question from a user
How do you look at "dialing in" doses and other aspects of a protocol for somebody who is generally responding to TRT well? The only clear restrictions on testosterone dosage seem to be not too low to have obvious low-testosterone symptoms and not so high as to have blood issues. But that seems to create a large range of possible dosage, where the patient's subjective experience seems to be the only thing that could guide the process.
AlphaMD's Answer
In medical school, they often say "Treat the patient, not the numbers." In my experience, in no other field of medicine is this more true than in treating hypogonadism. The most important aspect when treating hypogonadism is resolution of symptoms. Whether that means your testosterone level is 450 or 1500.
Our philosophy at Alpha MD is "if it isn't broke, don't fix it". By that, I mean if you feel good, why change the dose? So yes, you are right, with the normal range of testosterone being so wide, treatment regimens should always be guided by "the patient's subjective experience".
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