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Primary Care • General Primary Care
What is your approach to patients who insist on testosterone replacement therapy despite normal testosterone levels on repeated labs?
Prompted by nonspecific symptoms that could be related to low testosterone or many other conditions (i.e., fatigue, poor sleep) especially with all the media attention TRT receives.
Answer from: at Academic Institution
I explain that with a normal testosterone level there is no indication for testosterone replacement. Hormone replacement is always about evaluating risks and benefits. With a normal testosterone level the risks outweigh the benefit. I offer to evaluate causes for patient’s symptoms such as sleep a...
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