The thing is these main stream western docs (endos). Keep pointing to points of view held by the Endocrinology Society etc. they really seem to be brain washed and I wonder what it will take for them to even consider an alternative treatment protocol for their patients in the future.
I cannot imagine them ever changing because their position is so extreme. Basically, people will have to go to PCP's, urologists or pay out of pocket at HRT and anti-aging clinics.
Eventually, the results will be so startling from men on HRT that I think they'll have to change their position, but that's not going to happen anytime soon.
Plus, we may have some bumps along the road. For example, there may be scarring issue with pellets and cardiovascular issues with topicals, etc. But, personally, I have no doubt that they are going to find protocols that significantly improve men's health.
Here is what will have to happen:
1. They need to find a protocol that works. My guess is that the best is weekly injections with Arimidex if necessary to keep a man in the 20-30 range.
2. They need to follow these men for years.
3. They need to evaluate mortality.
If they can do this and show greatly improved cardiovascular profiles and no worsening of prostate cancer (which has already been done actually), then I think they'll have to give in.
But who is going to do the above? No one has a vested interest in creating an expensive protocol like the above.
Basically, what is going on is that men, when their testosterone goes up significantly, just FEEL better. On average it is dramatic. HRT is not a miracle cure as I always say, but it does greatly help. Testosterone's insulin-lowering effect and brain-stimulating effects are worth it alone w/o even going into the improved sexual function.
I know one HRT clinic who follows a protocol similar to the above and they do not have to advertise. They get clients just by word of mouth and, from what I have heard, the guys love it.
There's nothing more miserable than low T and I will bet you that any endo with testosterone < 350 will be self-injecting cypionate by morning...