Testosterone Therapy (TRT) - The Good, The Bad & The Ugly | With Dr. Osborn
Вставка
- Опубліковано 4 гру 2022
- What is legitimate Testosterone Replacement Therapy (TRT) and when is just a guise for steroid use? There can be a very fine line between testosterone replacement (TRT) and medically supervised steroid use for the purpose of enhancement. I sat down with my good friend Dr. Brett Osborn in West Palm, FL, who is a neurosurgeon and an expert in endocrinology, to get his opinion.
DISCLAIMER: This video is purely educational and does not constitute medical advice.
Dr Brett Osborn: www.senolytix.io/patient-expe...
Good video. I wouldn't agree about a certain age to begin TRT. I started at 25 and I was below 300ng/dL and plenty of low T symptoms. Im 40 now. TRT isn't about treating numbers, including age. Lots of info available about modern men, even in their 20s having low T issues. All the side effects he mentioned are manageable by donating blood, clean diet, and taking an ARB. One issue that really is a bunch of BS, is how a young female can get test to transgender, but if you want some to better your life as a man, it's looked down upon due to toxic masculinity. Never forget who signed into law the Steroid Control Act of 1990. FJB.
How was your libido for all these
15 years while on trt
Exactly. Donating blood helps alot keeping the red blood cell count down and keeping the blood flow thin. And agree about the age . Not just about the test numbers. Great comment
Another no good f****** Republican the party of evil
LETS GO BRANDON!
Amen Brother!!! 🤘🤘🤘
Dr. Osborn is so well spoken. He never uses filler words and is very concise with what he is saying. Easy to listen to
I agree, for the most part. I do, however, have an issue when any healthcare practitioner start to use superlatives in their speech since we don't have nearly enough scientific data to form any absolute conclusion when it come to maximum safe test levels or doses. Even if we began tracking it intensely today, it would still take decades before we got to that point where we could form those conclusions.
It's what we call a professional
There is alot of editing they just edit the video with I movie
I have been thrilled with every single conversation you ve had with Dr Osborn. The guy is a legend. Thank you for putting it out there . Will be waiting for more if it happens
I like when a Doctor says “I don’t know”, we would have to do a trial.
As a 50 year old man who started TRT 4 months ago due to low libido and depression, this is an amazing interview. These are similar to the questions I asked my doctor as I was researching whether or not to start my therapy. The 200mg a week I take has made a huge difference in my quality of life. A video like this would have been invaluable in my decision making. thank you for putting this out there for those considering staring the therapy.
Being 50 myself, I am looking forward to my doctors visit next month to discuss TRT. I truly hope it will help also and I agree with you, this is a great video with some great questions and no BS answers.
200 mg? You are almost cruising. What are your levels?
@@aherrns1894 Cruising....dude that's a gear term. I'm not doing this to get huge. I'm doing this to feel better. Suffered from constant depression, low sex drive and energy. Went from low 200's to over 1000 and my depression disappeared. Energy is back up and I feel amazing.
@@MDRFoto my bro, if it helps you, definitely go for it. I'm just learning
Just watch for blood thickness on that dose ! I give blood every 6 weeks to keep mine thinner .
I am just commenting for the algorithm as more people would benefit from watching this. Thank you for that. I have a few people I will share this with. I am a personal trainer and primarily train seniors, but have some younger ones. One of my clients (76 y/o) has a cousin that is on TRT (do not know if it is prescribed), and now he wants to look like his cousin who is 2 years younger than him. I told him to talk with his doctor as that is outside of my scope. Only a doctor would be able to determine if it is the right thing for him.
I suspect in the field I am in, far too many people are slanging PED’s left and right. I have never seen so many 16 and 17 y/o’s looking like freaks of nature. This influence really does a number on 60+ y/o when they expect to look like a 20 y/o.
Great info
This is THE best discussion on the topic I have ever heard. Thank you both for this.
No idea what I was walking into when I searched for more info and this was MORE helpful than I expected.
Great interview!
As usual, presenting great information, from an expert point of view. Keep up the good work James!
James great job I’ve been following you for years that was a well needed video for the community I hope more people watch it great advice just hope people follow! Keep up the good work! Thank you!
Thank you my friend. I appreciate the support through the years
always dope content James. still following the hustle for muscle series. waiting for legs 💪🏽 keep up the good work brother.
I’d say this Doc has just about the best grasp of hormone replacement knowledge I’ve ever heard. Wish he was in my state
Thank you for this. The lack of a bro science approach to this topic on the net is difficult to find.
Excellent discussion, James! I've been curious about this topic, though I am taking a "wait and see approach" since I'm still some years away from the age and stage of doctor-approved TRT. There's just so much weird stuff out there: peptides, SARMs, prohormones, "research" drugs, etc., etc. I enjoyed hearing a doctor's knowledge about this topic, and I hope you continue this kind of series to help inform us.
Yeah that’s exactly why I wanted to do the video. There’s just too many things floating around and everyone’s attitude about taking them is so casual. It’s scary
@@JamesGrage I'm really confused. My Dr prescribed me 2 grams a day, that's 2000, MG a day.. wtf. I need direction, he's an idiot
@@JamesGrage
Its also scary that people become low testosterone due to not knowing how to feed themselves properly and become dependand on doctors who know more about chemical medicine than natural dieet. that is a big fail. LEarning chemicals is nothing more than being a salesman for labaratories and farmaceutical production companies.
using drugs is disrespecting your own body and heart, simple as that and makes you a junkie. I consider animals a higher state in nature as they know their role.
doctors....... I laugh at them; but everything is relative. To most people they are ones to look up to; while most of them are clowns to actual intelligent people.
Best over view of this topic on UA-cam.
Great job
Best video I’ve seen on this topic. I’m about to get on TRT very soon and I have many concerns that freaking scare me. This Dr. seems very professional and knowledgeable. I wish I lived in that area.
Thanks for doing this! Very helpful. The doctor gave us what he is taking and I find that very helpful. Is there a chance you would be open to sharing your info? And any health problems you've experienced? Obviously you work hard, anyone on this channel can see that but just for informational purposes it would nice to get an idea of things we can do and from your experience what not to do. Thanks again for videos!
This doctor is spot on with his clarifications of testosterone and hormone therapy . He is a true doctor who cares about his patients and prevents future problems while on therapy. I wish other doctors were the same way .
The vast majority of doctors are quacks (medicine men for Big Pharma). Never forget that. Anyway, just to be clear, he talked about test levels but not about utilization. Its not about overall levels, but how your body partitions and utilize them. I'm referring to overall test vs free test. You need a complete lab.
Surely if I am a man but don’t feel like a man because my hormones are like a girl so I identify as a girl until I get given TRT to transition back to being a man again
that docter doest know much about keeping your testosterone and hormones in check using natural food.... most docters dont. That is why you become their customer/patient being a junkie more dependand than needed.
Its extremely low iq to conclude that the low testosterone problem in man nowadays has to be fixed by injecting them with DRUGS/CHEMICALS/PEDS.....
Man making themselves cattle; the epitome of retardation. Meanwhile I train natuarl for 1 year, gain 20-25kg fatt free mass and laugh at you degenerated folk
Only junkies will talk positivly about drugs!
@@zengerz turns out I have NAFL disease which increase SHBG levels so most of testosterone gets bounded to these proteins in the blood that’s why it’s affected my sex drive and muscle mass a lot. I have to take boron supplement on and off every other week
@@Who-cu9eu
So then you should prevent your liver from getting fatt and not put so much crap into your body. Theres a reason your liver becomes loaded with toxins!!
Not only your liver is sick, its due to the whole body being unbalanced
🙏 James , thank you soooo much for this one. Love and enjoy all the stuff you bring light. Keep it up 👍💪.
As a fellow physician, Osborn is actually one of the few I've encountered with this approach to hormone treatment (in a good way). Treat the patient, not the numbers. A decision to treat should never be based on lab values alone.
Went back to the doctor a couple months ago for the first time in a while, I've felt like trash for a long time. After doing labs and a sleep study I found out my T was 170-220, I have sleep apnea, insulin resistant, and very low Vitamin D. It was a lot to hear as I'm only 34, I'm 6'4" 250lbs and have always been a naturally muscular healthy guy. I started TRT, got a CPAP and have lost about 15 lbs in two months. I am only now starting to feel a little better but I have a long way to go. I'm really hoping by this time next year I will be a better person, my kids need that.
I feel you mate, im nearly 34, 5'8'' and 220lb and have the same issues, just started trt myself, so see how we go! All for the kids!
@rob atkins good to hear brother, it seems that not many people talk about these issues. I had no idea there was a reason I felt so crappy till my Dr suggested labs.
@@alaskanman825 yea, i have had to go down a different route than through a doctor, i am in australia and the paperwork for a GP to supply this is ridiculous and then the governing body questions why you are prescribing it to someone under the age of 65. It's such a flawed system.
@rob atkins that's ridiculous. People shouldn't be deterred from basic health needs
Thank you for thinking about your kids. Most fathers know they need to be better but don’t take the actions needed to better themselves
I’m 29 years old, have a history of drug abuse and have been fortunate to have been able to close that chapter in my life. My testosterone levels are low 200’s. I’ve started Testosterone 200mg/week. My depressive mental state has slightly improved. Brain fog is still a issue… although it does seem to be improving. I seem to recover better after the gym, and my friends at work mentioned they’ve noticed I’ve been more productive. It’s still early into my treatment so I’m optimistic and hoping to see some more improvement. I have unfortunately been dealing with issues like this for years.
Any updates?
Brother, I am in the exact same boat, Interested to see how you progress.
@@dudebro8688Mucana can be somewhat habbit forming for someone with a history of substance abuse
How’s it going man what’s the update
Yeah update 3 months later please
💯 great interview, this doctor seems very sensible and responsible.
Finally a great video on test and TRT. Especially in regards to the dangers of early test use and the fact that those gains will go away once you stop
Excellent conversation, I'm 67 and have used trt for 10 yrs I take 120mg 3x a week my total testosterone was 797 as of my last blood test. When I started my total was 230 if your going to do it make sure to contact a doctor who is a men's health specialist.
Do you use 120mg 3x a week as over the years or is these something you just recently done. For me it wasn't until recently I added Cialis and it shot my sex drive through the roof. I am 54 feel fantastic and what a difference in my wellbeing.
@@quantumfx2677 Cialis has no direct impact on sex drive from a hormone standpoint. that is placebo my friend. If anything just having your Johnson work better would boost your well-being and sex drive... But Cialis has no direct impact on sex drive.
Are you taking any form of hormone replacement?
@@fresh0678 Yes, My boost was from the TRT and Cialis brought my estrogen level to normal and helped over all as my estrogen was high.
@@quantumfx2677 ahh gotcha. I feel like I have more sex drive when I run a trt dose compared to when blasting. Probably because e2 elevates on a blast along with everything else.
And to the gentleman that first commented... 120mg X3 is 360mg.... That really isn't a trt replacement dose in anyone's standards. That is a cycle......
Great video James! I really wish you would get back into supplements again. I always loved the products you would come out with and always trusted you!!
This is literally the best video I have seen on this topic. I'm in California and need to call this Dr...!!!
Good video I also went with HHW West Palm Beach. My total T levels back around 247 I’m 43 Dr. Curt was really hopeful and answered all my questions. Wait for prescriptions to arrive hoping this helps with my energy and libido.
Seems like a good Doctor. I'd go to him for my TRT for sure.
Trained from age 12-20 and achieved a competitive level as a national qualified BBer in the NPC by 25. Took 5 years of juicing to get there(largely obeying the one gram rule). Fortunate to have had mentors (formal
/academic and informal/underground)and personal study drive -intensity to allow for smartER and better training. Most aptly - more productive, safer, and conservative AAS use than most back in the early 2000s. Got a degree in exercise science and nutrition with sports endo hybrid. Got a MS in human performance+ injury prevention. Kept studying endo. Kept studying both synthetics (AAS)and bioequivalents through my 20s and 30s. Plenty of A4M seminars and worked with plenty of MDs. 20 yrs of consulting later - I have never stopped studying. Also have never stopped taking test because crashing T after 5 years on gear is just silly when thinking a few shots of hCG and some clomid tabs will fix the HPTA (aka T-production) - even when I was 25. For the past two decades I've used approximately 250-300mg every 10-12 days. Almost exclusively Sustanon but cypionate and enanthate can work well also. Recently I've compounded isocaproate because it has the highest of test weight to ester ratio of any T ester short of propionate or suspension while still being a viable alternative with a 9 day half life (I can take less test). I feel doctors in the states will eventually look into this method.
Lastly:
I've had very elite clientele that previously worked with doctors virtually absent of any real knowldge in this space.
This doctor...is the real deal. Thanks for a great video that will truly help people.
---
I know it's just an overview but One caveat for gentleman on Therapy who are trying to conceive: - clomid sucks for libido for the retina and tends to promote depression. hMG primer protocols along with a few months of combo therapy with hCG has worked many times for guys on T without having to stop it and feel like crap with no libido (and no energy often with mild depression)while trying to get their lady pregnant after "cold turkey-ing" their T under MD advice. If this is you, PLEASE don't do that. Find a fertility specialist that understands this essential quality of life preserving nuance.
Sources for this HMG / HCG protocol? For a guy who wants to have kids some day
How about enclomiphene? Also are the long term health risks overstated for those that stick to 300-400mg blasts of T for 12-16 weeks? And cruise at 150?
Finally something really informative and from a professional, very informative, thank you for that
Glad you enjoyed it!
One of the best videos ive seen in a while on the topic
Thanks for the great information. I am mid-30s and have had symptoms of low T since my late teens. Thought it was depression. Finally got my blood tested a few weeks ago, and my total T was 280. I will start Clomid soon. I am excited and hope this helps to get me going. For years I struggled with any motivation. The projects I would start took forever and lots of mental energy to get going. Guys, if you are experiencing the low T symptoms, get your blood checked.
Any updates since you started?
Do you have an update?
Awesome video, 43 years old and a lot of my friends are on TRT and say that it’s a game changer. I went and got my levels checked and I was 600 - 700. Watching this video made me realize, you don’t do it for the appearance, but rather for the symptoms. 600-700 I still feel great. Would I feel much better at 1000? Of course! But what is the effects of messing around with hormones in your body. My friends are doing it for the appearance. This doctor hit the nail on head. the As a result, I’m passing. THANK YOU for such a great video!!
600-700 is NOT low. I am 280. Heck most of my reasons are aesthetic. I am 40 and have never been in a single relationship. Single for over 20 years. Maybe its a shortcut, but not like I care about getting huge, just want a jumpstart to being attractive. My T levels are low anyways but I do worry about long term consequences. You have relatively high T.
@@kennethyoung7564how is TRT gonna make you better looking? if you need a better body you dont need TRT for that, just exercise like crazy, and dont eat crap and dont drink to much, or at all - it aint gonna make you more handsome either. whats the expectation here?
@@robi6317you be surprised, once you get jacked. And the women subconsciously feel testosterone. It’s going to be a game changer for this dude.Of course he needs to put the gym time as priority
I needed to hear this video 👍🏻 51 years old and my doc just started me on TRT due to my low testosterone blood test for the past 5 years !
👊
Amazing conversation. Best and most honest assessment of TRT
Cheesus, over a mil of T a week! I was on 200mg and my doctors freaked out and lowered dose to 105mg a week and my levels are still 850-900. Great interview, great answers
This makes me feel better. I'm on 100 mg a week and was worried it was too low. I won't be doing level tested for 5 more mnths.
My biggest red flag 🚩 was symptoms mental health issues lower sex drive and brain fog, and a lot of fatigue. Then I got blood work done my testosterone levels where very unhealthy low. I found out because of my intense training, supplementation, military life style and deployments real highs and really lows all lowered my testosterone levels to below 100 😳😢
I am at 235 I feel sick I’m 39 . I feel you I lost my left hand but not in a war
I know a 60 something year old that is in the 6,000 range of Test and he’s loving life and this is being done with medical supervision.
i’m 17, i took sarms a few times back when i was 15. I honestly didn’t really know what i was doing, i was at my towns supplement shop and saw them and bought them. I took maybe 4 cycles, at first i thought a cycle was just 1 bottle so i took just one bottle per cycle, which lasted about a month. I’m glad to have come to my senses after doing a ton of research, visiting a doctor, and trying my best to fix any problems that i could’ve caused. At the moment i think i’m fine side effect wise, but who knows.
Damn bro, I hope there's no long lasting effects. Hope all goes well for you. Sarms at your age was way too young. Glad you caught on.
Absolutely top-notch information in this video. Thank you for doing this.
Age 48 and have been on TRT since age 35.
Dr. Osborn is “on-point” throughout this discussion.
Be safe….Stay healthy.
Would you have any advice after 13 years of TRT? What is your frequency and the type of test (cyp, enanth)?
I would absolutely love to have a conversation with this doctor. Im 36 with a very physically demanding job and race motocross with a heavy amount of training. I had blood work done 2 weeks ago and found out my testosterone level was 241. So always wondered why I struggle with fatigue and depression.
That’s about normal for a 36 year old man. Not sure what you expect. Go to an endocrinologist in your area. It’s not a big deal.
Excellent, thorough and cautious which is the way to approach in my view. Thanks.
Great questions! Thank you for putting this out there!
Dude, new to your channel. I'm a bio hacker, surrounded by the top longevity scientists in the world!!! Your authenticity and your real style is refreshing, so thank you! I'm 57 in great shape on micro doses of trt .5 which is nothing, to include HCG to keep my natural T producing. It's life changing, but I often wonder if I pulled the trigger too soon. For those of you considering trt, just KNOW, it causes your natural T to not produce, unless you have HCG. That's a serious commitment, so think wisely. If you're over 50, OK, which has less implications. Although, HCG is now illegal. Be wise it's a lifetime decision, yes tons of benefits, but also count the cost, my guy sold me into it. I was at 460 T, but he said, do you want to be 20 again, I'm like hell yeah, but I didn't do enough research. I luv the results, but have to scramble for the bio hacks, to stay healthy! I hope this helps? If anyone needs answers, just reply. I have all the bloody noses in life, but sooooo blessed, keeping it real like my brother running this channel! With Our Health in Mind"...
You have pretty good, and its a great business model - customer for life, specially for most of us not on HCG. Depending on the dose you are getting, you have a better chance to get out if and when you so desire. My concern is how *some* individuals take this lightly, specially middle age man who start with great intentions and then flirt and slip to use other synthetic streroids, free will can be a bitch.
@@perucho2194 Agreed, unless you've been in the basement in regards to T, definitely try, sleep, lifestyle and diet changes first. As earlier mentioned those of us over 50 on trt have less to mitigate health wise, but if you're unhealthy going into trt, PLEASE work on your sleep, lifestyle and diet. Those of us in our 40, 50s, this is the 4th quarter of our life, it's time to buckle up for your quality of life, before you graduate! Cheers!
@@salesfish1 55, on 100mg/wk wanting to buy back 10 years, got 4 docs behind me monitoring prostate, heart, kidney and the rest of it. Goal is to get BMI 24-25 at 20 %BF, with the physique libido of my mid 30's. I am proud to have a full team behind me and I am hopefully a few months away from reaching my goal. One of my challenges has ben to get my estrodiol under control - believe know I do understand women a whole lot better 😉
@@perucho2194 Nice, you're a smart man, you got this! Once you get your BMI dialed in, the estra should balance out. I don't take any blockers, because of my BMI, that's not the case with everyone, although it sounds like you're in beast mode, keep the faith bro! 👊🏼👍🏼😎
@@salesfish1 Faith got me where I am - Thanks be to God ✝💪
Guy walks into Doctors office and wants to be more Manly = Sorry nothing we can do 🤷♂️/ Woman walks into Doctors office and wants to be a Man = here's your Testosterone sir 🤦♂️
😂👍🏼
💯 nailed
Says the dude who isn't manly without extra hormones. Clown
NAILED THIS
😂😂
As a 45 y/o man whose been researching this subject for several months, this is the single best source of information I’ve seen thus far.
Anyone know of someone as reputable in the state of MD?
haven't even watched the whole video as yet but had to comment and say what an informative and a must watch video for anyone interested in TRT
Great interview James! As always your videos are some of the best out there. At 52 I've been on TRT for the past 6 years minus a 2-year sabbatical 4 years ago. I like to target the mid-700 to the very low 900 range on my end of week test. I have a metric ton of autoimmune issues including thoracic outlet syndrome, reactive arthritis, and closing spondylitis to a degree and hashimoto's thyroiditis all triggered by an immune system scrambling during a meniscus repair back when I was 34 years old. I've been taking Enbrel immunosuppressant for the last 18 years to control the random inflammation and damage but have only stopped working out for one year way back then. I've also recently introduced Deca Just to see what that does for my physiologically induced joint pain in my lower vertebraes and knees to see if I can get some relief there to allow me to continue working out. All of this I religiously use your very structured workout routines to protect those joints ligaments and tendons. My shoulder workout never exceeds 20 lb on any movement isolating small parts of each muscle group instead of overburdening the joints and ligaments. I have enjoyed sizable games from your workout techniques in concert with reasonable TRT supplementation. Best of health to you sir and to the doctor in this interview... That was the best interview I've heard to date on responsible use and administration of these bioidenticals.
How did the meniscus repair trigger your autoimmune issues?
I developed immune issues after my testosterone levels crashed due to excessive weight loss
Great video...I'm currently on TRT..been on it for 4 years now. Below I started my TRT journey my testosterone was extremely low..sex drive was crap..no motivation. My body weight when I started was 286lbs at 6'8. I'm now 314lbs with a 38 inch waist and I only eat twice a day. Had a check up with my Dr. RAND MCCLAIN 3weeks ago and he was amazed at how much lean muscle I have and how little I eat. He told me to snack more because he wants my calories up. he also asked me HAVE YOU CHANGED ANYTHING?? YOUR WEIGHT WITH ONLY TWICE A DAY IS NUTS!! So happy I started TRT.. I'm 50 by the way
Are you weight training? I assume you do.
Hopefully he doesn't have you on a aromatise inhibitor? Some of his practices are really outdated
4 years a sad junkie degenerate.
So happy I use drugs is what a junkie would say! In nature never ever consider the word of a junkie worth something.
Incredible interview! So informative.
Thanks very much!
Thanks you for the information and great advice. "The physique is a side effect of the overall good health"
My testoterone was at 137. Just got prescribed to trt. So ready to start feeling better
I just got my labs back. In at a 97! I'm 38! Hopefully it's working well!
@@micone1134m at 64 and just turned 40 years old . Started TRT today after 4 momths feeling miserable
Are you feeling any better yet? I'm 47 and getting my blood work done today and can't wait to start on TRT! I'm tired of feeling like crap!@@kreshnik1710
Did it help?
@@andrewdixon5200 yes sleep and mood have improved still have a bit of anxiety lurking around though
Started trt a month ago and decided on ageless men's health. I didn't know what to expect before but got my first labs back with a mid 200's total test. Bioavailable and free were beneath even the acceptable range. Went to the men's clinic and got more labs to find that the numbers were low 200's.
All that explained my sleep being strained, mood swings, disinterest in sex, gym gains slow, motivation gone, etc. The doc was real certain that we could reverse all that.
On April 3rd they started my treatment and adjusted it once, I'm doing 170mg test cyp, split dose on Mon+Thur. I'm glad I started it because I've been going slowly uphill and I've got more energy for my family and I'm finding my motivation again. My doc said we're just scratching the bubble and there's more room to grow. I'm 32, 5'8 197lbs 30% bf.
It was a hard decision to hop on this treatment but videos like this give me more fuel and remind me that I'm doing this for more than me but my family too. But I can tell you that the workload I can handle at the gym is more towards what I expect for myself and I love that. I would encourage more men to make sure you know what you're doing this for and stick to it if you pull the trigger because if I can expect a lot more benefits including becoming a better version of myself then I'd do it again for myself and my family. I'm seeing some benefits to start so I'm stoked to see more. Take care of your health guys ✊
May I ask if you've noticed a decrease in seminal volume (the size of your loads)? I'm interested in TRT at 54, but I've heard from a few people that this is what they have experienced.
- Thanks.
@@gsomethingsomething2658 Yeah honestly man, I noticed a decrease immediately following the start of my protocol for the first couple months. After about 3 months (maybe less) the volume started coming back. I'm working my way up to a year here in April and I've got no complaints now. Everything either is to the level it was before or is satisfactory to my standards now, since before TRT it wasn't an issue.
If you have any questions man, I'm an open book. I'm all for supporting other men who may or may not want to start their own process.
More power brother. I’m 40 and I start tomorrow. Did you experience acne, hair growth or loss or any other side effects?
@@gsomethingsomething2658 I've noticed a lot less than I would have produced before, but drinking a ton of water fixes some of that. It's less than 50% what I used to produce (if I remember correctly, it's been over a year now). Initially there was a drastic drawback, but now I've increased from that spot. I've learned that water is incredibly important to load size and consistency. I use some ZMA and that helps too, honestly this is a big topic and there's a subreddit for this talk too lol.
Volume was honestly probably the thing I missed the most since I didn't recognize how manly I felt with it until I didn't have the same amount. The pros are that I'm feeling and looking bigger, my energy and stamina are way up and my workload at the gym is intense. I'm down to 184, 16% bf, I can keep up with my kids and my mood is more consistent. Total upside and small sacrifice so for me it was a win.
Now I coach other guys on nutrition to improve their levels naturally and how to eat when they're on TRT. It's similar, but most times that structure is comforting when the labs come back. Being on trt means watching total health too and there's never a shortness of benefits to that.
@@IgorTravelsTheWorld for me man, no hair loss at all. In fact I might even grow a beard finally lol. I'm noticing more body hair but mostly on my stomach, some hairs along the facial path that could make a beard eventually, and I shave my head weekly.
Some acne yes, but only on my back. A good exfoliating brush on a stick takes care of it. And as far as side effects, it's usually only if I have been dehydrated. Blood thickens when you're not getting enough water so I got myself scared one day when I cut myself shaving and I didn't bleed. Got labs done and everything was alright, turns out I just didn't get enough water for a few days.
Eat a good balanced diet, get enough sleep and water, exercise (things we should do anyway) and there are no major side effects (other than decrease in seminal volume). It's actually been a crazy boost in performance at work, gym, family, and for myself in general.
Really interesting video, probably the best one I have seen on this subject 👍
I'm just starting TRT, this man reminds me alot of my doctor.
That doctor seems good and intelligent. I get a "no BS" impression from him.
I think I'd really benefit from TRT. I fit just about all symptoms of low T and certainly do have low T when I got tested via LetsGetChecked in 2020 (think sub-400, and I was 37 then). But I dunno, I'm extremely hesitant because I don't like the idea of being on a drug for the rest of my life like that. And if I didn't have it, I'd feel even worse. That just seems like a prison to me, almost. I'm trying to unfvck my sleep (when I tested myself in 2020 I had been on 4 hours of sleep a weeknight for a year or so) which is still horrible, 4 hours of sleep a weeknight roughly, and the crap water where I live I'm sure does not help. I think a lot of environmental things can impact your hormones, even what you use to wash your clothes for example. So I'm trying to clean up that stuff and gonna test myself again, maybe this coming summer.
Don’t go on T. You described it perfectly. A prison.
I had cancer at 24, after chemo it took 3 years to produce any sperm so my nuts weren’t working. I jumped on trt at 30 and feel amazing.
Glad you’re doing good.
Hi, when commencing on TRT, how long did it take you to feel completely normal?
@@jacoblas1371 they needed to adjust my dose after 3 weeks. That’s when I started to feel really good.
This should be trending all over social media network platforms. Millions of men are in the dark about their potential outcomes to synthetic prescriptions.
Good talk. Dr Osborn has a good outlook and sounds like he is very good.
It would be nice to see a list of recommended doctors across the country who you can go to to ask these sorts of questions and know how to prescribe what someone may need.
Ha that's like saying "I want a list of all the legit real estate agents" like... Good luck. There's a ton.
Just find an endocrinologist in your area. This is a very simple subject, it’s not rocket science.
I am 51. My testosterone was 274…..now it’s 770 and I feel awesome. I’m great shape again, mentally clear and calm. Best thing I ever did
Do you take it alone or with hcg . I came off as the hcg was easing estrogen
Any side effects?
@@biggboi1967 yeah I am not bitching or complaining or feeling tired all the time. Clear and calm. Went from 205 to 170. Sleep well again and eat well. Yeah would never go back to low T. Rather be dead cuss that’s kinda what you are anyway. The walking dead lol
@@duanecarr6712 thanks for the quick response
Excellent discussion with a real doctor.
Ty for getting this out
I started at 34 .. I was at 280 and all of the symptoms… life changing I’m 41 now
You’ll be dead soon enough lol
@@jz3689 we'll all be dead. Let's enjoy the few years we all have left and live them how they should be.
Age 48 - training for 17yrs t levels 308 and 322 last two years. Started 2x week 70mg 140mg weekly, clomiphene 25mg 2x week -- no aromatase unless I SEE symptoms - treat the patient not the #s.
Great content
how do you like clomid at that dose and dose frequency ?
@@morelife6508 I have a good relationship with my balls so I Will try my best to stay steady as they are - as for fertility, wife and aren’t having kids so sperm count is moot. Sexually active no notable change in volume of fluid during orgasm.
@Aaron o'connor what about mood ? Any issue with depression?
@@morelife6508 I’m a generally motivated dude but yeah - I’m an artist for a living so the darker sides exist - I’ll say this - it’s not magic but if you MEET IT 1/2 WAY - it helps -
I’ve been hustling harder and happy thus far -walking 4/5miles a day and hard lifting 5 days a week -
It’s not magic but I’m happy with it thud far - good luck brother ; )
@@aaronoconnor8862 clomid is notoriously known to cause depression and a darkened mood. That's why I ask. Be careful
very nice discussion-thank you!
First off, this doctor is a stud. He is obviously a great resource.
late 40s, lift 5 days/week for last decade, not fat, but not skinny. Test measured low 300s, but doc said my Free Test (which was >13) was good so its something to monitor but don't need TRT just yet. I never hear about the Free Testosterone, and if that level is important. I'm not in a hurry to get on TRT, but have been doing tons of research since meeting w doc. Thanks!
Yes, free testosterone is very important. Some people can have high total testosterone and low free test and some people can have the opposite. We all utilize testosterone with different “efficiencies” so not everyone will respond the same way. That’s why even in the world of bodybuilding you’ll hear the terms “responders” and “non responders”.
@@JamesGrage hey, James I'm 38 190 pounds; I intermediate fasted and just ate eggs, steak, greens, fruits and some carbs. I got myself to 190 pounds from a fat 340 pounds. I got some gains.
I'm new to all this ; I just got my blood work done. I just wanted to ask what you think of my results.
My free test was - 594
My total was -30.7
My doctor doesn't wanna put me on trt therapy because my normal high test. Is that really high. I'm all natural just eat clean and use whey.
I really would love to see what I would look like when around 900-1000 test.
Just 2 big dudes on a little couch. But seriously. Good talk really enjoyed it
I love this video, thanks guys! You answered a lot of my questions.
Great words Dr. Osborn, funny you talk about all the "profile" of hormones. Seems my Dr just "oh you dont feel good, lets crank up the dosage" Makes me think about his care.
I'm 38 and have been on 200mg a week for 6 months. Also diagnosed with graves disease [over active thyroid] This has made such an impact on my daily life. The only negative I see is small red bumps randomly on my back. Still finding the best dose. This stuff changes you for the better for sure. You may pitch a tent at the beginning. Lol
Good luck to all that need it
pitch a tent all the time 😅😅😅
200mg a week 😳
@@m-m8835 IS THAT A LOT OR SOMETHING TO YOU ?
those red bumps are pimples lol
@@JohnR-vj7lk they suck
For me, less is more. 200 mg is too much for me. I sleep horribly and just feel off. The best dosage for me is 125 mg a week of test cyp. I feel great, good energy and great libido.
Yep. Everyone is very different and that’s why a good Dr will often start at 200mg just as a starting point - and then through ongoing blood work make adjustments until all blood markers are within healthy limits as well as feedback from the individual on how they feel (energy, libido, etc)
Amazing Interview. This doctor got my respect….healthy over aestetics…you got it 👊🏻👊🏻
Great video! Thanks from Brazil!
Those LabCorp ranges are based off of the general population that has declining levels. One could argue 1000 total is high in a pool of low testosterone individuals.
I would agree with that. 1,000 would have been high even 20 years ago but with declining testosterone levels over time it's that much higher compared to the current average
@@JamesGrage I kinda don't think so. T is down a lot. I'd be willing to bet guys in the 80s and 90s would be 1500 ish. It wouldn't surprise me 50 % if 1500 is 750. Remember in the 80s milk came in a cardboard carton. Great video James
The old scale used to be 500-1500ng/dL, it has been lowered multiple times over the years to define a "normal" in range.
@@tommcgivern8020 mpmd did a video on this, 1500 is way high. 1000high has been a good guess for decades of not centuries
@@mattmason4589 sure
Fantastic interview. Great questions. Unfortunately, it's going to fall on many deaf ears because of this instant gratification culture we are in. Hopefully, it'll help those who do need it and have been getting it without doctor supervision. They should be motivated to get tested and dial in the exact dosage for them.
100%
I blast and cruise under my own supervision. I take my bloods every 3 months. I'm 44. My cruise dose is 250mg sust weekly. I've run 3 cycles since my 43rd bday, I'll be 45 in a month. My bloodwork is more favorable to good health now than it was before taking the needle.
Oh and I went from 280 to 225... about 30% bf to 14% .... my blood pressure and cholesterol are much improved.
@@toddmarkarian9665 do you use AIs?
@@aherrns1894 not often... usually only when I'm feeling the estro sides... emotional or on edge or moody or acne... or if I take my bloods and my e2 is up. But yeah... sparingly. They're not very good for your body, especially amongst everything else.
Great video. Very informative. Thank you.
Amazing discussion. Loved it❤
Question…. I’ve been told that total testosterone levels are not as important as free testosterone levels. So your total may be on the higher side (1000) but your free testosterone is still low. So the doc increases the dosage to get your free testosterone levels up. Thoughts?
43 year old here.... considering TRT, but trying natural supplements first... my levels in 2020 were 750 total, 28 free, and this year 500 total and 8 free... I felt so terrible I demaned my T-levels be checked, and thus... to me the Free levels are what I feel the most.. Did not help that my wife and I had 2 children at or after 40 years old... during a plague no less, plus a pre-teen/teenage girl.... These last 4 years have taken alot out of me. lol... It has absolutely affected my sexual performance, desire... all of it.
Is having little kids depriving you of sleep?
Cos that will stuff your T levels and your health generally,
more than just about anything else.
@@BWater-yq3jx - Yes... its been about 4 years of non regular sleep.. must be teh issue.
@@seangavingregory4367 get some time off you and the lady alone and your T will come back. But not to stay unless you make some adjustments. Some studies showed how enjoying being stressed reduces the negative effects of stress on testosterone. May sound crazy but you can influence your body with your mind and viceversa
take magnesium every night before you go to bed. make sure you're getting PLENTY of minerals. our soil is soooo damn depleted that its almost become barren and causing a complete lack of minerals in our food supply. get your stress in check too! these are some nice foundational bricks anyone can add no matter which way you decide to go.
Dr. Osborne was great! I noticed he is also on UA-cam BPI Sports, for those ,like myself that appreciate his knowledge.
Very good interview. Cheers mate.
My experience , I was 38 y/o when started on TRT for 5 years ago now. I was active in the gym and healthy all my life. I began feeling no energy as if I had taken a sleep aid during the day, no focus, no motivation and no libido. I went to my primary doctor with these SX and he immediately started me on antidepressants. After two weeks on them I felt even worse, terrible. I knew something was wrong so i went to a TRT clinic and the DR was shocked to see my level was
How much do you pay a month for your trt
Thank you for sharing
@@joshmoore1397 Thats what I wanna know
How do you quantify feeling amazing?
Same here. 38 yo levels at 172 psyc doc put me on all sorts of anxiety medications. And no help! Nutritionist suggested T blood wrk. Now on my 3rd dose of TRT 200mg every 2weeks. Feel nothing yet. I just want the anxiety gone and want to be able to go up a flight of stairs without feeling winded.
Awesome video James! I’m 54 and started on TRT in October. I’m at 200 mg/wk and my 7 day blood test level came in at 750…I think that’s pretty good but some may say it’s low. I’m 6’3 weigh in at 272 and have about 15% body fat so I’m pretty muscular for my age.
It's crazy how people react differently to dosing---I was on 120 mg/wk, split into two doses, and that put me at 1366 total test--they just dropped me to 100mg/wk. I'm 47, 5'9, 190 (dad-bod) and when I started (they started me on clomiphine which sucked) I was at 246 total test.
@@locomike102 unfortunately it seems to be very specific to the person. I have really reacted to the 200 mg/week dose...put on like 12 pounds since starting and lost fat. I've always had it pretty easy when it comes to muscle gains and I believe my body is now really using up the 200 dose at my weight of 272. Some practioners say TRT dose should be 1mg/pound of weight. One of my best friends was on TRT at 200 to start and had terrible time with back acne, etc. He's now on 100 per week and has been at same dose for about 12 years. He thought it was crazy that I was on 200. I was on Clomid but have discontinued that med. I take anastrozole to control estrogen. My estrogen numbers came in at a pretty good reasonable level.
@@locomike102 My total test was 326 when I started.
What the hell, 750 is low now? I'm 14 years younger than you and my test have been as low as 290 and not one doc has ever been concerned about it. In fact, they say it's all good, no need to worry.
@@AnssiEriksson I was having ED, mood and motivation issues that have all subsided since starting TRT. If you’re not having issues then you’re fine to stay at a low level. I feel markedly better at 750.
Best video out there with great info,thank you !!!!
this was such a good video. ill be on TRT in the next week
I'm 23, went through a major weight loss, 145lbs. I'm currently 185, I've been strength training for almost 3 years. I have a lot of symptoms of low T, decided to get blood work and Testosterone came back at 313. They want to put me on TRT but I'm very hesitant, even though I feel like I would benefit from it
Same here, I’m 34 lost 120 lbs and shot my T levels. Began TRT on 100mg a week, Turned out to be a great decision!
@chadillac42069 congrats on the weight loss!! still going through the pros and cons, trying to decide if it's worth the life Long commitment. You're feeling a lot better on it?
I’m 27. T score was 310, been on 200mg of cyp twice a week for about 6 weeks now, and i feel a complete change on everything. I highly recommend.
@@michaelkimpel7292 Do not even contemplate TRT without spending a considerable amount of time improving your lifestyle factors. Especially at 23. You will be on this for the rest of your life. You will be dependent on doctors, and without HCG you will likely made infertile. Get proper nutrition, train frequently, see how far you can get naturally.
Been on for 18 months on TRT, 175 MG a week. Amazing
Did you have anxiety or depression? If so, has trt helped? Hope you're well.
@@TDR85 libido issues and motivation issues. It has been amazing
@@bobboberson6664 I have anxiety and depression. I've read trt helps. Fingers crossed.
@T just get it dialed in, too much CAN CAUSE anxiety. There is a sweet spot that takes a bit
Amazing interview!! 🙏🏻
Very good video thank you so hard to find stuff like this on UA-cam
I've held off getting on TRT for the last 3-4 years in spite of a significant 5 year decline in some of the physical and most of the mental aspects associated with low T. I've strength trained, eaten healthy, kept muscular and in good shape since I was a teenager. The last thing I wanted or ever thought I'd have to do was get on T therapy. However, in spite of my best efforts, my numbers kept declining. Currently 350 total and 6.8 free T at 49 years old. Willpower cannot consistently overcome this lack of drive, confidence, and energy (which I was overflowing with until my early 40's.) Everything, even the things I used to love to do, seem....all vanilla. I still hit the gym, outlift, and have a better physique than 80+% of the (natural) 20-40 year olds there. On some level I thought if I still had good muscle I couldn't be low T but the mental effects have just gotten to be too much. After a final extended effort to turn it around I've concluded it's, unfortunately, not going to happen. I want to enjoy life and feel unstoppable again like I did before. This morning I was prescribed an injectable T therapy program from a clinic who's philosophy is in line with the good Doctor from this video. Don't like needles, but I'll get over it. Will be starting next week. I suspect I will wish I'd started 3 years earlier.
Kinda sounds like future me
Please give us an update on how you feel after treatment. Thanks
Grow a set 😂
I feel sorry for you. You feel the need for a steroid to complete your life, its sad really. I mean no disrespect here but sad. My wife's call name here and I'm a 63 year old male hitting the weights 4 days a week. There may be multiple reasons for your declines not just test; too much of the stress hormone cortisol, chronic stress, hyperthyroidism and hypothyroidism, diet, etc. Sounds like you are looking for the easy way out, drugs. Now I know why the FDA is looking closer at this. Remember pain killers started as a trouble free way.
@@dawnmarie5872 Thank you for your sincere concern. I'll take the time to give you more information so you may avoid jumping to conclusions and irritating people in the future.
I've had broad hormone/nutrient profile testing done over the last 20 years because health is my utmost concern No, there is not a chronic stress or other underlying thyroid hormonal issue. I've spent the last 4 years working on ways to avoid T therapy. It has always been my last option. I've always been vehemently anti anabolic steroid use and never needed them to build muscle even though my T levels have never tested above 550 (late 20's). I have a varicocele which could explain my historically lower levels. Last year I suffered a concussion injury which my doctor feels may have contributed to this recent decline. Please direct your "pity" towards the 20 somethings looking for any way to get on drugs to get buff fast and easy. I'm ok with you feeling somehow superior to me. Thank you for taking the time to let me know about it on a public forum. Consider this, you too depend on a steroid, Testosterone, to complete your life. It's just that your body is still making levels above the threshold where you would start feeling how I do. If you get a TBI tomorrow and your T levels tank in spite of your best efforts, please, by all means don't resort to a drug. Endeavor to persevere as you rapidly decline mentally and physically and make your family suffer right along with you. Sound fun?
Maybe consider walking a mile in other peoples shoes? If not, perhaps next you can visit a type 1 diabetes video and try to shame someone off of another anabolic drug, insulin. Let them know you don't need it and that you pity them. Maybe they will find your positive input valuable. No offence intended. Thanks again.
I’m on TRT
My biggest problem is finding the right doc
First Dr was charging a lot and I didn’t believe I was getting what I paid for.
Second Dr is low priced and really doesn’t pay attention to my labs and overall health
I will be reach out to this Dr and see him in Feb.
Thank you for this video!
My blood is thickening and it is a real concern.
My libido, mood and body has dramatically changed.
43 and my 6 pack is coming in solid. Overall I believe it’s a life changer
So your mood and libido have increased? I assume energy levels have as well?
Have you been donating blood (blood letting) to the red cross 4 times a year? It will help with the blood-thickening problem. reduce risk of stroke, heart attack and other problems.
@@PaulBurns1 good info.. didn't think of that
I'm 69 now and have been training naturally for over 46 yeas. I've never taken any PD's and the thought of doing so scares me to death. My last blood work showed me at 325 for my test level. I have a couple of comments on my videos say that I'm on PD's. That really doesn't bother me too much, but it does sound like they are minimizing my life long training. Some times I think it's a compliment.
You’re not that impressive bro, relax
Great interview and great questions, btw.
Thanks my friend
I started trt at like 28 my levels were below 200 I was miserable. I’m 41 now and my levels are usually 400ish. I do feel better but even with 0.5ml per week it still stays pretty low imo
What is the strength of the dosage? 200, 250 or 300?
Some of us are going about "middle age" a little different 😁 I'm 47 lean and healthy and never felt better. Age is a program, do yourself a favor and uninstall it, for real, I mean it, you have been programmed! 😁
3yrs test e 250mg a week, BP today weirdly the first time I've checked it in ages 125/70 I've had no issues. Clean living and good eating with exercise, this stuff helps but, still nobody does the hards work for you, good living, food, exercise and on and on ✌️😁
You're absolutely correct. Balancing hormones like testosterone can definitely be beneficial but it's not going to replace hard work, consistency and discipline, when it comes to staying fit and healthy.
Thank you for this video. You guys have answered so many questions I had on this topic.
👊
Damn good interview. I wish this doctor was local. I first had flu like symtpoms. I went to my pcp. No flu, everything tested looked good.
So after months. I went to a mens clinic. Sexually, I was fine, I believe. So, they checked, I was 108 on my testosterone. They out me on 1000 per week with hcg. First 2 weeks I felt like a monster, but then felt miserable. After 45 days, gained 43lbs. Went to my pcp. My levels were 1280 and was retaining a ton of fluid everywhere including around my heart and lungs. I couldnt breathe or sleep laying down.
She put me on a diuretic and no testosterone. After 10 days, I was down 45lbs. Felt great breathing but at the end of 30 days, dead tired and exhausted again. Muscles cramped often, sleep was crap again.
So, now under my pcp, was 400 injection every 2 weeks. 7byears great. Recently my levels dropped to 205. So she cut my dosage to 200 ml every 2 weeks. I feel weak and tire easily again. She has not justified why dropping it. She said she legally cant prescribe 400 every 2 weeks. Idk. Juat dont know what to do.