lessthanhalf
GLP-1 Specialist

There is a lot of variation in what doctors will do with low or borderline testosterone results. I personally think it is kind of sexist, women are not refused hormone replacement therapy if symptomatic and menopausal, yet men with low test levels have to try to find a doctor who will be prepared to treat. In Australia you would not get prescribed testosterone most of the time if overweight with low test, the official advice is lose weight. I just think people are not comfortable with the idea of individuals having control of testosterone, it is just a weird cultural thing. To get it prescribed here I had to see an endocrinologist and was only treated due to being symptomatic, basically zero libido, and having high fsh/lh levels, if those levels were normal it would have been refused. In my case I noticed my testicles had actually shrunk, which I thought was pretty weird and why I got it checked out. The US is generally less strict.
Part of the reason is concerns about increasing risks of prostate cancer or heart disease, I think the evidence is fairly solid that at replacement levels heart disease is not increased but the research is not crystal clear and there are some studies showing increased risks, so if a doctor is being conservative or has not read the latest research, and most general doctors have not , which is reasonable, as there is more or less an infinite amount of research out there, they are going to avoid prescribing if they can. Just on first do no harm principles. The other reason for being careful is higher doses absolutely cause problems, no one on meso talks about the mental side effects of test but at higher doses problems with anger and aggression are real and common and depressed mood from sudden drops in level are common too.
So you either need to find a sympathetic doctor or a clinic that deals with test therapy or diy, I think being conservative on doses is a good idea, mainly as high doses do carry extra long term risks
Part of the reason is concerns about increasing risks of prostate cancer or heart disease, I think the evidence is fairly solid that at replacement levels heart disease is not increased but the research is not crystal clear and there are some studies showing increased risks, so if a doctor is being conservative or has not read the latest research, and most general doctors have not , which is reasonable, as there is more or less an infinite amount of research out there, they are going to avoid prescribing if they can. Just on first do no harm principles. The other reason for being careful is higher doses absolutely cause problems, no one on meso talks about the mental side effects of test but at higher doses problems with anger and aggression are real and common and depressed mood from sudden drops in level are common too.
So you either need to find a sympathetic doctor or a clinic that deals with test therapy or diy, I think being conservative on doses is a good idea, mainly as high doses do carry extra long term risks
