No T for You
2B or not 2B?
Risky Business
Monitor Me
Geezer Fever
100
Most men with a PSA above this value should not receive supplementation for low T.
What is PSA >4 ng/mL?
100
For testosterone therapy to improve libido in younger men with sexual dysfunction, the authors provide this level of recommendation.
What is 2C? ('suggestion' with low quality evidence)
100
This common side effect of testosterone makes my blood boil.
What is erythrocytosis?
100
According to the article, men started on testosterone therapy should be initially re-evaluated during this time frame.
What is 3 to 6 months?
100
It is not recommended to provide testosterone therapy to older men with this deficiency.
What is testosterone? (low testosterone levels)
200
Men with this 'beyond equilibrium' condition are at highest risk of adverse outcomes with low T supplementation.
What is metastatic prostate cancer?
200
Making a diagnosis of androgen deficiency in men with consistent signs/symptoms and unequivocally low serum T levels carries this level of recommendation.
What is 1D? ('recommendation' with very low quality evidence)
200
This rare side effect of T supplementation is a veritable booby trap for embarrassment.
What is gynecomastia?
200
Bone mineral density should be measured after a man has been on testosterone therapy for this time period.
What is 1 year? (actually 1-2 years)
200
It's a squeeze, but testosterone therapy in older men does provide this benefit in muscle strength over placebo.
What is grip strength?
300
It has been poorly circulated that men with this condition should not receive treatment for low T.
What is uncontrolled/poorly controlled CHF?
300
Screening for androgen deficiency in the general population carries this level of recommendation.
What is 1D? ('recommendation' with very low quality evidence)
300
This side effect is most commonly seen with oral formulations of testosterone.
What is liver toxicity?
300
Men older than 40 with a PSA > 0.6 ng/mL should receive this prior to initiating testosterone supplementation.
What is a digital rectal examination?
300
This is the number of randomized, placebo-controlled trials that evaluated testosterone therapy and cognitive improvement.
What is 3?
400
Men with a total percentage of erythrocytes in the blood beyond this number are not candidates for T.
What is 50%?
400
Monitoring testosterone levels 3 to 6 months after initiation of therapy has this level of recommendation.
What is 2C? ('suggestion' with low quality evidence)
400
Please cover your mouth, as this possible side effect of injectable testosterone formulation can be quite bothersome.
What is cough?
400
Men on transdermal gel preparations of testosterone should ideally have a serum testosterone measured after this time period.
What is 1 week?
400
According to the systematic review, testosterone therapy in older men can be expected to provide this amount of reduction (kilograms) in fat mass.
What is 2 kg?
500
This breathing disorder, when left untreated, puts men on T at high risk of adverse outcomes.
What is obstructive sleep apnea?
500
Treating men with erectile dysfunction and low T levels with testosterone supplementation carries this level of recommendation.
What is 2D? ('suggestion' with very low quality evidence)
500
Compared to placebo, testosterone therapy tends to cause this effect on lipid profiles.
What is decreased HDL?
500
This product of 9 is equivalent to the percentage of hematocrit above which testosterone therapy should be stopped.
What is 54?
500
In older men treated with testosterone, the likelihood of experiencing a prostate event is elevated by this percentage above normal.
What is 78%?