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Quite frankly I am inclining to guess he is working by experience and my symptoms as a starting point. I have been dealing with low test symptoms for approximately two years. Even though the total T test I mentioned before seemed to be all right for my age according to my previous doctor, the symptoms and signs were also quite notable. When I change doctors I had been dealing with low hemoglobin and hematocrit for almost two years. I am not in the business of criticizing a professional but the truth is blood works indicating problems with anemia were just been piling up in my medical record, no cause or treatment provided. Thus the reason I change doctors. This doctor took care of my problem right away, send me for a load of diagnostics tests and started treating my anemia which, as of today has been cleared. I tend to trust his judgement for now. I am guessing he will start me on a low dose and adjust after the first blood work (the goal is for 1100 ng/dl Tot-T or close to that mark). Again, I have to read the med label first and sit with him if the initial dosage makes me uncomfortable.