Determining whether you are a candidate for Testosterone Replacement Therapy is determined by performing a blood test and the symptoms that the patient has experienced. Usually, men with lower testosterone have more of the symptoms that we discussed above while men with higher testosterone have less. However, in some cases, while a blood test may reveal low testosterone, there are no symptoms present.
If we are going strictly by the numbers, a total testosterone level that is below 300 ng/dl is medically considered low testosterone. This standard has been established by The Endocrine Society, which publishes recommendations and guidelines for clinical practice.
Speaking of total testosterone, not all testosterone in the body is available to the cells, approximately half of the testosterone in the body is bound to a sex hormone-binding globulin which is commonly referred to as SHBG. Free testosterone is the biologically available part of total testosterone and is the one that is accessible to the cells. Most blood tests will measure free testosterone, which is a strong indicator of Low-T.
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