My wife had a total hysterectomy 2 years ago, she exited the operating room with an estrogen patch on her buttock, and she continued with estrogen replacement therapy after she came home. Nobody mentioned tes. therapy, but I made the call that she might benefit from tes. therapy, and, in my opinion, she has shown great improvement once she added 75mg once every 3 weeks to her regular drug regimen. Some people consider 60m.g. every 3 weeks as a standard dose, but my chic is a little larger than average. Within 2 weeks of us adding the tes. to her meds, she was much more chill, and her libido was very good.
@Kevin Kelley: I am sorry for missing this comment. I am glad to hear your wife had a good outcome with TRT! Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas | Managing Partner
@Evolutionary physique Fitness: Topical therapy can be great for the right patients. I have found it to be better for female patients vs. males. The chief issues are absorption and compliance. Some studies show that up to 40% of people don't absorb well enough to achieve therapeutic responses. For those who do, creams, gels, and patches have to be used every day. If you sweat heavily, shower too soon after application, or get dressed before it dries, absorption is negatively affected. Finally, depending on the application site, transference to those who don't need extra testosterone (children) can be problematic. If one can avoid these pitfalls, the cream can be a great option. Best regards, Augie Galindo, PA-C Testosterone Centers of Texas | Managing Partner
I’m a female with very low T. I have all the PCOS symptoms though. Acne, excessive body hair and hair loss as well as the low T symptoms of fatigue low libido and so on. Is this something common?
@Suzy M: Those are prevalent symptoms of PCOS, but not things you typically see as the result of testosterone deficiency. However, the balance of hormones is what matters most. First, I would say that I see a recurring thread in my patients where they have been labeled as X, Y, or Z based on a single lab test even though that lab data may be partial and not at all correlated with behavior and historical information. In other words, a total serum testosterone level doesn't tell you much. Also, a low normal testosterone level can still exert a strong androgenic influence if it's not balanced against normal estrogen, progesterone, thyroid, and other hormone levels. Your symptoms deserve a global assessment. It's not just about lab tests, and while your testosterone levels may need to be addressed, I would definitely recommend that you drill down into the root causes of your PCOS-like symptoms. PCOS may need specific treatment, or you may find that dietary choices are influencing insulin sensitivity. Don't settle for "well, all your labs are normal," and look at everything you are putting your body through, as well as everything you are putting in your body. Best regards, Augie Galindo, PA-C Testosterone Centers of Texas | Managing Partner
Hi I just had my labs ran and my total testosterone is 4 and my free testosterone is 0.06 in your practice would you start a 42 year old woman on testosterone for these type of numbers I'm doing research to see where I should go far as clinics and I'm confident after much research that I would like to do injections but I want to find the right doctor. Do you guys prescribe testosterone propionate or testosterone cypionate to start off I'm asking because I have gotten answers of both so far as your particular clinic do you start with propionate or cypionate far as an injectable for a woman,
@Tiffany Eulalah: Thank you for your questions! Labs-wise, I rely specifically on your calculated free testosterone (cFT) level, which I consider normal between 0.3-1.9 ng/ dL. So, if your result was a cFT, I would say that yes, it is low. Analog tests or "direct free testosterone" tests should not be used clinically. I prefer weekly injections over all other TRT treatment modalities for both men and women. We do sometimes use other esters, but we routinely utilize testosterone cypionate. It has the best side effect profile and the longest half-life compared to propionate and enanthate. Keep in mind that the ester only serves to help deliver the testosterone. It doesn't directly impact how testosterone performs at the cellular level beyond its effects on absorption and availability. Best regards,
@@TCTmed thank you so much for responding this helps Me with comparing because I am on hydroxychloroquine for an autoimmune so called disorder that they say I have which I'm not even sure that is even the case now because it doesn't even work low T could have caused every symptom I have I'm finding this out almost 4 years after I started feeling bad that being said when on hydroxychloroquine apparently cypionate doesn't work as well so I was looking at the difference between the two for that reason mainly so it really just seems from what I can tell that the main differences are that prop works faster but doesn't last near as long. Thanks so much for your time and one last thing do you do telehealth visits and if so what's the cost for initial visit with you guys if I already have my labs ran and can provide those
@@tiffanyeulalah4781: You're welcome! Unfortunately, hormonal deficiencies, other than estrogen, are overlooked and mislabeled. For testosterone injections, you don't want them to work faster. The best response is driven by stable levels, and the longer the half-life, the better. We do offer telemedicine (with medication delivered directly to you) in Texas, but we can still offer lab consultations out-of-state. Best regards,
I've been sharing my TRT Testosterone Cypionate with my wife for the last 2 years. She injects about 25 ml a week (my research found this to be about the right amount) . She is 55 years old. She says she just feels better on it and yes her libido is much stronger. ...am I crazy for doing this??
@Lewis Wray: I would definitely recommend finding a provider in your area familiar with prescribing injectables to women, but I am happy that she is feeling better! While it's not crazy to treat women with testosterone, it is highly illegal to "divert" a controlled substance. Also, even assuming that's 25 mg, not 25 mL, that dosing seems high. There is a lot more to balance for women as opposed to men. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas | Managing Partner
@@TCTmed Great Video! About how many mg is the weekly dosis of testosterone in women? Can they do this treatment for life like men' Thank you very much!
@@cacho100 Thank you for the feedback! TRT can be administered as an ongoing treatment for women as well. Properly monitoring safety parameters is always key here. I don't give out dosing recommendations outside of a provider-patient relationship. There are simply too many pitfalls with care that is not adequately surveilled. Best regards, Augie Galindo, PA-C Testosterone Centers of Texas | Managing Partner
Good morning doctor. Excuse me for the inconvenience. I am looking for information for my sister and I would like to know what the best total and free testosterone values are for a 45-year-old woman. Thank you.
@wilson javier romero mendez: Hello, and thank you for reaching out! I don't base clinical decisions on the total testosterone level, and there is a large variance from lab to lag as to what is considered "normal." I focus much more on the calculated free testosterone level, and the normal reference range for adult females is 0.3 ng/dL to 1.9 ng/dL. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas | Managing Partner
My wife had a total hysterectomy 2 years ago, she exited the operating room with an estrogen patch on her buttock, and she continued with estrogen replacement therapy after she came home. Nobody mentioned tes. therapy, but I made the call that she might benefit from tes. therapy, and, in my opinion, she has shown great improvement once she added 75mg once every 3 weeks to her regular drug regimen. Some people consider 60m.g. every 3 weeks as a standard dose, but my chic is a little larger than average. Within 2 weeks of us adding the tes. to her meds, she was much more chill, and her libido was very good.
@Kevin Kelley: I am sorry for missing this comment. I am glad to hear your wife had a good outcome with TRT!
Best regards,
Augie Galindo MPAS, PA-C
Testosterone Centers of Texas | Managing Partner
Using the cream, what are your thoughts?
@Evolutionary physique Fitness: Topical therapy can be great for the right patients. I have found it to be better for female patients vs. males. The chief issues are absorption and compliance. Some studies show that up to 40% of people don't absorb well enough to achieve therapeutic responses. For those who do, creams, gels, and patches have to be used every day. If you sweat heavily, shower too soon after application, or get dressed before it dries, absorption is negatively affected. Finally, depending on the application site, transference to those who don't need extra testosterone (children) can be problematic. If one can avoid these pitfalls, the cream can be a great option.
Best regards,
Augie Galindo, PA-C
Testosterone Centers of Texas | Managing Partner
Thank you
@nina H: You are most welcome!
Best regards,
Augie Galindo MPAS, PA-C
Testosterone Centers of Texas | Managing Partner
I’m a female with very low T. I have all the PCOS symptoms though. Acne, excessive body hair and hair loss as well as the low T symptoms of fatigue low libido and so on. Is this something common?
@Suzy M: Those are prevalent symptoms of PCOS, but not things you typically see as the result of testosterone deficiency. However, the balance of hormones is what matters most. First, I would say that I see a recurring thread in my patients where they have been labeled as X, Y, or Z based on a single lab test even though that lab data may be partial and not at all correlated with behavior and historical information.
In other words, a total serum testosterone level doesn't tell you much. Also, a low normal testosterone level can still exert a strong androgenic influence if it's not balanced against normal estrogen, progesterone, thyroid, and other hormone levels. Your symptoms deserve a global assessment. It's not just about lab tests, and while your testosterone levels may need to be addressed, I would definitely recommend that you drill down into the root causes of your PCOS-like symptoms. PCOS may need specific treatment, or you may find that dietary choices are influencing insulin sensitivity. Don't settle for "well, all your labs are normal," and look at everything you are putting your body through, as well as everything you are putting in your body.
Best regards,
Augie Galindo, PA-C
Testosterone Centers of Texas | Managing Partner
Hi I just had my labs ran and my total testosterone is 4 and my free testosterone is 0.06 in your practice would you start a 42 year old woman on testosterone for these type of numbers I'm doing research to see where I should go far as clinics and I'm confident after much research that I would like to do injections but I want to find the right doctor. Do you guys prescribe testosterone propionate or testosterone cypionate to start off I'm asking because I have gotten answers of both so far as your particular clinic do you start with propionate or cypionate far as an injectable for a woman,
@Tiffany Eulalah: Thank you for your questions! Labs-wise, I rely specifically on your calculated free testosterone (cFT) level, which I consider normal between 0.3-1.9 ng/ dL. So, if your result was a cFT, I would say that yes, it is low. Analog tests or "direct free testosterone" tests should not be used clinically. I prefer weekly injections over all other TRT treatment modalities for both men and women.
We do sometimes use other esters, but we routinely utilize testosterone cypionate. It has the best side effect profile and the longest half-life compared to propionate and enanthate. Keep in mind that the ester only serves to help deliver the testosterone. It doesn't directly impact how testosterone performs at the cellular level beyond its effects on absorption and availability.
Best regards,
Augie Galindo MPAS, PA-C
Testosterone Centers of Texas | Managing Partner
@@TCTmed thank you so much for responding this helps Me with comparing because I am on hydroxychloroquine for an autoimmune so called disorder that they say I have which I'm not even sure that is even the case now because it doesn't even work low T could have caused every symptom I have I'm finding this out almost 4 years after I started feeling bad that being said when on hydroxychloroquine apparently cypionate doesn't work as well so I was looking at the difference between the two for that reason mainly so it really just seems from what I can tell that the main differences are that prop works faster but doesn't last near as long. Thanks so much for your time and one last thing do you do telehealth visits and if so what's the cost for initial visit with you guys if I already have my labs ran and can provide those
@@tiffanyeulalah4781: You're welcome! Unfortunately, hormonal deficiencies, other than estrogen, are overlooked and mislabeled. For testosterone injections, you don't want them to work faster. The best response is driven by stable levels, and the longer the half-life, the better.
We do offer telemedicine (with medication delivered directly to you) in Texas, but we can still offer lab consultations out-of-state.
Best regards,
Augie Galindo MPAS, PA-C
Testosterone Centers of Texas | Managing Partner
Definitely an Alberta lake in the background picture :-) Peyto, Moraine or Lake Louise?
I am pretty sure it's Lake Moraine! I've never received confirmation, and unfortunately, it's only a print. Someday I will take my own version!!
I've been sharing my TRT Testosterone Cypionate with my wife for the last 2 years. She injects about
25 ml a week (my research found this to be about the right amount) . She is 55 years old. She says she just feels better on it and yes her libido is much stronger. ...am I crazy for doing this??
@Lewis Wray: I would definitely recommend finding a provider in your area familiar with prescribing injectables to women, but I am happy that she is feeling better! While it's not crazy to treat women with testosterone, it is highly illegal to "divert" a controlled substance. Also, even assuming that's 25 mg, not 25 mL, that dosing seems high. There is a lot more to balance for women as opposed to men.
Best regards,
Augie Galindo MPAS, PA-C
Testosterone Centers of Texas | Managing Partner
@@TCTmed Great Video! About how many mg is the weekly dosis of testosterone in women? Can they do this treatment for life like men' Thank you very much!
@@cacho100 Thank you for the feedback! TRT can be administered as an ongoing treatment for women as well. Properly monitoring safety parameters is always key here. I don't give out dosing recommendations outside of a provider-patient relationship. There are simply too many pitfalls with care that is not adequately surveilled.
Best regards,
Augie Galindo, PA-C
Testosterone Centers of Texas | Managing Partner
Good morning doctor. Excuse me for the inconvenience. I am looking for information for my sister and I would like to know what the best total and free testosterone values are for a 45-year-old woman. Thank you.
@wilson javier romero mendez: Hello, and thank you for reaching out! I don't base clinical decisions on the total testosterone level, and there is a large variance from lab to lag as to what is considered "normal." I focus much more on the calculated free testosterone level, and the normal reference range for adult females is 0.3 ng/dL to 1.9 ng/dL.
Best regards,
Augie Galindo MPAS, PA-C
Testosterone Centers of Texas | Managing Partner
Great video.... horrible music!
Thank you for the feedback!
Agreed! The music interludes were blasting, distracting and unnecessary.