Dr. Malik thank you for this excellent presentation. I have had elevated SHBG ever since my allogeneic peripheral blood HSCT for the AML leukemia I was diagnosed with in March 2014. The oncologists/hematologists didn't seem to know, or didn't want to explain to me, the finer details of SHBG. Thank you for the description of the complex balances that perhaps reflect the conditions that affect SHBG.
Please don't misread my comment, the SHBG level is very high in my case after the SCT (has nothing to do with AML leukemia), I was told by one oncologist/hematologist that it was my liver causing the higher SHBG levels, a PA endocrinologist said that it was due to the chronic GVHD, it might be a gene expression effect. I don't know but this presentation added to my understanding of this situation with me and SHBG biochemistry. I have found that there are a multitude of gene expressions, body biochemical expressions not well understood. It seems at this time and my observations, that although the HSCT to cure blood cancers has been going on for the past 45 years at City of Hope in Duarte CA. The "medical industry" still doesn't have a sure, beneficial for the patient, method to "tame" the chronic GVHD. What I have experienced and seen is that they discover a certain biochemical pathway that participates in allowing chronic GVHD, then they go through the clinical trials to bring this "molecule" to market. The blocking of a specific biochemical pathway I would surmise might cause undesired effects in the system as a whole and disrupts the homeostasis of the blood components. Thus the side effects are numerous, the medicine might increase the possible survival and mitigate chronic GVHD, but at a cost of "quality of life". The side effects of these drugs can open up the possibility of opportunistic infections, and in parallel lower the blood components like red blood cells, platelets, and white blood cells. Personally I think that there should be extensive research (clinical trials) using umbilical cord derived mesenchymal stem cells (uMSC) and uMSC exosomes to develop consistent dosing regimes and protocols. Perhaps to use as regular maintenance to mitigate and "tame" the chronic GVHD, as well as rejuvenate the vascular system, tissue, and organs that have been adversely affected by the chemotherapy, chronic GVHD, and immune modulating drugs exposure. @nunyabeezwax6758
I loose my 5 years due to vitamin D deficiency, I consult with multiple doctors because I was suffering severe fatigue, mode swing, unable to learn new things but no one ask me for Vitamin D test. Last month one of Doctor advised me for D test and it was 17 only, testosterone was at 190 and B12 was also at 230. I am 41, after this I start using D+K (5000 IU D3 and 180 mcg K2)along with omega 3( 1100 EPA 1100 DHA) and believe me my life start changing, now I can study continuously. No Fatigue, no weakness, I can continuously work. Major changes in erection level also, memory is also improving.
@@SmartestDumbGuy I take 9mg. I would probably start on a low dose and taper up, so you get used to it. I started out too high, and I got super aggressive.
Thank-you for the info! One thing to note - your link to the web calculater includes the ending parenthesis, ")", which causes a "404 Not Found" error. If you remove that ending parenthesis from the link itself, then the reference works fine. I hope this helps!
Dr Rena expertly explaining while it still being very understandable to laypeople : you got to love the lady ! The lip gloss being the same matching color as her outfit doesn't harm either. Very attractive.
49 Year Old Male with typical low T symptoms. My GP told me that he would only be concerned if my Testosterone levels were practically zero. I had to push HARD to get bloodwork, he did not want to do it. When the results came, my Total T was actually pretty good. I used the numbers provided to calculate my own Free T, which was at around 1.6%. My SHBG is in the upper end of the normal range, the GP classes it as normal. because technically it is, but I know that's the reason for my issues. I have manged to significantly improve my Total T over an 18 month period by supplementing Magnesium, Zinc, Boron and Copper. I use individual products for each, well researched and am pleased with those improvements. My total T is now much better than it was when I was in my early thirties. I hope that increasing my Protein levels might help out on the SHBG and thus the Free T.
As long as your values are within "normal" range, doctors won't care. But normal doesn't necessarily mean optimal. Sometimes you just have to be your own doctor and find what works for you.
Thanks for all your great advice. I really enjoy watching your videos, they provide a lot of knowledge and are very helpful on a daily basis in choosing food when shopping, etc. Thank you ❤✨
I'm in my upper 40s and ever since I started taking vitamin D3+K2, zinc, and magnesium about 5 years, I feel great! I just got my bloodwork from the doc and all of my levels are optimum. Before that I was obese, low energy, and no sex drive but now that has changed. Also my PSA levels are normal too! Now I have to make sure I don't get stimulated during the day so I don't have an embarrassing reaction LOL. Also I eat a lot of crucericurous vegetables too which is supposed to suppress estrogen and lower SHBG which I didn't know until today! Thanks for the video as I now have confirmation that I was doing the right thing all along 🙂
wow thats gerat to hear who mentioned the dosage to you? Do you just take it as it says on the bottle or were you advised by an professional? The recommodation is often too low and basically for ppl who are not in need for it but we all know as older as we get we do need more to feel fit: I would love to hear back from you!
@@6sinnecoach I have done a lot of research over the years and found that 5000UI of vitamin D3 is optimal at least for me as I am darker skinned and live in a higher latitude. My last blood test showed me at 37ng/ml! I take this along with 100mcg K2, 30mg chelated zinc, and 400mg of magnesium. I take every morning except I take the magnesium at night to help me sleep.
@@deep_space_dave wow great, thank you so much. I assume you did your own research and werent advised by any health counselor? However great to see it works out for you..
excellent awesome video it helps me so much to understand it better whats going in men but also in women. I am very surpreised that the level of testosteron is so low the reason for ED...that was defenity another learing out of 100 others in this video. I highly appreciate you and your knowledge and the talent to explain! Thank you so much!
I went from 334 to 960 in around 3 months all natural no TRT. This book should be essential reading for all men. Written by a 50s guy with natural T levels of a 20s guy. A real eye opener that cuts to the truth about testosterone. Complete guide to testosterone by james Francis
I was just about to recommend the same book. I used this guide to increase my testosterone levels from 495 ng/DL to 884ng/DL. Free testosterone from 94 pg/ml to 179. This protocol works. What is your free testosterone at?
Hello Doc.thx a lot for sharing your knowledge and thoughts with us. Wishing you all Happiness prosperity and success and congratulations on 1.8M Subscribers🙏🙏🙏🙏❤️❤️❤️
Why can’t geriatric physicians explain testosterone as well as you just did. I am 67 years old and I’ve had LT for a long time. I have been treated off and on for the problem for at least 10 years now and have never had it explained to be as well as you have done in this video. I now have some more things to talk to my doctor about. Thank you.
Hey doc, could you do a video on androgen receptor sensitivity? I’ve heard mumblings that it may have more impact on low/high T symptoms than the actual test levels
Of course I'm an older woman so I'm not the target of this - or almost any other - message about testosterone. But thanks for what I was able to learn from your presentation. I do suggest using pictures to help folks get the concepts a little easier.
I think the increased protein and fiber actually decrease the overall need for insulin levels. Fiber can actually stabilize blood sugars requiring less SHBG to manage the body. The net testosterone effect is more important than the insulin levels. Type 2 diabetes has significantly high insulin levels and the body's effectiveness and it is more or less insulin resistance. For every hormone there is a receptor and it is just as important to understand the relationship between the receptors as it is the hormones because the importance is not high levels of testosterone but the connection between testosterone and the receptors that it connects with so it is more important to not have high insulin levels because they make the connection more difficult to happen. The fiber and protein may actually make the testosterone more efficient than just high levels. The key is efficient connections and high levels are easy to detect but the receptors and connections are not and why a lot of diseases that are unknown at present have not the proper treatment because it is a disease of the receptors more so than a disease of the hormones.
I have a very complicated one Im 38, my free test came back well over the max, my shbg came back well under the minimum... now i cant put on muscle at all really, i feel like i have many of the symptoms of low testosterone.... My triglycerides are over the max just about and 2 of my i think white blood cells are above the limit... akso ive never taken steroids in my life
Hey Doc could you make a video talking about reverse kegels? I think that there is a lot of information about Kegels, but reverse kegeling is often neglected, and from what I read, it's crucial to do both in order to achieve a balanced pelvic floor.
Yes, mine is abnormally high! I just started boron today, which is supposed to help. (I'm female, total T is high normal and free is at the bottom of normal. I also have estrogen dominance. I definitely feel like my T is low.)
@@MsJacob24 I haven't had another blood test yet but I didn't feel it doing anything. It could be that another form of boron would absorb better. I also tried tongkat ali (herb) which felt like it was helping.
Thanks Doc!!!!! I am currently on a high dosage of vitamin D (once a week) due to low levels of this and testosterone in my blood work. I was taking a over the counter vitamin D supplement everyday. I'm hoping this works. I'm also taking zinc and working out more. I work long hours at work so I see the sun when I travel home for about 15 minutes and milk doesn't agree with me except for the unwanted ability to make music from my rear. Trying to increase my testosterone so I can have good work out sessions and a healthy sex life . Again thanks your the greatest and you are always on point when it comes to educating your audience!!! Have a wonderful week Doc!!!!!!❤❤
boron and stinging nettle root extract will lower it you have to cycle boron if taking a higher dose (towards 10mg) or after a while it will increase estrogen
Thank you Dr! What about prolactin levels.. are they correlated to SHBG levels? Should i have those checked on an androgenic bloob panel test? Pls advise… thanks again for all you do.
The answer to every question is yes. However, I would not touch Finasteride. In rare cases it causes mood and sexual health problems that do not stop even when you stop the medication. It’s rare, but worth considering. But yes, TRT will worsen hairloss if you are prone to it and Finasteride will protect you from that. If you are not very prone to hairloss, dandruff shampoo can work as well (that’s what I use, totally reverses the effects of TRT on my hair).
Based on the video from 7:06 to 8:02, I can’t tell if the numbers in my most recent blood test for Total Testosterone (xxx) and Free Testosterone Total (xxx) fall within the increased risk group. What are the numbers for Total Testosterone and Free Testosterone?
Morphology, FSH, LH, Testosterone, Abumin, SHBG, Prolactin and Estradiol (estrogen). Knowing Albumin, SHBG and Testosterone levels will allow to calculate Free Testosterone and Bioavailable Testosterone levels using online calculator. It's more accurate than just Free test done separately and less expensive. You can add TSH, FT3 & FT4 to check for any Thyroid issues. Worth checking cholesterol (LDL, HDL and total) as they are testosterone precursors. Last but not least: PSA (prostate). TRT doesn't cause prostate cancer, but might not be recommended if there are any existing prostate issues.
Hi dr Malik so how do I replace my testosterone I’m 63 I have poor blood circulation, so I have arthritis and erectile dysfunction and was in a a depression last year for a long time Paul
My total t 708, free t 9.6, dhea 323, shbg 69.8, estradiol 36.5… zero symptoms but my dr said its good shbg higher which is contrary to the internet lol.
Could it also be that SHBG goes down in correlation with high BMI and Hugh protein intake because men who train hard with weights eat more protein and tend to have a higher BMI due to carrying more lean muscle?
Great info. Question. Does massaging your testicular area help. I have heard it does. I am 65 go to the gym 5/6 days a week. Eat pretty good. Am aspiring to get to 10% body fat asap. I feel really good. Not like when was go with 40. Thank you very much.
So I'm still a little confused. Is it better to have lower or higher SHBG? SHBG binds free testosterone, but at one point I thought I heard that increased SHBG causes increased testosterone.
Age can bring irregularity or particularly constipation. Get that taken care of and sleep improves. Improved sleep brings libido back up. Just anecdotal\ of course.
Dr. Rena, I'm 40 and have low normal total T, it bounces between 400-550 I'm also a traumatic brain injury survivor, and would like to optimize my hormone profile to help in regaining strength and movement. Do you think I should swing in for a consult? I'm just up in Huntington Beach. If so, please let me know if you think I'm warranted in considering some sort of hormone optimization. Thank you.
Hi Dr Rena iam 50 and i have my ear ringing all the time it's my left ear only I know it's not related to your video but please answer if you see this I really appreciate
Just to be clear, testosterone doesn't increase in the early mornings exactly. It increases basically right before and during the wake cycle. So if a person is a night owl when they go to bed, which is the morning, they won't have an increased amount of testosterone at that time of day.
Doctor, this unrelated to the video, but what is the difference between a fungal skin infection on the penis and herpes infection on the penis? If you could even do a video, i will appreciate it more, thank you.
Still unclear on which exact test to ask for? If you get a testosterone test, it will typically just measure total and free( and free is not accurate unless self calculated?) Also what about the dangers of getting test treatment?
Eat tuna organic grass fed beef mince beef liver fruits honey drink pure water get out side and exercise get sunlight and talk to people and your get high testosterone
I have read, no guarantee, that women with decreasing estrogen post menopause, have relatively relatively higher Testosterone ... Which contributes to some women getting recalcitrant pot Bellies like men Without going full HRT, Some kind of light Rebalancing in such women of their estrogen/ testosterone levels would allow them to get rid of their pot Bellies Male or female, pot bellies are central adiposity, visceral fat, which is pathogenic
@@satxsatxsatx I agree with the potbelly being a big problem. I meant when taking Estrogen isn’t enough to cover all the menopausal side effects. Thanks💕
Obesity decreasing HSBG? Studies say the opposite. Also, low carb diet increase SHBG; therefore a ketogenic diet even though might increase total testosterone, this will be unavailable because of the increasing in SHGB. Maybe you should review the video?
@@AT-jz4gz i Am. Testicle torsion produces a very very strong pain, you could not be writing comfortably from your pc. But you should exclude some kind of infection after that injury.
@@cabecehuevoBut im still in a lot of pain, the pain increases a lot when I’m exercising. The other day I went swimming and I started having severe pain, even if I climb up the stairs. Now I’m even having trouble walking or sitting and the pain has been pretty much constant.
Dear Dr. Malik, I try to be appropriate; it occurs to me that there could be many in my position who want to know more about how the male mind is influenced by hormones. My thoughts easily wanders when I hear you explain how low testosterone may cause higher mortality, I am 77 and have had Chemo series 2018 and 2020, and my 6 functions have declined of course, so now I am in the danger zone. Lately I began to be depressed in the mornings, and today I slept 12 hours or even more! After getting up I tried to understand the functions, - and then began to watch Dr. Malik's Urology but the thoughts wander and I think of how nice you are etc.etc. in stead of what you say.
The best protein is animal meat and fat. It is what our bodies are made of. There is a reason there odds no such thing as animal fat or protein unless it’s made through heart and chemical reaction. See it this way. You’re out in the wild. You need fat and protein. You catch a fish out a wild pig, as long as it’s clean, you can even eat it raw. Plants, you need a lab. Animal meat is also the best way to get nutrients while plants have defenses like oxalates and lennins that bind to their nutrients causing problems to our health
Dr. would you be interested in my experience with gout arthritis and testosterone. These words are never uttered in the same sentence at the rheumatologist office but I promise you there is a connection. If testosterone doesn't play a part in gout why isn't it common in women? Sorry this isn't a sexual comment but if you suffer with gout you're screwed.
![BLACK BAG - Official Trailer [HD] - Only in Theaters March 14](http://i.ytimg.com/vi/Du0Xp8WX_7I/mqdefault.jpg)
Dr. Malik thank you for this excellent presentation.
I have had elevated SHBG ever since my allogeneic peripheral blood HSCT for the AML leukemia I was diagnosed with in March 2014. The oncologists/hematologists didn't seem to know, or didn't want to explain to me, the finer details of SHBG. Thank you for the description of the complex balances that perhaps reflect the conditions that affect SHBG.
Please don't misread my comment, the SHBG level is very high in my case after the SCT (has nothing to do with AML leukemia), I was told by one oncologist/hematologist that it was my liver causing the higher SHBG levels, a PA endocrinologist said that it was due to the chronic GVHD, it might be a gene expression effect. I don't know but this presentation added to my understanding of this situation with me and SHBG biochemistry.
I have found that there are a multitude of gene expressions, body biochemical expressions not well understood. It seems at this time and my observations, that although the HSCT to cure blood cancers has been going on for the past 45 years at City of Hope in Duarte CA. The "medical industry" still doesn't have a sure, beneficial for the patient, method to "tame" the chronic GVHD.
What I have experienced and seen is that they discover a certain biochemical pathway that participates in allowing chronic GVHD, then they go through the clinical trials to bring this "molecule" to market. The blocking of a specific biochemical pathway I would surmise might cause undesired effects in the system as a whole and disrupts the homeostasis of the blood components. Thus the side effects are numerous, the medicine might increase the possible survival and mitigate chronic GVHD, but at a cost of "quality of life". The side effects of these drugs can open up the possibility of opportunistic infections, and in parallel lower the blood components like red blood cells, platelets, and white blood cells.
Personally I think that there should be extensive research (clinical trials) using umbilical cord derived mesenchymal stem cells (uMSC) and uMSC exosomes to develop consistent dosing regimes and protocols. Perhaps to use as regular maintenance to mitigate and "tame" the chronic GVHD, as well as rejuvenate the vascular system, tissue, and organs that have been adversely affected by the chemotherapy, chronic GVHD, and immune modulating drugs exposure. @nunyabeezwax6758
I loose my 5 years due to vitamin D deficiency, I consult with multiple doctors because I was suffering severe fatigue, mode swing, unable to learn new things but no one ask me for Vitamin D test.
Last month one of Doctor advised me for D test and it was 17 only, testosterone was at 190 and B12 was also at 230.
I am 41, after this I start using D+K (5000 IU D3 and 180 mcg K2)along with omega 3( 1100 EPA 1100 DHA) and believe me my life start changing, now I can study continuously. No Fatigue, no weakness, I can continuously work.
Major changes in erection level also, memory is also improving.
I had low T, I started taking boron, and my T shot through the roof.
There might not be many studies on it, but for my personal case, it works.
How much do you take?
@@SmartestDumbGuy 9 - 12 mg
@@OldSchoolStrength awesome thanks for the response. I just started messing around with Boron and haven't decided on a dose yet.
@@SmartestDumbGuy I take 9mg. I would probably start on a low dose and taper up, so you get used to it. I started out too high, and I got super aggressive.
Yes after 2 weeks it raises your estrogen. It has to be cycled
At 71, been on TRT for 3 years; been great! Folks say I look early 60s. Thx Doc!!
Does the trt cause hair loss?
Thank-you for the info! One thing to note - your link to the web calculater includes the ending parenthesis, ")", which causes a "404 Not Found" error. If you remove that ending parenthesis from the link itself, then the reference works fine. I hope this helps!
Excellent presentation! Thank you for covering all of this information that is so critical for men's health.
Dr Rena expertly explaining while it still being very understandable to laypeople : you got to love the lady ! The lip gloss being the same matching color as her outfit doesn't harm either. Very attractive.
49 Year Old Male with typical low T symptoms. My GP told me that he would only be concerned if my Testosterone levels were practically zero. I had to push HARD to get bloodwork, he did not want to do it. When the results came, my Total T was actually pretty good. I used the numbers provided to calculate my own Free T, which was at around 1.6%. My SHBG is in the upper end of the normal range, the GP classes it as normal. because technically it is, but I know that's the reason for my issues.
I have manged to significantly improve my Total T over an 18 month period by supplementing Magnesium, Zinc, Boron and Copper. I use individual products for each, well researched and am pleased with those improvements. My total T is now much better than it was when I was in my early thirties. I hope that increasing my Protein levels might help out on the SHBG and thus the Free T.
Don't be a Boron. Your T is normal. There is no advantage to putting minerals in your pee. Save the money, invest and live better.
As long as your values are within "normal" range, doctors won't care. But normal doesn't necessarily mean optimal. Sometimes you just have to be your own doctor and find what works for you.
Thanks for all your great advice. I really enjoy watching your videos, they provide a lot of knowledge and are very helpful on a daily basis in choosing food when shopping, etc. Thank you ❤✨
I'm in my upper 40s and ever since I started taking vitamin D3+K2, zinc, and magnesium about 5 years, I feel great! I just got my bloodwork from the doc and all of my levels are optimum. Before that I was obese, low energy, and no sex drive but now that has changed. Also my PSA levels are normal too! Now I have to make sure I don't get stimulated during the day so I don't have an embarrassing reaction LOL. Also I eat a lot of crucericurous vegetables too which is supposed to suppress estrogen and lower SHBG which I didn't know until today! Thanks for the video as I now have confirmation that I was doing the right thing all along 🙂
wow thats gerat to hear who mentioned the dosage to you? Do you just take it as it says on the bottle or were you advised by an professional? The recommodation is often too low and basically for ppl who are not in need for it but we all know as older as we get we do need more to feel fit:
I would love to hear back from you!
@@6sinnecoach I have done a lot of research over the years and found that 5000UI of vitamin D3 is optimal at least for me as I am darker skinned and live in a higher latitude. My last blood test showed me at 37ng/ml! I take this along with 100mcg K2, 30mg chelated zinc, and 400mg of magnesium. I take every morning except I take the magnesium at night to help me sleep.
Lmao😊
@@deep_space_dave wow great, thank you so much. I assume you did your own research and werent advised by any health counselor?
However great to see it works out for you..
@@deep_space_dave can u pls tell us which magnesium? I know like we have glycinate,citrate etc?
excellent awesome video it helps me so much to understand it better whats going in men but also in women. I am very surpreised that the level of testosteron is so low the reason for ED...that was defenity another learing out of 100 others in this video.
I highly appreciate you and your knowledge and the talent to explain! Thank you so much!
I went from 334 to 960 in around 3 months all natural no TRT. This book should be essential reading for all men. Written by a 50s guy with natural T levels of a 20s guy. A real eye opener that cuts to the truth about testosterone.
Complete guide to testosterone by james Francis
I was just about to recommend the same book. I used this guide to increase my testosterone levels from 495 ng/DL to 884ng/DL. Free testosterone from 94 pg/ml to 179. This protocol works.
What is your free testosterone at?
Thanks, Doc.
Excellent research. But I have no idea what that means. Or what to do
Thanks you for the information and please keep on sharing this knowledge ❤️
Congrats on 1.8M subscribers doc ❤
Hello Doc.thx a lot for sharing your knowledge and thoughts with us. Wishing you all Happiness prosperity and success and congratulations on 1.8M Subscribers🙏🙏🙏🙏❤️❤️❤️
Why can’t geriatric physicians explain testosterone as well as you just did. I am 67 years old and I’ve had LT for a long time. I have been treated off and on for the problem for at least 10 years now and have never had it explained to be as well as you have done in this video. I now have some more things to talk to my doctor about. Thank you.
hello
Hey doc, could you do a video on androgen receptor sensitivity? I’ve heard mumblings that it may have more impact on low/high T symptoms than the actual test levels
What about DHEA?
I will look to see if the report lists the SHBG.
Of course I'm an older woman so I'm not the target of this - or almost any other - message about testosterone. But thanks for what I was able to learn from your presentation. I do suggest using pictures to help folks get the concepts a little easier.
Pics of what
age 44 my SHBG is high (60) & prolactin high all thyroid levels normal. Free T bordeline low. Tried boron & tonkat ali but still can't get it lower.
Thank you Dr Rena
Great video and info
Is there a particular Vit D that would be preferred?
I think the increased protein and fiber actually decrease the overall need for insulin levels. Fiber can actually stabilize blood sugars requiring less SHBG to manage the body. The net testosterone effect is more important than the insulin levels. Type 2 diabetes has significantly high insulin levels and the body's effectiveness and it is more or less insulin resistance. For every hormone there is a receptor and it is just as important to understand the relationship between the receptors as it is the hormones because the importance is not high levels of testosterone but the connection between testosterone and the receptors that it connects with so it is more important to not have high insulin levels because they make the connection more difficult to happen. The fiber and protein may actually make the testosterone more efficient than just high levels. The key is efficient connections and high levels are easy to detect but the receptors and connections are not and why a lot of diseases that are unknown at present have not the proper treatment because it is a disease of the receptors more so than a disease of the hormones.
I have a very complicated one
Im 38, my free test came back well over the max, my shbg came back well under the minimum... now i cant put on muscle at all really, i feel like i have many of the symptoms of low testosterone....
My triglycerides are over the max just about and 2 of my i think white blood cells are above the limit... akso ive never taken steroids in my life
Hey Doc could you make a video talking about reverse kegels? I think that there is a lot of information about Kegels, but reverse kegeling is often neglected, and from what I read, it's crucial to do both in order to achieve a balanced pelvic floor.
Isn't it just the opposite of a kegel? You relax the muscles used in a kegel?
Yes, mine is abnormally high! I just started boron today, which is supposed to help. (I'm female, total T is high normal and free is at the bottom of normal. I also have estrogen dominance. I definitely feel like my T is low.)
Has it helped in lowering your shbg? And freeing up your free testosterone?
@@MsJacob24 I haven't had another blood test yet but I didn't feel it doing anything. It could be that another form of boron would absorb better. I also tried tongkat ali (herb) which felt like it was helping.
Are you licensed in New York
Thanks Doc!!!!! I am currently on a high dosage of vitamin D (once a week) due to low levels of this and testosterone in my blood work. I was taking a over the counter vitamin D supplement everyday. I'm hoping this works. I'm also taking zinc and working out more. I work long hours at work so I see the sun when I travel home for about 15 minutes and milk doesn't agree with me except for the unwanted ability to make music from my rear. Trying to increase my testosterone so I can have good work out sessions and a healthy sex life . Again thanks your the greatest and you are always on point when it comes to educating your audience!!! Have a wonderful week Doc!!!!!!❤❤
You need magnesium for Vit D to work.
Why? Literally zero evidence that supplementing vitamin D raises testosterone. Plenty on evidence however on excessive vitamin D toxicity.
@@vince1229 Citation? No, didn't think so.
@@geneharrogate6911 Please read a book. They have words in them.
Taking vitamin d everyday is better than high dose weekly. There was a study, look it up.
I havt had hyper thyroid for years! With migraines! I had 2 A/ fib because of keto for years! I have clogged arteries
I know they may not be enough data on boron, but when I take it, it makes me insane, especially my libido
Not me. There’s not a single supplement that makes me feel better.. I’ve been taking boron daily for months I feel nada
How much are you taking
@@tornquad5024 10MG daily. I hear anymore than that can be dangerous
boron and stinging nettle root extract will lower it you have to cycle boron if taking a higher dose (towards 10mg) or after a while it will increase estrogen
What about eating more peanut butter for protein intake?
Dr. Malik can you talk about the use of Clomid or Clomiphene Citrate used to increase Testosterone?
Thank you Dr! What about prolactin levels.. are they correlated to SHBG levels? Should i have those checked on an androgenic bloob panel test? Pls advise… thanks again for all you do.
Blood panel ..not bloob haha
What are your thoughts on HRT for men Dr Malik?
Does TRT cause hair loss and can Finasteride help, and can you take finasteride when you are on TRT?
The answer to every question is yes. However, I would not touch Finasteride. In rare cases it causes mood and sexual health problems that do not stop even when you stop the medication. It’s rare, but worth considering. But yes, TRT will worsen hairloss if you are prone to it and Finasteride will protect you from that. If you are not very prone to hairloss, dandruff shampoo can work as well (that’s what I use, totally reverses the effects of TRT on my hair).
@@FreedomFox1 Thanks a lot for your reply !
Your liver is going to be crying
Based on the video from 7:06 to 8:02, I can’t tell if the numbers in my most recent blood test for Total Testosterone (xxx) and Free Testosterone Total (xxx) fall within the increased risk group. What are the numbers for Total Testosterone and Free Testosterone?
If SHBG is high, Total T is normal, and Free T is low, is that an indication for testosterone-replacement therapy?
What about amino acid supplements, please?
You are the best! Period. Thank You for what you do.
I definitely feel something after taking boron especially when it comes to libido.
How about taking testosterone booster Suppliments directly?
Zinc, Boron, Magnesium, D-vitamin (and also K-vitamin i might add). Inject them in any ratio and dosage you want. Don't skip leg day bro.
@@sunshine8556 thanks bro. Will definitely consider it.
@@sunshine8556 thanks bro. Will definitely consider it.
Hi Rene,I need to order Eroxon . How do I order
I am in cape town South africa
I had a prolactin hormone test and the result was 14. How can I reduce its levels?
Cabergolin
Mucuna pruriens
What amino acid in protein helps reduce shbg?
What’s the best overall bloodwork to do to see all the results?
Morphology, FSH, LH, Testosterone, Abumin, SHBG, Prolactin and Estradiol (estrogen). Knowing Albumin, SHBG and Testosterone levels will allow to calculate Free Testosterone and Bioavailable Testosterone levels using online calculator. It's more accurate than just Free test done separately and less expensive.
You can add TSH, FT3 & FT4 to check for any Thyroid issues. Worth checking cholesterol (LDL, HDL and total) as they are testosterone precursors. Last but not least: PSA (prostate). TRT doesn't cause prostate cancer, but might not be recommended if there are any existing prostate issues.
thanks man, I'll look into those and ask my doctor to see if he can order those tests@@LucasDzon
How does epilepsy affect your hormones? What steps do I need to fix my hormones.
I know that the epilepsy drugs have a negative impact on hormones. I don't have epilepsy but I take valproic acid.
Hi dr Malik so how do I replace my testosterone I’m 63 I have poor blood circulation, so I have arthritis and erectile dysfunction and was in a a depression last year for a long time
Paul
Vitamin D3, Zinc
Any vids on peptides such as CJC1295/IPA? BPC157?
My total t 708, free t 9.6, dhea 323, shbg 69.8, estradiol 36.5… zero symptoms but my dr said its good shbg higher which is contrary to the internet lol.
Could it also be that SHBG goes down in correlation with high BMI and Hugh protein intake because men who train hard with weights eat more protein and tend to have a higher BMI due to carrying more lean muscle?
Great info. Question. Does massaging your testicular area help. I have heard it does. I am 65 go to the gym 5/6 days a week. Eat pretty good. Am aspiring to get to 10% body fat asap. I feel really good. Not like when was go with 40. Thank you very much.
I am a vegetarian, any suggestions for me Rena? thanks Rena
So I'm still a little confused. Is it better to have lower or higher SHBG? SHBG binds free testosterone, but at one point I thought I heard that increased SHBG causes increased testosterone.
I'm also confused about this as well
Lower SHBG = Higher Free Testosterone. Serum Testosterone Needs to be within the normal parameters for it to have a noticeable effect…
Age can bring irregularity or particularly constipation. Get that taken care of and sleep improves. Improved sleep brings libido back up. Just anecdotal\ of course.
Is this true will sleep helps
@@saranyuvi5539 You can get away with lack of sleep for awhile, but it doesn't add up to good things if it is a constant issue IMO
Dr. Rena, I'm 40 and have low normal total T, it bounces between 400-550 I'm also a traumatic brain injury survivor, and would like to optimize my hormone profile to help in regaining strength and movement. Do you think I should swing in for a consult? I'm just up in Huntington Beach. If so, please let me know if you think I'm warranted in considering some sort of hormone optimization. Thank you.
I was told to have testosterone blood work collected before 10 a.m.
Can you do a story on Enclomiphene Citrate?
Hi Dr Rena iam 50 and i have my ear ringing all the time it's my left ear only I know it's not related to your video but please answer if you see this I really appreciate
Just to be clear, testosterone doesn't increase in the early mornings exactly. It increases basically right before and during the wake cycle. So if a person is a night owl when they go to bed, which is the morning, they won't have an increased amount of testosterone at that time of day.
Thank you Dr. Malik!
Can SHGB be increase while on SHBG?
Is there more information on Boron as it relates to its mention in this video? I know that if done improperly, Boron can be hazardous.
You should read “the borax conspiracy” you could eat a truck load of it before it was hazardous.
Olive oil OK?
I'm 57 .and dibatic to wat is good?
Btw, i think my PCP is located in the building right next to your office in OC…. Small world..
Thanks Doc. Respect the information and effort. That said, That Voice. ❤
Doctor, this unrelated to the video, but what is the difference between a fungal skin infection on the penis and herpes infection on the penis?
If you could even do a video, i will appreciate it more, thank you.
Dr. Rena, is there an ideal time of day to take supplements such as vitamin D? Morning? Before bed? Etc.
Morning, to early afternoon. It can interrupt melatonin release in the evening. It somewhat imitates " sun clock ", that our bodies are used to.
Still unclear on which exact test to ask for? If you get a testosterone test, it will typically just measure total and free( and free is not accurate unless self calculated?)
Also what about the dangers of getting test treatment?
Hey doc what about Tongkat Ali and Fadoggia Aggrestis? 😂
Eat tuna organic grass fed beef mince beef liver fruits honey drink pure water get out side and exercise get sunlight and talk to people and your get high testosterone
At what point should women consider Testosterone during either perimenopause or menopause ?!?!? Thanks❤
I have read, no guarantee, that women with decreasing estrogen post menopause, have relatively relatively higher Testosterone
... Which contributes to some women getting recalcitrant pot Bellies like men
Without going full HRT, Some kind of light Rebalancing in such women of their estrogen/ testosterone levels would allow them to get rid of their pot Bellies
Male or female, pot bellies are central adiposity, visceral fat, which is pathogenic
The more I listen to this doctor Malik, the more I like her
She is really really good
@@satxsatxsatx I agree with the potbelly being a big problem. I meant when taking Estrogen isn’t enough to cover all the menopausal side effects. Thanks💕
Depends on symptoms!
@@RenaMalikMD thanks the response❣️
Do vegetarians have low testosterone?
They are usually fragile after some time their metabolism slows down, which ironically increases life span.
Thanks for the video doc!
I'm confused. Do I want to increase or decrease my SHGB?
Sounds like you want to decrease. What you want is free flowing T. SHBG binds to T, not allowing it to flow freely.
Your Testosterone fluctuates naturally by up to 40%. Every day.
Bear this in mind when considering your T levels.
Obesity decreasing HSBG? Studies say the opposite. Also, low carb diet increase SHBG; therefore a ketogenic diet even though might increase total testosterone, this will be unavailable because of the increasing in SHGB. Maybe you should review the video?
Drug companies have everone on statins. Cholesterol makes T. Low cholesterol = low T.
Hi Dr. Reena, if you shave and cut your scrotum can that cause testicule torsion?
Can you reply my question please?
No
@@cabecehuevo how do you know are you a doctor? The pain is still there since two weeks.
@@AT-jz4gz i Am. Testicle torsion produces a very very strong pain, you could not be writing comfortably from your pc. But you should exclude some kind of infection after that injury.
@@cabecehuevoBut im still in a lot of pain, the pain increases a lot when I’m exercising. The other day I went swimming and I started having severe pain, even if I climb up the stairs. Now I’m even having trouble walking or sitting and the pain has been pretty much constant.
11:20 this system is beautifully complex
Jason Fung, nephrologist, says fasting increases testosterone and growth hormone. Is this true?
Fasting can help T but at a certain point it will lower it due to the stress. Does boost gh quite a bit
My urologist told me to high testosterone can cause enlarged prostate?
Interesting stuff
Dear Dr. Malik, I try to be appropriate; it occurs to me that there could be many in my position who want to know more about how the male mind is influenced by hormones. My thoughts easily wanders when I hear you explain how low testosterone may cause higher mortality, I am 77 and have had Chemo series 2018 and 2020, and my 6 functions have declined of course, so now I am in the danger zone. Lately I began to be depressed in the mornings, and today I slept 12 hours or even more! After getting up I tried to understand the functions, - and then began to watch Dr. Malik's Urology but the thoughts wander and I think of how nice you are etc.etc. in stead of what you say.
Can you please talk about PSSD/PFS?
Hi.. can u plz explain the other reasons of Erictile dysfunction
Other then low testosterone
Can you please do a podcast on peptides for joint health/ muscle building
I thought that lowering shbg increases fee testosterone, not lowers it
The best protein is animal meat and fat. It is what our bodies are made of. There is a reason there odds no such thing as animal fat or protein unless it’s made through heart and chemical reaction. See it this way. You’re out in the wild. You need fat and protein. You catch a fish out a wild pig, as long as it’s clean, you can even eat it raw. Plants, you need a lab. Animal meat is also the best way to get nutrients while plants have defenses like oxalates and lennins that bind to their nutrients causing problems to our health
Eat lots of watermelon 🍉 and cantaloupe 🍈 3-4 times a week you will be amazed at the results 👍
I need a podcast from you
Increase fat & protein intake, zinc if deficient, vitamin d
interesting, but complicated. would help if you spoke a lot slower and explained some of the terms you use more clearly. Thanks Tony
WOW, You work with FL. Very cool. I'll be giving you a call.
Dr. would you be interested in my experience with gout arthritis and testosterone. These words are never uttered in the same sentence at the rheumatologist office but I promise you there is a connection. If testosterone doesn't play a part in gout why isn't it common in women? Sorry this isn't a sexual comment but if you suffer with gout you're screwed.