Low testosterone: diagnosis, potential causes, and treatment options | Peter Attia and Derek MPMD

[@MrStreetninja007]

The craziest part to all of this is that Derek is self-taught in everything.

[@Richard-eg6fw]

Bro-scientist😊

[@MrStreetninja007]

@@Richard-eg6fw At the level hes a hardly. When you have a qualified doctor Having you on his Podcast asking for your opinion. I believe you have surpassed bro scientist.

[@MrStreetninja007]

@@ts87777 ? What are you on about

[@MrStreetninja007]

@ts8206 Technically anybody is an influencer over someone else I fail to see how him being an influencer detracts from my statement of saying that it's crazy that he taught himself all of this.

[@Richard-eg6fw]

@@MrStreetninja007most licensed doctors don’t have the extensive experience of illegal use of federal controlled substances

[@paulsacramento5995]

Under recovery is a term that is NOT used enough. It isn't about how much you train, it's if you have sufficient recovery so that you are note in a chronic state of cortisol.

[@GaryMLive]

How do you know if you are in a chronic state of cortisol?

[@KaramAbdallah_]

@@GaryMLiveI would say self awareness. Comes with time

[@FirstnameLastname-pe5ib]

​@@GaryMLiveIf you're always wired.

[@LoSkiBum]

Under recovery is a term that does not exist in 99.9% of recreational athletes. But I understand that it's cool to confuse it with undertraining.

[@paulsacramento5995]

@@LoSkiBum Sure, agreed that the majority of recreational athletes (whatever that even means), probably don't train as much as they could/need to.

[@GARZA_ICMG]

I recently went thru a weight loss journey, test was at 632 at 256lbs, down to 479 after dropping to 196. I went through overtraining and a loss of libidos after the weight loss. I have since got back up to 211lbs no longer in a deficit and now my test is at 732 @33yrs old. Only taking protein, creatine a multi a d3/k2 supplement! I’m feeling great now

[@willdickinson2874]

hell yeah man

[@Prican777]

That's awesome bro! I just got checked the other day for the first time. 696 @ 32. Also feeling great about it. So much anxiety subsided hahaha.

[@GARZA_ICMG]

@@Prican777 if you’re having any male trouble with test at that level I would look into pelvic floor stretches especially if you work seated a lot

[@buzzardscry1383]

Age?

[@GARZA_ICMG]

@@buzzardscry1383 33

[@superawesomefuntimego]

I just turned 50 and have been battling with insomnia, poor sleep, constant fatigue, lack of mental clarity, 0 sex drive (sex maybe once or twice a year), increased weakness for the past several years. I have had multiple blood tests performed and sleep studies, but my doctor has never offered to test my testosterone levels. I work out and mountain bike regularly, but my energy is a shell of what it was even 5 years ago and it is a battle each time. My FTP is down 20-25% despite still riding similar mileage and elevation. I am wondering if my next step is to actively request a test for low testosterone?

[@anthonyhewitt9397]

Absolutely. That would have been the first thing i checked. Dr.s will see a 250 overal test score and say it's fine. Id beg the differ and so would alot of sports scientists and athletes who demand more than sitting at a desk out of their body. Thats crazy low, my buddy just got his done and he was at 260. The dr. Said it was fine he has the same symptoms as you. I got mine checked and I was at 547 I feel great, I drastically increased squatting and leg exercises and cleaned up my diet and sleep even more and I jumped to 640. Now I feel even better, the best I've ever felt. Also take your test early in the day and don't eat for 12 hrs.

[@anthonyhewitt9397]

Once my test drops below 400 I'm getting testerone replacement no doubt

[@Hollandsenieuwe21]

One of the most interesting guests

[@ericmckelvey1264]

How do you find a worthwhile endocrinologist?

[@rickyfulbrook1026]

I just found out I have low t and as a fit 35 year old trying to bulk this is completely crushing. I mean I've always known test levels are lower than ever before in men and that they get lower with age. I've always looked after myself I'm in good shape and I get plenty of sleep. Turns out I don't even have average levels for my age. I'm just getting sick of sucking at life.

[@kellrockets101]

I know this man....I am 45 now, and have always had relatively low(er) T. I competed in natural bodybuilding, was a college athlete, and also a competitive cyclist. Always kept fit, always tried to maintain a healthier lifestyle. But never had great T. While I can still do all those things, but man it does take some extra drive, and always kind of tired and low energy. sucks

[@Marrkkyy_markk]

What’s low for you? I’m 450 at 30 but pretty built sucks

[@rickyfulbrook1026]

@@Marrkkyy_markk I think mine was about 330

[@Canyaoutty1111]

@@rickyfulbrook1026me too bro. Just turned 36. Got tested and I’m 331. But I don’t wanna turn to HRT yet. Gonna try to dial in the diet and the sleep and go from there. It ain’t a death sentence bro, keep grinding

[@rickyfulbrook1026]

@@Canyaoutty1111 tbh I've stopped giving a fuck now. In a way it was a blessing, always something I've cared too much about I guess now I don't have to. It is what it is. Still lifting 4 days a week, It's hard sure but it's not a fruitless persuit though. I took the test in a rather stressful time and I was a miserable bastard but that's behind me. Maybe it's better, who knows? We're all gonna have to come to terms with the inevitable eventually so may as well be now. Besides I don't think I have any of the symptoms of low T so the best I can do is not get bogged down by a number I suppose. Good luck to you. Fyi I watched a video on HRT by Dr Mike and he seemed to suggest you gotta really need HRT before you consider it cause it's got some pretty big cons. At least that's what I remember it was a few months ago. Unless you're really struggling I wouldn't bother.

[@TheJustina102085]

Half of what is said on this podcast sounds like a foreign language that I do not know how to speak…. Yet I still love it.. haha

[@Ziggle-ky9kv]

A book that changed my life in ways that I never could imagine is "Secret Testosterone Nexus of Evolution".Drop whatever you're doing right now and go find that book. Trust me after I implemented things from the book my testosterone levels went beast mode

[@zibtihaj3213]

What is the main take away ?

[@Scramblefred2399]

Sounds like an ad

[@Kooreyyy]

If it had any secrets worth reading you wouldn't have just used a snake oil pitch.

[@5MofMS]

Trust me bro🤦🏽‍♂️

[@TheUberAlec]

@@Scramblefred2399 It is an ad. It's an AI generated book they're trying to make some cash on.

[@whoknew7864]

Have been on trt 0.5 cyp a week for lil over a year with no problems.however the had problems with my refill missed like 3 weeks and all hell broke lose..started getting crazy anxiety i never had prior brain fog overall feeling terrible.my test had crashed i suppose did my bloodwork but it was fine around 600 test estradiol was 39 tho..restarted treatment anxiety and panic attacks went away but still feel terrible especially in the mornings not sure why?Almost regret starting trt just wanna feel good again.

[@markrogowin7462]

Testosterone cypionate can be dangerous for some and tampering with external source of testosterone has risk.

[@wilhelmheinzerling5341]

Play with the dose and duration. Also look into another source.

[@jonasleonas173]

Got stuck, as cant find a problem for my 35y old Primary Hypogonadism. Training every 2nd day, eating healthy calculating calories... Have all the low t symptopms... T levels of total> 150 Free T also way bellow normal. LH, FSH, Prolactin, SHBG, TSH, are fine in normal range, DNA kariotype is fine as I dont have XXY or anything like that. Waiting for Iron, Progresterone, Estrogen results, but what next if they are in normal levels?

[@jacoblas1371]

I recently had critically low testosterone. Turned it was due to losing weight. When I gained the weight back, my levels went back to normal. I have to be slightly overweight to have normal testosterone for some reason.

[@wilhelmheinzerling5341]

Check you calories, sleep, and stress. Beyond that, you probably need to look into TRT/HRT.

[@mikeydiker]

How do you find a local doctor or provider that specializes in TRT? I'm having a hell of a time finding someone locally to me.

[@barrysmith8193]

“Understanding this before you go down the rabbit hole” may sound like good advice though I defy you to find where you can get quality and correct Testosterone advice. I discovered that my dr had increased my weekly dosage by 25 % without conferring with me. What I thought was my combat PTSD was returning was in reality a continuing weekly over dosage of testosterone. Many of the symptoms are the same. I got tested to confirm my suspicions and my new reading was no longer in the 850 range. In 8 short weeks it was now 1247! After many conversations with many so called experts I finally got the truth from my pharmacist that indeed I was overdosing. Yes ….I’m not going back to that doctor ever. I only found this out because I give my own shots to myself.

[@joneskost3096]

i’m 20 yrs old and been tired and super weird feeling all the time since i was 14-15 and went to the doctor within the past couple months and got my blood drawn and my testosterone was 225 and that’s super low so now trying to get a appointment to get test hopefully it helps me and i struggle to lose weight and i’ve tried so many diets hopefully this helps

[@barkleyhunt9004]

insane how Derek absorbs this information. Just shows there are very smart people out there who are not M.D's. Thank you Peter for looking past this and seeing his knowledge for what it is. he's a pro and has helped so many. Rogan respected him early on too.

[@17GIOVANILOPEZ]

What are the side effects of HCG injections? Why wouldn’t everybody be recommended to only try this and if that doesn’t work then try injecting test? I am very new to this just trying to understand. Does HCG injections have bad side effects? Sounds like I can take this without affecting my testes natural production of test

[@bill_mosienko]

where do I find a physician in my area who is going to take this sort of detailed care and find out exactly what I need as opposed to just going to some clinic or quack who it’s just going to tell me I need TRT without checking all these other things?

[@BillMan3]

My free T was below Normal range. My total T was around 325. Felt Terrible. Started 100ml test CYp a week. GAME CHANGER. Just do it

[@MarylandGuy-ey3st]

Mine is 137..imagine how I feel

[@castro619a]

I just got tested, 197 at 30

[@BrianFinnegan-cn5mk]

How often u take? Once a week?

[@iSaeed115]

@@MarylandGuy-ey3st Did you find out the reason?

[@edwardgonzalez4458]

@@MarylandGuy-ey3stdamn bro are you feeling depressed? That’s extremely low.

[@petersoar2886]

Hey, so, recently I got my total testosterone tested and it was 323ng/dl. As someone who has recently benched 400lbs and deadlifted 580lbs and just generally doesn’t have a bad time in the gym at all, what gives??

[@timmylangenberg]

Same issue here. 250ng/dl general and 26ng/dl free. I still bench 200 KG for 4 and I can train hard for about an hour. I put on muscle easily but also retain belly fat. Libido is down and I am tired a lot. Seeing an endocrinologist on Friday and see how I get on.

[@petersoar2886]

@@timmylangenberg 200x4 is madness. Crazy how little total test seems to contribute to the equation. Is 26ng/dl high for free test?? I didn’t get mine checked.

[@timmylangenberg]

@@petersoar2886 As far as I can tell I am on the lowest end of the margins in terms of both free and total test. Normal MDs seem to know very little about hormonal effects on our bodies. My own research showed that what is low for one person is okay for another. So just making assessments based on min-max margins does not always work. You need a doctor who is willing to treat the symptoms and not just base their judgment on the numbers. I will update after I see the specialist tomorrow.

[@scatdaddy3790]

Great discussion. Much deeper than the “ your numbers are low use hrt “

[@RunningWithSauce]

Nobody is addressing the elephant in the room. In the first world, we are seeing a consistent drop in Testosterone for all men across all age groups when compared to decades ago. The fragrance industry is self regulated and loading up things like laundry detergent with endocrine disruptors. Imagine wearing an off gassing endocrine disruptor all day and co mingling with other humans indoors who do the same.

[@jacoblas1371]

Also inhaling the polyester fibres being shed in clothes

[@Socalarborist]

All of the plastics that men drink with and eat out of the past 20 years have created an Estrogen like response in men. It has affected girls also as young girls enter puberty 6 years earlier than they did 30-40 years ago. That should scare most people!😮

[@nikob0t]

In my opinion, Dr. Attia's line of questioning and closing commentary on replacement therapy are telling. The comments are as well. I hope people considering this path educate themselves appropriately.

[@ByronMarkus]

Been on TRT for 20 years will I have to be on it until I die? Would Clomid work for me?

[@DanMaul-ip1is]

I recently had my testosterone tested. It came back at 86. I’m 42, 185lbs, in decent shape. Can run a 5k tomorrow if needed. But taking testosterone scares me. I don’t like being dependent on pharma. But I feel off. Always tired, fatigued. Many issues. But not sure I want to to take fake test

[@CondemnedVideos]

It'll change your life. I can't imagine 86, I was at 240 feeling like a corpse and it's like I'm a new person on TRT. Energy to get through the whole day, no anxiety, constant drive to always be doing worthwhile or productive things, able to fuck on demand. It's great.

[@immy00]

Focus on strength training, quality sleep and maybe take some test boosting supplements. See how you get on with that 1st.

[@Adityakumar09090]

​@@CondemnedVideos bro can you tell me how much and when you take testosterone and also do you donate blood

[@CondemnedVideos]

@@Adityakumar09090 I do 120mg a week split into 3 shots. Haven't donated yet cause my hematocrit is only slightly high but yeah going to probably give/do a draw every 3-4 months. I'm at 1100 ng/dl total T on 120mg a week, was 1400 on 150mg so I brought it down. Might bring it down even further and sit at like 900 if possible.

[@Adityakumar09090]

@@CondemnedVideos bro I am from India and here doctor are saying 300 is quiet good and they don't know or they are not aware of it . I am totally depressed,no motivation and taking 13 hours sleep . I don't know what's happening with Me at 20 year's 😒

[@simplydegen]

HCG vs TRT or do you recommend to take both ?

[@DM-eo6zw]

Fluoride affects the endocrine system, pituitary gland, and pineal gland. So why do they add it to drinking water?

[@michaelfavata2720]

There is a real simple answer: tooth decay. It's a real problem. Also those problems haven't been demonstrated in fluoridated water at about 1 ppm which is around where most public water supplies shoot for.

[@DM-eo6zw]

@@michaelfavata2720 That is a terrible answer. First if all, Fluoride is a neurotoxin and clearly has other issues like calcifying your organs. Second, it’s only effective for cavities topically. Ingesting it does nothing for tooth decay. You need to familiarize yourself with The Fluoride Action Network and the current lawsuit to get fluoride out of drinking water as Europe has done.

[@DM-eo6zw]

@@michaelfavata2720 Fluoride doesn’t work on tooth decay when it’s ingested. Only when used topically. It is also a neurotoxin. And studies show it calcifies numerous organs in the body, including the pituitary and pineal glands.

[@DerrickLytlephoto]

Because of what you stated. The gov is not interested in your health.

[@Dan-pt2tn]

Read the Rockafeller Foundation's 1959 Jaffe Memorandum. It's only one page.

[@felixokwach1855]

I have been suffering from low libido for almost 5years . Now one of my briest is over growing (the left one) while the other is normal. Again my left testicle is continuously shrinking, how can i treat this. I have tried searching for help in the hospitals but they haven't given me the best treatment.

[@felixokwach1855]

Kindly assist me if possible

[@ThorsMjollnir0341]

The major problem here is finding someone who is credible that seriously knows what they are talking about when it comes to TRT because it is obvious this is a very tricky thing to get right.

[@BigMikeBell1]

I think we should ask an expert in the field with experience treating people

[@danb215]

How can I get more educated on this. I'm currently 28 and I had a feeling I was low on testosterone due to symptoms I had. I asked my doctor to send me for blood test. It came back that I was at 4.2 nmol/L while I should be between 8.4 to 28.8. I haven't had my follow up with the doctor yet. I'm just wondering what the process will likely be. We're currently trying to have kids and haven't been successful yet. I grasp a tiny bit from this and would love to understand more.

[@kyotodreams3306]

Take HCG to keep your fertility while on testosterone replacement therapy

[@Marrkkyy_markk]

I thought I was low at 15 I’m 30. I can’t fix my sleep shift work..

[@Red_AIert]

Why when I get a testosterone test i only get the ngl/dl reading and not free testosterone? Thanks and great discussion.

[@patrickh9937]

Who's testing? My primary care doc didn't check free test, but sent me to a urologist who did.

[@xxxgrimmjobxxx]

My primary does. Make sure they put the order in to test both. You ARE paying for it afterall

[@nh7680]

Yeah I had to specifically ask for test and free test in my blood work or they wouldn't do either otherwise

[@debbywilliams68]

You need Free, Total and SHBG also.

[@thecasual4698]

I'm 5'7 have chronic Arthritis and only weight 175 pounds so how the F is my total testosterone 843? Doesn't even make sense I would have thought I had no test at all.

[@MedicinalMagic]

My testosterone was 301 and my dr says that’s fine ? I don’t feel fine I will have to get re tested again I guess I’ve been taking supplements trying to get better sleep and working out ? All I know is I feel like 70% of the man I use to be a few years ago

[@jacoblas1371]

Sleep is extremely important as this is when your testosterone levels replenish. Improve your sleep and see if this helps. - Go to sleep before midnight and aim for same time every night - Don't eat 2 hours before bed - Don't expose yourself to very bright lights a few hours before bed as this stops your body from releasing enough melatonin hormone to help you fall asleep - Don't exercise before bed - Aim to wake up naturally, not using an alarm clock. This way you know you rested enough - You will know your testosterone levels are replenishing as you will experience nocturnal and morning wood. - another way you will know you have deep sleep is that you are experiencing dreams - make sure your room is cool, comfortable bed and no noise.

[@Poppy_love59]

When regular Doctors talk about normal hormone levels what they don't tell you is they mean the regular hormone levels for your sex and age. Not the hormone levels as they were in your peak age. So if you want to supplement for longevity or even just to feel younger you need to get your hormone levels back to their peak!

[@-MrAnderson-]

Hypogonadism is my new favorite word

[@LoSkiBum]

It sounds a little strange to me the fact that 50% (at least) of fitness influencers are on TRT. This is an epidemic of low testosterone! Or maybe an epidemic of hipocrisy...

[@jamesabar207]

I doubled my t levels by just losing 20lbs ! Still have another 20 to go. Men should very seriously consider losing weight before hopping on TRT .

[@Sergioisdead]

Or on the other spectrum. Sometimes really skinny men have low t and have to weight train and gain weight to gain higher t levels.

[@GRIMR3AP3R5412]

I’m 25 and my test is 314 and free T is 9.5 what’s the move ?

[@onwardsmaybeupwards9514]

Get it to 20 and see if you feel great, if not shut it down

[@petergresham8532]

I love when Peter says “that’s so interesting” to derek

[@jakemcfee6379]

Derek should have an honorary MD if he doesn’t already have one

[@Dan-pt2tn]

True. He did take down the Liver King after all. Now he's known as Liver Failure.

[@BobSmith-u9l]

I got a blood clot due to TRT. Or at least that is what I was told. it was very small. Still not sure if it is safe or if I can go back on.

[@Micolashcage1]

How long were you on it?

[@BobSmith-u9l]

Just under a year. My number was 150 before and around 1200 after. My Doc is pretty anti TRT says it leads to strokes. Now Im not sure what to do. I felt so great on TRT. I have lost so much muscle mass without it. I am 58.@@Micolashcage1

[@izanami2186]

trt wouldnt give u a blood clot unless you have very high normal blood pressure/ rbc/ are obese

[@MarylandGuy-ey3st]

I believe you’re supposed to give blood every 3-4 months or so to prevent that

[@ZippyLikesZippers]

@@MarylandGuy-ey3st only if your ferritin levels are above reference range.

[@NEST-Project]

Dear Peter. I am a neuroendocrinology researcher with dissertation in pituitary dysfunction. This podcast is lacking and you need more information about pituitary dysfunction in order to better inform your listeners. Please bring lecturers on who have appropriate training in neuroendocrinology.

[@jeffrey4577]

Peter , your genetic congenital anemia condition is the elephant in the room regarding metabolism and relative hormone balance right? Does your guest know about your anemia?

[@nikob0t]

I don't suspect he was asking for an assessment. Derek is great, but I think the intent is to educate his guest and audience.

[@joeyfunk4327]

Man this is so useful thank you guys

[@jeanpeuplue4012]

Well, I have acromegaly, a hyphophyseal tumor with Gh secretion, well I also have a testosterone deficiency, hypogonadism, to improve my testo level, I do one or two injections a year of Nebido, because it is the only testosterone with an extended-release testosterone. Of course I eat healthy, no processed foods, I do sports, I sleep my 8 or 9 hours

[@DM-eo6zw]

What causes Empty Sella Syndrome?

[@dansmith9724]

Chronic intracranial hypertension. For some reason your body produces too much cerebrospinal fluid which increases the pressure in your brain and can squash the pituitary. It's common to have chronic headaches from this and can be misdiagnosed as migraine.

[@DM-eo6zw]

@@dansmith9724 That part I know. What causes Intracranial Hypertension? And don’t say idiopathic.

[@dansmith9724]

@DM-eo6zw I'm just going off my personal experience. I was on lyrica for nerve pain (for reoccurring shingles on my head)for several years and it put alot of weight on me no matter the diet or exercise. I then got off lyrica and went on to topamax for the headaches and because the Med is wt neutral or possibly can help wt loss. Topamax can reduce cerebral spinal fluid. Topamax help some with the headaches but just changing meds I dropped weigh consistently for several months (25-30kg) without really trying and the intracranial hypertension headaches went. I still get headaches but are related to the shingles and are a very different type of headache. So I think in my situation it was from the wt gain I got off lyrica, how excess wt increases pressure, I don't know. It was frustrating time seeing specialists and finding out what was going on. From what I researched on it, weight loss if your overweight is the main treatment or they can put shunts in to drain the fluid or take topamax. The money spent on specialists didn't really help other than rule out other conditions. It was my idea to get off lyrica and go on topamax. Good luck 🤞

[@dino_rider7758]

38 yr old elite obstacle course racer, relatively ripped, 6 pack, etc. Total test 290 and free test 3.7. WTF!? Overtraining/under recovery, chlormequat in my oatmeal, fluoride, microplastics?

[@jacoblas1371]

Do you have low T symptoms such as lack of morning wood

[@dino_rider7758]

@@jacoblas1371 nope. Never had any ED symptoms at all.

[@GaryMLive]

Can anyone translate this to English?

[@DerrickLytlephoto]

Don’t eat crap. Strength train. Eat a lot of real food to recover properly from your training. Sleep.

[@Frank-yk2pg]

What about the 10,000’s that have had a vasectomy? What happens to their testosterone?

[@Wetterwet]

I got snipped 7 years ago. Test is currently 768 at age 34

[@gwwelch]

Mine has been between 700-770 every time I got it checked both before and after vasectomy.

[@walterh.3170]

What’s HCG ? A natural molecule?

[@anotherjewishsharpnicholas9425]

It's something that can work for testosterone when it's too low, and it's not used enough because the medical system doesn't consider male health as relevant. They make human chorionic gonadotropin from pregnant women, and you can get it prescribed.

[@Our_Patterns]

It’s a compound found naturally in a pregnant woman’s urine

[@radhakrishnanmanickavasaga124]

I am 25yrs but my T levels are 220

[@jaytpmc]

That's what mine is at age 38

[@penocruz4981]

Mines was 352 at age 35. I'm 43 now

[@radhakrishnanmanickavasaga124]

@@penocruz4981 nice bro but ideally ot should be between 800 to 1200

[@FordyHunt]

I've no clue what they said but I feel smarter

[@theconsciouscorgi2103]

I wish I could find a video that addresses my issue. While growing up , my doc and parents missed the fact that I had an undescended right testicle. This wasn’t addressed until I was 13 . This resulted in me having an almost dead sperm count and a t level of 327 at age 30. I keep wondering if TRT is my only option. I haven’t seen great results from test booster supplements. I work out 5 days a week , eat good but restrain a mid body and low energy.

[@dsunjka]

Similar situation here. 43y old, one testicle basically nonfunctional since undescended (not addressed). Low testosterone at ~200. Also working out, sleeping well, eating quite clean…

[@JonSmith-xt1cb]

Fascinating

[@elijahp.3720]

Why does no one ever talk about the effect of perceived social status on your testosterone levels?

[@Richard-eg6fw]

How would other people know your T level, if you don’t put it on your forehead?

[@xxxgrimmjobxxx]

Because it doesn't effect shit

[@rutgerolsen5157]

Testi injury from Marines and 32m. Tests consistently came back under 170.

[@warrenbentzen5420]

I respect Dr Attias expertise but I wish he'd talk in layman's language and not assume that the non-professional understands all his terminology

[@zene2550]

Forgot environmental toxins and plastics

[@HaywoodMorton]

266 Price Loop

[@lawrencemisanik837]

My testosterone is a little over 600. However my shag is very high causing a very low free testosterone. How do I effectively lower the shag.

[@jimg6970]

Shag? SHBG? Take 10mg of boron daily.

[@joshuacrow9495]

Proviron low dosed

[@UsyksmashedFurytwice]

A high amount of Shagging is great. Never to be sniffed at.

[@thebrownviking9523]

@@jimg6970 No more than 6mg per day. Stuff gets toxic at higher doses, longterm

[@jimg6970]

@@thebrownviking9523You would need to take grams for it to be toxic. 10mg daily if fine.

[@bf7837]

WTF this Derek guy is an expert and he learned in his basement he never went to Medical School 😮

[@user-wq5ws1qs7x]

If he went to med school he would never be taught how to fix the issue, just throw pharmaceuticals at it. Plus no need to go to school if you can read haha😂

[@Likesforhire]

My test is 112. My doctor put me on clomid

[@epap1375]

I was similar but was put on enclomiphene instead of clomid. Clomid is a combination of enclomiphene and zuclomiphene. The zuclo has shown much more side effects over time. You should be able to get all of the benefits with just enclomiphene while minimizing side effects. Ask your doctor if you can switch

[@epap1375]

Btw what was your LH level?

[@Likesforhire]

@@epap1375 yeah, it’s not just that available as clomid. But, yeah I agree

[@Likesforhire]

@@epap1375 before clomid it was 2.1 it lowered after taking 25mg of clomid for 5 weeks

[@epap1375]

@@Likesforhire A lot of telemedicine companies are available now that offer it via home testing and compound pharmacies. I got mine thru Maximus Tribe. Just got an email yesterday that they are offering oral TRT in combo with the enclo/pregnenolone. It requires more extensive testing and I want to give the enclo a chance first. My LH was low at 2.2 so if I can boost that the test should come up via “natural” production.

[@MaryTaylor-o1h]

242 Jacobs Canyon

[@bridjetchandter1215]

177 Streich Brook

[@WebbZebulon]

9086 Bauch Trail

[@thomasbrown3127]

And the answer is...stay tuned.

[@EtienneLeBoeuf]

I went from 334 to 960 in around 3 months all natural. 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

[@NAVEENKUMAR-pu8yd]

Thank you for sharing

[@schwarts10101]

That’s a fake book written by AI

[@HexFent]

@@NAVEENKUMAR-pu8yd lol dont believe this sht

[@HobokenSquatCobbler]

​@@schwarts10101 I'm reading it now actually. It doesn't strike me as AI - the grammar and logical flow from sentence to sentence is too *bad* to be AI in my opinion. But it is sadly very much a data dump. It sprays info at you with little useful structure. A lot of useless: "Nutrient A is good, so get a lot of it. But too much is bad" I'm hoping that it provides some actionable steps toward the end without throwing too much contradictory advice at the reader.

[@photo80sjeff84]

No f off. Scam

[@ToutMarguerite]

932 Maryse Fort

[@MiltonDora-w5g]

Pagac Bypass

[@ryanwalthuis1928]

My doctor said my test level of 305 is normal. is that right?!

[@osiris369]

That is on the low end, how do you feel??

[@ryanwalthuis1928]

@@osiris369 I feel Depression and Anxiety, i have a low sex drive and even though i lift weights often i still look pudgy

[@osiris369]

​​@@ryanwalthuis1928try a carnivore diet for a month or 2(elimination diet) slowly add veg, then weeks later fruit and then some grains. See how you feel. I have lupus and it was a game changer. Try a full body workout 3x a week to maintain muscle that was my mistake. Lost 40 pounds and 10 inches off my waist and have maintained my weight and slowly added muscle. I am skinny fat.

[@osiris369]

I think maybe should go on TRT, I'm on the same boat. I tried a shot and feel better.

[@74747Kyle]

that is scraping the bottom of the barrel so to speak, the range of "normal" that general practitioners use is 200-1000. So even if u were at 201 they'd just say its normal. i would talk to a hormone specialist or maybe an endocrinologist. derek (guy in the white shirt) also has an online clinic, marek health, could be worth checking out if u are seeking for some sort of treatment, they have options that dont require full HRT.

[@ialogixcorporation6316]

No endocrinologist at NYU addresses this. Lack of knowledge

[@MaryKnight-u7m]

Simonis Point

[@mirojuarez]

I know they’re speaking English but I understood nothing 😂

[@EdwardJones-z2h]

Andres Estate

[@boccia2409]

What about having one testicle? What would be your suggestion?

[@mikeb253]

If this guy actually has these question and Rational make me see he has no idea what he's talking about. The reasons are like Nev fears. Is like soft base

[@GardenVerne]

910 Bogan Village

[@catherinemccann895]

Women can't get HRT from there drs but men can get testosterone

[@ashleycullen.933]

Other way round I'm UK men can't even get past the blood test on nhs

[@brandonezra4231]

English please!

[@nboss968]

So long story short, if you have low T that affects your quality of life then take TRT.

[@2CuteToShoot69]

This is dangerous thinking….taking TrT is a huge commitment and should be treated very seriously

[@74747Kyle]

no.

[@nboss968]

@2CuteToShoot69 Having normal testosterone is not even remotely dangerous. In fact living with low Testosterone is a health risk. I think you confuse people who have normal testosterone and take extra to get jacked.

[@74747Kyle]

@@nboss968 he didnt say having normal test is dangerous. its dangerous to blindly decide to start HRT as it shuts down your natural production; that is not something to be taken lightly.

[@nboss968]

@@74747Kyle I did not say you should blindly decide to start TRT. Go back and read my original comment.

[@KeshaSneller-r5k]

Loraine Forest

[@Boyntonstu]

"Knock on wood"? You don't need Testosterone.

[@HabibKhan-t9j]

719 Kamryn Shoals

[@ElizabethBrockman-o3n]

Rohan Mills

[@PapaWheelie1]

Derek: Just shut up and take your 500 😂

[@rachelblomfield8764]

0785 Ludie Course

[@buzzardscry1383]

What in the effing f are they going on about somebody help me

[@afterdark6822]

Is the problem signaling or testosterone? That's the short of it.

[@erick6102]

Peter you’re 50 and your total T is 381, what are you waiting for on starting TRT?

[@PauletteBehn-t5j]

Swaniawski Estates

[@drakesorensen8881]

This Nerd talk is serious

[@JohnLawton-f8l]

0425 Bart Way

[@Johnnyreborn]

With my testosterone at 267 , does it mean I became a girl?

[@tykemo69]

Yes according to my Dr😂

[@DorothyMatlock-s8j]

Sofia Row

[@Brotherfromcalvary]

Your asking Derek for medical advice like he’s a doctor when Derek is just a steroid user that learned how to google search NIH studies and became familiar with the medical terminology in the late 2000s… He was big on the forums back in the late 2000s… back the. It was like a competition on the forums to see who knew the lost and who was the most familiar with studies. there’s a million self proclaimed scientists out there, people Derek’s age and my age had the advantage of open online forums, and I know heroin addicts from blue light more knowledgeable than him. It’s crazy he got so famous just from knowing how to use the NIH search engine, and saying big words so people thought he was a genius. He uses unnecessary big words to seem intelligent. When a simplified version would be less stupid. It’s crazy your getting medical advice from him when he’s just a typical drug user. Even Joe Rohan thought he was a chemist, just because the way Derek spoke. Desperately trying to look like he’s more than an average drug user . He’s the perfect example of fake it untill you make it.

[@mkinvincible]

With all due respect to the guest. Why you do not interview a board-certified endocrinologist?

[@chrisburden3310]

You don't need a formal education to be educated and give out correct information. Derick isn't a doctor, and if you're watching these videos you should probably be trying to find out a lot of this information yourself anyways

[@hayd9785]

Because youtube is all about views and derek has a lot of followers on social media

[@linemanap]

Probably because they wouldn't agree with most of what they're suggesting.

[@johnyfivesalive4438]

Bc MPMD is a G

[@gavynrich1034]

Because this guy fucks

[@aronbarocsi]

finally this bro made it to the A list of guests to all podcast that saturated their topics so he can tell the same marginally useful bs we already know

[@ConanTom]

07488 O'Reilly Well

[@juicebox853]

Shouldn't a so called "longevity doctor" know the answers to these questions?

[@HearstAnastasia-j6w]

Ratke Meadows

[@foxhound5043]

Wtf are these guys saying