The nurse practitioner handed Charlotte Andersen an address. “ Meet me in this parking lot,” she said. “ I can’t help you here .” By here , she meant the OB/GYN clinic where she worked and where Andersen had made an appointment — on the recommendation of a few fellow 40-something girlfriends — to get on the list for the nurse practitioner’s side business: providing pre- and postmenopausal women with off-label testosterone.

The business isn’t illegal, but some might still consider it dubious. No testosterone product for women is currently approved by the U.S. Food and Drug Administration. And while in 2019, a dozen international societies dedicated to women’s health care together endorsed clinical guidelines for the use of testosterone creams and patches on postmenopausal women bot

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