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The argument is that there is a difference between some office worker who needs TRT and a professional fighter. For the office worker who really needs it, TRT is going to greatly enhance his lifestyle so he has more energy to play with his kids, bang his wife, get through a long workday. Maybe he goes yard at the company softball game. For that guy, it doesn't matter whether his low T was caused by a disease, a legal medication that fucked his hormones up, or a shit load of juice he took when he was really into bodybuilding during college.
When you're talking about an athlete, first of all there is obviously going to be a question about whether it's for his lifestyle (i.e., Sonnen saying he couldn't get out of bed) or whether it's strictly to enhance their athletic performance. In addition, the question of "why" his T is low is also more relevant. If a fighter takes steroids throughout his career, he is giving himself an unfair advantage during that time. So the argument would be, why would he let him take TRT now that he lowered his T level by cheating for all those years.
I don't think anybody is saying that Vitor (or any other guy who used steroids in the past) shouldn't be allowed to take TRT so that they're able to continue living a healthy and productive life. They'e saying he shouldn't get a TUE so that he can inject synthetic testosterone and still be a professional fighter.
There isn't as much difference as you'd think.
My old man has a prescription for TRT at the age of 53. He's an average 53 year old dude.
It may be your OPINION that a 53 year old man should not have the test levels of a 20 year old, and that may be a legitimate opinion. It may be your OPINION that a fighter doesn't need extra test, and it may be a legitimate one.
The medical world doesn't give a single shit about the average person's opinion. My dad doesn't need TRT, and Vitor probably doesn't need it either. Would you expect my dad to say no to feeling like a 20 year old again? Would you expect Vitor to say no to legal performance enhancement?
Again, the problem is the clinical standards for low test, and nothing else. Right now, it's absurdly easy to get approved for it, and that isn't the fault of anyone on it.