What You Need To Know Before You Start Testosterone Replacement Therapy #4
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- เผยแพร่เมื่อ 27 ก.ย. 2024
- Join us on “Have the balls to talk about it” with Dr. Andrew Steinberg and Nick Drossos and our amazing experts and fascinating guests. We will discuss men’s health issues including prostate, heart and sexual and other great topics of interest (sports, business, motivational). We will even be discussing women’s issues, that men want and need to know more about.
Nick Drossos is a certified personal trainer and health coach with over 20 years of experience. He specializes in fitness training and teaching self-defense. He has trained several celebrities, preparing them for movies.
Dr. Andrew Steinberg is a urologist with over 15 years of experience in the field of men’s health and is currently running a private urology clinic in Montreal, Canada. He has also opened both a Sexual Wellness Clinic which treats men and women and a medical aesthetics practice. Dr. Steinberg did his training at McGill University and the Cleveland Clinic.
Join Our New HTB Men's Fitness Club: www.nickdrossoscourses.com/courses/htb-mens-fitness-club
😮 Io
I’m a 44 year old male. TRT changed my life, improved my marriage, and it makes me feel like in my 20s. Hands down, the best decision I’ve ever made!
you're on it for life? btw congrats
How, you get on it, what do you say to the doctor
@giovanni8558 better than feeling like shit for the rest of your life and not living the best you can?
@@vegemitetoastben you completely missed it. I was genuine about my question because I want to do it myself. I’m on hgc for the moment, but doc wants to switch
@@Billiehoylehard to tell these days 😅 sorry man
I just started my TRT a couple days ago! I had blood drawn when I 1st suspected that I had low testosterone and it was staggering! I was at 132! 🤯🤯 When I tell yall all I wanted to do was curl up in a corner of the house and sleep! That’s all I could view myself doing! The thought of having to go out in the world made me soooo tired and exhausted! Definitely unmotivated! I can already feel a difference and it’s only day 3!
Congrats to you !
One month update?
one month update would be really appreciated !
@texasmade9727 update please
😂😂😂 only 2 days? That's 10000000000 percent placeebo bro
This validated what I thought about my GP at the clinic .she said I was normal but on TH-cam I found symposiums and lectures by specialists that said I was normal for an 80 year old.
What was your levels?
Advice to patients: If you don't feel right about what your doctor says..get a 2nd opinion with a specialist. This was never so true as in the field of TRT
Great video. I’m 60 and started 100mg/week 3 months ago. It is a game changer. I had every symptom that checked off the boxes.
@@notfiveo you are likely mistaken..most studies show that TRT does NOT have deleterious effect on prostate!
@@notfiveo If high T CAUSED prostate cancer young men would be getting it not older men whose T levels have significantly dropped.
PSA is closely monitored.@@notfiveo
Dawg I'm 30 and my doctor started me at 200mg a week.
@HaveTheBalls…That’s is correct. I did a small meta analysis of the available current studies and it doesn’t affect the prostate glad. BTW: I’m a recently retired Bio Medical Researcher and University Professor.
I had stage 4 Hodgkin’s lymphoma at the age of 25, I’m 33 now. I work an outdoor active job and eat fairly healthy the vast majority of the time. My energy levels are ALWAYS low, libido is almost non existent (I won’t turn it down,but I don’t feel the drive to initiate), brain fog, lack of ambition. All of those started occurring after chemotherapy for 6 months. My T levels came up 293 and they stated these were normal (ranging 170-780 “normal” scale). I know how I felt before cancer/chemo and how I’ve felt after and it has never been the same.
170-780 is NOT normal. Normal is more like 300-1000. At 33, you should be 350+ at minimum. I was at 360 and started 4 weeks ago. Night and day difference. Also 33. I used an online clinic to get my initial script, but will be continuing with UGL because it's so much cheaper. The doctors factor in guys who are in their 80s in the averages so their numbers are off.
I'd look into the T and it might help, but there is likely a lot more going on where post-chemo fatigue is concerned. There can be anemia or other blood cell disorders, chemotherapy damage to other organs or parts of the endocrine system.
In addition to T replacement, find someone who can help with a holistic program of diet and supplements, maybe things like Q-10 etc.
Was on 100 mg a week for 1.5 years. Felt good first year then after a year it felt like it wasnt working. Dr increased it to 200 a week split in 2 injections a month ago. Feel great and the lower back pain ive had for 4 year went away. Not sure how but it did
In 2017 I had 2 readings. February the level was 6 and then in June the level was 3 - waited 8mths to see Endo Specialist and checked pituary gland as well. Given the GEL. Used for 12mths. Got level upto 12 twice and GP refused to continue treatment. Now just get the fact that I am over 50 it goes with age. Just done private tests and back to 2017 levels so will start the argument again. My issue is Libido (none) and Fatigue. This was the best all round discussion I have seen. Ian UK
The fatigue sucks ballz. I wake up and 20 mins later my days done, ready for sleep again. Can’t wait for that to be gooooone!
Find. Another. Doctor.
Quite often it’s dietary. I had crushing fatigue and when I go on the carnivore or meat and salad diet I feel like a total champ.
Im 63 about 8 years ago i felt my thinking changing,just had no interest in sex anymore and physically felt tired no drive what so ever,went to my GP, got tested and he said my levels are normal for your age,he said i was .9, whatever that means,so im gonna go on TRT, had enough of feeling crap,all the symptoms i see in this podcast i have and realised what was going on myself,so this has confirmed what i already concluded and i thank you for that.very well explained.what is the go to testosterone/drug for this therapy? CYPRONATE ?, due to having a long ester..
Good luck. My goto..starting dose of Testosterone cypionate or Delatestryl (Enathate) 100mg 1x per week
I had extremely low testosterone result of free teatosterone only 0.7 & total testosterone only 26! I'm a 53 year old man. Severe fatigue, really bad hot flashes with sweats & also night sweats, brain fog, sexual dysfunction. started 150mg testosterone injections weekly and almost up to 200 total testosterone & 5 free testosterone now after 6 months of trt. No more crazy sweats & mood swings, more energy & definite sexual improvements.
Your dose probably needs to go up to 200 mg 200 free testosterone is 100% better than where you were at but it is still low
Did your testicle shrink or have atrophy? Acne? Mood swings??
Great news, glad you got help.
I was going to give my advice from experience. But this Dr. said more than I could.
My T was 200 and my Endo said you're only 40 and too young to be on TRT. If you can even lose 10kg you will notice a difference in your levels. My results a year later is now 150. I feel fatigued every afternoon, can't lose weight, train hard but my muscles feel soft, I just don't feel like myself or "manly" anymore.
I've made an appointment for a couple of weeks from now and hopefully can get started on trt. I hate needles but I can't live like this anymore
Try transcend if your doc won’t help you
@@syclone1012 What is that? I'm from Australia
brother you can always try gel. its way better than nothing although injections are better. I hope you get better soon.
if you do subq injections you can't even feel it if you hold some ice against the skin for a minute or two before you do it.. much smaller needles than intramuscular injections
I am 36 and I had 248. My doc put me on androgel. I started this week.
I’m 26 and ever since I was 22 I have felt completely fatigued, brain fogged beyond ability to function, and zero strength/confidence in my ability to face the world. A year ago my testosterone was 285 in my blood work. After that doctor appointment I got serious about working out and getting in better shape. I lost 45 pounds and got in better shape, but I still was fatigued and still couldn’t keep up hanging out with people my age, so I’ve let myself go again out of feeling defeated (dumb I know). Now I’ve got a work order for blood work a year later, but I got covid this week and now I’m even more foggy/fatigued than usual. I feel so powerless and pathetic. I’m scared of taking anything, but I think trt could help me. I visited a minute clinic today (Saturday) and the doctor there said I should probably wait til I recover more from my covid before doing the blood work to make sure it’s accurate. We’ll see what happens. I’m not suicidal, but if I’m constantly fogged/fatigued/weak willed and unable to face the world, then what’s the point of it all? I work a physically active job outside and idk how I’m gonna be able to do it with this lingering covid fatigue.
See another doctor.. Sounds like you need serious discussion about TRT!
You need to see a naturopath
Dude I am in the exact same boat. It’s honestly very relieving to see this comment. Currently, I’m 26 years old, and as far as I can tell, for my entire adult life I’ve felt fatigued, fogged, and overall had low energy and a very low libido. I got blood work done 3 weeks ago in mid December, and my total testosterone was 246 ug/dL. My doctor was concerned that it may have been a fluke so I went in again today to re-test. I’m hoping to have a conversation with him on Wednesday about this and hopefully talk openly about TRT. I’ve also been sick with influenza A for the past 2 weeks while also being temporarily laid off, so I feel your pain 100%. I promise to stay strong and move forward and I hope you do the same.
Thank you very much Dr Steinberg. Very happy to see you treat the symptoms and not the number. You change my life for the best!!!! Keep it up.
Thanks!!! Just trying to practice great medicine.
@@manyourselfup1everything the doc said, was beautifully said, but one thing: clomid. Please convey that he should use enclomiphen instead of clomid. A simple search will easily reveal why. Regards.
@@EmaturescoGood point..but we dont have enclomiphen in Canada yet! Clomid only north of the Border 🇨🇦
Wow, I have just started on trt through my doctor in England, you have answered every question in my head… thank you so much 😊
How did you get that in the uk!? Iam 47 and asked for it was given a flat out no!!
What were your levels to get it on the NHS? I've gone private
@@omg_wtf what are the cost private?
@@phoenix4202 around 110 a month
@@MrJaffercake
Where charges £110/month? I’ve been looking at the prices at the Men’s Health Clinic in Dorset.
I was an active weightlifter, I took anti anxiety meds due to work stress. I went from loving life, to being lazy, depressed, gained alot of fat etc Checked my T levels it was 3.11 nmol/l..... Off to see a specialist regarding TRT.
Low asf
Ssri meds are shit throw them away fts
go fast! Thats low!
Stuck me on Mirtazapine , I’m now 7.4nmol . Off to get 2nd test Thursday . I used to lift 3 times a week and do cardio . Now I can’t recover and suffering crippling fatigue and anxiety ( possibly bevause exercise was my mental health drug) . How are you getting on?
My family doctor is all over it - getting pushback from my insurance provider even though my test level is medically at a dangerously low level.
My only downside to TRT has been increased amount of back hair. But my wife shaves my back and enjoys it cuz she’s hates hair. Lol
Get laser hair removal; it will change you life👍
I’ve had so many horrible side affects I had to stop. Why me. I’d take the back hair….
@@matthewramsey5239what side effects?
I gotta get on it bad im 40 my life is shit i use to have so much energy athletic everything was good now wow everything is rough last time i got checked it was in the 200s and the doc said its ok i say bullshit and tht was 15yrs ago from then my life is like a slide going straight down im gonna get my blood tested asap and figure this shit out thanks for the video😊
You need to head over to a university hospital or a find out top hospitals in your state or region and head there for treatment. Write down on a sheet of paper a list of your complaints your experiencing. Don't just say things off the top of your head the doctors won't take you seriously list 3 things you can find that's causing your symptoms vericocele, tyroid, heart issues, or just a lump in your nads. Don't just say I need T you'll get brush off.
TRT thickened my blood, gave me a blood clot and I had a heart attack at 49. If you do take it, please take a daily aspirin and give blood once a year. My doc never told me this and it took ten years after starting TRT to have the heart attack. Good luck!
You shouldn't forget the cardio.
Bloods once a year? should be more than that.
@@ashleycullen.933 I have my blood tested by my GP several times a year. I meant to say "donate" blood once a year.
@@haaste_mies True. That's not a problem for me. I walk miles everyday and I still weight train.
Drinking extra water everyday will help reduce blood thickening also.
Should have talked more about Hematocrit and blood clotting. Also high blood pressure and strokes.
TRT, I now want to have sex, I’m finally making gains after 15 years of seeing little results in the gym. I’m off my anti anxiety meds, off my ADHD meds. I’m not tired in the afternoon, no more brain fog.
I’ve had low test since I was 23 (first tested), now 39 and am so annoyed I didn’t start this a decade ago.
So happy for you man! Just had my first injection this morning 21/07/2023 👌🏽
Did you get the usual side effects when trying to give up the anxiety meds?
Ive heard that from so many of my patients.. Keep looking forward, not back!
@@benjaminshuetrim9874 not really for I very Gradually Weaned off them, over a month. I found daily I’ve baths have been a huge benefit to my mental health too.
Just had my 2ml Depo Testosterone 100ml..... I'm 40.... and on Xanax, trying to get off the benzos so bad.... please give some advice....
What you need to know is it will give you a new lease on life aswell as extend your quality of life . Truly amazing hormone.
It can be!
My testosterone was very low ….. I reduced my alcohol in take - reduces my weight - increase my excercise ….. what do u know my testosterone is healthy again ….. I’m sure there is a place for trt ……. But not before getting healthy first .
You are 💯 correct.. people want a quick fix . Without quitting their bad habits.. Alcohol is definitely poison to the whole body. But today in America everyone is drinking alcohol or smoking weed and wondering why they are so miserable. Keep it simple go to bed early .
I just went to quest diagnostics and my total testosterone is 159L and my free testosterone is 50.8. I feel like crap, no energy, very sluggish, very obese, mild depression, very irritable, lost of mood swings, and I am fed up with it. I am here at work at 6:50 am in the morning and I schedule an appointment at atlantic men clinic here in Miami, Fl. I hope this can give me a boost to start feeling better and start enjoying the things i used to do when I was young. I am 45 years of age, 5'7 and weight 230lbs. My triglycerides level is at 547H, total cholesterol 307H, direct LDL 173H, CHRONIC KIDNEY DISEASE, Moderately High Risk 105mg, hemoglobin A1c 6.2H, Vitamin D 19L, i also have protein in my urine 2+, as you can see I am so freaking mess up and I don't know where to start. My insurance didn't cover repatha which is an injection to lower your cholesterol by 50%. Every doctor I see just give me medications and tell to me diet and exercise, but how can i start when I am severly fatigue all of the time and have no motivation!!!
Trt won't help you if your obese you'll just convert a ton into estrogen which is likely why your sluggish in the first place
I would like to add I am only taking vitamins and I am not on any other medications. I did hard physical work all my life. I contribute that to the good health that I enjoy at my age
Thank you for a great open discussion....insightful
Thank you for watching!
I'll be 60 in August and just started with 150mg/ml cream, eight days ago (75mg twice a day for a total of 150 mg). My level was 234 and I had so many symptoms. I'm starting to feel better already. I wish I had done this 2 years ago when I started having symptoms.
I think a lot of it is due to the fact that it is equated to drug use like PED’s and a lot of doctors, just shy away from it like a lot of doctors shy away from treating anyone with true pain because of the opioid epidemic I believe that’s a big part of it, which is not a good thing for someone who really needs therapy
Thanks TE! Beautiful playing as always 🙏🏾✨️✨️✨️
I been tested for 2 years now, I am what I would call close to borderline, hitting 450 and borderline being 300, i believe i should have above 700. I have all the symptoms for low testosterone.
The Canadian Urology Association guidelines talk about trial of TRT of symptoms are present despite purely low T levels. Something to bring up to your MD...
It’s funny how the doctor said he made his nurse do the experiment for him. I am sure there was no nurse.
I want and feel like I need the help but the fact that I’m too young is scary. Like why am I so young (21+) and feel like shit. Everything that he explained I felt . I have no motivation and desire to better myself I get so stuck if that makes sense. I wake up in the morning and just feel like there’s weights on top of me I don’t want to get off bed because I have no drive. I sometimes clean around my apartment but lose concentration quick and just end up taking a “break” I’ll lay down in bed and and use my phone and then get back up and continue my chores. I don’t wanna say I’m lazy, it feels more different and deeper then that but since I’ve been feeling like this I’ve gotten used to it and I hate it. Every time I try and talk to somebody about this they just shut me down and think I’m using it as an excuse to just hop on. So it’s very discouraging. I want to better myself and feel like the man that I’m supposed to be. Any help or advice will help!
If anybody has gone thru a similar situation in their early 20s plz share your story and thoughts!
Get a full round of bloodwork done and make sure nothing is wrong. For me my diet and sleep weren’t right. When I got that straightened out everything started to hit on all cylinders
@@PapaWheelie1 Ty for the tip! Will be getting blood work done ASAP! The reason why I haven’t yet is because I guess I was scared of something actually being wrong and the thought of injecting hormones if needed is a bit scary tbh 😅 but hey only one way to find out right ? I’m certain my test probably won’t be the issue hopefully , a fatty liver or a bad gut can also cause low T like symptoms right ?
@@toxic5299 - yes, I would bet money that if you quit sugar and got a solid 7-8 hours sleep you would feel like a new man in a few months. Aim for 30-45 minutes exercise daily and sleep is so much easier. It’s a triangle- sleep, diet, and exercise.
Blood test will show if your deficient in anything. May be as simple as low B12 or sodium.
Advice: do blood tests and check T levels
Great interview with quality info.
(57M) TRT changed my life and HRT has helped my gf (67F) resume a very sex driven life.
I lost a testicle to cancer 5 years ago. I gained 50 pounds and i fell tired , lost the hair on my legs and other signs. Should i ask for testosterone?
You might want to look into it. Get the blood work and see where it puts you.
Great video! Ty for making this content.
I guess I'm really unusual. I got on a tight program of TRT and I absolutely hated it. I really don't know why. I've never really had any symptoms. But
I have had absolutely zero interest in
sex. Maybe I'm a freak, but I don't miss it at all. Having a libido can be a real pain in the ass. With no Test., your never bugged with that stuff. I just don't know if that is really Ok. I don't have any symptoms, so I still don't know if I've any problem. Why can't anyone answer this ?
Im 51 and used to workout like a madman back in my 20s and 30s and then life happened and I had two kids and then ended up a single full-time dad and the last 4 or 5 years ive slowly declined physically and mentally and my last physical last year my testosterone was 9.2 out of spread of 7.2 - 24 and my doctor is like oh your normal.....i know im not and can't seem to find a local doctor willing to put me on trt....its so frustrating.
if you paid the bastard go back to him and force him to watch these videos of experts on trt or demand your money back. we should be able to sue these doctors that take our money but not really helping us.
"and my doctor is like oh your normal.....i know im not and can't seem to find a local doctor willing to put me on trt...." Stay on it bro, don't stop. Find a well-rated urologist and stick all the facts to them. As Sherlock's quote goes "When you have eliminated the impossible, whatever remains, however improbable, must be the truth." tell them you just know. "Continuing to persevere, maintaining confidence in your abilities, and firmly believing in your eventual success can make all the difference."
You can ALWAYS find a doctor willing to do TRT, or for that matter damn near anything else. You just have to look in the right places.
Here's the thing people fail to appreciate about doctors: They are some of the most entrepreneurial people on the planet. Yeah, they're good scientists, many of them and they want to help people and all that, but they like to make money. Lots of effin money!
TRT, like medical marijuana, off label weight loss drugs, low dose naltrexone or anything else regular doctors shy away from....other doctors build practices all around offering them because there's a lot of money to be made. When I had a medical cannabis card years ago before it was legal all over, I went to a doctor who made quite a sideline out of it. He looked and sounded like Dr. Nick from the Simpsons.
He supposedly had a regular practice during the week but on Saturdays he'd see people who wanted marijuana cards. His waiting room would be full of hippies and he'd get $300 for the consultation, which was maybe 10, 15 minutes. He was a nice guy and would offer you medical advice if you wanted, but mostly he was there to sign the paperwork the state wanted to give you the card. Dude probably paid his office rent with just one Saturday's take each month.
TRT is the same. There's clinics all over the place.
I started TRT 10 weeks ago 1 weekly jab of 150 test enanthate but like an idiot I never did my blood or Check my test levels I started getting ED worse than it's ever been a week a go really not sure wt I should do the more research I do the more confused I am. I don't live in the US so I can't just Go to the doctors
To high a dose can cause ED, you may need to scale back. One of the problems talking about TRT, is men in their 20's are taking it, up to men in their 70s. So the bodies ability to respond to a drug is unique for everyone. Generally though, if you are getting ED, you need to reduce the dose.
I stopped getting erections but i made an appt with an endocrinologist bc a urologist only deals with the penis and reproduction system so they will be more inclined to push the penis/libido enhancing things they get paid for.
But an endocrinologist will look at all of your hormones to see what the overall problem is. I have learned not to trust specialists. They only get paid for one thing so they will push that one thing on you otherwise they dont get paid. 💯
Please tell me what is the normal average of measurement of Testastron in the normal state.
There is a symptom component to not adequate to adequate T levels. As discussed the so-called normal range is wrong. As is being measured in a population is in a population low in T due pesticide and other toxic exposure that are pervasive.
The hesitation to go on TRT because of taking it for life or long term is probably cost. My BP meds run like $12 a month but the men's clinic quoted me over $400 a month.
Try wittmer trt clinic
That's very expensive.
I am 48 years old. I got a blood test when I was 35 years for the first time in my life and it was 38 ! Doctors were baffled. I have done over 20 to 30 test since then and never has been over 45! Anybody have any answers?
Damn dude. How were you functioning? I was at a total of 132 and suicide had crossed my mind numerous times. Couldn’t imagine 38 total!
I started talking to my General Physician about my low T symptoms about 5 years ago. My GP is refusing to treat my low T because she claims that tests prove that it is bad for the heart. I made her test my heart and it is in amazing shape. She still refuses my request for a trial run. My T results are low, but not out of range, so she will not prescribe TRT. I am absolutely done with my reduced quality of life and have just started looking for TRT on the "black market." I thoroughly enjoyed this episode. I learned a lot, thank you.
Sign up with TRT nation
What country are you in bud?
If NZ or Aus I can help
Shocking conduct by an obviously misinformed doctor, 'normal' levels of Test are proven beneficial for the heart. She was conning you by making false claims to put you off. Go around her.
@@yyxy.oncesaid Thanks, but I am in the US
@@manoo422 This is exactly why I am going to the black market.
How do u treat high shbg and testosterone resistance at the cellular levels?
I am 30 and after Covid infection my body changed. I had mental clarity and was managing a small business , now I am unemployed in debt , no motivation brain fog no sex urge and my test levels are at 615 and free test at 55 . I have tried every natural way to get back to full capacity like I was before 😢 I don’t drink or smoke and eat super healthy and I am working out a-lot and eating enough and I cannot even gain weight I’m like malnourished . I have testosterone cypionate but I am scared I will need this long term when I just want to have it help me get back to optimal level and then not need to depend on it . What should I do? Can I do just low dose for months then stop and then Let my natural levels come back?
I am same of you. I am doing all the good things you said and don’t seem like a big change. Maybe you are chronically stress? I have social anxiety and this is catastrophic for testosterone.
@@langelier9415 i do believe it’s underlying subconscious stress but I meditate everyday and do breath work with positive affirmations and I still cannot seem to get back to that high functioning , alpha motivated person that I was before. The gym helps me with social anxiety I didn’t have it before Covid . I tried 80mg this week and then 120 mg yesterday total 200mg of weekly test and I still feel the same . If anything it’s making me thinner and more vascular and veiny which I absolutely don’t like so I may not do anymore Test.
I’m questioning my goals in life maybe we need to find a new goals that are different than before Covid that will fulfill our purpose in a different way and bring more drive towards that, it’s like we have to follow the energy instead of fight it . Goodluck to you man hope we all find a solution.
Be careful taking "low dose". It doesn't just add to your endogenous levels. It could suppress your normal levels and replace with dose not high enough. Please work with an expert physician...
@@manyourselfup1 thank you I took one dose of 200mg and I’ve decided to not consider Trt anymore I’m going to remain natural. I’m already a skinny guy and I noticed vascularity and fat burning just from first dose and I just don’t like it. I feel fine but yeah I’m gonna stick to natural unless It’s medically necessary
With diabetes(Type II), high cholesterol, and high blood pressure you can make lifestyle changes that get you healthy again. It's not the same thing.
I have hypothyroidism since birth, I am 27 male. I've felt off since 25 and only getting worse. My total T is 16 to 21 nmol/L each time I tested over the years. Thise numbers are considered normal but on the lower end. I can't hold muscle like I use to, i feel like my strength and energy is zapped from me. I lack motivation, I feel good after gym session then feel mediocre again a few hours later. I'm very convinced my test is off. As I eat very healthy. But my doctor won't test anything more then total, no SHBG, no free test.
Go to a specialist
@MarylandGuy-ey3st 8 months later. I was put on HCG since my free test was that of an old man. Didn't feel any difference for 2 months then started feeling great. For 3 months I felt amazing. Then started having blood pressure issues and high heart rate. Lowered my dose over the months but still had issues. Long story short a few days ago I colapped at an airport with my heart rate sitting at 140 for over an hour. I have since stopped cold turkey. The only thing that was off on my blood work was increased hemoglobin and red blood cell count. I am waiting to see a cardiologist. I believe I may need to donate blood to lower it. Terrifying is an understatement. It's extremely depressing to think the one thing that fixed all my problems may also be causing extreme health issues. And no I was not over dosing. My testosterone and estrogen were normally within range. While I was on my highest dosage. So who knows why it caused me heart issues. But for now I am left with low testosterone and now heart issues.
Should a guy go to Urologist or Endocrinologist to get better testing and possibly TRT?
Maybe. Endocrinologist from what I've seen tend to be very conservative medically so they may not be the best bet.
Urologists? Some are very knowledgable, some not. My doc sent me to one years ago to see about TRT when I was I think 40 or so. Well, I went there and I was the only guy under 80 in the waiting room! Guys who all had horror stories about urinary stones and blood in the urine and all that. When I got in to see the doc and explained why I was there, he said he didn't know anything about that. His whole practice was built on helping old guys to piss!
🤣
After years i finally had a blood test at 33 years old my total is 271 nl dl free is 4 free percentage is 1.5% after taking tongkat ali and feeling positive effects.
When your 53 to tonkatali won’t do shit
@@iansuncoastI have been taking it. My T level improved.
Here in Utah , age men’s health is charging $75 per shot , and you have to do them weekly ! Someone has an advice for me? Where can I go ? I have a feeling that this so call clinic are a scam
Remember folks - NORMAL testosterone is not OPTIMAL testosterone.
TRT is always far too low of a dosage for optimal levels.
Optimal is the levels you had around 18 years old.
The same cell receptors that open with insulin are the same ones that open for other hormones. Those with T2 diabetes and taking insulin 'clog' those cell receptors. This can reduce or prevent other hormones from getting into the cells.
Balance is the key!
There is a LONG list of hormones they need to check - LONG LIST.
One bad one for men is estrogen. Elevated levels can cause lots of other problems.
Testosterone will eventually convert into estrogen.
One way to mitigate that problem is to supplement with progesterone.
Doesn't take much either.
Not getting the FULL treatment for low T can result in MOOBS.
Be sure to ask your Doctor about long term side effects.
So what are optimal levels and dosages? Not every 18 year old has the same t levels. Also, age only accounts for approximately 1% per year after age 35, any more drastic drops are due to lifestyle.
Can the Dr. Recommended a reputable urologist in Toronto that treats low testosterone
You have to check reviews, research top 3 or 5 best urology in Toronto. Look on yelp find out which one that takes your insurance. What ever issue you have that needs to be treated find out what conditions they treat.
mybloodtest said my test was at a 2.. im 40, doc is giving me 1 ml every two weeks , is that enough?
1 ml of what? What's "enough" will depend on how your blood values respond and how you're feeling.
Is 30 too young to start trt. I have the symptoms but my test is 427 and my free test is 9
Unfortunately you can not really get HRT in England unless you are female
Not True. There are several online private clinics. They provide testing and prescription for a reasonable price.
@@Dmanz67 not reasonable price you can’t
@@stevepope8636 your not looking hard enough.
I just got mine checked, and my levels are at 131, so im low what dosage should i expect my dr to put me on?
Would only taking HCG increase test levels, and be a viable long term option for younger males? I am 26 yo, and my test levels are on far lower side, but my LS and FSH are somewhat low. I want to keep my fertility, so I was wondering would pure HCG potentialy do the trick?
What happens when get trt and have slow growing cancer. Psa 1.2 so does it affect it or does it not affect it but most dr won't touch a person with slow growing not treated cancer
some studies seem to suggest it doesn't. But this is not standard of care yet and should be done (if done at all) with caution and very close supervision with an expert in the field
My Dr at the VA dose not believe in it. I finally talked her into testing my test level. I'm 53 and tested at 125. She put me on 200 mg once a month. I feel worse now than before.
Worse? Holy Lord bro that’s no good.
@@benjaminshuetrim9874 For real ...my test spikes and then drops for the next 4 weeks. I was re tested after3 months and my test was at 225...smh. im waiting for the miracle to happen and with the VA they are next to worthless.
If all they want to give you is 200 mg a month then split up your injections. Do 50 mg a week. Better yet do 25 twice a week. That will keep your spikes level.
Im 67 years old im i average health 3 major spine fusion surgeries my testosterone is very low dr put me on .05 ml of testosterone cypinate. I feel slugish tired, low self asteam etc am i getting enough testosterone??? I want to feel good again not 100 years old
As a diabetic type 2 in 40’s with healthy heart, would you recommend TRT?
if T is low?? Yessss 100%
Blood test. Is the only way to know
don't understate how low your testosterone levels will be if you stop trt. they will plummet to near zero for sometimes up to a year but usually come back in a couple months. when you do come off you will feel much worse than before you started trt.
So sad to see so many men in the comment section geniunely need TRT or are on it already. What the modern lifestyle, highly processed foods and polutants have done to us....
Or how great and far modern medicine has come.
Do you have any suggestions for CT
Why do guys have to say they think they have low t? Why can't doctors just routinely test all men after say the age of 40. I can see if you have symptoms, speak up say something. But I sure think it should be tested more frequently on more men, regardless of their age.
Took the try shots for about a year. My levels got up to a 1000. From 135. Nothing really changed. I was hoping for a better outcome.
Total T is nothing ! You have to increase Free T adjusting dosage and frequency. It takes time but it can be done.
happens sometimes..T isn't he solution for everyone
Technically evolution has been disproved Bible is true Jesus is real but I'm still not sure about trt still considering it
Whatever you say…
@@indicasativa8542 Amen to that
@indicasativa8542 although don't believe me go and spend years or even days of study and research and test it yourself
🙏
I have testosterone level 439 my age 42 . Male should i also take for trt ?
Nope.. only if you are having symptoms
I have type 2 diabetes, does that mean i can't go on trt???!
Absolutely does NOT mean that!
Had got my levels checked out before it was borderline mid 300’s. She started me on trt and went on it for a year. Didn’t notice much of anything except the bills. Fat loss didn’t notice, mood was the same, brain fog still, still low energy etc. we checked my blood every month and it started getting a little worse when i was taking it. My test levels were over 1200 at the end. I felt like my health was worse and I didn’t feel good along with chest problems. I stopped. The only time testosterone worked for me was when I use to do cycles. It is short term though, and side effects are higher. Now I’m off everything. I feel better when I’m off trt
no research supports that we all died at 35 ish years old, if you disregard birth deaths the average age we lived to was about 75 80 years old which is no different to averages today
Were is this doctor located?
Montréal
Why does the AUA say that 300 ng/dl and above is normal for a man? Most urologists I've spoken well want it to be 700-800.
Normal and optimal are two different concepts. "Normal" is a range, a distribution of values around a midpoint/median value. Any values above or below within a certain deviation is defined as normal, and in medicine as values that by themselves probably do not indicate a disease state.
Started taking Testosterone 2 months ago and my blood pressure dropped from 137 to 112
Not bad for 59 years of age.
I am hoping my cholesterol and triglycerides have also dropped.
How much are you spending
I am from India 25 years men semon testrone low. Hair fall, low sex drow week bodi. Anergi level very low mamori not working good.. Fat much more. In my body. Nor mal depration. Gole set problem.
40 a month god damn I am getting ripped off! How do I get. On your program!
Will a vasectomy affect testosterone?
Thanks
TrT for the win bros.
Hey that’s my doctor!
I knew you guys were from Montreal. I hear it in the accent.
Eh? 😂
All of you doctors need to be spending more time explaining the consequences of men simply using test in cycles for anabolic use. That's what's really happening so much but no experts will really talk about it just because they "don't condone it."
there is lots of negative discussions on anabolic steroid abuse. and there should be more!
I like andrew a lot Does he have a clinic in london
Thanks! I like you too!. Unfortunately Im only in Montreal - Andrew
Juice Monkeys 😊 Gym Rats !!!
Some guys underestimate the power of Exertion while on Therapy. Awesome results ; Great feeling of energy and well being. Must be monitored by a Qualified Physician For Optimal Health and Wellness 👍🙏😎
Im 60 im in pretty good shape i live in south florida wih i couldfind a good clinic
Had the pellets got nothing from that application.
Watching this as I’m on 10.9 total and 0.209 free
8.4 total and .199 free for me
So what did your friend with the high energy and sex drive test at???
Guys any idea how to get free rest up ? I’m always naturally around 800-900 ng/dl test but my free test is 2.3 ng/dl. I am hearing about boron which I have ordered but any other suggestions?
Tongkat ali could reduce shbg
ok, my doctor told me that my natural testosterone is 10 out of 32 nmol/l, which is normal low or like grey zone. which ranges in numbers of 288 out of 1000 ng/dL. He said that those numbers are of a 90 year old, yet I'm 40. He suggested that I go on TRT. My blood work came out and everything is excellent besides the low testosterone. I'm super scared to go on it! I don't know what to do. Also I started gym 4 months ago and i've seen gains and loss of fat, given that i never was really fat except some excess fat on belly and chest area. Also i do have sex drive but not what i used have in my early 20s. What do i do, does TRT shorten person life span?
It's nothing to be scared about. Can it have side effects? Sure, like any drug, but if used and monitored properly it has far more benefit than downside for most men who need it.
On the other hand, don't feel pressured to do it. The decision of whether and how to treat should be based not just on numbers but symptoms and overall well being. If you're happy with how you feel don't worry about it. It's not like you're locked into a forever decision right away either. You might retest in a few months or a year, see what the numbers are and how you feel and go from there.
Are these visits covered by Medicare ?
I've been on 200mg/month of TRT for about 3 months and it's really making me uncomfortable so far. My sleep is terrible and I almost feel like something isn't quite right. Is this normal? I have another doc appointment in August but I don't know if I want to continue if it's gonna be like this!
I've been low for years but they just put me on 400mg a month, hope I don't have the same problems. I used to take 100mg 2 times a month and it just seemed to give me more enegy like when I was younger. I got the H one een one thing in 2012 and have had extremely low energy since then. It's all covered up by the media now, the UK media in 2012 mention it causes "Chronic Fatigue" now all the articles are gone, even on the internet archive.
Whats your dosing protocol?
@@omg_wtf I take 200mg/monthly via injection. From what I am told that's a fairly low dose, so I'm hesitant to go up anymore with all the side effects I am experiencing right now.
@@shojus The protocol should be at least once a week no longer than that
As he said in the video if you watched it. Once a week 100mg ,
Just found this podcast very informative. Would you consider a free test of 77 pg/ml low? And my FSH was 16. Regular test came back normal like 600. I’m 42 and have many symptoms of low T
Under 300 on two tests taken between 7 a.m. and 11 a.m. (I believe the times are right) will qualify your for TRT.
love how every trt video has only bald dudes. really hoping this isnt my fate. :D
You get your hair from your mother's father. It true .
@@larrybarger1077 ok my mothers father was bald at 25 years old. I am full hair at 34. My brother was fully bald at 25. My other brother had full hair at 43. It’s weird how it works. I think it’s more complex
I was BALD wayyyyy before Testosterone
Why does every speaker who talks about TRT have receding hairline? ✌✌
Subscribed
I've got a quick question. I've been on TRT for 2 months now to tell you the truth I don't feel any different. How long does it take to start filling the full effects? Off testosterone. Thank you
Wait about another month to let your hormones balance. If you still don't feel anything, you might need to increase your dose.
@@sunnythind8574 Right now I am taking 1ML. Is that enough
How often you inject, once week or every two weeks?
@@23angelcarlos the last thing you want to do is ask some random on TH-cam about how much medication you should be taking mate
I started from 100 ml a week splited into two incection a week , after 12 weeks i increased to 140 ml a wweek and I feel better on 120ml a week. So everyone is different .
Doc
I come to reduce my testosterone!
Why?
I come too fast
I started trt about 15 months ago. Libido went way up, strength and lean muscle mass went up, energy increase etc. But, never had ED or HBP until starting TRT. Before, 1 nibble from a Viagra i could go 4 times in 2 hours. Now, i take a whole Viagra can go 1 time with potentially going soft halfway through...and takes about 2 hours before i can go again. 😢 1481 test 54 estradiol. AI didnt help. Lowering again to .6 mil once a week. I am praying that I will have better performance at lower levels. What do you guys think?
Possibly lower your dose of testosterone and make sure you’re taking it in shorter intervals. (Not once a month or every two weeks. Take injections once a week.) Also start taking DIM. That should help with libido and ed slightly. Try low dose cialis everyday instead of viagra.
@bowhntr83 thanks for the reply! Currently 160mg a week. Just lowered to 120mg today. I think it should be lower. I'm thinking of skipping a week to shorten the time needed to drop to reasonable levels. >1599 is not working for me.
Try taking boron to release more free testosterone into your blood stream