I’m a 42 year old recovering alcoholic. When I first got sober I got blood work done (at age 36), and I was told that my testosterone levels were in the toilet. 3 months of sobriety later, and my levels were back up to normal. I was also tracking my macros and working out 4 times per week during this time. On the 7th of this months I’ll have 6 years of sobriety, and the results of my last blood panel shows that my testosterone levels are a little bit higher than normal for a man of my age and active lifestyle. Guys, if you drink do so in moderation. Otherwise you might be doing more damage than you might think.
This is encouraging! I’m 35 and binge on the weekends. Levels are low 300s. Heard similar stories so I’ve quit drinking. I’m hoping I’m one of the lucky ones to get my numbers back up!
If they are and keep moving what is classed as normal eventually there will be medical issues and obviously there already is especially if they keep re-gauging the level every few years as it will give men physical and mental problems as quite often most doctors don't go far enough as they are quir busy and not considering that drop over the years. Is this a hidden agenda to make men less aggressive and more effeminate
Thank you Dr Rena for the insightful video. As a 30 YO male with HT and high cholesterol and low T, this video has given me answers that no Dr ever did. Thank you again!
Yes. You just described me with low t. I inject t twice a month to increase blood levels. It was the only way that worked for me at age 75. I highly encourage anyone with low t to start it. Feel much better every day.
@@2023Red twice a month is usually not enough. Testosterone cypionate only lasts about 5 days. I have my patients inject smaller doses twice a week at home.
I am 69 years old with stage 2 heart failure. I just had my testosterone measured because I have recently developed ED and loss of libido which have NEVER been an issue. Total was 574, but free (calculated) was only 9.4. DHEA was almost non-existent. I am seriously considering hormone optimization therapy to right the ship. I just have to weigh the potential benefits against the potential negatives and decide if the ratio is high enough to proceed.
Dr. Malik just describe my personal experience, I lost weight, started doing cardio & now resistance weights training & at 61 has no erectile dysfunction issues....
I’m early 60s on trt , but also very fitness based , Train and eat well every day . I believe it can be fantastic for the people who live the right lifestyle, not so sure it’s the right fit for the people who live an unhealthy lifestyle though , the two go hand in hand in my opinion .
I had my testosterone tested at 53. My testosterone level was 535, which is damn good for 53. HOWEVER - I was having difficulty sleeping through the night, difficulty losing belly fat, and difficulty gaining strength despite going to the gym regularly. I started testosterone cypionate injections. Shot up to 1500+, dialed it back, was still at almost 1400 and dialed it back again... I only do 40 mg twice a week and I am noticing a big difference. I'm 5' 10" and 180 lbs.
535 is normal, even higher than average for a 53 year old. What was your free T level? Your symptoms may not have been related to low T. Keep an eye on your estradiol because at the levels you stated it's very unlikely that your body can use all that testosterone (more is definitely not better)
Why did your doctor approve TRT when your level was normal? My doctor wouldn't prescribe it bc my level is normal. I'm younger than you and very fit and lean too.
I’m a gym guy. Low bmi, lots of muscle. I’m on trt right now under a dr. Care. It’s working. Along with sleep, no refined sugar, exercise, etc. I’m doing fine gradually going up.
@@gmotsjr13 I didn’t feel like doing anything. Felt sluggish. Very low energy. My T levels were low. I am getting bi-monthly injections, and taking Tong Kat Ali. I also take creatine every morning. My levels are up.
@@RedSpicyFeast1010if you really just want to take TRT.. go to a hormonal clinic. They are super lenient and will give it to you if you say that’s something you want to do if you have low T. Speaking from experience.
I have apnea. I’ve had a cpap for about 12 years now. That changed my life and I’m not even remotely exaggerating. If you guys have it don’t let it go. Totally worth the little bit of effort to get the machine.
I agree! Just got mine in November and it's been a life changer. Sleep study said I was waking up 11 times an hour on average. Now I get a solid 6-7 hours before waking.
@@Shreadington The difference is crazy isn’t it? When you wake up tired for years and years and, all of a sudden, now you wake up with energy it feels like a freaking miracle
@@Boethius4748 YES! I have just the nose mask. My apnea got really bad last year prepping for my Masters Classic and Bodybuilding competition. My kids could hear me snoring from their rooms with doors closed and my wife slept on the couch so I could have the bed. After the competition, which I won both Masters Classes 😁, I had the sleep study done and slept on the couch until I got the results and cpap. First night was a little odd but the second night I was off to Neverland. Unbelievable difference. I travel for work at times and always bring it.
I've heard this as well (suffering from chronic fatigue) someone told me to check my ox levels as someone with apnea will have low levels at night. Bought a Fitbit but it shows my ox being 95-97 every night for a year now
I just got my bloodwork results and my testosterone levels were at 160 which I hear is VERY low so I had to get a MRI before I start TT for medical reasons as a precaution. I’m very excited to start the process. I used to live in the gym but when I had a hip replacement surgery it really took me out of the game and it was also it was around when Covid started so I couldn’t even go to the gym. I gained a significant amount of weight and now living an unhealthy lifestyle all the way around so now with this treatment starting and getting my mind right I’m praying that I can get my life back. I will keep you posted if interested. Be blessed everyone
I'm 40 and I was in the 500s bout a year or two ago and started taking Tongkat Ali and Fadogia for over a year and my testosterone is now 884 and free test is 139. I always worked out 7 days a week and eat a high-protein clean diet.
@@oda6104 I use solaray Tongkat Ali one in the morning barlowes Fadogia one pill in an then at night I take a pill of Thalacy combo Fadogia and Tongkat that has some ashwaganda. I also take Jacked Factory Yohimbine and pro health nmn
@@ReyShady05 haven’t cycled off see no negative side effects and total and free test has consistently gone up. I last checked in January I’ll check again in summer or fall.
@@thewalletwarrior just curious I took the prescribed dose for 5 months. Ordered them from huberman's website. Just got my testosterone checked and it was only at 245.
Thank you Doctor Malik for another great show. I started TRT pellets about a year and a half ago. At 68 years old my T level would fluctuate between 210 and 380 most times in the 280 range. I was tired and lethargic at times and then started having very rapid ejaculation during sex. My Urologist told me that there was no official study but low T could very well be the cause. She gave me 3 pellets and 10 months later 4 pellets. So far I am really happy with the results. She is a wonderful Doctor as you are. Thank you for the time and support you give us.
I've been doing hormone optimization for 2 years now. I'm 62. I've lost 40lbs and now have a bmi of 24.5. I have a testosterone level of 1123. However, the most important hormone I've optimized is insulin. Gone from fasting insulin of 11.8 to 4.2. The answer is: 20% optimization of thyroid and testosterone to top end of scale. Hate sugar and all added sugars. Low carb diet. 60% what you eat and when you eat it. Lots of protein (6 eggs a day). Lots of raw broccoli and cauliflower and meat. Intermittent fasting 16hrs a day zero calories. 20% exercise. Resistance bands 30mins a day. Feel like 30 again. ED gone. Very lean muscle now.
Damn, I am on TRT at 200mg of Test Cypionate per week and if I get up past 700 my Doc. freaks out. I keep telling him I was a competitive powerlifter for 30 yrs and took a boatload of drugs. my levels pre TRT was 300, I think my Grandson had a higher level at 3 y/o LOL. At 1123 I would feel like the old days. I am also a type 2 diabetic and take Ozempic and other meds.
Ridicoulus. Please study. "Lots of meat,low carb bla bla" Brother just stay in range referenze,sleep enough,eat real food wich mean no industriale bullshit and you done. Jesus c.
Thanks Doc. I have low T and have been following most these things like exercising, dieting, lowering my bp and ldl. I still have the sleep apnea issue. Working long hours is screwing my sleep, but I am getting a little better at this. Also losing the weight is a slow process despite working out like a dog.
I'm 39. Testosterone replacement and ipomorlin changed my life. I was able to finally kick a 12 year long methamphetamine addiction. I couldn't function without it. 6 months on Testosterone and I was a new man...
@@aleck1739 ipamorlin is a string of a meno acids known as a a peptide. Look it up. There's hundreds of different ones. Ipamorlin is a human growth hormone senagoge. Basically it makes your body produce more human growth hormone. Which is like pure digest able food for your body. I never said directly that it helped break an addiction. I was just stating that for the longest time tens of 15 years I was not able to break that cycle until I got on testosterone and ipamorlin. It worked for me. I'm not giving all the credit to these injections motivation and will played a big part. But I feel they gave my body the extra it needed in a time when I felt like death would be an easier route. Once you take a very powerful stimulant away from a body that's had it everyday for ten years. First thing in mourning, multiple time throughout day. Your body has forgotten how to produce the natural chemicals in your nervous system that make u function.
@@aleck1739 Ipamorelin is what I think he meant to say it’s an HGH product that provides a huge boost to men in conjunction with testosterone therapy The positives are numerous but in general increases energy mental focus better sleep sex drive fat loss if I remember correctly it corrects metabolic syndrome etc Anti aging meds I’m trying to get this same cocktail in Cincinnati which will run 200 month.. I spend that on weed alone lol
my is 32 and I'm 54 but I also have Klienfelter Syndrome , High BP and still have all the systems . but also on Xarrletto, for Factor iv. Blood clot issue and Ozempimpic, but have sleep Apena WoW I'm a Mess . so more Sleep and Elievate Stress. went from 265 to 195 also Diet Control eat healthy and Fast in 11months Now back up 213 . so Vacurseal will help interesting.
I had my bloodwork tested back in January and testosterone came back at 330. On the scale it showed low but they told me not to worry to much about it right now and to come back in a few months to retake the blood test. Since then I'm still continuing my multivitamin and a little bit more vitamin D so I hope to see some improvement. What else should I do?
proper sleep/exercise/diet...your on the edge, the docs and insurance will say you dont need it, cuz they dont wanna pay.....but at a microdose 5mg/week gel will put you solid 400,, your body and emotional statebwill feel great!!
@@mountainman001 dam!!! just a few months ago it was 300!!! sorry, a "endocrine specialist" or "TRT" doctor clinic may help you!!!!! are you near mexico border?
@@lunam7249 Pennsylvania. Not even close! 😂 I think one of those "clinics" might be 2 hours away. No guarantees with those though, could be the same story.
I've been doing Human Chorionic Gonadotropin for the past 15 years to prompt my body to make more testosterone, and it's worked great for me. (I had some rare side effects and issues with the testosterone cypionate injections, and my body wouldn't absorb the testosterone patches or gels appropriately.)
@@lunam7249 It's easily available in the USA. It's just expensive without insurance coverage. Getting insurance to cover it involved my doctor writing a letter to inform my insurance company the failures of testosterone injections, patches, and gels - along with some adverse effects I had with those. The HCG still costs me $50 per month. That's for six vials of 10,000 units each.
This is great, Dr Rena! I’ve been following your content for a while now and have been using standardised hot-water Tongkat Ali root extract per your recommendation. It’s been an amazing experience - my libido levels have never been higher, I’m hyped up to train most days, feel like I have enough energy to take on the world, and just feel less stressed in general. Recommended this to a mate in the UK who messed around with external testosterone and was feeling miserable as a form of PCT and 3 months in he’s back in form and feeling better than ever! Think it’s definitely important to have a fall back that can help your body retain hormonal balance.
Rena, this video is very important to many men. I am on testosterone gel and have been there for five years. I am 70-ish and I wonder if I get off the testosterone gel will my testicles begin to produce testosterone if I reduce weight, etc. The follow-up to this video needs to be if you get off of testosterone gel, can you ever recover and manufacture testosterone naturally.
From what I’ve heard from body builders getting off test that it is important to keep estrogen levels down while your natural testosterone levels raises. I’m no doctor and I do not use steroids. Just word of mouth. Good luck though
Just a comment about my experience Rena. To start with I am an 84 year old (85 in July) living in Canada and have had brain fog and low energy levels for at least a couple of years. And of course I had lost my ability to get it up. I never got my testosterone level checked. Last Aug I started taking a 5 mushroom powder concentrate and since then my brain fog has disappeared and I have lots of energy. I also got my erection back and have seen many other health improvements. Just thought I should let you know.
Dr Rena - Can you please advise if TRT will end my life earlier than it should. Been on HRT since 19 years old due to 2 different types of ball cancer grew large tumors in my sack. Obv. The drs. Had no choice to remove those tumors. Even though the tumors were removed I still had stage 3 spread so chemo followed. Thankfully I’ve been In remission for almost 20 years now but also taking TRT for 20 years. I am approaching 40 and the docs I previously trusted seem to think there is no harm. Are you a Dr. interested in special cases b/c I’d love to discuss my preexisting condition with someone that has the expertise but also isn’t based in Chicago. P.S. I ask cause I get no straight answers anymore. Are you the type to do a quick consultation? Cause my treatment is still based on a 19 year old. That sound right to you?
No distinction is made between total and free testosterone. My total is good but free is low. My SHBG is high. Maybe consider doing a show delving into these numbers and what can be done to improve free testosterone.
As a nurse working in a hospital i would think how crazy it was to make new interns work such crazy hours with massive unsafe work loads and ask them to make medical decisions with sleep deprivation.
I’m 57 years old I have been using testosterone injections for 15 years now I also take an anti-estrogen to combat the estrogen buildup and I don’t look 👀 57 but I’m having trouble sleeping 😴
Im 30 years old. 11.5% body fat. 5’ 7” 160lbs I track my food. Sleep. Exercise weights/cardio 5 days a week. My test was 350 and free 10… I’m having issues with blood sugar, mood disorders, sleep issues, low energy, high cholesterol , high triglycerides … Highly considering TRT
Thank you Dr. Rena Malik a lots of improvements on my ED issues after I watching and following your videos tips and suggestions about erectile disfunction ❤. I'm more than 54 years old but still too much active now and stronger erection. I need more time for sleeping and perfect 🥰
I am hypogonadal due to a genetic condition. Started TRT at age 38. Honestly, I hardly noticed any changes at all despite my T going from under 100 to over 700 on average. Everyone responds differently. People have varying densities of androgen receptors, levels of aromatization, etc.
Rena - What is the current medical and scientific thinking behind testosterone triggering and fueling prostate cancer? During training 35 years ago, we generally steered away from giving men exogenous testosterone due to this fear.. I'd love to hear your expert opinion on this fear. Are all men with a low libidos and hypogonadism candidates for HRT. If not, who are? Thanks
I've been active my whole life, stay lean, and trained naturally for 20+ years. At 38 the low T hit me hard. Had all the symptoms. Tried everything over the counter for about a year. Nothing really worked consistently. Got a blood test and test was at 230. Started trt per my Dr's suggestion. Started with cypionate and switched to propionate for less water retention. 250ml weekly micro dosed daily keeps me at 900-1100. I also hired a coach. Trt gave me my life back. Everything got better and stays good. I get a full blood panel every year and it's stellar. I work with my Dr and coach to keep me optimized for health and training.
@@sunshinehappyfuntimes mine is 16-17. My Dr suggested giving blood. I've never done that so it stays in the 16-17 range. From the research I've done being on test can increase it but it's not a problem if your blood pressure is in normal range which mine is.
I am 48 and had low T and was considering TRT. I found a book that saved my life. My T levels are now consistent at between 500 and 600 and I feel more energy better libido and better moods. Complete Guide to Testosterone by James Francis
I went to a men’s clinic, and they tested my Testosterone levels. At just over 40, I had a 247 Testosterone level. So the Doctor is going to put me on Clomid in conjunction with an Estrogen Blocker for a two year period to improve my levels. This was the best method, as it will still allow me to have children, as opposed to having my body depend on an outside source for Testosterone. She said that once this treatment starts to work, I should drop weight, have more energy, and put my Testosterone levels back into the 900-1,200 range. I already eat right (though sweets are my vice at times), I just have stress from my job, and I don’t have the energy to exercise. This alternative therapy should help with this, and with a change in my job coming soon, this will help me significantly.
You need to have your prolactin, LH and FSH levels checked if you haven't already so you can figure out why your hypothalamus or pituitary gland is not doing it's job or if it is simply the testicles not doing their job. Please look into the side effects for clomid so you are aware of the risks, especially if you are going to use it for 2 years. Blocking the estrogen receptors on your hypothalamus can initiate the HPTA to start up again but the estrogen receptors in other tissues get blocked to a degree also, which results in some pretty bad shit.
wrong, get a better, male M.D., use T-GEL in low dose, 5mg/ week or maybe 5mg/3.5 days..blocking estrogen is outrightly wrong, unless you have cancers or other serious medical problem
I’m 57 and my T level are at 492 and I’m thinking about starting TRT. My body responds well in the gym as far as gaining muscle. However” I have no energy to go to the gym or a desire to do much of anything. So I’m looking into TRT to not feel this way. I just want to feel alive again and get back to my normal self! Question: is the shrinking just the testies or will it shrink my Johnson as well?😳This will be my deciding factor🤦🏽♂️
260 was my T last year at 39. I have hbp, Uncontrolled sleep apnea, bmi is overweight, 5 hours of sleep a night, low D3, no exercise, junk food diet, lots of sodas, high tgl, high hdl, high ldl. And Im diabetic...
I would like a video to add to this. What if you cannot take a full dose of TRT due to side effects (Elevated HTN, PSA, etc) but the dose that you can take does not fully correct the T level. Weight bearing exercise has been added. Vasodialating supplements like l-citrulline and beet root have been added. Other supplements like ZN, omega 3FA, vit D have been added along with diet changes of increased vegetables, and reduced fat intake. Are there other modalities that could be safely added to increase T when the labs minimize the amount of TRT is allowed?
So I have sleep apnea but about a year ago I ditched the cpap and now using a oral appliance so I should be good with treatment while using oral appliance vs cpap would ya say?
I just went to a urologist after a low T diagnosis Urologist walks in and says u want testosterone home injections? I said yes I’ll do injections myself No mention of sleep apnea? I’ve had sleep apnea for 10yrs… I didn’t do cpap machine… now that I know sleep apnea can be the issue I’m gonna get a cpap machine asap Thank you so much great video!
Same issue. My levels were just above low, so despite having every syptom, Dr after Dr ignored my symptoms, read a number a few points too high and booted me. I did eventually find a OBGYN that specialized in male HRT and he gave me pellets. Not one of the 5 Dr's I visited figuring out my syptoms mentioned sleep apnea. I decided on my own to demand a sleep test. And it's apnea. Now because of their lack of effort or giving a shit, even once I get apnea under control, it takes time for the body to start making T again naturally. It could be months or a year before the body restarts. Dr's can ruin our lives as much as help it.
Depends on the level and your symptoms. I've tried most of the solutions mentioned in this video, and they do indeed work.for light to moderately lot test. Once it drop to a certain point, they're useless. Its like taking an OTC pain medicine for relief after surgery.
A couple of questions 1 what about having epilepsy and the meds can that have any affect on testosterone 2. If a man gets fixed does that have anything on testosterone 3. Does either of these questions have an impact on ED
Nothing wrong with improving lifestyle, sleep etc but I frankly doubt it's going to be enough to optimize levels. Many doctors focus on just getting their patient into the so called "normal" range (which varies by lab significantly, not to mention lab results on the same blood sample can come back plus or minus 30-150 percent) at which point they refuse to consider testosterone therapy at all. The focus should be on clinical presentation, not a numbers game. I wonder if Dr. Malik has watched any of the excellent interviews with the prime expert, Harvard urologist Abraham Morgentaler.
Want to start with TRT but have lymphoma (sort of cancer) and will probably inherit my fathers prostate cancer so TRT is very dangerous for me! Have below 500 and very low libido! I have very good diet, go to gym 4p/w, 5”9 165lbs, 49 yo. *sigh* 😒 hopeless
I'm 47 I read 150-200 sucks tired feel almost sick I was scared by 60-80 hours wk n wk outs but now have no choice for t shots sucks 2 jobs 15 years straight so try to balance your life this sucks😢
I want trt, but not for anything soft. Complex PTSD spinal cord dammage. Sleeping, i wish I could, irritable beyond belief from lack of sleep and a life of big phama pills.
I've always had High Testosterone. In my 20's and 30's my T levels were thru the roof at 1500+. Now in my 40's they were still over 1000+. Started opioid management for chronic pain and now my T levels are in the normal range at 500-800 which i don't have so much symptoms of having High Testosterone thankfully. 🙏
Just keep in mind that the numbers are secondary to how you feel. As long as you don't experience any of the low test symptoms, you're likely in the clear.
Im 66yo I’m extremely metabolic healthy (now). 5 years ago my T was 225 now, running 6k/day, CrossFit 3d/w, whole food plant based plus a little fish and T now 350 (shbg 46) but free T low at 2.1 … I got TRT pellets .. T now at 1200 … I feel like I’m sexually 25 again, can also feel the T with respect to exercise and energy, I absolutely have a “spring in my step” Not at all bothered that I may be infertile in fact, that’s a benefit … def don’t want more kids.
Good for you. But be aware there are other side-effects to consider, such as increased blood volume. You may have to regularly donate blood. Your doctor should help you monitor this.
Levels can fluctuate by several hundred throughout the day and week so don't get too freaked out if it said 900, it might have gone right back to 1000 the next day.
Are there any research studies that show average testosterone levels in men 60 and older? My research says men age 60 have 20% of the testosterone they had in their 20s. A couple of top experts has well documented research that recommend being on HCG when being on testosterone replacement. Dr. Lipshults of Baylor and Dr. Abe Morgantaler Harvard.
Has it ever occurred to anyone the reason Zaman have diabetes, high cholesterol and high blood sugar and high blood pressure is because their testosterone is low and they don’t have enough energy to fix all that stuff. I don’t know just a thought.
yes! correct, but not in every case....low thyroid is low energy , everything is low and sluggish, there is a proper range...350-750 TESTO... get blood tested 2 seperate times, get on micro gel 5mg/week
Drs wont do me a Test blood check, 57 years old, no thyroid due to Graves, exercised all my life, and also suffer from ED since young.. Im also a full time carer !
Get your prolactin level checked! You might have a prolactin secreting tumor. Doctor will never check for this unless you force them too. If they won't order the test, you can order a prolactin test yourself online for like $50. That's what I had to do. My result was over 3000 prolactin, supposed to be under 20.
@@sunshinehappyfuntimes I no longer have a family physician , I lost my insurance. Where can I get one of these prolactin tests from the Internet from ???
If you can afford it, you should test for LH, FSH as well. Those are the signals that tell your testicles to make testosterone. This will tell you if the signal is being sent to the testicles or not. It's very important to know where the testosterone train is failing. Other hormones an endo will test for are IGF-1 and ACTH, but only if they want to rule out the other types of pituitary tumors, which they would only do if our LH / FSH are low. GOOD NEWS I found all 3 tests together in one bundle for only $78. It is called the "Amenorrhea Profile"
Find a TRT clinic that is less rigid, lower your dose, and/or switch to cream. Also, determine the root cause of your high hematocrit (e.g. sleep apnea, smoking, high altitude, etc.) and address that. TRT may increase hematocrit but it's rarely the true culprit. Also, you probably don't want to give blood to reduce hematocrit
Are you on TRT? My T level was 278 way too low but now I'm in the 90s with TRT. It has no bad side effect other than the needle that goes in my behind lol
Best answer is "maybe". Physically, no, based on tests and studies. But in reality some guys have mental issues / stress over the situation and present physical symptoms
A vasectomy does not affect testosterone levels. This procedure does not interfere with the testicles’ ability to produce testosterone, so hormone levels typically remain unchanged after a vasectomy.
Can you discuss the other effect of Testosterone Cypionate on increasing red blood cells , and best way to control it. I'm 71 can't live / function without it.
I have a new fm Dr and she put me on TRT. I've had male drs forever. I had testicular cancer in 09. Within 3 yrs of that surgery I had ballooned 100 lbs. Nothing else changed in that time. Nobody ever mentioned until this woman Dr that that probably caused a reduction in testosterone which led to gaining weight which of course leads to prediabetes etc. One time in those yrs a male Dr did check and said your testosterone is low but it's because of metabolic syndrome. This lady said or you've gained weight uncontrollably and ended up with metabolic syndrome because you've had very low T ever since the cancer and shook her head at the one Dr's answer and all the other Dr's never bothering to check knowing my history and studies showing almost half of men who go through that have low T after. My T was down around 150-175. Gona be interested to see my labs next visit in a few Mos. Dropped 36 lbs so far since she put me on it. Finally not needing coffee and energy drinks just to barely be able to function is great.
The two biggest symptoms are ED/low libido and weight gain. Particularly fat around the mid-section (and it doesn't go away no matter how much you diet). That's the first clue your test has taken a nose dive.
@@richardderuiter7897 Cystic acne that took literal thousands of dollars to get over.. the quest to find the right medication. Ruined my libido to non-existence. And EVERYTHING atrophy’s. When people are like my drive is through the roof. I have so much energy. That’s the placebo effect of it. I never got that. And regret it every minute. If I go off it, my levels drop to 15 or so.
your dose was way to high , sorry...YT the test doc, he's from miami he will get you to somewhat normal, under 100 is a serious medical condition, you need MD / HOSPITAL IMMEDIATELY
People only think they are stressed, our ancestors had to worry about where their next meal comes from, surviving the winter and not dieing from a scratch or abscessed tooth. People just don't realize how good we have it.
Perhaps you don't understand what stress is? And how can you know people only think they are stressed? Are you psychic? Am I stressed? Yes, I am. Prove me wrong.
Our stress adjusts to our expectations and environment. Humans have a baseline of built in suffering. So one person’s bad day feels as bad as another person’s bad day feels to them. We adjust and adapt.
No, your genetic disposition makes you lose your hair. If you have the bald gene, you're going to go bald. Test will however, accelerate that condition.
I’m a 42 year old recovering alcoholic. When I first got sober I got blood work done (at age 36), and I was told that my testosterone levels were in the toilet. 3 months of sobriety later, and my levels were back up to normal. I was also tracking my macros and working out 4 times per week during this time. On the 7th of this months I’ll have 6 years of sobriety, and the results of my last blood panel shows that my testosterone levels are a little bit higher than normal for a man of my age and active lifestyle. Guys, if you drink do so in moderation. Otherwise you might be doing more damage than you might think.
@@dirtomega congratulations!!
My husband’s in AA and I quit when he did. LOVE having an alcohol free house!
Nothing good ever comes from alcohol!
Spot on with the alcohol and the affects it has on your endocrine system. Test levels among other hormones
So a 12 pack a day is to much ?
@ Probably
This is encouraging! I’m 35 and binge on the weekends. Levels are low 300s. Heard similar stories so I’ve quit drinking. I’m hoping I’m one of the lucky ones to get my numbers back up!
In the 1980’s the normal range for testosterone in men was 750-1150. Now it’s 300-700 (depending on lab)
plastics are making gen-z gay
If they are and keep moving what is classed as normal eventually there will be medical issues and obviously there already is especially if they keep re-gauging the level every few years as it will give men physical and mental problems as quite often most doctors don't go far enough as they are quir busy and not considering that drop over the years. Is this a hidden agenda to make men less aggressive and more effeminate
Thank you Dr Rena for the insightful video. As a 30 YO male with HT and high cholesterol and low T, this video has given me answers that no Dr ever did. Thank you again!
Yes. You just described me with low t. I inject t twice a month to increase blood levels. It was the only way that worked for me at age 75. I highly encourage anyone with low t to start it. Feel much better every day.
@@2023Red twice a month is usually not enough. Testosterone cypionate only lasts about 5 days. I have my patients inject smaller doses twice a week at home.
@ Yes. I just do not like self injecting and the rub on form is messy. So twice a month is my compromise.
I am 69 years old with stage 2 heart failure. I just had my testosterone measured because I have recently developed ED and loss of libido which have NEVER been an issue. Total was 574, but free (calculated) was only 9.4. DHEA was almost non-existent. I am seriously considering hormone optimization therapy to right the ship. I just have to weigh the potential benefits against the potential negatives and decide if the ratio is high enough to proceed.
Dr. Malik just describe my personal experience, I lost weight, started doing cardio & now resistance weights training & at 61 has no erectile dysfunction issues....
I’m early 60s on trt , but also very fitness based , Train and eat well every day .
I believe it can be fantastic for the people who live the right lifestyle, not so sure it’s the right fit for the people who live an unhealthy lifestyle though , the two go hand in hand in my opinion .
Yes. Would to learn more about the medication for testosterone
I had my testosterone tested at 53. My testosterone level was 535, which is damn good for 53. HOWEVER - I was having difficulty sleeping through the night, difficulty losing belly fat, and difficulty gaining strength despite going to the gym regularly. I started testosterone cypionate injections. Shot up to 1500+, dialed it back, was still at almost 1400 and dialed it back again... I only do 40 mg twice a week and I am noticing a big difference. I'm 5' 10" and 180 lbs.
535 is normal, even higher than average for a 53 year old. What was your free T level? Your symptoms may not have been related to low T. Keep an eye on your estradiol because at the levels you stated it's very unlikely that your body can use all that testosterone (more is definitely not better)
40 mg twice a week? Is that a typo?
Are you sleeping now?
@@danielsykes7558he will be sleeping forever with those dosages.
Why did your doctor approve TRT when your level was normal? My doctor wouldn't prescribe it bc my level is normal. I'm younger than you and very fit and lean too.
I’m a gym guy. Low bmi, lots of muscle. I’m on trt right now under a dr. Care. It’s working. Along with sleep, no refined sugar, exercise, etc. I’m doing fine gradually going up.
How did you go about noticing that you needed help?
@@gmotsjr13 I didn’t feel like doing anything. Felt sluggish. Very low energy. My T levels were low. I am getting bi-monthly injections, and taking Tong Kat Ali. I also take creatine every morning. My levels are up.
Do you take TRT from a regular hospital or from a hormone clinic? How did you convince the doctor to give you TRT?
@@RedSpicyFeast1010if you really just want to take TRT.. go to a hormonal clinic. They are super lenient and will give it to you if you say that’s something you want to do if you have low T. Speaking from experience.
I have apnea. I’ve had a cpap for about 12 years now. That changed my life and I’m not even remotely exaggerating. If you guys have it don’t let it go. Totally worth the little bit of effort to get the machine.
I agree! Just got mine in November and it's been a life changer. Sleep study said I was waking up 11 times an hour on average. Now I get a solid 6-7 hours before waking.
@@Shreadington The difference is crazy isn’t it? When you wake up tired for years and years and, all of a sudden, now you wake up with energy it feels like a freaking miracle
@@Boethius4748 YES! I have just the nose mask. My apnea got really bad last year prepping for my Masters Classic and Bodybuilding competition. My kids could hear me snoring from their rooms with doors closed and my wife slept on the couch so I could have the bed. After the competition, which I won both Masters Classes 😁, I had the sleep study done and slept on the couch until I got the results and cpap. First night was a little odd but the second night I was off to Neverland. Unbelievable difference. I travel for work at times and always bring it.
@@Boethius4748
What is CPAP?
I've heard this as well (suffering from chronic fatigue) someone told me to check my ox levels as someone with apnea will have low levels at night. Bought a Fitbit but it shows my ox being 95-97 every night for a year now
no mention of alcohol? trust me it has a major effect.
That should go without saying. But you said it. Now that you mention it, may l add smoking too?
What is your story? I’m looking for hope
I just got my bloodwork results and my testosterone levels were at 160 which I hear is VERY low so I had to get a MRI before I start TT for medical reasons as a precaution. I’m very excited to start the process. I used to live in the gym but when I had a hip replacement surgery it really took me out of the game and it was also it was around when Covid started so I couldn’t even go to the gym. I gained a significant amount of weight and now living an unhealthy lifestyle all the way around so now with this treatment starting and getting my mind right I’m praying that I can get my life back. I will keep you posted if interested. Be blessed everyone
Good luck! Hope it helps. 250 is considered low. I'm at 285 and doctors won't consider me for TRT
Find another dr. Or a men's clinic. If done properly, it can be life changing.@@mountainman001
I'm 40 and I was in the 500s bout a year or two ago and started taking Tongkat Ali and Fadogia for over a year and my testosterone is now 884 and free test is 139. I always worked out 7 days a week and eat a high-protein clean diet.
What is the brand of TQ/FG that you took? Provides dosage/cycle protocol as well.
I am assuming your before/after Test# are reflective of Labs!
@@oda6104 I use solaray Tongkat Ali one in the morning barlowes Fadogia one pill in an then at night I take a pill of Thalacy combo Fadogia and Tongkat that has some ashwaganda. I also take Jacked Factory Yohimbine and pro health nmn
Are you cycling on and off the tongkat and fadogia at all?
@@ReyShady05 haven’t cycled off see no negative side effects and total and free test has consistently gone up. I last checked in January I’ll check again in summer or fall.
@@thewalletwarrior just curious I took the prescribed dose for 5 months. Ordered them from huberman's website. Just got my testosterone checked and it was only at 245.
Thank you Doctor Malik for another great show. I started TRT pellets about a year and a half ago. At 68 years old my T level would fluctuate between 210 and 380 most times in the 280 range. I was tired and lethargic at times and then started having very rapid ejaculation during sex. My Urologist told me that there was no official study but low T could very well be the cause. She gave me 3 pellets and 10 months later 4 pellets. So far I am really happy with the results. She is a wonderful Doctor as you are. Thank you for the time and support you give us.
How much does it cost ?
Hi Doc
I just wanted to say thank you for all the content you share and for all that you do.. you are an amazing doctor! Thank you !!
I've been doing hormone optimization for 2 years now. I'm 62. I've lost 40lbs and now have a bmi of 24.5. I have a testosterone level of 1123. However, the most important hormone I've optimized is insulin. Gone from fasting insulin of 11.8 to 4.2. The answer is: 20% optimization of thyroid and testosterone to top end of scale. Hate sugar and all added sugars. Low carb diet. 60% what you eat and when you eat it. Lots of protein (6 eggs a day). Lots of raw broccoli and cauliflower and meat. Intermittent fasting 16hrs a day zero calories. 20% exercise. Resistance bands 30mins a day. Feel like 30 again. ED gone. Very lean muscle now.
Damn, I am on TRT at 200mg of Test Cypionate per week and if I get up past 700 my Doc. freaks out. I keep telling him I was a competitive powerlifter for 30 yrs and took a boatload of drugs. my levels pre TRT was 300, I think my Grandson had a higher level at 3 y/o LOL. At 1123 I would feel like the old days. I am also a type 2 diabetic and take Ozempic and other meds.
Sounds like a fairy tale😮
How are you keeping your hematocrit under 50% when you’re keeping your total T over 1000 year round?
Ridicoulus. Please study. "Lots of meat,low carb bla bla" Brother just stay in range referenze,sleep enough,eat real food wich mean no industriale bullshit and you done. Jesus c.
Thanks Doc. I have low T and have been following most these things like exercising, dieting, lowering my bp and ldl. I still have the sleep apnea issue. Working long hours is screwing my sleep, but I am getting a little better at this. Also losing the weight is a slow process despite working out like a dog.
I’m 57 and suffer all the symptoms of low T i think it’s time for me to go down that road
I'm 39. Testosterone replacement and ipomorlin changed my life. I was able to finally kick a 12 year long methamphetamine addiction. I couldn't function without it. 6 months on Testosterone and I was a new man...
Badass story - what is ipomorlin in basic terms and why do you think it helps you kick a bad habit?
@@aleck1739 ipamorlin is a string of a meno acids known as a a peptide. Look it up. There's hundreds of different ones. Ipamorlin is a human growth hormone senagoge. Basically it makes your body produce more human growth hormone. Which is like pure digest able food for your body. I never said directly that it helped break an addiction. I was just stating that for the longest time tens of 15 years I was not able to break that cycle until I got on testosterone and ipamorlin. It worked for me. I'm not giving all the credit to these injections motivation and will played a big part. But I feel they gave my body the extra it needed in a time when I felt like death would be an easier route. Once you take a very powerful stimulant away from a body that's had it everyday for ten years. First thing in mourning, multiple time throughout day. Your body has forgotten how to produce the natural chemicals in your nervous system that make u function.
@@aleck1739
Ipamorelin is what I think he meant to say it’s an HGH product that provides a huge boost to men in conjunction with testosterone therapy
The positives are numerous but in general increases energy mental focus better sleep sex drive fat loss if I remember correctly it corrects metabolic syndrome etc
Anti aging meds
I’m trying to get this same cocktail in Cincinnati which will run 200 month.. I spend that on weed alone lol
Didnt ipamorlin get banned ?
@@sketch6774 you can still buy it at Beyond research
32m, with consistent levels under 170. Testi injury from the military. After 10 years of feeling very off, I'm finally getting confirmed it's low T.
your past MD'S FAILED YOU...😢
Thank You Dr. Malik 😊 I'm considering testosterone treatment but want to run it first with my ppe
my is 32 and I'm 54 but I also have Klienfelter Syndrome , High BP and still have all the systems . but also on Xarrletto, for Factor iv. Blood clot issue and Ozempimpic, but have sleep Apena WoW I'm a Mess . so more Sleep and Elievate Stress. went from 265 to 195 also Diet Control eat healthy and Fast in 11months Now back up 213 . so Vacurseal will help interesting.
I had my bloodwork tested back in January and testosterone came back at 330. On the scale it showed low but they told me not to worry to much about it right now and to come back in a few months to retake the blood test. Since then I'm still continuing my multivitamin and a little bit more vitamin D so I hope to see some improvement. What else should I do?
proper sleep/exercise/diet...your on the edge, the docs and insurance will say you dont need it, cuz they dont wanna pay.....but at a microdose 5mg/week gel will put you solid 400,, your body and emotional statebwill feel great!!
@@lunam7249 I tested 2x lowest being 285 but still not low enough for TRT. Doctors won't consider unless your low (250 and under)
@@mountainman001 dam!!! just a few months ago it was 300!!! sorry, a "endocrine specialist" or "TRT" doctor clinic may help you!!!!! are you near mexico border?
try VIT B100 or a VIT B100 INJECTION IN YOUR BUTT...everyone is chronically low of b100
@@lunam7249 Pennsylvania. Not even close! 😂 I think one of those "clinics" might be 2 hours away. No guarantees with those though, could be the same story.
Hey doc...can u do something about enclomiphene? Thx and love your ch.
I've been doing Human Chorionic Gonadotropin for the past 15 years to prompt my body to make more testosterone, and it's worked great for me. (I had some rare side effects and issues with the testosterone cypionate injections, and my body wouldn't absorb the testosterone patches or gels appropriately.)
no easily availible
@@lunam7249 It's easily available in the USA. It's just expensive without insurance coverage. Getting insurance to cover it involved my doctor writing a letter to inform my insurance company the failures of testosterone injections, patches, and gels - along with some adverse effects I had with those. The HCG still costs me $50 per month. That's for six vials of 10,000 units each.
This is great, Dr Rena! I’ve been following your content for a while now and have been using standardised hot-water Tongkat Ali root extract per your recommendation. It’s been an amazing experience - my libido levels have never been higher, I’m hyped up to train most days, feel like I have enough energy to take on the world, and just feel less stressed in general. Recommended this to a mate in the UK who messed around with external testosterone and was feeling miserable as a form of PCT and 3 months in he’s back in form and feeling better than ever! Think it’s definitely important to have a fall back that can help your body retain hormonal balance.
What brand do you use? 🙏🏻
Rena, this video is very important to many men. I am on testosterone gel and have been there for five years. I am 70-ish and I wonder if I get off the testosterone gel will my testicles begin to produce testosterone if I reduce weight, etc. The follow-up to this video needs to be if you get off of testosterone gel, can you ever recover and manufacture testosterone naturally.
From what I’ve heard from body builders getting off test that it is important to keep estrogen levels down while your natural testosterone levels raises. I’m no doctor and I do not use steroids. Just word of mouth. Good luck though
yes, if low dose your body will recover, but just stay on the gel, 5mg/week?
Just a comment about my experience Rena. To start with I am an 84 year old (85 in July) living in Canada and have had brain fog and low energy levels for at least a couple of years. And of course I had lost my ability to get it up. I never got my testosterone level checked. Last Aug I started taking a 5 mushroom powder concentrate and since then my brain fog has disappeared and I have lots of energy. I also got my erection back and have seen many other health improvements. Just thought I should let you know.
Can you make a video commenting on clomid?
The vision issues with Clomid scared me away. The other side effects never scared me, but I'm not about to put my vision at risk!
Dr Rena - Can you please advise if TRT will end my life earlier than it should. Been on HRT since 19 years old due to 2 different types of ball cancer grew large tumors in my sack. Obv. The drs. Had no choice to remove those tumors. Even though the tumors were removed I still had stage 3 spread so chemo followed. Thankfully I’ve been In remission for almost 20 years now but also taking TRT for 20 years. I am approaching 40 and the docs I previously trusted seem to think there is no harm. Are you a Dr. interested in special cases b/c I’d love to discuss my preexisting condition with someone that has the expertise but also isn’t based in Chicago.
P.S. I ask cause I get no straight answers anymore. Are you the type to do a quick consultation? Cause my treatment is still based on a 19 year old. That sound right to you?
This is fantastic info Doc! Thank you! I need to do something about getti g better sleep.. im considering TRT.
Help me out doctor I need some help I can't get a hard-on anymore what's up😮
Good vid. Just made one myself about things hurting our testosterone no one talks about
No distinction is made between total and free testosterone. My total is good but free is low. My SHBG is high. Maybe consider doing a show delving into these numbers and what can be done to improve free testosterone.
As a nurse working in a hospital i would think how crazy it was to make new interns work such crazy hours with massive unsafe work loads and ask them to make medical decisions with sleep deprivation.
I’m 57 years old I have been using testosterone injections for 15 years now I also take an anti-estrogen to combat the estrogen buildup and I don’t look 👀 57 but I’m having trouble sleeping 😴
Test can cause anxiety and sleeplessness. Talk to your doctor about reducing the dose.
Im 30 years old. 11.5% body fat. 5’ 7” 160lbs
I track my food. Sleep. Exercise weights/cardio 5 days a week.
My test was 350 and free 10…
I’m having issues with blood sugar, mood disorders, sleep issues, low energy, high cholesterol , high triglycerides …
Highly considering TRT
Do you drink?
@ very rarely. Maybe a few per month sometimes months without any
Doesnt low cholesterol meds and diet lower T levels and increase brain fog? Thanks
Would you be able to do a video on what nutrients can affect your testosterone/men's sexual health? (if you haven't already)
Thank you so much, this channel is a 'god send' Subscribed and belled
Thank you Dr. Rena Malik a lots of improvements on my ED issues after I watching and following your videos tips and suggestions about erectile disfunction ❤. I'm more than 54 years old but still too much active now and stronger erection. I need more time for sleeping and perfect 🥰
I am hypogonadal due to a genetic condition. Started TRT at age 38. Honestly, I hardly noticed any changes at all despite my T going from under 100 to over 700 on average. Everyone responds differently. People have varying densities of androgen receptors, levels of aromatization, etc.
@@FromDesertTown hi man !
Do you have primary or secondary hypogonadism ?
Rena - What is the current medical and scientific thinking behind testosterone triggering and fueling prostate cancer? During training 35 years ago, we generally steered away from giving men exogenous testosterone due to this fear.. I'd love to hear your expert opinion on this fear. Are all men with a low libidos and hypogonadism candidates for HRT. If not, who are? Thanks
Hi Dr. Malik! Do you have an opinion on using Clomid to boost testosterone?
I've been active my whole life, stay lean, and trained naturally for 20+ years. At 38 the low T hit me hard. Had all the symptoms. Tried everything over the counter for about a year. Nothing really worked consistently. Got a blood test and test was at 230. Started trt per my Dr's suggestion. Started with cypionate and switched to propionate for less water retention. 250ml weekly micro dosed daily keeps me at 900-1100. I also hired a coach. Trt gave me my life back. Everything got better and stays good. I get a full blood panel every year and it's stellar. I work with my Dr and coach to keep me optimized for health and training.
What are you tips for keeping hemoglobin at 16ish? Is that where yours is at? Did you ever have it come back at 18 or 20?
@@sunshinehappyfuntimes mine is 16-17. My Dr suggested giving blood. I've never done that so it stays in the 16-17 range. From the research I've done being on test can increase it but it's not a problem if your blood pressure is in normal range which mine is.
How do you surgically correct sleep apnea.. please help me. I have very low T and I suffer from sleep apnea and I can’t tolerate cpap therapy..
You made learning look so easy. You're blessed..
I am 48 and had low T and was considering TRT. I found a book that saved my life. My T levels are now consistent at between 500 and 600 and I feel more energy better libido and better moods. Complete Guide to Testosterone by James Francis
What book?
@@coop98read the last sentence
Congratulations. You don't have a true low test problem. When you do, nothing in a book or home remedy will fix it.
I’m at 399 thinking of getting some
How did the book help you and what did you do to fix your levels?
I went to a men’s clinic, and they tested my Testosterone levels. At just over 40, I had a 247 Testosterone level. So the Doctor is going to put me on Clomid in conjunction with an Estrogen Blocker for a two year period to improve my levels. This was the best method, as it will still allow me to have children, as opposed to having my body depend on an outside source for Testosterone. She said that once this treatment starts to work, I should drop weight, have more energy, and put my Testosterone levels back into the 900-1,200 range. I already eat right (though sweets are my vice at times), I just have stress from my job, and I don’t have the energy to exercise. This alternative therapy should help with this, and with a change in my job coming soon, this will help me significantly.
You need to have your prolactin, LH and FSH levels checked if you haven't already so you can figure out why your hypothalamus or pituitary gland is not doing it's job or if it is simply the testicles not doing their job. Please look into the side effects for clomid so you are aware of the risks, especially if you are going to use it for 2 years. Blocking the estrogen receptors on your hypothalamus can initiate the HPTA to start up again but the estrogen receptors in other tissues get blocked to a degree also, which results in some pretty bad shit.
wrong, get a better, male M.D., use T-GEL in low dose, 5mg/ week or maybe 5mg/3.5 days..blocking estrogen is outrightly wrong, unless you have cancers or other serious medical problem
@@sunshinehappyfuntimes👏👏😳👏😳
I need wife replacement therapy.
Couples Counseling Therapists --->
Dude you made me spit out my coffee..:)
@@Grze9898 get your wife to a doctor who knows how to prescribe testosterone to women
Thank you for making me laugh. lol
Dr. Malik. Can you help with chronic osteitis pubis lasting more than 12 months and unaffected by two cortisone injections and physical therapy?
Rena if I sleep with a cpap machine is it okay to do TRT?
What about people with Klinefelter syndrome. Do we need trt?
Thanks you. Please talk on prolactioma in men which greatly reduces testosterone.
I’m 57 and my T level are at 492 and I’m thinking about starting TRT. My body responds well in the gym as far as gaining muscle. However” I have no energy to go to the gym or a desire to do much of anything. So I’m looking into TRT to not feel this way. I just want to feel alive again and get back to my normal self! Question: is the shrinking just the testies or will it shrink my Johnson as well?😳This will be my deciding factor🤦🏽♂️
492 is super good for your age, I’m at 345 and I’m 27
@ Damn!! 27, I wanna be at 8-900
@ yeah I’m not sure why, it was 400 a year ago and I’ve been consistently lifting and dieting, I’ve lost 20 pounds since and now my t is even lower 😅
260 was my T last year at 39. I have hbp, Uncontrolled sleep apnea, bmi is overweight, 5 hours of sleep a night, low D3, no exercise, junk food diet, lots of sodas, high tgl, high hdl, high ldl. And Im diabetic...
get a gym trainer, check up with MD, your lifestyle should change
Get a will and personal affairs sorted out… 😆
I would like a video to add to this. What if you cannot take a full dose of TRT due to side effects (Elevated HTN, PSA, etc) but the dose that you can take does not fully correct the T level.
Weight bearing exercise has been added. Vasodialating supplements like l-citrulline and beet root have been added. Other supplements like ZN, omega 3FA, vit D have been added along with diet changes of increased vegetables, and reduced fat intake. Are there other modalities that could be safely added to increase T when the labs minimize the amount of TRT is allowed?
If I have high sex drive dose that mean I can't have low t...got all symptoms except sex drive
So I have sleep apnea but about a year ago I ditched the cpap and now using a oral appliance so I should be good with treatment while using oral appliance vs cpap would ya say?
alcohol and excess weight also increase sleep apnea...
I just went to a urologist after a low T diagnosis
Urologist walks in and says u want testosterone home injections? I said yes I’ll do injections myself
No mention of sleep apnea? I’ve had sleep apnea for 10yrs… I didn’t do cpap machine… now that I know sleep apnea can be the issue I’m gonna get a cpap machine asap
Thank you so much great video!
Same issue. My levels were just above low, so despite having every syptom, Dr after Dr ignored my symptoms, read a number a few points too high and booted me. I did eventually find a OBGYN that specialized in male HRT and he gave me pellets. Not one of the 5 Dr's I visited figuring out my syptoms mentioned sleep apnea. I decided on my own to demand a sleep test. And it's apnea. Now because of their lack of effort or giving a shit, even once I get apnea under control, it takes time for the body to start making T again naturally. It could be months or a year before the body restarts. Dr's can ruin our lives as much as help it.
Depends on the level and your symptoms. I've tried most of the solutions mentioned in this video, and they do indeed work.for light to moderately lot test. Once it drop to a certain point, they're useless. Its like taking an OTC pain medicine for relief after surgery.
A couple of questions
1 what about having epilepsy and the meds can that have any affect on testosterone
2. If a man gets fixed does that have anything on testosterone
3. Does either of these questions have an impact on ED
Thanks Doc, very sensible.
My testosterone is 421 I am 62 and have All the symptoms of low Testosterone. What do you think
Working on improving your metabolic syndromes/bio marker is a life long battle.
Nothing wrong with improving lifestyle, sleep etc but I frankly doubt it's going to be enough to optimize levels. Many doctors focus on just getting their patient into the so called "normal" range (which varies by lab significantly, not to mention lab results on the same blood sample can come back plus or minus 30-150 percent) at which point they refuse to consider testosterone therapy at all. The focus should be on clinical presentation, not a numbers game. I wonder if Dr. Malik has watched any of the excellent interviews with the prime expert, Harvard urologist Abraham Morgentaler.
Want to start with TRT but have lymphoma (sort of cancer) and will probably inherit my fathers prostate cancer so TRT is very dangerous for me!
Have below 500 and very low libido! I have very good diet, go to gym 4p/w, 5”9 165lbs, 49 yo.
*sigh* 😒 hopeless
HCG hormone....read about ivermectin for cancer prevention and 2000mg of vit C/DAY
2:39 do you know what that difference is as a percentage ?
What about pituitary adenomas and low T?
I'm 47 I read 150-200 sucks tired feel almost sick I was scared by 60-80 hours wk n wk outs but now have no choice for t shots sucks 2 jobs 15 years straight so try to balance your life this sucks😢
get on medical $ assistance your 150 T LEVEL IS TO LOW, DEPRESSION...get a roomate or you rent a room, 60/80hr/week is definately fatal
I want trt, but not for anything soft. Complex PTSD spinal cord dammage. Sleeping, i wish I could, irritable beyond belief from lack of sleep and a life of big phama pills.
If you start test replacement therapy what happens if you stop
I've always had High Testosterone. In my 20's and 30's my T levels were thru the roof at 1500+. Now in my 40's they were still over 1000+. Started opioid management for chronic pain and now my T levels are in the normal range at 500-800 which i don't have so much symptoms of having High Testosterone thankfully. 🙏
Just keep in mind that the numbers are secondary to how you feel. As long as you don't experience any of the low test symptoms, you're likely in the clear.
Im 66yo I’m extremely metabolic healthy (now). 5 years ago my T was 225 now, running 6k/day, CrossFit 3d/w, whole food plant based plus a little fish and T now 350 (shbg 46) but free T low at 2.1 … I got TRT pellets .. T now at 1200 … I feel like I’m sexually 25 again, can also feel the T with respect to exercise and energy, I absolutely have a “spring in my step”
Not at all bothered that I may be infertile in fact, that’s a benefit … def don’t want more kids.
Good for you. But be aware there are other side-effects to consider, such as increased blood volume. You may have to regularly donate blood. Your doctor should help you monitor this.
hey!! that T IS WAYYYYYY TO HIGH, DROP TO 750 FOR 3 MONTHS THEN 400 SHOULD BE A CONSTANT LIFELONG LEVEL
LDL below 100 is problematic. Look up JAMA 2013 study. 100-180 is best.
I'm 62 and my testosterone level was over 1000 until recently. It has dropped to 900 so I'm concerned it's starting to go down. Thanks for this video.
900 is great for a 62 y/o
Levels can fluctuate by several hundred throughout the day and week so don't get too freaked out if it said 900, it might have gone right back to 1000 the next day.
arnold, move along...
Are there any research studies that show average testosterone levels in men 60 and older? My research says men age 60 have 20% of the testosterone they had in their 20s.
A couple of top experts has well documented research that recommend being on HCG when being on testosterone replacement. Dr. Lipshults of Baylor and Dr. Abe Morgantaler Harvard.
Has it ever occurred to anyone the reason Zaman have diabetes, high cholesterol and high blood sugar and high blood pressure is because their testosterone is low and they don’t have enough energy to fix all that stuff. I don’t know just a thought.
yes! correct, but not in every case....low thyroid is low energy , everything is low and sluggish, there is a proper range...350-750 TESTO... get blood tested 2 seperate times, get on micro gel 5mg/week
Useful tips!
What about TRT and Prostate Cancer?
Testosterone feeds the cancer …. happened to me .
Drs wont do me a Test blood check, 57 years old, no thyroid due to Graves, exercised all my life, and also suffer from ED since young.. Im also a full time carer !
Last time i did a blood test and the result was my testosteron & estrogen was too little. Only DHEA was normal, cant explain it
I appreciate your videos
I’ve got extremely low testosterone…. I need to figure out this problem…
Get your prolactin level checked! You might have a prolactin secreting tumor. Doctor will never check for this unless you force them too. If they won't order the test, you can order a prolactin test yourself online for like $50. That's what I had to do. My result was over 3000 prolactin, supposed to be under 20.
@@sunshinehappyfuntimes I no longer have a family physician , I lost my insurance. Where can I get one of these prolactin tests from the Internet from ???
If you can afford it, you should test for LH, FSH as well. Those are the signals that tell your testicles to make testosterone. This will tell you if the signal is being sent to the testicles or not. It's very important to know where the testosterone train is failing. Other hormones an endo will test for are IGF-1 and ACTH, but only if they want to rule out the other types of pituitary tumors, which they would only do if our LH / FSH are low.
GOOD NEWS I found all 3 tests together in one bundle for only $78. It is called the "Amenorrhea Profile"
@@sunshinehappyfuntimes How does a “ Prolactin “ test work ? Is this a test that a man has to urinate on ?
@@sunshinehappyfuntimes where exactly did you order your “ Prolactin” test online at ???
I did HRT and my hemocrir spikes and dr was worried about it so she had me stop what can I do?
Find a TRT clinic that is less rigid, lower your dose, and/or switch to cream. Also, determine the root cause of your high hematocrit (e.g. sleep apnea, smoking, high altitude, etc.) and address that. TRT may increase hematocrit but it's rarely the true culprit. Also, you probably don't want to give blood to reduce hematocrit
Doc you dork, my favorite type of people
Great info
Thanks doc
Hello I'm 44 n I believe I have low t n would like to fox it also my testicsls are small. Been trying to have children someday soon
Thank god I still wake up with more wood than a lumber yard.
Stay healthy, my brothers.
Are you on TRT? My T level was 278 way too low but now I'm in the 90s with TRT. It has no bad side effect other than the needle that goes in my behind lol
@@Liveeachdaytothefullest I'm not mate, no! Still natty, thankfully.
I'll def go that route one day tho.. in one form or another 💉
😂😂😂 that a good one
I don’t know bro, all the 2x4’s at the lumber yard near me are wicked crooked, warped and split.
Thank you very much.
can you do a video on Penile Adhesions & Skin Bridges?
Will a vasectomy affect testosterone levels?
Best answer is "maybe". Physically, no, based on tests and studies. But in reality some guys have mental issues / stress over the situation and present physical symptoms
@@DrAJ_LatinAmerica I had a vasectomy in 2016 and became made aware of low testosterone levels in 2018.
A vasectomy does not affect testosterone levels. This procedure does not interfere with the testicles’ ability to produce testosterone, so hormone levels typically remain unchanged after a vasectomy.
Can you discuss the other effect of Testosterone Cypionate on increasing red blood cells , and best way to control it.
I'm 71 can't live / function without it.
I have had to come off TRT for this reason.
Go give blood every two or three months. That will keep it normal
I have a new fm Dr and she put me on TRT. I've had male drs forever. I had testicular cancer in 09. Within 3 yrs of that surgery I had ballooned 100 lbs. Nothing else changed in that time. Nobody ever mentioned until this woman Dr that that probably caused a reduction in testosterone which led to gaining weight which of course leads to prediabetes etc. One time in those yrs a male Dr did check and said your testosterone is low but it's because of metabolic syndrome. This lady said or you've gained weight uncontrollably and ended up with metabolic syndrome because you've had very low T ever since the cancer and shook her head at the one Dr's answer and all the other Dr's never bothering to check knowing my history and studies showing almost half of men who go through that have low T after. My T was down around 150-175. Gona be interested to see my labs next visit in a few Mos. Dropped 36 lbs so far since she put me on it. Finally not needing coffee and energy drinks just to barely be able to function is great.
The two biggest symptoms are ED/low libido and weight gain. Particularly fat around the mid-section (and it doesn't go away no matter how much you diet). That's the first clue your test has taken a nose dive.
Testosterone therapy was the biggest mistake of my life. I’ve made many, this is the biggest one.
why if I may ask?
@@richardderuiter7897 Cystic acne that took literal thousands of dollars to get over.. the quest to find the right medication. Ruined my libido to non-existence. And EVERYTHING atrophy’s. When people are like my drive is through the roof. I have so much energy. That’s the placebo effect of it. I never got that. And regret it every minute. If I go off it, my levels drop to 15 or so.
@kimkos where did your comment go..?
your dose was way to high , sorry...YT the test doc, he's from miami he will get you to somewhat normal, under 100 is a serious medical condition, you need MD / HOSPITAL IMMEDIATELY
@@lunam7249think you’re overreacting a lot. I don’t need your feedback. Thanks though.
People only think they are stressed, our ancestors had to worry about where their next meal comes from, surviving the winter and not dieing from a scratch or abscessed tooth. People just don't realize how good we have it.
Perhaps you don't understand what stress is? And how can you know people only think they are stressed? Are you psychic? Am I stressed? Yes, I am. Prove me wrong.
@@toby9999 My point is we are built to deal with it, it's not a new thing and it's not worse than it used to be.
Our stress adjusts to our expectations and environment. Humans have a baseline of built in suffering. So one person’s bad day feels as bad as another person’s bad day feels to them. We adjust and adapt.
Doesn’t trt make you lose your hair?
No, your genetic disposition makes you lose your hair. If you have the bald gene, you're going to go bald. Test will however, accelerate that condition.
I think the injections are making me breakout in cysts on my head, im weening off.
When COVID hit and gyms had opened again I did squats and I felt a sharp pain and noticed I got a vericose