The British Society for Sexual Medicine Guidelines on Male Adult Testosterone Deficiency, With Statements for Practice (2023) Geoffrey Hackett, Michael Kirby, Rowland W. Rees, T. Hugh Jones, Asif Muneer, Mark Livingston, Nick Ossei-Gerning, Janine David, Jeff Foster, Philip A. Kalra, Sudarshan Ramachandran
Testosterone deficiency (TD) is an increasingly common problem with significant health implications, but its diagnosis and management can be challenging. A multi-disciplinary panel from BSSM reviewed the available literature on TD and provide evidence-based statements for...
* over the past 4 decades he has become a global leader in the biology of androgens, sarcopenia and aging related functional decline, his research has shaped clinical guidelines, its informed public health policy particularly around testosterone therapy, anabolic interventions and then the development of function promoting therapies
Pay attention to 25:40-34:36 of the presentation where he explains the importance of measuring free testosterone using a standardized Equilibrium Dialysis method!
The BWH-CDC Collaboration to Generate harmonized Reference Ranges for Testosterone under Auspices of End Society (2009-2017)
Distribution of CDC-standardized circulating total testosterone measurements among healthy men of age 19-39 years, N =1656
* these are the statically based references ranges derived from this rigorously collected sample using harmonized LC/MS-MS assay benchmarked to a higher order calibrator. So these values are robust. They are commutable to a definable reference preparation and they are immutable.
Intercohort Variation Was Reduced by Assay Harmonization
Risk of Sexual and Physical Symptoms and Diabetes in FHS, EMAS and MrOS in Men with Low Testosterone Levels