Testosterone UPDATE for 2023 - Do You Need This?
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- Опубліковано 15 тра 2024
- Dr. Christy gives the latest data on testosterone gel from the TRAVERSE study published in the New England Journal of Medicine.
REFERENCES:
www.nejm.org/doi/full/10.1056...
Helpful video. Thank you. However, I do not think we should highlight just the sexual or mood benefits as 'objectives' for testosterone trestments. For me, like many, I also suffered fatigue, lack of concentration and a reduction in sharpness and clear thinking especially at work when working under pressure.
It isn't always about erections and libido as I am sure you understand.
The big one is when bone mineral density falls. The indicator for that can be very telling. Simple falls causing multiple fractures.
This is what I needed to hear. Thankyou
I can tell you’re really new to this subject. Rule #1, don’t chase numbers. Chase results. Chase symptom alleviation.
This is true! Never chase numbers.
The doctor is correct about watching your initial levels. After my first six months of injections, my testosterone level was 1,098. After reducing my injection by twenty-five percent, my levels stabilized in the seven hundreds.
@@Saint_Ann She probably recommends the C-vax too (which is downright criminal).
There’s nothing magical about the level of “300” as a cutoff. Symptoms should be considered more than arbitrary numbers.
not biologically, but legaly/financially/insurance payments determines if its "MAGICAL"......it has to be tested low...doctors dont know shit, including this one!!! female doc giving advise on testosterone....ludicris....😂😂😂 FDA CLASS 1 MED.....😂😂😂😂coo.f1.9 vaxx, its all a joke
Thanks for the clarity Dr. Risinger!!!!!!!👍👍👍
There is no clarity here. LOL
Good stuff. Thanks
Thanks so much, Dr. Christie. As always interesting and helpful.
Glad it was helpful. Thanks for watching.
Wonderful video and very helpful. Thank you for taking the time to educate your audience.
Glad it was helpful!
@@ChristyRisingerMDtreat the symptoms not the numbers
Glad to hear! I’ve been on HRT since I was 39 (now 52). My level when I started was 239. Started with gel, switched to weekly injections, now using cream from a compounding pharmacy. I prefer gel, but it’s cost prohibitive with the insurance I have.
The compounded cream works fantastically unless you shower it off too soon.
What was the dose of gel? Why do you say its so costly? its more expensive then injections why did you stop that?
I don’t recall the dosage, but the gel was more expensive because my insurance sucks. They wanted $500/month. Compounded cream is only $55/month. I stopped the injections because I got tired of stabbing myself.
There is also the issue of age as many others have indicated in their comments.
But once again, thank you for dealing with this topic in a very helpful and understanding manner.
As men age, testosterone declines normally 1% every year beyond 30, this decline in testosterone is shown to increase risk of mortality. Multiple peer reviewed studies show maintaining a 550> ng/dL decreases your risk of heart attacks by 30% and prostate cancer 53% reduced risk. It did not matter is testosterone was very low
right... till i read this, i could only imagine testosterone boost at 80 years old would be a frustrating curse @@Systemlord30
Thanks Dr. Good info.
I just can't get myself to go for it. So many hassles and checks and possibly even no success.
treat the symtoms not the numbers Dr
OMG, Dr! With all and absolute respect, you are jaw-dropping gorgeous ☺
Good on her for actually prescribing TRT. That's better than most providers in our t"oxic masculinity" world who only freely prescribe Test to girls "transitioning". That said, she needs to better educate herself if she wants to continue providing proper TRT.
If she's looking for a total test range of 350 to 750, those numbers aren't complete without looking at free test. A total level of 350 is unich territory and well below an optimal level. I know you treat symptoms, not numbers with hormones. For reference, my pre TRT total was 460 and I felt horrible even after addressing every other factor in my life. She wouldn't have treated me based on what she said. My natural numbers from 10 years prior at 38 years old were 790 and I felt bad then too thus me getting tested. I dont have tests to verify, I'd bet I was 1000+ in my late 20s and early 30s.
My numbers on TRT now range from 1100 to 1500 injecting 3x/week. The blood serum number is highly influenced by a number of factors and can swing. Total levels of 1000 ng/dl testosterone are not "dangerously high". That was the average of healthy men prior to 1950. The real question is what lowered our testosterone? Most blame it on plastics and our food supply. The intentional pacifying of our male population to make compliant citizens?
Furthermore, the only reason testosterone is a controlled med was from abuse in the Olympics and was only made controlled in 1990. Its sister hormone Estrogen isn’t controlled at all and Rx'd out like candy to every still developing teenage girl with known negative effects later in life.
Also, the only blood component that typically elevates is hematocrit and this is not a risk for blood clots or strokes unless you have a blood disease like m
polycythemia causing it. Otherwise everyone living at higher elevations such as Colorado would be stroking out. Do better.
The medical system is tyrannical. It deprives us of our natural rights and the quacks it churns out are the last ones to recognize that fact.
What treatment are you injecting , cypionate or something else?
@@vigilantvoice9778 cypionate.
Very timely. I inject but will discuss efficacy goals with my endocrinologist
Are f#$king kidding me! Discuss efficacy?! How do you feel? How long have you been on TRT? What the hell are you talking about lmfao
I have been using Eucommia Ulmoides off and on for a few months - I get it in a pre mix coffee sachet, no idea what the dosage is.
The extract from the hardy rubber tree _seems_ to stimulate testosterone production, although there is not much research on this particular ethnobotanical to suggest *how.* Is it interacting with the hypothalamus to send messages to the leydig cells in the testes or ovaries, instructing them to secrete more? Is it providing some aid to the systems in production? I don't know .. but since the tree can grow in zone 7, we are planning on adding a couple to the food forest. The upside is, I am healing faster, and have more energy for work and exercise. There is a little increase in libido, but not to teenage levels, thank goodness.
I hope your results and opinion filters down to Australia. I have documented low testosterone i suggested TRT to my Doctor it was like i was asking for herion. I went to 3 Doctors same result. I eventually got TRT online which was expensive but started to feel normal with 3 to 4 weeks. I found a Doctor who woukd prescribe Testosterone cream as long as my levels stayed within normal levels. I have a yearly blood test to check everything you can all excellent figures no high blood or cholesterol medication required. Been on Testosterone cream for 10 years and feeling 30 years younger.
High quality information. As always.
Thank you!!! ❤️
Thanks for watching!
How to book an appointment with u?
My number was in the 170's and I was always tired. Started HRT and got it too 450 but had to get the dose fairly high. It worked initially but then found myself sliding back to the afternoon naps. Honestly it seemed like a cup of coffee had the same results and was a lot cheaper. Got off it. Also my triglycerides doubled but they also had me on some sort of testosterone supplement. Don't know if that was the culprit.
There might be more to your sleep issues than T levels. Get checked out for apnea or other sleep issues.
Im a 42 yr old man and I tested my own testosterone (I work at a hospital lab) and it came back 137 ng/dL. I talked to my father and he talked me out of going to a TRT clinic first so I’m seeing an endocrinologist next Thursday for the next steps…
I took androgel and within a few days had intolerable scrotal pain and had to stop. Also I feel the Afib and blood clot risks are not worth it.
Dr Christy...any thoughts on bio identical hrt ..such as Biote..also ..Im on a blood thinner..Xarelto..had a pulmonary embolism a few years ago...does the Xarelto help me in reagrds to the chance of another clot? My oncologist did testing and I have no predisposition to blood clotting or heredity markers..apparently a fluke
All testosterone is bio identical. All you’re asking is about the route of administration. Bio identical means it’s naturally occurring in your body and the molecule structure is the same.
The difference between 7% and 7.3% is roughly a 5% greater occurrence than the placebo group.
Not really a huge jump if 7% are having events regardless, but it is a noteworthy increase.
Super great content 👏
What about the effects of testosterone on the prostate ?.
I had prostate cancer treated with HIFU, which left my prostate hollow. Ten years later two lobes have grown back, my Uro checked my test level it’s at 630. So my question is, Is it possible to develop prostate cancer again?
Some years ago, I remember getting a blood draw to see how my replacement levels were doing. Total T came back at something around 20,000! My doctor was like WTF? I said it couldn't be right. Those kind of numbers are only seen in major league baseball!🤣
We thought maybe it was a lab error but then deduced that it was likely the result of doing the draw through skin that had been freshly coated with T cream that morning. The needle probably scooped up a few micrograms on the way into the vein and that blew the numbers off the chart.
Traverse study was funded by AndroGel, so.. the results would be different in any other case?
Doc can you also say what is extremely high Testosterone level for you? For example if my testosterone drops to 750 ng/dl i start to get very symptomatic, not everyone is the same, and not everyone is optimized even with 750 ng/dl testosterone level! Thanks
What does your free testosterone look like at 750? Some men with high SHBG need high total testosterone to keep their free testosterone from being deficient.
@@FreedomFox1 At 750 my free T is somewhere 16-17! Yes, my SHBG is not really low too so...
@@daviddavid1057 That’s pretty good free testosterone… But lots of guys on TRT keep their level in the 20’s. So if that’s what you need for symptom relief, I wouldn’t worry.
@@daviddavid1057 my free T is around 25. Anything lower, I become symptomatic.
The dr in this vid appears all about numbers on a blood test. Red flag
When I push youthful testosterone, if my nutrition isn’t on par, I get symptoms. I require iron supplements on TRT, without life is misery.
What is the difference in creams and gels?
Good to hear about these findings. One question, isn't it hard to titrate the testosterone dose with a gel product?
No.
No, it just requires a blood test.
@@ChristyRisingerMDhe was asking how you measure the dose of a gel, so you can calibrate the dose to impact on T level
@@StigFerrarisame as you would an injection. The gel has 20.25mg of test per squirt of gel. The gel comes out in metered doses due to a special pump design and airtight bag inside the bottle. It’s also 70% alcohol so it’s very difficult for the test to settle down to bottom or separate from solution.
Not sure she will answer this...i deal with bad mentalhealth genetics but my testosterone always low for many years...recent test showed 3.6 super low...i tried androgel maybe dose was too high it made it raise my blood pressure and over 30 in test resukts...im looking at trying natural desiccated thyroid prescription level to work on my t4 t3 levels
In my case I’m 62 been on small doses of inter muscular injections for years. Due to low numbers, mood issues, and energy levels. Now in my case I’m not an old couch potato I’m an ex bodybuilder I stand 6’5” at 230 pounds and I train on average 5-6 times a week and have had ZERO health issues stemming from the T. Personally I think it would be very detrimental to being on T. Therapy and not have some kind of active life style.
This is good advice. This doctor knows her stuff. Us men are interested in learning how to maintain a steady level of testosterone.
what if you have high blood pressure? does it help or hurt?
Doctor forgot to mention TRT can also most likely shrink the testicles. Testicular atrophy occurs naturally as men age. I do not wish to compound the situation myself. I will agree to age naturally and gracefully hopefully, and avoiding TRT if at all possible because of this and other factors she mentioned. Jmo.
I came to know that testosterone patch's of 4 mg/day has been discontinued 6 month ago. Is the gel better ??
Interesting take but why go off the numbers purely? What if it solves the symptoms?
How large a group was this?
I'm 65 and my T is around 360. I'm concerned about Sarcopenia and I need to maintain musculature with resistance training.
I'm scared about blood viscosity. I worked for a man who had bad TRT side effects with the blood. Is there a very small dosage that would
get me back to 400? I don't have or need sex.
I have questions on testosterone. Why is it not broken up by age? For example, if you’re 45 and you’re under 400 for example. The research I’ve done says it drops as you get older and having 300 as the benchmark might be too low for someone younger last one is does it cause hair loss?
Risk of death is 30% higher with normal testosterone is defined as low testosterone. There’s androgen sensitivity and receptor density, which determine when you will get low testosterone. You can’t have one number for everyone. Most of the medical societies are decades behind the science, especially the Endocrine Society, who are the ones who write the guidelines to qualify for TRT. Doctors need to focus on healthy normal ranges, because as testosterone continues to decline across the population, normal in 50 years won’t be what it is now. In the 1970s the average testosterone level was 720, now it’s 420 ng/dL.
doctors dont know shit....niether does the FDA
Good Job...Does your level of naturally produced Testosterone shut down or diminish if and when you stop Testosterone replacement therapy?
Short answer yes it’s considered a lifetime treatment as you will always be hypogonadal.
@@jamesmccrindle8633 that’s why they give you HCG for PCT or when you’re trying to have kids
Is your name really DOCTOR Christy Risinger?
What is your definition of low testosterone?
Well Done! Blood donation helpful
Gross 😝
Same as people who live at higher elevations. No risk. Zero.
Estrogen, which would be higher in Low T individuals, has favorable effects on cholesterol.
HRT Pellets are better
What really annoys me is these men has sissy testosterone levels, between 300-400 ng/dL, testosterone is a vasodilator, it enlarges veins, and arteries. So by keeping levels lower end of the ranges, outside the therapeutic ranges (550-850), and therefore may not get the full benefits of therapy. I believe this is why some of the men got pulmonary embolism‘s in the Traverse study. The Traverse 2 study will focus on high normal and above normal range testosterone levels. I’m on Jatenzo @ 237 mg twice daily, hematocrit 51% and 51 years old. Jatenzo oral TRT is very expensive, and therefore most insurance companies don’t cover it.
Thumbs up for T
Good info, but I'm wondering about the barricade behind her. Zombies?
If I’m understanding this correctly, the Doctor in the link below reports the high hematocrit levels associated with TRT is not worrisome and is being confused with a different blood issue.
It’s frustrating because regular blood donations to lower elevated hematicrit levels will lower ferritin levels which from what I understand can cause fatigue.
So which is it? Please help!
ua-cam.com/video/6HJY6YK3AzI/v-deo.htmlsi=t6JTW3mFk-DAqtKk
Been on TRT for about 20yrs and this data isn’t that surprising. I never seen anyone drop dead from it. BTW the gel is overpriced garbage.
Right on. There are so many blind sheep followers here.
I've read that it enlarges the prostate and can lead to prostate cancer. I'm a 40 year old male and just started on the 1.62 gel and rub it on my thigh. My doctor gave it to me for erectile dysfunction, will it help me get a strong hard on again and what do you think about the link it has to prostate cancer?
@@KingTrunkzdbz ua-cam.com/video/cSMvyFH-rxM/v-deo.html
@@KingTrunkzdbz ua-cam.com/video/D8zLpsWGTMg/v-deo.html
@@KingTrunkzdbz ua-cam.com/video/bcnk__-7uZo/v-deo.html
Gel is crap - they should have done the studies using actual injections
My husband got angry and aggressive on that crap. He stopped using it.
Lower dose gel better
Wasn't the testosterone causing it
@@wasupfool5692testosterone often causes these side effects.
I hope your not using the 1.62% testosterone gels. Those are no good and don’t absorb good pretty much chemically castrating the men which is why the might have higher risk of kidney problems and stuff in the study’s. Need something much stronger 18 to 20% cream not gel. to really be getting the cardio protective and neuroprotective benefits. And get into the top end of the healthy range.
She is an "internal medicine" physician, not an endocrinologist prescribing testosterone gel to people? Wait, so I can go to my local doctor and get this and not spend the $$$$ on a specialist? Then why did my doctor send me to a specialist? Two times in the last decade, I asked doctors at my local doctor's office. They took a costly blood sample for T. And said it's low; I will refer you to XYZ. And $$$$$$$ later, 1k in blood tests, they said they were not sure. Again, another $$$$$$ blood test. Oh, yeah, it's low, but it's because of your sleep apnea. So get that under control, and then we will treat you. No, oh well, you have sleep apnea, and you tried CPAP, so since your body won't produce enough T on its own, let's get you on tgel.
Doctors are hesitant to treat men with low T but welcome teenagers who want to transition with open arms...Go figure....
100🎉
This video = Compete fear mongering
Once again! No free t levels!
Once again a dr who won’t admit that some people feel like garbage even if they are in range!
"Men need to realize..."
I really hate the arrogance of doctors. Please don't speak to me or anyone that way.
too little testosterone? first find the reason for it. Testosterone is not a panacea.
Women thinking they know what man need
That study makes no sense. They endangered the lives of those men with possible heart issues. They’re not mice.
If the men were already considering taking testosterone, not sure how this study endangered them. Also, it’s not like testosterone is a new drug. It’s a bio-identical hormone your body naturally produces and is being REPLACED when deficient.
Where is your proof ?
@@jaydubya7012 It’s in the video. She literally said that one of the groups they tested had heart problems. What doctor would prescribe TRT to individuals with known heart problems? Yeah, their test came back without issues, but what IF it didn’t and someone died? I don’t get it.
@@mattarndt4452 You need to educate yourself a little more. For more than 20 years, people diagnosed with heart failure were prescribed TRT which greatly improved their heart function and increased their lifespan. The data has been trickling in for decades, 43 studies showing only benefits, very few have been paying attention. Low-T puts you at risk for many diseases of aging. TRT equals a 30% decreased risk of heart attack, stroke and 53% reduced risk of prostate cancer. If you give TRT to someone with advanced, end state, heart failure, problems can arise. To date, not a single human being died where TRT was the cause of death! As far as those men with high risk disease being given TRT, the risk of doing nothing is higher. When you’re on deaths doorstep, out of options, you don’t have much to lose by trying a therapy that might extend your life.
@mattarndt4452 did you watch it, placebo and testosterone patients had the same results for heart issues they were practically identical
Dr. Christy is a pretty lady. I wonder if she's single.
Her video isn’t an invitation to hit on her. That’s so creepy
@@ALT-vz3jn who gives a crap if I do...? Is it wrong? Where are the social rules located so I can read them?
@@bgoodorhell4u Where do you see these words?
How your vaxx going 😢please don’t follow her
Exactly she's full of crap and doesn't have clue what she is talking about. She just wants men to suffer with low T. Believe it!!!!
Creep
@@ALT-vz3jn If she recommended the vax she's the creep.
Hi there Dr. Christy, I really like your content; it's on point and very informative👏 🤍. Do you have a biz' mail and are you open for feedback? I just want to share my thoughts regarding on your videos if that's okay with you.
It's not on point it's crap!
@joerecto420 That's what the comments section is for.