Do This Before You Take Testosterone Replacement Therapy (TRT)!

[@dirtomega]

I’m a 42 year old recovering alcoholic. When I first got sober I got blood work done (at age 36), and I was told that my testosterone levels were in the toilet. 3 months of sobriety later, and my levels were back up to normal. I was also tracking my macros and working out 4 times per week during this time. On the 7th of this months I’ll have 6 years of sobriety, and the results of my last blood panel shows that my testosterone levels are a little bit higher than normal for a man of my age and active lifestyle. Guys, if you drink do so in moderation. Otherwise you might be doing more damage than you might think.

[@drironmom6815]

@@dirtomega congratulations!! My husband’s in AA and I quit when he did. LOVE having an alcohol free house! Nothing good ever comes from alcohol!

[@DanielBroos-b4n]

Spot on with the alcohol and the affects it has on your endocrine system. Test levels among other hormones

[@2023Red]

Yes. You just described me with low t. I inject t twice a month to increase blood levels. It was the only way that worked for me at age 75. I highly encourage anyone with low t to start it. Feel much better every day.

[@izzomasri346]

Thank you Dr Rena for the insightful video. As a 30 YO male with HT and high cholesterol and low T, this video has given me answers that no Dr ever did. Thank you again!

[@wilsonlee63]

Dr. Malik just describe my personal experience, I lost weight, started doing cardio & now resistance weights training & at 61 has no erectile dysfunction issues....

[@3000Degreez]

I just got my bloodwork results and my testosterone levels were at 160 which I hear is VERY low so I had to get a MRI before I start TT for medical reasons as a precaution. I’m very excited to start the process. I used to live in the gym but when I had a hip replacement surgery it really took me out of the game and it was also it was around when Covid started so I couldn’t even go to the gym. I gained a significant amount of weight and now living an unhealthy lifestyle all the way around so now with this treatment starting and getting my mind right I’m praying that I can get my life back. I will keep you posted if interested. Be blessed everyone

[@mountainman001]

Good luck! Hope it helps. 250 is considered low. I'm at 285 and doctors won't consider me for TRT

[@DanielBroos-b4n]

Find another dr. Or a men's clinic. If done properly, it can be life changing.​@@mountainman001

[@jeffnahass8373]

I’m a gym guy. Low bmi, lots of muscle. I’m on trt right now under a dr. Care. It’s working. Along with sleep, no refined sugar, exercise, etc. I’m doing fine gradually going up.

[@gmotsjr13]

How did you go about noticing that you needed help?

[@jeffnahass8373]

@@gmotsjr13 I didn’t feel like doing anything. Felt sluggish. Very low energy. My T levels were low. I am getting bi-monthly injections, and taking Tong Kat Ali. I also take creatine every morning. My levels are up.

[@RedSpicyFeast1010]

Do you take TRT from a regular hospital or from a hormone clinic? How did you convince the doctor to give you TRT?

[@guamart_2792]

@@RedSpicyFeast1010if you really just want to take TRT.. go to a hormonal clinic. They are super lenient and will give it to you if you say that’s something you want to do if you have low T. Speaking from experience.

[@nicktoofar3514]

I'm 39. Testosterone replacement and ipomorlin changed my life. I was able to finally kick a 12 year long methamphetamine addiction. I couldn't function without it. 6 months on Testosterone and I was a new man...

[@aleck1739]

Badass story - what is ipomorlin in basic terms and why do you think it helps you kick a bad habit?

[@nicktoofar3514]

@@aleck1739 ipamorlin is a string of a meno acids known as a a peptide. Look it up. There's hundreds of different ones. Ipamorlin is a human growth hormone senagoge. Basically it makes your body produce more human growth hormone. Which is like pure digest able food for your body. I never said directly that it helped break an addiction. I was just stating that for the longest time tens of 15 years I was not able to break that cycle until I got on testosterone and ipamorlin. It worked for me. I'm not giving all the credit to these injections motivation and will played a big part. But I feel they gave my body the extra it needed in a time when I felt like death would be an easier route. Once you take a very powerful stimulant away from a body that's had it everyday for ten years. First thing in mourning, multiple time throughout day. Your body has forgotten how to produce the natural chemicals in your nervous system that make u function.

[@LanceMiller-m9h]

@@aleck1739 Ipamorelin is what I think he meant to say it’s an HGH product that provides a huge boost to men in conjunction with testosterone therapy The positives are numerous but in general increases energy mental focus better sleep sex drive fat loss if I remember correctly it corrects metabolic syndrome etc Anti aging meds I’m trying to get this same cocktail in Cincinnati which will run 200 month.. I spend that on weed alone lol

[@sketch6774]

Didnt ipamorlin get banned ?

[@nicktoofar3514]

@@sketch6774 you can still buy it at Beyond research

[@camwells9726]

I’m early 60s on trt , but also very fitness based , Train and eat well every day . I believe it can be fantastic for the people who live the right lifestyle, not so sure it’s the right fit for the people who live an unhealthy lifestyle though , the two go hand in hand in my opinion .

[@drironmom6815]

In the 1980’s the normal range for testosterone in men was 750-1150. Now it’s 300-700 (depending on lab)

[@lunam7249]

plastics are making gen-z gay

[@garrypalmer5574]

If they are and keep moving what is classed as normal eventually there will be medical issues and obviously there already is especially if they keep re-gauging the level every few years as it will give men physical and mental problems as quite often most doctors don't go far enough as they are quir busy and not considering that drop over the years. Is this a hidden agenda to make men less aggressive and more effeminate

[@SteveDanay]

Thank you Doctor Malik for another great show. I started TRT pellets about a year and a half ago. At 68 years old my T level would fluctuate between 210 and 380 most times in the 280 range. I was tired and lethargic at times and then started having very rapid ejaculation during sex. My Urologist told me that there was no official study but low T could very well be the cause. She gave me 3 pellets and 10 months later 4 pellets. So far I am really happy with the results. She is a wonderful Doctor as you are. Thank you for the time and support you give us.

[@LoneWolf-cf5tp]

How much does it cost ?

[@Boethius4748]

I have apnea. I’ve had a cpap for about 12 years now. That changed my life and I’m not even remotely exaggerating. If you guys have it don’t let it go. Totally worth the little bit of effort to get the machine.

[@Shreadington]

I agree! Just got mine in November and it's been a life changer. Sleep study said I was waking up 11 times an hour on average. Now I get a solid 6-7 hours before waking.

[@Boethius4748]

@@Shreadington The difference is crazy isn’t it? When you wake up tired for years and years and, all of a sudden, now you wake up with energy it feels like a freaking miracle

[@Shreadington]

@@Boethius4748 YES! I have just the nose mask. My apnea got really bad last year prepping for my Masters Classic and Bodybuilding competition. My kids could hear me snoring from their rooms with doors closed and my wife slept on the couch so I could have the bed. After the competition, which I won both Masters Classes 😁, I had the sleep study done and slept on the couch until I got the results and cpap. First night was a little odd but the second night I was off to Neverland. Unbelievable difference. I travel for work at times and always bring it.

[@gmspy007]

​@@Boethius4748 What is CPAP?

[@mountainman001]

I've heard this as well (suffering from chronic fatigue) someone told me to check my ox levels as someone with apnea will have low levels at night. Bought a Fitbit but it shows my ox being 95-97 every night for a year now

[@Viking12390]

Hi Doc I just wanted to say thank you for all the content you share and for all that you do.. you are an amazing doctor! Thank you !!

[@swn69]

I had my testosterone tested at 53. My testosterone level was 535, which is damn good for 53. HOWEVER - I was having difficulty sleeping through the night, difficulty losing belly fat, and difficulty gaining strength despite going to the gym regularly. I started testosterone cypionate injections. Shot up to 1500+, dialed it back, was still at almost 1400 and dialed it back again... I only do 40 mg twice a week and I am noticing a big difference. I'm 5' 10" and 180 lbs.

[@hojo70]

535 is normal, even higher than average for a 53 year old. What was your free T level? Your symptoms may not have been related to low T. Keep an eye on your estradiol because at the levels you stated it's very unlikely that your body can use all that testosterone (more is definitely not better)

[@gyrsriddle]

40 mg twice a week? Is that a typo?

[@danielsykes7558]

Are you sleeping now?

[@silotx]

​@@danielsykes7558he will be sleeping forever with those dosages.

[@Asiansxsymbol]

Why did your doctor approve TRT when your level was normal? My doctor wouldn't prescribe it bc my level is normal. I'm younger than you and very fit and lean too.

[@bn12595]

I've been doing hormone optimization for 2 years now. I'm 62. I've lost 40lbs and now have a bmi of 24.5. I have a testosterone level of 1123. However, the most important hormone I've optimized is insulin. Gone from fasting insulin of 11.8 to 4.2. The answer is: 20% optimization of thyroid and testosterone to top end of scale. Hate sugar and all added sugars. Low carb diet. 60% what you eat and when you eat it. Lots of protein (6 eggs a day). Lots of raw broccoli and cauliflower and meat. Intermittent fasting 16hrs a day zero calories. 20% exercise. Resistance bands 30mins a day. Feel like 30 again. ED gone. Very lean muscle now.

[@LouCondon-j1v]

Damn, I am on TRT at 200mg of Test Cypionate per week and if I get up past 700 my Doc. freaks out. I keep telling him I was a competitive powerlifter for 30 yrs and took a boatload of drugs. my levels pre TRT was 300, I think my Grandson had a higher level at 3 y/o LOL. At 1123 I would feel like the old days. I am also a type 2 diabetic and take Ozempic and other meds.

[@khawajamazhar9188]

Sounds like a fairy tale😮

[@briangemmet3567]

How are you keeping your hematocrit under 50% when you’re keeping your total T over 1000 year round?

[@ImmortalanDivine]

Ridicoulus. Please study. "Lots of meat,low carb bla bla" Brother just stay in range referenze,sleep enough,eat real food wich mean no industriale bullshit and you done. Jesus c.

[@Risingabovechaos]

I am 48 and had low T and was considering TRT. I found a book that saved my life. My T levels are now consistent at between 500 and 600 and I feel more energy better libido and better moods. Complete Guide to Testosterone by James Francis

[@coop98]

What book?

[@Warren15G]

@@coop98read the last sentence

[@krane15]

Congratulations. You don't have a true low test problem. When you do, nothing in a book or home remedy will fix it.

[@Nogi-aka-DJNugz]

I’m at 399 thinking of getting some

[@thewalletwarrior]

I'm 40 and I was in the 500s bout a year or two ago and started taking Tongkat Ali and Fadogia for over a year and my testosterone is now 884 and free test is 139. I always worked out 7 days a week and eat a high-protein clean diet.

[@oda6104]

What is the brand of TQ/FG that you took? Provides dosage/cycle protocol as well. I am assuming your before/after Test# are reflective of Labs!

[@thewalletwarrior]

@@oda6104 I use solaray Tongkat Ali one in the morning barlowes Fadogia one pill in an then at night I take a pill of Thalacy combo Fadogia and Tongkat that has some ashwaganda. I also take Jacked Factory Yohimbine and pro health nmn

[@ReyShady05]

Are you cycling on and off the tongkat and fadogia at all?

[@thewalletwarrior]

@@ReyShady05 haven’t cycled off see no negative side effects and total and free test has consistently gone up. I last checked in January I’ll check again in summer or fall.

[@ReyShady05]

@@thewalletwarrior just curious I took the prescribed dose for 5 months. Ordered them from huberman's website. Just got my testosterone checked and it was only at 245.

[@rutgerolsen5157]

32m, with consistent levels under 170. Testi injury from the military. After 10 years of feeling very off, I'm finally getting confirmed it's low T.

[@lunam7249]

your past MD'S FAILED YOU...😢

[@GarrettDewald]

Im 30 years old. 11.5% body fat. 5’ 7” 160lbs I track my food. Sleep. Exercise weights/cardio 5 days a week. My test was 350 and free 10… I’m having issues with blood sugar, mood disorders, sleep issues, low energy, high cholesterol , high triglycerides … Highly considering TRT

[@Motodave82]

As a nurse working in a hospital i would think how crazy it was to make new interns work such crazy hours with massive unsafe work loads and ask them to make medical decisions with sleep deprivation.

[@Shreadington]

I've been active my whole life, stay lean, and trained naturally for 20+ years. At 38 the low T hit me hard. Had all the symptoms. Tried everything over the counter for about a year. Nothing really worked consistently. Got a blood test and test was at 230. Started trt per my Dr's suggestion. Started with cypionate and switched to propionate for less water retention. 250ml weekly micro dosed daily keeps me at 900-1100. I also hired a coach. Trt gave me my life back. Everything got better and stays good. I get a full blood panel every year and it's stellar. I work with my Dr and coach to keep me optimized for health and training.

[@sunshinehappyfuntimes]

What are you tips for keeping hemoglobin at 16ish? Is that where yours is at? Did you ever have it come back at 18 or 20?

[@Shreadington]

@@sunshinehappyfuntimes mine is 16-17. My Dr suggested giving blood. I've never done that so it stays in the 16-17 range. From the research I've done being on test can increase it but it's not a problem if your blood pressure is in normal range which mine is.

[@gtrguyinaz]

Rena, this video is very important to many men. I am on testosterone gel and have been there for five years. I am 70-ish and I wonder if I get off the testosterone gel will my testicles begin to produce testosterone if I reduce weight, etc. The follow-up to this video needs to be if you get off of testosterone gel, can you ever recover and manufacture testosterone naturally.

[@roro2511]

From what I’ve heard from body builders getting off test that it is important to keep estrogen levels down while your natural testosterone levels raises. I’m no doctor and I do not use steroids. Just word of mouth. Good luck though

[@lunam7249]

yes, if low dose your body will recover, but just stay on the gel, 5mg/week?

[@thescepterofjudah12]

I went to a men’s clinic, and they tested my Testosterone levels. At just over 40, I had a 247 Testosterone level. So the Doctor is going to put me on Clomid in conjunction with an Estrogen Blocker for a two year period to improve my levels. This was the best method, as it will still allow me to have children, as opposed to having my body depend on an outside source for Testosterone. She said that once this treatment starts to work, I should drop weight, have more energy, and put my Testosterone levels back into the 900-1,200 range. I already eat right (though sweets are my vice at times), I just have stress from my job, and I don’t have the energy to exercise. This alternative therapy should help with this, and with a change in my job coming soon, this will help me significantly.

[@sunshinehappyfuntimes]

You need to have your prolactin, LH and FSH levels checked if you haven't already so you can figure out why your hypothalamus or pituitary gland is not doing it's job or if it is simply the testicles not doing their job. Please look into the side effects for clomid so you are aware of the risks, especially if you are going to use it for 2 years. Blocking the estrogen receptors on your hypothalamus can initiate the HPTA to start up again but the estrogen receptors in other tissues get blocked to a degree also, which results in some pretty bad shit.

[@lunam7249]

wrong, get a better, male M.D., use T-GEL in low dose, 5mg/ week or maybe 5mg/3.5 days..blocking estrogen is outrightly wrong, unless you have cancers or other serious medical problem

[@lunam7249]

@@sunshinehappyfuntimes👏👏😳👏😳

[@MrFredlthomasiii]

Thanks Doc. I have low T and have been following most these things like exercising, dieting, lowering my bp and ldl. I still have the sleep apnea issue. Working long hours is screwing my sleep, but I am getting a little better at this. Also losing the weight is a slow process despite working out like a dog.

[@brentgrant1971]

no mention of alcohol? trust me it has a major effect.

[@krane15]

That should go without saying. But you said it. Now that you mention it, may l add smoking too?

[@Lexulous123]

This is great, Dr Rena! I’ve been following your content for a while now and have been using standardised hot-water Tongkat Ali root extract per your recommendation. It’s been an amazing experience - my libido levels have never been higher, I’m hyped up to train most days, feel like I have enough energy to take on the world, and just feel less stressed in general. Recommended this to a mate in the UK who messed around with external testosterone and was feeling miserable as a form of PCT and 3 months in he’s back in form and feeling better than ever! Think it’s definitely important to have a fall back that can help your body retain hormonal balance.

[@m.b.593]

What brand do you use? 🙏🏻

[@kb-3207]

Testosterone therapy was the biggest mistake of my life. I’ve made many, this is the biggest one.

[@richardderuiter7897]

why if I may ask?

[@kb-3207]

@@richardderuiter7897 Cystic acne that took literal thousands of dollars to get over.. the quest to find the right medication. Ruined my libido to non-existence. And EVERYTHING atrophy’s. When people are like my drive is through the roof. I have so much energy. That’s the placebo effect of it. I never got that. And regret it every minute. If I go off it, my levels drop to 15 or so.

[@kb-3207]

@kimkos where did your comment go..?

[@lunam7249]

your dose was way to high , sorry...YT the test doc, he's from miami he will get you to somewhat normal, under 100 is a serious medical condition, you need MD / HOSPITAL IMMEDIATELY

[@kb-3207]

@@lunam7249think you’re overreacting a lot. I don’t need your feedback. Thanks though.

[@AestheticMuscless]

Good vid. Just made one myself about things hurting our testosterone no one talks about

[@EatLeadPal]

I'm 62 and my testosterone level was over 1000 until recently. It has dropped to 900 so I'm concerned it's starting to go down. Thanks for this video.

[@LouCondon-j1v]

900 is great for a 62 y/o

[@sunshinehappyfuntimes]

Levels can fluctuate by several hundred throughout the day and week so don't get too freaked out if it said 900, it might have gone right back to 1000 the next day.

[@lunam7249]

arnold, move along...

[@mariocalderon8703]

Thank You Dr. Malik 😊 I'm considering testosterone treatment but want to run it first with my ppe

[@blakemeredith2445]

260 was my T last year at 39. I have hbp, Uncontrolled sleep apnea, bmi is overweight, 5 hours of sleep a night, low D3, no exercise, junk food diet, lots of sodas, high tgl, high hdl, high ldl. And Im diabetic...

[@lunam7249]

get a gym trainer, check up with MD, your lifestyle should change

[@NelsonFerguson-v7f]

Get a will and personal affairs sorted out… 😆

[@LanceMiller-m9h]

I just went to a urologist after a low T diagnosis Urologist walks in and says u want testosterone home injections? I said yes I’ll do injections myself No mention of sleep apnea? I’ve had sleep apnea for 10yrs… I didn’t do cpap machine… now that I know sleep apnea can be the issue I’m gonna get a cpap machine asap Thank you so much great video!

[@Swearengen1980]

Same issue. My levels were just above low, so despite having every syptom, Dr after Dr ignored my symptoms, read a number a few points too high and booted me. I did eventually find a OBGYN that specialized in male HRT and he gave me pellets. Not one of the 5 Dr's I visited figuring out my syptoms mentioned sleep apnea. I decided on my own to demand a sleep test. And it's apnea. Now because of their lack of effort or giving a shit, even once I get apnea under control, it takes time for the body to start making T again naturally. It could be months or a year before the body restarts. Dr's can ruin our lives as much as help it.

[@krane15]

Depends on the level and your symptoms. I've tried most of the solutions mentioned in this video, and they do indeed work.for light to moderately lot test. Once it drop to a certain point, they're useless. Its like taking an OTC pain medicine for relief after surgery.

[@claytonhubbard612]

Has it ever occurred to anyone the reason Zaman have diabetes, high cholesterol and high blood sugar and high blood pressure is because their testosterone is low and they don’t have enough energy to fix all that stuff. I don’t know just a thought.

[@lunam7249]

yes! correct, but not in every case....low thyroid is low energy , everything is low and sluggish, there is a proper range...350-750 TESTO... get blood tested 2 seperate times, get on micro gel 5mg/week

[@khawajamazhar9188]

Working on improving your metabolic syndromes/bio marker is a life long battle.

[@Grze9898]

I need wife replacement therapy.

[@krane15]

Couples Counseling Therapists --->

[@techevar]

Dude you made me spit out my coffee..:)

[@drironmom6815]

@@Grze9898 get your wife to a doctor who knows how to prescribe testosterone to women

[@Adam-mm9gd]

Thank you for making me laugh. lol

[@rolandoroja2011]

Thank you Dr. Rena Malik a lots of improvements on my ED issues after I watching and following your videos tips and suggestions about erectile disfunction ❤. I'm more than 54 years old but still too much active now and stronger erection. I need more time for sleeping and perfect 🥰

[@michaelfesta9289]

I’m 57 years old I have been using testosterone injections for 15 years now I also take an anti-estrogen to combat the estrogen buildup and I don’t look 👀 57 but I’m having trouble sleeping 😴

[@krane15]

Test can cause anxiety and sleeplessness. Talk to your doctor about reducing the dose.

[@FromDesertTown]

I am hypogonadal due to a genetic condition. Started TRT at age 38. Honestly, I hardly noticed any changes at all despite my T going from under 100 to over 700 on average. Everyone responds differently. People have varying densities of androgen receptors, levels of aromatization, etc.

[@2cc91]

@@FromDesertTown hi man ! Do you have primary or secondary hypogonadism ?

[@MasterDianWei]

Would you be able to do a video on what nutrients can affect your testosterone/men's sexual health? (if you haven't already)

[@1888CHAD8881]

Literally every man should have high testosterone. The range of 300-1200 is ridiculous. That's like saying eyesight range of 20/20 to 20/120 is " normal". A man with testosterone levels over 1,200 should be the minimum acceptable range.

[@krane15]

My doctor would have a stroke if I told him that. In fact, I think most doctor are indoctrinated to believe those poorly accumulated ranges. It reminds me of the Height/Weight Charts that I never fit into. I'm 6'4, with a small frame. I went years thinking I was abnormal because those numbers on the charts never fit me. It wasn't until well into my adulthood that they revised the charts and divided them int a Slim, Medium, and Heavy frame that I finally came close to matching up with it. Yes, I think they are way off too. Especially since there are men with ranges measuring 1500 naturally. If you were that guy, therapy would never get you to optimal range. In fact, even if your levels dropped by 2/3 you still wouldn't qualify for treatment since he would still be well within the acceptable range according to the chart. I assure you that if any man lost 2/3 of his original potency, terrible things would happen.

[@1888CHAD8881]

@krane15 My levels we literally 310... So i didn't qualify for treatment. I decided to treat myself for 10% of the price. My levels stay above 2,000 now.

[@Dulcimerist]

I've been doing Human Chorionic Gonadotropin for the past 15 years to prompt my body to make more testosterone, and it's worked great for me. (I had some rare side effects and issues with the testosterone cypionate injections, and my body wouldn't absorb the testosterone patches or gels appropriately.)

[@lunam7249]

no easily availible

[@Dulcimerist]

@@lunam7249 It's easily available in the USA. It's just expensive without insurance coverage. Getting insurance to cover it involved my doctor writing a letter to inform my insurance company the failures of testosterone injections, patches, and gels - along with some adverse effects I had with those. The HCG still costs me $50 per month. That's for six vials of 10,000 units each.

[@DestroyerofBubbles]

Thank you so much, this channel is a 'god send' Subscribed and belled

[@KalvinPatel]

I had my bloodwork tested back in January and testosterone came back at 330. On the scale it showed low but they told me not to worry to much about it right now and to come back in a few months to retake the blood test. Since then I'm still continuing my multivitamin and a little bit more vitamin D so I hope to see some improvement. What else should I do?

[@lunam7249]

proper sleep/exercise/diet...your on the edge, the docs and insurance will say you dont need it, cuz they dont wanna pay.....but at a microdose 5mg/week gel will put you solid 400,, your body and emotional statebwill feel great!!

[@mountainman001]

​@@lunam7249 I tested 2x lowest being 285 but still not low enough for TRT. Doctors won't consider unless your low (250 and under)

[@lunam7249]

@@mountainman001 dam!!! just a few months ago it was 300!!! sorry, a "endocrine specialist" or "TRT" doctor clinic may help you!!!!! are you near mexico border?

[@lunam7249]

try VIT B100 or a VIT B100 INJECTION IN YOUR BUTT...everyone is chronically low of b100

[@mountainman001]

@@lunam7249 Pennsylvania. Not even close! 😂 I think one of those "clinics" might be 2 hours away. No guarantees with those though, could be the same story.

[@rayfreeman2305]

Just a comment about my experience Rena. To start with I am an 84 year old (85 in July) living in Canada and have had brain fog and low energy levels for at least a couple of years. And of course I had lost my ability to get it up. I never got my testosterone level checked. Last Aug I started taking a 5 mushroom powder concentrate and since then my brain fog has disappeared and I have lots of energy. I also got my erection back and have seen many other health improvements. Just thought I should let you know.

[@egwusamuel4863]

You made learning look so easy. You're blessed..

[@Viking12390]

This is fantastic info Doc! Thank you! I need to do something about getti g better sleep.. im considering TRT.

[@BillDujardin]

Help me out doctor I need some help I can't get a hard-on anymore what's up😮

[@aleck1739]

Dr Rena - Can you please advise if TRT will end my life earlier than it should. Been on HRT since 19 years old due to 2 different types of ball cancer grew large tumors in my sack. Obv. The drs. Had no choice to remove those tumors. Even though the tumors were removed I still had stage 3 spread so chemo followed. Thankfully I’ve been In remission for almost 20 years now but also taking TRT for 20 years. I am approaching 40 and the docs I previously trusted seem to think there is no harm. Are you a Dr. interested in special cases b/c I’d love to discuss my preexisting condition with someone that has the expertise but also isn’t based in Chicago. P.S. I ask cause I get no straight answers anymore. Are you the type to do a quick consultation? Cause my treatment is still based on a 19 year old. That sound right to you?

[@BradAaronTaylor]

Thank god I still wake up with more wood than a lumber yard. Stay healthy, my brothers.

[@Liveeachdaytothefullest]

Are you on TRT? My T level was 278 way too low but now I'm in the 90s with TRT. It has no bad side effect other than the needle that goes in my behind lol

[@BradAaronTaylor]

@@Liveeachdaytothefullest I'm not mate, no! Still natty, thankfully. I'll def go that route one day tho.. in one form or another 💉

[@LATOHOUSTON]

😂😂😂 that a good one

[@Chris_Richard]

I don’t know bro, all the 2x4’s at the lumber yard near me are wicked crooked, warped and split.

[@iiiiiiiiiiiiiiiiiiiiiiiiii2458]

We, men, are in our Soft Guy Era. We, men, no longer need our masculinity. Let women be the man who takes care of us, men. Drizzle Drizzle.

[@johnhatchel9681]

Maybe you not us.

[@samstan4462]

Sprinkle sprinkle..

[@EtienneLeBoeuf]

I went from 334 to 960 in around 3 months. All natural. Thia book should be essential reading for all men Complete guide to testosterone by james Francis

[@krane15]

That's an ad bub.

[@EtienneLeBoeuf]

@@krane15 That's advice and a recommendation to any guy that wants to fix their low T, or optimise their hormonal output. Most T related content on here is designed to either get you to click so the creator earns ad revenue or to sell you supplements. And much of it is just the same things repeated over and over, or its advice from guys on TRT.

[@lunam7249]

no, BS ALERT.... just get MD and some tests and gel TESTOSTERONE microdose 5mg/week

[@intergalacticchicano]

Doc you dork, my favorite type of people

[@beast-mode115]

I’m 57 and my T level are at 492 and I’m thinking about starting TRT. My body responds well in the gym as far as gaining muscle. However” I have no energy to go to the gym or a desire to do much of anything. So I’m looking into TRT to not feel this way. I just want to feel alive again and get back to my normal self! Question: is the shrinking just the testies or will it shrink my Johnson as well?😳This will be my deciding factor🤦🏽‍♂️

[@wildman318]

I’ve got extremely low testosterone…. I need to figure out this problem…

[@sunshinehappyfuntimes]

Get your prolactin level checked! You might have a prolactin secreting tumor. Doctor will never check for this unless you force them too. If they won't order the test, you can order a prolactin test yourself online for like $50. That's what I had to do. My result was over 3000 prolactin, supposed to be under 20.

[@wildman318]

@@sunshinehappyfuntimes I no longer have a family physician , I lost my insurance. Where can I get one of these prolactin tests from the Internet from ???

[@sunshinehappyfuntimes]

If you can afford it, you should test for LH, FSH as well. Those are the signals that tell your testicles to make testosterone. This will tell you if the signal is being sent to the testicles or not. It's very important to know where the testosterone train is failing. Other hormones an endo will test for are IGF-1 and ACTH, but only if they want to rule out the other types of pituitary tumors, which they would only do if our LH / FSH are low. GOOD NEWS I found all 3 tests together in one bundle for only $78. It is called the "Amenorrhea Profile"

[@wildman318]

@@sunshinehappyfuntimes How does a “ Prolactin “ test work ? Is this a test that a man has to urinate on ?

[@wildman318]

@@sunshinehappyfuntimes where exactly did you order your “ Prolactin” test online at ???

[@tomshedenhelm1838]

A couple of questions 1 what about having epilepsy and the meds can that have any affect on testosterone 2. If a man gets fixed does that have anything on testosterone 3. Does either of these questions have an impact on ED

[@gstlynx]

Thanks Doc, very sensible.

[@arneahlstedt3929]

Nothing wrong with improving lifestyle, sleep etc but I frankly doubt it's going to be enough to optimize levels. Many doctors focus on just getting their patient into the so called "normal" range (which varies by lab significantly, not to mention lab results on the same blood sample can come back plus or minus 30-150 percent) at which point they refuse to consider testosterone therapy at all. The focus should be on clinical presentation, not a numbers game. I wonder if Dr. Malik has watched any of the excellent interviews with the prime expert, Harvard urologist Abraham Morgentaler.

[@jp7357]

Im 66yo I’m extremely metabolic healthy (now). 5 years ago my T was 225 now, running 6k/day, CrossFit 3d/w, whole food plant based plus a little fish and T now 350 (shbg 46) but free T low at 2.1 … I got TRT pellets .. T now at 1200 … I feel like I’m sexually 25 again, can also feel the T with respect to exercise and energy, I absolutely have a “spring in my step” Not at all bothered that I may be infertile in fact, that’s a benefit … def don’t want more kids.

[@krane15]

Good for you. But be aware there are other side-effects to consider, such as increased blood volume. You may have to regularly donate blood. Your doctor should help you monitor this.

[@lunam7249]

hey!! that T IS WAYYYYYY TO HIGH, DROP TO 750 FOR 3 MONTHS THEN 400 SHOULD BE A CONSTANT LIFELONG LEVEL

[@anthonydavid5121]

Rena - What is the current medical and scientific thinking behind testosterone triggering and fueling prostate cancer? During training 35 years ago, we generally steered away from giving men exogenous testosterone due to this fear.. I'd love to hear your expert opinion on this fear. Are all men with a low libidos and hypogonadism candidates for HRT. If not, who are? Thanks

[@randyhavard6084]

People only think they are stressed, our ancestors had to worry about where their next meal comes from, surviving the winter and not dieing from a scratch or abscessed tooth. People just don't realize how good we have it.

[@toby9999]

Perhaps you don't understand what stress is? And how can you know people only think they are stressed? Are you psychic? Am I stressed? Yes, I am. Prove me wrong.

[@randyhavard6084]

@@toby9999 My point is we are built to deal with it, it's not a new thing and it's not worse than it used to be.

[@eddiejohnson4434]

Our stress adjusts to our expectations and environment. Humans have a baseline of built in suffering. So one person’s bad day feels as bad as another person’s bad day feels to them. We adjust and adapt.

[@cryptofan6255]

Sadly, none of this works if you have already been bodybuilding for years. I'm 63 years old, I was blessed to have really high testosterone levels until about 60 years old, then it dropped like a rock! I've always had around 10% body fat. I lost substantial muscle mass! I'm ripped and my abs pop year round. Nothing would boost my t-levels No diet changes, no supplements, nothing would help me gain that muscle back until I gave into TRT. For those of you that have lived a sedentary life and your t-level is falling off, I 100% agree that you will see changes if you follow the Doc's advice. If you are looking for huge muscle mass, this won't drastically change your t-level enough to make you the next Arnold Schwarzenegger, but you will likely be very pleased. But, if you are like myself and have been working out for 40 plus years, once your t-level drops it's game over unless you look at pharmaceutical help.

[@BrianTads]

Please tell about your experience on trt at your age

[@marcshields3677]

I’d also love to hear about your trt experience.

[@cryptofan6255]

​@@marcshields3677 Attention: None of the following should be considered medical advice, just relating my own experience.) In full disclosure and briefly put, I'm on prescription Enclomiphene Citrate. Look it up on KZbin. In fact, I would use the following search words to find videos. "Enclomiphene Citrate and Bodybuilding." You will easily find a hundred videos." Also, you will have no problem finding a Doc to prescribe it for you online and do the necessary blood work. Prices vary, so look at many sources. Within a month my T levels were at 1000, which is basically what it is for a healthy 20 year old man. Got pretty much all my muscle mass back. Still improving daily. Look up side effects, they pale in comparison to TRT, assuming you have any at all. EC is taken orally, no needles. No testicular atrophy. no hair loss with most people. Some people that are prone to male pattern baldness may have issues. Supplementing with Zinc helps lots of bodybuilders with DHT and hair loss. The only issue I've had with it is while even when my T Levels first fell off, I still had a raging fast metabolism. (Yeah, I know that isn't typical with most aging men, but both sides of my family is made up of slender people. Even slender as seniors.) Much faster now with the higher T Levels. Hell, I now eat like a starving 17 year old. Pain in the ass preparing all the healthy food to keep up with my appetite. When I was a young man it was much easier eating junk food, but don't need to start eating junk food again in my 60's. Not medical advice, but lots of men are taking it now, as well as more Docs prescribing it.

[@cryptofan6255]

@@BrianTads Sorry, never saw this until this morning. I just gave my experience to another person on this same thread.

[@Streamlined955]

Did you go bald?

[@tim46387]

I appreciate your videos

[@jerseysama]

Hey doc...can u do something about enclomiphene? Thx and love your ch.

[@edcaldwell77]

I'm 47 I read 150-200 sucks tired feel almost sick I was scared by 60-80 hours wk n wk outs but now have no choice for t shots sucks 2 jobs 15 years straight so try to balance your life this sucks😢

[@lunam7249]

get on medical $ assistance your 150 T LEVEL IS TO LOW, DEPRESSION...get a roomate or you rent a room, 60/80hr/week is definately fatal

[@juanzo74latincrypto52]

How do you surgically correct sleep apnea.. please help me. I have very low T and I suffer from sleep apnea and I can’t tolerate cpap therapy..

[@VanillaGorilla21]

Thanks doc

[@akadirnilavane2861]

Useful tips!

[@slydog81]

Can you make a video commenting on clomid?

[@cryptofan6255]

The vision issues with Clomid scared me away. The other side effects never scared me, but I'm not about to put my vision at risk!

[@mixalis6168]

Drs wont do me a Test blood check, 57 years old, no thyroid due to Graves, exercised all my life, and also suffer from ED since young.. Im also a full time carer !

[@smokecurl9437]

Thanks you. Please talk on prolactioma in men which greatly reduces testosterone.

[@estebaneudy]

Hi Dr. Malik! Do you have an opinion on using Clomid to boost testosterone?

[@chrisd9961]

I went from 340 lb to 188 at 58 years old

[@ssmart-tv1455]

Want to start with TRT but have lymphoma (sort of cancer) and will probably inherit my fathers prostate cancer so TRT is very dangerous for me! Have below 500 and very low libido! I have very good diet, go to gym 4p/w, 5”9 165lbs, 49 yo. *sigh* 😒 hopeless

[@lunam7249]

HCG hormone....read about ivermectin for cancer prevention and 2000mg of vit C/DAY

[@taufiqmohab-ali4083]

Thank you very much.

[@dockersfavs3110]

Great info

[@vlugovsky]

Without the control of keeping your mouth closed, you absolutely need a full face mask for CPAP.

[@Army_Guy_]

Will a vasectomy affect testosterone levels?

[@DrAJ_LatinAmerica]

Best answer is "maybe". Physically, no, based on tests and studies. But in reality some guys have mental issues / stress over the situation and present physical symptoms

[@Army_Guy_]

@@DrAJ_LatinAmerica I had a vasectomy in 2016 and became made aware of low testosterone levels in 2018.

[@hojo70]

A vasectomy does not affect testosterone levels. This procedure does not interfere with the testicles’ ability to produce testosterone, so hormone levels typically remain unchanged after a vasectomy.

[@drxatiquequreshi6539]

Thanks ma'am

[@williamlewis3996]

Dr. Malik. Can you help with chronic osteitis pubis lasting more than 12 months and unaffected by two cortisone injections and physical therapy?

[@Cecil-yc6mc]

alcohol and excess weight also increase sleep apnea...

[@ralphshearer823]

My testosterone is 421 I am 62 and have All the symptoms of low Testosterone. What do you think

[@claymcgregor4856]

Doesnt low cholesterol meds and diet lower T levels and increase brain fog? Thanks

[@tcb5141]

It always cracks me up when you have these 20 something in your video 😅

[@Swearengen1980]

Why? I'm 44, so it doesn't apply to me, however it's a proven fact that that Gen Z has lower testosterone, lower sperm count, and a variety of issues that we didn't have 20+ years ago. Diet, lifestyle, the increased chemicals in/on our food, the heavy use of plastics. Look up Dr. Rhonda Patrick - She has studies that show a direct correlation between Gen Z having testosterone and related issues in much greater numbers with a variety of societal factors they're not even aware of. And that's not factoring in their porn addiction causing so many issues.

[@krane15]

All I can say is that if you're suffering from hypogonadism the symptom listed are a whole lot worse than how they sound. The mood change for example will literally change you into a different person. Its like being trapped inside a body you cannot control. You also lost your intrepidity. You become timid and afraid of everything. I call it the Meerkat syndrome. Additionally, you have a feelings of being terrified, even though there's no apparent danger. You can also develop phobias or radically increase the ones you already have. You become irrational, emotional and mentally unstable. I've woken up at 3:00 AM crying for no reason. It last for approx. 20 minutes, then I fall back asleep. As for brain fog, you forget simple things like your phone number or your zip code. You head feels like it floating in outer space. Its difficult to hold thoughts, and your memory is useless. To put it simply, you can feel your mind going, and it hurts to think. Even general tasks such as paying bills takes concentration. Luckily, nowadays you can setup autopay, which was a godsend for me to keep my finances from become in arrears. There's a lot more including the lack of motivation and the horrible nausea where if feel as if you want to vomit your guts, but I could fill pages.

[@sunshinehappyfuntimes]

I agree with everything you said here. Thank you for sharing this. I wish people understood just how bad hypogonadism is. Especially the sensation of being in a state of fear at all times.

[@hankrojo7731]

Thanks for sharing.

[@teresalivingston975]

Good stuff 👍

[@DanielBroos-b4n]

So T Therapy. Shrinks you nads, true. Brings your t levels back to normal, true. Helps with your appetite for your wife, true. Also can raise your estrogen levels too. Keep up on blood work when on T therapy.

[@falconflockfoundation3348]

¡Alucinante!

[@TheTylerjoy04]

My Wife's Say I Have A Snoring Problem & It's Probably Sleep Apnea? But If It Is, It's No Wonder My Testosterone Is Low & I Don't (Lol) Get A Woody In The Morning Anymore😬 Plus I Gain Like Almost 25lbs Of FAT Ever Since I Stop Working In The Construction Labor, Im Now Working In The Office Area..

[@jward3961]

I have a new fm Dr and she put me on TRT. I've had male drs forever. I had testicular cancer in 09. Within 3 yrs of that surgery I had ballooned 100 lbs. Nothing else changed in that time. Nobody ever mentioned until this woman Dr that that probably caused a reduction in testosterone which led to gaining weight which of course leads to prediabetes etc. One time in those yrs a male Dr did check and said your testosterone is low but it's because of metabolic syndrome. This lady said or you've gained weight uncontrollably and ended up with metabolic syndrome because you've had very low T ever since the cancer and shook her head at the one Dr's answer and all the other Dr's never bothering to check knowing my history and studies showing almost half of men who go through that have low T after. My T was down around 150-175. Gona be interested to see my labs next visit in a few Mos. Dropped 36 lbs so far since she put me on it. Finally not needing coffee and energy drinks just to barely be able to function is great.

[@krane15]

The two biggest symptoms are ED/low libido and weight gain. Particularly fat around the mid-section (and it doesn't go away no matter how much you diet). That's the first clue your test has taken a nose dive.

[@waharris5924]

I would like a video to add to this. What if you cannot take a full dose of TRT due to side effects (Elevated HTN, PSA, etc) but the dose that you can take does not fully correct the T level. Weight bearing exercise has been added. Vasodialating supplements like l-citrulline and beet root have been added. Other supplements like ZN, omega 3FA, vit D have been added along with diet changes of increased vegetables, and reduced fat intake. Are there other modalities that could be safely added to increase T when the labs minimize the amount of TRT is allowed?

[@LetnouBarron]

I'm 47yrs old. $73,000 biweekly and I'm retired, this video have inspired me greatly in many ways!!!!❤❤

[@rebeccabrown-nc5cx]

Awesome, Tell me about it!!!!🙏

[@LetnouBarron]

​@@rebeccabrown-nc5cxIt's Renee Marie Harrison doing she's changed my life. A BROKER- like her is what you need.

[@LetnouBarron]

$500K monthly is something you should feel differently about.....

[@BritoCornelio]

Absolutely! I've heard stories of people who started with little to no knowledge but made it out victoriously thanks to Renee Marie Harrison.

[@rosalie792]

Can I reach her

[@Keyboardletters]

So I have sleep apnea but about a year ago I ditched the cpap and now using a oral appliance so I should be good with treatment while using oral appliance vs cpap would ya say?

[@dinehbee6168]

I've always had High Testosterone. In my 20's and 30's my T levels were thru the roof at 1500+. Now in my 40's they were still over 1000+. Started opioid management for chronic pain and now my T levels are in the normal range at 500-800 which i don't have so much symptoms of having High Testosterone thankfully. 🙏

[@krane15]

Just keep in mind that the numbers are secondary to how you feel. As long as you don't experience any of the low test symptoms, you're likely in the clear.

[@warrenenglish942]

Nothing works for me. Nothing. Drugs, losing weight, more exercise, testosterone replacement, and anything else you can mention. I'm one lucky guy, ain't I?

[@lunam7249]

find a better M.D. cbc 140 blood test

[@Alred9925]

What about people with Klinefelter syndrome. Do we need trt?

[@Pissychriss]

If you start test replacement therapy what happens if you stop

[@dewholdingsllc1050]

Are there any research studies that show average testosterone levels in men 60 and older? My research says men age 60 have 20% of the testosterone they had in their 20s. A couple of top experts has well documented research that recommend being on HCG when being on testosterone replacement. Dr. Lipshults of Baylor and Dr. Abe Morgantaler Harvard.

[@yancyhammondjr]

Rena if I sleep with a cpap machine is it okay to do TRT?

[@p.p.8833]

Last time i did a blood test and the result was my testosteron & estrogen was too little. Only DHEA was normal, cant explain it

[@DavidHemming-oz1tm]

What about TRT and Prostate Cancer? Testosterone feeds the cancer …. happened to me .

[@thomasrapp618]

The guy eating the cherry tomato was way too into it. Ha.

[@scott-kf1bi]

I think the injections are making me breakout in cysts on my head, im weening off.