Trt for my grandfather

[MuscleInk]

Just let him be.
There is a reason we're hearing about all these cardiovascular/cerebrovascular events happening with TRT. People who are too old or in poor health don't do well with a surge of testosterone, as the added strain (increased blood pressure, H&H, clotting factors, libido, energy, and immune changes) is dangerous in the short term. It would be good in the long term, but at 84 I don't think he can afford to figure out what works for him through trial and error like somebody young and healthy.

If he isn't 100% on board with a doc who really knows what he's doing, the risks outweigh the benefits.

Best and correct answer. At 84 years of age, the risks would likely be far greater than any potential benefits.

Testosterone isn't the magic pill it is perceived to be. It's use even for TRT remains hotly debated among the medical community which is largely polarized regarding benefits and risks.

[sparverius]

At 84 years of age, the risks would likely be far greater than any potential benefits.

What age is the cutoff where TRT goes from good (for men with low T) to bad?


My advice for an 84 year old would be the same as I'd give for any adult man: only if there's something wrong with him that causes markedly low T, and can't be fixed by some other means.

[davidtheman100]

What age is the cutoff where TRT goes from good (for men with low T) to bad?


My advice for an 84 year old would be the same as I'd give for any adult man: only if there's something wrong with him that causes markedly low T, and can't be fixed by some other means.

I can't see how the rewards would outweigh the risks with anyone over 70.

[Bonaparte]

I can't see how the rewards would outweigh the risks with anyone over 70.

Yeah, 70 is the cutoff I would give most guys.

[Lifted1]

Yeah, 70 is the cutoff I would give most guys.

70 to start trt or no more trt after 70?

[Bonaparte]

70 to start trt or no more trt after 70?

The former. Once you have everything dialed in and are leaner and more active, there is no reason to stop.
And 70 is just a ballpark number I'd give, since that's generally when men experience a marked rapid decline in health and vitality.

[MuscleInk]

Yeah, 70 is the cutoff I would give most guys.

Correct range. We've started men as late as 75 but those were far fewer cases and in all cases, those men were in very good shape for their age with no Hx of cardiac, hematological, or kidney disorders. Most of the older guys coming in for their first assessments are often 40-55. The cases drop off after 60 years of age.

Your body really wasn't meant to produce high levels of testosterone forever. TRT is a great therapeutic tool when used judiciously but there comes a time/age when starting TRT would carry more risks than benefits even in someone who looks relatively healthy. Many of the clinics I know or have sat on their Boards will usually not prescribe many new TRT therapies to anyone in the medicare population (65 and above) except in more severe cases and only when other health concerns are carefully considered.

[sparverius]

I can't see how the rewards would outweigh the risks with anyone over 70.

What risks are there that are acceptable at 69 but bad at 70? We're talking TRT here, not cycles. Bringing abnomally low testosterone up to normal. I've read plenty of studies on older men that tout the benefits. The drawbacks were small and not much different from younger men.