Hormones

Older Men Metabolize Testosterone More Slowly Than Young Men
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Why Older Men May Need Less Testosterone: The Surprising Science of Metabolic Clearance 1. Introduction: The Hormonal Paradox In the world of hormone replacement therapy and longevity, the prevailing assumption is often that "more is better." If...
The Testobolome: How Your Gut Bacteria Control Your Testosterone
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What You Need to Know Scientists have discovered that the trillions of bacteria living in your gut don't just help you digest food—they also control how much testosterone your body has available to use. They're calling this system the...
Sex Hormone Binding Globulin (SHBG): The Complete Guide for Men on TRT
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By Nelson Vergel | ExcelMale.com | Updated December 2025 When evaluating testosterone levels, most men focus exclusively on total testosterone—a single number that tells only part of the story. What many don't realize is that a protein called...
Key Historical Failures and Lessons Learned from Attempts to Get a Testosterone Product FDA-Approved for Women
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FDA Approval of Testosterone Therapy for Women: An Analysis of Historical Failures, Regulatory Hurdles, and a Path Forward Executive Summary The landscape of testosterone therapy presents a stark gender disparity: while over 31 FDA-approved...
HCG Use in Men on TRT or as Monotherapy: Over 200 Questions and Answers
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I collected questions and answers posted on ExcelMale.com in the last 10 years about the use of human chorionic gonadotropin in men who want to prevent loss of testicular size and fertility while on testosterone replacement therapy or that want...
Nandrolone (Deca Durabolin): Effect on Lab Tests
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PARTICIPATION NEEDED! Of those EM members that have taken nandrolone or are currently taking nandrolone alongside their TRT, we are conducting a small ExcelMale study to help determine the effect that nandrolone has on Total Testosterone, E2...

Clomiphene Citrate (Clomid) in Men With Low Testosterone - Do we Need to Monitor IGF-1 in All Patients?

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Is Clomid (clomiphene citrate) a good alternative to TRT for men with low testosterone? Clomiphene can raise testosterone levels while preserving fertility—making it attractive for younger men who want to avoid testicular shutdown. But new...
Practical Clinical Summary on Testosterone Therapy in Women
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Practical Clinical Summary on Testosterone Therapy in Women (From ExcelMale.com) Based on the ExcelMale forum threads and related clinical literature, here's a comprehensive extraction of practical content for a clinical article: Physiological...
Ozempic's and GLP-1 Inhibitors' Impact on Sexual Function
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Today we are joined by Dr. Rahul Mehan, a renowned urologist, who sheds light on the impact of Ozempic on sexual function, particularly in relation to erectile dysfunction. He is also the founder of Snip City, which specializes in vasectomy...
FDA Removes Black Box Warning: What the New HRT Guidelines Mean for Women’s Health and HRT
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Dr. Rachel Rubin and Dr. Kelly Caspersen discuss with FDA Commissioner Dr. Marty Makary the significant impact of hormone replacement therapy (HRT) on women's health, particularly in the context of recent FDA changes to black box warnings. They...
How Anabolic Agents Can Save Your Muscles: One Man's Journey from Death Sentence to Thriving at 66
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Can testosterone and anabolic agents reverse muscle wasting? This is the story of how hormone therapy transformed HIV treatment—and what it means for men's health today. Nelson Vergel was diagnosed HIV-positive in 1985 when it was a death...
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The pharmaceuticalization of ‘healthy’ aging: Testosterone enhancement for longevity

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Abstract The United Nations estimates that the world’s population will reach 8.5 billion by 2030, and the populations of most countries are expected to grow older. This is the case for many developed countries, including Australia, the United...
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