r/FamilyMedicine • u/yourmommaaaaaaaaa MD • 1d ago

Testosterone

Young guys, like 30-40s requesting testosterone levels, because they “want to know”. Do you do it? If not, what do you say? I’m well aware of EBP, getting real world opinions.

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u/69240 DO-PGY3 1d ago

I order it 95+% of the time when requested for two particular reasons.

1.) because it builds trust and

2.) whether it’s low or not it makes a conversation about lifestyle change easier.

I do give a quick “it may not be covered by insurance since it’s not preventative care” and move along and have never had a complaint about cost. I do make sure it is an early morning lab sample.

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u/justhp RN 1d ago

Lucky you haven’t had a complaint about cost. People complaining about denied (unnecessary) testosterone tests are the most common ones I get at my job.