Dr Susan Hardwick-Smith

And that's a whole other conversation.

The total testosterone doesn't really represent what's available for use, but there's no consensus about what free testosterone should be.

So we're really having to use our common sense, and God forbid doctors should use their common sense at

You know, my dad was a doctor and I mean, his whole clinical practice was based on common sense because they didn't have all of these tools.

I think we've somewhat lost our common sense.

Well, absolutely.

And I'll just, this is not, I do not believe this is true, but if I play the devil's advocate and I said that, okay, a certain patient is going to have oily skin, acne, maybe a few black hairs on her chin,

She's not going to have cancer, heart disease, never been shown to increase death from anything.

Apart from these, what I call nuisance symptoms, if it's given at a reasonable level, ask the patient what she wants to do.

I mean, this is a patient-centered conversation.

Like you said, I, if I had those symptoms, which I do not, would completely keep taking it because I feel so much better.

I would just do what I needed to do to take care of those symptoms.

But if somebody told me I had to stop it because of...

benign symptoms that are really my choice if I want to absorb them or not.

I mean, every drug in the world has side effects potentially, and we choose if we want to absorb those side effects or not, and it should be a patient choice.

Now, I will say we don't really have those side effects of its dose appropriately.

And then another point to remember is we've got enormous amounts of data on giving extremely high doses of testosterone to transgender and

people who want to have masculinizing side effects.

So this is a wanted and intended result for those patients.

So we know what happens when we give women male doses of testosterone because that community, that's their choice.