Was on TRT, new Dr and wont give me TRT; Advice needed

Problem now, is my Dr suddenly left and moved me to another Endo. He made me retest, I’m @ 297 with a standard of 240-950. He said I do not need it and wont give it to me. "
It's obvious your doctor doesn't read the endocrinology guidelines which states men under 300 ng/dL are qualified for TRT, your doctor is confused with "lab ranges" and those ranges deemed low T by the endocrine society.

It's even states that men above 345 ng/dL can be considered for TRT using good clinical judgement, but it seems we can't even get doctors to follow guidelines.

Next time you want to have a baby, stay the hell away from you managed healthcare doctor and seek private assistance.

Get a new doctor, no guarantees he won't be as clueless.

Evolution of Guidelines for Testosterone Replacement Therapy
Besides the variation in T assays, the cutoff value for low testosterone is different between studies and societies. The Endocrine Society and the AUA recommend using a TT level below 300 ng/dL with repeated measurements of morning TT as a reasonable cutoff in support of the diagnosis of low testosterone, preferably using the same laboratory with the same method/instrumentation for measurements. The ISSAM and the ISSM use the cutoff value of TT <12 nmol/L or 350 ng/dL; they widened the indication of TRT to TT <350 ng/dL or 12 nmol in 2008 however in 2015 they suggested that TRT may be reasonably offered to symptomatic patients with TT concentration higher that 345 ng/dL based on clinical judgement.
 
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It's obvious your doctor doesn't read the endocrinology guidelines which states men under 300 ng/dL are qualified for TRT, your doctor is confused with "lab ranges" and those ranges deemed low T by the endocrine society.

It's even states that men above 345 ng/dL can be considered for TRT using good clinical judgement, but it seems we can't even get doctors to follow guidelines.

Next time you want to have a baby, stay the hell away from you managed healthcare doctor and seek private assistance.

Get a new doctor, no guarantees he won't be as clueless.
Thank you man. I’m gonna keep looking and most likely contact Defy
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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