Here is the updated 2006 guideline from the Endocrine Society for
Testosterone Therapy in Adult Men with Androgen Deficiency Syndromes:
http://www.endo-society.org/quickcon...line053006.pdf
I like this guideline since it is written clearly.
The target
testosterone level to achieve with replacement therapy was clarified to be at the midpoint of the reference range. This means for a reference range of 300-1000 ng/dl, treatment should achieve a testosterone level of 650.
The guideline is fairly simple, not including other options such as using
HCG or considering other factors such as
DHT or estrogen levels. It is more rigid in requiring the testosterone level be generally under 300 ng/dl. But it is a good starting point and is clear enough for family practitioners to use. For example, I like the use of starting doses and monitoring guidelines for labs. Practitioners who lack experience will feel more comfortable when given starting doses and clear monitoring guidelines.