Diagnostic Considerations For Low T and TRT
Determining whether or not you have Low T is actually quite simple. 1. We take a fasting blood sample and check what your total testosterone blood level is whether it is high or low. 2. We take a medical history and if we have one or more signs or symptoms of Low T, the greater the sense of making this diagnosis. 3. The more single indicators of Low T, and the more combinations of signs and symptoms (indicators of Low T), the greater the likelihood of Low T. Hence, diagnosis is not made with blood results alone but the combination of Low T blood level and one or more signs and symptoms fo Low T.
A single measurement of the serum testosterone concentration is very important, however, a single blood test alone may not prove this diagnosis. Repeating, the test for total testosterone more than once, and, when possible, having one or more physical signs and symptoms, allows an increased likelihood for making this diagnosis.
Fire Fighters diagnosed with Low-T must implement health positive lifestyle changes before, or in addition to TRT:
If you have potentially reversible causes of low testosterone levels, you should first be treated with lifestyle modification and avoid the need for T supplementation.
Chose practitioner who know what they are doing and have many years of experience. The IAFF study suggested against choosing any clinics that market to men and focus only on non-specific symptoms. I do not know why they make that suggestion but I would agree that the practitioner should really know what he or she is doing and that you might choose to avoid clinics that don’t follow the blood testosterone measurement criteria as we have discussed above. I have no problem agreeing with their suggestion that if you have Low T you get a second opinion from an endocrinologist, but also could suggest, depending on who you are, a urologist, Ob/Gyn or well trained Integrative Medicine specialist. Endocrinologists tend to deal with sick people the others also deal with well people and simple Low T which is not a meaningful medical problem.
Our program at its base is a well-directed HRT/TRT Treatment program with lifestyle support so that you can and will obtain optimal results and total personal control.
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Original IAFF PowerPoint Presentation