How to Qualify for Testosterone Therapy?

Testosterone for Men with Low T - How to Qualify for Testosterone Therapy


How to Qualify for Testosterone Therapy. Here’s what you need to know about Qualifying for TRT Testosterone Replacement Therapy for Men

How to Qualify for Testosterone Therapy is the first thing you should discuss with your doctor if you are thinking of taking testosterone medicines. Testosterone Treatment is not for everyone. Below we list some of the things you should know about a TRT Program.

  1. Testosterone Replacement Therapy or TRT is a male hormone therapy that replaces low or lost androgen levels in men using natural or bio-identical testosterone. 
  2. Optimizing or normalizing testosterone levels. A normal testosterone lab test result doesn’t mean a man is not suffering from Low T symptoms. You need to have total testosterone, free testosterone, and bioavailable testosterone levels measured in order to get an accurate picture of your true androgen hormone levels.
  3. Free Testosterone and Bioavailable Testosterone are the most important measurements to determine if you have low testosterone that needs treatment with real prescription testosterone medicines. A man can have normal Total Testosterone levels but have Low Free Testosterone levels.
  4. Testosterone Replacement Therapy (TRT) should be given based on symptoms as well as of testosterone blood serum reference values. If you have no energy and feel tired all day, fall asleep at your desk or right after a meal, are gaining weight quickly, and increased body fat especially around the middle, are have trouble exercising or gaining on muscle, have a lower than normal sex drive or complete lack of libido, have symptoms of erectile dysfunction, weak erections or infrequent erections, insomnia, depression,  mood swings and bursts of anger – you may need TRT – Testosterone Replacement Therapy.
  5. Low T Treatment Options. You have the choice of testosterone injections, gels, creams, pellets, patches or androgen-boosting supplements in treating Low T. However, testosterone injections give you the most effective results in a shorter amount of time.  Read more about Testosterone Injections for Male Hormone Therapy.
  6. TRT causes very few negative side effects when used as prescribed. TRT however, is contraindicated in men with prostate cancer or have a history of heart disease. 
  7. How long does it take for testosterone to work? Some health benefits of TRT happen within weeks of using it, while other positive effects can take months. A boost in sex drive, energy level, and improved mood can be seen within a few weeks. While a loss in body fat, an increase in lean muscle muscle, can takes months to see. 

How to Qualify for Testosterone Therapy

Qualifying for a Testosterone Replacement Therapy Program:

  • Fill out Medical History Forms. 
  • Get Testosterone Hormone Level Lab Testing.
  • Get a Physician’s Physical Health Examination.
  • Medical Assessment, Diagnoses and Treatment Plan.
  • Testosterone Hormone Medications Prescribed Only if Medically Indicated.
  • Testosterone Therapy Program Medications delivered to your home or office.

Are Your Testosterone Levels Deficient?

To qualify for Testosterone Therapy you must take a testosterone blood test that measures your androgen levels. If you receive the results of your Low T blood test and your testosterone ranges around 600 nanograms per deciliter (ng/dl) of blood, most physicians will say your have “normal androgen levels“. You probably know that “normal” is somewhere between the range of 200 ng/dl and 1200 ng/dl. So you probably are relieved to hear you have normal testosterone levels.

But what if you still have Low T symptoms, feel tired all the time, gaining weight fast, losing muscle, reduced sexual desire or inability to have an erection. Is it possible that low T levels are still the cause of these symptoms? What do the lab reference numbers really mean when it comes to diagnosing Andropause?

The answer is, you can still have lab reference testosterone levels  in the normal range and have Low T because your Free and Bioavailable testosterone levels are very low.

“Normal” Testosterone Must be Compared to Free Testosterone

What are normal testosterone levels in men?

The normal androgen range in males is about 270 to 1070 ng/dL with an average level of 679 ng/dL. A normal male testosterone level peaks at about age 20, and then it slowly declines as men age. Testosterone levels above or below the normal range are considered by many urologists, endocrinologists and anti-aging medicine doctors to be out of balance. Under these circumstances you would most likely qualify for testosterone replacement.

The lab test testosterone results of 600 ng/dl mean little if not compared to Free and Bioavailable androgens in your blood stream .

Testing for testosterone must be comprehensive because androgen blood serum values of vary by the time of day. The only way to get a truly accurate androgen hormone level reading would be to collect many urine samples over a 24-hour period and have the lab use those to measure testosterone. You could also get at least three to four blood samples from different times during the day. The lab would then test all those blood samples. This would be expensive, inconvenient and time consuming. The solution is to simply have one blood test that measures Free, Total and Bioavailable androgens in the bloodstream  – known as a testosterone blood serum test.

Testosterone Factors: SHBG and Estradiol (Estrogens)

Steroid Hormone Binding Globulin, or SHBG play an important role in diagnosing Low T levels in men. SHBG is a glycoprotein that literally binds up the male sex hormones or about 67% of your testosterone, and that percentage keeps climbing as you grow older beacuse SHBG naturally increases as you age.

The more SHBG you have, the more of your available testosterone is bound up, leaving less of it free to be biologically active in your bloodstream. So while your Total testosterone level may be 600, a good portion of it is bound up, known as Bound Androgens. 

That’s why when trying to measure your T levels, your doctor should ask the lab for your total testosterone levels, your “free” testosterone levels, and your “bioavailable” testosterone levels so you a better diagnoses can be made. Many general practitioners do not have the expertise or training to understand these differences or how to treat Low Free testosterone levels. That is why it is best to see a trained Testosterone Specialist.

Estrogens or estradiol levels in men also play an important role in low T level diagnoses. Your testosterone levels may read normal, but if your estradiol levels are high, you may be estrogen dominant which can alsl cause signs and symptoms of androgen deficiency.  

The Symptoms of Low T

Do you have very low energy and feel tired all the time? Have you experienced rapid weight gain and an increase in body fat. Do you have trouble recovering from exercise or losing weight even while working out? Are you losing muscle tone or getting flabby muscles? Are your erections weaker, or becoming less frequent? Have you lost sexual desire or have low libido?

Do you see premature aging? Is your hair dry and gray? Is you skin wrinkling? Are you getting many crows feet around your eyes? Do you have difficulty in focusing, concentrating or memory problems? Sadness or Depression? A lack of drive, ambition, 0r assertiveness, where you have lost the edge in business? Do you feel like a couch potato, avoiding social and physical activities you once enjoyed? These are signs and symptoms of Androgen deficiency.

Are you constantly angry, have wide mood swings, feel sad, depressed or are always feeling irritable. Many of these things could be indicative of Men’s Low T.  If you have an androgen deficient then you will want to learn how to qualify for testosterone therapy. Read about Men’s Low T Symptoms and Diagnosis.

Low Testosterone levels during Andropause, or hypogonadism, is an increasing problem of middle age and aging men. A Low T study reported that 40% of men over the age 4o suffer from androgen deficiency. Another testosterone study reported that while over 20 million men in the U.S. may be deficient in testosterone, fewer than 10% are getting some kind of treatment for it. Read more about Testosterone Therapy for Aging Men.

What Are Your Options For T Replacement?

Testosterone Treatment Options. If you test deficient in testosterone, or if you have symptoms of low testosterone or erectile dysfunction, you most likely want to do something about it. While there over-the-counter anti-aging supplements with amino acids that function as natural testosterone boosters, they are not effective for men with clinically low androgen levels or hypogonadism.  Amino acids are best used by healthy young men who want to boost their T levels for athletic or bodybuilding purposes and don’t require a doctor’s prescription.

Follow the procedures on How to Qualify for Testosterone Therapy and then purchase pharmacy grade testosterone drugs.

Prescription-Grade Testosterone is the best choice for men who are clinically low in testosterone and who have seen a qualified testosterone physician and made the choice to undergo a lifetime commitment to medical Testosterone Replacement Therapy, or TRT. Read about the best testosterone treatment options available to men.

1. Testosterone Injections

Testosterone injections are the most effective method of TRT. While it’s true that topical testosterone gels and creams create a steady flow of testosterone to the body, injectable testosterones when administered properly, give you the most dramatic treatment results. Men taking testosterone injections whether in Cypionate, Enanthate, muscle-building, libido boosting. Read more about Testosterone Injections for Testosterone Replacement.

You basically have four injectable testosterone choices in the USA, testosterone enanthate, testosterone undecanoate, testosterone propionate and testosterone cypionate. Depo-Testosterone made by Pfizer is the most popular Cypionate Testosterone prescribed for testosterone replacement.

Testosterone is an anabolic steroid hormone drug requiring a valid doctor’s prescription. Testosterone is an esterized androgen medication that is considered long-acting as it steadily releases small doses of testosterone to the body.  The half lives of the esters differ slightly, and the type of testosterone you select will vary the administration or injection method and dosing schedule.

Testosterone Dosage. For most men, 100 mg tp 250 a week of any of the testosterone ester products is enough for effective TRT. Some men need less and some men need more, possibly up to 300 or 400 mg a week. do not exceed you prescribed dose to avoid unwanted side effects and complications. Always buy your Low T Medicines legally and safely. 

Testosterone Level Volatility. When you’re injecting testosterone weekly, your androgen levels will naturally dip and you may feel a low-testosterone period as you get further away from the injection day. To alleviate testosterone level dips, some men split their dosage in half and inject twice weekly instead of once a week. Doing so keeps your blood levels of testosterone more steady and stable. 

2. Testosterone Gels and Topical Androgen Creams

Testosterone gels such as AndroGel, TestoGel, Axiron and Fortesta, and androgen creams such as Testim provide a more natural androgen release but in many men are less effective than the  injectable testosterone esters.

In addition, testosterone gels have their disadvantages. Many men find they don’t absorb much of the androgen through the skin. Androgen gels and creams are messy and can ruin some clothing items. Some men develop rashes or itching. You need to refrain from bathing, swimming or sweating for at least an hour after application.

Furthermore, you must be careful not to allow a child or woman especially a pregnant woman come into contact with the gel or cream until after it is completely absorbed or keep the area covered up. If you do decide to use Androgen topical gels, you must apply them daily. 

Auxiliary Medicines Used in TRT

HCG Injections

HCG or Chorionic Gonaditropin is prescribed in a cycled or continuous testosterone treatment program. The drug mimics LH (Luteinizing Hormone) to avoid testicular atrophy so that your testicles don’t shut down all natural testosterone production. HCG will help ensure they still produce sperm and are capable to produce testosterone, so testicular shrinkage won’t readily occur.

HCG attaches themselves to the LH receptors throughout the body so men on TRT using HCG therapy tend to feel better. You can read more about using HCG with Testosterone.

HCG is administered subcutaneously via an insulin needle similar to the way  injectable HGH Human Growth Hormone is injected. The recommended starting dose for HCG during TRT is about 100 iu a day, working up to higher daily doses or in some cases 250 or 500 administered twice a weekly.

Armidex is an Aromatase Inhibitor used for Testosterone Therapy

Anti-Estrogens and Estrogen Blockers

Your Low T Physician may also prescribe AI’s known as Anti-Aromatase Inhibitors or SERMs known as estrogen blockers to minimize the effects of excess estrogen in the bloodstream.

Aromatise Inhibitors (AI) behave differently in the body than SERM’s or estrogen blockers. Aromatase inhibitors prevent the conversion of excess androgens into estrogens in the body. The most well known AI, Anastrazole is sold under the brand name Arimidex.

Estrogen Blockers attach themselves to estrogen receptors in the body. Well known estrogen blockers are Femara Letrozole tablets, Clomid Clomephine,  and Nolvadex, Tamoxifen.