madman
Super Moderator
Most of the guidelines say calculated free testosterone (cFTV) needs to be <6.5 ng/dL (65 pg/mL) before it is flagged as low.
Dr. Morgentaler who would be considered one of the top experts in the field would treat a man experiencing symptoms of low-T and a FT <10 ng/dL (100 pg/mL).
* Symptoms follow free testosterone not total
Any doctor truly in the know would treat a man experiencing symptoms of low-T with a FT that falls in the grey zone 5-9 ng/dL.
Any of those run of the mill dime a dozen T-mills or so called gurus polluting the net/kiddie forums pushing that more T is better so called optimization bulls**t would treat a man even if he had a healthy FT 10-15 ng/dL LMFAO!
Gassed up natties off the hop!
In this episode, Dr. Brandon and Dr. Morgentaler talk about why doctors are still cautious about testosterone and why free testosterone may be a better measure than total testosterone for identifying deficiency.
Timestamps
00:00 Testosterone Backlash Explained — They explore why testosterone still faces resistance in medicine despite decades of research on its biology, benefits, and safety.
04:29 Why Doctors Stay Skeptical — They discuss outdated cancer and heart-risk fears, limited medical-school training, and why many doctors remain uncomfortable prescribing testosterone.
11:32 Free vs Total Testosterone — Dr. Morgentaler explains why free testosterone is the biologically active portion and why total testosterone alone may not tell the full story.
15:38 Free Testosterone Debate — They break down the medical controversy over using free testosterone and discuss new research supporting its importance in identifying deficiency.
19:08 SHBG Masks Deficiency — They explain how high SHBG can make total testosterone look normal or even high while free testosterone remains low and symptoms persist.
24:54 Testing Tips and Wrap — They share how patients can ask for free testosterone and SHBG testing and why symptoms should be considered alongside laboratory numbers.
Dr. Morgentaler who would be considered one of the top experts in the field would treat a man experiencing symptoms of low-T and a FT <10 ng/dL (100 pg/mL).
* Symptoms follow free testosterone not total
Any doctor truly in the know would treat a man experiencing symptoms of low-T with a FT that falls in the grey zone 5-9 ng/dL.
Any of those run of the mill dime a dozen T-mills or so called gurus polluting the net/kiddie forums pushing that more T is better so called optimization bulls**t would treat a man even if he had a healthy FT 10-15 ng/dL LMFAO!
Gassed up natties off the hop!
In this episode, Dr. Brandon and Dr. Morgentaler talk about why doctors are still cautious about testosterone and why free testosterone may be a better measure than total testosterone for identifying deficiency.
Timestamps
00:00 Testosterone Backlash Explained — They explore why testosterone still faces resistance in medicine despite decades of research on its biology, benefits, and safety.
04:29 Why Doctors Stay Skeptical — They discuss outdated cancer and heart-risk fears, limited medical-school training, and why many doctors remain uncomfortable prescribing testosterone.
11:32 Free vs Total Testosterone — Dr. Morgentaler explains why free testosterone is the biologically active portion and why total testosterone alone may not tell the full story.
15:38 Free Testosterone Debate — They break down the medical controversy over using free testosterone and discuss new research supporting its importance in identifying deficiency.
19:08 SHBG Masks Deficiency — They explain how high SHBG can make total testosterone look normal or even high while free testosterone remains low and symptoms persist.
24:54 Testing Tips and Wrap — They share how patients can ask for free testosterone and SHBG testing and why symptoms should be considered alongside laboratory numbers.
