A Low Testosterone Result Is Not the Starting Diagnosis
Galpin supports well-managed hormone therapy but argues against prescribing it after a superficial consultation. Low testosterone may be downstream of sleep problems or physiological stress, so symptoms, personal baseline, and possible causes should be examined first.
- Hormone therapy can be useful when properly managed
- Exogenous hormones given haphazardly can create long-lasting problems
- A low result should be checked against the person's baseline and symptoms
- Sleep and stress constraints can suppress testosterone
- Removing the constraint can improve testosterone without hormones
“There are real concerns about giving people exogenous hormones in a very poor unc underdeveloped unmanaged way.”
“All we actually ever have to do is remove any major constraints from their physiology.”