WEBVTT
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When you don't have libido, like your wife's gonna think something's wrong with you.
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To gain that back and like actually you know, you almost become asexual without it.
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One of the best ways to start getting on this path to healthy behaviors is get your testosterone checked.
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Common misconception is the normal range given on lab values for most facilities.
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It's somewhere between like something I've seen as low as 150 to 1150.
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Alright, so today we're talking about something you're familiar with and done research and supplemented testosterone.
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So what what's your general oversight?
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So at the beginning I started without like doing too much research into it.
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Um and I usually research everything, but at the time I was like pretty much starting my own business and like and working 24-7 hours a week.
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Yeah, working so many hours and you know, on my downtime, I wasn't like really reading.
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What was your source?
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Is it in the locker room?
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No, or do you have no credit?
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I had no, I actually went to an internal medicine doc that I was friends with.
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Um, I started with him, and then one of my friends ran one of these TRT companies, so I changed over.
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Um which you know, I I should have probably checked levels and stuff.
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I think I was like super dosing, um, not really like checking how much I should really be dosed.
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And like I thought like doing more was better.
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It's always better.
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Yeah, yeah, when your numbers are um until the fourth brick wall you ran into.
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You're like, maybe I'm a little over.
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And the thing is, like, I don't I don't know, like even being at the high level, like I wasn't like, you know, at first I was doing CrossFit, but then I started hurting my wrists and stuff, so I stopped doing CrossFit.
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So like I I I gained weight and I thought I was gonna like lose muscle by taking, you know, injecting testosterone.
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And I was doing in injections like once a week.
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I was doing, I think I should have been at half of what I was, um, because my readings were at and this was at 35.
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Um, my readings were always greater than 1500.
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Oh, greater than 1500.
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Okay, so you were so I like what I originally I don't remember quite what I was my total testosterone was probably around 500, um, I think four or five hundred uh before I started on it.
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Um, and then you know, I did it for quite a while, and then I came off of it because me and my wife were trying to get pregnant, so I came off of it.
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I felt like crap.
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Like um, like were you on anything else?
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What's the normal value of testosterone?
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So if you look at the lab values, some labs are 240 to 900 or 1200, even up to 1200.
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Um, but you want to be optimized, it's not just what the level is.
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They say not to look at just your total testosterone, look at the free testosterone level, but no one's really got that real like free testosterone level to be optimized.
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It's easier to look at the I don't know.
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For me, I haven't found any real good way of that, other than you got to get your total testosterone, your sex hormone binding globulin, because you could have a normal testosterone level or optimal testosterone level, but if your sex hormone binding globulin's too high, that's binding to all to the testosterone.
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So your free testosterone is gonna be much lower, so you're gonna have all the side effects as if you had low testosterone.
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Um but you know it's almost like that makes your your therapy.
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I mean, that's yeah, that makes sense.
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Yeah, but in general, like for most people, if if everything else is balanced, you want to be at the high end normal.
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For most people, it seems like they do best between like nine to eleven hundred.
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Yeah, nine to eleven hundreds what you're like in your teen years or early twenties, um, even into your thirties.
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Nowadays, you're finding 20s and 30-year-olds like under 500.
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Yeah, um under 100.
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Yeah.
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Well, like where a lot of the issue is they go to their PCP, their PCP doesn't want to prescribe them anything, although they seem like they're having which is the primary care physician, they seem like they're having side effects from having low testosterone.
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Um, and you know, they're not they're like your testosterone's normal.
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I'm like, I look at it, I'm like, no, it's you that's pretty low for 20, 30 year olds.
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Yeah, you know.
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Um, and like there's things you can do, like if you're living a sedentary lifestyle, um, and we can discuss this later, that you can do to up your testosterone levels.
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Um, so if you're living a sedentary lifestyle, you're fat, your your estrogen is gonna go up, your testosterone is gonna go down.
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If you live a stressful lifestyle, um, your cortisol being high is gonna um so you should stand up when you masturbate.
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Yeah.
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Put your testosterone in the digger or lift some weights while you're doing it.
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Resistance training's gonna increase your testosterone.
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You don't need both hands to masturbate.
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Yeah.
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And good sleep.
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Good sleep's gonna improve your uh overall testosterone level.
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All things all things that like if you go through med school, you pretty much like um none of this happens.
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So residency, even worse is residency.
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It's not just testosterone, like you're looking looking at like growth hormones, like pretty much your overall like circadian rhythm.
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Yeah, your cortisol's high, always, and then that's that's the thing, like our cortisol, and like look at our HRV.
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Our HRV is always so low, which is the heart rate variability, because we're always in such high stress, even when you're home, you're you know, like once in a while, if I'm on vacation, like that thing will creep up past 50.
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But most of the time, yeah, with whatever wearables I have, they're always under 50.
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Yeah, um, and once in a while I freeze my bed and I'll get the HRV to go up too.
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But then you get like two hours of sleep and you wake up.
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I know you wake up, you're like, I'm freezing.
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Yeah, get under the comforters.
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Um, and then my son can't sleep, he's right next to me.
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I feel bad for him.
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I'm like, doesn't that teach you to go to your own bed?
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Yeah, this bed's cold.
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Yeah.
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What are the side effects of low low testosterone that's so good?
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And I experienced them all um once I was off of it.
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You know, I tried other things to kind of up the my testosterone level.
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Like you could take clomid or and yeah, I I took the cleaner, I took clomid, but clomid makes you like a bitch.
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Like seriously, like you get.
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What is it?
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Is it clomidopine?
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Oh, clon it's clonopene.
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Clomphine.
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Clomophine.
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Clomphine.
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It's not clonapine.
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And I I took and clomfene's an isomer that's much cleaner.
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There's two isomers in it if you take clomid itself.
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So I at first I took clomid, which like you'll feel the depressed, like get really moody, um, and stuff where you don't like um no, because that that's to improve fertility, and uh you should it increases your testosterone level, so you you'll have okay.
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Um I've heard I've heard people have had decreased sex drive.
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So when when your testosterone's down, like especially, you know, and like we're trying to get pregnant and like you you're off your testosterone, you're like, fuck, I don't want to have sex.
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Like your libido goes through shit.
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You're like, what can I do?
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But if you take testosterone, your sperm count goes down, you know.
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Uh some people it's a negative feedback loop.
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Yeah, you're some people are able to do just fine um and able to have kids, but for a lot of people that your sperm count's gonna go down.
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Um if you have if you don't have the best sperm motility and stuff, that you know, that's gonna even decrease your chances of uh pregnancy.
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Not for you, but your wife.
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So um uh so libido and and like what I noticed was like the love handles came back like exponentially.
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Once I got off testosterone, like the tire around your waist, that's like low testosterone, like it's straight tire around your waist in a guy.
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And females that they're gonna probably gain gain more fat in their hips, and for men, it's gonna be like a tire around your waist.
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Um and and then like cloudy brain, like can't think straight, um just also depression and stuff too, and what you see, you know, and this is why, like I think a lot of people that come out of the NFL and stuff, because you know, there's a decent amount of people that do um steroids, and they, you know, their cortisol levels are high, they're competing at such such a high level that competing at such a high level for so many years, it's not like they got into the NFL at 22 and that's the only time they've worked hard.
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They've worked hard since they were pretty much like 10 or 12 years old, and they haven't stopped into their 30s or or even longer.
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Um, so your your testosterone's gonna be shot, and that's why these guys, on top of like them having traumatic brain injuries and stuff, their testosterone's like shot, shot, shot, and they get it depressed and like it all just compounds together.
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And this whole time they've been getting smashed in the head, yeah, just yeah, lift weights, take tea, and get smashed by somebody like swinging a two by four.
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Yeah, so you know, I was like, I was itching to get back on as soon as like I was like, when can we get pregnant?
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Then we went through IVF and stuff, and then like I got back on testosterone like pretty much as soon as I could.
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Like, thought process was a lot clearer, had more energy, you know, like lost some weight, and especially when you work out, you start to lose the love handles.
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That was that's the thing that like is the most painful, and trying to lose that.
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Um so like there's so many added benefits, and like on top of that, you have stuff that you you you're not gonna see is gonna be like it's beneficial for your heart and your bones.
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Um for your bones, one way is you're gonna put m more muscle mass on, and that's gonna help out overall with your bone health as well.
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So I think there's go ahead.
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There's a secondary effect when when they like kind of like most studies I've seen, no matter whether it's like testosterone related or whatever, it's like muscle mass and bone density kind of go hand in hand.
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Yeah.
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So like they definitely feed off of each other, but there's got to be a like a back channel with like that actually adds.
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And that's that's what I worry about.
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Like, and like that's what we do in our clinic is that like when people come in asking for GLP ones, we check their hormones, and we we're like first thing you need to do is start on hormone therapy, and then we can look at the GLP ones because if you're like just and a lot of people are just being handed the GLP ones, yeah.
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Um, which you know, like it's gonna make it worse, and you're almost never gonna come off these GLP ones because you know, you get on you don't take the testosterone, you're already losing muscle mass, you already got more fat, and then all of a sudden this starts to decrease your muscle mass even further, and you're starting to lose fat.
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And and also you already don't have you know, your energy is gonna be low, being low on testosterone.
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So the GLP1s, you're caloric restricting, and you're gonna have even less energy too.
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So it's gonna be make it tougher and tougher to get back to working out.
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So I think one of the best ways to start getting on this path to healthy, healthy behaviors is get your testosterone up in check.
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And you know, if you're trying to get pregnant and stuff, there's other ways to get your testosterone up.
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But if you're done with having kids and everything and want to get into this healthy lifestyle, I think you start with your hormone balances, like your testosterone, also your thyroid hormone, make sure those are balanced out before starting on the GLP ones.
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So you can have the energy, get back into the gym and everything before like starting to like really get that weight loss.
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And it'll save you a lot of money too, because the GLP ones are a lot more expensive than testosterone replacement.
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And what's gonna happen is you can microdose the GLP ones just to keep your glucose under control, keep your grazing under control, and just build muscle mass and lose weight.
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Almost like just like a little maintenance dose.
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Yeah, it just helps um modulate your glycemic swing throughout the day.
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How about side effects, guys?
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Like you know, people talk about blood clots and potential like heart disease with chronic use things like that.
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Gynecomastia.
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So gynechomastia, yeah.
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So heart disease, it's actually cardio preventative, it's anti-inflammatory.
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So it's the opposite of what you think.
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But like for thickening blood, you we gotta um keep the blood uh uh the hemoglobin in check, make sure it doesn't get too thick, then they can get blood clots, and you gotta just make sure you're dosing appropriately so you're not super dosing these people.
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Um so and another way is you know, like the IM injections or sub Q injections, they're gonna be and doing it with like a synthetic hormone is gonna get you more in like a superhuman dose where your hemoglobin's your hematocrit's gonna be a lot higher.
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Um so doing bio-identical like pellets and stuff, um where your your levels aren't going all over the place, is gonna keep you more balanced and prevent from getting, you know, keeping your blood too thick.
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The other thing you could do is if you tend to get thicker blood and you go and give blood every few months, so you do you check your levels and you're going and giving blood so to prevent again blood clots and thicker blood.
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You also have to check your prostate because it could cause enlarged prostate.
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So you gotta always keep an eye on not and see where the PSA is.
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If the people already have p high PSA, um it's usually stay away from it unless they have biopsies and stuff to prove it.
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Or if it's like an infection or something like prosthetitis, yeah.
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You just like make sure you treat the infection, rule out cancer, and then it's usually not a problem.
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Okay.
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Do you check like viscosity of blood regularly?
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Yeah, because yeah, that's the CBC, just rebel regular C B C.
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Just see if the hemoglobin's elevated.
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Yeah, like and of course, and like I've done all forms.
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Well, I didn't I take that back.
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I didn't I never did creams.
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I never like I was like, I don't know, no one's really talked good until until I catch this guy Johnny from the gym.
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Yeah, yeah.
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I I never did creams, like I just didn't think it was gonna be like absorbed appropriately.
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Um, some people say it's the better way.
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Like for a lot of my friends, I start them off with creams, they're all scared of needles.
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It's an easy way to start out.
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Um, for me, I started out with intramuscular injections.
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Um, those you get you get like a at 48 hours, you really get a high.
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Your numbers peak at about 48 hours, and then they start to go down and like kind of plateau off.
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Um, and I am you usually can do once a week.
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Some people do need to do it twice a week.
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Um, then I did sub Q injections.
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Um, sub Q injections you need to do more often.
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Um, usually like twice a week is fine.
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Um, I was doing microdoses, I was doing small doses every day, but I was like, you know, I'm gonna get like an abscess or something because it is oil-based and you're putting it under the skin and you sort of sometimes get welt.
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Um now I just do pellets.
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I think, you know, um I do the smaller pellets.
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My uh body fat percentage has gone too low to do the larger pellets that I would do every five, six months.
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Now I do them every three, four months.
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And it's more based on symptoms.
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I do check my labs, but I check my labs as I'm getting the pellets placed to prove that my numbers were getting lower.
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Um because I I feel it like I feel like there's days of doom, like I almost like when my testosterone's normal, I I don't feel that doom period.
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Like if I do it's like a a day, but when you don't have like when the testosterone's lower, I feel like it's like kind of gloomy every day.
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Um energy-wise, run out of energy at the end of the day.
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Um libido, libido is not there.
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Um so you kind of sense the difference.
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And I'm like, I look at the date and it's it usually coincides almost right away.
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You don't and that's why I say you really don't need labs to know when you need to get it replaced if you're doing pellets for um because pellets are a slow sustained release, yeah.
00:18:56.319 --> 00:18:58.880
So people that might not know about it.
00:18:59.119 --> 00:19:01.440
Yeah, pellets are how do you get pellets?
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It's like a 10-minute procedure, it's really quick.
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Um easier than an IV.
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Yeah, you're numbed up and there's these little tablets.
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Um, they're cylindrical shaped.
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Um, we use a little cannula, we put them under your skin.
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Um, they can be placed uh in your butt, um, in your left handles, usually in fatty areas right under the skin, because the skin's gonna have that dermal plexus to um absorb uh uh the testosterone or whatever pellet females we put uh estradiol uh pellets as well.
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Um but you you and the absorption's dependent on your cardiac output usually.
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And how how long does the pellet last?
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So you put it in.
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So the larger ones you're like talking about five to six months.
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Some people could metabolize it quicker.
00:19:59.119 --> 00:20:02.079
Um the smaller ones usually three to four months.
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Okay.
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My last one, I I think I went four months with uh the smaller pellets.
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I started working with a blood testing company about six months ago in America, and I knew I wanted to do more preventative medicine, all the rest of it.
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Get my blood stunned, never had my T levels done, came back at 495.
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So I'm in the normal range, but I'm at the like low end of normal.
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They put me on a protocol which didn't include TRT, but like I needed to take boron to free up my free tea, and I needed to do like pharmaceutical grade of magnesium glycinate because the version I was using wasn't converted in some Amiga SLS there and more organ meat.
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And I got my results back about two weeks ago, and it was at 1,006.
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So it's gone from 495 to 1006.
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And the felt difference in my mood, in my energy, libido, everything is fucking palpable.
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Realizing that, oh, I thought that that was life.
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I thought that was normal.
00:20:50.880 --> 00:21:02.400
Everything at the moment seems to be very conducive toward men not being able to psychologically, physically, hormonally, socially, archetypally embody anything that is traditionally masculine.
00:21:02.559 --> 00:21:04.720
Ultimately, it's not just guys that will struggle.
00:21:04.880 --> 00:21:07.200
Like if one sex loses, both sexes lose.
00:21:07.599 --> 00:21:08.880
So, what did he say?
00:21:09.039 --> 00:21:11.839
Like natural ways to like increase it without TRT.
00:21:12.160 --> 00:21:16.559
Toronto Mexican glycinate, there's Ashwagandha, Tanka Ellie.
00:21:17.119 --> 00:21:21.680
His numbers, 495 to 1,000 plus, are kind of abnormal.
00:21:21.759 --> 00:21:25.039
That dude's pretty muscular and he works out resistance training.
00:21:25.200 --> 00:21:27.839
Who knows how his sleep was between the two?
00:21:28.000 --> 00:21:32.400
They say it it's almost impossible to go from 500 to 1,000.
00:21:32.480 --> 00:21:39.839
Um, but they also say you should test it in the morning um twice before can vary throughout the day.
00:21:40.079 --> 00:21:40.480
Yeah.
00:21:40.720 --> 00:21:44.559
So when he got it drawn is a big important thing.
00:21:44.799 --> 00:21:49.200
Um, and you know, how about how animal organs think?
00:21:49.599 --> 00:21:51.279
The animal organs they work.
00:21:51.359 --> 00:21:53.759
You you should you should be taking in organs.
00:21:53.839 --> 00:21:58.000
They, you know, like in in some of them they or cooked liver.
00:21:58.319 --> 00:22:04.079
So so they have liver, they have testicles, they have adrenal glands, and they do all work.
00:22:04.160 --> 00:22:06.720
And like, what do you think the thyroid medications are?
00:22:06.960 --> 00:22:20.960
Thyroid medications are like armor thyroid is desiccated pork uh thyroid, you know, like um, so you're taking and animal organs work because they're gonna give you some of the hormones um that you need.
00:22:21.119 --> 00:22:21.680
They work.
00:22:21.759 --> 00:22:42.240
I I've taken adrenal stuff, I've taken um I've taken the animal organs all um don't go don't go like the don't go like the liver king and eat l live liver, but but but like if you have low T levels, like his were somewhat on the normal side.
00:22:42.400 --> 00:22:56.480
Yeah, like those, you know, the natural ways, unless you're like in your 20s and 30s, like when you get up to 35 or 40, like those things aren't gonna work.
00:22:56.720 --> 00:22:57.680
You could try it.
00:22:57.759 --> 00:23:08.319
I'm not saying don't try it, like get your resistance training in, um, get your sleep, uh get your stress levels down, meditate.
00:23:08.720 --> 00:23:10.960
Um, also try some of the supplements.
00:23:11.119 --> 00:23:21.759
Ashwagandha, he said boron, magnesium, glycinate, um, and uh the animal meats they like magnesium also helps with sleep, so some of that stuff.
00:23:22.160 --> 00:23:23.200
Yeah, that's what I was gonna say.
00:23:23.359 --> 00:23:32.880
Magnesium's but magnesium and like zinc and stuff, they're in so many other pathways of like making the hormones and how the hormones work pretty much, yeah.
00:23:33.119 --> 00:23:36.480
So it it overall it's gonna help out.
00:23:36.640 --> 00:23:42.720
Um because that's you know, and I wonder like we could test the supplement we're about to come out with.
00:23:42.799 --> 00:23:47.279
Um because that's gonna increase the amount of semen you produce.
00:23:47.359 --> 00:23:51.039
So I bet you it's um anecdotally, yeah.
00:23:51.279 --> 00:23:56.240
So I bet you it has some effect on your uh testosterone levels.