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<blockquote data-quote="Vtail" data-source="post: 171983" data-attributes="member: 38279"><p>I've been struggling to understand the treatment protocols of TRT clinics, and I'm talking about the responsible, knowledgeable doctors like yourself. If someone comes to you with TT at 1000, you will deny TRT treatment (as I assume you should). However if someone comes to you with TT at 200, you will treat (all things being equal). Then as treatment progresses the aim is to get the TT levels to the top of the reference range at trough shooting for FT at about 2% of TT. At this point the patient is likely supraphysiological for much of the time, especially if it's a 1x or 2x per week schedule. From my limited understanding, the peak could be ~1500 (+/-). Is there no concern about someone being so far above the reference range? Or is it at this point symptom driven with little regard to the peak blood levels?</p></blockquote><p></p>
[QUOTE="Vtail, post: 171983, member: 38279"] I've been struggling to understand the treatment protocols of TRT clinics, and I'm talking about the responsible, knowledgeable doctors like yourself. If someone comes to you with TT at 1000, you will deny TRT treatment (as I assume you should). However if someone comes to you with TT at 200, you will treat (all things being equal). Then as treatment progresses the aim is to get the TT levels to the top of the reference range at trough shooting for FT at about 2% of TT. At this point the patient is likely supraphysiological for much of the time, especially if it's a 1x or 2x per week schedule. From my limited understanding, the peak could be ~1500 (+/-). Is there no concern about someone being so far above the reference range? Or is it at this point symptom driven with little regard to the peak blood levels? [/QUOTE]
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