That’s a good question. I would assume he has a pretty good clientele list tho. He has a regenerative and sports medicine clinic in Santa Monica California, and he’s been in and around the bodybuilding scene for years and years. So on top of all the regular Joe’s that he prescribes HRT to, I’m sure he has a ton of bodybuilders in that area that he prescribes hefty dosages to. I obv can’t confirm this for sure, but I can see a doctor that was a former bodybuilder, and that still lifts, being open to push the limits with dosages for other aspiring bodybuilders. Especially in an area where vanity is so prevalent
I’ve also heard him say, on multiple occasions, that 200mg/ week of test is a common HRT dose. Which makes me think that he’s just a fan of higher dosage protocols in general. And if a guy wants to use 200mg/ week, while concurrently having an E2 in the 20-30 range, like he prefers, they’re going to need some form of estrogen control, the majority of the time