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HarryMTieboutMD
Hi all- I couldn't find a thread on this anywhere, so I'd figure I would ask
I'm currently a psychiatry resident, and I have had several patients inquire about testosterone replacement/optimization, normal levels notwithstanding. This seems to be sort of fad-sh (but based on epidemiological evidence that avg male testosterone levels are decreasing) with a sort of "alt-right" (not trying to be partisan- just seems that goals are aligned in this respect from what I've read) hypermasculine feel. These online services and clinics appear to be popping up a lot
I never order testosterone levels (unless I'm expecting steroid mania/psychosis but we rarely see that), and when patients bring this up to me I generally direct them to discuss this with their PCPs while noting that as far as I'm aware this hasn't been rigorously studied, which then leads into the doctor-favorite discussion "but I read on whatever site..."
I'm guessing a lot of you all (esp in private practice) get asked this- it doesn't look like there's any actual evidence for this, so I'm just wondering how you communicate in an authoritative, non derisive manner...
Thanks!
I'm currently a psychiatry resident, and I have had several patients inquire about testosterone replacement/optimization, normal levels notwithstanding. This seems to be sort of fad-sh (but based on epidemiological evidence that avg male testosterone levels are decreasing) with a sort of "alt-right" (not trying to be partisan- just seems that goals are aligned in this respect from what I've read) hypermasculine feel. These online services and clinics appear to be popping up a lot
I never order testosterone levels (unless I'm expecting steroid mania/psychosis but we rarely see that), and when patients bring this up to me I generally direct them to discuss this with their PCPs while noting that as far as I'm aware this hasn't been rigorously studied, which then leads into the doctor-favorite discussion "but I read on whatever site..."
I'm guessing a lot of you all (esp in private practice) get asked this- it doesn't look like there's any actual evidence for this, so I'm just wondering how you communicate in an authoritative, non derisive manner...
Thanks!