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CategoryTRTTRT
Evidence strengthModerate evidenceStrong evidence
Evidence Score3/55/5
User rating4.3 (203)4.7 (102)
Typical doseThe cited RCTs in older men typically used low doses, ranging from a fraction of a milligram up to 1 mg, several times a week or daily depending on the trial protocol. There is no single, universally validated regimen for every man on TRT — the dose should be set individually by a physician based on baseline and follow-up estradiol levels.Not applicable — this entry describes a safety protocol, not therapy dosing
FormOral tabletsMonitoring: complete blood count with hematocrit every 3–6 months in the first year, PSA and digital rectal exam before starting and periodically thereafter, lipid panel once a year
Average priceok. 20–50 zł za opakowanie, zależnie od dawki i liczby tabletek
Monthly costok. 10–40 zł/miesiąc przy typowych, niskich dawkach off-label
Time to effectsChanges in blood estradiol and testosterone are usually visible within a few weeks (in the cited Leder et al. RCT, hormonal effects were already assessed after a short treatment period). Improvement in subjective symptoms, if it occurs at all, is far less predictable and did not differ significantly from placebo in two independent RCTs.Not applicable — monitoring is an ongoing process that continues throughout the entire course of therapy.
Who it's forMen on TRT with laboratory-confirmed, repeated, symptomatic estradiol excess, under the care of a physician experienced in managing TRTAll patients starting or continuing TRT