You are exaggerating.
Do you think the authors of that paper recommend not working with treating symptoms?
Do you think I'd recommend going to a doctor who doesn't treat symptoms?
Before my current doctor, I went to three fruitcake endocrinologists who said, "It's all in your head. There's nothing wrong," despite the fact that my total T was 240 to 300 consistently and my LH and FSH values were completely abnormal! I was feeling like shit, clinically depressed, totally drained, and impotent for over one year at the age of 22.
So how does this add up with "If your doc didn't hear of it, it's bogus", considering I went to three doctors who didn't know what I was complaining about nor how to treat it?!
Is a training or nutrition article crumby because it doesn't explain EVERY nuance of training or nutrition? Can't a study or article or video, or any other media be decent even though it doesn't mention EVERYTHING that has to do with a topic?
Meanwhile the paper mentions all the intended results of treatment--restore health and all male characteristics. That doesn't fall in line with treating symptoms? Did you people read it in full? Anyway, the paper's target audience is medical professionals, many of whom probably do have to deal with keeping everything in line, and if they are competent DO know how to treat abnormally high estradiol.
I did my own research in the beginning and now don't need to.
And yes, I do cringe when I see people self medicating when there are some competent doctors out there, some professionals whose entire careers and education have been spent studying and treating the male reproductive system. I also cringe when I see people taking medical advice from people on the internet who aren't medical professionals trained in specific areas of medicine (urology/andrology, endocrinology).
And perhaps I am lucky. I've got a competent doctor, one of the best in the northeast. So I encourage others to do the same - find a COMPETENT doctor. I have no need to hunt down obscure sources for medication. When I will need HCG or Clomid, I'll be prescribed it (already used clomid twice as I've said before). No need for AI, but would be prescribed if I needed one.
I don't go by lab values alone. My doc knows I don't FEEL (symptoms related) like myself unless I'm at 700 to 1000. So he keeps me there. That's working with values and symptoms. Besides, everyone I've sent to my doc has been fixed up easily. They get a prescription, go down to Duane Reade and get it filled, take the medicine, and that's it! Perhaps they're lucky too.