Dr. Jen Gunter

And so it is moderately successful for low libido.

I would say that cognitive behavioral therapy and medical mindfulness probably outperform it.

And so, you know, but it's certainly a valid pharmaceutical option and it's working as a pharmaceutical, probably not as a replacement because studies don't really, you know, link link levels there, you know, with with outcomes.

So so.

Yeah, I would say think of it like a drug that you're taking.

So don't think of it as because it's testosterone, I'm getting something that's natural.

Think of it...

it's working because this is a pharmaceutical effect of testosterone, if that makes sense.

And so we don't have good data.

So people are saying, oh, it's important for muscle mass and prevention of sarcopenia.

But we don't really see an effect of testosterone on muscle mass until people approach the male range, which of course then would have

other features other you know you know and there's studies look there's a really well done study looking at people who are all in the low the you know what we would consider to have you know the lowest amount of testosterone and they gave them increasing amount you know they randomized them or chose increasing levels of testosterone to give them and there there wasn't an effect on cognition there wasn't an effect on muscle mass and so

You know, I go with what Professor Sue Davis says.

You know, she's like the world expert.

And, you know, when she says it's indicated for something else, then I'll go along with it.

And we don't have good evidence to support it for people who are perimenopause for low libido.

It probably wouldn't be wrong to try, but we just don't have the data.

And I would just say that when people are going in and they're getting their testosterone level checked because they don't feel well, they are getting...

bad care.

That is not evidence-based care.