Correcting TRT Advice

[@wread1982]

1. Doesn’t cause heart attacks 2. You don’t need to donate blood 3. You don’t need an Ai 4. You don’t need to worry about anything we will all die someday no matter what we do so make your self a man while you can and enjoy life to the fullest instead of being a wussy on the sofa

[@LongevityReportET]

With?

[@MrKentheken]

Amen

[@jamie.777]

Makes sense to me

[@raymondlyons8492]

I just love that answer made my Day ,I agree with you one hundred percent and I know you wernt being flippant, 😊

[@NorthCountry84]

What if you’re a woman?

[@jaycarneygiants]

Peter Atilla talking about people "misusing" prescription meds is the height of hipocrisy. He is admittedly on cholesterol-lowering drugs that are reserved for patients with heart disease (which he doesn't have according to him) but because he is a doctor and has connections he gets to take Repatha and Bempedoic Acid

[@grunge-mb9sb]

I hate this, then the mere peasants get gate kept by doctors all over

[@dennisdavis3564]

My Doc as well, kind of a flex

[@TwitchingHour]

Peter Atilla is the worst. Using his platform to misinform, utilizing scare tactics to earn money. My doc literally states opposites from what Atilla states. The guy conflates subjects and scenarios to make his advice suit his agenda. Going with what my doc says over Atilla every day.

[@junu0507]

I like the fact that you are wearing sunglasses when calling out; it makes you look like a villain.

[@marshallsaltzman9924]

Attia is neurotic af. Beyond reason at times. He has made some hyperbolic statements about the danger’s fruit before that turned me off from him. Might be some narcissism going on there

[@vinnyB-do7op]

I don’t like him either. Also because of his take poor on 5AR inhibition

[@xKarenWalkerx]

I feel the same about him. Also Layne Norton. Bummer bc they could be great but are currently unbearable to watch...Layne is the most neurotic grown man I've ever seen...

[@chriskuzman6819]

I am a past client of you both from back when y'all were with Marek. Can you do an episode breaking down the bro-science surrounding injection frequency and subq vs IM delivery? I bring this up because of your comment around "physiologic" TRT, and how its essentially impossible to achieve the same peaks/troughs of a natural diurnal rhythm. EVEN with daily micro-dosing. I fell for the trap of doing daily subq injections and it FUCKED me up by giving me a constant high-mid level of hormones and never giving my receptors a break. Thanks in advance!

[@cummingsdale753]

Good morning your, comment/ request, is a good one. I would love to hear them speak about this . I'm now trying to tweak my dosage and frequency of injection I was told every other day intramuscular injections would be best you bring up a great point about receptors though could you tell me a little bit about what happened with you and if you got any clarity with this? ✌🏾🙏🏾💪🏾

[@philnj7302]

If it constantly gave you high/mid hormone levels dosing every day you should have reduced your dose further

[@dennisdavis3564]

Lower dose...ffs

[@jacobshalvey]

New studio for these reactions is going to be fantastic. So excited for the growth of this channel

[@gilletthealth]

Thank you for the kind words!

[@NYGuy2000]

Guys, extremely imformative! I also enjoyed your standing up to the herd.

[@gilletthealth]

Thank you!!

[@NYGuy2000]

@gilletthealth May I ask you for your view on saw palmetto regarding its potential risk? Can it lead to PFS, or is it relatively safe?

[@LongevityReportET]

​@@gilletthealthWould love to see a debate on AIs with Vigorous Steve given his recent video! I tend to agree with him but I'm curious what your thoughts are

[@marshallsaltzman9924]

@@LongevityReportET Steve is blasting, different ballgame

[@LongevityReportET]

@@marshallsaltzman9924 no it is not. He has the same opinion when he or anyone is on trt or has an adequate estrogen level. His argument is that they are very low risk when estrogen is controlled for and maintained, and that most side effects are from crashed estrogen.

[@nicoc7024]

I don’t think he was saying donating blood more would cause the PV, I think he was referring to the increase rbc production from the high levels of t.

[@kimja1313]

can you say something about using lycopene as a replacement for dutasteride? is it effective enough?

[@gilletthealth]

Good idea, we will look into this. Replacement from a prostate and cardiac health standpoint?

[@kimja1313]

@@gilletthealth thx and yes. I have an age related prostate enlargement, got a mr scan, that shows no cancer whatsoever, but still have the urinating symptoms, and my doctor doesn't think its nessecary with medication. so im on my own

[@Ematuresco]

@@gilletthealth Hi, I didn't get the point about enclomiphen (not clomid) what has Kyle to say about it ?

[@jmg2549]

Can TRT cause blood clots-DVT, even though someone’s hemoglobin and hematocrit are in normal ranges?

[@nomadicexplorers]

I wish I had competent docs

[@robertwilson9179]

what’s with the shades?

[@sunshine3187]

So is trt safe if you need it or not?

[@kyotodreams3306]

Yes

[@Dan-rp7il]

please quote the paper of hct of 54 causing a 30% increase. I have never read that

[@nicoc7024]

I’ve been on “trt” for many years and what I’ve realized is watching a million videos and and researching the best way to do trt will make your head spin, many different opinions on every aspect of trt, you just have to experiment on yourself and see what works for you, and probably avoid trt as long as you can.

[@johncalla2151]

Are there any good strategies for increasing estradiol even when testosterone is high and there's no genetic polymorphism causing low aromatase? Or is this is a situation where blood testing estradiol isn't very helpful since it's a paracrine hormone and it tends to be tissue-bound? And maybe symptoms can be explained by DHT blocking estradiol's activity at the receptor?

[@gilletthealth]

This is a great question. I've briefly discussed my struggle with very low estradiol levels. Dutasteride helps significantly (when I'm able to take it). DHEA has also helped me in the past, but I do struggle with acne/breakouts when I take DHEA.

[@johncalla2151]

@@gilletthealth Thank you for your response!

[@elst2504]

Excellent, thank you!

[@gilletthealth]

Thank you for watching!

[@xKarenWalkerx]

Terrific episode!!! 🎉🎉

[@JL76OH]

I like your open minded skepticism. You’ve gained a new subscriber.

[@gilletthealth]

Thank you for the kind words!

[@swoops41]

I am digging Peter‘s choice of wrist watches in these last few videos

[@CesarGonzalez-eh4th]

Can you guys comment on the permanent loss of libido risk that was mentioned at 24:42 and whether that is true or false? Thank you!

[@blackjack6406]

Imagine how great it would be if we could take a pill once and maintain the effects long term 😅

[@Twm532]

Its complete nonsense and theres no evidence supporting it or PFS in general

[@philtrem]

Very informative. Thanks!

[@gilletthealth]

Thank you for watching!

[@Dlindo8892]

Subq does not work for everyone. My total testosterone dropped 350 points after switching to subq administration. Same dose and injection frequency as I was doing intramuscular I noticed something was off at about week 3.

[@Kobalamin88]

Maybe it becomes trapped in the tissue? I have the same issue with vitamin B12 injections. Subq causes my symptoms to return vs IM injections.

[@Dlindo8892]

@@Kobalamin88 I wonder if there is a way to fix this? Different carrier oil maybe?

[@grunge-mb9sb]

I felt horrible on sub q

[@Kobalamin88]

@@Dlindo8892 go back to intramuscular injections? Sorry for the delay brother.

[@aaronmanuel4012]

Ive had aggression issues ....as ive been on trt 240..week ..for month..any advice yall can give me

[@NEUTRALDROP]

Try 100 mg per week

[@Chestroc]

Great video!

[@gilletthealth]

Thank you for watching!

[@BillyBob-fh5he]

Subq injections are better for not dramatically increasing DHT? What about skin but not scrotum?

[@gilletthealth]

Correct, all skin has 5ar, but conversion to DHT is more active in scrotal tissue. Less peak (and not crushing SHBG) is better for less DHT conversion (for any administration form)

[@fncr070]

Awesome🎉

[@gilletthealth]

Thanks for watching!

[@bogse]

I dont know who these guys are, never seen before but its clear the guy with eye surgery hasnt studied this topic enough.

[@vinnyB-do7op]

Fantastic podcast guys. It is that this the mainstream Chanel with many viewers is being a little misled.

[@vinnyB-do7op]

It is sad that*

[@asneesaelim1950]

This is like listening some comedy, guys talking like they know something when they reveal time after time they dont understand the topic they talk about.

[@mikeyoung1002]

Yo Doc ! It all boils down to MONITORING !!! OBSERVATION!!!

[@keithnicholsmd6896]

It doesn’t grow prostate cancer Kyle. Raising DHT with transdermal cream does not affect your heart Kyle. The DHT you measure in the serum does not reflect levels in DHT sensitive tissues. They have their own homeostatic mechanisms that tightly control intracellular concentrations. If want to talk about it reach out. DHT is living rent free in your mind and you have it vastly wrong. And with the doctor that has the most experience with the topical testosterone cream applied to the scrotum you have no idea about topical testosterone Kyle. You are suffering from the Dunning Kruger effect in this video. I usually like your videos, but this is extremely painful. The amount of misinformation was intolerable. The sunglasses blinded you to the actual true medical literature in many areas in this video

[@Dlindo8892]

👍

[@hermanozzfashion9935]

was 37 when I had my son, I had been using since I was 19. I stopped completely and after 8 months my wife was pregnant

[@Sonicznproductions]

Ik

[@dougbagley5364]

I don’t comment much, and yes this circus requires one. I hope you can get your money back on the new studio as this Jerry Springer type skit is unbecoming and your vocabulary of a middle schooler is sad. If you have an opinion post it. If you have an opinion about someone else keep it to yourself or better yet invite Attia on for an actual discussion. Your format is only for views and leaves yours audience with loads of misinformation. Very sad, do better.

[@Halcyonhal]

What’s with the sunglasses?

[@VSS1]

He said he has eye surgery earlier in this video.

[@EtienneLeBoeuf]

I went from 334 to 960 in around 3 months all natural no TRT. This book should be essential reading for all men. Written by a 50s guy with natural T levels of a 20s guy Complete guide to testosterone by james Francis

[@WilliamFoley-t4c]

Don't believe you.Just my opinion.Im TRT for life,68,100 mg/week,mostly good days.Was 325ng 2 mos ago,curios what it is today,6/26/24.Ptl

[@EtienneLeBoeuf]

@@WilliamFoley-t4c It is true. I'm early 30s and you are 68 so this would make a difference.

[@WereAllThatBored]

The TRAVERSE study is literally the bible of TRT at this point.

[@PJchecky]

I’m not sure what kind of a “Doctor” you are but clearly do not understand the fundamentals of heart disease and its relation to TRT.

[@atois408]

Sunglasses inside….lost all cred dude. Next vid😂

[@jarrodnunn]

These Drs now a days Think they're so cool wearing sun glasses SMH

[@philtrem]

Dude...

[@bayareamacaddict]

Post eye surgery light sensitivity

[@GeorgeinLakeTahoe]

He said it in the interview. He’s wearing shades due to surgery.

[@chad6326]

Hey guys, I'm about to be on shot # 3 of 100mg a week. My total test was 290 last it was checked and me free was low. Is this dosage ok??? It's what my urologist wrote for me...

[@marshallsaltzman9924]

It’s a good starting dose. Stop worrying and wait for your 6-8 week blood tests.

[@EarlofGreystoke]

My level before TRT was 211, I started with 150 mg per week, it is very individual, stick with it for 8 weeks, observe how you feel, if your diet and lifestyle is clean, see how you feel and respond to training and post recovery …if no difference, titrate with 20 mg up, and then observe for 8 weeks, also take in observations frequency of injection, I feel much better with 3 times per week, but most important seek for symptom resolution instead of chasing pure numbers