I also find it troubling that with my ObGyn I essentially felt the need to lie. There were limited diagnostic codes or whatever for me to get HRT covered. I had to name some unpleasant menopause symptoms I didn't have, like hot flashes. I don't think I had vaginal dryness then, but threw that one in for good measure. What if I just wanted to protect my bones,my heart, my skin and other things, remain a bit more "me" for a while longer?
Testosterone replacement titration should not be based on target ranges for total testosterone. The active component is the free (or possibly the bioavailable) hormone level if we are going to use a metric. In either case this ignores the possibility of receptor resistance which we are not able to quantify. Dosing of testosterone (perhaps we could even say "all hormone replacement") should be based on clinical response....titrate to effect. Related to this is the idea of age adjusted dosing or target blood levels. why should male hormone replacement levels be lower for older men? Is there evidence that dosing to "normal" young adult levels is dangerous? Is there evidence that dosing to "supraphysiologic" levels is dangerous? And I would pose the same question in regard to female hormone replacement....the old mantra of lowest effective dose is based on titrating to treat hot flashes, perhaps sleep and mood, but completely ignores the musculoskeletal and cardiovascular and other systemic benefits. So why should we not target high normal or even supraphysiological levels of female hormones in post menopausal women as long as it is not causing negative side effects? Is there evidence of this being dangerous?
Hi Dr. Kelly, my OBGYN did bloodwork on my testosterone and said 2-45 mine is 9, and free testosterone between 0.1 to 6.4 mine is 0.7 concluding that my testosterone level is normal. Will you please let me know if it’s in fact normal? (I’m 49 yrs old and im on HRT) Or should I ask her I like to try the testosterone cream for 3 months and see how I feel? Thank you in advance 🙏❤️
Your treatment should be based on adjusting dosages to achieve a desired effect, not based on a blood level which ignores the inter-human variability of receptor numbers and receptor sensitivity. If your OBGYN was treating you for high blood pressure, would they adjust doses based on your serum levels of the medication or based on your blood pressure? Now that is not a fair exact comparison because your normal serum levels of the blood pressure medication is zero, but conceptually it illustrates that we physicians are willing to dose poisons to get a desired effect, but we are unwilling to dose naturally occurring physiologic biochemicals (hormones) in the same way even though they are infinitely safer.
Eligars Hormone therapy after prostate radiation …off 2 years…still no energy, no arousal, no erection. Any ideas? Urologist says no level of testosterone should be added
Omg, After go’ogling Simmy Krotiel’s latest I noticed it had undergone revisions to add four ins. and even more using accelerated growth techniques, now I feel so huge, thanks
Excellent. Thank you!
Always fun to listen to and aleays educational! TY Kelly, for what you are doing 🙏
Thank! Learning more about man health is always a bonus
I also find it troubling that with my ObGyn I essentially felt the need to lie. There were limited diagnostic codes or whatever for me to get HRT covered. I had to name some unpleasant menopause symptoms I didn't have, like hot flashes. I don't think I had vaginal dryness then, but threw that one in for good measure.
What if I just wanted to protect my bones,my heart, my skin and other things, remain a bit more "me" for a while longer?
The seman retention practice is called, Tantra.
Testosterone replacement titration should not be based on target ranges for total testosterone. The active component is the free (or possibly the bioavailable) hormone level if we are going to use a metric. In either case this ignores the possibility of receptor resistance which we are not able to quantify. Dosing of testosterone (perhaps we could even say "all hormone replacement") should be based on clinical response....titrate to effect.
Related to this is the idea of age adjusted dosing or target blood levels. why should male hormone replacement levels be lower for older men? Is there evidence that dosing to "normal" young adult levels is dangerous? Is there evidence that dosing to "supraphysiologic" levels is dangerous? And I would pose the same question in regard to female hormone replacement....the old mantra of lowest effective dose is based on titrating to treat hot flashes, perhaps sleep and mood, but completely ignores the musculoskeletal and cardiovascular and other systemic benefits. So why should we not target high normal or even supraphysiological levels of female hormones in post menopausal women as long as it is not causing negative side effects? Is there evidence of this being dangerous?
Hi Dr. Kelly, my OBGYN did bloodwork on my testosterone and said 2-45 mine is 9, and free testosterone between 0.1 to 6.4 mine is 0.7 concluding that my testosterone level is normal. Will you please let me know if it’s in fact normal? (I’m 49 yrs old and im on HRT) Or should I ask her I like to try the testosterone cream for 3 months and see how I feel? Thank you in advance 🙏❤️
Omg! That is so low!!! Mine was similar and I felt like I was dying! I started trt and feel so much better. Go online and get trt!
Your treatment should be based on adjusting dosages to achieve a desired effect, not based on a blood level which ignores the inter-human variability of receptor numbers and receptor sensitivity.
If your OBGYN was treating you for high blood pressure, would they adjust doses based on your serum levels of the medication or based on your blood pressure? Now that is not a fair exact comparison because your normal serum levels of the blood pressure medication is zero, but conceptually it illustrates that we physicians are willing to dose poisons to get a desired effect, but we are unwilling to dose naturally occurring physiologic biochemicals (hormones) in the same way even though they are infinitely safer.
Eligars Hormone therapy after prostate radiation …off 2 years…still no energy, no arousal, no erection.
Any ideas? Urologist says no level of testosterone should be added
He is probably wrong.
Look at interviews by Dr. Morganthaler and his research in this area which supports use of testosterone replacement post prostate CA.
Omg, After go’ogling Simmy Krotiel’s latest I noticed it had undergone revisions to add four ins. and even more using accelerated growth techniques, now I feel so huge, thanks
Woman up for your other half 😂