This is actually another growing problem: TRT clinics will prescribe testosterone to virtually anyone who requests it. Among new TRT patients, a large number of them didn't even have bloodwork drawn before receiving their first prescription.
Many of the TRT clinics also hide the fact that going on TRT results in testicular atrophy and lifelong dependence. The forums and Reddits are full of people who decided that injecting testosterone every couple days for the rest of their life isn't all it's cracked up to be are realizing that it's not so simple for everyone to get off of it, even with all the HCG, SERMs, and PCT in the world.
>TRT clinics will prescribe testosterone to virtually anyone who requests it.
Why is that a problem, exactly? Hiding side effects is a problem I can understand, but struggling to understand why someone shouldn't be able to get TRT freely.
TRT is one of those things which requires precise and active management. But it also increases quality of life and well-being so much for 45yo and beyond that it’s insane not to use it. (And same thing with HRT for women).
Your choice is to die chronically ill, weak and depressed for decades, or feeling great and enjoying your later years.
The issue of course is "medical science" has continually lowered what is normal. Men 50 years ago had significantly higher testosterone than today. The blood work normal CI reflects this decrease. In reality, any man lower than 600 should probably be supplementing TRT. However, you're not likely to get it prescribed before you are below 300, and even then, it'll be just enough to get you back over the curve. There's basically no risk to it as long as you keep your total test <= 1000 ng/dL (and probably <= 800 ng/dL tbh).
The median total testosterone for the cohort born after 2000 is 391 ng/dL. 20 years before it was ~550 ng/dL. 20 years before that we were above 600 ng/dL. Men are falling ill with more chronic illness, having more sexual dysfunction, and have more feminized features. We should probably be asking ourselves why this is happening rather than adjusting blood work CI's down.