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I would say more like 100-150mg/week is way more common for trt and many can attain high-normal levels using these doses.

A small percentage may need 200mg/week but is is rare and most men running 200 mg/week will be well over the top end of the physiological range and that is even at trough.

No one is saying it is unhealthy it is just not needed to attain healthy levels and once you get into higher doses the only real benefit is gains in muscle/strength as mid-normal to high-normal physiological testosterone levels (total t/free t)  along with healthy e2 are all that is needed in order to relieve/improve low t symptoms.

If one feels they need to have testosterone levels well over the top end of the physiological range to experience relief/improvements from low t than  they need to look else where as I would say they have dysfunctional thyroid/adrenals or other underlying health issues.

Sure to each his own and everyone should do what they feel is best for themselves but those high levels are not needed to benefit from trt.