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Goals of Testosterone Replacement Therapy
Improvement in psychological well-being and mood
Improvement in erectile dysfunction
Improvement in libido
Increased muscle mass
Increased strength and stature
Preservation of bone mass
A man may be considered hypogonadal at any age if total testosterone is less than 200 ng/dl, or bioavailable testosterone is less than 60 ng/dl. Basaria and Dobs of Johns Hopkins University recommend that elderly men with symptoms of hypogonadism and a total testosterone level < 300 ng/dl should be started on hormone replacement.
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