question from a user
AlphaMD's Answer
The gold standard for TRT should be looking at a patient's overall symptoms & onset durations first, these are the most important as individual hormone levels & how they make someone feel are wildly different between men and there is no correct range that applies to all men. That said, if they have many low Testosterone symptoms, have had them for awhile, and in discussion it doesn't seem to be "I like to sleep 2 hours a night & start drinking at 10AM" - You still always want to at least test Total Testosterone to get a ballpark for the most direct conversion taking Testosterone will impact. Other values matter as well, but all are trickledown from that, and you use it to approximate dosing. If they came back higher than expected, then you may want to check a few other things, but it is far more common to have symptoms & then be found low.
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