VERY balanced approach. I am not technically being seen by Crisler. I read his document. It seemed the mose level approach. I just saw an endocrinologist today who ordered many tests for related autoimmune dysfunction. Adrenal Antibody Screen, Islet Cell Antibody, Gastric Parietal Cell Antibody, Insulin C-Peptide, Testosterone Free and Total. My last two blood tests for T came out low. Since I have Hashimoto's Thyroiditis (an autoimmune disease) the disease is killing off other organis (causing hypogonadism and Lot T4) I also have a T4 to T3 conversion issue in that my body does not properly convert T4 to T3 so I started on Armour Thyroid today, hopefully I'll feel better. If my test results come back low a third time then I"ll get a testosterone replacement. THANKFULLY. SOmeone who'll listen. I've been dealing with this since November 2004 to no success.