This is a prescription drug.
Its primary use is as a transdermal form of hormone replacement therapy in older men who have Testosterone deficiency.
The drug should only be used with competent medical oversight and preferably only after testing of hormone levels.
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100% correct.
For use in the treatment of Gynecomastia, there is some controversy. It is of value for only a small number of selected patients.
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Yes and no. It is not regarded as controversial in some countries where it is routinely prescribed, which countries like it and which don’t has as much to do with endocrine politics as it has to do with the validity of its use. According to all the controlled clinical trials Andractim has a fairly successful track record in treating gynecomastia, reducing and sometimes resolving the condition- at least in men whose gynecomastia is still in the proliferation phase. It is not as successful as surgery in statistical terms and it will fail to work for those where its use is not indicated. Again I think the important point is the fact that it is supposed to only be used in a clinical setting via prescription- which you have rightly pointed out.
Unsupervised use of testosterone and its metabolites in a person who already has normal Testosterone levels may lead to reduction of the normal output of testosterone while the surplus is converted to Estrogens. In short, you could make things worse.
Clearly, tampering with your reproductive physiology is NOT a Do-it-yoursel Job.
There is no may about it, using testosterone or Andractim which is the male hormone dihydrotestosterone (DHT) WILL undoubtedly suppress the bodies Hypothalamic- Pituitary- Testicular Axis (HPTA) and reduce male hormone output.
However Andractim will NOT increase estrogen in any way, neither will it increase gynecomastia- it simply cannot do this as DHT reduces estrogen and itself cannot be converted into estrogen. But this fact is hardly a charter for self medication and you are quite correct to say it is not a do-it-yourself job.
DHT is only ever prescribed by an endocrinologist when indicated and only after a PSA test has indicated that there is no underlying disease of the prostate. If an individual unknowingly has prostate cancer and takes DHT that WILL accelerate the growth of the cancer and COULD kill!
If an individual is interested in Andractim then they should speak about it with an endocrinologist who has an interest in reproductive endocrinology. If you are in the US you will most likely find that your endocrinologist is not too interested in its use. If you are in Belgium and its use is indicated you will find yourself with a prescription.