Dr. Susan Carter, MD: Endocrinologist & Longevity Expert

Dr. Susan Carter is an endocrinologist and longevity expert specializing in hormone balance, metabolism, and the aging process. She links low testosterone with thyroid and cortisol patterns and turns lab data into clear next steps. Patients appreciate her straightforward approach, preventive mindset, and calm, data-driven care.

What you need to know about testosterone replacement therapy risks

What you need to know about testosterone replacement therapy risks

Dr. Susan Carter, MD avatar
Dr. Susan Carter, MD: Endocrinologist & Longevity Expert
Aug 07, 2025 · 14 min read

In men with confirmed hypogonadism (total testosterone below ~350 ng/dL or free testosterone below ~100 pg/mL), properly monitored TRT hasn’t shown a major rise in heart attack or stroke risk in recent trials, but it can increase hematocrit by stimulating red blood cell production and may worsen prostate symptoms or suppress fertility over time. Here’s ...

Is testosterone replacement therapy cost worth it for us?

Is testosterone replacement therapy cost worth it for us?

Dr. Susan Carter, MD avatar
Dr. Susan Carter, MD: Endocrinologist & Longevity Expert
Aug 06, 2025 · 12 min read

TRT is most likely to be “worth it” for men with persistent symptoms and confirmed low testosterone (total testosterone below ~350 ng/dL or free testosterone below ~100 pg/mL) because this group is the most likely to see meaningful clinical benefits when appropriately monitored. The catch is that TRT is usually a multi‑year (sometimes lifelong) commitment ...

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