Dr. Abraham Morgentaler
👤 PersonAppearances Over Time
Podcast Appearances
But, and so this guy said, apparently to the FDA, I think 300 is a fair number.
But, and so this guy said, apparently to the FDA, I think 300 is a fair number.
Right. Could we treat them? Well, of course you can if they have symptoms, in my opinion. First of all, the idea that there's a single number that separates everybody is just anti-scientific, right? We don't work like that. Our bodies are not clones of each other. You do research in animals like rats. They're all the same genetic strain. They're all basically identical twins.
Right. Could we treat them? Well, of course you can if they have symptoms, in my opinion. First of all, the idea that there's a single number that separates everybody is just anti-scientific, right? We don't work like that. Our bodies are not clones of each other. You do research in animals like rats. They're all the same genetic strain. They're all basically identical twins.
That's not true for humans. And we all have different set points for a lot of different things. People can tolerate cold, heat, pain. We're all different with all these things. And true also for when people become symptomatic in terms of having low levels of testosterone. But it's worse than that. It's worse than that because what a low number is, is defined by specialty and by geography.
That's not true for humans. And we all have different set points for a lot of different things. People can tolerate cold, heat, pain. We're all different with all these things. And true also for when people become symptomatic in terms of having low levels of testosterone. But it's worse than that. It's worse than that because what a low number is, is defined by specialty and by geography.
And geography. Geography.
And geography. Geography.
Yeah. So get this. So in the United States, the endocrinologists, their guidelines say you have to be below 264. Urologists say 300. FDA says 300. Guess what happens in Europe? In Europe, they use 350. Wow. I ran a expert panel on testosterone some years ago, which we published. And we had a couple of European guys.
Yeah. So get this. So in the United States, the endocrinologists, their guidelines say you have to be below 264. Urologists say 300. FDA says 300. Guess what happens in Europe? In Europe, they use 350. Wow. I ran a expert panel on testosterone some years ago, which we published. And we had a couple of European guys.
And there's one guy from Europe who says, if they have symptoms and they're under 400, I'll treat them.
And there's one guy from Europe who says, if they have symptoms and they're under 400, I'll treat them.
No, it's not guidelines. So if you have a guy like 310 in the United States, you go to a primary care doctor, he says, it's normal. I'm not going to treat you. If you go to Europe, they say, oh, yeah, you're low. We'll treat you. Well, that doesn't make any sense. Because if you go see an endocrinologist, they say, you could have a testosterone at 275.
No, it's not guidelines. So if you have a guy like 310 in the United States, you go to a primary care doctor, he says, it's normal. I'm not going to treat you. If you go to Europe, they say, oh, yeah, you're low. We'll treat you. Well, that doesn't make any sense. Because if you go see an endocrinologist, they say, you could have a testosterone at 275.
The endocrinologist said, according to the guidelines, you're normal. I shouldn't treat you. But the same endocrinologists that write that have also performed many of the most important studies we have, where they use values under 300. Or in some cases, they had one, they said, we wanted unequivocally low levels, 275. But that's not even what their numbers are now. Now it's even lower.
The endocrinologist said, according to the guidelines, you're normal. I shouldn't treat you. But the same endocrinologists that write that have also performed many of the most important studies we have, where they use values under 300. Or in some cases, they had one, they said, we wanted unequivocally low levels, 275. But that's not even what their numbers are now. Now it's even lower.
So what is, and also age doesn't matter, right?
So what is, and also age doesn't matter, right?
Well, according to guidelines.
Well, according to guidelines.