Dr Susan Hardwick-Smith

I don't want to overstate it, but it literally turned me back into somebody that I recognized as myself again.

So interesting.

I've heard many of your guests talk about this before, but it does just lead one to be kind of upset about how men are treated when their testosterone drops.

So, for example, it might drop by 50% between age 30 and 50 for the average man.

And he, very rightly so, is going to get replacement if he's symptomatic.

And ounces drop by close to 100% yet we're not offered treatment.

And the international consensus that you're well aware of from 2019 is six years old now basically says testosterone is only appropriate for postmenopausal women.

which makes no sense at all.

But if you're somebody who isn't quite as experienced as you and I in seeing patients and are just referring to the guidelines, you know, doctors, it's very wonderful that we have these great groups to make consensus statements to guide us.

However,

they're, you know, not always so, right?

If you're in practice, like you and I are seeing thousands of patients, we're going to learn things that are not in a consensus statement because it takes decades for 25 physicians to agree on anything and then publish it.

So if we waited for that to happen, we would all be suffering for decades.

So sometimes it's just common sense.

Okay, this patient's

presenting with multiple low testosterone symptoms.

Her blood level shows her testosterone is low.

We replace it appropriately for a woman and lo and behold, she feels better.

What on earth could be wrong with that?

No matter how old she is.