Be about 45 minutes to an hour early for appointment. It takes that long to fill out his paper work (longer if you have memory and concentration problems) He does not sit around and yap the man jumps right into it and does not waste no time at all getting to the point. He can crack some good jokes, but is very blunt and to the point and is very understanding about you getting better. One things he looks down upon is these antiaging places where they raise your testosterone to high limits and use counting armidex to counter act this. He saids "its to aggressive of a treatment and there are ways around it". He basically said there is a threshold where the body has were it starts to start pushing back by increasing estrogen, down regularing both estrogen and testosterone receptor cites and anything over 1000 range is where this tends to occur. He beleives that free testosterone is worthless majority of the time because labs can not really test for it. and goes by his shbg/ TT chart to display bioavailable testosterone which is the more essential number there TT. One surprising thing is that he doesn't beleive all this hype in having shbg under 30 but rather between (30-50), Dr shippen also noted that shbg in the lower 20's could even be signs of predispotion inuslin resistance as well and may not be healthy and guys that are in the 30-40 range are usually the lean ones walking around. He does not like to start patience off right on testosterone injection but rather to see how they respond to clincal trial of way to stimulate the body and see if the brain is producing the signals and how the balls are responding. One of the big things he beleives in is way is known as "pulsing testoserone" and doesn't use creams or injections unless there is a need to. Due to privacy acts of my freind i have left out the protocol on how this is to be done. It was nice for him to let me sit on the visit. just from information I provided i hope it gives you some new insights to alot of the fallacy that are out there about people being so wrapped up in number games. I got to breifly talk to him and he told me 1100 was way too high even though you are in normal ranges and that after a certain number your body starts just to increasing estrogen in relationship to testosterone. So the 50 mgs every 3 days will be dropped because its doing more harm then good. He said on a good week average person produces 50mgs. Athletes up to 70mgs of actually testosterone.