Dr. Mike Is WRONG About TRT

Discussion about the recent podcast between Dr. Mikhail Oskarovich Varshavski ‪@DoctorMike‬ and Dr. Mike Israetel ‪@RenaissancePeriodization‬
Original interview: • The Dark Side Of Stero...
Website and Coaching: brainsandgains...
Instagram: / dave_maconi
Boostcamp Link and Program:
www.boostcamp.app#Maconi10
www.boostcamp....
^Use code Maconi10 when you sign up for FREE programs + 2 weeks free for Boostcamp PRO
/ @brainsandgainspodcast
-For those looking to support the channel and our donations to various charities, please consider the above link to become a member and have the opportunity to appear on the channel!
Hormone testing and other panels:
30% off coupon: BRAINS
Male hormone tests: trylgc.com/brains
Home page: trylgc.com/bra...
Female Hormone Panels: trylgc.com/bra...
BULK SUPPLEMENTS AFFILIATE LINK: glnk.io/63qn/d...
Discount code: DAVE5OFF

[@PAlt-p6y]

TRT does nothing for many users. I was 300 lbs and had no T. I lost 70 lbs, eat better, sleep better and exercise now. Problem resolved. HRT for women actually has a much lower impact.

[@FitOneswithVarun]

Nice work Dave, enjoyed this video , TRT should not be taken lightly as it seems to be these days

[@atlaspowershrugged]

@@FitOneswithVarun agreed

[@wootwootyouknow]

@@FitOneswithVarun it is taken lightly because when done correctly it is beneficial for most people who truly need it. Chronically low testosterone levels have a negative impact on the body and mind. Also, those who push TRT are often ex-bodybuilders who see nothing but benefits because without it they can't maintain normal levels and they abused their body so much that TRT is like getting water injections compared to what they used to do.

[@user-pr7pd9wd5b]

@@wootwootyouknow The vast majority of those who take it didn't need it in the first place. Almost zero people in their 30s or younger actually need it. Also any lifter who gets on it is obviously going to use it to blast and cruise.

[@wootwootyouknow]

@@user-pr7pd9wd5b that's a very board statement. The reality is testosterone levels have been falling at the population level and doctors are very bad at diagnosing low testosterone because they want to treat the numbers rather than the symptoms. If doctors had access to a magic pill that automatically makes you produce the exact amount of testosterone your body would make if you were metabolically healthy, without side effects, that would be wonderful. The problem is people are sicker sicker by the day and we are trying to save them by making the numbers match with what we believe represents metabolic health. Low testosterone is generally a sign that something is wrong with the patient's health. Doctors just don't know how to change that because they are trained to save you from the brink of death, instead of being trained to keep you healthy. So, all our solutions are done with blunt instruments, like testosterone injections.

[@andrewmueller9986]

The benefits far outweigh the risks. Too many doctors are guilty of fear mongering, gatekeeping and being slow to adjust

[@bdawg2513]

Yep Dr Mike is wrong about side effects of TRT. Mine was pretty low at about 240... although I am now 50 years old. But I started on it about 2 years ago and my blood volume went up to the high range and so my blood pressure did too. I was told I could just donate blood and be fine. That is actually my main side effect. Everything else is pretty normal with my blood work.

[@anthonybenincasa]

They told me to give blood every 2 months, I did it a couple times but I found that doing cardio kept my bp in range, even when I go above trt My hemoglobin levels stay in range too

[@SlaughterHausD]

At 48, I told my Dr office I felt "off" and listed why. The response was I had a stressful job and it was probably that. I should go deal with that but offered no assistance. They wouldn't even do blood work. WTF? Three years later I paid for a test and total was 72. I didn't know anything about free. Took them my results and got a different Dr who happened to be East Asian. We looked at whole health and he prescribed Clomid. As expected insurance would not pay so I went out of pocket on that. Two months later I was at 350. Well he was frustrated, after a couple of years, with that practice and left the area. I ended up being required to move to TRT as no one would prescribe clomid anymore. Saw an endo, went on, and haven't had any negatives after 4 years. I'm at 150/week, 600 total test now. Physically I can't tell any difference the two meds. Clomid has been used since the 70s. Why wouldn't they go off label and save my nuts.

[@Mav646]

@@SlaughterHausD try to get hcg, I’m in 150mg cyp a week split in 2 doses and 500 hcg a week split in two doses of 250 each.

[@lunardestruction]

greg doucette: i quit steroids 5 years ago also greg doucette: im only on 150 mg per week

[@linoluna8989]

6:25

[@flemit35]

due to his past use he has to take some

[@Qwerty_Man_123]

​@@flemit35 wdym? Like he most likely stopped producing T naturally?

[@flemit35]

@@Qwerty_Man_123 exactly

[@wootwootyouknow]

​@flemit35 or his testicular function is severely impaired, and he would be chronically low if he didn't. And to be fair, bodybuilders tend to have body image issues, and losing all of their muscles would be traumatic, so going completely off is just not something they would consider. They would rather have slightly elevated testosterone compared to what they produce naturally, and accept the possible risks, than losing 30lbs of muscle.

[@jordixboy]

Trt is when youre levels are low or you have low t symptoms. In my case i was 27 and my levels were low for my age so im on it. If you need trt and dont use it it actually is less healthier than using it, test is actually very dsfe medication if you dont abuse it.

[@DCJayhawk57]

If you don't need it due to hypogonadism, it's not TRT. It's a low cruise dose and in some cases a mini-cycle (like 250 mg). Also, there's a very big difference between the dose you'd get from an endocrinologist and what you'd get from a private TRT clinic. Endocrinologists will usually start people around 75 mg/week. It's rare to see anyone getting it from a private clinic on anything less than 125 mg. 125 mg is supraphysiological for the majority of the population, which is why you see men in their 40s on 125 mg with year-round 10% or sub-10% bodyfat and a lot of muscle that they'd never be able to achieve naturally.

[@Verbux]

If someone hasn't made any attempts to fix there hypogonadism with proper lifestyle changes, is it really hypogonadism?

[@BrainsandGainsPodcast]

Agreed

[@Mav646]

125mg is super physiological? I don’t know if have any studies to back up that statement. I’ve been on trt since my mid 30’s. My urologist oversees my trt. Even on 200mg a week my Levels are not out of the recommended ranges, but what I can say is at that dose it does cause me a lot of anxiety which is why we have tapered it down to 150mg a week which leaves me in the 800ndl.

[@Verbux]

@@Mav646 If whatever went wrong with your T levels didn't happen, you likely would be nowhere near 800ndl. That is why, for you, 800ndl is supraphysiological. I don't think you need studies to understand why that assertion is credible.

[@Mav646]

@@Verbux all you’re doing is making a lot of assumptions. And that’s fine but that’s exactly what it is, an assumption and an opinion. And you’re entitled to it.

[@the.natural.guy.]

I mentioned something along these lines on a Menno post but got flamed for using logic.

[@jamesgrant]

You’re very much nitpicking this interview. He has talked about the side effects in other videos. This was grabbed from a really long conversation. Did they cover everything? No. But they did a much better job of covering it that your alluding to. You need to come up with your own material instead trying to slam them on this.

[@paddy3622]

Mind pump is beyond guilty of this.

[@JohnWilliams-gy5yc]

Considering his millions subs, Dr. Varshavski should officially address his statement for the public interest.

[@Romo69]

I had low levels after the military. 10 years SOF TACP/JTAC. Never took any drugs/trt/or anabolics. I have been on 130mg per week for 5-6 years. I feel normal and I haven’t gained any weight. My h blood work is good except my RBC is high. People think trt will make you the hulk but it won’t unless you are on a crap ton of test which isn’t trt.

[@danjohnson4154]

Great video!

[@watsonkushmaster3067]

Thumbnail got me confused...other dr mike had some crazy takes also haha

[@BonytoBeastly]

Me, too. What were the other Dr. Mike's crazy takes?

[@watsonkushmaster3067]

@@BonytoBeastly imo his whole idea of how future will look like is blindly optimistic...no illnesses, no poor people, genetic engeneering and he allways add some crazy time course like 20-30 years...idk man, sounds pretty wild to me

[@akalion213]

​@@watsonkushmaster3067Oh yeah when he said we will eradicate all diseases in like 15 years I was like oh wait he's serious?

[@atlaspowershrugged]

Great video dude. I'm hearing more and more that everyone over 40 should be on it

[@BrainsandGainsPodcast]

@@atlaspowershrugged wild

[@FitOneswithVarun]

Complete nonsense, this isn’t vitamin D

[@atlaspowershrugged]

@MitchJacob-o1v good term. I may steal that for an essay title

[@atlaspowershrugged]

@MitchJacob-o1v I wish. I'm old, lol I forgot about that, although I don't think I phrased it exactly that way.

[@jsmith108]

That is the usual advice these days from internet

[@sammcconkey8768]

Does TRT increase risk of prostate cancer?

[@BrainsandGainsPodcast]

It seems the general consensus is that it should not increase the likelihood of developing prostate cancer, but if you have prostate cancer it may accelerate the growth. I do not believe there is a perfectly clear answer for this as of now.

[@sammcconkey8768]

@@BrainsandGainsPodcast thank you!

[@EGGHEADIUS]

All the evidence seems to indicate no. However there's conflicting evidence with regards to exogenous T potentially causing and/or exacerbating "BPH"(benign prostatic hyperplasia); a benign non carcinogenic variant of prostate overgrowth / improper inappropriate enlargement...

[@josephparkes242]

On a recent barbell medicine podcast I think Austin baraki said that trt is important for hypogonadism - and iirc that due to lack of awareness, many (I'm assuming GPs) shy away from prescribing to people who actually need it. It was one of their "great debates episodes" - I'm assuming there isn't much difference between your opinions overall but would you disagree with anything said by baraki?

[@Someone-tn8ur]

I'm new to this channel. What is this person's credentials that gives him expertise talking on this subject?

[@UncommonSense]

His muscles are bigger than yours

[@jeffbunnell9961]

So for the guys thriving on lower testosterone like 300 ng is it because testosterone metabolism can vary among individuals i.e higher affinity for androgen receptors? So they get more out of lower

[@BrainsandGainsPodcast]

That could be one reason, yes

[@benh6452]

Probably because they've never experienced a much higher test they have nothing to compare it to

[@einispro3740]

​@@benh6452very possible, i had around 550ng/dl 3 years ago, recently checked and it was 184, then a few weeks later 340, can definitely tell the difference (anhedonia, panic attacks, sleep disruptions worsened compared to before)

[@akalion213]

​@@benh6452what a dumb take

[@frontierlandfrank5314]

@@akalion213how is that dumb?

[@babystudderbox7013]

I was on TRT prescribed by a doctor 175mg a week. It messed me up mentally had horrible depression and anxiety. Looking back I wish I never started, I was misinformed and the doctor who prescribed it has since lost his ability to prescribe for his shitty practices. I have been off awhile hoping I improve I feel better mentally since quitting but it's been difficult physically.

[@leighwallis5782]

It's Androgen receptors that really matter.....

[@taylorhillard4868]

It's both. The T is the faucet, receptors are the bucket. You can have the biggest bucket in the world, but you won't be going anywhere if the faucet is at a drip. You can have the craziest fire hydrant faucet but if you're using a thimble, you aren't making use of any of it.

[@leighwallis5782]

Nope.....

[@francescodepau1274]

Doctors (especially mediocre ones) like to point out to medical interventions as the definitive solution when in reality, most of the time it's a matter of leading an healthy life style/having good habits. Be your own doctor.

[@WilliamPayneNZ]

I had this conversation with one of my doctors. He said the reason they go for medical interventions is because 90% of the patients they see want easy solutions and refuse to do the lifestyle changes required for a healthy life. They have diabetics who won’t stop eating cake and obese patients who won’t diet or go to the gym.

[@flemit35]

@@WilliamPayneNZ People can be told they're dying and won't change their lifestyle and sometimes knowing that the best thing a doctor can do is percribe something.

[@jtcustomknives]

Did you even watch the complete video. Your nitpicking statements out of context.

[@patrickbarney7054]

I have to disagree with you Dave. The argument you’re making is a straw man. Do you evidence to suggest that the heart disease risk is elevated in those within the reference range and are treated with T for hypogonadism? Much of what you said in this video is “you can get this side effect”. I’n genuinely interested because it seems like you were primarily addressing people who are not hypogonadal. I mean, I could also say the same thing about any medication, but in general fixing the abnormal testosterone level is going to provide primarily benefit with little added risk if symptomatic and verifiably, clinically hypogonadal.

[@BrainsandGainsPodcast]

Plenty of people who go on TRT get increased blood pressure, RBC counts, increased Hb/Hct, etc.. And I was also specifically referring to HPTA shutdown, which is not debatable.

[@frontierlandfrank5314]

@@BrainsandGainsPodcastall of those things are EASILY managed.

[@BrainsandGainsPodcast]

@@frontierlandfrank5314 Not always, and they are still side effects that must be dealt with / managed.

[@frontierlandfrank5314]

@@BrainsandGainsPodcast but they’re literally easily managed. It’s wild you will say life style changes for improved test levels. But yet think it’s extremely hard to manage the sides of TRT? But it would be significantly easier for the later.

[@BrainsandGainsPodcast]

@@frontierlandfrank5314do you realize how many men struggle with fertility issues after years of being shutdown? “Easily” managed is subjective. Again, I’m not against TRT but it’s ignorant to act as if no one has any significant issues

[@WilliamPayneNZ]

I’m not sure why this video popped into my recommendations. I have no idea what my testosterone levels. Never been checked. I also go to the gym a lot since January as I am trying to lose weight while growing muscle strength. I am 36 years old. Half bald, so much body hair I could make a carpet. With enough hair on my back that I could make a wig for my head. People comment on libido. Well I can only speak for myself but when I was on anxiety medication in the past a side effect was low libido and honestly compared to not being on medication having low libido was actually quite nice. Mostly because I had the opposite problem. I’m not going to debate health benefits as I am not a medical professional, however I do as a man recommend that all inferiority complexes and mental health issues a man may have should be addressed before they think about taking stuff. I have never had any issues with how I feel as a man. My dad was a bear, that guy could have been wearing a ballerina outfit and look more manly than most men out there. He taught me to not give a damn about what others think about you, just be the best you can be yourself.

[@Someone-tn8ur]

Why are people commenting on your libido?

[@WilliamPayneNZ]

@@Someone-tn8ur I wasnt meaning commenting on mine. Libido is something many mention regarding trt.

[@Someone-tn8ur]

​@@WilliamPayneNZAh,okay, I understand now. Thanks for clarifying

[@Mav646]

@@WilliamPayneNZ exactly, I’m 5’8 170 at 10% maybe a little leaner and get accused of taking all kinds of ped’s. I’m on 150mg Cyp and 500hcg a week. If people think you can just take trt and build a physique like this I say let them Think whatever they want too. They don’t see I track everything that goes into my mouth a day and eat the same exact thing every single day and train 5 days a week in top of all the cardio I do and also Work roofing in Florida everyday. I wish trt did all the work 🤦🏼‍♂️😂

[@mrddcass6540]

I just watch Dr Mike for entertainment value. Hes been wrong too many times and doesn't differentiate between his opinion and what the science says.

[@leonkennedy9739]

Something people need to realize is TRT is not 1:1 natural testosterone. Lets say your best test sample is 700ng/dl (not bad) that is pretty peaked but it will fluctuate based on diet, sleep, leaness, age and activity. So are injecting to be at 700ng/dl consistently you are probably averaging abt 30%(made up number not a scientist) more testosterone even if your reading before was 700, and after was 700, this problem gets worse if you want to stay shredded because even for a healthy guy your test would be sub 300ng/dl but you are double what it should be because you are injecting it. Edit: context is you don't need your test to be at 700ng/dl with TRT to have the benefit of 700ng/dl so if you are readings are 900ng/dl for "optimization" you are probably about the equivalent of someone who naturally produces 1200-1300ng/dl which is more of a mini cycle.

[@frontierlandfrank5314]

Stop you’re extremely wrong and couldn’t be more off target.

[@victorbigstone8178]

👍👍👍

[@MachoMaster]

Downvoting for not linking the original video.

[@BrainsandGainsPodcast]

That's a good point, I'll edit the description to include the original video. Thanks.

[@MachoMaster]

@@BrainsandGainsPodcast Thank you! That earned an upvote. 🙂

[@dakotahsteier5481]

i took a blood test when i was 26, im now 29.. i had a total test of 400, dont remember what the free was. i was told that's completely normal, i'm slightly overweight but otherwise a very active individual . i have found that this is very not normal. most doctors aren't familiar with the actual ins/outs of TRT let alone steroids in general. unfortunately without insurance it's quite a bit of money for someone who doesn't make a whole lot.. i am a firm believer that my quality of life would be drastically better, maybe to the point where i'd have the drive and motivation to finally go get a better job etc . . it's a whole conundrum. all i can do is keep trying my best where i'm at with my mental state and get to a point where i can afford the thing i very obviously need. libido is shit, always tired, sleep quality is terrible. would be really cool if the medical society got more educated about these types of things, because as you said its becoming a much more prevalent thing

[@BrainsandGainsPodcast]

@@dakotahsteier5481 I had a total testosterone around 400ng/dl when I was 21 and I have a total around 400ng/dl now at 33. I am very driven, have a high libido, etc. It may not be your testosterone that’s the issue.

[@frontierlandfrank5314]

@@BrainsandGainsPodcastthat’s historically and medically a very low level. Idk why you would advocate for that being healthy, just because you don’t understand your body enough.