I think we may be parsing words, but I have agreed with you and often said we’re practicing functional medicine. As for “restoration” vs “replacement” I suppose I’m thinking that when something is replaced it involves something different, like an old car with a new one. Restoration is not different, just better (hopefully). I have a neighbor who just finished “restoring” a '66 Corvette and while it may not look at it on the surface, it is very much at a higher level than originally when it came out of the factory over 50 years ago.
Anyway, function works for me. But, I’m still going to say TRT. It’s like when a stranger would ask if I lifted weights (meaning bench press) and I’d end up trying to explain the Olympic lifts, the snatch and the clean & jerk, to him for 30 minutes. You and I can have the discussion, because you know what your talking about. The guys that ask what I do get, “testosterone replacement therapy, TRT, you’ll gain muscle, lose fat, have more energy and increase libido and sexual function. Any questions?”
Obviously, another excellent point which I think about a lot. I tell patients, there is such a thing as too much of a good thing. I often wonder where that number is and if it is different for everyone (I think so). It’s like using AAS as PEDs back in the day. I found there was a point of diminishing returns (more is not better) and passing that point yields zero return and going further makes you worse. I explain this to patients and they seem to get it, more is not better, so they don’t pressure me to push the envelope. Though, I suppose some here think I do.
You’ll love this then. I know some guys who did but now don’t. They start low and titrate upward to effect. I don’t ever see myself there.