I’ve been symptomatic for YEARS! Every Dr I see pretty much just tells me I’m depressed. I tell them I’m depressed because of my low libido, chronic fatigue, brain fog, poor sleep, irritable, etc. I just started learning about the importance of Free T. Not a single PCP ever even mentioned it. They look at my total and say, you’re normal. So just today I got my results back from my T test from my new PCP. Total was what it typically has been (around 500 ng/dL)..it has been as low as around 350. My Free T today is 5.3 pg/nL. I have a second T test tomorrow and I’ve asked to have my order updated to also test for SHBG. The first thing out of my PCP’s mouth when I mentioned TRT was that it causes prostate cancer or increases the stickiness of the blood. I’m 54, 190lbs, fit, athletic, but I’m in serious decline and have to REALLY push myself to even get out of bed. I’m glad there is info like this out there to at least help me be better informed.
I had low T for many years. Back in March 2020 at age 66 I went to a urologist and he gave me injections every 2 weeks. About 8 months later I had to do blood work and my PSA was about 6.5, The next visit I was told no more T and that they wanted to do a biopsy. That was fast so I said goodbye and found another Doctor who has been prescribing ever since. All of the benefits of testosterone have made me at 70 feel fantastic and I plan to inject as long as I can. Dr Morgenthaler convinced me that Low T was a lot more unhealthy for me than than weekly injections.I am so glad I did my due diligence and have reaped the rewards for almost 5 yrs now.
I am 78. My PSA has been fluctuating between 6 to 14. for the past 10 years. The cause is BPH. About 4 months ago, I finally found a practitioner who would prescribe. Still "dialing in" but my performance in all areas of life has improved. I was required to see a urologist when I started TRT, and he confirmed...NO cancer! If your PSA is fluctuating, up and down, your chance of having PC is minimal. My last PSA was 9.2; the previous PSA was 13.4.
From Boston here too, Where Dr Morgantaler was based, he was my doctor. You really exemplify so many men, that are so careless when it comes to their concern over PSA levels. When I started with Morgantaler my PSA was 1.6, with a healthy prostate size of 20cc. This was about 12 years ago. After being on T, my prostate is 94cc, with a PSA of 11.5. Note, prostate cancer does not run in my family on either side. I never smoked, hardly ever drank, and eat healthy. I’m convinced TRT did this to me. I’m waiting on biopsy results
I've been on TRT for 3 years now and switched to injectable recently. I'm 59. TRT has made a lot of changes in my life, basically I feel and function like a much younger man. And the effect on my sex drive is basically that I'm back to my 20s in terms of sex drive, which is also what my T level is now maintained at. Same range as a man in his 20s.
Unfortunately in 2024 there’s still a stigma in the medical community about Testosterone. I was diagnosed with low T, 150. My primary found it an refered me to a urologist. They started me on a low dose. It really changed my life. At an appointment with another doctor. The nurse found out I was on Testosterone. She rolled her eyes. The doctor told me I could survive with low T. Yes you can. But just surviving isn’t living. They demanded I come off ASAP. They use the, “you’re going to have a stroke any day” scare. I made the mistake of stopping my treatment without talking to my Urologist. This was a big mistake.
Did you restart? Polycythemia (high red blood cell count, "thick blood") is a common effect of TRT, but I think you would want to do blood work to see if that is happening to you or not. What happened when you went off TRT? Did you end up going back on it?
The nurse part of your story made me think of an incident I had. I had a moment that brought me some concern and now i need to see a urologist to really get good info on T levels. I just knew i had low T i asked my doc to add the test to the blood test he was a resident and he agreed and he added it. It came back as a low not very low but low i asked him what i should do and he mentioned taking testosterone could be an option. He went discussed it with his attending they said to him that it didn't matter and i could live with it. He seemed a bit off put when he relayed the attendees message and hos quoting of their words made the attendee sound dismissive. I felt like something was off come to find out the attendent was a woman which made me wonder if the dismissiveness was motivated by other thought processes.
@@karlint39 yes, I did restart. The problem was my hemoglobin and HCT was at the high end of the range. Not over but at the high end. With in 30 days my T levels tanked. I had all the symptoms come back. I felt like I had the flue for 3 weeks or so. It really didn’t go away until about a month after starting back. The moral of the story. If you have a good urologist. Trust them, they know what they’re doing. Just surviving is no way to live.
This is GREAT! I am on testosterone and beginning to feel much better! I was at the stage of feeling miserable and losing muscle mass. Thank you for this information
Dr. Morgenthaler definitely hit it on the head when he said each person has a different level. At the age of 50, I started exhibiting symptoms associated with low T, my MD ran tests and said I was "within range" . I requested a 2nd opinion and had a really good endocrinologist who ran several more tests and also made the point that the general MD had no data of where my free testosterone was when I was not having symptoms. He started me on a regimen where he slowly raised my testosterone, with testing throughout, and my feel normal rate is above the range that is normally acceptable. It's very difficult to find doctors that believe in testosterone treatment as a part of the complete system. GREAT Pod Cast!
Thanks, Rena! I’m almost 67 and I struggled this issue for many years due to having damage to my endocrine system as a result of very high prednisone amounts due to transverse myelitis (TM) when I was 33. My T level months after this illness was 22. After injections, we got it back into the low 300s, but no sex drive. 15 years later, T was down to 160, so the endo doctor did a ‘stimulus’ test where they injected me with an agent and then measured the response over the course of a couple hours to see how the testes responded. That’s where the damage was. The gel worked well and I took it for 8 years. Lifesaver is all I can say. Everything that Dr. Abraham said was true. It just affects basically everything. I now live in Europe and have been working with a great endo doctor here. I now take Nebido (Aveed) and we are now close to having it stabilized again. I really wish these treatments would have been available when I got TM. It would have dramatically changed my life.
I’ve been on 125mg of test weekly for almost six years, with blood work every four months. At 52, I’m in the best shape of my life. For me, TRT is a game-changer, especially for veterans like me who’ve dealt with the physical and mental toll of service. Will I ever stop? Hell no. This is about living my best life, staying active, and being there for my family. My advice is don’t ignore your health. Do your cardio, stay consistent, and if something feels off, get it checked out. Life’s too short not to feel this good!
A book that changed my life in ways that I never could imagine is "Secret Testosterone Nexus of Evolution".Drop whatever you're doing right now and go find that book. Trust me after I implemented things from the book my testosterone levels went beast mode
Superb interview. I'm 74, fortunate to be an expat living in Mexico for 27 years. Injectable Bayer testosterone (sold as Primoteston) is available here at any pharmacy with no prescription. I've been injecting 250 mg every week since 2009. Sometimes twice a week. Makes such a difference in mood, libido, mental clarity, etc. By the way Dr. Malik, you are looking hot AF conducting this interview. 🔥Beautiful, and so intelligent. 😉
Dr Khera with Baylor College of Medicine has much insight on TRT and has performed extensive research on all aspects of treatment. Very humble and brilliant man and well worth the time to research.
Doctor, I went on TRT about 5 years ago. It’s been amazing but last year my prostate numbers went from 1 to 4.3 I just gave blood for a new test it’s been 6 months and I’m a little worried. I have not got results back yet and hope everything is ok. Just giving you. My story. Thanks for the video it gives me confidence it’s not from TRT.
⁹19 years using TRT. 73 and healthy. The first urologist who worked with me at 54, when he saw levels around 100, said he didn't know how I was even walking around. Brain fog cleared and tiredness gone in days. Now, my PSA is at 0.7. Prostate and testosterone checked semi annually. At one point to prove need to insurance, the doctor took me off for several weeks. Dropped to 40. My issue is testicular, not pituitary.
I wish my doctors would listen to this. Been fighting with this issue for 3 years now, particularly with Endocrinologists that are solely focused on TT and refusing to look at at or treating anything other than the number.
Wow, was this an incredibly interesting and informative interview. I considered getting testosterone at one point and got scared off because of the general warnings out there. This is the most informative info I have ever seen on the topic. Get the guy back as much as you can! Fantastic.
What a valuable and informative conversation! Thanks to both docs for your hard work and sharing this knowledge with us. Dr Malik, we are so fortunate to have you presenting a steady stream of important evidence based medical information and doing it in a very “watchable” 😉fashion! Thanks!
It may take some time to find your right dosage and frequency to get you in a sweet spot. Don't get fooled if you have a "honeymoon" phase in the next few weeks as your hormones rush up to higher levels. Injections take 6-8 weeks to reach a steady state. Then you check blood levels and how you feel, adjust, wait another 6-8 weeks, and re-evaluate again. You may get lucky or be on a 12+ month journey. Don't give up.
@travv88 i been feeling great since day one. No depression or anxiety at all. Like it just went away. And I seem to be putting on some muscle better than I have been. I take my 5th shot this coming moday. Definitely feel like TRT is a life changer at this point.
Everyone responds differently. I may be in the minority here. I've been on TRT for 2 years - it bumped my T from 200 to 900 ng/dL (average). I've experienced no noticeable difference in mood, wakefulness, libido, workout recovery or frequency of illness. I've always had a routine of daily exercise and working out 6 days/week, and I try to live healthy, avoiding sugar and processed foods. I see a lot of "it changed my life" comments here, and I'm glad it has had such a positive impact on those folks. If anyone reading this is wondering if something is wrong with them because they didn't notice a difference on TRT, hopefully it alleviates your anxiety a little to hear that others experience the same thing.
whats your free t? are you taking hcg or any other add-ons along with? you might have multiple pieces in the puzzle not being addressed. total t isnt the number that matters that much.
Excellent video! Everything makes sense to me now! The first port of call should be lifestyle changes like change of diet and more exercise and also environmental toxins need to be addressed!
THANK YOU SO MUCH. This video is so informative. I will be making an appointment to see a urologist on Monday. I've been experiencing many of the symptoms described. Ive been concerned about the Cancer issue because of ignorance. Again well done Dr.Malik and thank you for your hard work.
I just saw my urologist this morning just for him to say my problem might be that I'm depressed SMH...I'm 52 with total testosterone at 298 and free testosterone at 9.9 I know why I have fatigue and no motivation and it's not that I'm depressed... forward on to the next Dr.
I am 53 and been on trt for 18 months. My T level was about 327 and I was tired all the time, depressed, muscle and joint pains, no sex drive and unable to build and maintain muscle mass. I started TRT and with 3 days I felt a tremendous relief and instantly felt like my normal self of when I was about 30! Just a general feeling of wellbeing! Now libido is high, happy, motivated, lost fat and built muscle and life is good again! I have found I feel best when my level is at total T is at or above 1000. There is so much to learn about this treatment and how you need to live your life to maximize its impact.
@@hubriswonk It's good to hear when someone like yourself has been able to get the treatment you need to get back to normal and feel better....I personally know quite a bit about the endocrine system and testosterone and today while I was talking to my urologist I had to finally say look I can explain to you everything you're trying to tell me and low testosterone can in fact cause depression but I'm not depressed and have never had any issues with it and he kept trying to tell me I might need to be on SSRI's and said absolutely not....he kept trying to say how my numbers were in range and normal for my age and to top it off I find out that today was the very first day of his practice opening and I was actually his first patient....I should have figured he was fresh out of school as he was really young.
Great podcast. I wished the guest was asked if there are anyways to increase free testosterone by lowering SHBG, thus avoiding the need of TRT and any potential risks associated with TRT, such as shutting down the natural production of testosterone.
SHBG is important. It temporarily binds to ALL sex hormones to transport them around the body and then release them at the appropriate sites when needed. If you lower your SHBG to single digits it will not be good for your body. Testosterone is not something to be afraid of and the risks are made up lies that only apply to people with bad diets who don't exercise. The heart can fail in anyone at any time at any age. People on testosterone will have heart attacks just like anyone else but it will not be CAUSED by the testosterone as their is no mechanism in the body for this to happen. Your body has an organ that produces it for crying out loud, it is not a poison. Your natural production shuts down but you can take a LH/FSH stimulant or LH mimic such as HCG to keep them from getting atrophied. Regardless though, if you stop TRT your testicles will grow back, the main part of the testicles never goes away, think of it like a balloon, you can deflate it and then blow it back up again at any time to it's original size.
My PCP is at the VA. I got my testosterone tested a few weeks back I was at 285. I’m 30 years old with 3 kids, married for almost a decade. This past year I’ve experienced a lot of symptoms such as gaining weight, depression and anxiety. I attested the weight gain, weaker erections to my depression. But then I decided to get my testosterone tested and at 30 it should be higher IMO. Doc had me get it tested again yesterday and I’m waiting on results. I’m hoping I can get treatment immediately after, if they don’t want to prescribe it I’ll go toward an online clinic and then have my PCP monitor my levels.
Same here my total was 4 points away from 300 but my pcp at the v.a told me its low but normal..even though i wornout minimum 5x a week..my free t is very low gonna see what they say depending what he says ima take matters into my own hands as well
@@brucewillis2486 Just had mine tested at VA and not sure which to focus on, The Total Testosterone S/O is 8.8 which they list as high with the range of 2.80-8.00. The Testosterone Free and Weakly is 231 and the Testosterone Free (Calc) is 105. Meeting with my PCP Tuesday. In the past they have said it's within normal range... Not sure which one they look at to determine if it's low
Here's some great antidotal information. I am a disabled veteran. I was a super soldier with all kinds of awesome training and deployed in 3 wars 10 years all in a row with just a couple months at a time home. One day I fell apart. After being in perfect health until I was 40. I had a massive widow maker heart attack (without any heart disease), I am on my second round of bi-lateral pulmonary embolisms and DVTs (with no lung disease), I have been diagnosed with a blood cancer Leukemia - Very high hematocrit, RBCs and Hemoglobin. I have taken TRT on and off to see if it changed any of my signs and symptoms of any of my medical issues and it didn't. It didn't even raise my Testosterone? I have had multiple surgeries in multiple joints due to joint and spinal injuries and I used TRT, Peptides and PRP injections to heal faster. The combination of injections helped me heal from surgeries in half the time with half the pain medications.
SHBG binds to ALL sex hormones, not just testosterone. SHBG needs to be kept in a healthy range because too much is bad but so is too little. SHBG is an important component of sex hormone function. You need to be measuring their SHBG instead of free testosterone. When measuring their total testosterone, you need to use LC/MS and not the inaccurate immunoassay that cross detects DHEA and other androgens which causes inflated results that show testosterone higher than what is actually is. When patients have Low T with High Free T that is a sign they have low SHBG and that is a problem that needs to be addressed. They need to have their thyroid levels checked since low thyroid can cause low SHBG. Thyroid hormone stimulates the liver to produce SHBG so a low SHBG can be an indicator that thyroid is low.
I appreciate this video but this is just the surface. If you want to dive deeper in the rabbit hole read Untold Testosterone boost guide. Thank me later
This is a very important You Tube Videos . Although there are other You Tube interviews with Morgentaler this is the most informative one. Every man , and Especially every Urologist, Endocrinologist and Internest should hear what Abraham "Morgentaler" has to say about Testosterone (Morgentaler's name is misspelled in Malik's summary paragraph above).
Made large impact on my life at 54y and now looking back I believe low T played a large role in my father’s mental illness, physical debility and eventual suicide.
The problem isn’t convincing primary care doctors, the problem is convincing the medical entities that employ the physicians and set the policies the physicians have to follow.
I am so impressed by your comment. This is the truth. Patients blindly trust doctors who also blindly trust their authorities. It is the top of the chain giving instructions to the sheep at each level that cause this problem.
@@emanuelmota7217 Man, I didn’t even notice the resemblance till seeing your post 😂! Hilarious AF! And yes, we agree that Fred is truly an amazing talent!
I am interested in learning more about Prostate Artery Embolism. Seems like a decent outpatient procedure to reduce the size of the prostate. At 61 I am going this Friday to get my T level, thyroid and prostate checked.
My personal family doctor, a general practitioner, would only give a very low dose of T cypianate. The vials were 200 mg. per ml. The dose was 1/2 ml. every 21 days. This was for 3 months, then a blood test was done. I asked for a higher dose with more frequent dosing, asking for doses every 4 days. He said absolutely not. He said my numbers were in the normal range, and he would not increase any dosages. He was treating me as a number, a statistic, not an individual patient.This was a total waste of time because at those doses, I gained nothing. Absolutely nothing. The only place I could find to get doses that would be beneficial were the TRT clinics, and the amount of money they charge is criminal. So, where can a man find a doctor, not one of those clinics, to be treated as a person and not a number.
I am 60 years old neurologist, was recently operated on for PUJO with complete obstruction t 1/2 is zero on MAG3. I was shocked with the diagnosis especially no direct reason found and persumed to be congenital. I still have a serum creatinine of 0.7. Probably more public awarness is needed for the condition
Great video. It's one of the best I've seen on this topic. A topic typically misunderstood, if understood at all. And that is by professionals and laymen alike. Question. What do you do if you're a guy who has this issue but lives in a country(Israel) where prescribing testosterone is rarely approved. If you're a woman, hrt is readily available. If you are gay, and looking to "transition", no problem. But for a hetero guy, you would have to exhibit the testosterone level of a 90 year old, and be half dead at that to even be considered for trt. I kid you not. In my case, my total T is exceedingly high. Almost 1000. And I'm 70. But my free T is in the tank. They don't even measure free t here. I had to do it privately. So what are my options? Are there any reputable clinics that do hrt by way of telemed? Anyways, thanks again. Really great video. Very helpful.👍👍👍
It's likely your SHBG is high. It goes up non-linearly with age. It's OK for your total to go above 1000 if necessary to get your free out of the "tank". see a competent endocrinologist or urologist who has graduated within the last ten years.
@piezoe Thank you. I agree. My SBGH is too high. Tried a few different things to lower it...with no success. Boron. Stinging Nettle. High protein diet. A couple of others. No luck. Agree with you once again. Raising my total T is the way to go. But that puts me back to square one. Nobody here where I live will prescribe Testosterone under these circumstances. I may just have to travel abroad to get treatment. Thanks for your input. Much appreciation!
Does DHEA raise your free testosterone? Are there any advantages or disadvantages to taking DHEA versus a testosterone gel or injection? Are over the counter brands of DHEA safe and effective?
Was really interesting to hear about the history of TRT. Frankly none of this is shocking given the egos involved in the "highest" levels of medicine. Many times you will be better off finding a good men's sexual health clinic/TRT clinic than you will with an esteemed endocrinologist. To me any human male (and females too) with bothersome low T symptoms deserve to know whether raising testosterone to whatever level is *effective* and safe will improve their life. Side effects like elevated hematocrit and estrogen can often be avoided or managed. Also, even this doctor seems to have a bias towards infrequent injections given in the office. Many of these side effects are direct effects of spiking T too high to reduce injection frequency. There is no reason almost any person can't be taught and give themselves injections 2,3 or even 7 times per week!
Aren't some guys now using insulin pins (syringes) and injecting subcutaneously on a daily basis? This avoids the sometimes difficult to do personally, a regular intramuscular shot.
I'm going to chip in with some bro science. I had all the symptoms of low T. I just didn't feel like "me" anymore. But my test levels were within the "normal" range so here in Australia there is no way nanny would allow a doctor to prescribe T. So I self medicated 0.5ml a week for a few weeks and I was quickly back to my old self. What that tells me is that the benchmark of what constitutes the "normal" range of male testosterone is bs. I'll bet that if that benchmark has been set in the 1960s, we'd all have low T levels today against that standard.
you are correct. assuming that shbg is in a normal range, total T needs to be at a minimum of 600 at the very lowest and most likely around 800 to 1200 for optimal results.
I hope I get this right. I am 71 years old and taking testosterone once a month. I feel like it helps in all the areas. As we get older, our testosterone levels diminish. Do our levels diminish because the body is telling itself that it should diminish as a preservation mechanism? Or, do they diminish because we’re getting old and dying? By taking testosterone am I doing something that’s counter to good health by resisting older age? What would God say?
An incredibly good and to the point good lecture, both showing the historical Lines and the present. However I’m looking forward to «a second episode» taking to high or to low cortisol and the impacts on the sex hormoner into consideration, especially how cortisol May alter the receptors for the sex hormons killing fertility in both sexes and furthermore how «bad cortisol» and free radikals May lead to mitochondrial dysfunction, which may have a negative impact on makingt the first or «mother» stereoid hormone pregnenolone, bein the precursor for all.😊
While I appreciate the work he has done, MDs are woefully lacking in deep knowledge of proper and oprimal testosterone management. The bodybuilding community is lightyears ahead of them and most likely always will be!
i have noticed that since the invention of soft foam cushions and beds that have almost completely replaced cotton fibers the heat generated in the pelvic area has been higher almost constantly from the heat not being able to escape the pelvic area when sitting so much.
Thank you doctor for this education. More men need to know about it because us men don't like to talk about our problems to another man, but it's been a lifesaver for me. It changes everything about me and I swear I've been married 35 years and I'm pretty sure I my wife enjoys it better now than when we were younger. I'm talking maybe two to three orgasms a night I can get because of how happy I make her now
I did not have an issue obtaining TRT from a doctor, but I struggled with the insurance company and pharmacy. It took weeks for the pharmacy to fill my prescription. The insurance required an EKG annually.
Biopsy without anesthesia..... Had an old urologist do that to me.... 12 samples!!!! One of the worst pain I've ever had! What an ass!! Said it was not needed! Never went back!
Question doctor Rena do these supplements titan boost or any other dietary supplements help with size issues. Are they true. I'm 50. Just turned 50 and I see I lost a lot shrinkage not as big and I'm not getting no action.
Life Extension: had a cover story on T some yrs ago. It changed everything for me. Low T: low sex drive muscle loss increase in prostate cancer energy & sex drive loss brain fog vitality Im 70 & have mine back to 550. Lift weights & high sex drive lean and muscular It does NOT cause prostate cancer!
Women with low testosterone will be more prone to inflammatory diseases, anemia, low hemoglobin and type 2 diabetes and many others. The benefits that women get from testosterone are miraculous.
I wrote a Paper in college back in 1993 (Just a personal paper for class) on Testosterone, Steroids and Hormones. I always had an interest in this topic. I used Testosterone to gain muscle and ended up using it in cycles for decades. It is very important for my mindset, energy, and I feel it was instrumental in my success in my career. Unfortunately- it is a pain in the butt to get Testosterone prescribed for Sex Drive, Muscle Gain, etc. The thing that makes me angry is that a Trans Woman transitioning to be a Man are allowed to have testosterone for that reason, with very little resistance. Nothing against Trans - just referencing that it a double standard for them versus men needing this treatment for a better life. I hope that they lower the resistance for Testosterone Prescription so the person needing it won’t resort to the Black Market. Trust me - there is a huge amount of product on the streets. Bottom line - Testosterone is AWESOME AND I LOVE THE PERFORMANCE. Not telling you to do it and if so - make sure to consult a Doctor- EVEN IF IT IS STREET TESTOSTERONE- through blood work and monitoring your health
Very interesting and informative. I would be curious to see an in depth discussion about options for testosterone therapy. Gels, implants, etc. I doubt I can cover the costs of weekly shots administered by a physician and am not willing to stick myself at home. Id like to hear some details about my options.
I felt the same way. I started supplementing with testosterone in Peru (South America) by going to the pharmacy once a week and having the pharmacist do the shot which I was ok with. Then, I moved back to the states and found out that shots can be done intramuscularly which is much much easier and no pain at all. The syringe used is an insulin pin (syringe) and its only inserted into a pinch of belly fat no deeper than a 1/4 inch and administering daily allows for a more even distribution of T similar to how our body does it.
I am one of those guys on TRT and regardless of how high my T levels are the symptoms remain extreme and it seems that all my doctor is concerned with is how the range looks on paper! I had some lab work done through an endocrinologist and the results came back listing me as a female and because of that, there isn't an accessible record of those labs. I've been on TRT for several years and the symptoms remain the same and I feel almost castrated. I don't know what to do! My free testosterone has ranged from 13.2 pg/ml to 24.5 pg/ml with a total of 382.5 -782. My LH results were in range after stopping TRT for six weeks and I did have the mumps when I was younger. TRT has done nothing for my libido. I suppose I'm an anomaly.
Dr. Morganthaller should receive the Nobel prize for medicine.
TRT is life changing treatment
Best video yet on testosterone!! Thank you! TRT has changed my life!!
I’ve been symptomatic for YEARS! Every Dr I see pretty much just tells me I’m depressed. I tell them I’m depressed because of my low libido, chronic fatigue, brain fog, poor sleep, irritable, etc. I just started learning about the importance of Free T. Not a single PCP ever even mentioned it. They look at my total and say, you’re normal. So just today I got my results back from my T test from my new PCP. Total was what it typically has been (around 500 ng/dL)..it has been as low as around 350. My Free T today is 5.3 pg/nL. I have a second T test tomorrow and I’ve asked to have my order updated to also test for SHBG. The first thing out of my PCP’s mouth when I mentioned TRT was that it causes prostate cancer or increases the stickiness of the blood. I’m 54, 190lbs, fit, athletic, but I’m in serious decline and have to REALLY push myself to even get out of bed. I’m glad there is info like this out there to at least help me be better informed.
I had low T for many years. Back in March 2020 at age 66 I went to a urologist and he gave me injections every 2 weeks. About 8 months later I had to do blood work and my PSA was about 6.5, The next visit I was told no more T and that they wanted to do a biopsy. That was fast so I said goodbye and found another Doctor who has been prescribing ever since. All of the benefits of testosterone have made me at 70 feel fantastic and I plan to inject as long as I can. Dr Morgenthaler convinced me that Low T was a lot more unhealthy for me than than weekly injections.I am so glad I did my due diligence and have reaped the rewards for almost 5 yrs now.
@@gatorsfan146 thanks
did your PSA go lower or stay fhe same over time?
I am 78. My PSA has been fluctuating between 6 to 14. for the past 10 years. The cause is BPH. About 4 months ago, I finally found a practitioner who would prescribe. Still "dialing in" but my performance in all areas of life has improved. I was required to see a urologist when I started TRT, and he confirmed...NO cancer! If your PSA is fluctuating, up and down, your chance of having PC is minimal. My last PSA was 9.2; the previous PSA was 13.4.
From Boston here too, Where Dr Morgantaler was based, he was my doctor. You really exemplify so many men, that are so careless when it comes to their concern over PSA levels. When I started with Morgantaler my PSA was 1.6, with a healthy prostate size of 20cc. This was about 12 years ago. After being on T, my prostate is 94cc, with a PSA of 11.5. Note, prostate cancer does not run in my family on either side. I never smoked, hardly ever drank, and eat healthy. I’m convinced TRT did this to me. I’m waiting on biopsy results
Thought I knew everything about testosterone, but ‘You Are Stronger Than You Think’ by Borlest really proved me wrong. A must-read!
I've been on TRT for 3 years now and switched to injectable recently. I'm 59. TRT has made a lot of changes in my life, basically I feel and function like a much younger man. And the effect on my sex drive is basically that I'm back to my 20s in terms of sex drive, which is also what my T level is now maintained at. Same range as a man in his 20s.
Unfortunately in 2024 there’s still a stigma in the medical community about Testosterone. I was diagnosed with low T, 150. My primary found it an refered me to a urologist. They started me on a low dose. It really changed my life. At an appointment with another doctor. The nurse found out I was on Testosterone. She rolled her eyes. The doctor told me I could survive with low T. Yes you can. But just surviving isn’t living. They demanded I come off ASAP. They use the, “you’re going to have a stroke any day” scare. I made the mistake of stopping my treatment without talking to my Urologist. This was a big mistake.
Did you restart? Polycythemia (high red blood cell count, "thick blood") is a common effect of TRT, but I think you would want to do blood work to see if that is happening to you or not. What happened when you went off TRT? Did you end up going back on it?
The nurse part of your story made me think of an incident I had. I had a moment that brought me some concern and now i need to see a urologist to really get good info on T levels. I just knew i had low T i asked my doc to add the test to the blood test he was a resident and he agreed and he added it. It came back as a low not very low but low i asked him what i should do and he mentioned taking testosterone could be an option. He went discussed it with his attending they said to him that it didn't matter and i could live with it. He seemed a bit off put when he relayed the attendees message and hos quoting of their words made the attendee sound dismissive. I felt like something was off come to find out the attendent was a woman which made me wonder if the dismissiveness was motivated by other thought processes.
@@karlint39 yes, I did restart. The problem was my hemoglobin and HCT was at the high end of the range. Not over but at the high end. With in 30 days my T levels tanked. I had all the symptoms come back. I felt like I had the flue for 3 weeks or so. It really didn’t go away until about a month after starting back. The moral of the story. If you have a good urologist. Trust them, they know what they’re doing. Just surviving is no way to live.
@@bobdrawbaugh4207 How much TRT do you take every week?
Who works for who? Thats the big question I have / stand your ground - it’s YOUR body.
This is GREAT! I am on testosterone and beginning to feel much better! I was at the stage of feeling miserable and losing muscle mass. Thank you for this information
Dr. Morgenthaler definitely hit it on the head when he said each person has a different level. At the age of 50, I started exhibiting symptoms associated with low T, my MD ran tests and said I was "within range" . I requested a 2nd opinion and had a really good endocrinologist who ran several more tests and also made the point that the general MD had no data of where my free testosterone was when I was not having symptoms. He started me on a regimen where he slowly raised my testosterone, with testing throughout, and my feel normal rate is above the range that is normally acceptable. It's very difficult to find doctors that believe in testosterone treatment as a part of the complete system. GREAT Pod Cast!
Thanks, Rena! I’m almost 67 and I struggled this issue for many years due to having damage to my endocrine system as a result of very high prednisone amounts due to transverse myelitis (TM) when I was 33. My T level months after this illness was 22. After injections, we got it back into the low 300s, but no sex drive. 15 years later, T was down to 160, so the endo doctor did a ‘stimulus’ test where they injected me with an agent and then measured the response over the course of a couple hours to see how the testes responded. That’s where the damage was. The gel worked well and I took it for 8 years. Lifesaver is all I can say. Everything that Dr. Abraham said was true. It just affects basically everything.
I now live in Europe and have been working with a great endo doctor here. I now take Nebido (Aveed) and we are now close to having it stabilized again. I really wish these treatments would have been available when I got TM. It would have dramatically changed my life.
I’ve been on 125mg of test weekly for almost six years, with blood work every four months. At 52, I’m in the best shape of my life.
For me, TRT is a game-changer, especially for veterans like me who’ve dealt with the physical and mental toll of service. Will I ever stop? Hell no. This is about living my best life, staying active, and being there for my family. My advice is don’t ignore your health. Do your cardio, stay consistent, and if something feels off, get it checked out. Life’s too short not to feel this good!
A book that changed my life in ways that I never could imagine is "Secret Testosterone Nexus of Evolution".Drop whatever you're doing right now and go find that book. Trust me after I implemented things from the book my testosterone levels went beast mode
Looks like a scam website...
Lol u guys
Superb interview. I'm 74,
fortunate to be an expat living in Mexico for 27 years. Injectable Bayer testosterone (sold as Primoteston) is available here at any pharmacy with no prescription. I've been injecting 250 mg every week since 2009. Sometimes twice a week. Makes such a difference in mood, libido, mental clarity, etc. By the way Dr. Malik, you are looking hot AF conducting this interview. 🔥Beautiful, and so intelligent. 😉
Each vial of Primoteston costs me $300 pesos. (About 16 USD.)
Dr Khera with Baylor College of Medicine has much insight on TRT and has performed extensive research on all aspects of treatment. Very humble and brilliant man and well worth the time to research.
Rena. This is absolutely the best podcast I’ve listened to. I just love his study and knowledge of Test.
Doctor, I went on TRT about 5 years ago. It’s been amazing but last year my prostate numbers went from 1 to 4.3 I just gave blood for a new test it’s been 6 months and I’m a little worried. I have not got results back yet and hope everything is ok. Just giving you. My story. Thanks for the video it gives me confidence it’s not from TRT.
Thanks Doc, please have him on again. I learned so much!
⁹19 years using TRT. 73 and healthy. The first urologist who worked with me at 54, when he saw levels around 100, said he didn't know how I was even walking around. Brain fog cleared and tiredness gone in days. Now, my PSA is at 0.7. Prostate and testosterone checked semi annually.
At one point to prove need to insurance, the doctor took me off for several weeks. Dropped to 40. My issue is testicular, not pituitary.
Hello sir !
Does TRT could help you with sexual functions despite your problem is testicular ?
@@2cc91 Yes
@@VoCodebcv thank you very much !
I felt like you and your guest were describing my life. I learned a ton of info I never got from my Urologist or radiation oncologist. Thank you.
This was one of your BEST PODCASTS EVER. THSNK YOU. 🙏🌎
I wish my doctors would listen to this. Been fighting with this issue for 3 years now, particularly with Endocrinologists that are solely focused on TT and refusing to look at at or treating anything other than the number.
Because they're zombified.
Wow, was this an incredibly interesting and informative interview. I considered getting testosterone at one point and got scared off because of the general warnings out there. This is the most informative info I have ever seen on the topic. Get the guy back as much as you can! Fantastic.
What a valuable and informative conversation! Thanks to both docs for your hard work and sharing this knowledge with us. Dr Malik, we are so fortunate to have you presenting a steady stream of important evidence based medical information and doing it in a very “watchable” 😉fashion!
Thanks!
Thanks ! Best video anywhere on the the subject of testosterone. Keep doing them .
super well done show and so helpful for somebody like myself that has been suffering from low “t” and they continue to try to treat it properly
Got my 1st TRT shot today. Hoping for great results in the coming months
It may take some time to find your right dosage and frequency to get you in a sweet spot. Don't get fooled if you have a "honeymoon" phase in the next few weeks as your hormones rush up to higher levels. Injections take 6-8 weeks to reach a steady state. Then you check blood levels and how you feel, adjust, wait another 6-8 weeks, and re-evaluate again. You may get lucky or be on a 12+ month journey. Don't give up.
How are you feeling now? I'm about 3 months in, it gets better.
@travv88 i been feeling great since day one. No depression or anxiety at all. Like it just went away. And I seem to be putting on some muscle better than I have been. I take my 5th shot this coming moday. Definitely feel like TRT is a life changer at this point.
@counterbalancelife4305 I think I'm in the honeymoon phase. Feel better than I have felt in a very long time.
@@dontmindme7997 I feel like the idea of the "honeymoon phase" is kinda BS because I keep feeling better lol.
Everyone responds differently. I may be in the minority here. I've been on TRT for 2 years - it bumped my T from 200 to 900 ng/dL (average). I've experienced no noticeable difference in mood, wakefulness, libido, workout recovery or frequency of illness. I've always had a routine of daily exercise and working out 6 days/week, and I try to live healthy, avoiding sugar and processed foods.
I see a lot of "it changed my life" comments here, and I'm glad it has had such a positive impact on those folks. If anyone reading this is wondering if something is wrong with them because they didn't notice a difference on TRT, hopefully it alleviates your anxiety a little to hear that others experience the same thing.
Is it possible you're not dialed in enough?
whats your free t? are you taking hcg or any other add-ons along with? you might have multiple pieces in the puzzle not being addressed. total t isnt the number that matters that much.
Excellent video! Everything makes sense to me now! The first port of call should be lifestyle changes like change of diet and more exercise and also environmental toxins need to be addressed!
This is a detailed interview thank you so much you Rock!
THANK YOU SO MUCH. This video is so informative. I will be making an appointment to see a urologist on Monday. I've been experiencing many of the symptoms described. Ive been concerned about the Cancer issue because of ignorance. Again well done Dr.Malik and thank you for your hard work.
This video was extremely helpful to me. Thank you both for your hard work
There are worldwide too many uneducated , conservative doctors! Thx for this great video. Keep on spreading the word and the necessary education.
I just saw my urologist this morning just for him to say my problem might be that I'm depressed SMH...I'm 52 with total testosterone at 298 and free testosterone at 9.9 I know why I have fatigue and no motivation and it's not that I'm depressed... forward on to the next Dr.
I am 53 and been on trt for 18 months. My T level was about 327 and I was tired all the time, depressed, muscle and joint pains, no sex drive and unable to build and maintain muscle mass. I started TRT and with 3 days I felt a tremendous relief and instantly felt like my normal self of when I was about 30! Just a general feeling of wellbeing! Now libido is high, happy, motivated, lost fat and built muscle and life is good again! I have found I feel best when my level is at total T is at or above 1000. There is so much to learn about this treatment and how you need to live your life to maximize its impact.
@@hubriswonk It's good to hear when someone like yourself has been able to get the treatment you need to get back to normal and feel better....I personally know quite a bit about the endocrine system and testosterone and today while I was talking to my urologist I had to finally say look I can explain to you everything you're trying to tell me and low testosterone can in fact cause depression but I'm not depressed and have never had any issues with it and he kept trying to tell me I might need to be on SSRI's and said absolutely not....he kept trying to say how my numbers were in range and normal for my age and to top it off I find out that today was the very first day of his practice opening and I was actually his first patient....I should have figured he was fresh out of school as he was really young.
@@hubriswonk glad to hear you were able to get the treatment you needed....wish me luck I'm switching doctors.
@@brianpulley8652 Don't stop looking until you find one that is up to date on current events!
Key number there is Free Testosterone.
Great podcast.
I wished the guest was asked if there are anyways to increase free testosterone by lowering SHBG, thus avoiding the need of TRT and any potential risks associated with TRT, such as shutting down the natural production of testosterone.
SHBG is important. It temporarily binds to ALL sex hormones to transport them around the body and then release them at the appropriate sites when needed. If you lower your SHBG to single digits it will not be good for your body. Testosterone is not something to be afraid of and the risks are made up lies that only apply to people with bad diets who don't exercise. The heart can fail in anyone at any time at any age. People on testosterone will have heart attacks just like anyone else but it will not be CAUSED by the testosterone as their is no mechanism in the body for this to happen. Your body has an organ that produces it for crying out loud, it is not a poison. Your natural production shuts down but you can take a LH/FSH stimulant or LH mimic such as HCG to keep them from getting atrophied. Regardless though, if you stop TRT your testicles will grow back, the main part of the testicles never goes away, think of it like a balloon, you can deflate it and then blow it back up again at any time to it's original size.
I heard working out with heavy weights, especially legs but you have to have the energy to want to work out.
Just watching Rena raises my T levels
and something else!!!! thanks Rena
Makes the testicles bigger and raises testosterone for sure haha
She raises my awareness.
She has great T’s and it helps my T
me too , 🤷♂️
Very informative... My doctor should watch this...
Love this! Sharing this video with my colleagues without question.
My PCP is at the VA. I got my testosterone tested a few weeks back I was at 285. I’m 30 years old with 3 kids, married for almost a decade. This past year I’ve experienced a lot of symptoms such as gaining weight, depression and anxiety. I attested the weight gain, weaker erections to my depression. But then I decided to get my testosterone tested and at 30 it should be higher IMO. Doc had me get it tested again yesterday and I’m waiting on results. I’m hoping I can get treatment immediately after, if they don’t want to prescribe it I’ll go toward an online clinic and then have my PCP monitor my levels.
Same here my total was 4 points away from 300 but my pcp at the v.a told me its low but normal..even though i wornout minimum 5x a week..my free t is very low gonna see what they say depending what he says ima take matters into my own hands as well
@@brucewillis2486 Just had mine tested at VA and not sure which to focus on, The Total Testosterone S/O is 8.8 which they list as high with the range of 2.80-8.00. The Testosterone Free and Weakly is 231 and the Testosterone Free (Calc) is 105. Meeting with my PCP Tuesday. In the past they have said it's within normal range... Not sure which one they look at to determine if it's low
Here's some great antidotal information. I am a disabled veteran. I was a super soldier with all kinds of awesome training and deployed in 3 wars 10 years all in a row with just a couple months at a time home. One day I fell apart. After being in perfect health until I was 40. I had a massive widow maker heart attack (without any heart disease), I am on my second round of bi-lateral pulmonary embolisms and DVTs (with no lung disease), I have been diagnosed with a blood cancer Leukemia - Very high hematocrit, RBCs and Hemoglobin. I have taken TRT on and off to see if it changed any of my signs and symptoms of any of my medical issues and it didn't. It didn't even raise my Testosterone? I have had multiple surgeries in multiple joints due to joint and spinal injuries and I used TRT, Peptides and PRP injections to heal faster. The combination of injections helped me heal from surgeries in half the time with half the pain medications.
Did you take the C Ovid vaccine?
SHBG binds to ALL sex hormones, not just testosterone. SHBG needs to be kept in a healthy range because too much is bad but so is too little. SHBG is an important component of sex hormone function. You need to be measuring their SHBG instead of free testosterone. When measuring their total testosterone, you need to use LC/MS and not the inaccurate immunoassay that cross detects DHEA and other androgens which causes inflated results that show testosterone higher than what is actually is. When patients have Low T with High Free T that is a sign they have low SHBG and that is a problem that needs to be addressed. They need to have their thyroid levels checked since low thyroid can cause low SHBG. Thyroid hormone stimulates the liver to produce SHBG so a low SHBG can be an indicator that thyroid is low.
I'm 44 with high SHBG but tried all sorts of supplements & nothing seems to lower it to more normal level
I appreciate this video but this is just the surface. If you want to dive deeper in the rabbit hole read Untold Testosterone boost guide. Thank me later
What website sells that book?
This is a very important You Tube Videos . Although there are other You Tube interviews with Morgentaler this is the most informative one. Every man , and Especially every Urologist, Endocrinologist and Internest should hear what Abraham "Morgentaler" has to say about Testosterone (Morgentaler's name is misspelled in Malik's summary paragraph above).
Made large impact on my life at 54y and now looking back I believe low T played a large role in my father’s mental illness, physical debility and eventual suicide.
Mel Brooks looking amazing, let’s hear it for TRT
Thanks Rena this was a boat load of valuable information for me
The problem isn’t convincing primary care doctors, the problem is convincing the medical entities that employ the physicians and set the policies the physicians have to follow.
I am so impressed by your comment. This is the truth. Patients blindly trust doctors who also blindly trust their authorities. It is the top of the chain giving instructions to the sheep at each level that cause this problem.
Fred Armisen’s best role yet!
😂
He's always good.
@@emanuelmota7217 Man, I didn’t even notice the resemblance till seeing your post 😂! Hilarious AF! And yes, we agree that Fred is truly an amazing talent!
I am interested in learning more about Prostate Artery Embolism. Seems like a decent outpatient procedure to reduce the size of the prostate. At 61 I am going this Friday to get my T level, thyroid and prostate checked.
Incredible dialogue! Thank you
Thank you for this very good podcast!
Doc, you look fabulous!
Thank you for your educational website it is excellent
Been on it for 11 years with zero side effects. If you have a good doctor, it is all good.
Is your doctor an endocrinologist ?
I have known what testosterone will do for me since I was a
.young man. It's a godsend
My personal family doctor, a general practitioner, would only give a very low dose of T cypianate. The vials were 200 mg. per ml. The dose was 1/2 ml. every 21 days. This was for 3 months, then a blood test was done. I asked for a higher dose with more frequent dosing, asking for doses every 4 days. He said absolutely not. He said my numbers were in the normal range, and he would not increase any dosages. He was treating me as a number, a statistic, not an individual patient.This was a total waste of time because at those doses, I gained nothing. Absolutely nothing. The only place I could find to get doses that would be beneficial were the TRT clinics, and the amount of money they charge is criminal. So, where can a man find a doctor, not one of those clinics, to be treated as a person and not a number.
I am 60 years old neurologist, was recently operated on for PUJO with complete obstruction t 1/2 is zero on MAG3. I was shocked with the diagnosis especially no direct reason found and persumed to be congenital. I still have a serum creatinine of 0.7. Probably more public awarness is needed for the condition
Excellent !! More.... can't get enough of this info.
Great video. It's one of the best I've seen on this topic. A topic typically misunderstood, if understood at all. And that is by professionals and laymen alike.
Question. What do you do if you're a guy who has this issue but lives in a country(Israel) where prescribing testosterone is rarely approved. If you're a woman, hrt is readily available. If you are gay, and looking to "transition", no problem. But for a hetero guy, you would have to exhibit the testosterone level of a 90 year old, and be half dead at that to even be considered for trt. I kid you not. In my case, my total T is exceedingly high. Almost 1000. And I'm 70. But my free T is in the tank. They don't even measure free t here. I had to do it privately. So what are my options? Are there any reputable clinics that do hrt by way of telemed?
Anyways, thanks again. Really great video. Very helpful.👍👍👍
It's likely your SHBG is high. It goes up non-linearly with age. It's OK for your total to go above 1000 if necessary to get your free out of the "tank". see a competent endocrinologist or urologist who has graduated within the last ten years.
@piezoe Thank you. I agree. My SBGH is too high. Tried a few different things to lower it...with no success. Boron. Stinging Nettle. High protein diet. A couple of others. No luck. Agree with you once again. Raising my total T is the way to go. But that puts me back to square one. Nobody here where I live will prescribe Testosterone under these circumstances. I may just have to travel abroad to get treatment.
Thanks for your input. Much appreciation!
Thanks for the info! Good show!
Excellent episode! 🎉 I am from El Paso, TX. I will definitely consider you in the future for an appointment. Keep up this type of information!
Very interesting and informative vud on a topic most doctors never discuss with men.
Does DHEA raise your free testosterone? Are there any advantages or disadvantages to taking DHEA versus a testosterone gel or injection? Are over the counter brands of DHEA safe and effective?
I was wondering the exact same thing and was hoping to find some info in the comments on this.
It didn't raise mine when I tried it. DHEA raises your DHEA.
Doc rena you look so beautiful!❤
Thank you for another amazing video. So much truth.
Very good interview Dr Malik. Your smile is also very rich, you have thousands of expression trough your smile.Thank you.
Was really interesting to hear about the history of TRT. Frankly none of this is shocking given the egos involved in the "highest" levels of medicine. Many times you will be better off finding a good men's sexual health clinic/TRT clinic than you will with an esteemed endocrinologist.
To me any human male (and females too) with bothersome low T symptoms deserve to know whether raising testosterone to whatever level is *effective* and safe will improve their life. Side effects like elevated hematocrit and estrogen can often be avoided or managed.
Also, even this doctor seems to have a bias towards infrequent injections given in the office. Many of these side effects are direct effects of spiking T too high to reduce injection frequency. There is no reason almost any person can't be taught and give themselves injections 2,3 or even 7 times per week!
Aren't some guys now using insulin pins (syringes) and injecting subcutaneously on a daily basis? This avoids the sometimes difficult to do personally, a regular intramuscular shot.
DR M is the Michael Jordan of Urology and Testosterone
Excellent show!!
I'm going to chip in with some bro science. I had all the symptoms of low T. I just didn't feel like "me" anymore. But my test levels were within the "normal" range so here in Australia there is no way nanny would allow a doctor to prescribe T. So I self medicated 0.5ml a week for a few weeks and I was quickly back to my old self. What that tells me is that the benchmark of what constitutes the "normal" range of male testosterone is bs. I'll bet that if that benchmark has been set in the 1960s, we'd all have low T levels today against that standard.
you are correct. assuming that shbg is in a normal range, total T needs to be at a minimum of 600 at the very lowest and most likely around 800 to 1200 for optimal results.
If all else fails try Oyster stew.. My grandmother used to get a worried look on her face when granddad opened a can of oysters at Christmas..
I hope I get this right. I am 71 years old and taking testosterone once a month. I feel like it helps in all the areas. As we get older, our testosterone levels diminish. Do our levels diminish because the body is telling itself that it should diminish as a preservation mechanism? Or, do they diminish because we’re getting old and dying? By taking testosterone am I doing something that’s counter to good health by resisting older age? What would God say?
Additionally, on the day of my job, I typically feel out of source for the rest of that day and evening. Is this common?
Thank you in advance.
An incredibly good and to the point good lecture, both showing the historical Lines and the present. However I’m looking forward to «a second episode» taking to high or to low cortisol and the impacts on the sex hormoner into consideration, especially how cortisol May alter the receptors for the sex hormons killing fertility in both sexes and furthermore how «bad cortisol» and free radikals May lead to mitochondrial dysfunction, which may have a negative impact on makingt the first or «mother» stereoid hormone pregnenolone, bein the precursor for all.😊
Great info, thanks
While I appreciate the work he has done, MDs are woefully lacking in deep knowledge of proper and oprimal testosterone management. The bodybuilding community is lightyears ahead of them and most likely always will be!
i have noticed that since the invention of soft foam cushions and beds that have almost completely replaced cotton fibers the heat generated in the pelvic area has been higher almost constantly from the heat not being able to escape the pelvic area when sitting so much.
Bravo za video. Vrlo informativno. 🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉
Love this guy, truth teller! Dr Rocket T🚀
Thank you doctor for this education. More men need to know about it because us men don't like to talk about our problems to another man, but it's been a lifesaver for me. It changes everything about me and I swear I've been married 35 years and I'm pretty sure I my wife enjoys it better now than when we were younger. I'm talking maybe two to three orgasms a night I can get because of how happy I make her now
I did not lose eye contact the whole podcast and those "mmhm..." Got me thirsty! ❤️
I did not have an issue obtaining TRT from a doctor, but I struggled with the insurance company and pharmacy. It took weeks for the pharmacy to fill my prescription. The insurance required an EKG annually.
🙏🏽hope you have a good day
Great information. Interesting how the typical dose of 100 mg a week can take you above 1000 ng/dl.
Great video!!
great visdeo dr Malik
Biopsy without anesthesia..... Had an old urologist do that to me.... 12 samples!!!!
One of the worst pain I've ever had!
What an ass!! Said it was not needed!
Never went back!
Question doctor Rena do these supplements titan boost or any other dietary supplements help with size issues. Are they true. I'm 50. Just turned 50 and I see I lost a lot shrinkage not as big and I'm not getting no action.
Life Extension: had a cover story on T some yrs ago. It changed everything for me. Low T: low sex drive muscle loss increase in prostate cancer energy & sex drive loss brain fog vitality
Im 70 & have mine back to 550. Lift weights & high sex drive lean and muscular
It does NOT cause prostate cancer!
Great!!!! But I can't believe u didn't cover side effects of tes therapy!!!!
Rena can you do a video on low testosterone effects for women?
Women with low testosterone will be more prone to inflammatory diseases, anemia, low hemoglobin and type 2 diabetes and many others. The benefits that women get from testosterone are miraculous.
I was above the reference range on my total 350 tbut my free was clinically low 6.5. Shbg was in the normal range 25.
I wrote a Paper in college back in 1993 (Just a personal paper for class) on Testosterone, Steroids and Hormones. I always had an interest in this topic.
I used Testosterone to gain muscle and ended up using it in cycles for decades. It is very important for my mindset, energy, and I feel it was instrumental in my success in my career.
Unfortunately- it is a pain in the butt to get Testosterone prescribed for Sex Drive, Muscle Gain, etc.
The thing that makes me angry is that a Trans Woman transitioning to be a Man are allowed to have testosterone for that reason, with very little resistance. Nothing against Trans - just referencing that it a double standard for them versus men needing this treatment for a better life.
I hope that they lower the resistance for Testosterone Prescription so the person needing it won’t resort to the Black Market. Trust me - there is a huge amount of product on the streets.
Bottom line - Testosterone is AWESOME AND I LOVE THE PERFORMANCE. Not telling you to do it and if so - make sure to consult a Doctor- EVEN IF IT IS STREET TESTOSTERONE- through blood work and monitoring your health
I just started Androgen 1.62%,two pumps daily. So will you need to give blood periodically?
I’ve seen a few cases of erythrocytosis from testosterone supplementation. I just advise my patients to go give blood every three months!
My Free (Calc) is 105.0. My Free and Wkly Bound is 231. Which one should we focus on and would my situation warrant replacement therapy?
Very interesting and informative. I would be curious to see an in depth discussion about options for testosterone therapy. Gels, implants, etc. I doubt I can cover the costs of weekly shots administered by a physician and am not willing to stick myself at home. Id like to hear some details about my options.
I felt the same way. I started supplementing with testosterone in Peru (South America) by going to the pharmacy once a week and having the pharmacist do the shot which I was ok with. Then, I moved back to the states and found out that shots can be done intramuscularly which is much much easier and no pain at all. The syringe used is an insulin pin (syringe) and its only inserted into a pinch of belly fat no deeper than a 1/4 inch and administering daily allows for a more even distribution of T similar to how our body does it.
so . . my 45 year old vasectomy - how has it helped or not?
Almost every doctor is concerned about high Hemoglobin and stroke risk. What are your comments about out this risk?
Rena is looking beautiful as ever!
Thank you.
I am one of those guys on TRT and regardless of how high my T levels are the symptoms remain extreme and it seems that all my doctor is concerned with is how the range looks on paper! I had some lab work done through an endocrinologist and the results came back listing me as a female and because of that, there isn't an accessible record of those labs. I've been on TRT for several years and the symptoms remain the same and I feel almost castrated. I don't know what to do! My free testosterone has ranged from 13.2 pg/ml to 24.5 pg/ml with a total of 382.5 -782. My LH results were in range after stopping TRT for six weeks and I did have the mumps when I was younger. TRT has done nothing for my libido. I suppose I'm an anomaly.
Demand the following lab tests and report back: total testosterone LCMS, Estradiol Ultrasensitive, Prolactin and SHBG