It's unusual for anyone to be on oral testosterone replacement now. We
usually use injections (e.g. Sustanon 250 mg every 2-3 weeks), implants
(every 3-4 months) or patches. Oral testosterone is undesirable because of
its hepatic effects (and much of the dose given is subject to first pass
metabolism).
Brian Shine
On 20/9/02 12:40 am, "Bruce Campbell" <[log in to unmask]> wrote:
> A 37 year old male patient with post-traumatic hypopituitarism is on
> hormone replacement. Testosterone replacement is oral testosterone
> undecanoate 120 mg twice daily which is about twice the usual dose.
> Clinically he seems well androgenised. Free testosterone (DPC) is 11
> pmol/L (28 - 93) and total testosterone (Abbott Architect) is 6.4 nmol/L
> (11 - 40).
>
> Does anyone have suggestions regarding what may be going on here?
>
> Bruce Campbell
>
> ****************************************
> Bruce Campbell FRCPA FAACB
> Sullivan Nicolaides Pathology
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