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Invited Commentary |

Low “T” as in “Template”:  How to Sell Disease

Lisa M. Schwartz, MD, MS1,2,3; Steven Woloshin, MD, MS1,2,3
[+] Author Affiliations
1VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, Vermont
2Center for Medicine and the Media, Dartmouth Institute for Health Policy and Clinical Practice
3Norris Cotton Cancer Center, Lebanon, New Hampshire
JAMA Intern Med. 2013;173(15):1460-1462. doi:10.1001/jamainternmed.2013.7579.
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Mr Ferguson, a healthy 55-year-old man without active problems, is in your office for his annual checkup. He tells you that he has no problems and feels fine.

“Well,” his wife chimes in, “he has been a little grumpy. Especially since Sammy—our son—starting beating Shaun here in their one-on-one basketball games.”

“Of course, I'm grumpy. We bet on a game and now I have to do the lawn,” Shaun says, shaking his head. “Takes forever, and it's exhausting.”

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The Medical-Industrial Complex
Posted on August 15, 2013
Michael Mundorff
Primary Children's Medical Center
Conflict of Interest: None Declared

Why can't anyone and everyone make testosterone topical gels, driving most of the profit motive out of the system? Testosterone is not a patentable chemical entity, nor is whatever topical vehicle is used for its delivery -- or at least shouldn't be. (The gel ingredients are not specified in the full prescribing information.)

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Techniques to measure testosterone in the elderly. Mayo Clin Proc 2000;75 Suppl():S19-25.
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