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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.
1 Answer
Mednet Member
Mednet MemberInvited Expert
Primary Care · University of Iowa Hospitals and Clinics
Answered on

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 apn...

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