Webcast : Doctors Speak About Men's Health Issues

Nelson Vergel

Founder, ExcelMale.com
Some of the questions that doctors will be answering on Wednesday on our webcast:

*When do you decide to prescribe T injections vs creams?*

*How do you manage the different side effects? (Hematocrit, acne, hair loss, testicular atrophy, decreased fertility, gynecomastia, etc)*

*With regard to using TRT subcutaneously, what is the optimal dosage? What ester is best? If T propionate is faster acting (shorter half life), wouldn’t a small daily micro sub-q dosage better mimic natural production and hence less endocrine system disruption in the longer term?*

*Do men who use anastrozole or other AIs due to high estradiol see improvements in nipple sensitivity, libido, edema, mood, etc? What is considered high estradiol?*

*What does hCG really do for men who are on lifelong TRT (not interested in having children anymore) other than increasing testicular volume?*

*Percentage-wise, what is your best guess about how many men who start TRT :
a- have to adjust the testosterone dose due to side effects and/or benefits
b- have to take anastrozole or another AI to manage high estradiol
c- have to stop TRT due to lack of efficacy or side effects
d- use hCG
e- have to use Ed drugs to enhance erectile function
f- have to use TRIMIX to enhance erections since ED drugs may not work effectively (explain TRIMIX)*

*Let’s discuss Cialis. How should it be used as preventative daily medication for BPH? Dosage amount? Expand on the anti-atherosclerotic effects*

*Why is Aromasin (Exemestane) not prescribed more as an AI in men using TRT? What would be the optimal dosage for a man weekly?*

*Why is Ipamorelin not prescribed more in lieu of other peptides like Sermorelin?
Do most doctors just script Sermorelin due to it’s FDA approval?*


To RSVP for the live event:

To Watch the Recording via Youtube:

View attachment 1593


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Yes, yes, and YES !!!

1.Please talk more about about Aromasin. How to dose it, every day, once, twice a week and dose... Because, my understanding is, that you do not need to take it every day, because it kills aromataze enzyme and body needs a few days to make it.....

2.Also, I have a question about fertility on TRT without hcg or clomid. If, I'm lets say on TRT (only T) and want to have a baby. Could I just use hcg for a few month to regain fertility, make baby, and after that just come back to only T.

Reason for that is, because I think I have no mental benefits of using it alongside T and my E2 goes high with HCG.....


On a future webcast, it would be terrific to discuss low SHBG, as most of the accepted assumptions for this condition do not seem to translate into real-world. E.g, guys with low SHBG are obese and/or diabetic, that they are always high converters to E2, etc. All they need to feel great is smaller doses more often, etc...
Speed- your second question regarding fertility on TRT will be a good one for both Doctors. Both have worked with men on TRT who successfully fathered children. Dr Saya has developed a few protocols, chosen depending on the individual, which help restore/optimize fertility.


New Member
Can't watch it live, but I'll be looking forward to the recording. I'm just getting things started with Defy, and I'm sure this will prepare me for my consultation.


New Member
That's actually great timing! Only working a half day tomorrow. I have my lab appointment at noon (pacific) for my Defy bloodwork. I should make it home in time.

Nelson Vergel

Founder, ExcelMale.com
Here is the video. I hope you guys like it. Some sound issues (we are planning to use another platform next time since Google hangouts is not a perfect one). 90 minutes of information!


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