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High Testosterone Level, No Specific Symptoms, Prescribed Testosterone. Please Advise

Posted on Sat, 14 Jul 2012

Question: Hello, My 29 year old son, who is a regular weight lifter/body builder has been found to have a testosterone level of 125. This was found on a physical exam--he is preparing to leave a job and attend the University of Nebraska to get a PhD in biomechanics. He did not have any specific symptoms--just the realization that he was going from a good health care plan to minimum coverage. Right away the physican who found it wants to prescribe and administer Testosterone. I am a PNP and I advised a more extensive work up--even a second level seems more reasonable than immediate treatment. Please advise...

Answered by Dr. Abid (38 minutes later)

Hi there...
Thanks for writing in.
Regarding your concern, I would agree that it would be better if we look for the cause first than start treatment right away. We would need a physician to take a complete history and order certain tests like serum luteinizing hormone ( serum LH levels) and testosterone binding globulin.
This would be the first step and further tests can be ordered after a complete history and examination.
Hope this helps
Regards

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Above answer was peer-reviewed by : Dr. Aparna Kohli