Men On The Cusp Who Don't Need Testosterone Yet
Channel: BioBalance Healthcast
Date: 12/11/2017

Read more at www.biobalancehealth.com

When men develop the symptoms of Testosterone Deficiency, don’t they all need testosterone replacement?  The answer is, sometimes.

When I evaluate the history and lab work of a prospective male patient, I take into account many factors before I accept them as a patient.  None of these are hard and fast “rules”, however my diagnostic “brain” turns them into a final decision about whether they are candidates to have testosterone replacement. This in s a more difficult decision for men than it is for women because men make testosterone from puberty until the day they die and women stop making testosterone after menopause.

Why is this an issue?  When any doctor gives testosterone of any strength to a man, that man’s own production is wiped out.  This is also true for women except women are usually symptomatic when their T is doomed to extinction, and their own production can’t be stimulated, so this decision is easier.  With men, I have to decide whether he has the potential for making a higher dose of his own by providing stimulating  hormones similar to FSH and LH, or by suppressing a competing hormone production like estrone.  

This takes experience and complete knowledge of the interactions of hormones for a doctor to make this decision.  I have successfully stimulated T production men under the age of 50 for years when I believe it is indicated.  I can always punt and replace them with T Pellets if they no longer can ramp up their production, but that is my fall back plan.