Correcting TRT Advice

Поділитися
Вставка
  • Опубліковано 27 лип 2024
  • Dr. Gillett and James O'Hara react to Peter Attia's TRT advice.
    00:00 Intro
    01:42 Video Starts
    01:54 Steady state testosterone
    03:51 Appropriate TRT
    05:41 Risks
    34:55 Closing Points
    References:
    ► (Why Testosterone Replacement Therapy Is So Dangerous - Dr Peter Attia) • Why Testosterone Repla...
    ► yospermtest.com/
    TRT Videos:
    ► • Is TRT Heart Safe? | T...
    ► • Risks Of TRT | The Gil...
    For High-quality labs:
    ► gilletthealth.com/order-lab-p...
    For information on the Gillett Health clinic, lab panels, and health coaching:
    ► GillettHealth.com
    Follow Gillett Health for more content from James and Kyle
    ► / gilletthealth
    ► / gilletthealth
    ► / gilletthealth
    ► / gilletthealth
    Follow Kyle Gillett, MD
    ► / kylegillettmd
    Follow James O’Hara, NP
    ► / jamesoharanp
    For 10% off Gorilla Mind products including SIGMA: Use code “GH10”
    ► gorillamind.com/
    For discounts on high-quality supplements
    ►www.thorne.com/u/GillettHealth
    #reaction #trt #podcast

КОМЕНТАРІ • 79

  • @jaycarneygiants
    @jaycarneygiants Місяць тому +10

    Peter Atilla talking about people "misusing" prescription meds is the height of hipocrisy. He is admittedly on cholesterol-lowering drugs that are reserved for patients with heart disease (which he doesn't have according to him) but because he is a doctor and has connections he gets to take Repatha and Bempedoic Acid

    • @grunge-mb9sb
      @grunge-mb9sb 24 дні тому +1

      I hate this, then the mere peasants get gate kept by doctors all over

  • @wread1982
    @wread1982 Місяць тому +28

    1. Doesn’t cause heart attacks
    2. You don’t need to donate blood
    3. You don’t need an Ai
    4. You don’t need to worry about anything we will all die someday no matter what we do so make your self a man while you can and enjoy life to the fullest instead of being a wussy on the sofa

  • @junu0507
    @junu0507 Місяць тому +5

    I like the fact that you are wearing sunglasses when calling out; it makes you look like a villain.

  • @chriskuzman6819
    @chriskuzman6819 Місяць тому +12

    I am a past client of you both from back when y'all were with Marek. Can you do an episode breaking down the bro-science surrounding injection frequency and subq vs IM delivery? I bring this up because of your comment around "physiologic" TRT, and how its essentially impossible to achieve the same peaks/troughs of a natural diurnal rhythm. EVEN with daily micro-dosing. I fell for the trap of doing daily subq injections and it FUCKED me up by giving me a constant high-mid level of hormones and never giving my receptors a break. Thanks in advance!

    • @cummingsdale753
      @cummingsdale753 Місяць тому

      Good morning your, comment/ request, is a good one. I would love to hear them speak about this . I'm now trying to tweak my dosage and frequency of injection I was told every other day intramuscular injections would be best you bring up a great point about receptors though could you tell me a little bit about what happened with you and if you got any clarity with this? ✌🏾🙏🏾💪🏾

    • @philnj7302
      @philnj7302 Місяць тому +1

      If it constantly gave you high/mid hormone levels dosing every day you should have reduced your dose further

  • @marshallsaltzman9924
    @marshallsaltzman9924 Місяць тому +11

    Attia is neurotic af. Beyond reason at times. He has made some hyperbolic statements about the danger’s fruit before that turned me off from him. Might be some narcissism going on there

    • @vinnyB-do7op
      @vinnyB-do7op Місяць тому +3

      I don’t like him either. Also because of his take poor on 5AR inhibition

    • @xKarenWalkerx
      @xKarenWalkerx Місяць тому +2

      I feel the same about him. Also Layne Norton. Bummer bc they could be great but are currently unbearable to watch...Layne is the most neurotic grown man I've ever seen...

  • @elst2504
    @elst2504 Місяць тому +1

    Excellent, thank you!

  • @philtrem
    @philtrem Місяць тому

    Very informative. Thanks!

  • @jacobshalvey
    @jacobshalvey Місяць тому +1

    New studio for these reactions is going to be fantastic. So excited for the growth of this channel

  • @xKarenWalkerx
    @xKarenWalkerx Місяць тому +1

    Terrific episode!!! 🎉🎉

  • @sunshine3187
    @sunshine3187 Місяць тому +2

    So is trt safe if you need it or not?

  • @Chestroc
    @Chestroc Місяць тому +1

    Great video!

  • @nomadicexplorers
    @nomadicexplorers Місяць тому +4

    I wish I had competent docs

  • @swoops41
    @swoops41 Місяць тому +2

    I am digging Peter‘s choice of wrist watches in these last few videos

  • @Dan-rp7il
    @Dan-rp7il 26 днів тому

    please quote the paper of hct of 54 causing a 30% increase. I have never read that

  • @NYGuy2000
    @NYGuy2000 Місяць тому +3

    Guys, extremely imformative! I also enjoyed your standing up to the herd.

    • @gilletthealth
      @gilletthealth  Місяць тому +1

      Thank you!!

    • @NYGuy2000
      @NYGuy2000 Місяць тому

      @gilletthealth May I ask you for your view on saw palmetto regarding its potential risk? Can it lead to PFS, or is it relatively safe?

    • @EthanThomas33
      @EthanThomas33 Місяць тому

      ​@@gilletthealthWould love to see a debate on AIs with Vigorous Steve given his recent video! I tend to agree with him but I'm curious what your thoughts are

    • @marshallsaltzman9924
      @marshallsaltzman9924 Місяць тому

      @@EthanThomas33 Steve is blasting, different ballgame

    • @EthanThomas33
      @EthanThomas33 Місяць тому

      @@marshallsaltzman9924 no it is not. He has the same opinion when he or anyone is on trt or has an adequate estrogen level. His argument is that they are very low risk when estrogen is controlled for and maintained, and that most side effects are from crashed estrogen.

  • @CesarGonzalez-eh4th
    @CesarGonzalez-eh4th Місяць тому +2

    Can you guys comment on the permanent loss of libido risk that was mentioned at 24:42 and whether that is true or false? Thank you!

    • @blackjack6406
      @blackjack6406 Місяць тому

      Imagine how great it would be if we could take a pill once and maintain the effects long term 😅

  • @hermanozzfashion9935
    @hermanozzfashion9935 Місяць тому

    was 37 when I had my son, I had been using since I was 19. I stopped completely and after 8 months my wife was pregnant

  • @johncalla2151
    @johncalla2151 Місяць тому +1

    Are there any good strategies for increasing estradiol even when testosterone is high and there's no genetic polymorphism causing low aromatase? Or is this is a situation where blood testing estradiol isn't very helpful since it's a paracrine hormone and it tends to be tissue-bound? And maybe symptoms can be explained by DHT blocking estradiol's activity at the receptor?

    • @gilletthealth
      @gilletthealth  Місяць тому +1

      This is a great question. I've briefly discussed my struggle with very low estradiol levels. Dutasteride helps significantly (when I'm able to take it). DHEA has also helped me in the past, but I do struggle with acne/breakouts when I take DHEA.

    • @johncalla2151
      @johncalla2151 Місяць тому

      @@gilletthealth Thank you for your response!

  • @kimjansson2338
    @kimjansson2338 Місяць тому +2

    can you say something about using lycopene as a replacement for dutasteride? is it effective enough?

    • @gilletthealth
      @gilletthealth  Місяць тому +1

      Good idea, we will look into this. Replacement from a prostate and cardiac health standpoint?

    • @kimjansson2338
      @kimjansson2338 Місяць тому

      @@gilletthealth thx and yes. I have an age related prostate enlargement, got a mr scan, that shows no cancer whatsoever, but still have the urinating symptoms, and my doctor doesn't think its nessecary with medication. so im on my own

  • @aaronmanuel4012
    @aaronmanuel4012 28 днів тому

    Ive had aggression issues ....as ive been on trt 240..week ..for month..any advice yall can give me

  • @mikeyoung1002
    @mikeyoung1002 2 години тому

    Yo Doc ! It all boils down to MONITORING !!! OBSERVATION!!!

  • @dlindo8892
    @dlindo8892 Місяць тому

    Subq does not work for everyone. My total testosterone dropped 350 points after switching to subq administration. Same dose and injection frequency as I was doing intramuscular I noticed something was off at about week 3.

    • @Kobalamin88
      @Kobalamin88 Місяць тому +1

      Maybe it becomes trapped in the tissue? I have the same issue with vitamin B12 injections. Subq causes my symptoms to return vs IM injections.

    • @dlindo8892
      @dlindo8892 Місяць тому

      @@Kobalamin88 I wonder if there is a way to fix this? Different carrier oil maybe?

    • @grunge-mb9sb
      @grunge-mb9sb 24 дні тому +1

      I felt horrible on sub q

    • @Kobalamin88
      @Kobalamin88 24 дні тому

      @@dlindo8892 go back to intramuscular injections? Sorry for the delay brother.

  • @fncr070
    @fncr070 Місяць тому

    Awesome🎉

  • @vinnyB-do7op
    @vinnyB-do7op Місяць тому

    Fantastic podcast guys. It is that this the mainstream Chanel with many viewers is being a little misled.

  • @BillyBob-fh5he
    @BillyBob-fh5he Місяць тому +2

    Subq injections are better for not dramatically increasing DHT? What about skin but not scrotum?

    • @gilletthealth
      @gilletthealth  Місяць тому

      Correct, all skin has 5ar, but conversion to DHT is more active in scrotal tissue. Less peak (and not crushing SHBG) is better for less DHT conversion (for any administration form)

  • @Sonicznproductions
    @Sonicznproductions 14 днів тому

    Ik

  • @WereAllThatBored
    @WereAllThatBored Місяць тому +1

    The TRAVERSE study is literally the bible of TRT at this point.

  • @dlindo8892
    @dlindo8892 Місяць тому +1

    👍

  • @EtienneLeBoeuf
    @EtienneLeBoeuf Місяць тому +2

    I went from 334 to 960 in around 3 months all natural no TRT. This book should be essential reading for all men. Written by a 50s guy with natural T levels of a 20s guy
    Complete guide to testosterone by james Francis

    • @user-xt2cb4wg8n
      @user-xt2cb4wg8n Місяць тому

      Don't believe you.Just my opinion.Im TRT for life,68,100 mg/week,mostly good days.Was 325ng 2 mos ago,curios what it is today,6/26/24.Ptl

    • @EtienneLeBoeuf
      @EtienneLeBoeuf Місяць тому

      @@user-xt2cb4wg8n It is true. I'm early 30s and you are 68 so this would make a difference.

  • @asneesaelim1950
    @asneesaelim1950 28 днів тому

    This is like listening some comedy, guys talking like they know something when they reveal time after time they dont understand the topic they talk about.

  • @bogse
    @bogse 28 днів тому

    I dont know who these guys are, never seen before but its clear the guy with eye surgery hasnt studied this topic enough.

  • @keithnicholsmd6896
    @keithnicholsmd6896 Місяць тому +5

    It doesn’t grow prostate cancer Kyle. Raising DHT with transdermal cream does not affect your heart Kyle. The DHT you measure in the serum does not reflect levels in DHT sensitive tissues. They have their own homeostatic mechanisms that tightly control intracellular concentrations. If want to talk about it reach out. DHT is living rent free in your mind and you have it vastly wrong. And with the doctor that has the most experience with the topical testosterone cream applied to the scrotum you have no idea about topical testosterone Kyle. You are suffering from the Dunning Kruger effect in this video. I usually like your videos, but this is extremely painful. The amount of misinformation was intolerable. The sunglasses blinded you to the actual true medical literature in many areas in this video

  • @Halcyonhal
    @Halcyonhal Місяць тому

    What’s with the sunglasses?

    • @VSS1
      @VSS1 Місяць тому

      He said he has eye surgery earlier in this video.

  • @dougbagley5364
    @dougbagley5364 Місяць тому

    I don’t comment much, and yes this circus requires one. I hope you can get your money back on the new studio as this Jerry Springer type skit is unbecoming and your vocabulary of a middle schooler is sad. If you have an opinion post it. If you have an opinion about someone else keep it to yourself or better yet invite Attia on for an actual discussion. Your format is only for views and leaves yours audience with loads of misinformation. Very sad, do better.

  • @PJchecky
    @PJchecky Місяць тому +1

    I’m not sure what kind of a “Doctor” you are but clearly do not understand the fundamentals of heart disease and its relation to TRT.

  • @jarrodnunn
    @jarrodnunn Місяць тому +1

    These Drs now a days
    Think they're so cool wearing sun glasses SMH

  • @chad6326
    @chad6326 Місяць тому

    Hey guys, I'm about to be on shot # 3 of 100mg a week. My total test was 290 last it was checked and me free was low. Is this dosage ok??? It's what my urologist wrote for me...

    • @marshallsaltzman9924
      @marshallsaltzman9924 Місяць тому

      It’s a good starting dose. Stop worrying and wait for your 6-8 week blood tests.

    • @EarlofGreystoke
      @EarlofGreystoke Місяць тому

      My level before TRT was 211, I started with 150 mg per week, it is very individual, stick with it for 8 weeks, observe how you feel, if your diet and lifestyle is clean, see how you feel and respond to training and post recovery …if no difference, titrate with 20 mg up, and then observe for 8 weeks, also take in observations frequency of injection, I feel much better with 3 times per week, but most important seek for symptom resolution instead of chasing pure numbers