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testosterone for the Newbie testosterone
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for any of you men out there that really
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don't know about testosterone and
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steroids and you're new here yet you're
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on testosterone or again you're
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interested in starting testosterone and
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you really don't know anything about it
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and you want to be as careful as you can
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be so this is testosterone for men that
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are new to testosterone and this is also
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for Physicians that are great Physicians
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but they really don't specialize in
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testosterone and androgens like I do 24
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7 as an internist for about 20 years now
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I'm very respectful to other Physicians
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about that
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[Music]
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[Music]
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so number one if you want to see a
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compendium online about every side
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effect and issue on testosterone go to
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the channel here in the playlist the 12
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rules to live by on testosterone I did
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that about a year ago and we broke down
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every single side effect that was an
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online compendium just for men that are
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on testosterone again this is really
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discreetly for testosterone replacement
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not really steroids but you could read
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into it that if you're on steroids and
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higher doses of testosterone you're
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going to exacerbate each of the side
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effects obviously kind of common sense
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so number one when you're on
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testosterone gentlemen and your doctor
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is prescribing it to you or you're
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taking it yourself because I know a lot
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of men do in the world let's talk about
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the root of administration we have oral
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we have pills testosterone undecinate
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there's two different if not two or
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three different types now that are out
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there
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in brand names in North America it's
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interesting that they're coming into the
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marketplace because everyone's getting
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on testosterone and people don't want to
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just slap on the gel or inject so the
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oral ones are going to be really really
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important so there's oral
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there's going to be topical that's
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that's the gel and the cream been out
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there forever and ever and ever there's
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trade name gels there's tons of generic
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you can go to
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um compounding facilities that are very
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good and they can make you concentrated
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types of topical I use it all the time
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for patients instead of using the the
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trade name that's very expensive you can
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just go to a compounding facility in
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North America or in Europe anywhere in
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the world Asia anywhere in the world
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Africa and you could have a compound or
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make it for you concentrated and you
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just put it on your skin be careful with
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transmission to Partners and children
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next is going to be pellets pallets are
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in the world and again they're not bad
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but in my opinion they're not awful
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because when you put the pellet in
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several pellets beyond the fact they
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could extrude and they kind of can
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cause people to reject them which is
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kind of interesting I wonder how that
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was put in and how does that happen
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really but it can happen I think it's
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rare there can be uh it can be painful
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at the site there can be reactions at
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the site but it's usually uncommon the
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pellet problem is it's the
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pharmacokinetic
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pellet goes in depending on how many
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pallets your doctor does and the palette
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the the the peak the concentration and
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the testosterone levels are going to
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start to go up right away and they're
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going to Peak you know they're putting
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these pellets in every every two months
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and you know and you're going to peek
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and it just doesn't it it's a gradual up
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and down and you may feel good for a
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period of time you see that when it hits
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a area
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in the area of the curve where it's
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peaking and you feel good maybe it goes
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too much you feel bad right and or maybe
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you hit it and then you feel great and
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then it's on the down low it's going
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down the kinetics right everything goes
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up and down guys it's pharmacokinetics
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Half-Life and all this kind of stuff man
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per man that's why when I do this stuff
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I have to look at men independently as a
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doctor and you have to really understand
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nature dosing and you have to really
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understand Peaks and troughs and man for
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man so when you look at a palette it's
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notorious that men will say there's a
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period where I felt good but then I lost
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it now and now now they're waiting to
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get the next palette and they could wait
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maybe a month or more so I don't like
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powers but again if you're using a
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pellet and you feel great that's great
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don't change it
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nasal there's there's nasal testosterone
00:04:46
if you're watching this video I'm sure
00:04:48
you're concerned for your testosterone
00:04:49
levels in addition to testosterone you
00:04:52
want to check sexually binding globulin
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astridiol
00:04:56
free energy and index and potentially
00:04:58
cortisol that's where I want to talk
00:05:01
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to leave your home visit try
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lgc.com there's nasal testosterone I
00:06:02
can't say uh trade names here there's
00:06:04
nasal testosterone gel and it's I
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believe twice a day you can see I don't
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prescribe it and again it goes right
00:06:11
into the central nervous system guys
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feel great supposedly it maintains uh
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men where they potentially don't get
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shut down and can maintain fertility wow
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I should do a video on that itself I'm
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not sure we believe that though I'm not
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sure I believe that but I think there's
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there is some data on it and if you guys
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know about this or your expert
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Physicians out there or scientists give
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some comments and all you men that are
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experienced give comments for all these
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other men that are newbies
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next is going to be intramuscular and
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Sub-Q okay old school and that's what I
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use 30 years and that's what 90 of men
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in the world that are on testosterone
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they are on inner muscular or
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subcutaneous taken uh doses now the next
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thing is you want to do the lowest
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effective dose Gentlemen let's just kind
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of move forward now assuming you're
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doing small injections don't do 200 if
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your doctor is giving you one injection
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of cypionate a nathate of Sustanon 250
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every two weeks or a month it's not
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proper
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it's not proper gentlemen it it is what
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it is you may feel good on one meal
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every two weeks but my Lord that Peak
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and trough again Peaks and troughs it's
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going to be way up and down
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be respectful to your doctors but you
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may want to say doctor I want to micro
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dose further and you don't have to take
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0.1.15 milliliters every day or every
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other day you could see my video on
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micro dosing where I used a real man who
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does because he just feels better with
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his acne his estrogen and he doesn't
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mind doing it but gentlemen this is
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going to be a lot of work
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being on testosterone is a lot of work
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that's number one and you're going to be
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on it for the rest of your life it's my
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number one risk and my number one most
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important variable uh for a man to
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understand before you start testosterone
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is it really are you really that bad do
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you really need it these are for young
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men right so young men have to consider
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this
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that's why I'm doing my part doing my
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part guys so again micro dosing is
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usually great most of my patients
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including me sipinate 200 milligrams per
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ml 0.5 milliliters innermostly injected
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every five to six days some guys use
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0.35 every three or four days this is
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where you have to find the peak and the
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trough and the it's nature dosing nadir
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and adir it's a trough and you want to
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look at it based on the half-life of the
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medicine which is again in this case
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cypionate or enante very they're
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basically identical when it comes to the
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pharmacology I know there's differences
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guys but most men don't can't detect the
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differences they're interchangeable it's
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not substant on 250 it's not propionate
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certainly not testosterone undecinated
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that's the long-acting one and again
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that one I really don't like either it's
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kind of like the palette it goes up very
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very long in Europe it's every three
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months in America it's dosed 750
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milligrams inner muscle we give it in
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the glute only because it's a big
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injection uh every every six weeks or
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two months
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two months and and in Europe it's given
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every season so you have this this ad
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where you have the guy in Spring and and
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he's in France you know South France in
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the summer and he's getting injection
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then he's skiing in the Alps in the
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winter and he's getting injection it's
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easy well
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they don't always feel great and it
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could be up and down again this is
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testosterone undeconate
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can't say trade names there's multiple
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trade names
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so that's root of administration in dose
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number one gentlemen that's going to be
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number one for you to really understand
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I really hope that helps gentlemen give
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comments next ancillary medications this
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is it guys start testosterone it's
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notorious from anti-aging facilities to
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regular doctors to men in the streets
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here we are
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they they add other drugs to these like
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it's mandatory there's no data for this
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let's roll the sleeves up guys a
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romanace Inhibitors built into the
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injection if a doctor's giving you a
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romanace inhibitor anastrozol or other
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of romanace Inhibitors they're for
00:10:43
breast cancer we have to be careful I'm
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not saying you can't use them I'm just
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saying don't it's not McDonald's cookie
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cutter if a doctor is putting that in
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the mix
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consider getting away from that doc that
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facility I just I see it all the time
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you can't cookie cut it you can't give
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Every Man a built-in
00:11:05
testosterone cypionate or enanthate oil
00:11:08
mix from a compounding facility and then
00:11:11
they're adding in an AI That's cringy
00:11:14
and and embarrassing to me unless if you
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want to do it and you feel great and you
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don't mind the side effects some of them
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potentially dangerous from the heart and
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you you feel great go for it got it's
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easy I mean
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are you really that lazy I mean just
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separate them so a Romanus Inhibitors
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can be used however when you're new to
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testosterone I've been doing this for 20
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years as a clinician
00:11:44
in my opinion you start just
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testosterone
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and then you see how that goes and then
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you manipulate the the testosterone root
00:11:55
of administration if it's a topical if
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it's a pill if it's the oral if it's a
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pellet you can't the nasal if it's inner
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muscular you you manipulate the dose and
00:12:07
the concentration
00:12:09
to get to where you like if it's
00:12:10
astrogenic side effects if you have gyno
00:12:13
or you're Moody or you're you're up and
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down and your sex is good and bad you
00:12:18
know so in my opinion it's a man-to-man
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give it six weeks to two months after
00:12:24
you start special on the injections and
00:12:27
look at the nature dose see that the
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order have your doctor order Ultra
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sensitive estradiol not a total estrogen
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it's contaminated it's useless it's if
00:12:40
they do the total estrogen it's
00:12:42
erroneous it's a medical error it's just
00:12:44
not going to be accurate it can be
00:12:47
accurate but it's in many circumstances
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it's not Ultra sensitive estradiol if
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you want to see the estrogen and again
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if you want to manage the estrogen
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take
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less testosterone or micro dose I really
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hope this helps you guys and you know
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you have to forgive me for getting
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emotional but I do it for my day job and
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when I see it so simple why is everyone
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taking all these extra drugs and then
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you guys come to me as a doctor and I
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just kind of hit a reset button and just
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kind of restart over and just make
00:13:18
things simple and it works out to be
00:13:20
great and of course I look at the heart
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and the red blood cells and I'm going to
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cover that in the end for you guys here
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so if a doctor gives you granadarellan
00:13:28
don't use it I'm not saying it can't
00:13:31
work we don't know about it grenadorella
00:13:34
came out from the anti-aging facilities
00:13:35
during the pandemic and probably before
00:13:38
when human choriatic gonadotropin was
00:13:41
shut down from the FDA and they they
00:13:43
couldn't get it and I'm not going into
00:13:45
the politics it just they've restricted
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HCG
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to to only license providers
00:13:54
that are more specific they they took it
00:13:57
away from anti-aging facilities using
00:14:00
compounding pharmacies it is what it is
00:14:04
and when that happened you saw
00:14:06
gennarellan coming to the market give
00:14:08
comments guys this is fascinating
00:14:11
Grenada realm could work it's it's it's
00:14:14
above the the it's a good it's a GNR RH
00:14:19
analog I I don't even know about this
00:14:22
drug because I'm humble that I don't
00:14:24
know everything but it seems like it
00:14:26
could be good and it could work but if
00:14:28
you see the the comments and you just
00:14:30
see the data on it it's potentially
00:14:33
potentially it's not going to work and
00:14:34
it can make you worse and it could just
00:14:37
monkey up and make the regimen of
00:14:40
testosterone either dysfunctional or it
00:14:43
could hurt your chances of fertility
00:14:45
where it may your you think it's going
00:14:47
to maintain your fertility and your lady
00:14:49
instead of toy cells but it may for a
00:14:51
while but it may it may be worse we we
00:14:53
have no idea where's the data there's no
00:14:56
data using it it prospectively with
00:14:59
testosterone so HCG let's let's that's a
00:15:03
start to move into something a
00:15:05
medication that can be used human
00:15:07
choriatic and autotropin
00:15:10
I have a lot of videos on this this is a
00:15:12
drug this is an ancillary medicine that
00:15:14
can be used it's an alpha it's a LH
00:15:18
Alpha it's an analog of LH
00:15:22
coming from the brain it's it's
00:15:24
gonadotropin it comes out of your brain
00:15:26
LH and FSH and it does work on the
00:15:31
testicles however again there's no
00:15:34
prospective data long-term
00:15:35
co-administered with testosterone
00:15:37
however there are some very good doctors
00:15:39
Dr lip Schultz has done work on this
00:15:42
other expert he's a he's a fertility
00:15:44
urology doctor uh in Texas and he he's
00:15:47
an outstanding doctor and he's published
00:15:49
a lot of research papers on steroid
00:15:52
users with fertility you could look at
00:15:54
Dr lipschultz steroids fertility HCG not
00:15:59
to mention Clomid so when you use HCG
00:16:02
with testosterone again if you're new I
00:16:05
I don't recommend just starting it right
00:16:07
off the bat however if there's any
00:16:09
medication that you may want to start
00:16:11
right off the bat with testosterone it's
00:16:13
small doses of human chorionic
00:16:16
gonadotropin I agree I give it an option
00:16:19
to my patients but I'm about to hash on
00:16:23
30 years I've been off it
00:16:25
for decades it's a lot of injections it
00:16:28
can increase estrogen it can shut down
00:16:30
your testicles
00:16:31
from paradoxically actually worsening
00:16:35
the ability to have your testicles come
00:16:36
back if you come off or
00:16:39
if you want to come off and regain
00:16:41
fertility I use it only for fertility
00:16:44
exclusively with Clomid depending on the
00:16:47
man not calm it by itself but but HCG by
00:16:50
itself when a man wants to get fertile
00:16:53
this is kind of advanced newbie stuff
00:16:55
you want to come off and then just go
00:16:58
right on HCG some doctors say just come
00:17:01
off and then you're going to come off
00:17:02
and you're going to feel bad you're
00:17:04
going to go right back to feeling poorly
00:17:05
and you can you could have erectile
00:17:07
dysfunction so you can't even have sex
00:17:08
so how do you how are you going to be
00:17:09
fertile it doesn't make sense and
00:17:12
another caveat is there's doctors in the
00:17:14
world this is again they're not bad
00:17:16
doctors they commonly will stop
00:17:20
testosterone every six months for a
00:17:23
month or two to let you
00:17:25
clean out and let your receptors come
00:17:27
back and letting your testicles come
00:17:29
back this is insane to me there's no
00:17:32
data for that and so many men have come
00:17:34
to me because they're like Doc do I
00:17:36
really have to come off I'm feeling
00:17:37
horrible now however for a month or two
00:17:41
and then what is it for why would you do
00:17:44
it
00:17:45
doctor I don't understand why that's
00:17:47
done
00:17:48
you're on testosterone you're
00:17:51
considering you're on it for life
00:17:52
there's no data to say that you're going
00:17:54
to go often every six months and it's
00:17:56
gonna bring your testosterone back you
00:17:58
had low T you had low testosterone
00:18:01
that's buying your B that's why you're
00:18:02
being treated I don't get this that's
00:18:05
that's potentially dangerous for the man
00:18:07
because when you come off testosterone
00:18:09
the FDA has a warning for withdrawal and
00:18:12
you can go into a depression and if you
00:18:13
have depression and you're on
00:18:14
testosterone and indeed in part for your
00:18:17
depression and you feel better and then
00:18:19
the doctor is stopping it every six
00:18:21
months to make your testicles come back
00:18:23
to life
00:18:24
that's completely wrong
00:18:26
where's the data where's the data to
00:18:29
argue me serve it up be careful with
00:18:31
that again if you want to do that go for
00:18:35
it
00:18:36
go for it does it work in the end to
00:18:39
maintain fertility it may I mean it's
00:18:41
it's less you're being your testicles
00:18:44
are coming back and you're you're
00:18:46
exposure to androgens from a
00:18:48
hypothalamus pituitary and going Auto
00:18:50
axis it's just going to be less it's
00:18:51
like doing less steroids you have a
00:18:54
chance of coming back your testicles
00:18:56
gentlemen you're new you have to
00:18:58
understand your testicles are going to
00:19:00
be shut down even on testosterone this
00:19:03
trick of coming off every six months is
00:19:05
it going to work there's no data to say
00:19:07
it's going to work it may work but
00:19:09
you're not going to feel good you're
00:19:10
going on testosterone for the reason to
00:19:12
feel good now you're like oh [ __ ] next
00:19:14
week I got to come off my Doc's pulling
00:19:16
it off for a month
00:19:18
beware
00:19:20
last part gentlemen new gentleman
00:19:22
newbies on testosterone last part ABCDs
00:19:26
look at the videos
00:19:28
if you're on testosterone you have to be
00:19:30
aware of your heart and your prostate
00:19:32
watch the the videos I have in this you
00:19:35
can look at Dr Nolan's interviews where
00:19:38
we understand the cardiac disease on men
00:19:41
I like that the data is coming out from
00:19:45
traditional Physicians that there's no
00:19:47
risk
00:19:48
for your heart being on testosterone I'm
00:19:50
not sure why they're so confident about
00:19:52
that because 10 years ago they said
00:19:55
there there could be risk and there's no
00:19:57
new data to really show us that it's
00:19:59
truly that safe so proceed cautiously
00:20:02
lowest effective dose hemoglobin A1c a
00:20:06
glycemic index check your Labs get on
00:20:09
the anabolic doc app I'm here to help
00:20:11
you guys with all this I've enabled Labs
00:20:13
there and you have access to me and my
00:20:14
information on the anabolic.app
00:20:17
biggest blood pressure testosterone can
00:20:19
increase blood pressure your blood
00:20:21
pressure is increased there's no way
00:20:23
it's not going to affect stroke history
00:20:25
potential in the future and or cardiac
00:20:28
coronary disease or or
00:20:31
cardiomyopathies and LVH
00:20:34
if you have hypertension without
00:20:36
testosterone it causes all this so if
00:20:38
testosterone causes hypertension I don't
00:20:41
understand how it can be completely
00:20:42
clear of any risks
00:20:46
think about this work with good doctors
00:20:48
this is that's B blood pressure a A1c
00:20:53
glucose hemoglobin glycemic B is blood
00:20:56
pressure
00:20:58
C is cholesterol cardiac disease get a
00:21:00
calcium score see a calcium score look
00:21:03
at your your your your coronary artery
00:21:05
wrist it's not just Framingham it's not
00:21:07
just framing him we're Beyond framing
00:21:09
him Framingham is the risk assessment
00:21:11
scores of doctors like me primary care
00:21:13
doctors use to predict your risk for
00:21:16
having a heart attack in the future it's
00:21:18
not perfect
00:21:20
d d is deposition disease gentlemen
00:21:24
depending on who you are
00:21:26
what you take what your medical issues
00:21:29
are sleep apnea your genetics your diet
00:21:32
other medicines you are gonna have to
00:21:36
manage your red blood cells and your
00:21:39
iron this is my number one Albatross
00:21:41
that I deal with on my neck every day
00:21:43
for my patients red blood cells go up
00:21:46
it's going to happen Androgen induced
00:21:49
urethrocytosis is the process it causes
00:21:52
increase in red blood cells for every
00:21:55
man to some degree not every man is
00:21:57
polycythemic you have to understand what
00:21:59
polycythemia actually is not every man
00:22:02
is going to have iron overload but you
00:22:03
have to look at your iron studies and
00:22:05
your doctor is probably not looking at
00:22:07
your ferritin in your iron studies
00:22:10
these are videos I have a playlist just
00:22:12
for red blood cells you you really want
00:22:15
to understand this gentlemen if you're
00:22:16
new to testosterone
00:22:18
please digest this video piece by piece
00:22:22
give comments guys that are veterans
00:22:24
please give comments to hear what's
00:22:27
happened because this platform is for
00:22:30
men in the world for educational
00:22:31
purposes and please
00:22:34
if you want access to me of course you
00:22:37
can do consults I'm booked out a few
00:22:38
months and I'm humble for that but you
00:22:40
can get on the anabolic doc app and you
00:22:43
can see all my medical information I
00:22:45
have private specific information that
00:22:48
are pre-recorded videos just about this
00:22:51
stuff every piece we have an h p we have
00:22:54
a library of medical information you can
00:22:56
look at and you can identify and index
00:22:58
and then most importantly you can come
00:23:01
to meetings with me live and ask me
00:23:04
questions
00:23:05
that's it gentlemen testosterone for the
00:23:09
Newbie I really hope this helps men in
00:23:11
the world thank you so much gentlemen
