When initiating TRT, it's advisable to aim for a significant increase in testosterone levels (e.g., from 8 to 20 ng/dL) rather than small adjustments.

“if if and again each lab's going to have different scales but in you know in the lab we use um the fifth percentile of total testosterone well let's do free testosterone because we actually even though free is an estimate we kind of look more closely at free so approximately the fifth percentile is 5 nanograms per deciliter and the 95th percentile is about 24 nanograms per deciliter so call it 5 to 25 basically so if a guy is at 8 and we have the the case to make that he's going to we should try trt I'm not going to take him to 12 it's incremental like I'm going to take him from 8 to 20 and see if something M”