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CPE-006 · Classification
HG-08: Reversible contributors present
Reversible contributors present. Evaluates low testosterone.
Active rulePriority 4Testosterone engine v1.0.0
Condition
- low testosterone
- any of: obesity (BMI ≥30), diabetes or prediabetes, opioid use, chronic glucocorticoid use, untreated severe sleep apnea, heavy alcohol use, untreated hypothyroidism, severe weight loss, chronic illness
What it reports
- Contributors that can lower testosterone are present and should be addressed
Recommended next steps (for physician review)
- Address the contributor and repeat testosterone, as the Endocrine Society advises
Diagnostic boundary
- Presence of a contributor does not prove it is the cause.
Evidence
- EV-ES-TRT-2018Bhasin S, Brito JP, Cunningham GR, et al. Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2018;103(5):1715-1744.Supports: Diagnose with symptoms plus unequivocally low testosterone on two morning fasting samples Contraindications and cautions to therapy; monitoring of hematocrit and PSA Evaluation of the type of hypogonadism with LH and FSH
Cases where this rule fires
Open a case to see this rule fire with real inputs, then change the values until it stops.
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