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When would you treat mild anemia from low testosterone in an older male?

Would you consider testosterone therapy if he is otherwise asymptomatic?
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Would you treat mild anemia associated with low T with TRT?

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2 Answers
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Hematology · Medical University of South Carolina
Answered on

The primary indication for testosterone treatment is symptomatic hypogonadism and not anemia. Given the risk for adverse events in terms of erythrocytosis, cardiovascular events, and potential prostate diseases, the risk of providing testosterone for asymptomatic, mild anemia outweighs its benefits,...

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Medical Oncology · Virginia Mason Medical Center
Answered on

I have often checked free and total testosterone in this context to provide an etiology or explanation for a hypo-proliferative normocytic anemia, but agree that for an otherwise asymptomatic man, would not pursue testosterone replacement therapy to treat mild anemia. If, however, there is a reason ...

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