Anxiety Pre-TRT - 'Testosterone vs Cortisol'

The premise behind TRT is normalising your male androgen levels for long term physical and psychological well-being. We also want to reverse the negative symptoms that you have presented with! This involves a thorough assessment, analysing your lifestyle, nutrition and physical exercise; alongside addressing possible reversible causes. You should always look to increase your natural testosterone level before committing to what is a lifelong therapy. Here is a guide - themenshealthc....
To decide if TRT is in your best interests, a formal diagnosis of testosterone deficiency is made following a full diagnostic blood test, along with a second confirmatory test. More information can be found here - themenshealthc....
If you’ve not had any blood tests to date, we would recommend starting with either the ‘TRT Complete’ or ‘TRT Complete Plus’ blood tests - themenshealthc.... These are both comprehensive blood tests that look at all of your hormone markers, as well as other general health parameters which would highlight any potential reversible causes for your low testosterone. If you would like to go ahead, we can organise a test for you, or you can request them from your GP.
More details on our consultation and treatment process can be found at the following page of our website - themenshealthc.... This is further summarised here, along with a recommended plan of action depending on your personal circumstances - themenshealthc....
You may find our closed Facebook group a helpful resource - / trtintheuk
Dr Rob Stevens MBChB MRCGP DipFIPT

[@MrDomestosWC]

FYI to anyone considering TRT for anxiety: TRT resolved my anxiety completely. I got hit with anxiety in my 30s, I didn't know what is was before. It's now gone. What Robert says is true on the other side of the fence: I started "abusing" testosterone to get more muscles and when my T shoots off the charts I get really angry at everyone around me. It's a different type of anger than anxiety-typed anger, it's a kick-ass anger. Looking for fights, looking for conflicts. Not good either. So I just aim to keep my T at high normal level, that's my sweet spot: plenty of energy, no racing thoughts, no anxiety, working out like crazy, crazy boners for my wife to enjoy, she doesn't complain either... GO AND GET IT!

[@WildcatWarrior15]

The trigger that made me look into my test levels was anxiety. Not "normal" anxiety, but a different kind of anxiety. The type of anxiety that feels like fear. Fear of every day things. Fear of things I've never been afraid of in my life. Fear of anything negative. Complete avoidance of negative things. This, among a few other symptoms, were what pushed me to get my levels checked. Sure enough, they were low. Still on the journey to finding a solution, hoping to start treatment in the next few weeks.

[@timprice168]

​@WildcatWarrior15 exactly my story ... just on the journey of exploring low T being the root cause of my ongoing anxiety. Just had an at home blood test kit which although everything showing as in 'normal range' they are not optimal

[@derk-rc9wx]

Testosterone has been reported to cure anxiety but unless your levels are below the NHS range you won't get it

[@davetherave4599]

Your holistic approach to health, wellness, and satisfaction/balance in life is simple yet profound. Thank you Dr. Stevens for another awesome and inspiring video. The type one will find no where else, try as you might. Entertaining as well! 😊

[@themenshealthclinic]

Thanks 😊

[@teelo523]

Just had a blood test and my cortisol is at 537 and taken at 6 am. My testosterone was 10nmol/L and I'm 23. I have had severe anxiety since 2019. I hope trt saves me

[@manoo422]

What is 10L?

[@teelo523]

@@manoo422 equivalent to 288ng

[@manoo422]

@@teelo523 Ah, ok yes thats rather low, especially at 23, have you started anything yet?

[@teelo523]

@@manoo422 I start in 8 days and Im very excited. Just want to feel normal again

[@manoo422]

@@teelo523 You should find your anxiety disappears very quickly, other symptoms will follow a little slower.

[@johnpashley8015]

I wish you would post every day doc as it makes sense to why I feel me again . Following your advice I have had only positive experience with trt . Stay hydrated . Exercise( cardio and weights ). Lower carbs ( from 40 %). All have made me feel amazing. My missis on the other hand disagrees with you . Only because I was an arse hole with low testosterone (she could handle that ). Now I'm a hornie arse hole with normal t and she can't. Keep up

[@themenshealthclinic]

Great to hear!

[@kieroncomley1502]

What a brilliant human being this man is. A video seems to land exactly when I need it. My shit is all over the place at the moment and I’m in need of some of the Docs wisdom or a clip round the ear, either way I will see you next week Doc. Thanks for a great vid 🤜🏻🤛🏻

[@themenshealthclinic]

Probably both!

[@swineflusensation6505]

Wish you were my doctor! You’re one cool cat!

[@radomirvin925]

This Dr is amazing with his knowledge , I start microdsing few weeks back and it feels more stable , dr jist gave me HCG and I felt that that open my mind bit more , only lack is libido/erection it's not that great , bit I hope this new protocol will help me down the road , wish I can talk with you in person and get advice and show you labs

[@themenshealthclinic]

Thank you 😊

[@__________113]

High testosterone causing anxiety and fear. I don't know why. And how to fix

[@rkesslerjj]

Good stuff

[@themenshealthclinic]

Glad you enjoyed 👊

[@tormundwolfsbaine3606]

Bang on.

[@themenshealthclinic]

Thank you 👊

[@IlIKRATOSIlI]

What clinic does daily injections? You would have to get a script or off market in which case you are not really monitored.

[@lauristigers8883]

Hello Dr Stevens.You are talking about optimisation and normality.What about ref.ranges in 1988 4.4ng/mL- 14ng/ml in 2021 2.4ng/mL - 7.8ng/mL in my country.What is optimisation in this case?

[@themenshealthclinic]

Have a read 'TRT - Best Practice' themenshealthclinic.co.uk/trt-best-practice

[@IanM2698]

Excellent advice! Can you recommend any other supplements on TRT? Thanks 🙏

[@themenshealthclinic]

I typically recommend vitamin D3, omega 3 in the morning, zinc picinolate, magnesium threonate at night 👍

[@pres43]

Thank you, a well timed video for me personally. Are there any sort of things in particular that impact your balance of Noradrenaline?

[@themenshealthclinic]

Disproportionate stress!

[@mikea1534]

Is 100mg t cyp weekly a good dose to do or is it low, 2x 50mg a week at .25 cc per shot

[@marc5510]

Ok so I’m a 47 year old male , started anabolics early in my teens (17) .. was doing them on and off till my mid 25s . Got married stopped for a while then in was 30 went back on again and continued till 40. No crazy doses but I’ve done all types . Stayed on a trt dose till 45 then got tired on pinning so went cold turkey. Now I’m 47 . Still love to train but overtrain super easy now , cortisol is high -22 , total T is normal 650 ,estradiol is ok at 25 , fsh is 8.3 and LH is 5.2 tsh is 2.5 so all are normal . But problem is I can’t gain any muscle mass and only seem to gain fat stomach fat ( yet I’m not reallly fat I’m 179 @ 12% bf but I’m trying to get bigger without juicing again ! My shbg is high 87 , estrone is med at 38 , progesterone is high at .8 , free T is really low at 5.9 , cholesterol is high at 222 yet I eat pretty clean and albumin is at 5.0 … Contacted old trt doc and said he want me back on T injections and add Danzol but this doesn’t adress the issue . Please help me try to narrow down what’s really going on . Lots of trt docs don’t wanna fix the issue just add drugs to mask the problem 🙏🏻 Any help I would appreciate it , if u have a direct email I can send u my labs .

[@themenshealthclinic]

Please speak to your prescribing clinician who is responsible for your care and supervision who is aware of your personal medical history.

[@endofdayzfitnessu.k2126]

Hope we feeling all sparkly

[@themenshealthclinic]

Always 🤪

[@hedley939]

I'm having a problem drawing down on the test into the syringe and even more trouble getting it to leave the syringe. I'm putting the test into hot water for 5 mins prior to drawing down..not sure why..it's only happened in the last few weeks!

[@Kamopanda]

You’re smart

[@themenshealthclinic]

Thanks!

[@dimasavila9158]

If I had Cushing high cortisol is trt Mute point

[@williampoole1080]

My sustanon shots are giving me severe anxiety, i cant look at anyone in the eye, flu like symptoms, tired eyes also. Its as if my body is stuck in constant fight or flight mode. Im taking 0.5 per week split into 2 injections

[@williampoole1080]

@@3picblaze Hey bro, so I had to come off the Sustanon 250. I'm now on Cypionate 30mg every other day. It still causes some of the symptoms I mentioned about but instead of it been 100% bad I'm at around 25&. Hope this helps 👍

[@Eire4life]

What would be my options be regarding trt whilst on mental health meds nhs, any advice?

[@themenshealthclinic]

Yes, microdosibg as you need to minimal peaks and troughs to avoid subsequent dopamine spikes

[@johnmoore1495]

Do you recommend doing your daily shots in the morning or night? Or does it not really matter as long as it’s just a consistent time.

[@themenshealthclinic]

My patients inject in the morning

[@johnmoore1495]

@@themenshealthclinic can I ask what the reasoning behind it is? Like the timing of the cypionate ester or something?

[@anthonychadwick3261]

@@johnmoore1495 you want a slight increase in testosterone release in the morning, as this best mimics natural physiology. The Cypionate ester (and all testosterone-esters) releases a constant amount of testosterone proportional to the level of it in your body. Just before your injection, levels will be lower (and testosterone will be cleaved from the Cypionate ester at a slower rate) and just after injection, levels will be higher. There’s no delay or timing issues if that’s what you’re suggesting, other than absorption time.

[@johnmoore1495]

@@anthonychadwick3261 you’re not really getting a boost from that shot though due to the cypionate ester, it takes ~24 hours to peak. I haven’t been able to find any data on cypionate (or enanthate) showing how it affects testosterone 4 hours, 8 hours, or 12 hours later. All the studies are done IM as well, so doing Sub-Q is even more delayed timing. However by 12 hours I assume there is significant absorption and breakdown of the ester. That’s why I’ve been taking my shot around 7pm, to get that 12-24 hour peak between 7am and 7pm the next day.

[@anthonychadwick3261]

@@johnmoore1495 this doesn’t fit with how I understand TRT and esters to work. As far as I know, the testosterone-ester is absorbed within hours both intra muscularly and subq, where it adds to the existing concentration of testosterone-ester. The testosterone released daily will be a small fraction of the testosterone-ester passing through the liver and getting cleaved into testosterone and the ester. The amount of testosterone released is the amount that is cleaved from the ester which is proportional to the level of testosterone-ester in the blood.

[@michaelcadena7279]

After the optimal hormone range has been dialed in. How often are blood test recommended?

[@themenshealthclinic]

Your TRT Journey themenshealthclinic.co.uk/your-trt-journey

[@michaelcadena7279]

Thanks

[@timothytilsley7576]

Is Ashwandgha bad for you

[@scottmcgrane4619]

I would of said insulin is most important hormone?

[@themenshealthclinic]

You’d be wrong 😑

[@dlarp_6528]

Insulin is the only hormone used by every cell in the body

[@fernandochavez8835]

hey bro what do I do if 100mg of testosterone cypionate a week starting to give me anxiety should I split it and do it every 3 and a half days

[@themenshealthclinic]

Please speak to your prescribing clinician 👍

[@fernandochavez8835]

@Dr. Robert Stevens - The Men's Health Clinic I did they just said at that low of a dose it's not the testosterone it's stress supposedly

[@anthonychadwick3261]

Not a fan of the sparkly line

[@themenshealthclinic]

Thousands are including my patients 👍

[@anthonychadwick3261]

@@themenshealthclinic you need to increase your dose until you no longer feel the need to say it

[@themenshealthclinic]

@@anthonychadwick3261 🤪😂

[@hedley939]

If blood viscosity incresses even the cold weather might make the blood more sludge like. Prior to additives being put in diesel the cold would cause diesel to turn more waxy.

[@themenshealthclinic]

Thermogenesis will mitigate this risk 👍

[@tonysoprano9370]

Is Heart palpitations a symptom of low T?

[@themenshealthclinic]

You need to speak to your doctor, there are numerous causes for palpitations

[@dolarrius]

Thank you for your content I got a question Each time I take even 10mg of testosterone it follows with anxiety instantly and later on at 3am ,that last around 1h ,cold sweats ,tremors and chest pain My knowledge is flawless knowing that my testosterone isn't increased in 5, second after injection ( micro dosing) yet I cannot find the reason for this accuracy to happen Also the solution 😢 Also I want to add because of it I didn't take my testosterone for 15months with my blood result came back very low I'm also extremely irritable

[@matthewcallaghan1512]

I have been put on HCG and Gonal F for fertility and asked to stop testosterone. I have never felt more emotionally and physically ill. Anxiety is through the roof and mood is all over the place. Stomach cramps and bad diarrhoea. Is this normal

[@themenshealthclinic]

TRT & Fertility - Microdosing Testosterone & HCG themenshealthclinic.co.uk/trt-fertility-microdosing-testosterne-hcg/

[@matthewcallaghan1512]

@@themenshealthclinic does it have a negative impact on someone who suffers ptsd?

[@JesusSaves83]

@@matthewcallaghan1512 are you still on TRT? And how do you feel

[@matthewcallaghan1512]

@@JesusSaves83 i stopped the HCG and Gonal F I am back on TRT and feel much better however not perfect

[@Devlins10]

My t levels are 217. I'm 47 and suffer from debilitating anxiety. That's might low even for an old goat like me lol.

[@christopherwg4236]

Did you get it under control?

[@texanmann]

That’s were I’m at and feel like trash! Did you get it fixed? I’m looking at trying this.

[@CashewsClayy]

Ashwaganda 😂