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Agreed! The situation "testosterone therapy" is in now does not make any medical sense. Prescribing therapeutic levels of gel or injectable testosterone is a dicey proposition - we do have to monitor blood levels and then monitor for side effects as they clearly occur! I've had patients where testosterone gel has abnormally elevated red blood cell counts to the point of danger for blood clots/strokes. We know the risks of illegal "athletic use" of testosterone. Testosterone supplementation at these levels is CLEARLY not without consequence and just should not be used without better data.

For the "lifestyle" use of just "feeling better", this should be low-dose, OTC topical application with minimal to no risk of injury and men making their own decisions. Again, physician license and higher dose should be out.

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