would say it is something that happens with some of our competitors. We get many men who transfer to us only to have us take them off of excess medication that, to be perfectly blunt, they didn't need and are just stupid.

While I won't name the companies, some telemedicine companies are started by businessmen with a focus on profit. They tend to get people on as many meds as they can and upcharge for each one. Others, like ours, are started by people who have a passion for TRT. Our goal is to make men the best version of themselves, not extort them. To that end, we have a set margin we aim to make per patient but never per medication. A good example: We offer hair care cream to our patients which works great for any DHT related issue or in general. It costs us directly from the pharmacy $150 for 3 months. We ask that they pay us only that ($50 a month). With this philosophy, we won't over prescribe things to people.

One thing to note though, even if some companies use the "focus on Sx & not numbers" statement with a negative intent to treat people who don't need it, that's still the 100% right way to do it. Every man is different, and if you feel terrible while your T is 200 higher than another guy that doesn't mean you still don't feel terrible & you shouldn't be helped.

Additional edit to add more context:

That phrase is a good way to describe “relative hypogonadism” (T levels that may be in the normal range, but are lower than they used to be, causing symptoms). The main thing to watch out for when fearful of some of those unsavory clinics are ones that are treating men in their 20s without doing a more thorough evaluation, and just prescribing without labs. Low T almost becomes expected as you age, but when it occurs in young patients, something else is typically going on and should be evaluated as well.