Testosterone from an Online Clinic?! Urologist Answers If It's Safe
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- Опубліковано 2 лип 2024
- Are you planning on getting testosterone from online testosterone clinics? But having second thoughts if it is actually safe, legit and effective?
There has been an exponential growth of these online platforms which allows access to medical care for erectile dysfunction, low Testosterone, and hair loss among others.
But here’s what you need to know before considering doing this.
Thanks for watching!!
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▶️Chapters:
00:00 Intro
00:08 Online Testosterone Clinics: Are They Safe?
01:09 Experience with Online Clinics
01:18 Secret Shopper test
03:04 Testosterone as a great supplement
03:50 Take-away from accessing online clinics
04:25 If you enjoy this video subscribe to the channel!
Watch the video till the end and let me know your thoughts in the comments.
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Rena Malik, MD is a urologist and pelvic surgeon on youtube to educate people about all things urology including erectile dysfunction, how to increase testosterone, problems with sex, premature ejaculation, urinary leakage, or incontinence, overactive bladder, urinary tract infections, prostate issues and more.
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Rena Malik, MD is a urologist and pelvic surgeon on youtube to educate people about all things urology including erectile dysfunction, how to increase testosterone, problems with sex, premature ejaculation, urinary leakage, or incontinence, overactive bladder, urinary tract infections, prostate issues and more.
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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.
i love how she never gives SIMPLE answers. She interprets peer reviewed studies for you and explains the math of the study and allows you to make a decision on if there is a correlation. Answers are not simple because they are real and the body is not simple. thanks Doctor
I am 67 years old and have been on trt for 10 years. I get my supplies administered online, Best move I ever made.
Which site?
Who do you go through.
Ya where man
Total T not the most important marker. Also SHBG, Free T and symptoms. 450 can be low for a guy that was 1200 in his 20's and 30's. 450 can be high for a guy who has never been over 450. The more complicated issues is receptor count. All clinic should be considering all factors.
Thank you for bringing this up. Most doctors don't understand these nuances.
I am a 70 year old retired Orthopaedic surgeon with symptomatic low testosterone. Through a referral from a friend I contacted Hone Health for online evaluation. I have been in treatment for a year. I am quite happy with the results. I was seen by a physician initially and every 3 months since. She took a thorough history, counseled me about risks and ordered and reviewed with me appropriate lab tests. My dosage has been adjusted downward and upward based on lab results to keep my testosterone in range.
It is true that they don’t target a value considered normal for my age, but rather a value appropriate for a younger man and, after all, isn’t that the point for a guy my age? I feel, look, think and act act like a middle aged guy rather than like my feeble old friends.
Admittedly, my situation is different from a much younger guy. I am not concerned about fertility and is too late for me to die young.
That said, TRT has been a great thing for me.
Absolutely agree. The whole "normal for your age" thing is ridiculous. What matters is the level that alleviates your symptoms. It may be "normal for my age" to have cataracts, but that doesn't mean that I have to accept being blind! We take measures to address the problem. I just don't get why it's any different with testosterone.
I get testosterone shots at a local clinic. But in all honesty, I’ve never seen a doctor there either. Only a nurse practitioner, and even then she’s not the one who administers the shots. She’s the one I check in every three months when I get blood work done.
But I do feel totally confident in her ability, and confident in the clinic itself.
Great info. Thanks
I have been getting TRT at a local "male clinic" (a regional chain) for the past 2 1/2 years, overseen by a PA. I also take clomid and anastrozole to balance the effects of the TRT on fertility (not that it matters at my age) and my estradiol level. I get monthly blood work as part of my subscription fee, including a PSA test, so I am essentially on active surveillance for my prostate as a bonus.
When I started TRT, my testosterone was about 300 ng/dl. It is now in the 600-700 range. I feel great, and my libido is significantly improved. I also take low dose (5 mg) tadalafil daily for BPH symptoms and erectile function enhancement. The whole regime works like a charm.
As other guys have said, they can't find a urologist willing to prescribe testosterone...so these clinics are clearly addressing needs of patients like me, and my experience has significantly improved my quality of life. No offense to Dr. Malik, whose work here proves she cares about these things, but I have not been well served by most of the urologists I have seen over the years...though I think I have a good one now. I see him this Friday...
Are the side effects bad for clomid?
@@g_mason8867 I haven't noticed any side effects to either clomid or anastrazole.
Great video. Access is the win here. I never knew regular physicians prescribed T or knew anything about it. I put the 300 guideline is in the category of the food pyramid. I think low t risk is worse than taking t if you are over 300.
Thanks for the video 🙂
Beautiful beyond words!
Very good info. Thank u
Excellent video I here commercials on my local radio stations and low testosterone
The biggest problem with the range the medical field uses is that at 35 yrs old 350 is not normal. The range needs to be re-done, and age needs to be considered. Testosterone needs to be considered on a patient by patient basis.
Thanks for the advice. Btw, I like your makeup 💄...
Lookin' good Rena!
👌
I am a 67yo female and I take testosterone to stop my migraines. I've been taking it under Doctor supervision for 25yrs or more. Works very well. Just the smallest dose every second day is right. If I don't take it for about a week I get a migraine.
That's good it helps you
I personally think the extensive "Normal Range" is ridiculous. My levels are 315, and was told by an Endocrinologist that I fall in the normal level and nothing can be done. I think close minded, arrogant physicians like that are doing just as big of a disservice to patients as these clinics that were shopped.
Same here! I'm 298 and anything over 250 is considered "normal"!! They just ignore all of the symptoms I have..
It’s insurance
Yeah i went to a urologist im 22 and mine was 227 first test then 260 the next he said i was normal and in range nothing they could do . Bullshit i have all the symptoms of low T and that’s low !!!!
Great Video.
This doctor is beautiful 😍
good tip, thanks
They are getting bigger day by day! And my ED condition getting better following along!
Thank u making this video help me
outstanding content.
is creatine ok for men over 60, im going to the gym now and heard this might help, thanks love your vids, cheers
Very informative (as always). This covered / focused on Testosterone. How about obtaining ED meds using one of the methods?
Thanks as always!
I got my ED medication from hims, very quick process. Would definitely recommend
Is it? YES. If u do your research. Remember, you are your most important advocate. Do the legwork. Stop relying on a Dr to be a “know it all.”
I’ve been on TRT for 2.5 years. I started with a local place paying way too much $. Switched to online to save some $$. Then over a year later I found another local dr that cost even less $. The script cost me about $22/month. That’s cash price. Ins did not cover. Ins only covered Dr visit and bloodwork.
I’d like to point out that that range is from like 20 year olds to 85 year olds if you’re 30 years old and you have a testosterone level of 300 that’s not normal
What are you smoking? 300 for any male is low. Don’t give me the bullshit that it’s in range either.
It is much safer to look for a "low T center" locally. They prescribe testosterone cypionate injectables and provide regular monitoring of your levels by blood tests every 90 days. Not that expensive either compared to Androgel and other treatments.
You look BEAUTIFUL Rena
Tank You Dr. Malik Very Much 🎑🎑🎨🎨🌈🌈🎁🎁💥💥🤗🤗🥰🥰 BRAVO
This seems about right, I had an online clinic before my doctor got involved. Online it was are you under 450 and do you feel like you need it? Only 2 health questions were bp under 140/90 and hemoglobin under 18. I got the feeling they just like selling product. That said it's still much safer for people than black market
Rena looking gorgeous here 🤗 💕
It’s getting harder and harder to even find a urologist who will prescribe testosterone, even if your levels are genuinely low. My total T levels were in the 100 range, and at first my urologist was happy to have me as a patient. After a couple of years, he told me to go find someone else because he didn’t want the hassle anymore of prescribing testosterone.
I've had the same experience. Mine was sub 100s, tested every 60 days, then my Dr. retired leaving me no doctor locally that would help, or with no options that were reasonably priced. Yet, a woman can get estrogen therapy no problem. The double standard is frustrating.
@@burke348 The problem is people doctor-shop for testosterone and sell it to men who want to use it as performance enhancing steroid for training. Just filling the prescription is a super hassle- you’d think the stuff was heroin or something. For all the effort the medical community has gone through to make testosterone RX-only, it’s futile because anyone can go online and get it. What a waste of time.
@@mensaswede4028 Exactly. There's use and abuse, two totally different things. And then there's public perception and the fact that a few bad apples spoil the whole bunch. Strange how pain killers don't get the same scrutiny 🤔
getting harder and harder
I see what you did there
But any 14 year old who says they are a boy not a girl, can get male hormones with no questions asked. Actually, they’ll be encouraged that they are right.
Normal levels of testosterone are NOT the same as healthy or optimal levels. Testosterone should be prescribed based on symptoms of low T, not on the outdated guidelines. Very few men with a total testosterone level below 500 will NOT have symptoms of low T. The rest of the information was excellent.
Yep, absolutely agree. It may be "normal" for levels to fall as we age, but that doesn't mean that we have to live with the symptoms that result.
Thanks 🙏💕
Dr: Rena thank you so much for help us with this important información .Any single day !I can say “we love you”❤️
Is red Gensing root a good natural testosterone booster?
I hope they ship to Canada. My muscles are small and i fell unmotivated. :(
I have had peyronie's for 30 years and ed for eight When i got peyronie's their was not anything you could do but take vitamin E Now you have give me hope. How do you pick out a urologist who cares? I live in Wilmington n.c. and wish i was closer to you.
Do you perform Hydrocele surgery with a Laser? I'm looking for the best results. Thanks
I've been on Depo testosterone for 13+ years. My levels were always less that 110 at age 23. Never was able to gain muscle mass in high school, always weak, and low energy. After a Dr Phil episode a out Testosterone, I told my psychiatrist about it ( yes, psychiatrist) who tested my levels 3 weeks in a row. Then my pcp prescribed my androgel, didn't work so they gave me injections, and boy, what a diff!!! They never told me about infertility though ( luckily I already had my daughter then). Years later I got clots and polycythemia, now I have to have phlebotomys every couple of months. But I will tell you, the Testosterone is definitely worth being vampired!!!! Now I am Testosterone dependant so I have to stay on it. I would also recommend seeing a endocrinologist if you take Testosterone, as they know more what they are doing with it. And Dr Malik, Your videos are very informative and helpful. Keep up the good work!!!!!
What dosage were you on?
@@wilsondv3 my current dosage is .5ml/200mg (aka 100mg) weekly. My t levels before treatment were less than 110.
@@ThunderfuryBBotWS Did they at any point recommend asprin? I think it's considered a blood thinner. Maybe that might help (but remember this is not medical advice, lol)..
@@wilsondv3 they did recommend aspirin, but it did not work, so they put me on eliquis. Haven't had a clot since.
Can you tell about Maca Coffee?
Is it safe to take ?
Thank you Dr. Malik! Almost got grifted by Boiz of mindpump! I hope Sal addresses this clip on their podcast. Man o man do those guys push trt from a certain shady Doctor. Gee, does being heavily invested in a certain trt clinic have anything to do with it?
I have been on TRT for over 2 years. I went through a local men's clinic. I sometimes think they are just in it for the money but, they do check my blood every 8-16 weeks and adjust my dose from there. I also donate blood or do a phlebotomy to help keep my hematocrit in line and other levels in line.
Nice Video Dr Malik you are doing a Great Service letting people know about how some of these clinics are there JUST TO SELL DRUGS and not necessarily in a safe way!👍
Dr. I have problem of hardness and duration, I am 57 and I am married, I will be very thankful to you if you advise me
Did the mystery shopper actually receive the testosterone and if so, was it legitimate pharmaceutical grade product?
i went to one of these mills - but it was not online. in person. $3k for 18 months of shots, and periodic visits with labs. that got my T level just a bit higher than optimal, but i did have much more energy, which is what i was after. i stopped after the initial 18 months.
Miss rena how do you reduce libido in the male body I appreciate the video
Why was ED/libido the only area of focus on this? No mentions of energy levels, fitness, etc etc.
Testosterone should be anywhere between 900 to 1500 for any actual benefit.
Does beet juice help? Nitric oxide
I took HRT via one of these clinics. My T got up to 1200 but my blood pressure was at 170/90 and my hemoglobin was 23. I was a stroke looking for a place to happen.
33 years .8 ml every 7 days, now my young guy endocrinologist wants to cut me back to .7ml which never did in 33 years.. original endocrinologist back in 1990 that started me on trt educated in Germany a German doctor had me try four times this amount,,, as he stated I would greatly benefit, which It did, didn't like jogging but I could out Jog the joggers, didn't like hiking but could out hike the hikers, could outperform nearly everyone in Kung Fu class, but that only lasted 2 years when , changed insurance and doctor not realizing I would never be the same again at age 73 now don't have a lot of years yet to get my performance back to where I can at least enjoy these last years... I need a good doctor but just can't seem to find one that's willing to help. Convinced I'm still low on T with low T symptoms....
Dr. M - the 300 ng/dl number isn't a good standard. If the fake shopper reports no improvement in energy an libido (with good hematocrit) at 975 ng/dl and the online clinic doesn't send him to other specialists, that's when there's a problem. Lots of men are symptomatic at 450, and a few at 650, with symptoms resolved at 900 - what's the harm for them? Or for the month the 650 guy was at 900 without benefit?
Hi Doctor Rena, is score blue online legitimate
Also is there any other way to get more testosterone?
What about men checking their estrogen levels as well as testosterone?
I took too much testosterone in the late 1990s, and now have a giant prostate and issues from that. Be sure not to overdo it.
how much is too much?
you have no idea what you are talking about:
from a medical journal:
Testosterone was shown as an important modulator of lower urinary tract function, and TRT exerts a positive effect on LUTS/BPH. Based off of the current evidence, it is likely not harmful to give testosterone to men with LUTS/BPH, but rather, TRT may actually be beneficial.
I have a large prostate and I never took anything. So I think I’ll try the trt
1 MG.
Tere õhtust! Me abielus ei kuule et me oleme eestlased pärit, saada eesti keel sõnumi kirjutada! Aitäh sulle ka ilusat õhtut
My body doesn't make testerton and I have been putting 10 cream on my shoulders every day. I never heard of taking pill 💊 formula
Listen to her, I got testosterone shots for hypogonadal, I got treatments for almost 2 years and developed high red blood count my red blood cells were sky high. I had to draw blood at a cancer clinic to lower the count. Be careful with this stuff, if you actually need it a Doctor will check your blood levels and if you have low testosterone levels a Dr can monitor levels as you get treatment.
Thank you Dr Malik for you video's
TRT is made to look so risky from a regular doctor but they will gladly stick you on SSRI's without ever discussing the risks with those. I am at 350 and I can tell that I am so low and experiencing all the symptoms of low T but my doc just wants to put me on anxiety meds. I work out 6 days a week minimum and eat right. I love how the go to thing is always foreign garbage that doesn't belong in our body but just getting your T levels back to optimal is considered "dangerous" but not all the other medications.....
Hey Dr I have a question. It’s weird but I shot the shot. Recently, had a yearly check up. They took my blood and urine test. Everything came out good and they haven’t pointed anything out. They said I’m healthy. I’m glad I am because im only 20 years old. But during night I feel like I have to go pee before I go sleep then 3 minutes later i gtg again and maybe one more time but no I don’t wake up at night or I don’t have problems going during day time. Do you think you could respond to me in the coming. Thank you Dr
Rena, you make my testosterone levels go up high, no joke. I just see you and man I get a boost of energy, I start working like a mad man sometimes lol.
simp harder...smh
What someone who's test isn't low, but at the low end of the normal range ? Should he get test online ?
What is the difference between say testosterone supplied by a clinic ... and an anabolic steroid, such as Dianabol? I mean if the clinics are not doing due diligence and making sure levels are correct, regular blood tests etc. Aren't they just pushing steroids? But under a medical licence. Or is testosterone replacement completely different? Both seem to have a number of side effects.
No one ever talks about Free T levels, SHBG level, estradiol level. Total T level is not a enough info to treat symptoms of low T.
Fazal Malik
How to raise men's fertility?
Govts should facilitate authorised outlets for supply of testosterone, meeting essential requirements for the benefit of the male population in their respective countries. By doing so, they favour their female population too by affording them a more satisfying sex-life.
Dr recently had a radical prosectomy. The doctor saved my nerve for future sex ability. Will I ever be able to have erections without the use of medicine in the future?
Now what about testosterone shots I have to get them 2 shots every two weeks it sucks but I think itbhelp me with the tumour & thyroid problems I have & now my pharmacy can't find anymore
Probably not
She had good information, but showed a strong bias in her reporting by throwing Physician Assistants and Nurse Practitioners under the bus. Some of the best medical care I've and my friends have received has been from very knowledgeable NPs and PAs. All day long I'd rather have a good NP or PA than a poor MD and there seem to be many poor MDs. With that as backdrop, my wife gets her HRT from an online service (Athena Midi health)....its been comprehensive, thoughtful, one on one and very affordable. I've been very impressed. So we all know there are fly by night Testosterone replacement online services but I'd hope there are some good thoughtful guideline practicing ones for men's health just like there are in women's health. But we don't know which ones they tested, but the whole tone seemed to have an agenda, so I wouldn't be surprised if they did not seek out and test the ones with better reputations. Too many MD's seemed threatened by patients seeking solutions to their health problems, which is so ironic in a day when the medical establishment barely gives MD's (and PA/NPs) more that 10 minutes to figure out a persons complex medical issue.
I guess the question is would the results from the online clinics be different from in-person visits? Meaning do the in-person clinics provide the same patients with the same options?
Hi my name is Ryan I am 30 years old checking taste very low testosterone because I’m so tired 😢
well in this video you don't talk about test depletive poly blends as to silicate being test progressive
yeah sometimes it makes things worse
Thank you. I am not a fan nor would I use on line doctors.
what about testosterone supplements that has things like maca root in them would that be the same thing?
no just a scam...
Why would i expect a licenced physician to say anything else? 😁
interesting
I am interested in Testosterone treatment what websites should I go to first?
TRT Nation is the best
We don’t care. We want T!!! Helps with gym fitness muscles
I can see this video is pre your other video that states the risks for cardio are far far less now then you were reporting as in this video......... Wish I could find a clinic that would not be so dialed into the testing so I could get a higher dose to excel in my life because I am suffering at point .8 ml every seven days,.....
What about testosterone for women? You haven’t mentioned it.
The reason these clinics have exploded is because the medical/insurance industry set the level at 300 discounting everything else, they won't even check free test, SBGH, LH, FSH etc... I have 325, at 270 I can compete as a woman in sports now. I ask my doctor for more complete tests and he said, that is a lifestyle issue and I'm not that kind of doctor. So now I'm looking at going to a clinic...
Treat people and symptoms not numbers.
My Dr told me not to take testosterone because I have heart failure
human corionic gonadatrophin
It's Time to upgrade your microphone please 😅
You did not mentioned testicles shrinking as TRT side effect!
I wonder why
Because HRT clinics prescribe the very inexpensive and harmless HCG to fix it?
The testicles make testosterone and if you are getting it elsewhere. the testicles shut down production and therefore shrink.
@@wilsondv3
Exactly.
That’s a no go to try TRT for me.
I just wonder why she did not mention this potential risk in the video.
@@johnnysquiretubehcg doesn't look inexpensive. Good rx is about 250$ a month. 10,000 iu.
There was a company pushing their testosterone boost online so I tried the trial. I had to take saliva samples and mail them in & do questionnaires blah blah blah.
So at the end they said my testosterone levels were something like 100.
I was almost 50 and said well that can't be good. I had a normal blood draw scheduled already but asked if they could include a testosterone screen.
Well wouldn't you know the results were somewhere in the low 530 range. Can you tell I don't know how they score it?
Anyway my Dr said my testosterone was fine & if I wanted to add a supplement that was fine, but to be careful and also that I didn't need to. So we discussed my options & what I hoped to gain from it. I'm 54 now, the only supplements I take are vitamins, Super Beta Prostate & A quality Horny goatweed daily.
Honestly I have the same erection now as I had when I was 20 so I guess I'm lucky.
I originally thought I had dysfunction when I was married. We eventually made it to marriage counseling which is where the therapist told both of us my man parts were fine since I had no problem masterbating and that I just didn't like my wife and she had zero sexual prowess. Obviously that was a symptom of a bad marriage but the supplements, exercise, a clear head and the RIGHT WOMAN basically fixed it.
I think a woman can do more damage mentally to a man than most ppl realize, men too but we're talking dysfunction here.
Don't bate or not so much. Be a happier person and find the right partner.
1st comment
Yeah BUT men age 50 and older ARE CONSIDERED LOT T,,, if you test between 350 & 500,,,according to the AUA...
Sorry to create jokes that offended you , will not repeat again or with comments thank you
Only from professional Healthcare providers is safe!
Gotta' make sure the online "clinic" doesn't mix-up your testosterone order with someone else's fentanyl order. Be safe out there.
It's unfortunate that men have to "fight" to get help when women can just walk in and walk out with a script for bc.
I found a good doctor to work with that monitors me and my protocol. I get full labs done every 6 months. Therapy has majorly saved my well being.
Um, try to be a woman looking for hormone replacement therapy - she'll get nothing except SSRI and eye rolls, even from woman primary docs.
@@johnnysquiretube I went to two doctors before finding one. When I asked them about bc for women they said, "oh yeah, all day." I later found out they were simply fearful of treating men due to controlled substances. The Dr I found works with lots of athletes at all ages. Glad I was referred to him. Two ladies in my girl got test pellets put in by their OBGYN. Both have had great results with it after 6 months.