![]() ![]() In 2022, urologist Justin Dubin, whose T-levels were a healthy 675, went undercover as a secret shopper to see how liberal these clinics’ interpretation of low was. In principle, what you receive is a therapeutic dose, intended to treat a medical condition: low endogenous testosterone, defined by the American Urological Association as less than three hundred nanograms per deciliter. ![]() A few keystrokes will guide you to dozens of online pharmacies ready to mail you an at-home saliva or blood test send it back and, if your hormone levels are low enough, you can have your testosterone injections or gels delivered within a week. There are no solid figures for how many Americans are legally prescribed steroids, but between 20, the number of testosterone prescriptions increased by 500 percent, and they’ve shot higher since 2019, with eased regulations in response to the Covid-19 pandemic leading to a thirty-eight-fold increase in the use of telehealth services. I’m not the only one who wants to be swole, and getting chemical help to do so has never been easier. That would give me a three-lift total just north of thirteen hundred: joke numbers for a powerlifter but more than I’ll ever put up with grit alone. I’ve known guys who put on twenty-plus pounds of lean mass on their first cycle and added fifty to a hundred pounds to their squat, deadlift, and bench press. The fantasy goes like this: I turn in my book (due in five weeks), turn in this article (due four days ago), clear my schedule, and devote a few months to weights, jiu-jitsu, long naps, and eating an obscene amount of meat. I’ve always thought I’d get around to trying some, but I never feel ready, and since my dad’s one of the likely millions of American men on testosterone replacement therapy (TRT) but is also prone to umbilical hernias, falling off ladders, and other hindrances to a consistent diet and workout plan, I’ve seen their effects on a more or less sedentary subject: not bad but still short of my “Stone Cold” Steve Austin-inspired dreams. ![]()
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