Would a private doctor prescribe it for you?
It seems a bit crap that if your T is low but not as low as that that you will be left to yourself.
Well you would be right in thinking that it is crap for the "normal,upstanding, wonderful, family, endo, uro" doctors to not prescribe it when it's trully needed. Yes many private doctors will prescribe it to you if you are slightly above the starting range and I will touch on some of the reasons they will. First though please allow me to ellaborate on my experience. When I first realized I was having a problem was back around November 2010 when I was 30. It really had only manifested itself into increased depression at that point but then around March 2011 when I started to experience a sudden drop in libido and energy levels I knew something was definately going on. Thats when I went to the doctor for the first time in years for anything and had a morning sample taken. It came back to 294 ng/dl. Doctors would not help me because their stupid range was 240-880 ng/dl. "You are normal" the unknowledgeable qwaks would say. I had two more blood tests taken and they came to 305 and 363 ng/dl. That was a year ago. The medical community is finally starting to pay more attention to this epidemic in men and honestly the studies done by endocrine societies and other affiliations who remain scientific ( unlike many stubborn, arrogant doctors) point out the symptoms become present in the low 400's and most definately in the 300's. The research displays too much evidence that combines common blood levels and common symptoms being described by men. This is getting difficult for more and more doctors to ignore or push off. BTW Lee has done a fantastic job with his book showing many of these studies and also allowing this website to informally and effectively educate people more to the fact of this. It's because of guys like him and all of us who want to speak out and address this issue that many mens' qaulity of life and hopefully our own will improve as a result. Hopefully a cure will be found or more concrete evidence will be found as to the reasons why more men (more especially young men 20-30 years of age) are losing their testosterone compared to other men who are not.
Recently I noticed that more labs and what is considered normal to be raised in those labs to a starting refernce of 300-350 ng/dl. I think that 350 should be the starting point, however I still think that a man can be slightly above this and should be seriously considered for treatment. Remember if a man has a level of 375 in the morning thats all the T he has to run off of for the entire day and his levels will have substantially fallen towards the end of the day. I have had mine tested at 6pm before in a hospital and they came to 199 ng/dl ( thats just plain ugly). Let's say it dropped toward the maximum fluctuation at 35 % less than what they peaked at in the morning. What do you know, with that calculation it comes to about 305 ng/dl in the morning around where mine have been . Yes the reference starting point is importatnt but doctors need to consider the other factors as well such as the fluctuation and drop-off from the starting point, which I have experienced first hand can place a man in the danger zone and to levels that are undisputibly hypogonadal. Provided that there are no complicated medical problems that TRT would further harm, there is absolutely no time of the day or any reason for a doctor to justify allowing a man to fall into this range..PERIOD!!!