Daily reminder that there is no one correct answer in trt. I followed the daily injections protocols for several years and felt so bad I had to quit trt. Then I went to 2x per week deep im injections and suddenly I feel amazing. Don’t take any of these trt guru’s advice as anything more than a suggestion. Try different things and find what works for you
Great video, physicians such as yourself are what remind me to stay on top of my blood work. Donate blood if necessary and keep that hematocrite under 55. I feel better, and my blood pressure stays lower. Like a lot of other brits, I have one hematromatosis gene and I swear it impacts hemoglobin excess with trt. Would love to see you do a video sharing your thoughts on all of those variables
It’s too nuanced for a video, but you need to monitor your B12 and folate alongside regular iron studies to titrate your supplement regime to match your needs. I hope that helps 👍
Great Video, Dr Stevens. I have watched and learned a lot from your videos so thank you. I do have a question. All of my numbers are perfect and I feel great as well. The only thing that has come up is low ferritin which is at 9. My hematologist want to start iron supplements. Iron, rbc, HH, all good but rbc sit on the high side. I’m worried that the low ferritin is from the trt and it’s not a real issue but if I take iron it may cause higher RBC. I see a lot of guys are dealing with this and would love your view on it. Or a possible video explaining. Thanks again.
Fantastic Doc thank you 😊 I started TRT this week and already feeling slightly better. I have testogel 40.2mg daily and will only ever be this dose but also want to monitor my RBC density on a regular interval. How often do you recommend and should I also ask to check my testosterone levels at the same time. Fortunately I live to exercise. I'm a physical activity specialist in my work, cycle 3 x per week, gym twice a week, a boxing bag workout and I teach martial arts also. I eat healthily, don't smoke and don't drink. Homeostasis is the key for me and I want to keep it this way to have a healthy, optimal life with testosterone replacement therapy. 💪
Great video, Dr Stevens. I was which marker you'd consider more informative in terms of blood viscosity; hemoglobin or HCT. I ask because HCT seems to be greatly affected by hydration.
Have to go off symptoms aswell. I developed slight heart palputations, slightly higher heart rate, and slightly higher blood pressure. My hematocrit went up just slightly but was always naturally on the higher end. It sat at the very top of the refrence range and some times slightly over. Doc told me this was fine. Did a heart scan and my heart was perfect. But still my heart felt off so I stop the protocal. 3-4 months later I feel normal again. It wasnt worth it for me always feeling my heart vs normally never noticing it. Regardless what anyone reassures me with.
@cskcsk3414 Naturally it takes 90-120 for RBC to die off. Get a phlebotomy and save yourself from the laundry list of horid symptoms that come from high Hematocrit/Hemoglobin.
Great video, I m on TRT on the NHS, saw 4 Endocrinologists in 8 years, each has different opinions, the latest hasn't even heard of subq injections, wants me taking Enanthate every 3 weeks, I told him that is a rollercoaster, he is only interested in what the GMC say, not the Patient, NHS is a random lottery.
I have majority of low testerstone symptoms ( no libido at all , ED , anxiety , )BUT testerstone is normal , all other hormone is normal , it’s been 3 years now , same condition no improvement. All my medical report are normal . Apart from I have fatty liver , insulin resistance . My medicine or family doctor refuse me to go for TRT . Question is if I go for a TRT for a try and if I am actually not a TRT patient . What will happen to me ?? Any risk ??
Yes Prostatacancer and cardial Risk like Heart Attack ... You have to start a diet and start with Training(cardio) in Germany nobody will give you trt. Pls stop it
Beta thalassemia trait + badly anaemic + low T. Heart is already pushing sludge around. Is TRT impossible for me? Can't find a good TRT doctor in this country to give me an answer.
Any serious risks related to a food bender? Obviously a poor diet can lead to diabetes and other issues, but I’m referring to something immediate like with this alcohol bender.
Hello doctor, i went to donate a blood and before donation nurse checked my iron levels and she said you can’t donate blood because your hemoglobin is 18.6 it’s way to high and she said you have to see your GP asap and to get permission from GP to donate blood next time, but i don’t want to see my GP because he is absolutely useless i am on TRT only in about 4 months but don’t really want to get a heart attack at the age of 40 so i decided to stop TRT but i know after some time i will feel shit again what should i do?
I'm on week 4 of daily microdosing 130 mg testosterone cypionate. My starting levels were 168 total, 2.9 free and 22.7 Estradiol. Its been a rollercoaster but its a net positive. My blood pressure it good but my resting heart rate is up about 10bpm. I can't sleep. This is my only symptom.... Is this normal? I go in for blood work in two weeks. You have been incredibly helpful on my TRT journey. Thanks!
18.8 Hemo RBC 6.57 Hematocrit 55.1 Should I be worried? Was doing power reds, I don’t think this is optimal. I’m thinking whole blood every 56 days would be a better call. Feeling No negative side effects. Feel great! 50 year old male Test Cypionate 100mg/ml twice a week deep IM injection
they say keep it under 50% esp after 40 and 50 yrs old.. Its tough sometimes to do.. Mine was 43% before trt and i felt horrible..Now its around 49-52% and feel much better.. I think the totality is what counts.. You see your platelets high, white bloods high your Hemaglobin, your MCV ect.... idk im no expert.. but thats my expericene
That’s a hefty dose of testosterone. It would seem it’s too much for your biology. 200 was too much for me. Dropped to 140 per week, my numbers improved but would just take longer to reach the same numbers as before. I’m currently down to 100mg per week and things seem to be holding steady in a good range. Still no low T symptoms. Sure I felt AMAZING at 140, but I don’t think that would have lasted. Listen to your body and your blood work. Don’t get too attached to the number you are taking and the number of testosterone on a piece of paper. Lowest effective dose to relieve low T symptoms and not get any of the negatives of too much testosterone is the perfect dose
I've had a recent blood test. My haematocrit is usually 48. My latest blood test showed it was down to 42, not sure if I should be worried? My cholesterol has gone up to 6.3, this is the thing worrying me. Is there any way of bringing my cholesterol down on TRT without taking statins?
I have been on Trt more than a decade and do regular blood work. My hematocrit has been 52 or so and hemoglobin around 180 for many years. I dont seem to have the typical side effects and i feel great. In the last year i have started donating blood and it is slowly bringing the numbers down so i hope eventually they are within the normal range.
@@VillageboiRobbie I just lowered it to 100 mg and then I’m going to get my blood work I think you’re right at my peak I was 1300. My hemocrite 56. I’m taking the cream which works really good but I’m lowering it to 100 see what it feels like.
That's a much better dose for long-term TRT imo. Very few people need more than 100mg, despite what you read on forums. If you go higher, you may feel better than the lower dose for a while....but it'll catch up with you eventually. In my experience it takes about 7 or 8 weeks for hematocrit levels to come down after lowering the dose, so don't be disappointed if there is no change immediately. 56 is nothing to worry about until then. Take care and good luck, hope your lower dose works out for you.@@affordableaquariumservices1663
You should not need to donate blood every two months on TRT unless you have a pathology such as haemochromatosis, you will crash your ferritin level. Speak to your doctor!
@@themenshealthclinic My ferritin is 408 and 39% as tested by an endocrinologist. Testosterone is 5.4, 7.7 and 6.4 (Free T 0.161). I haven’t been explained to me why my ferritin is high or what I should do about it. A quick google about it has me worried. My bloods say that everything else is good. NHS wants me to start using Testogel but I’m reluctant.
I can't have enough testosterone to negate my problems because of high haematocrit. Nothing has been tried to resolve the worst problem that a bloke can have (NHS in the UK). Of course I don't want to have a stroke but I've been in my current condition for over a decade & living like this for the rest of my life is something I simply won't accept. My experience is that NHS endocrinologists aren't interested in whether relationships fall apart or how suicidal a patient is - as long as they don't cause a stroke everything's okay right. 👍
Very informative. iv been to docs with a hangover (not because of it ) he decided to do a blood test .I explained I was drinking last night .my heamoticrit came back at 63 I normally sit around 52 or 53 I got referred to haemotologist got tested monthly for about 6 month as well as various ultrasound scans. waste of nhs time and mine
I am 53 yearrs old and have been on anabolics consistently since the age of 14. Yes, i was one of those dumbasses that ruined my endocrine system by abusing anabolic agents. Today I am on 200mgs of testosterone cypinate a week and 300 mgs of nandralone a week. My hematocrit is elevated despite doing cardio 3 to 4 times a week. Usually run either distances or running sprints. With that being said, the best thing that works to keep my hematocrit down is to donate whole blood every 60 days. It works great and saves lives.
I would speak to your prescribing doctor and measure your ferritin as you are likely to be iron deficient as you get an element of hepcidin suppression on TRT.
@@themenshealthclinic I am. He put me on an iron supplement because of that very thing. It's really hard to find a good doctor that doesn't judge me for my use and abuse of anabolics.. I retired after 21 years in the Army, all spent as an infantryman. And most spent as a Ranger. As you can imagine, we all used anabolics. And most of us didn't bother to research what harm it can do, later on in life. My doctor knows that I still am using anabolics just at a much lower dose. Anyways, thank you for not being one of those doctors that judges. I am sure that you don't approve of abusing anabolics, but you understand and ultimately care. Thank you doctor
@@robertK3371 dude how did you find time to lift weights? We were in the field 10 months out of the year I mean, I still went to the gym when we were in Garrison but NTC rotations in Fort Sherman rotation plus all the time in the field long fucking walks I mean we walked forever. Lot of people don't realize the infantry moves by walking and that makes you small.
@@RonjonsensorrowYes we were in the field a lot. But we had our own weights at BN. And we would usually run or ruck 3 times a week for PT. 2 days a week we would either hit the weights or do CrossFit. Then depending on what cycle we were on, I would hit the weights after we were off. Now remember, I said that I enjoyed lifting a lot more than running. That doesn't mean that we hit the weights more. As I gained rank, of course that made it easier for me to hit the weights more often, as I could basically make my own schedule (kinda). I retired in Dec. 2010 with 21 years of service. I still to this day hit the weights 5 days a and I run 3 times a week. But not at the standard that I had to meet in BN or Regiment. Hahaha. I am 53 and old now. On my last tour we were hit with an IED in Afghanistan. I suffer from a TBI and a host of other ailments. So the gym really keeps me grounded. Anyways, I hope that this helps answer your question. I didn't say that I was hitting the gym that much while in the Army. But having our own gym in BN definitely made it easier to hit them whenever possible. I am not sure what unit you were in. I started at 2/75 and I stayed in 1 of 3 BNs or somewhere in Regiment most of my career I wish you all the best. Have a great day. And FYI No Ranger BNs spend 10 months in the field. You should have joined with an option 40 contract. Not saying we didn't bust our asses. But we definitely didn't spend 10 months in the field. We have certain cycles which required us to be home or at least within 30 mins of BN. At any time. By the way, I checked out your profile. I really liked your comments such as kindness, loyalty and whatnot. I truly wish you the best.
@@themenshealthclinic yeah understandable.but still trt and elevation gives very similar numbers..i am talking about 1 ml of testo a week..not 6ml like bodybuilding..and its impossible to all Humans living in altitude to have same genetics.. thanks a lot for your response..i am digging to see what i can find..also how young 20 year old athletes at elevation that have very high testosterone and very high rbc..they never have heart attacks..i need more research
Physiology is complex, take two people with similar cardiovascular health and fitness, take them both up a mountain, with acclimatisation, one may reach the summit, one may suffer HAPE and need medical attention. It’s about application of principles which are translatable to the majority. Medical practice must be safe - Primum non nocere
@@themenshealthclinic yes you are right..we are not all the same..i will start taking meldonium too soon..it does wonders and with rbc and with hypoxia, lungs and arteries..so i dont donate blood
It's a bad thing it put me into congestive heart failure, although I never had a heart attack or stroke it was still the cause of my left ventricular hypertrophy.
I mean, we would have to know what type of anabolic you were taking, how much, what carrier, and what frequency and your intake of red meat/iron. How often was your blood work. Is this test fault, or was there some level of culpability on your end?
If you need to donate blood in order to maintain ref range RBC and Haematocrit while on TRT..you are dosing too high..Simple!.....1 year on trt and all blood markers are same as pre trt...Besides T & E2 numbers obviously...but even those are still within ref range....
@@themenshealthclinic I see a legit doctor(Endocrinologists) here in canada that was his take from 45 years experience in the field.Same goes with needing an AI...if you need an AI to manage E2..then more then likely too high a dose/protocol.
Well of course. Lots of guys don’t need Testosterone and aren’t on TRT. I think in the athletic arena they call it doping. You’ll probably get lots of hate mail from guys that know more than you and your Doctor. 😂
