This is an oped… just some of my opinions and observations.
Let’s start off with everyone’s different and cookie cutter dosages should be used as a launch point not necessarily an etched in stone protocol. We can’t access effects in a week or so either. Messing with a humans hormonal system is a “long haul” endeavor… very delicate and dangerous. As stated by @NeuroRN “the HPTA system in a human isn’t designed to be shutdown and restarted”
In my readings, there’s a question that, at one time, wasn’t asked by doctors (in relation to trt) and that was “how do you feel?”. Blood work is pretty much the go to litmus test for your health. There are many silent killers (bp also) lurking around in your body that can only be discovered thru labs. BUT with all that being said…if a person has a few high/low markers and is feeling great on their current dose of trt… it very well could be permissible. Now that’s not saying if those markers are critical and progressively getting worse, that they should be ignored. I’m saying for example (me)… my a1c is holding or going down with meds BUT my fasted blood glucose is high… steady but high. This shows that my meds are working over a 2-3 month period (a1c) but the snapshot of my blood sugar (without meds for that day) is high. That’s not a bad thing. It just shows my need for the meds and my average blood sugar can be controlled with diet, exercise and meds. I feel great AND my a1c is under control with my fasted blood glucose holding steady over the course of a year.
I’m also of the opinion that some folks are better off getting a testosterone script from their doctor and driving their own train. Some doctors don’t really have any idea on how to optimize an individual’s quality of life (see cookie cutter above). Pharmaceutical grade T is best but sometimes it’s necessary to supplement with your own stuff. I would argue that some folks do well on 100mg split twice a week while others need 125mg e3d… some guys feel better on much more. Some doctors are just not open to this kind adjustment.
I also believe that a person gets to a point in their life that pcting back to natural levels is just not worth it and trt will provide a better quality of life with a good return on the buck. That is a very personal and serious decision that has to be made by the individual.
Let’s start off with everyone’s different and cookie cutter dosages should be used as a launch point not necessarily an etched in stone protocol. We can’t access effects in a week or so either. Messing with a humans hormonal system is a “long haul” endeavor… very delicate and dangerous. As stated by @NeuroRN “the HPTA system in a human isn’t designed to be shutdown and restarted”
In my readings, there’s a question that, at one time, wasn’t asked by doctors (in relation to trt) and that was “how do you feel?”. Blood work is pretty much the go to litmus test for your health. There are many silent killers (bp also) lurking around in your body that can only be discovered thru labs. BUT with all that being said…if a person has a few high/low markers and is feeling great on their current dose of trt… it very well could be permissible. Now that’s not saying if those markers are critical and progressively getting worse, that they should be ignored. I’m saying for example (me)… my a1c is holding or going down with meds BUT my fasted blood glucose is high… steady but high. This shows that my meds are working over a 2-3 month period (a1c) but the snapshot of my blood sugar (without meds for that day) is high. That’s not a bad thing. It just shows my need for the meds and my average blood sugar can be controlled with diet, exercise and meds. I feel great AND my a1c is under control with my fasted blood glucose holding steady over the course of a year.
I’m also of the opinion that some folks are better off getting a testosterone script from their doctor and driving their own train. Some doctors don’t really have any idea on how to optimize an individual’s quality of life (see cookie cutter above). Pharmaceutical grade T is best but sometimes it’s necessary to supplement with your own stuff. I would argue that some folks do well on 100mg split twice a week while others need 125mg e3d… some guys feel better on much more. Some doctors are just not open to this kind adjustment.
I also believe that a person gets to a point in their life that pcting back to natural levels is just not worth it and trt will provide a better quality of life with a good return on the buck. That is a very personal and serious decision that has to be made by the individual.
such things hmmmmm 
