Systemlord
Member
It's obvious your doctor doesn't read the endocrinology guidelines which states men under 300 ng/dL are qualified for TRT, your doctor is confused with "lab ranges" and those ranges deemed low T by the endocrine society.Problem now, is my Dr suddenly left and moved me to another Endo. He made me retest, I’m @ 297 with a standard of 240-950. He said I do not need it and wont give it to me. "
It's even states that men above 345 ng/dL can be considered for TRT using good clinical judgement, but it seems we can't even get doctors to follow guidelines.
Next time you want to have a baby, stay the hell away from you managed healthcare doctor and seek private assistance.
Get a new doctor, no guarantees he won't be as clueless.
Evolution of Guidelines for Testosterone Replacement Therapy
Besides the variation in T assays, the cutoff value for low testosterone is different between studies and societies. The Endocrine Society and the AUA recommend using a TT level below 300 ng/dL with repeated measurements of morning TT as a reasonable cutoff in support of the diagnosis of low testosterone, preferably using the same laboratory with the same method/instrumentation for measurements. The ISSAM and the ISSM use the cutoff value of TT <12 nmol/L or 350 ng/dL; they widened the indication of TRT to TT <350 ng/dL or 12 nmol in 2008 however in 2015 they suggested that TRT may be reasonably offered to symptomatic patients with TT concentration higher that 345 ng/dL based on clinical judgement.
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