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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Target T levels & Defy
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<blockquote data-quote="Jason Sypolt" data-source="post: 168404" data-attributes="member: 13328"><p>We don't aim for targets at Defy. That sets everyone up for failure.</p><p></p><p>I'll explain: Each patient's treatment protocol is tailored to both how you feel (subjective) and what your biomarkers look like in lab results (objective) and also as a result of listening to you in your consults. That's why we schedule for 45 minutes (the very first consult is sometimes longer) - so that you can talk about anything that you want/need. All of that time has specifically been blocked off for you alone. Use every minute to your advantage. I like to write down questions and topics as I think of them in between consults so that I have a list.</p><p></p><p>There are some thresholds that are based on many years of experience. An example of that would be patients generally feel better with a Free T at 20 or more. Doesn't apply to everyone and it's a guideline, but it's pretty common. And you could say there are a few upper limit thresholds that we consider for safety and side effects such as hemoglobin, hematocrit, PSA - but those are not automatically going to deny you treatment. They are established again based on experience that generally speaking when something falls outside of a threshold then something is wrong and patients and providers both need to be particularly mindful of your complete health situation. That is what we are working for. To get you healthy and feeling great.</p><p></p><p>There are also some factors that make upper limits completely impractical when you think about it, and that's why we don't do that. What if your SHBG is low because you used anabolics in the past or you have insulin resistance? You probably don't even know or think that you could have IR, but the reality today is that you would likely be wrong in assuming that. You could have a Free T over 50 because of that and still feel terrible. I have been there myself. It's high, but it's just 1 number. That's where treating you subjectively, objectively, and proper lab testing comes into play.</p><p></p><p>We do more testing and test more often than most clinics (usually twice a year), and some people don't care for that. But there is good reason: we use that information to treat you as a whole person and not within a narrow tunnel of a couple of sex hormones. You would not make it very far safely driving in traffic only looking through a pair of binoculars. You couldn't see everything that is going on around you. So don't do that to your health. No person ever has only a single health problem. If it were that simple than this forum would never have existed. The testing has identified problems that were caught early enough to save some patients' lives. It's important.</p></blockquote><p></p>
[QUOTE="Jason Sypolt, post: 168404, member: 13328"] We don't aim for targets at Defy. That sets everyone up for failure. I'll explain: Each patient's treatment protocol is tailored to both how you feel (subjective) and what your biomarkers look like in lab results (objective) and also as a result of listening to you in your consults. That's why we schedule for 45 minutes (the very first consult is sometimes longer) - so that you can talk about anything that you want/need. All of that time has specifically been blocked off for you alone. Use every minute to your advantage. I like to write down questions and topics as I think of them in between consults so that I have a list. There are some thresholds that are based on many years of experience. An example of that would be patients generally feel better with a Free T at 20 or more. Doesn't apply to everyone and it's a guideline, but it's pretty common. And you could say there are a few upper limit thresholds that we consider for safety and side effects such as hemoglobin, hematocrit, PSA - but those are not automatically going to deny you treatment. They are established again based on experience that generally speaking when something falls outside of a threshold then something is wrong and patients and providers both need to be particularly mindful of your complete health situation. That is what we are working for. To get you healthy and feeling great. There are also some factors that make upper limits completely impractical when you think about it, and that's why we don't do that. What if your SHBG is low because you used anabolics in the past or you have insulin resistance? You probably don't even know or think that you could have IR, but the reality today is that you would likely be wrong in assuming that. You could have a Free T over 50 because of that and still feel terrible. I have been there myself. It's high, but it's just 1 number. That's where treating you subjectively, objectively, and proper lab testing comes into play. We do more testing and test more often than most clinics (usually twice a year), and some people don't care for that. But there is good reason: we use that information to treat you as a whole person and not within a narrow tunnel of a couple of sex hormones. You would not make it very far safely driving in traffic only looking through a pair of binoculars. You couldn't see everything that is going on around you. So don't do that to your health. No person ever has only a single health problem. If it were that simple than this forum would never have existed. The testing has identified problems that were caught early enough to save some patients' lives. It's important. [/QUOTE]
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