Access of testosterone prescription data by U.S. government agencies

Nelson Vergel

Founder, ExcelMale.com
Most states allowed some form of access by law enforcement to testosterone prescription data through PDMPs (Table). Of the 50 states, 11 (22%) required law enforcement obtain a warrant, 14 (28%) required a subpoena, and 24 (48%) did not require a warrant or subpoena. Nearly every state (92%; 42/50) allowed the formation of cross-state data sharing agreements. Law enforcement was allowed to receive unsolicited reports from PDMPs in 28% (14/50) of states. For law enforcement to query a PDMP database, 46% (23/50) of states mandated law enforcement report the query contents. Among the 18 states with a ban on gender-affirming care for minors, 10 did not require a warrant or subpoena, 5 require a subpoena, and 3 require a warrant (Figure). Among the 32 states without a ban on gender-affirming care, 24 (75%) did not require law enforcement to obtain a warrant.

 

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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.

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Normal range: 300-1000 ng/dL

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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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