I'm a medical doctor board-certified in Family Medicine and Emergency Medicine with an interest in longevity, health optimization, treatment and avoidance of chronic disease, and using medical science to optimize quality of life.
This channel is where I'll discuss health topics to improve the lives of men. The focus will be on high-intensity exercise, nutrition, hormones, healthy lifestyle choices, medications, and any other topics that pique my interest.
I supplemented with 6mg/day of Boron for 2 months. No change in my test or SHBG. I might bump it up to 9mg/day, but I have a feeling it will make no difference on my test & SHBG.
Cialis for BP. At end talks about interaction with Amlodipine. He stresses priority of dropping visceral fat and controlling diabetes.enjoy. love 🏋♂️🏊🏻💘💕
Doc....How about concurrent Testosterone therapy say 100-150mg/week (for some Estrogen conversion) and 12.5 to 25mg Enclomiphene? Increasing Test levels but avoiding possible E2 crush?
Hi Doc, just wondering if there's anything in the pipeline for potential medicines that will actually halt and maybe even reverse plaque and also statins create more hard plaque, though more stable calcium build is bad regardless. It would be cool if you talked about future treatments. Thank you and hope you're able to to reverse you plaque it can be done :)
I like reviews by folks who actually USE the thing they are reviewing!!! Cut and paste reading studies not that useful. Studies of these anti aging compounds usually not designed for anti aging or typically much lower dosing.
Well, there's plenty of bros out there you could listen to who use this stuff. I have low body fat year-round so why would I take it. I've never taken penicillin either...am I not qualified to talk about penicillin?
Im 23, firefighter in the military (im very active and eat healthy) I had every symptom of low T. Got tested-390total 9.5free. My military doctor said “you are stone cold normal” lmfao. I had been feeling like absolute shit for years, I hoped on TRT from a civilian doctor and good lord my life is so much better now. Its fixed 90% of my side effects. So thankful for TRT.
I worked in big military medicine for almost two decades. You won't find anyone who understands TRT and if you do they won't be allowed to prescribe it. Glad to hear you went civilian to get the treatment you needed.
The modern science on CAG repeats is interesting. While it's understood that CAG repeat number is inversely correlated with transcriptional activity of the AR, studies show mixed results on any correlations to fat-free mass, muscle size and strength (things we commonly associate with AR activity in muscle cells). Some studies show an inverse correlation (which aligns with the current popular opinion), others show a positive correlation (which is contrary to presiding opinion), and others show no correlation at all. The current evidence seems to indicate that there is no consensus on how CAG repeat length affects overall androgen receptor activity.
I’m 35 and just recently discovered that along with the calcium score of 10 I have 30 to 40% small calcified plaques in three arteries and absolutely terrified and if you have any words of advice or positive news please do share it. I much like yourself just recently discovered and Lpa of 288nmol. I suspect it has a large part to play in my findings. Some steps I’ve taken since, quit smoking, started taking Rosuvastatin and have lowered LDL from 166 to 53. Lost weight, 111 to 96 kilos and continuing to drop weight . Triglycerides are way down and have switched to a WFPB diet. I make sure to at least walk everyday.Nonetheless I can’t get this out of my mind, I feel like a walking heart attack. I am mentally destroyed.
There are people with scores in hundreds and thousands. A 10 isn’t anything that bad. They need to stop scaring people with this test. They don’t even recommend them for under 40 unless strong family history
As a past president of the national board of physician nutrition specialists, a fellow of the American College of Physicians and current question writer for the American Board of Internal Medicine, I think Dr. Andrew W. is doing a solid job here! I have seen a case of balanitis (yeast infection at tip of penis) so keep good hygiene after peeing. That said, if using these drugs for longevity under supervision of a licensed health care provider, please consider lowest dose to be safe. Typically with metabolic medications the majority of benefit (including statins, ezetimibe, GLP-1 etc) comes at the lowest dose as well as the least risk for side effects. Use these drugs as an adjunct to, not an alternative to, longevity consistent lifestyle (which requires discipline, but not extremism, to be clear).
The fact ingredients in fragrance is undisclosed should wake people up we have no idea what we are inhaling into our blood stream. I live fragrance free and love it.
Great video. Thoughts on the thromboxane A2 (TxA2) receptor density and function that testotserone has been shown to impact in terms of thrombosis risk?
I’m currently on 340 mg per week of Test Cypionate. My total T is ~500. My doc just prescribed me enclomiphene to supplement the T and help with testicular atrophy. I’m having a hard time finding anything about adding Enclo to TRT like this. Will this be effective and what do I need to watch out for?
Suffered joint issues from psoriatic arthritis for the last 16 years. I don’t usually comment but you hit home with the pain and mood statement near the end. Deca has definitely given me a positive outlook through pain relief in life since starting it with my trt.
I’m taking 5 mg CIALIS 3 days in a week (average)for the last 7 years. Noted benefits: (1) Reduced bp medicine losartan 50 mg to 25 mg. (2) improved ability for brisk morning walk. (3) symptoms of Bph reduced. 4. Overall health including erectile function improved. Now I am 67+, an Angio pasty was done 8 years ago.
For someone who has crashed their ferritin from blood donations while on TRT, but has high hematocrit and red blood cell count just over the top of the reference range - would you recommend taking an iron supplement to help replenish the ferritin or would that further raise the hematocrit and red blood cell as well? I’ve heard different opinions on this
Nandrolone has been an absolute game changer for me. I am 57-year-old lifelong lifter as well as doing other competitive sports and really screwed up my knees elbows and shoulders. Chronic tendinopathy as well arthritis. I’ve been on and off nandrolone, but finally pulled the pin and went on Dr. prescribed nandrolone @ 200 mg per week and a very low-dose of testosterone. This is the best I felt and probably 35 years. All my labs look phenomenal, except that my hematocrit and red blood cell count are trending a little bit high, but trying not to give blood because I don’t want to crash my ferritin. So I will cycle down my dose for a little bit and then start up again.
200mg of test gets me at about 1700ng/dl either sub q or im. In 10yrs, i have tried everyway possible and best was always sub q daily with a 27g, just grab anywhere and go.
Easy on the HGH. DERP. How do you not know your E levels. You lost me when you said that. You should know but you want to be Dramatic to try and prove your point
Excellent content. Your anecdotal evidence that 50mg provided pain relief is much appreciated. Minimum dosage approach is very smart. I may try 25mg initially and see. Thanks again!
I have read that hematocrit is highest in the morning. In your experience, is a fasted, AM blood draw for labs accurate for hematocrit? Would unfasted afternoon labs be inappropriate? Which number is a better marker in your opinion? Thank you.
