Testosterone Replacement Therapy Algorithm in the United States

Nelson Vergel

Founder, ExcelMale.com
These two algorithms are used by many doctors who take insurance do in the US. The only edit I would add is that free testosterone no longer has to be calculated since it can be done using liquid chromatography, so no need for SHGB. Cash-basis clinics have (in my opinion) T ranges of under 400 ng/dL with symptoms as a cut off. They also tend to perform a more comprehensive hormone panel at baseline and follow up.

There is no agreement on the best algorithm for TRT in the U.S. and abroad since insurance companies and social medicine systems many times follow their own guidelines.



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