What are the medications available to treat low testosterone? | Peter Attia & Mohit Khera

[@Rickybobby427xyz]

I wish my parents took me to the docter. Because I have dealt with this for a long time not knowing what was wrong with me. Any time I asked doctors for help they just throw anti depressants at me. Instead of treating the cause of the depression to begin with. This is why I started to self medicate. Because I don’t know what to do and I’ve seen several doctors and they won’t help me at all. I tried raising it naturally for years which is unsustainable. So I just started self medicating. The really sad thing is that women who want to be men can get abusive levels of testosterone but if your a man and concerned about your test your labeled as a “drug seeker”

[@Ruckus45]

Started on test injections but felt i had too much ups and downs. Androgel was great but if i did the under arm itd stain my clothes. The other forms just take too long to dry. Been on Clomid 8 years, daily, and havent seen any problems. Very predictable T, no loss of libido, and no elevated estrogen. For me it works.

[@LC-lz6rw]

Im almost 40 and mine is in the 160 range. ( got really sick after my pfisr booster shot) Where was your T-Level before and what is it now? Your age?

[@Ruckus45]

@@LC-lz6rw I started taking this in my mid 30s. I was around 200-300 then and am consistently between 800-900 now. With that said, I am now switching back to testosterone. Clomid costs have gone up dramatically and I can't justify spending an extra $1k a year for similar results

[@Ruckus45]

@@NomadicByNature I was at 50mg a day, but switched back to test. Clomid no longer has a generic manufacturer so it costs about $120 per month. Test is about $20. So I now do two 100mg shots per week. Hate having to pin myself that much, but it saves a bunch of money and that seems to level out the ups and downs 200 per week will probably be higher for most men, but it's really the level I feel the most normal. Going back for blood work this week to see where that actually puts me on the numbers

[@kbkesq]

You can also get compounded testosterone applied to scrotum but if you’re cruising along probably best to stick with it.

[@kbkesq]

@@Ruckus45clomid helps you avoid testes shrinking and also estrogen spikes. You’ll be buying arimidex. If it’s working stick with it.

[@bellakim9404]

Compounded creams work great. Numbers went up substantially with regular use for me and my bf. Inner thighs for women and shoulder for men. I always apply right after a shower and rub in for 2 minutes with disposable gloves to prevent transfering.

[@IlIKRATOSIlI]

Scrotum application is better for men.

[@thomaslesperance6256]

Attia is the most elite doctor I’ve seen. Much respect.

[@urwhatueat2170]

Clomid was a scary experience for me. Over 10 days gradually became more exhausted. Then the “Vision abnormalities”… estrogen is part of the process by which we see color. My brain literally could not distinguish yellow. The yellow things in my field of vision would switch - yellow - orange - white. Very disorienting. Stopped that day. Back to normal in 3 days.

[@AmritGrewal31]

Lol, you make me want to try it, and I don't even need Clomid 😂

[@123ChrisG]

You need enclomiphene not Clomid. It has a shorter half life than Clomid so you can cycle it and after 2 days it will leave your system so you can get estrogen levels up and working. The side effects you experience are form the chronic low estrogenic activity.

[@123ChrisG]

Take 12.5-25mg every weekend and wednesday. Enclomiphene not clomid. This should do the trick.

[@antondeklerkdrtony3d412]

@@123ChrisG from the blood workni have seen its better to smesh it 25mg to 50 then typer off and the testbstays high...

[@kalonwright7906]

​@@antondeklerkdrtony3d412do you mean taper off for good and T levels stay high? Or taper as part of cycling?

[@michaelr1011]

Two weeks on Clomid. Irritability is a real thing as I snapped at my wife a couple of times. I usually do a really good job of containing my temper/mood, however, these last two weeks have been challenging. The other area of concern for me is weight gain. I feel a little bit bloated while on this medication. Like things are moving slowly which has stalled my weight loss progress and making me feel lethargy. I'm focusing on upping my water intake and pushing through the sluggishness. I'm going to give this a full 8 weeks before I consider quitting, unless something major happens.

[@judsonjman26]

How are you feeling a week after this comment? Better? Worse?

[@TheFoxyPlayer]

Get on enclo, I’m on it now, nothing but upsides.

[@jehaninfinity]

How you feeling now ? plz share

[@DANTHETUBEMAN]

How are you doing on clomid now? 🤔

[@TheRealJmal]

I had the same symptoms.

[@oNe-TwO-fReE]

Thanks for this. I have learned a lot more. I was diagnosed with zero testosterone and very low cortisol levels. They performed an adrenal purge test and an MRI. Pituatary looked okay now on waiting list with the NHS for testosterone problem. I am still wondering why I have such low 9am cortisol levels. They told me they were 113 and should be a min of 300. It would seem they are ignoring the cortisol problem. Went from being highly energetic, dynamic athelete to have ZERO energy and zero motivavtion. Am considering going privte.

[@chayblay]

I have a failed pituitary. Started on TRT, later added HCG and clomiphene for preservation reasons. Eventually switched to just HCG. Lost my insurance, stopped taking everything for a year and a half and was miserable. Just got onto Medicaid and blood work showed

[@eoghankelly68]

How are you getting on with the nasal spray are you feeling any different

[@chayblay]

@@eoghankelly68 almost 2 weeks in, missing one full day of doses this last weekend. I’m feeling like I’m approaching normal but not quite there in terms of mood, motivation, vigor, mental health/resilience, muscle retention, etc., which aligns with the studied time it takes for any T supp to start working. Read the Results section of this paper for context: www.ncbi.nlm.nih.gov/pmc/articles/PMC3188848/ Also, I should mention that I am not a fan of the nasal gel. It doesn’t prevent me from breathing, but it definitely clogs up my pathways somewhat and is not convenient at 3x a day.

[@banana_1992]

Interesting, I would think that if your pituitary hormones are low at baseline (specifically LH) then you would be an ideal candidate for Clomiphene monotherapy. What made you choose Nattesto instead, and how are your levels resounding so far?

[@mirapilates]

I'm curious what tests show pituitary issues. I've had a number of head injuries.

[@banana_1992]

@@mirapilates most important pituitary hormone for testosterone is LH (luteinizing hormone), which is what stimulates the testes to produce testosterone. However be mindful that even if your LH is normal/high, the testes may simply be unresponsive (primary hypogonadism) resulting in low T regardless of how much upstream stimulation they are receiving from the brain pituitary gland. Look up “HPTA” for more info (hypothalamic-pituitary-testicular axis)

[@gummiesrule88]

Unfortunately, the discussion of "enclomid" (enclomiphene) is abbreviated here, with no discussion at all of its advantages over clomid.

[@MrSamslab]

I hear it's inexpensive, so not really prescribed by doctors. No profits smh

[@Nemy360]

Enclomiphene amd enclomid are 2 different drugs

[@VernCrisler]

@@MrSamslab Doctors can only prescribe FDA approved drugs. If it's still investigational, then lab rats have to use it without a prescription.

[@fuhshizmyniz]

Both ^ of these responses are so incorrect lol

[@hk-in8cg]

Can you please state why you have discontinued using clomiphene.

[@ianhowes4966]

Exactly?????

[@returnfreedom]

Enclomiphene is also trash. Got my meds from Nuimage. 12.5mg a day, found out this is too much for me so I cut them and went 6.2mg every other day. A little better, sex drive up. Then I decided to do 6.2mg every two days, so I had more of a gap. By day 40 my hair started to Thin really bad. I am Hispanic, Lots of freaking hair, only one person in my family is bald at 85 years old. IMy hair was growing so slow i did not need a haircut for 2 1/2 weeks as compared to every week. I ended up stopping, Im not gonna add another med to combat this, this is exactly what the medical industry does, gives you a med but then it needs another med.

[@visualpossibilities]

They mentioned loss of libido with clomid, but they didn't mention if they same occurs with enclomiphene. I would like to know.

[@aicelsmash1168]

did you experience "loss of libido with clomid"? i am currently experiencing this side effect and trying to find data on it but there doesnt seem to be much

[@TXAslingr]

My man Attia needs to let the guy speak. This is difficult to listen to the through interruption.

[@JZGreengo]

Chill, he’s asking questions

[@Ray_Getard42069]

This is just how 200 IQ people chat, man. Nbd.

[@jimmyt6334]

Throw him a slap and watch his IQ drop to nothing.

[@db6220]

🤡🤡💩🤡

[@pankinyek]

He does it almost with every guest.

[@nickdipietro7797]

We’ve been using the same testosterone medications for over 60 years 😞

[@N-xi2zh]

yes. steroids have research.. sarms newer, with less. and yeah same meds. ADHD med same even longer but they work well for ppl who need them. Anavar,. test e, and hcg seem safe and good. CREAMS for test and dht may be even better for many.

[@aicelsmash1168]

try buserelin, they sell it for animals at a very low dose, usually you can get a 50ml bottle. Inject 1 ML twice a day in your belly fat using an insulin needle, dont buy buserelin at a farmarcy as the concentration is very high and will cause you more problems than benefits, meanwhile the one you get at the vet has a really low concentration and works wonders. I have been trying to get my t levels to normal levels for years and also took Clomid and had some issues, but with buserelin i dont feel that "panic" sensation and unexplainable "fear" that something is wrong or something bad is about to happen when on Clomid. You just feel normal and okay

[@haroldbalzac6336]

The problem is that every roid monkey hops on the new research chemicals before they really tested, sullying the compound before the kinks can get worked out.

[@ChrisPuckett]

What is the best way to treat high SHBG?

[@gregorystacey2470]

Me too. SHBG is generally 120 genetically (it seems). Total was 700 but free was 7. On trt 100mg/wk x6 weeks and up to 860 total and 8.6 free. Now up to 130mg week and donating blood (high h/h and iron), taking boron, and maximizing vit d. Hoping all this works. Doc wants my free t 20+!

[@AmritGrewal31]

Drop carbs and you'll crash your SHBG; ask a keto junkie

[@rafaelgoesmann3399]

@@gregorystacey2470 What is your SHBG after starting the trt?

[@gregorystacey2470]

@@rafaelgoesmann3399 It was 119 after 6 weeks, virtually no change

[@jimt7681]

​@@AmritGrewal31No wrong. Sorry just wrong.

[@mipar134]

I've heard of testosterone troches. I wonder if the rapid absorption via the sublingual route has similar pharmacokinetics to the nasal route he mentioned.

[@tracewaybos]

Would love to see studies on extremely low dose HCG. I took 20mg EOD and my test levels skyrocketed. Started losing hair like crazy...

[@antondeklerkdrtony3d412]

Hcg isn't a permanent fix it mimicks lh so when u stop it your brain doesn't make lh its a negative feed back like taking steroids now if you are on steroids it's nice to prime testees with it then a course hcg only after course of serms

[@scal7122]

Hcg raises testosterone?

[@tracewaybos]

@@scal7122 Google is your friend :)

[@Peterdoran33]

HCG increases natural testosterone. It’s measured in IU’s

[@llame_az]

i've been using HCG from an indian pharmacy at a cost of 20/usd per 10k IU vial with great success. there is no need to get ripped of by the US pharma system

[@Rob-bq6ek]

Which pharmacy?

[@banana_1992]

The concern with foreign compounding pharmacies is lack of regulatory standards/testing/inspections leading to uncertainty about purity and potency. It’s great you’re getting good results, just make sure you’re not injecting something with impurities / unknown chemical byproducts into your body. Out of curiosity, what’s the name of the pharmacy you like?

[@llame_az]

@banana_1992 reliablerx pharmacy most usa drugs come from china/india anyways

[@sandrost4243]

Spot on. Have you had any blood work done to quantify your test levels?

[@llame_az]

@@sandrost4243 yes, im on TRT, so i cant measure hcg but my testicles are not shrunk

[@glabalranter]

Does Natesto spray have as many side effects as the other modalities? It seems to be a safer option. Cheers.

[@FavourMore]

Thank you Dr Igho for the professionalism with which you do your work. You listen to your client and always put their needs first to ensure they live another day healthy and vibrant. I never thought there was a way to Enhance my penis size and girth naturally using herbal remedies, your medicine has not only shown me but has also shown the world how effective herbal medicines really are.

[@alexanderohanlon8825]

No one should be using this stuff, unless they have damaged testicals... Or at least until you've done the basics. 1) reduced body fat to12-15% 2) corrected metabolic dysfunction. 3) optimised sleep wake cycles. 4) preform strenuous activity for 30-45min per day. 5) get stress in check. 6) cut out all hormon dysrupting chemicals. 7) do manly shit with the lads have an adventure. All of these sound difficult but they're just a case of over riding that bullshit voice in your head that moans and tricks you.

[@Johny-tb8mg]

i agree and disagree at the same time, yes you should be living healthy like you described but even with all that you can still have low T, for example i did most of the things you mentioned and after 7 months from 304 ng/dL total T i raised it to a mediocre 384ng/dL so there is not way to naturally boost T by 2-3X, it requires medical help, and enclomiphene seems the best option 3 times per week

[@Rickybobby427xyz]

So real talk I agree. But the problem is u get to a point we’re u try all this stuff and it takes so much dedication with extremely underwhelming returns. But lifestyle and micro nutrients combined with t you will get good results

[@eray9934]

I would like to hear more about why he doesn't prescribe clomid anymore. I've had signs of low T all my life--I'm a skinny, unmuscular guy who can't grow a proper beard. I'm 46 and T was tested at 460, which is lower than average but doesn't qualify as hypogonadism. I don't to get on T and shut down the natural production I still have, so keeping my endogenous LH/T production sounds ideal.

[@oooooooohhhYEAH]

clomid will increase your estrogen as well, and in most cases, only gives you an increase of T on paper, you may not feel the effects of a T boost like from TRT. It also has some nasty side effects, mainly with vision. Some men will get eye "floaters" that are permanent. The best option always is testosterone. It is always possible to jumpstart your natural production again although it wont be what it was and will require numerous other therapies like hcg, enclomiphine etc.

[@aicelsmash1168]

try buserelin, they sell it for animals at a very low dose, usually you can get a 50ml bottle. Inject 1 ML twice a day in your belly fat using an insulin needle, dont buy buserelin at a farmarcy as the concentration is very high and will cause you more problems than benefits, meanwhile the one you get at the vet has a really low concentration and works wonders. I have been trying to get my t levels to normal levels for years and also took Clomid and had some issues, but with buserelin i dont feel that "panic" sensation and unexplainable "fear" that something is wrong or something bad is about to happen when on Clomid. You just feel normal and okay

[@superlyman]

How do you spell Natesto? Trying to see how much it is and it’s side effects and what my doctor thinks

[@Robert-cd5zr]

Is there an option that doesn't require you to be on it for life by permanently shutting down normal testosterone production?

[@jcgales2254]

Enclomiphene citrate doesn’t shut down natural production. If you stop taking it your levels will just drop back down to where they were before you began taking it.

[@raju123ban]

Enclomiphene

[@Proviron_God]

I’m 45 I use enclomiphene 25mg MWF and got off trt and got my test from 0-1000 in 60 days and I feel great. The first 45 days sucked though.

[@bladesprinter]

Do you take it during the day or at bedtime?

[@robertworton2394]

Where do you source your enclomiphene?

[@616BlackJack]

Are you still on this protocol ?

[@josephmgomez3921]

Do you pin it?

[@MarylandGuy-ey3st]

Your test was 0?? 😳

[@dathill]

What about T dermal patches used by the likes of Bryan Johnson?

[@richardarcher6838]

Am 67. At 65 I grew boobs in 3 weeks, had loads menopause symptoms. Doctor did fasting blood test: T was 24 out of 28 "normal" Doctors tell me nothing wrong with my hormones and am walking around with breasts! - obtained Clomid online (as in UK) took quarter tab every 2 days It took weeks n weeks but slowly everything started to work again. Great. then Clomid shut down my nuts. Now if I have even 2 doses Comid everything dries up. I'd have continued cycling Clomid as my muscle improved n my fists chunked up all meaty, but as I say, cant use Clomid cz destroys my seminal output. Anyone help me with this lot please?

[@JasonNicholson-y1o]

Clomid is specifically NOT supposed to shut down your natural production, it’s supposed to ramp it up

[@aicelsmash1168]

try buserelin, they sell it for animals at a very low dose, usually you can get a 50ml bottle. Inject 1 ML twice a day in your belly fat using an insulin needle, dont buy buserelin at a farmarcy as the concentration is very high and will cause you more problems than benefits, meanwhile the one you get at the vet has a really low concentration and works wonders. I have been trying to get my t levels to normal levels for years and also took Clomid and had some issues, but with buserelin i dont feel that "panic" sensation and unexplainable "fear" that something is wrong or something bad is about to happen when on Clomid. You just feel normal and okay

[@gavinschneider7420]

Holy shit Peter let your guests speak.

[@gracesawaya8373]

Can you please explain how to find a doctor in Massachusetts that might specialize in low testosterone treatment? Tried chlomed but it affected my son’s limbic system. Looking to find out the root cause of low testosterone.any advice is greatly appreciated.

[@vince4804]

Is the part about tipping over a bottle of hcg and destroying it really true?? Ive heard this about peptides but Ive never noticed a subjective difference in product quality after mishandling them

[@Dlindo8892]

No. Not as far as my experience. And it also lasts a lot longer than what’s been told. I’ve used mixed hcg that was 7 months old that had been stored in my fridge. I noticed no difference in the effects from a freshly mixed bottle.

[@justinw1765]

@@Dlindo8892 The only peptide I've taken in melanotan. A hack to keep it even longer is to buy some copper tape, adhere some aluminum foil to the sticky side. Put the smooth, copper side down around the rubber top, tighten it around it until it is as sealed as possible (putting a twist tie or rubberband to keep it tight can be a good idea). Both copper and aluminum foil block gaseous transfer, while copper is highly antimicrobial as well. Essentially this keeps both air/oxygen and microbes from getting in. Both will prolong its useful life. Store it in the fridge when not using. A combo of these two will keep your peptides fresher for longer.

[@wa2k360]

Lol not true

[@kimbrinks8918]

Could you please footnote the studies you reference?

[@mouhssinemaraji4379]

u found something ma guy? i really need these studies

[@guntherxtent]

Any thoughts on Undecanoate? Seems to be the treatment of choice of many andrologists.

[@brianpulley8652]

All I know is I had my testosterone checked and it was 9.2 out of a range of 7.2 to 24 and I've felt like total 💩 the past 4 years and I'm now 51 and my doctor said oh you're fine you're within normal range and if I weren't religious I'd have already ended things because it's horrible living with zero motivation and energy and nothing OTC seems to do anything.

[@Alwaystrollingbro]

Are you overweight? Is your diet poor? Are you sedentary? If you answered yes to more than 1 of these then you have your answer to why your T is low and you don’t need anything otc, you need discipline and hard work. You are getting up in age but that test level is low for a 51 year old.

[@banana_1992]

I cannot tell you how common your story is. >90% of doctors have no clue what they’re talking about when they say “you’re in normal range, don’t worry about it” and wave you away. The Free T level that you’re reporting here, combined with your symptoms, is a VERY strong indication for treatment and the consequences of not treating it far outweigh the risks of TRT. (This is coming from someone who works in this field and hears stories like yours from my patients everyday. It’s extremely frustrating for us who specialize, knowing so many men are denied help from ignorant/inexperienced practitioners who wave them away)

[@brianpulley8652]

@@banana_1992 it's so frustrating and to top it off I'm a single dad of 2 wonder kids and they definitely deserve the best version of me and it's a struggle every day to just make it through the day....I'm switching doctors in hopes of finding one who understands.

[@banana_1992]

@@brianpulley8652 Depending on your location, a reputable private clinic is typically your best resource compared to general primary care, urology, and endocrinology clinics. You really need someone who specializes in testosterone specifically, because there is so much misinformation and inexperience among the medical field in general when it comes to these issues, even among endocrinologists. Just be careful when selecting the clinic, as there are many shoddy clinics / snake oil salesmen in this industry. Look for somewhere that’s been established for several years with stable experienced staff and reputable reviews. You’re going to feel much better after a few months of being on a proper regimen, it just needs to be monitored and managed properly by someone trustworthy. Best of luck.

[@wigletron2846]

I was in your situation except total test was 130 at only 36. I compete in natural bodybuilding so I'm not fat and diet is good. Dr wouldn't help because of my age and im in shape. Go to a clinic. Yes they just want to set you up on monthly payments but it's worth it to get your life back. I've wasted more money on supplements that don't work. If it makes you enjoy life and not want to end it everyday then it's worth every penny.

[@peggyharper8193]

Thank you!!! My husband now has a Dr appt!!

[@frankwoods4532]

Delayed Ejeculation, being seen by a Doctor but would like more information.😨☹ Thank you!

[@anguslean4058]

Get your prolactin levels checked.

[@gregberry8203]

You’ve said you think Androgel is poor HRT choice. Why? You didn’t mention creams and gels as a delivery mechanism?

[@ccon8]

Anything cream or gel is not that effective as injections

[@gregberry8203]

@@ccon8 so Androgel no good? Useless or just not as effective as injectables? How much different?

[@ccon8]

@@gregberry8203 if you look up and compare, the research tells you that injecting is more effective than gel. Gel might be more practical but certainly not as effective.

[@konz2891]

@@gregberry8203 It isn't useless but it isn't as effective as injection, also can't be used if you're in close contact with females, children and animals. It sticks around for a while on you and whatever you're wearing, bed sheets too. Seen plenty of people say it changed their life and seen plenty say it was a waste of time, ultimately depends on your own situation, worth a shot imo as not having to stab yourself a couple times a week is always good.

[@N-xi2zh]

SOME prefere the creams compounded ideally. 20 percent strength or made at home on your own. Some prefer injections. More 5ar action and dht conversion with creams, esp on the scrotum. DHT and test cream on balls = godly I am sure, with the right diet, exercise, vitamins, etc.

[@jrbisc99]

I would love to hear your opinion on those with factor v Leiden and trt. I was basically told no by my local trt clinic when I told them I had it.

[@Billiehoyle]

this is very insightful about hcg

[@mouhssinemaraji4379]

Amzing video, thanks a lot for the explanation. but would someone please help me find that study in which they used testosterone along side with hcg 500 to protect the spermatogenesis and testicular volume

[@Officertack]

I had to hop off the juice due to heart problems, was on juice for about a year and I've been off for about 4 months. My libido is completely dead, I was thinking of getting on clomid to see if it would change anything

[@tihruytssgjjvsavcxtbvhj3429]

Use the other form. Safer than clomid and more effective.

[@Makalotfn]

@@tihruytssgjjvsavcxtbvhj3429what’s the other forms name?

[@tihruytssgjjvsavcxtbvhj3429]

@@Makalotfn enclomiphene. Safer and more effective than clomid.

[@MarylandGuy-ey3st]

You didn’t boost yourself to super physiological levels did you?

[@loopba]

DM me if thinking of going on the juice and looking for something to look like Kim Jong Un. A gel you can rub on your balls

[@themeximurican90]

I took clomid/clomofeno from mexico for awhile. Testosterone went from 300 to 950. My libido was equal to that of a teenager 🤣

[@elinino5275]

It's probably the one they are saying FDA didn't approve. Now you know why 😂

[@zach3955]

@@elinino5275 that’s enclomiphine not clomiphine (clomid). I’m on clomid in conjunction with anastrazole which has the same effect as enclomiphine.

[@EzioAuditoreDeFirenze23]

what was your dosage

[@agi-news]

I was wondering if it blocks estrogen, does that actually block the effects of estrogen or does it just make it so your brain thinks that there isn't enough estrogen. If it just tricks your brian into thinking there isn't enough estrogen but there is, that would make you produced a lot more estrogen than you need. which could cause gyno. In the other case. if it actually blocks and makes that originally created estrogen not used, then your brain would kick up production of testostorone, in order to make that usual normal range of estrogen, so it would increase the testostorone with out really changing the levels of estrogen. Would anyone be able to let me know which of the two cases it is with Enclomophene?

[@madisonconyers6756]

The latter

[@aicelsmash1168]

it only tricks your brain by blocking the receptors, your estrogen levels would be the same, even it could prevent gyno as it is a receptor blocker in your whole body. But im not sure about that as tamoxifen is used for gyno instead of clomid

[@Ana-oi9vo]

A good question from the interviewer could have been, clomid sounds good, why did you stop?

[@revilooliver486]

hcg shuts you down??

[@coreyrodriguez6955]

It's suppressive because it bypasses the pituitary and stimulates LH production at the testes. I think it may inhibit endogenous testosterone production since your hypothalamus is receiving feedback that you have enough T from HCG.

[@Mediagix]

what about estrogen on hcg?

[@olijfcadiz4231]

How will be the libido on hcg monotherapy for guys with low t levels?

[@oneboy153]

Very interesting

[@thecastle09]

Getting it legally from places like you represent is very expensive not everybody can afford that so they’re willing to risk getting it from somebody. They know at the gym.

[@michaelbattista1334]

Used to inject T until I realized it was destroying my voice. For someone who sings for a living this is a major problem.

[@EtienneLeBoeuf]

I went from 334 to 960 in around 3 months all natural no TRT. I found the truth about T. 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

[@jacoblas1371]

Not possible to increase natural testosterone in every case.

[@EtienneLeBoeuf]

@@jacoblas1371 I used to think the same. Watching content promising increases and getting nowhere. Then I found a creator different from all the rest and discovered the truth.

[@UncleMikeDrop]

My libido is trash. My confidence is trash. I am hypertensive even after sorting out my diet and losing weigjt as in I take an ACE inhibitor, a beta blocker, a calcium channel blocker, and a vasodilator. I am rapidly losing hope.

[@sasquatch8268]

Are your kidneys in check? There’s gotta be other things at play here if you lost weight and decreased sodium in your diet.

[@UncleMikeDrop]

@@sasquatch8268 I have a transplant. It's good though.

[@TheBanderson22]

You need to be worked up for secondary causes of hypertension. You could have an ACTH secreting adneoma or various other causes. You define criteria to look for other causes.

[@Surge308]

I don’t think it was Mercks patent. It got classified as a biologic and got wrapped up in a stupid regulation. BRING HCG BACK FDA 🖕🖕

[@AdrianEkstrøm]

I did test e for like 7 years how long do i need to use hcg an clomid hehe

[@viktorfurer2671]

Bruh I think you are done, you will do trt for the rest of your life

[@StelioKontoss]

You have to stop, Attia said 2 years max 😬😂🤪🤪

[@by1591tanker]

I’m 33 low test. Slightly low LH. Any suggestions? My doctor is going to start me on clomiphene. And I’m also getting a sleep apnea test because she said it could also be affecting test and LH.

[@alexandruturza7131]

Start a low carb diet with lots of eggs, fish and fatty meat. As a testosterone booster you can tale 10 mg of tamoxifen per day. This will increase your levels for sure

[@Jdm_fl5]

@@alexandruturza7131tamaxifen was a bich for me. Made me exhausted as hell

[@neilwattoo]

​@@alexandruturza7131 does tamoxifen / nolva make you feel as shitty as clomid? Because I can't touch clomid and I need my T levels to climb.

[@goyacar]

What is the recommended biweekly dose for testosterone cypionate?

[@askingwhy123]

There's a ton of well-documented, self-reported case studies from "shut down" bodybuilders and they all say: bi-weekly is bad. Aim for as many small doses as you can tolerate, eg weekly, every 4-5 days... The large depo shot every 2 weeks pingpongs T levels--too much at the start, not enough at the end.

[@Dlindo8892]

50 mgs twice a week. Like Monday morning and Thursday evening

[@antondeklerkdrtony3d412]

​@dlindo8892 you know your stuff mate💪 patient will have lower e2 by splitting the doses and that's dose will get him well over 1000ngdl

[@alexa3389]

Wtf ??? Why they end it there????

[@BruceLee-lx6zh]

Enclo is far better option as a trt than any of the current treatment you told

[@Bler-s4p]

I asked for Enclomid. endocrinologist said that it’s not sold in the US.

[@zackgro8440]

@@Bler-s4p it's compounded

[@fisherman_of_navarone]

Peter you have to let your guest finish his points. We know you are intelligent. Allowing your guest to come across as intelligent does not reduce how you appear to your listeners.

[@joeradler]

Projection maybe?

[@MichaelHplus]

@@joeradlerRegardless of the reason, Peter barely lets the expert guest finish a sentence. I was particularly interested in the Klinefelter Syndrome part, and it was frustrating how Peter constantly cut off the guest. Of course then they never return to the topic. If you don’t think that Peter is a very interruptive interview, please watch again and count the interruptions. A major reason people do this is for egotistical reasons, so maybe fisherman isn’t too far off, but of course we don’t have access to Peter’s mind.

[@phoenixaz8431]

@@joeradler He does come across as wanting the audience to know that he is smart at the expense of letting his guest speak and expand on his ideas.

[@joeradler]

@@MichaelHplus no, I meant that YOU were projecting, maybe.

[@joeradler]

@@phoenixaz8431 projection., maybe?

[@EvanFotis]

Are there any instances documented where clomid affects eyesight negatively?

[@infodave5813]

see above @urwhatueat2170 @urwhatueat2170

[@GertuCapur]

Two months on Enclomiphene. I noticed a lot more eye floaters. But they don’t bother me too much.

[@aicelsmash1168]

yes, i took a shiet ton of clomid just for fun and my eyesight was shiet, i actually was seeing my hand move after i moved it. So yeah your eyes become shit on clomid

[@neilwattoo]

Clomid is death. OMG. It makes me feel the exact same as when i tried to get off T. I cannot be on the shit for more than 2 weeks.

[@brunosantospereira4459]

Does clomid cause bad eye sight? Does it make you blind?

[@TNclimate]

Some problems on high doses. Very effective at low doses and much safer.

[@StayCoolKeto]

*I don't understand why opening tea shops makes a difference? surly a nice cuppa has nothing to do with it?* 💪👍 ☕

[@chappod1990]

What is the dangers of trt long term ?

[@jovialjayou]

Infertility. High blood pressure, escalated risk of heart related issues.

[@GreenTorque]

@@jovialjayou quality over quantity

[@jovialjayou]

@@GreenTorque I don’t know what that means

[@johnnykilo4967]

@@jovialjayouYou’re giving bad genetic info that was the standard decades ago. Educate yourself before you type.

[@jovialjayou]

@@johnnykilo4967 I’m well educated on the matter. Before you start ANY TRT protocol, your doctor would advise you of these risks. There’s a reason body builders and other steroid users can’t have kids and die prematurely.

[@b-bigb1426]

On enclomaphene for 2 months now.... Great lab numbers..... Sex issues YES!! Feel Blahhhh! I'm getting off.

[@sandrost4243]

May I ask how much your test increased in those two months?

[@b-bigb1426]

@@sandrost4243I never got off. Still on. Maybe needed to dial in. 600 to 1100

[@mikelindner2646]

Testosterone is way you replace testosterone, that’s it. Stay away from these other medications. HCG can be used along with testosterone if you want but HCG monotherapy doesn’t work.

[@jacoblas1371]

Why wouldn't it work?

[@shaheryarnaqvi8]

Enclomophine citrate seems the best bet

[@josephmgomez3921]

Absolutely

[@TNclimate]

I am on it with great results, but WAY lower dosage. Daily 6.25 mg doubled my T with no negative. He was talk 25 or higher- that is when you start having negative side effects.

[@shaheryarnaqvi8]

@@TNclimate that’s good so you take it until your T goes up and then stop?

[@TNclimate]

@@shaheryarnaqvi8 no it’s taken everyday. If you stop your T will slowly revert back to where you started.

[@phoenixaz8431]

@@TNclimate Do you know what your *free T* numbers are?

[@MegaUtube99]

I’m 24 years old. 179 testosterone. Doctor isn’t against giving me testosterone but would prefer me on clomid for 10-15 years until I have children. I would much prefer testosterone, but don’t know what to do

[@30mattdavies]

Just add HCG to the test

[@mmaslav6176]

Maybe first try to find out what is wrong with your body?

[@MegaUtube99]

@@30mattdavies well yea I’d freeze my sperm beforehand and take HCG along with the test. I’m always hearing conflicting things though that’s why I’m unsure what to do. Everything I’ve heard about clomid makes me not wanna take it though

[@MegaUtube99]

@@mmaslav6176 I mean the only thing that’s wrong is I have really low testosterone which is an epidemic today especially among younger men like myself due to micro plastics, poor diet and stuff like that. I went three months trying to raise it naturally through better sleep, working out, eating better and it somehow went down even more. There isn’t much you can do besides medical treatment to my knowledge

[@mmaslav6176]

@@MegaUtube99 shit man. I am 10 years older and I have about triple your testosterone. where do you live? Did you increase muscle mass while working out?

[@frankgyetuah-boadi601]

He he 500iu 3 times a week isn’t 1500iu spread 3 times or????

[@wa2k360]

50 climid daily is insane wtf

[@pauloscar2359]

Canadian pharmacy $100 for hcg

[@finbarh6]

My test is 6.9n/mol & sperm count 1 million per mil, which is because a dead person 🤦🏽‍♂️ would you suggest hcg & clomid 1500/2000 iu 3 times a week plus 50mg clomid eod

[@finbarh6]

I’m also I’m the process of seeking Dr advice just wanted to see what others think from any experience

[@peaceiyoha]

Hello, Peter Attia, please can I get your WhatsApp contact, so that I could reach out to you?

[@BR-dn7hw]

U just write unique

[@mirapilates]

Been on Clomid for 3 months. Did not get a big increase. 380>460. I was expecting higher and did not get improvement in libido. Estrodial is in normal range. I wonder what the underlying issue is.

[@eray9934]

It would be interesting to see what your LH increase was before/after Clomid.

[@nickolas9375]

Same here. Dkd yoh test you LH levels pre and post Clomid? ​@@eray9934

[@TNclimate]

What dosage are you on? Too high dosage usually causes the negatives. I am on a very low dose and went from 278 to 555 with improved libido and performance

[@antondeklerkdrtony3d412]

Enclophine, why are we even looking at other avenues? Enclophine healthy lifestyle and t will be where they should be... safe to say people go on the internet and talk about things they have no clue off this interview is the worst 😂😂 again hcg mimicks lh with that siad siad the brian will stop gnrh

[@iamthefiremanjj]

Enclomid is a way better option

[@ВалерьянТянников]

Anderson Brenda Miller Cynthia Harris Paul

[@ChamomileTV]

Treat your varicoceles!

[@Rocko1990]

Say what?

[@_RezaTaheri]

Can you please share why you say this? I'm about to get TRT

[@NeedhamViolet-w7z]

Clark Robert Lee Ruth Moore Mark

[@PatsyLockett-p8k]

Lopez Mark Walker Gary Wilson Deborah

[@cski9148]

What about women!😊

[@Itsme-e5j]

He has another podcast for women on this subject.

[@eray9934]

I love'em!

[@dereksereynolds8397]

Thomas Anthony Jackson Matthew Walker Susan

[@Cas_anova]

Just pin test.

[@helenbarrett6451]

Clomid. So cant eat a bunch of soy and ur ok?

[@KennyLauderdale]

Ahhhh so natesto is the cheat code

[@morganweller1491]

Bruh explain all you're crazy scientifique stuff you talk about its l8ke listening to someone from another world

[@StelioKontoss]

Wouldnt be on it more than 2 years..? Wtf😂 so 2 years of TRT and then done.. back to hypogonadism and then.. just die? 🤪

[@aicelsmash1168]

try buserelin, they sell it for animals at a very low dose, usually you can get a 50ml bottle. Inject 1 ML twice a day in your belly fat using an insulin needle, dont buy buserelin at a farmarcy as the concentration is very high and will cause you more problems than benefits, meanwhile the one you get at the vet has a really low concentration and works wonders. I have been trying to get my t levels to normal levels for years and also took Clomid and had some issues, but with buserelin i dont feel that "panic" sensation and unexplainable "fear" that something is wrong or something bad is about to happen when on Clomid. You just feel normal and okay

[@IDGAF_PLUS]

Clomid is expensive!!!

[@jsol9lbc430]

Ask your doctor to change the fertility codes if possible for the pharmacy to reduce the cost. Worked for me and went from $400 to $15 with insurance

[@AudreyMalia]

Moore Jeffrey Jackson Joseph Brown Deborah

[@NelsonMontana1234]

Clomid is a horrible drug.

[@michaelr1011]

Really? Why do you say that? I’m about to start

[@AntonioGoldmanOficial]

Clomid and Clomiphene are two completely different things, make your research before adding a comment my man, you are old enough to do the homework.

[@NelsonMontana1234]

@@AntonioGoldmanOficial I was only commenting on Clomid. You''re trying to act more informed when you're really just being a dick.

[@kennethknott9138]

@@michaelr1011 Study enclomiphene. All of the benefits of Clomid and none of the drawbacks.

[@eray9934]

@@AntonioGoldmanOficial No, Clomiphene is the generic name of the drug, Clomid is a brand name...

[@jimt7681]

We never used HCG. That is false. It doesn't work.

[@Mountainman524]

It works

[@infiniteworfare5089]

i think the best way to treat low testosterone is prolonged dry fasting and bed resting. this will lead to less inflammation overtime. i mean peter attia, alot of animals build alot of fat before winter and go long periods without food. they also spend alot of time bed resting. alot of people "think" they are primal but they are nowhere near primal and they dont act based on ancestors.

[@infiniteworfare5089]

@Tom-qv2jg no. alot of people are already drinking too much water. thats why they get up at night to pee. its best to sleep a full night without getting up. each movement/time being awake = more inflammation. and muscle mass is irrelevant nowadays since robotics/AI is taking over. also muscle comes back very easily. just ask connor murphy. i did a 4 dry fast at only 113 pounds at 5'8" male, and i didnt die from it. i felt like i could have gone another 8 days still before something bad starts happening.

[@recyfer]

That may be the dumbest shit I've ever read. God have mercy on your soul

[@jimg6970]

This has to be a joke.

[@infiniteworfare5089]

@@jimg6970 your name is a joke

[@knutburner90210]

Maybe fasting does help. I only eat 2 big meals a day. One being breakfast, and the other being dinner. The rest of the time, I practice intermittent fasting, and I've felt a big improvement from when I ate 3 times + snacks. Idk about "dry fasting" though. I try to get in half a gallon of water a day, minimum.

[@kunta-kinte0904]

Same medications for testosterone for last 60 years and we wonder why we have lower testosterone then womens in 60s😂😂

[@janehandpants1968]

Can Enclomiphene ruin your libido?

[@jimt7681]

No it only blocks the receptor for estrogen in the hypothalamus

[@River20122]

That is technically not confirmed. What is confirmed is there are other estrogenic tissues that can been affected. For example, certain eye tissues.

[@tomlewis8522]

@@River20122that’s Clomid not enclomiphene