4 ms·

essentially yeah, an endocrinologist.

by 0des 4y ago

staticman2 4y ago
Am I missing something? Here's a quote from The Penis Book by Aaron Spitz, MD: "So what is a normal level? Good question. This has been the subject of a lot of debate amongst experts . Probably the best rule of thumb is if your total T is less than 200 nanograms per deciliter (ng/ dl) and you have signs or symptoms, then you are too low. Normal T ranges from 400 to 1,000 ng/ dl, and it will tend to be higher in young guys and lower in middle-aged men. This is not an absolute, and there are plenty of younger guys with T levels below 400 who are completely normal, so symptoms are key. The real fun comes when a guy’s level is between 200 and 400 ng/ dl— now what? Many experts feel that being above 300 ng/ dl is the real cutoff for normal, and as long as there are no symptoms, there’s usually no problem. On the other hand, we can do a deeper dive and check the free testosterone" You found a doctor who said 1200 was normal? Are we talking about the same measurement? I'm not a doctor but if we're talking about the same thing this makes me think you were treated by someone who is a recreational drug dealer who happens to have a medical degree.
- 0des 4y ago
  That level is a fairly safe target for healthy active young males that remain asymptomatic, and show low levels of aromatization potential. Proper labwork performed often is a must regardless of dosage. Adverse effects obviously would mean it has to be reduced, but usually if there will be any issues youll see it in cholesterol, and ancillary hormone responses first. High levels of activity can make it hard for certain esters to keep the levels stable if stable is what is desired. For some people longer release solutions are better, like testopel which is a pellet that goes in subq like a chip you put in a housecat's neck. Some prefer to taper over days, or even have smaller doses more often during the week. It's ultimately up to what the patient and doc arrive at that works best. Everyone is different, to an extent.
  - staticman2 4y ago
    We might be talking past each other, you claimed earlier " I've been told that medically below 1200 for a healthy and young male is low " What you've been told appears to be at odds with human biology. I provided a reference showing this, and you responded that 1200 is "safe". Which is neither here nor there. Perhaps it's safest to assume you misunderstood or misremembered what the doctor told you about what is low. Anything below 1200 is not low.
    - 0des 4y ago
      I respect your testimonial although it does not match what I've been told. Ultimately everyone's treatment plan will be different according to their needs and the recommendations of their endocrinologist. If you feel great, and your blood labs look great, then 200-300 is fine for you individually. Unfortunately, it's not a one size fits all solution with a lot of different opinions as far as what constitutes therapeutic dose vs supraphysiological. 1200 is what a young adult male would have, sometimes more in certain populations. If someone is sedentary and does not engage in high intensity activities, or is overweight, I could see them being prescribed a low dose because of the risk of adverse effects. Since you appear knowledgeable and passionate about the topic: In your medical practice, what dosages of which compounds are you commonly prescribing your patients to achieve what levels for TRT? Do you have experience with trans-males? If so, what levels are you trying to maintain with them specifically in your practice?
      - staticman2 4y ago
        1200 is not what a young adult male would have as far as I can tell. (very much "citation needed" ). I don't know what's going on here, if you are just talking about trans males I would never have responded the way I did, and you could have been clearer in your earlier posts. Or maybe you just brought that up as some sort of bad faith attempt to change the subject from the fact you are posting misinformation on human anatomy without citation? Given the sarcasm in your last paragraph that seems more likely.
        0des 4y ago

essentially yeah, an endocrinologist.

by 0des 4y ago

essentially yeah, an endocrinologist.

Am I missing something? Here's a quote from The Penis Book by Aaron Spitz, MD: "So what is a normal level? Good question. This has been the subject of a lot of debate amongst experts . Probably the best rule of thumb is if your total T is less than 200 nanograms per deciliter (ng/ dl) and you have signs or symptoms, then you are too low. Normal T ranges from 400 to 1,000 ng/ dl, and it will tend to be higher in young guys and lower in middle-aged men. This is not an absolute, and there are plenty of younger guys with T levels below 400 who are completely normal, so symptoms are key. The real fun comes when a guy’s level is between 200 and 400 ng/ dl— now what? Many experts feel that being above 300 ng/ dl is the real cutoff for normal, and as long as there are no symptoms, there’s usually no problem. On the other hand, we can do a deeper dive and check the free testosterone" You found a doctor who said 1200 was normal? Are we talking about the same measurement? I'm not a doctor but if we're talking about the same thing this makes me think you were treated by someone who is a recreational drug dealer who happens to have a medical degree.

0des 4y ago
That level is a fairly safe target for healthy active young males that remain asymptomatic, and show low levels of aromatization potential. Proper labwork performed often is a must regardless of dosage. Adverse effects obviously would mean it has to be reduced, but usually if there will be any issues youll see it in cholesterol, and ancillary hormone responses first. High levels of activity can make it hard for certain esters to keep the levels stable if stable is what is desired. For some people longer release solutions are better, like testopel which is a pellet that goes in subq like a chip you put in a housecat's neck. Some prefer to taper over days, or even have smaller doses more often during the week. It's ultimately up to what the patient and doc arrive at that works best. Everyone is different, to an extent.
- staticman2 4y ago
  We might be talking past each other, you claimed earlier " I've been told that medically below 1200 for a healthy and young male is low " What you've been told appears to be at odds with human biology. I provided a reference showing this, and you responded that 1200 is "safe". Which is neither here nor there. Perhaps it's safest to assume you misunderstood or misremembered what the doctor told you about what is low. Anything below 1200 is not low.
  - 0des 4y ago
    I respect your testimonial although it does not match what I've been told. Ultimately everyone's treatment plan will be different according to their needs and the recommendations of their endocrinologist. If you feel great, and your blood labs look great, then 200-300 is fine for you individually. Unfortunately, it's not a one size fits all solution with a lot of different opinions as far as what constitutes therapeutic dose vs supraphysiological. 1200 is what a young adult male would have, sometimes more in certain populations. If someone is sedentary and does not engage in high intensity activities, or is overweight, I could see them being prescribed a low dose because of the risk of adverse effects. Since you appear knowledgeable and passionate about the topic: In your medical practice, what dosages of which compounds are you commonly prescribing your patients to achieve what levels for TRT? Do you have experience with trans-males? If so, what levels are you trying to maintain with them specifically in your practice?
    - staticman2 4y ago
      1200 is not what a young adult male would have as far as I can tell. (very much "citation needed" ). I don't know what's going on here, if you are just talking about trans males I would never have responded the way I did, and you could have been clearer in your earlier posts. Or maybe you just brought that up as some sort of bad faith attempt to change the subject from the fact you are posting misinformation on human anatomy without citation? Given the sarcasm in your last paragraph that seems more likely.
      - 0des 4y ago