The clinically defined range of total testosterone concentration in serum, used to guide the diagnosis of androgen deficiency or excess and monitor the safety of hormonal therapy. These limits include the established reference range, which is often population-based, and the individualized, therapeutic target range determined by the patient’s clinical symptoms and treatment goals. Interpretation requires considering age, time of day, and the laboratory assay method.
Origin
This concept is foundational to clinical chemistry and endocrinology, where interpretation limits are necessary to standardize diagnostic and therapeutic decision-making. The established reference ranges are derived from statistical analysis of healthy populations. The clinical nuance lies in recognizing that these limits are statistical boundaries, not necessarily the optimal physiological set point for an individual.
Mechanism
The measurement of total testosterone quantifies both the protein-bound and free fractions of the hormone. Clinicians use the lower limit to diagnose hypogonadism and the upper limit to monitor for supraphysiological levels that could increase health risks, such as erythrocytosis or cardiovascular strain. Careful interpretation of these limits is essential for ensuring both the efficacy and safety of any testosterone optimization protocol.
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