Why Testosterone Replacement Therapy Is So Dangerous - Dr Peter Attia

Chris and Dr Peter Attia discuss the dangers of Testosterone Replacement Therapy (TRT) in young men. What is Dr Peter Attia most concerned about with TRT use? Why is there a sudden rise in TRT use amongst young men according to Dr Peter Attia?
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[@ChrisWillx]

Hello you savages. The full episode with Peter goes live on Monday - press Subscribe! Get 20% discount on your first order from Maui Nui Venison at www.mauinuivenison.com/modernwisdom

[@NathanKlym]

Young man being 18-25?

[@unreactive]

@@NathanKlym in the context of TRT young typically means below 40

[@FordThunderCougarFalconBird]

Hey Chris, how did you get the keys to the Volume from Disney. :)

[@lout9231]

To be fair I’ve always loved venison this was such a solid sponsor haha

[@donluchitti]

And now you’re stuck on it for life lol

[@shallowkal]

Title should read "doctor gives balanced opinion on use/misuse of trt"

[@heldenkatze]

Not eye catching enough.

[@timothydoty9309]

yeah, what an absurd video title. TRT has improved my health in so many ways and these types of sensationalist videos are the reason people look at it like its a dangerous steroid

[@NotSoLiberal]

Balanced ? The first thing he says is it’s safe then proceeds to tell all the unsafe things about it

[@natepowell69]

@@NotSoLiberal misuse, not clinical use.

[@forasago]

@@NotSoLiberal no, the FIRST THING he says is "I'm greatly concerned by it".

[@LittleBoxXx]

TRT changed my life. Used to have nothing, do nothing, depressed, low self esteem, insecure. Now I am just depressed lol. Big improvement. :D

[@waltgreen8759]

lol

[@jekonimus]

haha :) best comment ever. Good luck man ^^

[@benericsson5277]

Add ketanine to your regiment lol

[@GregQchi]

@@benericsson5277 XD

[@PullsPressesCarries]

You could have just changed your lifestyle. You are not broken.

[@williamanderson4029]

Started TRT at 54, changed my life SO MUCH for the better! Mood, muscle, weight all improved.

[@AUniqueHandleName444]

At 54, makes a ton of sense. Young men? Eek.

[@cg1811]

Im 47 and that is gonna be my next move - my sleep is terrible, losing muscle / strength and overall not feeling great - got my bloodwork done and its pretty damn low

[@Rex69Rutherford]

How long you been doing it?

[@thesandman1384]

@@cg1811your lack of sleep may be a reason for it

[@phillipadams4691]

@@thesandman1384 yeah, I've heard that sleep is one of the biggest natural factors

[@treyd3433]

I was on TRT in my 20s.... i really miss trenbolone replacement therapy.

[@JerseyJersey100]

I’m 10yrs into TRT. Best decision ever. My doctor is old school and avoided TRT for a long time. He recently told me that since he started prescribing TRT to his patients they all started to not need ED meds, anxiety meds, anti depressants, sleep aids, and they have better biomarkers and the net net result is he prescribes less drugs overall. And he told me he has had men+women shed tears to him saying TRT saved their marriage and changed their life. TRT is about quality of life. But you must monitor your bloodwork forever…which ultimately is beneficial to your health because you are paying attention and your dr catches them immediately.

[@SatoshiFibonacci]

TRT should only be for 40+ year olds. People just want shortcuts

[@luxuryseaviewvillas6744]

You will pay the piper for your hormone use eventually. Those of us who managed all the things you mentioned by sleeping well, exercising well, and eating well will pay no such piper.

[@seanxxx8999]

​@@luxuryseaviewvillas6744 but while on trt you'll be doing the piping eh!

[@JerseyJersey100]

@@luxuryseaviewvillas6744 bring on the piper. I have a condition where my body produces little test. It’s provably healthier for me to be on it. And I’ve worked out, eaten only healthy foods and slept well for 20yrs. I’ve been at 10% BF forever. I’m a stud. Dont lecture me on health son Do some research on the Traverse Study instead of echoing rule of thumb

[@JerseyJersey100]

@@SatoshiFibonacci 100% agree

[@user-eb3pi4tv9k]

Silly title. I’m in my 50’s and use TRT, wish I had started a decade ago, just fantastic…overall health, physique. Life changing.

[@BaneTrogdor]

Great. But what's happening beneath... In a long term

[@guyriley3452]

They’re talking about young men who don’t need it getting on TRT. Not someone whose natural production is declining naturally with age.

[@natepowell69]

@@BaneTrogdor an all round improvement in health and a reduction in risks of chronic disease e.g. heart disease

[@jeffufcfanaticrosenberg]

@@BaneTrogdor this is why you get BLOOD WORK !!!!!!!!!!!!!!!!!!!!!!!!!!! DUH

[@brady3126]

“young men”

[@PatrickKerwin]

Your lighting on these videos is so spot on.

[@gorgejohnson9698]

jeff bezos knows alot about testosterone

[@boogles7602]

Underrated.

[@RiverHippie]

lol

[@letthereberight]

So does his wifes boyfriend!

[@jew_world_order]

@@letthereberight His wife definitely knows a lot about it as well.

[@riggs9688]

I’ve been on TRT for close to 20yrs. Haven’t really seen any bad side effects. Life is a lot better on it. The Traverse trials that came out recently disproved a lot of the TRT negative myths out there.

[@stringfellowhawk5361]

How old are you?

[@gregagregy]

A lot of people report non existing libido on TRT. It would be interesting to hear how is your libido and orgasm quality on TRT.

[@firestara4830]

These days "negative myths" have been replaced with "dO it Brooo I sAw iT on RogAn broooo". Both guys I knew here on Thailand on TRT (Both American in their 60s) had strokes from elevated RBC and thick blood

[@hermanozzfashion9935]

@@gregagregyits tru! dhea pregnenolone and hcg wil fix it

[@abrahamlincoln8913]

​@@gregagregy I want to know that too. My brother is on trt and said he has no libido as well

[@wread1982]

I’ve been in it 8 years, I tested low both tests before I jumped on. Never thought about weight lifting before but as soon as I got on it I started lifting weights and never stopped

[@Benmeglei1]

I don’t think you’ve been in it. Maybe on it! 😂 cheers. 🤝

[@PierceSherry]

Hope it continues too help you

[@tonehernandez8598]

Do you take HCG along with the testosterone ?

[@markbutler4624]

Chris - one of your first cinematic episodes with Huberman is what got me to stop and pay attention to your channel. I couldn't wrap my head around the production value and it forced me to pay attention when I might otherwise have bounced off your content pretty easily. The current series is another level entirely. Even as a long-time fan, I've been caught off guard at how the settings of these episodes are impacting my experience. Amazing service to the viewer.

[@kiara4345]

Same thoughts here

[@Emporer860]

I think I missed the “so dangerous” part.

[@paulmryglod4802]

It's early on when it is said "a free test of 35, can I say that's safe? No."

[@Emporer860]

@@paulmryglod4802 but still. Most of the time he said “I don’t know” and never “so dangerous”

[@eyeinsee]

I think he’s referring to the 20 year olds that want to do TRT.

[@Up-hill-Battle]

The danger is in the use by younger men who don’t need it. It’s being abused

[@MrJDLEGG]

​@@Up-hill-Battle thank God. I'm 37 and just got diagnosed with low T. Started TRT a month ago

[@spearruler70]

Keto, OMAD, 100 mg test per week divided between 3 micro doses (33 Monday, 33 Wednesda, 33 Friday), weights four days a week, fasted cardio 3 days a week. Supplements....magnesium, B multi, C, turmeric, creatine, Omega 3 and D and K2. Give blood every 60 days because donating blood has so many benefits that are never talked about. Praying in the morning and evening. Meditation and hydration. Amen.

[@haveaday1812]

And the you get hit by a truck on your way to work one day. Lights out. Just enjoy life. We don’t need to know all the shit you take.

[@tab0040]

keep it up man, sounds amazing

[@Cptn.Smoker]

Jesus Christ 😂 ….. you’re not going to live forever… you do know that ? You seem terrified of death.

[@granthenderson696]

@@Cptn.Smoker…. I’m not scared of death: given my life to Christ✝️ But I do still take TRT and I’m absolutely loving life!

[@sitapati]

This guy is not scared of death, he's just running his body according to the manual.

[@RobertWade-ge8xj]

Great talk and really valuable information. Thanks for sharing! Also, top notch background.

[@lomotil3370]

🎯 Key Takeaways for quick navigation: 00:00 *💉 Increasing TRT (testosterone replacement therapy) usage among young men raises concerns due to lack of awareness about risks, especially when obtained illegally.* 01:59 *❤️ TRT administered correctly doesn't significantly increase the risk of prostate cancer or cardiovascular disease.* 05:40 *⚠️ Super physiological doses of TRT can lead to unknown long-term health risks, including potential impact on prostate health and cardiovascular system.* 08:26 *🚼 Exogenous testosterone can reduce fertility, especially in young men, potentially leading to lifelong dependency and difficulty conceiving later in life.* 10:49 *🚫 Long-term use of Clomid or similar drugs for increasing testosterone levels is not advisable due to potential health risks, including increased levels of a steroid called desol.* Made with HARPA AI

[@jonathonfreelove5321]

Looking forward to the this one and just from this clip the back drop and edit is outstanding

[@GrandAnt]

I had 2 children and started at 35. Like everyone else here, it changed my life for the better.

[@fiscolorado656]

Amen. Thought I was the only one that had two at 35. 😂

[@AviatorD22]

Makes three of us.. Seen results in 1 week

[@poulardu]

I'm 34 going on 35, and I'm thinking about starting trt. I've just been feeling like shit no drive, energy, a lot of muscle lost. Can any of you share your experience on Trt? It'll be gladly appreciated.

[@hardushelm6268]

@@fiscolorado656lol I have 2 at 33😂

[@MDCMR]

35. Second on the way. Strongly considering

[@LK-bz9sk]

Started at 62 years of age. Helped make me feel normal. Its not some wonder drug in doses monitored to bring one to homeostasis

[@ChrisRaynorMD]

Although TRT can be beneficial if used appropriately in the guidance of a adequately trained position, I feel that many many young people significantly underestimates affects of using testosterone and TRT in appropriately. I think they also grossly under estimate the impact that TRT use as a young male will have on the remainder of their life. These effects don’t mean much when you think you’re invincible. However, when you are older, and you realize that you are not, then these past actions have a tendency to become a larger problem later on.

[@jamesaydelotte8666]

I went on TRT at 46 after a hip replacement when the weight loss became unmanageable. I have MCTD so my joints are trashed. I exercise daily and stay around 10% body fat - but after 3 tests in 2 months my T was 124. Terrible- TRT has made a huge difference

[@WalkDisneyWorld]

Let me Guess…. Sedentary after the surgery and taking pain meds(which of course is understandable). Of course your test was in the gutter

[@xmrmet]

Steroids make a huge difference? Who woulda thunk it?

[@TabletopFamily]

​@@xmrmet"TRT, or testosterone replacement therapy, differs from anabolic steroids in the amount of testosterone used. TRT aims at treating the symptoms of low testosterone, whereas anabolic steroids contain testosterone in much higher doses to achieve bodybuilding effects quickly and easily."

[@AntisnakeYT]

the main reason your testosterone was so low is because of the starvation of micro nutritients like minerals vitamins that is needed to keep a functioning hormone level.. you didnt need trt.

[@user-rn1ws5id8h]

@@TabletopFamilyStill an exogenous steroid.

[@dontletmememandie6506]

Wow. Your set looks stunning! 5yo me would dream of this lol

[@HBeretta]

Peter Attia tomorrow...hellz yeah!!

[@masterrichie9831]

Started TRT this year at age 51 due to low testosterone. I was shooting loads but no orgasm, it was depressing but now I feel it again and my dwindling muscles are strengthening! Thank you doctor!

[@Cheximus]

37 - as soon as my wife is pregnant I'm jumping on TRT. Been low for 5+ years now and enough is enough.

[@ingmar89]

I'm 35 and have been on TRT for 3 years. Got my gf pregnant on accident. She was off the anticonception pill for only 5 days in this time and we only had sex once during this time. I have read all the statistics and froze my sperm to make sure I could have kids in the future. I'm not saying you could always have kids while being in TRT, but at least in my case it seems very possible. Still froze my sperm when starting TRT just to be sure.

[@Cheximus]

@@ingmar89 Having difficulty without it so not ready to jump just yet. Also don't have the spare cash to freeze the sperm. Plus, she needs to get pregnant now or never really (she's 35).

[@ingmar89]

@@Cheximus then take your time with jumping on TRT. Also just wanted to say for me personally it's a pain in the ass managing my TRT. I travel alot so sometimes I miss shots or do them a tad too early or too late which makes my HR go up or makes it more difficult to sleep. Also the pinning gets old after a while. It's no magic pill, but it did help me be a more calm and stable person. Also the slight increase in wanting to work out, my beard finally coming through and the shape of my body and even my head becoming more manly helped in me feeling better. Every change on itself is small, but it does add up. Though in retrospect I might have been able to achieve the same mindset without TRT. my test was 230ng/dl Take it easy brother, all the best.

[@fullyactivated]

37 seems kinda young. I am 37 and I know I am not young anymore, but I am thinking TRT would be for late 40’s or later

[@Noneofyourbusiness-rq9jq]

take your time this will not be a magic cure for you no matter what you have read. iv been on for years and its not easy

[@Dirtybob23]

The testing doctors do to determine testosterone levels is dubious. They tend to test a person one time . Testosterone levels fluctuate through out the day. Doctors don't take an average--just one test. The industry is not surprisingly booming.

[@Jordannotthecountry]

Right, and also typically don’t even test free testosterone, only total. Ridiculous

[@anarwaleftw]

If you get your test levels checked in a real medical setting and not a trt clinic you will always have them checked in the morning which is when your levels are the highest.

[@y2ksurvivor]

Yep. Saliva testing is preferable but rarely offered, and you definitely get different results depending on the time of day.

[@Jordannotthecountry]

It truly doesn’t matter what time of day it’s checked, what matters is it being checked at least twice and the time of the day being consistent each time. There are studies out there showing there is no benefit to early in the day testosterone level tests. Not gonna bother searching for it I’ve already read em, google is your friend.

[@Frank_Jones314]

Why should people get their testosterone checked in the early morning when levels are the highest? Are people supposed to be okay with clinically low testosterone throughout the day just because it was not clinically low in the morning when levels are higher?

[@JayTalksinjury]

In 2015 i was rehabbing a double tibia pleateau fracture with 10 screws an 2 plates. I tell kid @ gym , " I'm doing 5 mg for maintenance of Avavar every other day ." Kid laughs , " 5 mg ... I'm using 1 gram a Week of Testosterone, does that even do anything !" .. yes it did and he was using about 66 times more than me and i was 44 he was 23 ... Mess with hormones when you are young and you won't be able to benefit as much when your older ... Be good to yourselves ❤

[@waltgreen8759]

great segment!!

[@newgtguy]

I started prescribed TRT at 45. I'm now 52. It has changed my life. Also, my PSA has always been stable at 1.0 - 1.5.

[@cartier13]

I just turned 42, hoping to try and stay natural as long as possible, but it's nice to know I have an option if I need it. Stay strong!

[@JohnSmith-qx8ll]

Gae. Just optimize naturally.

[@natepowell69]

@@JohnSmith-qx8ll if you have primary hypogonadism then nothing you can do naturally will impact your HPTA in any significant way

[@hypekillacsplaya]

so when you check blood work they are checking your psa?

[@Dabby724]

@@cartier13 look into tongkat ali and fadogia they are supplements proven to increase testosterone naturally.

[@10thMorales]

If you’re past 25 y.o. and your free T is low for your age group, “set your house in order first.” Nightly 7.5 hr sleep, healthy diet, stress-free lifestyle, avoidance of alcohol & estrogenic chemicals, proper supplementation, early morning sun exposure, daily exercise with progressive strength-training, talking to attractive women & proper recovery are in order. Diagnose via low T symptoms-not laboratory values. An individual’s abundance of T receptors can produce false negatives. Free T levels can vary wildly during the entire day.

[@phillipwilliams7534]

Agreed!

[@shinkutsun4169]

How can one live a stress free lifestyle in this country and tying to support a family? Literally impossible bro..

[@ruthnoya8424]

​@@shinkutsun4169 Daily exercise, a very healthy unprocessed diet and adequate sleep does a LOT to mitigate stress and improve mood.

[@barnes29510]

Perfect in a perfect world..... but not everyone has a perfect world. Or even the means to create their perfect world.

[@ross9144]

As a 26 year old it is so damn annoying no doctor will take my free test consistently at the very low end of the range seriously because my total is 500-700. I have all the symptoms of low t and I’ve even self medicated with ugl trt and it alleviated all my symptoms smh.

[@noahjwhite]

Pretty simple really. TRT is safe if done correctly. Dangerous if used to get jacked.

[@johnnyoost1144]

That's the thing - is it TRT if you're getting jacked? People on 200 a week calling it TRT.

[@8EnigmaVirus8]

@@johnnyoost1144 200mg/wk is fine and within the normal prescribed range, its only 250+ that you are starting to get into bodybuilding cruise dosages, 350+ for cycles. 200mg/wk should put a man somewhere in the 700-1k total test range depending on weight, age, etc.

[@nicholasl8249]

​@johnnyoost1144 it depends on the person. 200mg a week may equal super physiological results for one patient, but be the sweet spot for another

[@SaltyDogPerformance]

I’m 37. 2 years ago my total test levels went down to 400 then down to 300 and my free was hovering around 60. I’ve been on only 80mg a week and my total is 832 and free is 194. I clearly needed it. We kept testing my levels every 2 months for a year and my t levels never came back up naturally.

[@einganznormalertyp1880]

How long you’ve been on trt and how long did you stop to check your natural lvls

[@IfyUploaded]

Shouldn’t we be concerned about the growing need for TRT? What’s causing the dip in testosterone? What’s happening to our environment, our food and our lifestyles? It’s not abnormal for people in tradition cultures to maintain muscle mass well into old age. Does TRT allow us to ignore that we are being damaged? And if we’re not looking at the causes does it let those responsible for the damage off the hook?

[@KCost82]

I believe it’s our diet and lifestyle mostly. Most beef is grain fed, chickens eating feed instead of bugs and other more natural sources, etc. More time spent sitting or in leisure. Our body is a machine that meets the demands placed upon it. If we just sit on our phones or watching tv we don’t need very athletic peak functioning bodies. That’s my take at least. Obviously there are probably many more factors I failed to mention such as environmental toxins, etc.

[@mobfxtrading]

good point, exactly my thinking.

[@nathanclaspell6003]

It's been proven that pesticides used on our food supply wreak havoc on our endocrine systems, as well as the chemicals used in many plastics, especially those used in food storage and the like.

[@ReallyThatGuy8]

Porn, fake food, plastic, phthalates, our screens

[@13Recon19D]

This is the real question

[@real_Tablespoon]

I started TRT about a year ago at 27, my numbers were 270, 341, and 260… this was not being obese (was slightly overweight) and hitting the gym hard trying to do everything right. I am not interested in passing on my genes, and was depressed, fatigued, etc. I’m still trying to get the dose right, but I feel WAY better. Of course I know this is a life long commitment now, but fuck if - my life has improved

[@matthewdelia906]

How's it going?

[@andrewferguson3535]

I’m 60 and started TRT a year ago and the quality of my life has improved dramatically. Energy, cognition, lean muscle mass, sleep, digestion etc all excellent.

[@henrywal]

Did you forget to mention the bad side effects

[@andrewferguson3535]

@@henrywal I’m on 125mg a week and there aren’t any.

[@ericlongoria6541]

Just did my first injection today. I'm so ready!

[@BaelishMeNow]

Started TRT at 31 had a level of 6nmol and felt like shit permanently, worked out 6 days a week and ate clean but no change. TRT has now upped my levels to 29nmol and i feel like a new man. Want to preface that my symptoms only started once i had Covid and suffered for years before getting my bloodwork done.

[@micahrowe]

I started TRT a year ago at 42 and take it as prescribed by my doctor. I clearly notice how it makes me feel. Energy, memory and thinking clearly, mood, my body feels like it did when I was 18. I have yet to notice a negative side effect.

[@luxuryseaviewvillas6744]

the negative sides will say hi later in your life.

[@seanxxx8999]

​@@luxuryseaviewvillas6744 what will they be? Just wondering?

[@natepowell69]

@@luxuryseaviewvillas6744 wrong.

[@natepowell69]

@@luxuryseaviewvillas6744 wrong

[@luxuryseaviewvillas6744]

@@natepowell69 You're trying hard to convince yourself that your "shortcut" isn't going to mess with you eventually. Good luck with that, I'll say your eulogy for you 30 years before I go. I work hard, so i don't need slacker shortcuts.

[@gregshuttleworth4465]

51 here started recently. Feel great. Aches pains almost gone. Mood better. Not planning on going off as long as I feel good

[@DuckRott]

Hormone replacement and peptides have improved my life 💯 percent. Ive had knee surgery on each knee. I started using hormones and has helped relieve pain a lot. I rather live comfortably into my 60s than live to my 80s in pain and afraid to live life. It is worth it. Dont be afraid if you have joint pain, if you do , you know what i mean about living a "normal" life

[@itsoracle]

just train your knees, look up knees over toes guy

[@kylemack8864]

This might be the trade off. Live well and die in your 60's. Or suffer the tribulations of aging and make it to your 70's/80's.

[@thetriggerman954]

Started testosterone at 35 went 10 years high doses. Im now 46 one year and six months off. And everything is working just fine. Took about 8 months to get fsh and lh going. But all good now. I was told for years that it wouldn't be possible the internet will internet.

[@tylergood1223]

Why did you get off? How much were you taking? What are your testosterone levels now?

[@dobermanxxxl]

Why get off as you get older. What side effects were you having

[@thetriggerman954]

@@tylergood1223 I only got on because I was young and stupid there was nothing wrong with my system Just wanted the muscle, libido all the stupid shit. As you get older realize you don't want to depend on that shit for the rest of your life. I wasn't having any issues occasionally my blood will get thick and I will go and donate but even doing that I became slightly anemic at one point but it was no big deal for me

[@thetriggerman954]

@@dobermanxxxl No side effects I just got on it when I was younger and stupid and realized I didn't want to depend on it for the rest of my life Now I feel completely normal only side effects I used to get was high hematocrit which I donated blood for and even doing that I became slightly anemic because of the loss of blood there are many things that come with TRT, a main thing was I just didn't want to depend on it for the rest of my life

[@user-nx4dg6lu2o]

@@dobermanxxxl especially hct on trt is so dangerous, trt does not mean longer or better life remember but if you are hypogonadic it can help for that obv

[@joshuaarvizu6627]

Emphasis on “YOUNG men using TRT…” old men it makes a huge difference for and can change their lives. If you’re under 30 shouldn’t even be a thought. If you’re over 30 and struggling, see your doctor, do several tests to get a good idea of what your avg test is and get recommendation from your doc from there. At 43 being in TRT makes me feel normal.

[@dansmith9724]

I don't think it should be done on age but labs and symptoms. I feel sorry for young guys under 25 yo with low testosterone. You can't not treat a guy like this because he is under 30yo. His general health and mental health would be terrible. Proper trt could improve his health and possibly prevent or get them off antidepressants and other medications that are just treating symptoms. Young men need to be explained that being on trt reduces his chances of becoming a father but there are other treatments he could take along with trt like hcg or freezing sperm. It's quite possible with low natural testosterone, that fathering children is probably going to be an issue with low testosterone anyway???

[@nichtsistkostenlos6565]

Young men aren't on TRT, I absolutely hate when I hear somebody that's 23 saying they're on TRT, no you're not "replacing" anything you're just on T.

[@joshuaarvizu6627]

@@nichtsistkostenlos6565 Absolutely.

[@Cas_anova]

Everyone should do as they please with their own bodies. Just be educated.

[@joshuaarvizu6627]

@@Cas_anova sure. But be educated of the consequences of your actions. If you want smoke, smoke. Don’t whine about lung cancer later. Wanna drink everyday? Have at it. Don’t b*tch your liver is in shambles before youre 50. And if you want to use test at 21, that’s fine. Know you’re sperm and natural test will take a dive and eff up your endocrine system for life and may never be normal again. And moreover just cause you want to do whatever with your body at whatever age doesn’t mean I need to help enable you or agree with your decision.

[@DanMaul-ip1is]

I have feeling like crap for years and getting worse. I finally had my Testosterone tested. I’m 42, 185lbs. In good shape. My T level was at 85. Well no wonder I feel like hell.

[@MrMadalien]

Isn't testosterone related to social status?

[@johnmaurer3097]

When I was 42 mine was 132 and I felt the same. After 18 months of treatment it's 1300. I felt better immediately after teh first 2 sessions so this whole run has been a real embracement and love of life. It's like being a labrador, every day is amazing and fun.

[@monkrawk]

That was my story. 45 yo and felt like crap. My T level was 85. Been on it for three months and I can tell a big difference.

[@2CuteToShoot69]

@@johnmaurer3097 1300? That seems ridiculously high

[@natepowell69]

@@2CuteToShoot69 it's not ridiculously high at all, my clinic aims to get guys to 1500.

[@HappyWolverine]

TRT saved my life period my increasing depression that came with strong suicidal feelings dissipated after several months of starting TRT 7 years ago

[@SomeBodyIUsedToKnow8]

More info needed on hair loss treatments other than 5ar inhibition

[@shalombethefire]

Started at 43, doctors wanted to give me Prozac and Xanax and Adderall and instead I got a blood test and was 280. Started TRT and it saved my life, now I encourage everyone to get their hormones tested.

[@JohnLoogleman]

That's not a alarmingly bad level. Yes it should be higher but that level would be not be unusual for your age.

[@luisvilla799]

How the hell do you get adde my doctor won’t prescribe it

[@airgunningyup]

@@luisvilla799 theres online doctors and clinics that specialize in it , larry wheels promotes one of these companies.

[@shalombethefire]

@@JohnLoogleman correct but with high SHBG and having been testing low since my early 30s, it was having serious effects on my health which all have improved in the last three years on TRT at high normal levels.

[@vicvic2081]

What's ur level now? Thank you

[@godisamulti-racialhermaphr7560]

When I was young and in my prime, I used to do it all the time, but now that I am old and gray, I only do it twice a day! With TRT and Tadalafil, along with good diet and exercise.

[@MrHallstar123]

Started at 34 after having a surgery which made me need it. I’m 40 now, and the best advice I could give anyone is do this only under supervision of a well trained doctor. I look and feel amazing. My attitude and mindset are better than ever at 40. I love it.

[@FoobsTon]

What surgery.... If it's ok to ask?

[@maxhayart]

When the production quality is too good

[@Pest87]

Starting TRT at 32 was the best decision Ive ever made in my life and I maintain total t levels 30 percent above the absurdly low ranges

[@beauwille2294]

Where were your levels pre trt?

[@Pest87]

@@beauwille2294 300-400 ng/dl

[@coreyworthingtonii9230]

The low ranges are laughable. Enough with the medical gatekeeping surround testosterone when women are encouraged to take control of their reproductive health and hormones.

[@RhetoricalMuse]

Total T isn't important. Free T is.

[@AUniqueHandleName444]

@@RhetoricalMuse And damn TRT gives you crazy free T for a given total T level.

[@JAYMUAYTHAI]

I started TRT at 44. I am a Muay Thai and Jiu Jitsu practitioner. I felt my energy levels and strength drop a lot. Found out my testosterone levels were at just above 200. TRT changed my life bigtime. I also take ipamorelin and cjc 1295. Life changing.

[@craigcrawford6749]

Were you on statins?

[@JAYMUAYTHAI]

@@craigcrawford6749 no never

[@craigcrawford6749]

@@JAYMUAYTHAI what was your diet like? I"m 63 and my T is still over 800. I eat tons of eggs and lots of meat, but I lift very heavy, always have.

[@JAYMUAYTHAI]

@@craigcrawford6749 I eat about 6 eggs a day. I eat steak daily along with grassfed Greek yogurt raw kefir and a little fruit. My T is 1100 and I also lift very heavy about 4 days a week along with lots of cardio training with Muay Thai.

[@craigcrawford6749]

@@JAYMUAYTHAI sounds like you are in great shape. I start my day, every day, with either eggs or chicken breast. Can't get enough

[@ness133]

Hello Dr Attia, As someone who’s been considering finasteride as a treatment to hair loss, what other and better alternative would you recommend?

[@ShawnRoggow]

That Jurassic Park background, damn!

[@jamescarter4607]

Thanks!

[@ChrisWillx]

Thank you!!!!

[@DeanDennis-ck5lr]

I started TRT at 50. It has changed my life as well. My body would not recover after working a hard day of physical work plus trying to work out at night. My joints were terrible too had problems getting out of bed in the morning without pain. Been on it for a year and it’s life changing. Mood, focus, strength and energy all are amazing. I literally am in better shape than I was when I was 25 now. It is a game changer.

[@williamdkelly]

TRT and Metformin for 51 year old man!!!! Made a tremendous difference in my life!!!!!

[@ktrain420247]

As a 48 year old medically retired veteran, trt would help so many of my brothers coming home!!! My joints have never felt better, I am looking and feeling like I am in my 20’s again. (Other than my gray beard) it will not fix gray hair! Also bodybuilders are on grams of gear like close to 5g. I am ramping mine up from 160 mg a week, the mail my total t is in the 1200 to 1500 range. Just waiting on my bloodwork to come back to see what we are ramping up to this next 4 to 6 weeks

[@chrisweidner4768]

You are fortunate. I’m a 65 year army infantry combat veteran, and the VA won’t give me anything. They say my testosterone level is fine. Sigh. It’s frustrating living in a country that doesn’t allow adults to better their quality of life.

[@ruthnoya8424]

​@@chrisweidner4768 You can crash your test levels by not eating or sleeping among other things...

[@hypekillacsplaya]

@@chrisweidner4768 whats your T level at? Did they tell you ?

[@chrisweidner4768]

@@hypekillacsplaya It’s been a while. I need to go back for a checkup. I didn’t check. They just told me my level was high for my age. I’ll pay more attention this time.

[@TheWitness10]

Forget the VA, they wouldn't help me either. Your primary doctor is only going to say your levels are normal for your age. Try TRTnation or another online TRT doctor. You'll have to pay out of pocket but $100 a month is so worth it.

[@sgoral1988]

TRT is life changing. Anybody that tells you otherwise does not want the best for you. Why should men suffer from depression, anxiety, fatigue, inflammation, brain fog & lesser quality of life due to aging/hormonal changes? There is a solution! Optimize your test men and you will enjoy life at a MUCH HIGHER quality level.

[@jking5772]

Many just jump to TRT replacement. cut out bad habits first. start eating right, exercising, sleep, get off social medial and avoid crap food before taking chemicals.

[@1chumley1]

The clinics that prescribe it put a hefty bounty on referrals. The biggest pusher of TRT I ever met kept bugging me to go to his clinic and get tested. I refused because I didn't see the reason. He's locked up now for shaking a baby.

[@dr.shawnw.palmer5219]

You can maintain endogenous testicular testosterone production with low dose HCG. This also allows for a lower TRT dose.

[@AM-ux3yx]

I was 31 and had to go on TRT due to my pitutary no longer sending enough LH/FSH signals to naturally create testosterone. I tried diet, clomid (gave me Migraines), went on HCG ( preserve fertility) and a small dosage of Testosterone and it worked wonders. Had a few side effects at the start but after 4months everything balanced out. HUGE DIFFERENCE.

[@diegom7734]

did you kept fertility with hcg while on trt? have checked sperm tests recently? thnx man

[@SatoshiFibonacci]

Did you sleep well and stop drinking? 31 is really young to have Testosterone issues

[@natepowell69]

@@SatoshiFibonacci no, it isn't. Hypogonadism is not age related.

[@SatoshiFibonacci]

@@natepowell69 again, that’s EXTREMELY rare. You just can’t accept most people are soft

[@AM-ux3yx]

@@SatoshiFibonacci I don't drink and slept well.

[@tonyfontana8222]

I started on TRT 17 years ago,changed my life. I have the same muscle composition I did in my 30's. Labs done twice a year prostate PSA .5 -1.0. The quality of life is so much better all around,57 years young.

[@Dabby724]

how often do you inject yourself? im nearing 40 and want to get a step ahead on TRT

[@tonyfontana8222]

@@Dabby724 I was injecting twice a week, but found once a week is much more convenient. My TRT doctor states it doesn't matter whatever works best for your body.

[@pdannysan13]

I really needed Attia to telm me about this. Who knew? Shocking.

[@michaelshine6060]

This is great stuff, also the comment section. I’m really encouraged because I just found out I have substantially low t at 37 and it’s like a lightbulb coming on; I have been wracking my brains trying everything for life crippling depression, anxiety, addiction because I’m always trying to fix an untenable state. And now I’m like, holy shit, it’s like not my fault, it doesn’t mean I’m a piece of shit and all that. Just got a referral from my pcp and I guess we’ll see, you know I want to do it right. Side note, I really would like to see what dr attia thinks of dr mikes takes on trt use and his efforts to educate people. Attia is pretty conservative obviously so might disagree with anyone use it not under a doctors orders, but I think he’d appreciate mikes efforts to be measured, constructive, scientific in his approach.

[@JohnSmith-yx8kf]

This is one of the most irritating things surrounding this conversation right now: people lumping legitimate TRT with 'TRT like the boys on instagram run'. It completely muddies the waters when it comes to people looking for legitimate help with their hormones. As soon as you start talking about taking the dose too high for reasons beyond optimizing mental and physical health, you're not talking about TRT anymore, you're talking about running a long term cruise dose of PEDs. They're completely different conversations. If you feel like crap and your bloodwork confirms that you're low, i can't recommend it enough. It's been lifechanging for me. If you feel fine but you're looking for a performance edge without the stigma or danger of just jumping on cycle, i promise you will be sorely disappointed. Nobody is getting jacked out of their mind by taking their test from 800 to 1100. You literally won't even notice a difference.

[@nateh6441]

Yep good take. I was between 190-300 and felt like garbage daily for about 3 years prior. TRT made me feel like I wasn't an old man. I was 38 at the time. 6 years later I feel great daily. And switched from low doses every 4 days to once every 7-10 days, least effective dose is best.

[@nickbrigham8546]

Thank you! I tested low, and after taking it for over a month, it’s been nothing but positive changes. Like you said it isn’t “TRT” if you’re taking massive doses - it’s just TR lol. Totally agree with everything you said. Taking medical doses is completely safe and the 4 guys I know who do take medical doses have nothing but positive things to say.

[@taylorhillard4868]

Part of the problem is that many clinics and physicians even prescribe "trt with the boys" type doses. They guy above even said so himself, that he prescribes to a range of 800-900 wich is literally the upper limit. In the same breath he called 600 "low dose"......whereas low dose is actually 300-400. 500-700 is moderately dosed, and 800-900 is very high dose considering 1000 is when you start getting actual steroid cycle effects.

[@bobcobb158]

I work with a dude in his early 30s on 'trt' and he told me his levels float around 1300 ng/dl... thats the type of shit that has been normalized by instagram and fitness culture. For every middle aged dude that feels like shit and gets on trt just to get his levels back to normal, theres 3 dudes in their 20s hopping on to make their physique look better. TRT is like the new baseline 'natty' for the gymbros.

[@blackmarketarmy]

​@@taylorhillard48681000 is not that high. People doing cycles are getting their T much higher than that.

[@therehastobesomethingmoore]

Almost 62, started TRT a couple years ago and it has helped me drastically. I only take enough to keep me in a normal range. My energy is up, sex life is better, body fat is down and muscle is up. I do Mentzer/Yates HIT in the gym and work my ass off. I eat a 100% plant based diet and supplement with B12 and creatine monohydrate. TRT is just part of my lifestyle change but it has made my life better. And yes, I do give blood monthly too to thin my blood. I am not suggesting it is for everyone…do your research and make your own decision.

[@TheAPZOR]

I started last week , M 41 . Already feeling better, 2 weeks didn’t missed a training day , already noticed my belly fat going down , and looking much better, strength going up like I would not never expect.

[@djquick]

That’s great you’re feeling it so quickly. It typically takes 6 weeks or so to feel noticeable benefits.

[@Twelve20Inc.]

@@djquick Started 4 weeks ago with TT@ 320 and Free @ 59. I felt very noticeable mental improvements on week 1. I'm looking forward to week 6 and beyond.

[@waynewallace2061]

My hematocrit launched on TRT consequently raising my BP to stroke level. I've had to severely restrict the T dosage and donate blood every 3-4 months to control the hematocrit even at lose dosage.

[@JohnSmith-yx8kf]

What dosage schedule were you using? I think more frequent injections can help. People do react differently though. Personally my blood pressure went down, and was at its lowest when my dosage was at its highest, which was weird.

[@sg255010]

​@JohnSmith-yx8kf my buddy the same. He took his once a week injection and divided it out over a week and injects daily with a diabetic syringe. Dropped hemocrit and is cruising healthy now.

[@joshthompson8410]

Started TRT recently at 48. My T levels were at 100 and now over 800. Absolutely changed my life for the better.

[@sidmehere2964]

Any side effects? or negatives

[@joshthompson8410]

@sidmehere2964 my red blood cells spiked, as did my estrogen To keep the blood in check, I donate Full Blood every 3 months and take Estrogen blockers. Other than that, everything else has been positive

[@JohnLoogleman]

That's a good level, high but not too ridiculous.

[@Clapper74]

Are you going to a specialist for your TRT? Only reason I ask is mine recommended to stop estrogen blockers due to harm they can cause. Lowered dose to where I don’t need them and not much of a difference 600-900 for me. But if those blockers ever tank your estrogen you’re in for a rough ride to recovery because it takes quite awhile for your body to regulate things again.

[@joshthompson8410]

@Clay-fk7jh yes, I'm seeing a specialist. Before taking Trt, my estrogen level was at 2 and spiked to 60 afterwards.

[@progdude]

41 yo. Discussing TRT with my doc in a couple days. Been super tired for months, no sex drive, crappy sleep, workout recovery takes a long time, thinning hair among other stuff. Hoping trt is the right move for me.

[@addahandle-k8d]

Good luck mate

[@kenadams5504]

​@@DUBLL100Not if trt gives him energy to exercise , after which he will be tired, and sleep like a log.

[@deanzo1234]

10 years TRT. Lifesaver. Everything across the board is better. No side effects. Just keep your dose in range and your good

[@americanmambi]

Rattling off soo much concentrated hi-def info... He is soo elite!!

[@barnes29510]

I'll say this..... I've been diagnosed with major depression with anxiety disorder from my teen years. 51 now. 6 months ago I had my T levels checked and it was 200. 6 months later @ 0.5ml weekly (1069 now)and I've NEVER felt like "life is worth living" before! Mentally and physically now?? I love life. Even the crappy things that can happen I like too. I possibly have 20 years left to enjoy and I be damn if I'm going to let anything or anyone stand in my way

[@mt0068]

Given the negative attitudes to TRT in the NHS the headline is a little misleading - He obviously has no issue with TRT itself when properly managed.

[@Cheximus]

Yes, a stupid click-baity headline, but what can you expect?

[@LK-bz9sk]

Yes. Agree. Probably to grab peeps attention

[@uptamistik]

It's coz Chris wants to sell his garbage supplements now😂

[@stx7389]

​@@Cheximus How many people will do it right and how many have the knowledge of Attia to avoid the risks??? 5% maximum

[@PNW_Sportbike_Life]

Been on TRT for 5 years; age 51. HUGE difference; and she likes it too. Prescribed and I only do 175 q 2 weeks.

[@spidey677]

For educational purposes: I’m 37 and a classical Hodgkin’s lymphoma patient and have been on finasteride for a couple years before I got diagnosed with the hodgkins last year. I was able to successfully store samples of my fertility before starting treatments. Finasteride doesn’t make you infertile from what I’ve been told but it does bring down sperm count.

[@scal7122]

Were u on hcg too?

[@spidey677]

@@scal7122 what’s HCG?

[@robert039]

Testicular cancer survivor here. I was told I wouldn’t be able to naturally conceive. On finasteride as well but not on trt. I started taking ashwaganda pills and my gf is now pregnant

[@rsaran1288]

Decreased testosterone with age is something that is natural and way God intended. We should start focusing on other things as we age, not sexual drive, and trying to turn back the clock. Taking testosterone will result in testes not producing it anymore and can result in increased prostate size and other side effects that might show up a lot later. Once you start, you might not be able to ever get off it, which creates dependency on it. This happened to me and even though I've have low testosterone my whole life, I prefer to not take any as I did in the past, since my energy level is fine and I can still do whatever I want. Sex drive is lower, but that's ok, since it's part of aging. I feel TRT is over prescribed and might not be the best thing for everyone to take, even at younger ages.

[@ZippyLikesZippers]

Doesn't sound like you're married or in a relationship.

[@bigoso404]

Back in my bodybuilding days clomid was probably one of the most miserable compounds I ever used. I was a total emotional mess and my case want an isolated one…….many bodybuilders used to joke about crying while watching the notebook on clomid 😂

[@Clapper74]

Shit you could watch Saving Private Ryan and start crying while on clomid. Lol

[@litedawg]

I broke my neck in an accident in 2009 and was on pain killers and other drugs for years and years, and those drugs dropped my T levels to 126mg/l. I could barely function in daily life, I had panic attacks and numerous health problems . My Dr started me on the gel and it did nothing so I switched to injections and it was like a miracle . The fog lifted, feel great, no panic attacks, libido raging, cholesterol and blood work is great and Im almost 56 , so children arent an issue. I will never stop TRT .

[@krane15]

My doctor gave me the choice of gel or injections, so I chose the gel. Even though it has a poor absorption reputation, I need to test it for myself, before I go to the extreme. Unfortunately, they don't offer the cream, as hospital like to push the gel. BTW, those panic attacks can be brutal.

[@user-ej7qt5vu1w]

How much is trt monthly?

[@faceious2006]

TRT changed my life. I was overweight, depressed, and tired all the time. TRT helped me lose weight, balanced my mood, and put 15 pounds of muscle on me.

[@thetinman3353]

54 now…started physiological doses with a urologist around age 47. Best thing I ever did. Keeps my peak under 1000 though. Average around 600

[@markverhoeven4114]

TRT changed my life

[@jordanwilson706]

Absolutely! There are 18 y.o. guys at my gym on 'TRT' running 250mg of Test E per week! Some of the are on 400mg per week for years...

[@chriswoyce6285]

Mine was 260 at 35. The doctor told me that’s just above normal for my age. My one chesticle was lactading lol. Years later I found out about Panday Group. I got my prescription and my body feels way better for it. 🇨🇦

[@alexedens1]

Started at 51. Nothing but good. Close friend was suffering from all the symptoms of depression. He started TRT and all of his symptoms vanished. Completely changed his life. Both of us are eating clean and exercising regularly to maximize the benefits. I’m 60 now and at 11% body fat. IMO all men who are suffering symptoms of depression should have their T checked. My bet is many are mistakenly put on SSRI’s when in fact the problem is low T/higher than normal estrogen.

[@sgoral1988]

Oh my goodness I noticed my serotonin and dopamine levels improve IMMEDIATELY after starting T. I suffered for years from anxiety & panic attacks and now they're gone

[@contrarian717]

It's interesting. My free T is the bottom of the range. Yet no depression.

[@darknightbegins85]

200 mg test a week, get psa levels checked yearly, blood pressure 110/60, 39 years old. Loving it. Been enhanced for 5 years

[@coreyworthingtonii9230]

Beautiful 👌🏻

[@shallowkal]

Nice BP, best early indicator which people ignore

[@darknightbegins85]

@@shallowkalthanks. I do bjj and a lot of cardio

[@JakeRandolphMarketing]

How do you keep your BP that low

[@Swisspastel80]

TRT changed my life for the better!

[@dalekelly4384]

Absolutely loving the comments on here. Keep it up men. Tell your story. As a 42yr male whos tried sleep supplements, vitamin D/Zinc/Magnesium/multi vitamin supps ect for over a year. Only to find their effects were useless for healthy test increases. When my test was low naturally, i was lathagic, always tired, always sore, strength was terrible, mood swings, erection problems, weight gain, battling depression and suicidal thoughts at least twice a year...... Then i started TRT... and i got my life back. Become motivated in life, interacted with my kids more, got more done around the house, strength gains, cleaner moods and havent had a bout of depression since. Best thing i did.. my test was at 3 - 8 nmol/L. Ironically i got the highest result when i didnt have any regular supps (vit D/zinc ect) in my system.

[@josephbanker3829]

Did it make your heart race when you first got on it?

[@dalekelly4384]

@@josephbanker3829 Not that i noticed. I am in shape and at a good weight. 3 months after, all my follow up tests were spot on with where my doctor wanted me to be. Did u have a bad experience?

[@josephbanker3829]

@dalekelly4384 my heart was fluttering pretty good, he said could have just been anxiety. I see the Dr again tomorrow.

[@dalekelly4384]

@@josephbanker3829 sorry to hear man. Weird? Hows your sugar and caffeine intake?

[@eduardogmartins]

@@josephbanker3829hey mate, a friend of mine on trt had the same reaction a few times. talked to his doc and he said it was comum. He didn’t feel it more than a few times. so you shouldn’t worry “i think”. but if you are anyways… talk to you doctor, dont wait ;)

[@marcusaurelius5576]

I'm 65 and on trt. Prior to age 63 my testosterone was good but had been declining. In my earlier years my libido and testosterone was great. Any young guys going on exogenous testosterone are definitely damaging themselves. Parts of their dofies are literally shut off and imo that will effect other parts of their health. Exercise and diet should be all you need when younger.

[@RhetoricalMuse]

45> is the age most poeple with symptoms need to look into it. Even, then taking care of other aspects like sleep and diet are the first approach.

[@FordThunderCougarFalconBird]

Damn, I’m impressed. I didn’t know Chris had the kind of pull with Disney that they would let him film in the volume. :)

[@sqwk2559]

There’s nothing impressive about Disney, unless you’re into kids!

[@FordThunderCougarFalconBird]

@@sqwk2559 agreed. I was just joking about Where this interview was staged.

[@magicalfrijoles6766]

I'd like the conversation to use different terms for TRT and using gear. Can we call it TRT and "juiced"?

[@BarryWard12]

Thank you Sir.

[@n.t5891]

Changed my life I’m healthier now at 40 than I’ve been in over a decade! I’m leaner my cholesterol and ldl dropped dramatically all my markers are perfect now with the added benefit of having more angry and drive. Sleep is better gym is better intimate life is on 🔥.

[@plops993]

Just as an FYI: my TRT clinic stopped being able to prescribe HCG, so they switched to Tamoxifen/Nolvadex which is very similar to clomid, take take to prevent ball shrinkage. After being on Nolvadex for months/year+ I noticed my libido was always low. I assumed it was a test dose issue, and it took a long time to realize it was the Nolvadex. So now I have to buy hcg from black market in order to prevent ball shrinkage due to being on TRT for years now

[@S_225_]

hCG improves libido and load size. You saying you’re forced to take it doesn’t make sense because it’s a performance enhancer.

[@agustinreyes6111]

TRT wrecked my cholesterol and my kidneys after 11 months. BP 140/90 so I had to stop. Been off for 5 months and feeling great. Somehow my natural testosterone rebounded to the low 500 (before TRT I was at 320)

[@airgunningyup]

yea, a lot of people will have the blood pressure reaction. The kidney issues I havent read about

[@agustinreyes6111]

@@airgunningyup your kidneys get messed up with high blood pressure and their filtration goes down.

[@steel1911]

6 years TRT now. Zero regrets changed my life for the positive 100% and my labs and overall health has improved 2x fold.

[@geoffap0]

Clomiphene was Horrible! TRT with Test Cyp subcutaneous and low dose Anastrazole has been wonderful for mood and body composition. Highly recommend for all men to get tested for their test levels.

[@Jbrimbelibap]

Wouldn't DHT feed prostate cancer ? Finasteride witcher are again safe in this scenario if this is correct

[@akfodysvn]

He very much said they would discontinue if known cancer present at the prostate

[@Jbrimbelibap]

@@akfodysvn What's that? It's TRT not DRT, my point is that you wouldn't have to stop anything if you're on finasteride. But Attia has a strong opinion on finasteride, one that's not backed by science

[@garrettd.6215]

People taking illicit gear and super physiological doses know the risks. We are not our brothers keepers

[@konini12]

34 years old still feel 18, played sports all my life... However if things change and I notice any significant declines or am diagnosed with lower end testosterone, I won't hesitate to use TRT in the future.

[@TakeItToTheGround]

I am 62 and still feel 18 and still play a lot of sports - judo, boxing, surfing, skateboarding..... It's not a foregone conclusion that you will ever need it.

[@user-zz6tb7vy9w]

@@TakeItToTheGround at 62 you cant feel 18 lol stop lying

[@TakeItToTheGround]

@@user-zz6tb7vy9w No you are right. Not many 18 years old could keep up with me.....