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hey guys it's dr sam robbins today i'm
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going to do a video about trt uh
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testosterone replacement therapy i know
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you guys asked a lot about it basically
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using testosterone if your testosterone
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levels are too low i'll talk about the
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different kinds where to do how to do it
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what not to do pros and cons but
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all that good stuff it's going to be off
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the top of my head hopefully i won't
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forget anything
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and i won't keep ranting on um so all
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right so
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testosterone replacement therapy
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normally if your levels get below in in
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america at least you know levels are
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between 250 to maybe a thousand
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sometimes if you get a very low end you
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get the doctor will say hey your
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testosterone is low we should put you on
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testosterone these days everyone's doing
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it or a lot of people are doing it why
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because clinics
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hormone replacement therapy clinics and
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testosterone replacement all that stuff
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they make a lot of money i mean the
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the profit margin is insane and the
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thing is once you start you don't stop
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so that's the biggest negative and i'll
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tell you about that all in a minute um
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so okay so
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basically testosterone in america comes
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in testosterone sipinate you know it
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comes in uh something like this
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basically uh 10 ml vials testosterone
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syphon a200 per ml there's another one
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right
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and then you have single use via ones
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this is just one ml
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you can see it right so you have 10 mls
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and then one ml and then in other
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countries they have it in amps such as
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testosterone and anthony versus
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testosterone supinate in america
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it's pretty much the same thing the
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difference is in america 200 milligrams
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of sipinate and an anthony or sustanon
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is 250 milligrams per ml but everywhere
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other than america they use enantio here
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in america they use sipinate all right
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for trademark reasons but who cares
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about that so there you have it as far
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as the total dose that you would need
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depends on where your levels are you
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know just think your body makes around
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seven to ten milligrams a day seven to
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ten milligrams a day so multiply that by
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seven days you're making roughly 70 to
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100 milligrams of testosterone a week so
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they do 100 milligrams of testosterone
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supinate with the
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uh weight of the ester you out of the
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100 milligrams you end up using roughly
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70 milligrams hence roughly the dose is
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100 milligrams a week unfortunately
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these days doctors are giving people a
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lot more 200 milligrams some people are
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taking 300 milligrams in fact a very
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very well-known doctor here in santa
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monica area that knows a lot of people
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my cousin went to him
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and he gave him 300 milligrams a week
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that's his trt like that's like a real
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cycle all right so you can also take the
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cream as well
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so keep that in mind and then you can
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also do pellets pallets basically put
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these little baby pellets like size of a
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rice and they put a bunch in like your
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outer butt in the fat area and so forth
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right so so that's basically different
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ways to do it what's the best best
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method i still say whether topical maybe
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depends on how some people absorb it but
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the injection is the best way
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by the way disclaimer don't do anything
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i'm telling you this is for
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entertainment purposes only speak to
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your doctor your doctor knows everything
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don't live breathe eat sleep or do
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anything until you speak to your doctor
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okay so
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dosages would roughly be 100 milligrams
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a week i told you a lot of people end up
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doing more these days and it's like
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sports trt or
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it's basically a little baby cycle for
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steroid cycle so
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all right so what will you feel as far
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as where to inject you typically doing
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the muscle right um
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the butt muscle outer butt sometimes you
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do it in your shoulder muscles and then
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um you can do it also in your quadriceps
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right um as far as a you know typical
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dose when i said 100 milligrams you
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would ideally split it up maybe twice or
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three times a week a little bit more
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often is better i know a lot of guys are
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doing it sub q these days on the fat
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it's really not designed for that it is
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more you know designed for intramuscular
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which is in the muscle um a little bit
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you can example you can use a big needle
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right or typically you can just use a
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little insulin needle this is one ml
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this is 200 milligrams if you were going
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to do it it's little you just need a
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little bit so all that seems pretty good
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the biggest problem is again once you
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start you don't stop
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i'll tell you that more in a minute but
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how will you feel when you start taking
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it well you're going to feel amazing
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right away the first couple weeks
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right on man your sex drive is up your
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mood is better your drive is better
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you just have more energy your mind
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everything is awesome right maybe you
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sleep a little bit off because you do
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have more energy but who cares but the
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problem is right around two weeks
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here there's a negative feedback loop
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okay
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and basically hypothalamus pituitary
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testicles yada yada they shut down
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right because your body's like hey i'm
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getting all this extra stuff i don't
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need to make any more on my own
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now you might be thinking well i wasn't
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making that much to begin with
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nevertheless you're still making even if
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you only have 200 nanograms per
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deciliter and idealist 600 700 800 900
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you still have some what happens so
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after two weeks all of a sudden
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hey doc i don't feel the good stuff as
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much anymore because your body adapted
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it shut down its own so you before you
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were adding testosterone on top of your
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own right now you're just going to
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basically it's going to come back down
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it's still going to be better than it
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was before but you're going to lose some
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of that
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okay and things get back to normal it's
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still good no problem
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right so that's the good part and a
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little bit of the negative the problem
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is now start the side effects i'm not
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saying everyone gets them all right
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genetics genetics genetics genetics
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genetics play a huge role okay some
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people take testosterone or any steroid
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but we're talking about testosterone
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even at trt dosages um you can you might
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get zits people are prone to zits even
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as
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an adult you'll get them okay
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hair loss hair loss is going to happen
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now it's going to accelerate hair loss
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that is for sure now a very
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small minority of people will never lose
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their hair okay but even the best
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bodybuilders like jay cutler had an
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amazing full head of hair nowadays he's
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balding he's got transplants okay so you
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will accelerate hair loss even uh a
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friend of mine his dad at age 70 he
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still had a full head of hair like maybe
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in norwood too like a little bit
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receding on the side he
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started taking sustana which is 250
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milligrams like once a month it wasn't
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even that big of a dose he said after
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three months he started losing a ton of
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hair so this is a guy at age 70 who had
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hair his entire life basically he would
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think he's never going to lose it as
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hell if he hasn't lost it at age 7 he's
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never going to lose it and at age 70 71
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he started losing his hair because of
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testosterone why maybe because
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genetically his testosterone levels were
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always low so he didn't have any
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problems and at the same time you start
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having prostate issues so why is this
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happening well testosterone converts
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primarily to two main hormones um gets
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converted to estrogen different estrone
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estrone estrogens estro estro estriol
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and estradiol estradiol is a big one
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as well as dihydrotestosterone dht so
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what does the estrogen do it gives you
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man boobs okay if you're already prone
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to it if you're already overweight you
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already have excess body fat you're
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already gonna have higher estrogen as
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you get older you have more aromatase
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enzyme so
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you adding testosterone will exacerbate
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that even though the ratio will be
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better some people just convert a lot to
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estrogen
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so you have to be mindful of that what
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does estrogen do that's just got a lot
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of negative effects it's going to cause
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body fat your mood your emotions
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you start to get crying you get moody um
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you can add the gynecomastia skull [ย __ย ]
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to it you're going to have more fat okay
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i'm not saying everyone gets this so
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what does a doctor do they'll put you on
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an aromatase inhibitor such as aromadex
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is the main one you can also have femara
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or aromason but arumidex is the main one
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typically they end up giving you a very
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high dose which isn't good because now
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your estrogen becomes too low too low
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estrogen is worse than too high of
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estrogen both are bad so it's very hard
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to find a smart doctor who cares
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keyword cares is willing to put in the
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time and keep asking you questions and
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keep doing blood tests after blood tests
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and doesn't care about how much money
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they're making prescribing all these
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different drugs so it's you only need
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minor amounts like micrograms of
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aromatics but lots of people i know this
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got taken a half a milligram three times
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a week that's a lot when you're only
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taking 100 milligrams of testosterone
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sorry if i'm going real quick i don't
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want to waste anyone's time so estrogen
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is one big issue and yes estrogen
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exacerbates prostate estrogen also
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exacerbates hair loss high levels of
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estrogen okay estrogen plus testosterone
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is not good low testosterone and high
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estrogen for women it's fine but for
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guys both of those being high isn't good
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in fact estrogen can cause anger you
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think what yeah estrogen is one cause of
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anger
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so what else does the testosterone
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convert to it converts also you've heard
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of it probably dht or
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dihydrotestosterone
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that's a lot more potent than it's a
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potent androgen meaning it has all the
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main side effects of testosterone it's
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not anabolic meaning it doesn't build
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muscle but it does bind a lot more
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heavily to your skin and prostate
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meaning you start to get like back hair
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and things like that
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um hair loss happens and you know and so
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on and so forth and it also can cause
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prostate and it does cause prostate now
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guess what testosterone converting to
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estrogen and dht by the way they convert
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through aromatase enzyme and five alpha
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reductase enzymes so as both of these
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enzymes also get higher and higher and
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higher as you get older and older and
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older that's why almost like when you're
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young it's the best you don't get any
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side effects but after the age of 35 and
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40 and 50 for sure those enzymes are
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higher so now when you take testosterone
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which is like
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revenue it converts a lot more to an
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expense a negative liability which is
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estrogen and dht which then causes all
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these other negative side effects so
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then maybe a trt doctor will put you on
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propecia right five alpha redux
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exhibitor pro scar maybe even avodart
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again now that stuff crushes your dht
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and now you become impotent
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not good so there's this fine balance of
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hormones and nobody knows how your
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body's gonna react because that's your
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genes by the way how you react to
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testosterone age 20 is very different
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than how your body will react to
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testosterone age 40 or 60. basically the
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older you are the worse your body reacts
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even professional bodybuilders can do an
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amazing cycle of steroids at age 25 and
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they look awesome same body same
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bodybuilder same genetics can take that
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same cycle at age 45 they won't respond
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anywhere as good
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your body doesn't work as well receptors
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aren't the same you know negative
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hormones end up happening more enzymatic
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conversions again you don't know okay so
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this is where the gamble is you gotta
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find a really really smart doctor and
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guess what most doctors are not smart
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they're in it for building you know
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making money and building a business
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they're not going to sit there and talk
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to you about this and do your diet and
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exercises and all these other factors
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so keep that in mind once you start you
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have to
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manage all these negative conversions
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which only your genetics is going to
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tell you okay no one else is going to
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know until you start
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that's the thing now if you
00:11:18
you know went through puberty and
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everything was awesome you had no issues
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chances are taking a little bit
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testosterone won't be a problem but
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again i know guys who have got great
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genetics and they start taking at age 45
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and they start having all these side
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effects because there's maybe too much
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or they took the wrong dose they took it
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with the wrong stuff in fact another
00:11:36
friend of mine who's taking trt dosages
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so true story again he hits me up he's
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like hey you know doctor i won't mention
00:11:42
him he's got his own website youtube
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channel i don't want to say anything
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negative about anyone he's very well
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known he deals with professional
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bodybuilders
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he said dude my my friend said i'm
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instant man i don't know what's going on
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and i'm taking 300 milligrams of
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testosterone and is not taking a 5-alpha
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reductase inverter so it's dht so sex
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drives should be up impotent viagra
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cialis isn't working so guess what he's
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taking injections into his dick
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just to get hard
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so i said why don't you get off he's
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like i can't when i get off i feel like
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total crap so this is when i say you
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have to be on it forever once you start
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you're on it forever why because
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everything shuts down the longer you're
00:12:23
on it the longer it shuts down so now
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you're going to say oh it's okay dr sam
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i'm going to do pct post psychotherapy i
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want to start taking some clomid and
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some null index and then i'll take
00:12:34
hcg and fmg
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good luck
00:12:38
it doesn't work the way you think most
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of the time you're not gonna get it back
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okay especially if you weren't good to
00:12:44
begin with listen once you damage it
00:12:46
it's damaged and the older you are the
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harder it is to rebound
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trust me now you might say how do you
00:12:52
know dr jim you just said you didn't
00:12:53
take steroids i have in the past in my
00:12:55
early 20s so i can if you guys want to
00:12:57
know about that let me know in the
00:12:59
comment section i can tell you
00:13:00
everything i've ever taken what i've
00:13:01
done and all that stuff i'm like an
00:13:03
expert about all this stuff because i
00:13:04
was obsessed with hormones i dealt with
00:13:07
pro bodybuilders you know in the late
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80s and 90s i was backstage with the mr
00:13:11
olympia doctor and dr michael kaufman i
00:13:14
knew all this stuff assistant to dan
00:13:16
duchean arthur l ray um
00:13:19
a lot of these guys i was just obsessed
00:13:21
with hormones and i thought how cool and
00:13:24
by the way
00:13:25
a lot of people who take steroids don't
00:13:26
respond what you see in the magazines or
00:13:29
on instagram these guys are like hyper
00:13:30
responders with awesome genetics
00:13:32
anything they do works they gain no
00:13:34
muscle and they lose only fat assume
00:13:36
you're not one of these people okay
00:13:39
i have to learn the hard way i'm not one
00:13:41
of these people i'm not a responder
00:13:42
don't have the good genetics for it i
00:13:44
got just the side effects again i'll
00:13:46
tell you more you guys want give it a
00:13:47
thumbs up and let me know in the
00:13:48
comments section
00:13:49
and i will if you want this is why i
00:13:51
suggest you hold off on trt as long as
00:13:55
you can fix everything in your life fix
00:13:57
your lifestyle fix your sleep fix your
00:14:00
diet fix your workouts fix your stress
00:14:02
levels you know improve vitamins and
00:14:04
nutrients and earth i have all this
00:14:07
stuff but before you've seen i take
00:14:08
alpha viral i've been taking that over
00:14:10
22 years now
00:14:11
that's why i traded it okay i wanted a
00:14:14
natural alternative and i've been taking
00:14:15
it for 22 years my testosterone is on
00:14:17
the higher end estrogen and dht is good
00:14:20
everything's balanced and it took a long
00:14:22
time
00:14:23
and tons of blood tests for me to figure
00:14:26
out what works on my body let alone
00:14:28
someone else's so keep all that in mind
00:14:31
again if you want to take trt
00:14:34
wait
00:14:35
i'm not saying don't do it it's your
00:14:36
body your life your future i can only
00:14:38
tell you what's happened to me
00:14:41
and hundreds of other people that i've
00:14:44
consulted with
00:14:45
awesome guys bodybuilder guys
00:14:47
professional athletes regular people
00:14:49
young and old close to me people i don't
00:14:52
know i've done it all okay
00:14:55
don't play hormones are extremely
00:14:56
powerful okay it's not a joke
00:15:00
so wait
00:15:01
do everything else first
00:15:04
okay watch all my videos about improving
00:15:06
testosterone levels okay you can do it
00:15:09
fix all of that first see how you feel
00:15:12
by the way you can have low or medium
00:15:14
testosterone still feel good okay and
00:15:17
you don't need to take it just because
00:15:19
your blood test low doesn't mean you
00:15:20
need it it's how you feel and how you
00:15:22
look some people are so sensitive to
00:15:24
testosterone that even levels of like
00:15:26
400 nanograms which is kind of low they
00:15:29
look awesome
00:15:30
okay i know guys who look way bigger and
00:15:33
lighter than me and their testosterone
00:15:34
is like half as mine i'm like what the
00:15:36
hell
00:15:37
better genetics they're more sensitive
00:15:39
to the hormone i'm not so again i don't
00:15:41
have the genes most of us don't we have
00:15:43
regular genetics don't look at the
00:15:45
hyperresponders don't look at only the
00:15:47
positive stuff because once you start
00:15:49
you can't stop trust me oh by the way um
00:15:53
you want to have a kid forget about it
00:15:56
it's going to ruin your sperm and
00:15:57
everything okay trust me on that so wait
00:16:00
leave that as the last last option okay
00:16:04
please for your own self your own
00:16:07
happiness your own future i don't want
00:16:08
to be that i told you so guy learn from
00:16:11
my mistakes and all these other people
00:16:12
that i've known
00:16:14
wait for testosterone at the very last
00:16:16
well you've done everything possible
00:16:18
okay
00:16:18
i've got tons and tons of videos and
00:16:21
articles and supplements and all that
00:16:23
that will improve i guarantee will
00:16:25
improve your testosterone levels okay do
00:16:27
all that stuff improve it see how it is
00:16:29
over the next few months year two years
00:16:31
five years
00:16:32
then then save it for the last chance
00:16:35
because after that there's no other
00:16:37
option there you have it i hope this was
00:16:39
helpful let me know if you what
00:16:40
questions you have what clarity you need
00:16:42
leave you leave your comments below um
00:16:44
if you like this topic let me know if
00:16:45
you what else you want in the future um
00:16:48
sorry for the rant sorry if i went too
00:16:50
quickly sorry if i forgot something but
00:16:51
again off the top of my head
00:16:53
and today's a scorcher outside so that's
00:16:55
why i'm wearing a tank top so there you
00:16:57
have it
