Desired Patient Outcomes

<aside> 😃 Achieve complete or near complete symptom relief

</aside>

<aside> 👨‍👩‍👧 Restore quality of life

</aside>

<aside> 🩺 No concerning side effects

</aside>

<aside> 🏋🏻 Optimising lifestyle for overall health - Exercise, nutrition, sleep

</aside>

Goal Hormone Levels:

Free Testosterone:

• Between 400-800 pmol/L depending on symptom relief and clinical presentation, at trough (when due for injection)
• Individuals have varying degrees of androgen sensitivity and may need to be at higher end of range for complete symptom relief, or vice versa
• Some patients feel better at the lower side of the scale, more testosterone does not always equal more notable symptom relief

Estrogen (E2)

• Goal is between 70 - 200 pmol/L
• Some individuals can be higher with no negative estrogenic side effects and feel great, but some men will see reversal of treatment benefits, and or negative side effects
• Why high estrogen (excess aromatisation) in some patients? Excess body fat, liver issues, insulin resistance, undiagnosed sleep apnea, lack of cardiovascular exercise or genetic causes
• How to lower estrogen? Address root cause of excess aromatisation (listed above) and or commence an aromatase inhibitor.