The Explainer: Father’s little helper

Is testosterone therapy the fountain of youth? If so, WWWD? (What Would WADA Do?)
Charles,
As a retired lawyer and long time cyclist, I thoroughly enjoy your column.

Here’s one that might be arising more in the Masters’ ranks, which have had their share of doping positives, recently.

Doctors are increasingly treating below normal testosterone levels with (and Big Pharma is increasingly promoting) testosterone replacement therapy for older men. The therapy is based on research that tends to show that below normal T levels lead to various premature aging symptoms, low energy levels and low sex drive.

For those who race in the masters’ classes, is a TUE available for this therapy, with or without limitations? If not, is there any effort by WADA to consider it?

Given the threshold method of triggering tests, the ratio of epitestosterone to testosterone, would it even come up in testing if the therapy resulted in levels in the “normal” range?

Your hypothetical for the day.
Thanks,
― Larry

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