of benign prostatic hyperplasia , such as finasteride . [25] Exogenous testosterone may also cause suppression of spermatogenesis , leading to, in some cases, infertility. [26] It is recommended that physicians screen for prostate cancer with a digital rectal exam and prostate-specific antigen (PSA) level before starting therapy, and monitor PSA and hematocrit levels closely during therapy. [27]

“My family doctor basically told me that I had to live with my Low T problem which was not something I wanted to hear. He told me this for 2 years and in fact it made me so mad that I am no longer his patient. I decided to get checked at TCT. After a thorough evaluation, including checking my blood, they told me that Low T was not something that I had to live with and in fact, they have helped with my other medical problems. They are treating my blood pressure, cholesterol and erection problems as well. I’m in my late forties and finally feel like I have been “tuned-up”. I feel better than I have in years which allows me to focus less on me and more on the things I find important. Thank you to everyone who helped get me where I am, including my ex-doctor. Keep up the good work TCT!” — Todd J.

Again, a great question for your doctor!! Discuss this with them.  One very good option is always simply not to do it.  You are the best one to weigh the pros and cons that your doctor lays out for you and decide what is the right decision for you.  One thing that people often fail to realize is that the normal range for testosterone is that – a NORMAL RANGE.  That means that readings anywhere in that range are NORMAL.  If you are on the “low side of normal” – that is NORMAL.  Another thing to realize is that doctors to not treat test results, they treat symptoms.  Just because your testosterone comes in at 200 does not necessarily mean you need TRT!  See also the below question.

Trt replacement therapy

trt replacement therapy

Again, a great question for your doctor!! Discuss this with them.  One very good option is always simply not to do it.  You are the best one to weigh the pros and cons that your doctor lays out for you and decide what is the right decision for you.  One thing that people often fail to realize is that the normal range for testosterone is that – a NORMAL RANGE.  That means that readings anywhere in that range are NORMAL.  If you are on the “low side of normal” – that is NORMAL.  Another thing to realize is that doctors to not treat test results, they treat symptoms.  Just because your testosterone comes in at 200 does not necessarily mean you need TRT!  See also the below question.

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