I've been on testosterone topical medication for many years. My doctor at work first diagnosed what she thought was the problem and I talked to my PCP. He agreed and put me on topical gel. At that point my T level was way below normal. Since the time when I started the medication, my T levels have increased but at best are just average. I do have more energy and my libido has definitely increased. I came down with a urinary tract infection last fall and my PSA numbers skyrocketed. This is not unusual. My PCP took me off the meds and referred me to a urologist. He explained the situation and performed a blood draw. By that time the infection was over and my PSA was back to normal levels. I went back on the medication at that point in time. Great video. Thanks for showing it.
So do you like the topical? What were your numbers before and after? I'm getting ready to start. Literally waiting for the medicine to hit my mailbox now. What are PSA number btw? Thanks
This guy is old school. My test was 540 and free was 5.6. On treatment injections 5 weeks and wow the difference. I can get out of the chair now and look forward to finding a job. Don't let any doctor tell you you are at ok levels. Life changing! There is no normal level. None of us are normal. Get treated until you feel great ir get a new doctor. BTW 63 years old here. I am not ready to be an old man.
My testosterone levels were in the normal range for my age. But my free testosterone was on the low side. Cypionate every two weeks and I’m golden 💪🏼. Definitely need to stay active for results. Or as active as your particular age allows. Edit; I’m 60 but everyone says I look 59.5 😂.
Yes, I had to practically beg my primary care doctor to include these in my blood test. She was not willing to do testosterone treatment. Thankfully my testosterone has been even lower the less couple of blood tests, also found high prolactin levels. she’s finally ordering an MRI of my brain. checking for tumors of the pituitary gland. Depending on what the MRI results are, I will either follow up with my primary care, or she will refer me to endocrinologist.
Especially if you've been diagnosed with prostate cancer. You are S-O-L in that case unless you can find a urologist or MO that accepts BAT treatment approach.
@@petegodfrey5735 it does... Im in CA.. I think they want 'certain demographic' to be weak. Fortunately you can raise it on your own. Took a few months, but doing body weight squats everyday, vit d + zinc + magnesium and losing weight and walking doubled my test
@@DarDarBanks1 Or maybe you need to find a new doctor? I had a doctor who refused to renew a lorazepam prescription or prescribe metformin to help battle prostate cancer. He left the practice. My new doctor had no problem approving both of my requests.
I changed my lifestyle at 61 and now Im 64 and hav way more energy and and my blood pressure is normal now and have been able to delete some meds out because of it ❤ Thank docs !😊
Oral T is NOT desroyed in the stomach. It's absorbed into the blood, but something like 80% of it is metabolized by the liver on the furst pass, so you have to keep redosing all day to maintain a level which overworks the liver and leads to temptation to use too much which just exacerbates the danger. Injections or cutaneous are a more controlled and steady release. I think cutaneous can give more of a natural cycle when applied in the morning. The problem with supplemental T is that adding T screws up the feedback loop of the H-P-A axis. Your "thermostat" is telling your body yoyre making pkenty, because that's what it sees, so it makes less. If you adjust it up again, it just lowers your natural output. This leads to a downward spiral of how much of your own T you make vs. how much you supplement. Often, as in my own case, there's a rise in PSA levels and the docs want to start doing prostate biopsies before they look at the history of your levels and when they rose and how fast but a good urologist will consider this before insisting on a biopsy. Stopping the supplemental T should tesult in PSA returing in-range within 2 years, according to the science...as it did with me, saving an unnecesary biopsy. My uroligist works for NASA now. Barring some reason like your testes not working or you having an issue with the endocrine system that can't be fixed or illness that requires meds that lower T production, etc, you can raise your natural T by eating right, abd that does NOT mean a low fat diet. All sex hormones come from cholesterol, going through several other intermediate hormones first, like DHA and androstenedione. Both strenth training and aerobic training are beneficial. A balanced diet is critical to complement the training to work toward a healthy body composition as is lowering sugars and alcohol, and other empty calories. Evem manipulating ones own mood, making an efgirt to feel piwerful and confident gives you more T, which in turn makes you more powerful, confident, ambitious, clear-headed and focused, alliwing you to ficus and accoplish whatever your goals are, which in turn makes you more confident, more in control of your environment and gives you more T production. Beat your chest like a gorilla, stomp around like a drill seargeant some. Back down a mean dog, complete that project at work, help someone with a problem, do something you've been putting off...accomplish anything, esoecialky if it was sonething you thought you couldnt do.. then tear your shirt off and scream like the Hulk. Gorilla stomps are your friend. Cruciferous vegetables eaten raw or lightly steam help too. Its like a smile being contagious...the more you tell yourself you can, even if you feel at first you can't the closer you get to where you will... and you'll have all the T you need. It all feeds on itself and builds momentum whichever way you have it going , up or down. Or continue on the downhill slope with your metabolic snowball until you approach metabolic syndrome, extreme obesity, lack of drive and focus. Body fat is a metabolic organ that converts T to estrogens via an enzyme called aromatase. Estrogen makes you fatter, that's why big girls have big boobs, and why bodybuiders that overdo the T get tits....gynomastia With the mood component, you really can "fake it 'till you make it". The more success you see the more you'll feel and so on. I took the same bloodwork every 3 mos recovering my natural T production as I had when I was using the Androgel because when my GP took me off the supplement I told him I'd been doing some reading about restoring your production naturally and if course ge said no hsrm in tracking progress ...my test results had me back in-range the upper end of natural levels within a year and my PSA normal in 2 years, just as the science shows. Mood DOES affect T because stress increases cortisol and cortisol makes belly fat, converting some T you have to estradiols, making more fat. Making an effort to boost your mood lowers stress and ...well if you've read this far, you get it. Knowledge is power! You're in the biggest library ever in existence, use it.
Different perspective, interesting, makes sense. But would you stick to this approach if I tell you my total T is high, but my SHBG is also very high, so my free T is low ? Thanks.
A lot of good information. The “normal” total testosterone in a male ranges from 350ng/dl to 1,150ng/dl. The 26yr old bodybuilder Dallas McCarver who died in 1991 had a total testosterone level of 5,500ng/dl at autopsy, and believe high doses may have attributed to his heart issues. I mention this only because most urologists will try and target a man 45 years and older at around 700ng/dl. My total testosterone was at 30ng/dl before starting therapy. Note that most medical insurance companies consider TRT as a non necessary treatment, and the Andeogel gel packs are over $600/box for a one 30day supply w/o insurance, whereas a 10cc/200/mg bottle of injectable testosterone is only $50/bottle for a 30 day supply. It was recommended by my GP that I start TRT when I turned 50, due to being tired and lack of sex drive. I took it for five years and felt great until I turned 55, and started getting severe tendinitis in both knees. When I turned 60, I was working under my car in the driveway, and when I went to get up I blew the quadriceps tendon in both knees. The first thing my o/s ( orthopedic surgeon) asked as i was a 60 yr old male who presented with bilateral QTR (Quadricep Tendon Ruptures) was I on TRT (Testosterone Replacement Therapy). She said nearly 99% of the Bilateral QTR repairs she does are on men over 45 who have been on long term TRT, and over 80% of unilateral QTR repairs are also performed on men over 45 who are on long term TRT. My o/s explained that long term use of TRT can cause the tendons to weaken. This can occur in other tendons throughout the body, such as elbows, but is more prevalent in the quad tendons pulling away from the patella, as it takes the most stress, and is used throughout the day. I belong to a Facebook Group for patients recovering from QTR surgery. It was started only 3 yrs ago, and already have over 1,000 members. Over 95% of the group are men over 45 who were on TRT. What is truly odd is that Bilateral QTR’s should be statistically rare in cases outside of an accident, and yet 30% of our group are bilateral. Apparently, if the tendons are weakens and pull away from the patella, performing any daily activity like standing up, walking down stairs, or running can cause the quad tendon to just pull away from the patella without any warning. Recovery and rehabilitation from this injury is supposed to take six months,however it appears most members are taking anywhere from 1-2 years before they feel anywhere close to pre injury. However you are dealing with patients who are generally all over 45, and so it would naturally take longer to recover from. Anyway, I would strongly suggest that anyone considering TRT, do their due diligence and ask questions.
Dallas McCarver had a 550ng/mL which is a whopping 55,000ng/dL. His T/E ratio of 130:1 further backs up how incredibly high his test levels were at the time of death. Even if scaling was linear, this would indicate between 10 and 15 grams of testosterone per week. A ML is 100x smaller than a DL. Most pro bodybuilders have a 5500ng/dl. from 1.5 -2 grams of testosterone a week.
Thank you for that information! I didn't realize that too much hormone therapy had a downside for men as it does for women. You'd think the more hormones we had during youth the better. But that's not the case. I hope your recovery went well. That doesn't sound fun 😔
My husband just got diagnosed after blood work… he is not at all over weight and doesn’t drink and has a physical job. He feels like crap….hope we can find something to work without any serious side effects he’s only 50
My T was 150 and I felt like Hell with many symptoms. Got a full workup just like these docs said and I've been on topical stuff for 2 months. Dudes, don't ignore your health.
I was at 150 and was like WTF?... a few weeks later I finally went into a T clinic and it was at 93.... I got my 1st injection of 100mg or whatever the unit is and I don't know its just in my head but 9 hrs later and I'm feeling better already. Probably in my head but I'm excited to start therapy.
Hi Docs, Great subject and Dr. Casey was right on. I’m a perfect example. Four years ago I was diagnosed with dangerously low testosterone. My symptoms were not pleasant. Fatigue…no energy…absolutely lethargic…wanted to sleep and took long naps…my libido was missing in action…I was losing muscle mass but putting weight on…and worst of all, I was losing hair. You guys no about that. My curly locks were going down the drain little by little. Full disclosure, I’m 73, 5’10”, 172lbs but I wasn’t getting enough exercise. So my MD gave a choice to me. Gel or injections. I chose the needle. Every two weeks my wife says bend over so she can practice her darts. I do try to make sure she’s happy and for good reasons. Happy wife, happy life and my derrière is thankful for that. Getting the right dosage took a couple/three months to maintain a healthy level. The good news is that the shot is an easy one. Unless you’ve angered your better half. The needle is 1 1/2” 22 gauge and there’s not much feeling in the rear as long as the shot is in the right spot. And the best news is my libido wasn’t dead after all, it was just taking a long nap. 😉🙋♂️
@@dwaynemorris3079 I was down to low 100’s. My MD’s goal was to get me between 650 & 950. We experimented with dosages. Started with 1cc every 2 weeks. That was too much as my level jumped to 1,300. Over time we settled on .6cc-.7cc every two weeks. That brought me up to between 800-1,000. I had more energy, my libido woke up and I felt better all the way around. I hope that helps.
Lots of really good information. One of the things we can't avoid from old age. Great point about the life style issues affecting the symptoms so much. Eat less, eat better and exercise----the big 3 for making a difference in our lives for any age.
absolutely ..it proves again that a healthy life style even if you have to put some effort in it, is worth living because it pays off when you get older. Some supplements added and you can reach a high age if you also keep your sterss level low...thats an important point you should never underestimate...
Thanks again Docs for all you do. On the subject of testosterone it would have been helpful to give information on the numbers that would be consider normal, low are high. I think most men start to think about their levels around 50-ish. Most guys don't even know their numbers because a lot of our primary Docs don't order that blood test unless you ask them.
The problem with the reference range is that it is applied to males ages 20 to 80 years old. There's should be a reference range for each period of 10 years. For instance 20-30 years old 800-900. 30-40 700-800. 50-60 600-700 etc.. I mean you could test at 350 at 20 years old and be considered normal. Bs.
I was taking TRT but my liver enzymes were elevated & at the advice of my urologist I stoped it. It’s been 6 months and enzymes are normal, but diminished strength and sex drive. Frustrating.
I have a level of 11 and 210 at age 48. Too me thats exceptionally low. And yes i have some symptoms. My docter says im in the normal level, my pharmacist vehemently disagrees with him. I work out and stay active.
Wow verbatim what I've been though! Doctor prescribed testosterone depot injections 5 years ago age 41. I had several symptoms including depression and zero libido. The injections are fine, never had depression since, libido is sky high as is my blood count lol and I actually had a venesection over the weekend. TRT has been a magic bullet for me I gotta say. Lot of of symptoms have been resolved👍
I’m 65, extremely healthy, bmi:22, exercise daily, but testosterone normally around 300 ng/ldl (low end of normal) Every 4 or 5 months I get pellets inserted and get T around 1000ng/dl. Mood improves, desire improves, energy improves, running better … everything better. I can tell when I’m running low. I know at 65 300bg/dl isn’t bad .. but I like feeling 18 again …I get PSA’s every 6 mo and it’s been steady at 0.8 for years.
I nearly died from having diabetes. During the time I was dealing with diabetes I suffered from hypogonadism while other symptoms occurred. After I was released I changed my diet. However I was low-T and working out did nothing. I'm familiar with TRT so I went the supplement route and I feel a world of difference everyday since. I take Weider Test booster along with L-Arginine and L-Citrulline in the morning. I take Creatine HCL. I also take magnesium glycate which was the missing piece because the calcium from the test booster was not getting carried throughout my body and I had stiffness and magnesium fixed that. I'm shopping for a new doctor but this route changed my life. Literally doing a 180. I cut my portions in half, fasted, and tried to do all the work around the house I can. I saw someone I hadn't seen in years and they were like you really lost weight from the last time I saw you. I don't snack. I reduced how much sugar I eat. Now my sugar stays around the 90s.I think once I return to the gym I will see an even greater improvement.
One thing which is never mentioned regarding men who although might have normal range testosterone levels, but want peak testosterone levels. I’m 36, healthly, not a bodybuilder but I consider myself one level down from that. I recently got my blood work done, and my PCP insisted I don’t need to take testosterone because my levels were in “normal” range. That being said, I’m certainly not producing the peak levels of testosterone that I was a decade earlier at 26, and I notice the lack/plateau of strength that I used to have at those peak levels when I was younger. Why is it seemingly frowned upon or discouraged to start taking testosterone in order to achieve peak levels again? Especially when done the right way through a doctor with supervision? I’m not asking for super human levels outside of a healthy range, I would just rather do something to go from normal to peak normal. Any thoughts???
I have been complaining to my doctor about brain fog, weight gain, depression/anxiety, and energy level for over a year. They did all types of tests, and finally, after one of my annual checkups, I guess they decided to do a low T-test. It came back below 200, and now I need to go see the endocrinologist. I guess they figured since I was young, it wasn't necessary to test it.
@@mrike5651- if someone is 25 years old and has low T, it’s imperative a work up for a pituitary related issue is completed. If fact, anyone younger than 40 years old should be considered for an MRI to rule out a pituitary issue. I was surprised the urologist did not mention low T in young persons is much different than low T in older people.
@kd8199 ok let's assume they do the mri and discovery a pituitary problem. They aren't doing anything for it. Your talking brain surgery and they won't do it. Just take trt.
wow awesome you thre docs and this video is so informative. I am glad you also mention the side effects bc some men just think they can take it like that but you need to watch it carefully. Once again you incredible team, you did good work and I am happy I found you!
Thanks guys. Really enjoy videos like this. There are way too many ''doctors'' OR ''MDs'' on TH-cam who it turns out are chiropractors, but who give advice on diet and other fields they have no knowledge of!
been doing TRT for 9 yrs here in Ontario, I was tested ( before 10 am ) and had Total T levels below the normal range... and all I got from several DR's here was lectures about juiced up athletes and dire warnings of heart attacks and strokes....so i have paid out of pocket from my treaments for my deficiency... significant improvements in health and well being.. including weight loss retention of muscle mass ( continue to WO several times a week) ... for which my regular DR said .."it's just a placebo effect" and continues to refuse to acknowledge improvements ....I am not a DR so this is not medical advice just personal experience.. I also tested relatively high for estradiol...bring that down significant improved what I would call chronic prostate discomfort.. for which my DR was happy to prescribe "antibiotics" for yrs... Have not touch an AB since either.. as far as hemo goes monitored 2 x a year if it gets a little elevated.. simply donate blood and all is fine .. am 66 .. am not 25 anymore but i am the best 66 I can be...healthy and physically active and sleep well .. the only other med is a thyroid pill.. I have no doubt without the T they would have me on all sorts of pills for depression sleep, prostate pain.. and since I would be fat and lazy... how about diabetes or other metabolic disease... not to forget higher risk for heart disease and cancer ......sadly the mythology created by a long discredited and redacted study published in JAMA in November 2013 that said TRT was associated with increase risk of heart attack and stroke still has some negative impact ( although as mentioned has been discredited and deleted from publication) ......In my experience properly monitored and supported it has been a significant improvement to my quality of life . I am not "juiced up" and well within normal ranges.. no DR could ever tell from my blood work that I am on TRT ( except when my Hemo count gets a little on the high side, but as mentioned easily and effectively managed through blood donation.. win/win for all concerned). My perception is the Ministry of Health in Ontario would prefer to see me sick and on a selection of pills...
@@stonemason66 yes and no ....since I am prescribed Bio identical T that is not covered....but thyroid and estrogen blocker are .. have never ask to switch to the Big Pharma synethic T, this works very well ...
I've had low testosterone and problems with my libido for your years and it has devastated my life and I cant find a doctor who can help me. I keep hanging in there but honestly think about ending it a lot. I just want to feel normal
@@ahsankhan-gn2yw 1/4 tablet of Anastrozole once a week. Check with your doctor and always do a full lipid panel (blood work) every 6 months. You might have to tweak dosages to get it right.
Thanks docs My husband sleeps and sleeps 8 or more hours at night and always 1-2 and more hours in the afternoon He is 80 little energy, very depressed not overweight no smoking drinking minimal. His memory suddenly started going, asking several times a day what day it is. This all started a few yeRs ago the sleeping. We will talk to our doc and ask to be referred to a urologist. Thanks he really needs help.
- if someone is young, 40 years old or you get, and has low T, it’s imperative a work up for a pituitary related issue is completed. If fact, anyone younger than 40 years old should be considered for an MRI to rule out a pituitary issue. I was surprised the urologist did not mention low T in young persons is much different than low T in older people.
I have been on TRT in my 50s for several years now and it makes a huge difference. I pick up the symptoms when I miss a dose for a few weeks. I was surprised that I had low T because I have a large muscle mass from strength training naturally (T of 4n mols) But the symptoms for me were lethargy, depression, apathy , and low libido (nil). It is like night and day when on the medication. The problem with waiting too long to do the injection is the apathy because you can’t be bothered anymore. I had to experiment to get the dosing and frequency right. Too much and libido is too high as well as haematocrit. The gels didn’t work because my skin would flare up from all the alcohol in the product. Hypogonadism is a real disease like menopause but is not treated the same. The stigma attaches to TRT for men as steroid drug addicts. It is a real medical condition that even a lot of doctors including senior endocrinologists do not believe. An endocrinologist told me that I don’t need TRT because my body doesn’t need T, that he had another patient with no T who was just fine, that we need to save Medicare in Australia from paying for all the HRT. This was the head of a hospital endocrinology department. I’m glad I got a second opinion.
Was thinking of getting on it but would have to pay out of pocket (I'm in the U.S). The medication isn't expensive but paying a doctor to watch my back is so it's prevented me from getting on. But I'm 43 and in the past 5 or 6 years I've noticed a huge drop in all the things listed. And I am muscular, work out often, been a ski coach for 20 years and a ww rafting guide as well. I mention these things only to put my body type and lifestyle into context (not fat, lazy, heavy drinkers, etc.) The other hiccup is that I am absolutely terrified of needles, especially blood draws. I have a horrible reaction when I black out, sweat profusely and vomit, followed by hours of malaise and a general feeling of being unwell. I've considered going to a hypnotist to see if I can overcome it. I genuinely want to get on TRT and hearing your experience only reinforces this. Have you noticed any health side effects, mood changes, acne, loss of hair, etc?
@@weirdbeard1980I haven’t had any negative side effects from TRT. If you stay within physiological doses you are simply replacing what you once had. Hairloss comes from high DHT levels which occur in higher testosterone levels. I wouldn’t consider taking testosterone unless your endogenous levels were low. That is the pathology test you should take. If you boost testosterone with exogenous testosterone on already normal levels then you won’t see any difference in mood or energy (you will however have the sex drive of an 18yo). I experimented with dosing and timing because I have a science degree in physiology and I wanted to treat my symptoms. I wanted to see exactly how the dose affected my symptoms and confirmed that my symptoms were not just psychological but consistently returned when I passed the required injection time. With regards to needles, I don’t like needles but the small gauge needles are barely perceptible. Also, it is an IM injection and not into a vein so negligible bleeding. Glute medius is my preferred site.
I am 56 years old and in 2018 my testosterone was 278. I started to experience diminished function in 2020. In spring 2021 I started using Aphro-d. In January 2023 my testosterone came in at 676. Function returned within a few months of use.
I had a kidney stone pass years ago and yes it was worse than labor. I have more but they haven’t been doing anything. My son his first one at 18 and he said, “Thanks Mom!”, when the urologist told him it could be hereditary.
When getting HRT for properly diagnosed low T.....FORGET INSURANCE COMPANIES and get your prescription sent to to a compounding pharmacy. My cost is less than my CoPay and I have good insurance. A side benefit is that you have to do unnecessary testing or office visits to please the insurance company. Design your insurance company out of your healthcare whenever possible and keep them from getting between you and your doctor and what you both decide is best.
Thank you for this video! I'm 58 and have "Pre-Diabetes" Metabolic syndrome. Because of this I didn't want to just start some GNC type of thing. I've got an appointment to talk to a Urologist that was recommended by my Cardiologist.
New to your channel. I'm 50 years old and my T levels are 296ng/gl but it was only taken at 4pm. This was informative. My MD doesn't seem to want to do anything about it.
I had low T recorded at 271. I found this guide that you guys might find useful. Following the guide for 4 months im now at 586 and wont be needing TRT just yet. Its called complete guide to testosterone by james francis
I'm an older guy, test is in the high range, but I'm being told (by non-doctors) that what I need to know id my "free" testosterone, my PCP doesn't feel that is a thing, what's the deal?
I’ve been on 200mg. Of testosterone every two weeks for the 12 years. I’m a 51 year old male. Today my doctor called with results from bloodwork along with a referral to a urologist. My testosterone is 86! Also, my hemoglobin levels are high. Why so low? How dangerous is this? Thank you
Half life is 8 days. Why are you only taking a shot once every two weeks? I’m assuming you tested at trough? Two weeks after your shot? Split it to 100mg a week or 50mg twice a week.
Fantastic information, guys. 43 y.o., 87 Total/ 2.8 Free. I am starting 200 TRT injectables this week after my bloodwork came back so bad. Also I have slightly below normal hemoglobin levels. I'm 43, not overweight, no smoking, medium drinking, decent diet, sleep well but stress is pretty high due to work. I have felt lethargic and have no libido and ED for a few years now. Due to my age and terrible score, should I be concerned about pituitary issues or anything else? I can only hope my treatment will make me feel a little better.
Im a 23 year old male and just got my blood work done. My testosterone is 264, and my free test is 5.4. Do you think these are concerning levels and what should I do? I am fatigued very often throughout the day
Definitely concerning. If you're overweight, I'd try cutting and exercising more. Though if you're active, might want to have a more thorough bloodwork. Could be another deficiency that's causing your Test to be low, like Vitamin D.
Thanks for the great video. I'm subscribed! I've definitely seen a decrease in muscle mass and energy from age 40 to 48. I'm aging quickly in just about every way, but still have "the drive" if you know what I mean. Is it possible to have low T but still be working well in that department??
Another good set of info, especially to advocate against self-medication with all the OTC supplements that are continuously hawked on the TV! Thanks again to the guys and Dr. Casey!
Interesting video and guest. I have some feedback about the text that comes up during the video that is accompanied by the abrupt whooshing noise. I find that noise pretty distracting and even kind of jarring when I am watching the video. Putting up the words is cool, but at least for me, I would really prefer not to have the accompanying whooshing sound. I hope you don't take this as criticism, just some feedback. You guys are my favorites. I actually like the quiet, low-tech, format of your videos. Your content is so good, you don't need any bells and whistles. Just you standing there and talking is kind of relaxing to watch, also. Happy Easter.
I have never had a libido issue and am stronger than most men naturally but am having a problem with my levels. My test level was at 268 and free test was at 6 but now it’s at 111 and 2. I’m 42 and have recently lost over 50 lbs but this level I got today is really freaking me out. I also cook my meals as well as not smoking and haven’t drank in over 7 years Any info on what changes I could make to turn this around would be really appreciated
My doctor barely wants to even talk to me about it. He said I can give you a referral to a specialist but he won’t help you either. Pretty frustrating.
Low carb paleo diet and activity, now two years and going, 68 years young. No TRT, 519 my latest numbers. Lifting heavy things, HIIT and cutting out the carbs. Who knew?!😮
Hello Doctors i appreciate this video my testosterone happens to be 52 and i feel like im falling apart. Pain in my muscles, severe fatigue, no energy whatsoever. Joint pain nausea, no libido or intimacy desire at. Whats the best way to dose
How does one find an appropriate clinic to start trt. Im 42 and my total was 217. Ihave had symptoms for 4-5 yrs. My highest level was 340 during that span. However all these clinics are for profit and offer hcg and clomid as part of there trt treatments. How does one determine the safest route and understand what is and isnt needed? Any advice would be appreciated since once u start trt ur on it for life essentially....
I've been training since I was 18 [now 73]. I did weights and also ran marathons for 25 years between the ages of 25 to 50. My diet was very good - I took great care of my body. However, in my mid 50's the wheels fell off! I diagnosed myself with low T and went to my GP who agreed to conduct tests. Sure enough my DHEA and Testosterone were off the bottom of the chart. I started taking ANDROFORTE 5 Testosterone cream and brought back my "natural" mood. My PSA started to rocket up at one point and I went and had a biopsy - no sign of cancer. I refused to go off testosterone replacement and started taking a natural herb remedy - Prostate Support [Saw Palmeto and Stinging nettle root] and my PSA is now well down below normal.
I'm a little bewildered by the range of testosterone that is considered "normal". It's something like 400 - 1000 in units the USA uses. Good to know that to avoid natural variability then get tested in the morning.
Though I just got hit with an 88 reading after having insomnia, severe unexplained weight gain, crushing fatigue, and depression for 15 years and I’m 41. I was a college athlete and none of this made sense. I’m hoping I get back to feeling like myself for the first time since 2006!
What do you think about Test boost max, I’ve tried it but, I don’t feel anything much. I was naturally at 650 about a year ago and I’m 57. I still feel sluggish and lack energy a lot, what should I do. I’m 6’1 215-not really over weight??
Been having ED for 15 years and at 62.5 started having issues with fatigue. Did a 'lets get tested' test and it came back 230. Went in to the specialist and one test was 243 and the third was 213. Globulin is at 13 and LH is 3. I have moderately high blood pressure which is treated with atenanol/chlorthaladone 25 mg/day. Hemocrit is at 47.3. Prolactin is normal, hemoglobin is 15.7. I don't drink or smoke. Have to watch what i eat so i don't get another flare up of gout in my right big toe. Consequently I'm drinking a lot of water with lemon. I would love to loose at least 50 lbs. I have no use for erections. My brother died of prostate cancer after battling it for 15 years. Not sure if i want to monkey with TRT. Is it worth it at this point? Probably just keep monitoring the levels. Unrelated FYI, I took over making the Urastop/ppstop for male incontinence after Paul Davis passed on.
I’m 75, and 5 months past the end of androgen deprivation therapy (and radiation) from PCa, my T baseline in my recent blood test was only 4 ng/dL - close to zero! I have all the symptoms of low T, I would love to get my levels back up, but my urologist thinks it’s too risky (prostate cancer cells thrive in the presence of testosterone). I’m still looking for a good opinion about whether it is safe to elevate T post-PCa treatment…
Anybody who is taking trt in moderation weather they have low T or not alllllll know how beneficial it is for their life. I’m 48 , I should have started taking it about 7 years ago. The issue is so many primary doctors don’t know enough about it and don’t want to deal with it including these doctors
So we will have to respectfully disagree. TRT is not without risk for those with normal testosterone and that is clearly shown in the scientific literature.
@@TalkingWithDocs always nice to see hosts of a channel comment back, I just subscribed. Im really happy to see you guys getting the opportunity to monetize your knowledge. With that being said , your statement is evidence you haven’t taken the time to really learn about the benefits vs the detrimental effects of trt. You’ve read studies but you haven’t taken the time to talk to men on trt. Talk to 50 men on trt, don’t even ask them if they have “low t” because that needle is moving. You will come to a very different conclusion. The truth is most doctors at my age (47) have checked out. You want to keep it moving, patient in and patient out. You don’t want to deal with any perceived liability. Your arrogance prohibits men like me from getting the support we need.
Just wondering if Dr Casey can remember our workouts (2005-2006). Hope all’s well Doc’ and you’re still including the deadlifts in your workouts. Mike Donnelly.
I had two cardiogenic shock heart attacks I died two times 418.23 I'm trying to get back into shape and I think I should start some testosterone which I used to take about $200 and milligrams every three times a week I was bench pressing like 500 and now I can't even bench press 50 lbs how do I get to the office
Have you seen too much exercise cause low testosterone? I do 7-10 hours of cardio per week and recently tested at 166 ng/dl with low RBC, HGB and HCT. My doctor wants to retest in a month.
When a man wants testosterone there are risks. When a woman wants testosterone to masculinize there are no risks at all. It's a lie doctors have to tell to keep the state medical boards and employers from going after their licenses and jobs. Facts don't matter in this arena sadly.
I started TRT injections in January, I was at 236. My T is now in the 550 range, but the injections have given me nothing but side effects and stress from keeping your E2 in check without feeling like death. I also have started severe itching anytime I got how or did physical activities. So I am planning on stopping. What would you recommend the best way of weening off? I currently am taking 120mg injections every 4 days.
Would testicle trauma be a factor in dropping T levels? I have “grown”two large cysts I guess after having one of my testicles ruptured and now they are very sensitive. Also have noticed a few small, hard knots on the epidenti……..🤷🏻♂️the tubes and stuff the sperm travels through.
Thanks guys the video's are always so good. Quick question, what about the OTC for low testosterone? I see a lot of pill form, and as Dr. Casey pointed out, pill form are useless and go right through the body. I looked and found only a couple topical types none are approved or even tested by health Canada but would they be trash snake oil too or would they have some benefit?
99% in US and Canada sold OTC, are junk unless! OTC in Mexico, Colombia, Panama, Thailand,.....where they are allowed to sell the good stuff without a prescription is very different. True some guys only need SARMS (be very careful with the source and quality of the product), peptides or natural herbs like tongkat ali or fadogia agrestis mixed with some L arginine and L citrulline, maybe some nacin, zinc and boron. However, with any issue, it will depend on the root cause of the issue (overweight, stress, poor nutrition, diabetic, hormone imbalance, or more serious health issue). With any health related, it all starts with Data: Complete blood work and being honest about your lifestyle habits.
I am 66. I recently went thru rectal and anal cancer , emergency surgery, chemo and radiation. I am cancer free now, but I am TIRED all the time. It's been 2 years since the final radiation. A friend of mine (49) started using testoserone from UG freak. He said he feels better than he has felt since he was 25. I am in good shape (construction all my life, and very active) but now, I have to fight to get out of bed...i golf a lot, still doing construction, but my health insurance is no longer in effect. So, my question...I can buy this stuff on line...get the needles and wing it!...with my friends help...I am a cautious person, but, I want to feel like working again, I want to have some strength AND the energy and desire to get up and go instead of having to force everything! Any advise is appreciated.
My total testosterone came back at 887 and the normal range is 250 to 827 ng/dl. Should I be concerned ? Also my creatine kinase total came back at 252 meanwhile normal range is 44 to 196 u/l. I don’t know what’s going on! But I am gaining weight, loosing muscle and super bloated all the damn times. I wake up bloated, feeling full and I get more bloated even by drinking water.
Please don't forget, Total T is not the most important number, it is only one of many factors. Estrogen levels in men also play a major role in libido. TRT dosages / Testosterone will not help if the person has low androgen receptor count. "Low" T is not a big deal, "IF" the patient has correct Free T levels, estrogen, prolactin and progesterone levels. It is a balancing act. Just adding TRT / Test, short acting or long acting will not solve these issues. And "IF" anyone starts TRT, please ensure your doctor understands the effects on your liver (if orals), skin if a gel and lungs, blood, and HDL-c if injectables. Yes, lifestyle intervention FIRST. No smoking, no drinking, get 8 hours of quality sleep, nutrition is a critical, correct body weight (obese / over fat will cause estrogen to go up), morning sunlight, and reduced stress. Lastly, most doctors will not tell you, but ensure you have a hot wife or hot girlfriend, the ugly or fat ones will kill your libido. Seen many guys with "erectile dysfunction" then we bring in a hot young hard body surrogate and like magic, they get erect.
@@TalkingWithDocs far too many TRT "clinics" trashing men's health. Been working with military personnel for many years seen far too many horror stories. Kind of like the wild wild west at the moment.
@DrAJ_LatinAmerica so what you're saying, looking at my total T and free T levels is not enough. There's also other factors to look at. Okay. That means 90% doctors won't get it right, so I need to get to a doctor who really understands the big picture. So the trick is finding such a dr.
@@contrarian717 correct. Not enough. Start with, does the patient need it or want it? No judgement but your doctor needs to find out. Next try all interventions without meds. For many losing weight, better / more sleep and diet gets them closer to their goal. Complete cancer screening is important!! The test wouldn't cause it, but can help it grow if already present. Your doctor needs to check CBC, CMP, complete thyroid panel, Total T, Free T, DHEA, SHBG, and all the major hormones like progesterone, prolactin, estradiol,...they must look at LH and FSH, PSA, Hba1c, Hscrp, fasting insulin,..... All these items are a starting point. Must ensure the person understands, once the process starts, monthly visits and monthly blood work for the first year, during the adjustment period (everyone's body is going to react differently). No guessing, verify. Extremely important the patient likes needles and injecting, (helps if they have tattoos, generally they are more relaxed around needles). Helps if your doctor promotes frequent micro dosing vs bolus dose. They should also explain that not everyone needs to start with testosterone. Some guys may only need lifestyle changes and some HCG. Must develop a very complete patient profile/ big picture. Close communication. Be ready to spend lots of money for best results (meds, visits, blood work) and plan on a possible lifelong process. Many guys 50+, once they start, natural function, natural test production never returns. Have fun and best of luck. Ps - never never let the doctor talk you into BS creams, gels, pellets,.....very problematic and if you have any allergic reaction to an injection, keep in mind it could be the Brand / maker of the product, try a different brand that uses a different carrier oil. The reactions are to the oil, not the Test.
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I've been on testosterone topical medication for many years. My doctor at work first diagnosed what she thought was the problem and I talked to my PCP. He agreed and put me on topical gel. At that point my T level was way below normal. Since the time when I started the medication, my T levels have increased but at best are just average. I do have more energy and my libido has definitely increased. I came down with a urinary tract infection last fall and my PSA numbers skyrocketed. This is not unusual. My PCP took me off the meds and referred me to a urologist. He explained the situation and performed a blood draw. By that time the infection was over and my PSA was back to normal levels. I went back on the medication at that point in time. Great video. Thanks for showing it.
So do you like the topical? What were your numbers before and after? I'm getting ready to start. Literally waiting for the medicine to hit my mailbox now. What are PSA number btw? Thanks
This guy is old school. My test was 540 and free was 5.6. On treatment injections 5 weeks and wow the difference. I can get out of the chair now and look forward to finding a job. Don't let any doctor tell you you are at ok levels. Life changing!
There is no normal level. None of us are normal. Get treated until you feel great ir get a new doctor. BTW 63 years old here. I am not ready to be an old man.
Hi Steve. Treating everyone with testosterone is certainly not the answer. Glad it worked for you
I was gonna say the same thing! Lots of old-school thinking in this video
"67 and not ready to be old" I have terrible news, lmao.
But glad you're feeling better.
My testosterone levels were in the normal range for my age. But my free testosterone was on the low side. Cypionate every two weeks and I’m golden 💪🏼. Definitely need to stay active for results. Or as active as your particular age allows.
Edit; I’m 60 but everyone says I look 59.5 😂.
One shot every two weeks? Typically it’s once or twice a week
Good luck finding a dr willing to treat you. No matter how low it is.
Yes, I had to practically beg my primary care doctor to include these in my blood test. She was not willing to do testosterone treatment. Thankfully my testosterone has been even lower the less couple of blood tests, also found high prolactin levels. she’s finally ordering an MRI of my brain. checking for tumors of the pituitary gland. Depending on what the MRI results are, I will either follow up with my primary care, or she will refer me to endocrinologist.
Especially if you've been diagnosed with prostate cancer. You are S-O-L in that case unless you can find a urologist or MO that accepts BAT treatment approach.
Im dealing with that same B.S. It makes you wonder....
@@petegodfrey5735 it does... Im in CA.. I think they want 'certain demographic' to be weak. Fortunately you can raise it on your own. Took a few months, but doing body weight squats everyday, vit d + zinc + magnesium and losing weight and walking doubled my test
@@DarDarBanks1 Or maybe you need to find a new doctor? I had a doctor who refused to renew a lorazepam prescription or prescribe metformin to help battle prostate cancer. He left the practice. My new doctor had no problem approving both of my requests.
I changed my lifestyle at 61 and now Im 64 and hav way more energy and and my blood pressure is normal now and have been able to delete some meds out because of it ❤
Thank docs !😊
Good going mate. To long life
are you saying you took testoserone or not?
Oral T is NOT desroyed in the stomach. It's absorbed into the blood, but something like 80% of it is metabolized by the liver on the furst pass, so you have to keep redosing all day to maintain a level which overworks the liver and leads to temptation to use too much which just exacerbates the danger.
Injections or cutaneous are a more controlled and steady release. I think cutaneous can give more of a natural cycle when applied in the morning.
The problem with supplemental T is that adding T screws up the feedback loop of the H-P-A axis. Your "thermostat" is telling your body yoyre making pkenty, because that's what it sees, so it makes less.
If you adjust it up again, it just lowers your natural output. This leads to a downward spiral of how much of your own T you make vs. how much you supplement.
Often, as in my own case, there's a rise in PSA levels and the docs want to start doing prostate biopsies before they look at the history of your levels and when they rose and how fast but a good urologist will consider this before insisting on a biopsy.
Stopping the supplemental T should tesult in PSA returing in-range within 2 years, according to the science...as it did with me, saving an unnecesary biopsy.
My uroligist works for NASA now.
Barring some reason like your testes not working or you having an issue with the endocrine system that can't be fixed or illness that requires meds that lower T production, etc, you can raise your natural T by eating right, abd that does NOT mean a low fat diet.
All sex hormones come from cholesterol, going through several other intermediate hormones first, like DHA and androstenedione.
Both strenth training and aerobic training are beneficial. A balanced diet is critical to complement the training to work toward a healthy body composition as is lowering sugars and alcohol, and other empty calories.
Evem manipulating ones own mood, making an efgirt to feel piwerful and confident gives you more T, which in turn makes you more powerful, confident, ambitious, clear-headed and focused, alliwing you to ficus and accoplish whatever your goals are, which in turn makes you more confident, more in control of your environment and gives you more T production.
Beat your chest like a gorilla, stomp around like a drill seargeant some. Back down a mean dog, complete that project at work, help someone with a problem, do something you've been putting off...accomplish anything, esoecialky if it was sonething you thought you couldnt do.. then tear your shirt off and scream like the Hulk.
Gorilla stomps are your friend. Cruciferous vegetables eaten raw or lightly steam help too.
Its like a smile being contagious...the more you tell yourself you can, even if you feel at first you can't the closer you get to where you will... and you'll have all the T you need.
It all feeds on itself and builds momentum whichever way you have it going , up or down.
Or continue on the downhill slope with your metabolic snowball until you approach metabolic syndrome, extreme obesity, lack of drive and focus.
Body fat is a metabolic organ that converts T to estrogens via an enzyme called aromatase. Estrogen makes you fatter, that's why big girls have big boobs, and why bodybuiders that overdo the T get tits....gynomastia
With the mood component, you really can "fake it 'till you make it". The more success you see the more you'll feel and so on.
I took the same bloodwork every 3 mos recovering my natural T production as I had when I was using the Androgel because when my GP took me off the supplement I told him I'd been doing some reading about restoring your production naturally and if course ge said no hsrm in tracking progress ...my test results had me back in-range the upper end of natural levels within a year and my PSA normal in 2 years, just as the science shows.
Mood DOES affect T because stress increases cortisol and cortisol makes belly fat, converting some T you have to estradiols, making more fat. Making an effort to boost your mood lowers stress and ...well if you've read this far, you get it.
Knowledge is power! You're in the biggest library ever in existence, use it.
Different perspective, interesting, makes sense. But would you stick to this approach if I tell you my total T is high, but my SHBG is also very high, so my free T is low ? Thanks.
Well said. Can you suggest a natural guide like book, youtube channel that helped you most?
A lot of good information. The “normal” total testosterone in a male ranges from 350ng/dl to 1,150ng/dl. The 26yr old bodybuilder Dallas McCarver who died in 1991 had a total testosterone level of 5,500ng/dl at autopsy, and believe high doses may have attributed to his heart issues. I mention this only because most urologists will try and target a man 45 years and older at around 700ng/dl. My total testosterone was at 30ng/dl before starting therapy. Note that most medical insurance companies consider TRT as a non necessary treatment, and the Andeogel gel packs are over $600/box for a one 30day supply w/o insurance, whereas a 10cc/200/mg bottle of injectable testosterone is only $50/bottle for a 30 day supply. It was recommended by my GP that I start TRT when I turned 50, due to being tired and lack of sex drive. I took it for five years and felt great until I turned 55, and started getting severe tendinitis in both knees. When I turned 60, I was working under my car in the driveway, and when I went to get up I blew the quadriceps tendon in both knees. The first thing my o/s ( orthopedic surgeon) asked as i was a 60 yr old male who presented with bilateral QTR (Quadricep Tendon Ruptures) was I on TRT (Testosterone Replacement Therapy). She said nearly 99% of the Bilateral QTR repairs she does are on men over 45 who have been on long term TRT, and over 80% of unilateral QTR repairs are also performed on men over 45 who are on long term TRT. My o/s explained that long term use of TRT can cause the tendons to weaken. This can occur in other tendons throughout the body, such as elbows, but is more prevalent in the quad tendons pulling away from the patella, as it takes the most stress, and is used throughout the day. I belong to a Facebook Group for patients recovering from QTR surgery. It was started only 3 yrs ago, and already have over 1,000 members. Over 95% of the group are men over 45 who were on TRT. What is truly odd is that Bilateral QTR’s should be statistically rare in cases outside of an accident, and yet 30% of our group are bilateral. Apparently, if the tendons are weakens and pull away from the patella, performing any daily activity like standing up, walking down stairs, or running can cause the quad tendon to just pull away from the patella without any warning. Recovery and rehabilitation from this injury is supposed to take six months,however it appears most members are taking anywhere from 1-2 years before they feel anywhere close to pre injury. However you are dealing with patients who are generally all over 45, and so it would naturally take longer to recover from. Anyway, I would strongly suggest that anyone considering TRT, do their due diligence and ask questions.
Yes. Thanks for sharing
Dallas McCarver had a 550ng/mL which is a whopping 55,000ng/dL. His T/E ratio of 130:1 further backs up how incredibly high his test levels were at the time of death. Even if scaling was linear, this would indicate between 10 and 15 grams of testosterone per week. A ML is 100x smaller than a DL. Most pro bodybuilders have a 5500ng/dl. from 1.5 -2 grams of testosterone a week.
Thank you for that information! I didn't realize that too much hormone therapy had a downside for men as it does for women. You'd think the more hormones we had during youth the better. But that's not the case. I hope your recovery went well. That doesn't sound fun 😔
Very interesting!! Thanks for sharing that, much appreciated! Cheers
Dallas Mccarver was born in 1991 he died in 2017
My husband just got diagnosed after blood work… he is not at all over weight and doesn’t drink and has a physical job. He feels like crap….hope we can find something to work without any serious side effects he’s only 50
My T was 150 and I felt like Hell with many symptoms. Got a full workup just like these docs said and I've been on topical stuff for 2 months. Dudes, don't ignore your health.
Can you plz guide me I have similar experiences I don't know what to do what doctor to go for
Mine is 85. I'm only 37 and not sure what's going on. I'm always tired though. Waiting for my gel in the mail.
Btw, have you noticed a difference in 4 months at this point? Thanks
@@j-stilt9746 waaaay better
I was at 150 and was like WTF?... a few weeks later I finally went into a T clinic and it was at 93.... I got my 1st injection of 100mg or whatever the unit is and I don't know its just in my head but 9 hrs later and I'm feeling better already. Probably in my head but I'm excited to start therapy.
Hi Docs, Great subject and Dr. Casey was right on. I’m a perfect example. Four years ago I was diagnosed with dangerously low testosterone. My symptoms were not pleasant. Fatigue…no energy…absolutely lethargic…wanted to sleep and took long naps…my libido was missing in action…I was losing muscle mass but putting weight on…and worst of all, I was losing hair. You guys no about that. My curly locks were going down the drain little by little. Full disclosure, I’m 73, 5’10”, 172lbs but I wasn’t getting enough exercise. So my MD gave a choice to me. Gel or injections. I chose the needle. Every two weeks my wife says bend over so she can practice her darts. I do try to make sure she’s happy and for good reasons. Happy wife, happy life and my derrière is thankful for that. Getting the right dosage took a couple/three months to maintain a healthy level. The good news is that the shot is an easy one. Unless you’ve angered your better half. The needle is 1 1/2” 22 gauge and there’s not much feeling in the rear as long as the shot is in the right spot. And the best news is my libido wasn’t dead after all, it was just taking a long nap. 😉🙋♂️
Congrats James and thanks for sharing
is your hair lost stop ? did you get back some hair ?
jamesec1949 I'm curious, what was your t level and what did you finally settle on getting it up to? Thank you in advance!
@@dwaynemorris3079 I was down to low 100’s. My MD’s goal was to get me between 650 & 950. We experimented with dosages. Started with 1cc every 2 weeks. That was too much as my level jumped to 1,300. Over time we settled on .6cc-.7cc every two weeks. That brought me up to between 800-1,000. I had more energy, my libido woke up and I felt better all the way around. I hope that helps.
Lots of really good information. One of the things we can't avoid from old age. Great point about the life style issues affecting the symptoms so much. Eat less, eat better and exercise----the big 3 for making a difference in our lives for any age.
For sure Gregg. Seems so easy
Lots of older men avoid women resulting in far less problems.
Women do complain alot.
absolutely ..it proves again that a healthy life style even if you have to put some effort in it, is worth living because it pays off when you get older. Some supplements added and you can reach a high age if you also keep your sterss level low...thats an important point you should never underestimate...
Thanks again Docs for all you do. On the subject of testosterone it would have been helpful to give information on the numbers that would be consider normal, low are high. I think most men start to think about their levels around 50-ish. Most guys don't even know their numbers because a lot of our primary Docs don't order that blood test unless you ask them.
Hi Michael. Normal range is 300-1000 ng/dl.
@@TalkingWithDocs Thank you!
@@mike9147 Just for reference, a 75 year old man should have around 400 ng/dl.
The problem with the reference range is that it is applied to males ages 20 to 80 years old. There's should be a reference range for each period of 10 years. For instance 20-30 years old 800-900. 30-40 700-800. 50-60 600-700 etc.. I mean you could test at 350 at 20 years old and be considered normal. Bs.
The numbers are BS it’s symptoms that matter. The insurance companies supported the lowered scores from 350 to 260. It’s insane.
So appreciate that you guys always recommend lifestyle changes first--diet and exercise.
Always!
I was taking TRT but my liver enzymes were elevated & at the advice of my urologist I stoped it. It’s been 6 months and enzymes are normal, but diminished strength and sex drive. Frustrating.
I have a level of 11 and 210 at age 48. Too me thats exceptionally low. And yes i have some symptoms. My docter says im in the normal level, my pharmacist vehemently disagrees with him. I work out and stay active.
Wow verbatim what I've been though! Doctor prescribed testosterone depot injections 5 years ago age 41. I had several symptoms including depression and zero libido. The injections are fine, never had depression since, libido is sky high as is my blood count lol and I actually had a venesection over the weekend. TRT has been a magic bullet for me I gotta say. Lot of of symptoms have been resolved👍
Thanks for sharing Tim. Glad to hear it helped
Have your nads shrunk up?
@@Jeckyll859 yes half the size.
Thank you sir! Any regrets?@@timdernachn9851
I’m 65, extremely healthy, bmi:22, exercise daily, but testosterone normally around 300 ng/ldl (low end of normal) Every 4 or 5 months I get pellets inserted and get T around 1000ng/dl. Mood improves, desire improves, energy improves, running better … everything better. I can tell when I’m running low. I know at 65 300bg/dl isn’t bad .. but I like feeling 18 again …I get PSA’s every 6 mo and it’s been steady at 0.8 for years.
Thanks for sharing
I'm 37 with 260. Is that normal
@@jhguygih 260 in the morning is definitely low.
I nearly died from having diabetes. During the time I was dealing with diabetes I suffered from hypogonadism while other symptoms occurred. After I was released I changed my diet. However I was low-T and working out did nothing. I'm familiar with TRT so I went the supplement route and I feel a world of difference everyday since. I take Weider Test booster along with L-Arginine and L-Citrulline in the morning. I take Creatine HCL. I also take magnesium glycate which was the missing piece because the calcium from the test booster was not getting carried throughout my body and I had stiffness and magnesium fixed that. I'm shopping for a new doctor but this route changed my life. Literally doing a 180. I cut my portions in half, fasted, and tried to do all the work around the house I can. I saw someone I hadn't seen in years and they were like you really lost weight from the last time I saw you. I don't snack. I reduced how much sugar I eat. Now my sugar stays around the 90s.I think once I return to the gym I will see an even greater improvement.
One thing which is never mentioned regarding men who although might have normal range testosterone levels, but want peak testosterone levels. I’m 36, healthly, not a bodybuilder but I consider myself one level down from that. I recently got my blood work done, and my PCP insisted I don’t need to take testosterone because my levels were in “normal” range. That being said, I’m certainly not producing the peak levels of testosterone that I was a decade earlier at 26, and I notice the lack/plateau of strength that I used to have at those peak levels when I was younger. Why is it seemingly frowned upon or discouraged to start taking testosterone in order to achieve peak levels again? Especially when done the right way through a doctor with supervision? I’m not asking for super human levels outside of a healthy range, I would just rather do something to go from normal to peak normal. Any thoughts???
Go to a private TRT clinic.
I have been complaining to my doctor about brain fog, weight gain, depression/anxiety, and energy level for over a year. They did all types of tests, and finally, after one of my annual checkups, I guess they decided to do a low T-test. It came back below 200, and now I need to go see the endocrinologist. I guess they figured since I was young, it wasn't necessary to test it.
I'm 25 and yeah it's difficult to get the test done
I would request it, but you have to be firm with them. It's no fun with low energy.@@mrike5651
@@mrike5651- if someone is 25 years old and has low T, it’s imperative a work up for a pituitary related issue is completed. If fact, anyone younger than 40 years old should be considered for an MRI to rule out a pituitary issue. I was surprised the urologist did not mention low T in young persons is much different than low T in older people.
@kd8199 ok let's assume they do the mri and discovery a pituitary problem. They aren't doing anything for it. Your talking brain surgery and they won't do it. Just take trt.
@@kd8199doctors like to get paid big $ for MRI
Good evening docs .The last videos and this one were exceptional . Very good information you all are knocking it out of the park thank you .
Thanks for the unwavering support Kubota Jordan!
wow awesome you thre docs and this video is so informative. I am glad you also mention the side effects bc some men just think they can take it like that but you need to watch it carefully.
Once again you incredible team, you did good work and I am happy I found you!
Thanks guys. Really enjoy videos like this. There are way too many ''doctors'' OR ''MDs'' on TH-cam who it turns out are chiropractors, but who give advice on diet and other fields they have no knowledge of!
Glad you enjoyed it Jeff!
been doing TRT for 9 yrs here in Ontario, I was tested ( before 10 am ) and had Total T levels below the normal range... and all I got from several DR's here was lectures about juiced up athletes and dire warnings of heart attacks and strokes....so i have paid out of pocket from my treaments for my deficiency... significant improvements in health and well being.. including weight loss retention of muscle mass ( continue to WO several times a week) ... for which my regular DR said .."it's just a placebo effect" and continues to refuse to acknowledge improvements ....I am not a DR so this is not medical advice just personal experience.. I also tested relatively high for estradiol...bring that down significant improved what I would call chronic prostate discomfort.. for which my DR was happy to prescribe "antibiotics" for yrs... Have not touch an AB since either.. as far as hemo goes monitored 2 x a year if it gets a little elevated.. simply donate blood and all is fine .. am 66 .. am not 25 anymore but i am the best 66 I can be...healthy and physically active and sleep well .. the only other med is a thyroid pill.. I have no doubt without the T they would have me on all sorts of pills for depression sleep, prostate pain.. and since I would be fat and lazy... how about diabetes or other metabolic disease... not to forget higher risk for heart disease and cancer ......sadly the mythology created by a long discredited and redacted study published in JAMA in November 2013 that said TRT was associated with increase risk of heart attack and stroke still has some negative impact ( although as mentioned has been discredited and deleted from publication) ......In my experience properly monitored and supported it has been a significant improvement to my quality of life . I am not "juiced up" and well within normal ranges.. no DR could ever tell from my blood work that I am on TRT ( except when my Hemo count gets a little on the high side, but as mentioned easily and effectively managed through blood donation.. win/win for all concerned). My perception is the Ministry of Health in Ontario would prefer to see me sick and on a selection of pills...
Thanks for sharing. We don't think they want you sick. It just takes way too long for new things to get adopted
does ohip cover your prescription costs?
@@stonemason66 yes and no ....since I am prescribed Bio identical T that is not covered....but thyroid and estrogen blocker are .. have never ask to switch to the Big Pharma synethic T, this works very well ...
I've had low testosterone and problems with my libido for your years and it has devastated my life and I cant find a doctor who can help me. I keep hanging in there but honestly think about ending it a lot. I just want to feel normal
So sorry to hear that. Don't give up. Consider talking to a therapist about this
I’ve been on TRT for five years and feel so much better! My blood work is great for a 46 yr old
Thanks for sharing
What do you do to control your estrogen levels?
@@ahsankhan-gn2yw 1/4 tablet of Anastrozole once a week. Check with your doctor and always do a full lipid panel (blood work) every 6 months. You might have to tweak dosages to get it right.
Thanks docs My husband sleeps and sleeps 8 or more hours at night and always 1-2 and more hours in the afternoon He is 80 little energy, very depressed not overweight no smoking drinking minimal. His memory suddenly started going, asking several times a day what day it is. This all started a few yeRs ago the sleeping. We will talk to our doc and ask to be referred to a urologist. Thanks he really needs help.
Best of luck J
- if someone is young, 40 years old or you get, and has low T, it’s imperative a work up for a pituitary related issue is completed. If fact, anyone younger than 40 years old should be considered for an MRI to rule out a pituitary issue. I was surprised the urologist did not mention low T in young persons is much different than low T in older people.
I have been on TRT in my 50s for several years now and it makes a huge difference. I pick up the symptoms when I miss a dose for a few weeks. I was surprised that I had low T because I have a large muscle mass from strength training naturally (T of 4n mols) But the symptoms for me were lethargy, depression, apathy , and low libido (nil). It is like night and day when on the medication. The problem with waiting too long to do the injection is the apathy because you can’t be bothered anymore. I had to experiment to get the dosing and frequency right. Too much and libido is too high as well as haematocrit. The gels didn’t work because my skin would flare up from all the alcohol in the product. Hypogonadism is a real disease like menopause but is not treated the same. The stigma attaches to TRT for men as steroid drug addicts. It is a real medical condition that even a lot of doctors including senior endocrinologists do not believe. An endocrinologist told me that I don’t need TRT because my body doesn’t need T, that he had another patient with no T who was just fine, that we need to save Medicare in Australia from paying for all the HRT. This was the head of a hospital endocrinology department. I’m glad I got a second opinion.
Obviously every patient is very different. Glad it’s working for you
Thanks for you post bro.
Was thinking of getting on it but would have to pay out of pocket (I'm in the U.S). The medication isn't expensive but paying a doctor to watch my back is so it's prevented me from getting on. But I'm 43 and in the past 5 or 6 years I've noticed a huge drop in all the things listed. And I am muscular, work out often, been a ski coach for 20 years and a ww rafting guide as well. I mention these things only to put my body type and lifestyle into context (not fat, lazy, heavy drinkers, etc.) The other hiccup is that I am absolutely terrified of needles, especially blood draws. I have a horrible reaction when I black out, sweat profusely and vomit, followed by hours of malaise and a general feeling of being unwell. I've considered going to a hypnotist to see if I can overcome it. I genuinely want to get on TRT and hearing your experience only reinforces this. Have you noticed any health side effects, mood changes, acne, loss of hair, etc?
@@weirdbeard1980I haven’t had any negative side effects from TRT. If you stay within physiological doses you are simply replacing what you once had. Hairloss comes from high DHT levels which occur in higher testosterone levels. I wouldn’t consider taking testosterone unless your endogenous levels were low. That is the pathology test you should take. If you boost testosterone with exogenous testosterone on already normal levels then you won’t see any difference in mood or energy (you will however have the sex drive of an 18yo). I experimented with dosing and timing because I have a science degree in physiology and I wanted to treat my symptoms. I wanted to see exactly how the dose affected my symptoms and confirmed that my symptoms were not just psychological but consistently returned when I passed the required injection time. With regards to needles, I don’t like needles but the small gauge needles are barely perceptible. Also, it is an IM injection and not into a vein so negligible bleeding. Glute medius is my preferred site.
I am 56 years old and in 2018 my testosterone was 278. I started to experience diminished function in 2020. In spring 2021 I started using Aphro-d. In January 2023 my testosterone came in at 676. Function returned within a few months of use.
Thanks for sharing John.
Im 42 and my trt is the same about 280... im waiting for treatment
LOL Aphro D S N A K E O I L............................
@@DROPTINE So explain to me how my testosterone magically went up by 400. I'll wait.
I had a kidney stone pass years ago and yes it was worse than labor. I have more but they haven’t been doing anything. My son his first one at 18 and he said, “Thanks Mom!”, when the urologist told him it could be hereditary.
When getting HRT for properly diagnosed low T.....FORGET INSURANCE COMPANIES and get your prescription sent to to a compounding pharmacy. My cost is less than my CoPay and I have good insurance. A side benefit is that you have to do unnecessary testing or office visits to please the insurance company. Design your insurance company out of your healthcare whenever possible and keep them from getting between you and your doctor and what you both decide is best.
No discussion of SHBG or Andradial. What gives?
Thank you for this video! I'm 58 and have "Pre-Diabetes" Metabolic syndrome. Because of this I didn't want to just start some GNC type of thing. I've got an appointment to talk to a Urologist that was recommended by my Cardiologist.
Look up Dr Berg videos on utube
Good video…I learnt a lot. I train with weights…but I would like to use TRT and see if that helps. My last reading was 390….way too low. I am 57
New to your channel. I'm 50 years old and my T levels are 296ng/gl but it was only taken at 4pm. This was informative. My MD doesn't seem to want to do anything about it.
This doesn’t sound right! Definitely get a second opinion. :)
I had low T recorded at 271. I found this guide that you guys might find useful. Following the guide for 4 months im now at 586 and wont be needing TRT just yet. Its called complete guide to testosterone by james francis
DRE and the gesture. Too good.
Yes!
I'm an older guy, test is in the high range, but I'm being told (by non-doctors) that what I need to know id my "free" testosterone, my PCP doesn't feel that is a thing, what's the deal?
Happy Easter, Doctors
You too Kiss Kiss!
I’ve been on 200mg. Of testosterone every two weeks for the 12 years. I’m a 51 year old male. Today my doctor called with results from bloodwork along with a referral to a urologist. My testosterone is 86! Also, my hemoglobin levels are high. Why so low? How dangerous is this? Thank you
Half life is 8 days. Why are you only taking a shot once every two weeks? I’m assuming you tested at trough? Two weeks after your shot? Split it to 100mg a week or 50mg twice a week.
Fantastic information, guys. 43 y.o., 87 Total/ 2.8 Free. I am starting 200 TRT injectables this week after my bloodwork came back so bad. Also I have slightly below normal hemoglobin levels. I'm 43, not overweight, no smoking, medium drinking, decent diet, sleep well but stress is pretty high due to work. I have felt lethargic and have no libido and ED for a few years now.
Due to my age and terrible score, should I be concerned about pituitary issues or anything else? I can only hope my treatment will make me feel a little better.
Would of been nice to hear a response back from them mate! Good luck
Hey, wanna share updates on how it's going for you?
Im a 23 year old male and just got my blood work done. My testosterone is 264, and my free test is 5.4. Do you think these are concerning levels and what should I do? I am fatigued very often throughout the day
Definitely concerning. If you're overweight, I'd try cutting and exercising more. Though if you're active, might want to have a more thorough bloodwork. Could be another deficiency that's causing your Test to be low, like Vitamin D.
Great info, Thank you!
Glad it was helpful T T. It’s like your namesake video 🤣
Thanks for the great video. I'm subscribed! I've definitely seen a decrease in muscle mass and energy from age 40 to 48. I'm aging quickly in just about every way, but still have "the drive" if you know what I mean. Is it possible to have low T but still be working well in that department??
Another good set of info, especially to advocate against self-medication with all the OTC supplements that are continuously hawked on the TV! Thanks again to the guys and Dr. Casey!
Welcome Dino!
My heathen globin has gotten high and now I have had to go off of it cold turkey. It really sucks. I’m going to have to find a good urologist.
I’m surprised they didn’t reference untreated sleep apnea.
Happy Easter and Passover Docs! Love this 3some..you guys have great banter!
Thanks! You too!
Interesting video and guest. I have some feedback about the text that comes up during the video that is accompanied by the abrupt whooshing noise. I find that noise pretty distracting and even kind of jarring when I am watching the video. Putting up the words is cool, but at least for me, I would really prefer not to have the accompanying whooshing sound. I hope you don't take this as criticism, just some feedback. You guys are my favorites. I actually like the quiet, low-tech, format of your videos. Your content is so good, you don't need any bells and whistles. Just you standing there and talking is kind of relaxing to watch, also. Happy Easter.
Thanks so much Words. We take all feedback into consideration. Happy Easter!
Dr. Casey-Prostate calcification. What are the causes, treatments and preventions?
I have never had a libido issue and am stronger than most men naturally but am having a problem with my levels. My test level was at 268 and free test was at 6 but now it’s at 111 and 2. I’m 42 and have recently lost over 50 lbs but this level I got today is really freaking me out. I also cook my meals as well as not smoking and haven’t drank in over 7 years Any info on what changes I could make to turn this around would be really appreciated
So a blood screening showed very low testosterone. So who do you go to for treatment? A Urologist or an Endocrinologist.
Thanks
Did they leave out hair loss as a side effect?
Great video. So glad I found this channel.
Thanks!
What does it mean testosterone?? Well now I’ve learned about it thanks docs and doctor Casey.😊
You are welcome. That is the name of the hormone
My doctor barely wants to even talk to me about it.
He said I can give you a referral to a specialist but he won’t help you either.
Pretty frustrating.
Awesome video,thanks for the info 💪💪
Excellent helpful video. Blessings
Glad it was helpful!
Low carb paleo diet and activity, now two years and going, 68 years young. No TRT, 519 my latest numbers. Lifting heavy things, HIIT and cutting out the carbs. Who knew?!😮
Good stuff!
Hello Doctors i appreciate this video my testosterone happens to be 52 and i feel like im falling apart. Pain in my muscles, severe fatigue, no energy whatsoever. Joint pain nausea, no libido or intimacy desire at. Whats the best way to dose
How does one find an appropriate clinic to start trt. Im 42 and my total was 217. Ihave had symptoms for 4-5 yrs. My highest level was 340 during that span. However all these clinics are for profit and offer hcg and clomid as part of there trt treatments. How does one determine the safest route and understand what is and isnt needed? Any advice would be appreciated since once u start trt ur on it for life essentially....
Best to start with your PCP
Thanks for this Doc’s … Dr. Casey’s yet another Rock Star 🎉
He sure is!
Thank you, Doctors!!
Good info.
Thanks men! Very helpful insights...
I've been training since I was 18 [now 73]. I did weights and also ran marathons for 25 years between the ages of 25 to 50. My diet was very good - I took great care of my body. However, in my mid 50's the wheels fell off! I diagnosed myself with low T and went to my GP who agreed to conduct tests. Sure enough my DHEA and Testosterone were off the bottom of the chart. I started taking ANDROFORTE 5 Testosterone cream and brought back my "natural" mood. My PSA started to rocket up at one point and I went and had a biopsy - no sign of cancer. I refused to go off testosterone replacement and started taking a natural herb remedy - Prostate Support [Saw Palmeto and Stinging nettle root] and my PSA is now well down below normal.
Thank you doctors you guys been doing so much for the people health
I'm a little bewildered by the range of testosterone that is considered "normal". It's something like 400 - 1000 in units the USA uses. Good to know that to avoid natural variability then get tested in the morning.
Yes it’s a wide range for sure
Though I just got hit with an 88 reading after having insomnia, severe unexplained weight gain, crushing fatigue, and depression for 15 years and I’m 41. I was a college athlete and none of this made sense. I’m hoping I get back to feeling like myself for the first time since 2006!
Hi, if you go on TRT, you never can go back? Is this true?
How often are you supposed to take shots and how much the right way. I'm taking testosterone shots every two weeks. Is that good. I'm 58
What do you think about Test boost max, I’ve tried it but, I don’t feel anything much. I was naturally at 650 about a year ago and I’m 57. I still feel sluggish and lack energy a lot, what should I do. I’m 6’1 215-not really over weight??
What about the T supplements……good or bad v’s injections or tropical remedies?
How does Hypothyroidism effect testosterone levels?
What about men in their early 30s? Is it common among them and what are the causes of low testosterone?
Been having ED for 15 years and at 62.5 started having issues with fatigue. Did a 'lets get tested' test and it came back 230. Went in to the specialist and one test was 243 and the third was 213. Globulin is at 13 and LH is 3. I have moderately high blood pressure which is treated with atenanol/chlorthaladone 25 mg/day. Hemocrit is at 47.3. Prolactin is normal, hemoglobin is 15.7. I don't drink or smoke. Have to watch what i eat so i don't get another flare up of gout in my right big toe. Consequently I'm drinking a lot of water with lemon. I would love to loose at least 50 lbs. I have no use for erections. My brother died of prostate cancer after battling it for 15 years. Not sure if i want to monkey with TRT.
Is it worth it at this point?
Probably just keep monitoring the levels.
Unrelated FYI, I took over making the Urastop/ppstop for male incontinence after Paul Davis passed on.
Glad you have my back. I feel really confident.
I’m 75, and 5 months past the end of androgen deprivation therapy (and radiation) from PCa, my T baseline in my recent blood test was only 4 ng/dL - close to zero! I have all the symptoms of low T, I would love to get my levels back up, but my urologist thinks it’s too risky (prostate cancer cells thrive in the presence of testosterone). I’m still looking for a good opinion about whether it is safe to elevate T post-PCa treatment…
Anybody who is taking trt in moderation weather they have low T or not alllllll know how beneficial it is for their life. I’m 48 , I should have started taking it about 7 years ago. The issue is so many primary doctors don’t know enough about it and don’t want to deal with it including these doctors
So we will have to respectfully disagree. TRT is not without risk for those with normal testosterone and that is clearly shown in the scientific literature.
@@TalkingWithDocs always nice to see hosts of a channel comment back, I just subscribed. Im really happy to see you guys getting the opportunity to monetize your knowledge.
With that being said , your statement is evidence you haven’t taken the time to really learn about the benefits vs the detrimental effects of trt. You’ve read studies but you haven’t taken the time to talk to men on trt. Talk to 50 men on trt, don’t even ask them if they have “low t” because that needle is moving. You will come to a very different conclusion. The truth is most doctors at my age (47) have checked out. You want to keep it moving, patient in and patient out. You don’t want to deal with any perceived liability. Your arrogance prohibits men like me from getting the support we need.
Just wondering if Dr Casey can remember our workouts (2005-2006).
Hope all’s well Doc’ and you’re still including the deadlifts in your workouts.
Mike Donnelly.
How about 25-50 mg. of dhea supplement/ day? Is it safe for the prostate?
How about XXY Klinefelter syndrom. There's loads of men unaware of their condition that have it and therefore have much lower Testo levels.
I'm really sensitive to testosterone....If I stop training (weights) then my test drops off a cliff.... A good reason to stay fit 😊
I had two cardiogenic shock heart attacks I died two times 418.23 I'm trying to get back into shape and I think I should start some testosterone which I used to take about $200 and milligrams every three times a week I was bench pressing like 500 and now I can't even bench press 50 lbs how do I get to the office
Hey doctor, amazing video. I have a quick question. Does low testosterone cause constipation?
Typically not
Have you seen too much exercise cause low testosterone? I do 7-10 hours of cardio per week and recently tested at 166 ng/dl with low RBC, HGB and HCT. My doctor wants to retest in a month.
A guy I work with started taking a testosterone supplement about a year ago. One year later, I've noticed recently that he has a lot less hair.
Well testosterone is converted to DHT which is implicated in male pattern baldness. May just have been his time though
TRT can cause hair loss in some, but doubt supplements
Can you do one on the hazards of giving testosterone for “gender affirming care”?
When a man wants testosterone there are risks. When a woman wants testosterone to masculinize there are no risks at all. It's a lie doctors have to tell to keep the state medical boards and employers from going after their licenses and jobs. Facts don't matter in this arena sadly.
I started TRT injections in January, I was at 236. My T is now in the 550 range, but the injections have given me nothing but side effects and stress from keeping your E2 in check without feeling like death. I also have started severe itching anytime I got how or did physical activities. So I am planning on stopping. What would you recommend the best way of weening off? I currently am taking 120mg injections every 4 days.
Sorry to hear that. The weaning schedule definitely should be discussed with your doctor. Best of luck
Would testicle trauma be a factor in dropping T levels? I have “grown”two large cysts I guess after having one of my testicles ruptured and now they are very sensitive. Also have noticed a few small, hard knots on the epidenti……..🤷🏻♂️the tubes and stuff the sperm travels through.
You two are amazing, I listen, learn and laugh too. You're making sense of all the 'VOODOO', Thank you !
Very welcome David. Glad to hear it!
Thanks guys the video's are always so good. Quick question, what about the OTC for low testosterone? I see a lot of pill form, and as Dr. Casey pointed out, pill form are useless and go right through the body. I looked and found only a couple topical types none are approved or even tested by health Canada but would they be trash snake oil too or would they have some benefit?
99% in US and Canada sold OTC, are junk unless! OTC in Mexico, Colombia, Panama, Thailand,.....where they are allowed to sell the good stuff without a prescription is very different. True some guys only need SARMS (be very careful with the source and quality of the product), peptides or natural herbs like tongkat ali or fadogia agrestis mixed with some L arginine and L citrulline, maybe some nacin, zinc and boron. However, with any issue, it will depend on the root cause of the issue (overweight, stress, poor nutrition, diabetic, hormone imbalance, or more serious health issue). With any health related, it all starts with Data: Complete blood work and being honest about your lifestyle habits.
Yes you would need a prescription. Save your 💴
I am 66. I recently went thru rectal and anal cancer , emergency surgery, chemo and radiation. I am cancer free now, but I am TIRED all the time. It's been 2 years since the final radiation. A friend of mine (49) started using testoserone from UG freak. He said he feels better than he has felt since he was 25. I am in good shape (construction all my life, and very active) but now, I have to fight to get out of bed...i golf a lot, still doing construction, but my health insurance is no longer in effect. So, my question...I can buy this stuff on line...get the needles and wing it!...with my friends help...I am a cautious person, but, I want to feel like working again, I want to have some strength AND the energy and desire to get up and go instead of having to force everything! Any advise is appreciated.
My total testosterone came back at 887 and the normal range is 250 to 827 ng/dl. Should I be concerned ? Also my creatine kinase total came back at 252 meanwhile normal range is 44 to 196 u/l. I don’t know what’s going on! But I am gaining weight, loosing muscle and super bloated all the damn times. I wake up bloated, feeling full and I get more bloated even by drinking water.
Thank you!!!
Thank you for the information much appreciated!! I
Please don't forget, Total T is not the most important number, it is only one of many factors. Estrogen levels in men also play a major role in libido. TRT dosages / Testosterone will not help if the person has low androgen receptor count. "Low" T is not a big deal, "IF" the patient has correct Free T levels, estrogen, prolactin and progesterone levels. It is a balancing act. Just adding TRT / Test, short acting or long acting will not solve these issues. And "IF" anyone starts TRT, please ensure your doctor understands the effects on your liver (if orals), skin if a gel and lungs, blood, and HDL-c if injectables. Yes, lifestyle intervention FIRST. No smoking, no drinking, get 8 hours of quality sleep, nutrition is a critical, correct body weight (obese / over fat will cause estrogen to go up), morning sunlight, and reduced stress. Lastly, most doctors will not tell you, but ensure you have a hot wife or hot girlfriend, the ugly or fat ones will kill your libido. Seen many guys with "erectile dysfunction" then we bring in a hot young hard body surrogate and like magic, they get erect.
Thanks for sharing your thoughts
@@TalkingWithDocs far too many TRT "clinics" trashing men's health. Been working with military personnel for many years seen far too many horror stories. Kind of like the wild wild west at the moment.
@DrAJ_LatinAmerica so what you're saying, looking at my total T and free T levels is not enough. There's also other factors to look at. Okay. That means 90% doctors won't get it right, so I need to get to a doctor who really understands the big picture. So the trick is finding such a dr.
@@contrarian717 correct. Not enough. Start with, does the patient need it or want it? No judgement but your doctor needs to find out. Next try all interventions without meds. For many losing weight, better / more sleep and diet gets them closer to their goal. Complete cancer screening is important!! The test wouldn't cause it, but can help it grow if already present. Your doctor needs to check CBC, CMP, complete thyroid panel, Total T, Free T, DHEA, SHBG, and all the major hormones like progesterone, prolactin, estradiol,...they must look at LH and FSH, PSA, Hba1c, Hscrp, fasting insulin,..... All these items are a starting point. Must ensure the person understands, once the process starts, monthly visits and monthly blood work for the first year, during the adjustment period (everyone's body is going to react differently). No guessing, verify. Extremely important the patient likes needles and injecting, (helps if they have tattoos, generally they are more relaxed around needles). Helps if your doctor promotes frequent micro dosing vs bolus dose. They should also explain that not everyone needs to start with testosterone. Some guys may only need lifestyle changes and some HCG. Must develop a very complete patient profile/ big picture. Close communication. Be ready to spend lots of money for best results (meds, visits, blood work) and plan on a possible lifelong process. Many guys 50+, once they start, natural function, natural test production never returns. Have fun and best of luck. Ps - never never let the doctor talk you into BS creams, gels, pellets,.....very problematic and if you have any allergic reaction to an injection, keep in mind it could be the Brand / maker of the product, try a different brand that uses a different carrier oil. The reactions are to the oil, not the Test.
Hey docs, can you do a video about the Roemheld Syndrome? I had that and was one of the scariest thing ever.
Hi Milo. We can add it to the list
@@TalkingWithDocs oh yes please ❤️
Healthy foods.
Enough sleep. Enough movement throughout the day.
Easy peasy...
Not too much stress, and certainly not for long periods of time.
Totally agree Ve
Problem is. About 30 other medical issues cause those same symptoms. 😣😣
Agree R M. Hence the need for the blood test
My testosterone was 237.0 ng/dl what should i do
I have low hemoglobin and red blood cell count. Can the reverse be true that low T can be responsible for low hemoglobin?
Yes they can be related for sure Pat