Originally Posted by
J. Keith Nichols MD
And that is what I see clinically as well. I will bet that at a testosterone level around 2000 ng/dL, your free testosterone is somewhere in the neighborhood of 50 ng/dL. Everything that you were reporting is what I see clinically as well. When the testosterone levels are outside of the so-called normal range and in a healthy optimal range all parameters of health will improve. I am attacked online by many because of these very statements. They will say "he doesn't know the long-term harm he's causing with those testosterone levels " or "nobody needs testosterone levels two times the normal range." My response is always from a clinical standpoint and now doing this for almost 2 decades that when every parameter of health that I can measure improves when men have testosterone levels in an optimal range, what would be the long-term harm? I don't see every parameter of health improving with lower levels or with mainstream medical treatment, but I do with hormone optimization combined with nutrition and exercise.
And on a personal note I gave up forums a year or two ago because of the personal attacks and the fact that most men cannot understand and will not follow evidence based medicine.
What I have found with the starting strength population is that they are mature and highly intelligent and embrace evidence based medicine.