Exploring Testosterone Therapy Treatments: A Roundtable Discussion

madman

Super Moderator
Realistic expectations bruh especially when it comes to libido and erectile function!

Preach!

* Patients should be educated about the realistic outcomes of testosterone therapy.





This conversation features a roundtable discussion among men's health specialists Dr. Michael Jurewicz, Dr. Omer Kineish, Dr. Justin Dubin, and Dr. Kevin Chu, focusing on testosterone treatments. They explore the prevalence of low testosterone, its symptoms, lifestyle factors affecting testosterone levels, and the impact of low testosterone on overall health. The discussion also covers the workup for low testosterone, the various options for testosterone replacement therapy (TRT), who is a good candidate for TRT, the risks and myths surrounding testosterone therapy, and alternatives to TRT. The importance of follow-up and monitoring for patients on TRT is emphasized, along with the need for open communication between patients and healthcare providers.




Takeaways:

  • Low testosterone is common and often underdiagnosed.
  • Men frequently suffer in silence regarding their health issues.
  • Lifestyle factors like obesity and sedentary behavior contribute to low testosterone.
  • Sleep quality is crucial for maintaining healthy testosterone levels.
  • Low testosterone can lead to various health issues, including metabolic syndrome.
  • Infertility is a significant risk associated with testosterone replacement therapy (TRT).
  • Testosterone therapy does not cause prostate cancer and may even reduce risks.
  • Regular follow-up and monitoring are essential for patients on TRT.
  • Patients should be educated about the realistic outcomes of testosterone therapy.
  • Open communication with healthcare providers is vital for managing testosterone levels




Chapters:

00:00:00 Prevalence and Diagnosis of Low Testosterone
00:07:19 Lifestyle Factors Affecting Testosterone Levels
00:13:36 Identifying Symptoms of Low Testosterone
00:20:33 Health Implications of Low Testosterone
00:27:12 Workup and Diagnosis of Low Testosterone
00:30:32 Understanding Hypogonadism and Testosterone Levels
00:36:13 Who is a Good Candidate for TRT?
00:41:43 Risks and Considerations of Testosterone Therapy
00:46:21 Alternatives to Testosterone Therapy
00:52:36 Combination Therapies: HCG and Clomid
00:57:56 Understanding Testosterone Replacement Therapy (TRT) and Cancer Risks
01:05:43 Exploring Options for Testosterone Replacement Therapy
01:14:30 The Importance of Follow-Up and Patient Management
01:15:16 Myths and Misconceptions About Testosterone
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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