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427-Page Illustrated Book: Beyond Testosterone
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I am very pleased to announce that I finally finished my full color 427-page booK: Nelson Vergel's "Beyond Testosterone: The Illustrated Guide" and the associated free online resource at Excelmale.com serve as comprehensive guides to...
How to Lower High Hematocrit Caused by Testosterone Replacement Therapy (TRT)
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Does testosterone therapy raise hematocrit levels? Yes—and understanding this common TRT side effect is crucial for your long-term health. Elevated hematocrit (the percentage of red blood cells in your blood) can increase cardiovascular risks if...
Understanding Testosterone Replacement Therapy and Managing Side Effects
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13 min summary podcast: Introduction Hello everybody, Nelson Vergel here with ExcelMail.com. ExcelMail.com is a four-year-old forum, online site, with more than 14,000 members. Some of them are doctors, pharmacists, dietitians, exercise...
How U.S. Blood Banks Handle Therapeutic Phlebotomy for Men on Testosterone Replacement Therapy (TRT)
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How U.S. Blood Banks Handle Therapeutic Phlebotomy for Men on Testosterone Replacement Therapy (TRT) Blood centers have had to adapt their policies because the polycythemia/erythrocytosis that often accompanies TRT creates both medical need...
Download TRT Clinical Guide from ExcelMale.com
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ExcelMale.com Quick Guide: DIAGNOSIS OF HYPOGONADISM: Symptoms and signs suggestive of testosterone deficiency in men: A. More specific symptoms and signs • Incomplete or delayed sexual development, eunuchoidism • Reduced sexual desire...
U-Shaped Association Between Testosterone and Fractures
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The occurence of fractures in an elderly population is a significant concern, so this study looked at the relation between the number of fractures and hormone levels, including testosterone. It found fractures were higher at both low and high...
Iron Supplementation Protocol to Raise Ferritin FAST While on TRT: The Vorck Protocol
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The Vorck Protocol Summary Background: The protocol was developed by a TRT user since 2001 who had difficulty recovering ferritin levels after blood donations. After conducting personal research and consulting with a hematologist in May 2021, he...
Why Use hCG With TRT?- A Clinical Review
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Using hCG in Men on Testosterone Replacement Therapy (TRT) – A Clinical Review Introduction Exogenous testosterone replacement therapy (TRT) can profoundly suppress the hypothalamic-pituitary-gonadal (HPG) axis through negative feedback. By...
The Evolution of Testosterone Products in the U.S. (1935-2025)
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Thanks to Dr Sun for this diagram. Timeline details (left → right) YearProduct (image above/below the line)Form & delivery 1935-1937No product image—text block below the line: “Testosterone first synthesized” with a bullet list of early...
Shifting the Testosterone Treatment Paradigm with Oral Testosterone (Kyzatrex)
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Again you heard it here first! Nelson's domain the one and only! Very informative webinar on the use of the newer oral TU formulations. Testosterone therapy has long been dominated by injectable and topical formulations, but the landscape...
Elevated Hematocrit from Testosterone Therapy vs High-Altitude Adaptation: A Comparative Analysis
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From this thread: WARNING: Do not believe Internet "gurus" proclaiming no need to manage hematocrit on TRT - Excel Male TRT Forum Underlying Physiological Mechanisms Testosterone Replacement Therapy (TRT) and Erythrocytosis: Exogenous...
The hormonal regulation of men’s sexual desire, arousal, and penile erection
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Briefing Document: Hormonal Regulation of Male Sexual Desire, Arousal, and Penile Erection Source Rastrelli, G., Antonio, L., Carrier, S., Isidori, A., & Maggi, M. (2025). The hormonal regulation of men’s sexual desire, arousal, and penile...

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