Nelson Vergel
Founder, ExcelMale.com
I am considering providing a lecture series online. I would love input on what I may be missing and also about how much you guys think people may be willing to pay for a lecture series that would cover 6 hours of detailed information on TRT. Thanks!
Here is a potential agenda:
Agenda
1. Testosterone- Roles, actions, and endocrine interactions
a. Hormone functions
b. Endocrine system cascades
c. Hypothalamic-Pituitary-Gonadal Axis
d. Testosterone metabolites and regulation
i. DHT
ii. Estradiol
e. How does TRT affect other hormones?
i. DHEA
ii. Pregnenolone
iii. Progesterone
iv. Thyroid hormones
v. IGF-1
2. What are the causes and symptoms of testosterone deficiency (hypogonadism)?
a. Genetic mutations
b. Environmental factors and toxins
c. Metabolic syndrome
d. Pathologies
e. Pituitary tumors
f. Aging
g. Other hormone deficiencies
h. Nutrient deficiencies
i. Injury
j. Life style
k. Medications (anabolic steroids, etc)
3. What are the health risks associated with low testosterone?
a. Cardiovascular
b. Fertility
c. Cognitive
d. Muscoloskeletal
e. Diabetes
f. Quality of life related
4. Benefits of testosterone replacement therapy- Review of studies
a. Cognitive/Mood
b. Libido
c. Stamina
d. Cardiovascular
e. Body Composition
f. Glucose control
g. Fertility
h. Exercise and functional capacity
5. What tests are important in diagnosing testosterone deficiency?
a. Total and free testosterone
b. CBC
c. CMP
d. Prolactin
e. Estradiol
f. Thyroid function
g. Questionnaires
6. How can one increase testosterone naturally?
a. Sleep quality and hygiene
b. Nutrition
c. Weight loss
d. Avoiding environmental toxins
e. Glucose control
f. Exercise
g. Supplement myths
7. What TRT options are approved in different countries?
a. Oral
b. Gels/creams
c. Pellets
d. Injection (ester differences)
e. Long acting injections
f. Intranasal
g. Buccal
8. Testosterone injection methods
a. Intramuscular (IM)
b. Subcutaneous
c. Shallow IM
9. What are the main objections doctors have to deny TRT to a patient? Are they based on current data?
a. Cardiovascular fears
b. Prostate cancer concerns
c. Decreased fertility
d. Mood issues
e. Fear of abuse
10. What are the potential side effects of TRT and how can we prevent or manage them?
a. Polycythemia
b. Lipid changes
c. Edema
d. Acne
e. Hair loss
f. Tachycardia
g. Testicular atrophy
h. Gynecomastia
i. High blood pressure
j. BPH
k. Sleep apnea
11. What adjunctive therapies are used with TRT?
a. Aromatase Inhibitors
b. Human chorionic gonadotropin (HCG)
c. Nutrients
d. Peptides
12. What blood test target values and questionnaire outcomes are important in monitoring for TRT dose adjustment?
a. ADAM questionnaire
b. MMS questionnaire
c. Total and free T
d. Sensitive estradiol
e. DHT
f. Prolactin
g. Thyroid function
h. CBC/CMP
13. Estradiol management in men- Myths and realities
a. Role of estradiol in men
b. Gynecomastia and estradiol
c. Estradiol management abuses
14. What are the most commonly used TRT protocols (dosing,etc) in the United States?
15. What are the top 10 mistakes men make on TRT?
a. Use of over-the-counter testosterone “boosters”
b. Wrong product choice
c. Wrong dosing
d. Use of street products
e. Inadequate communication with physicians
f. Unrealistic expectations
g. Forgetting about the effect of other hormones
h. Life style choices
i. Provider selection
j. Others
16. When TRT is not enough to improve stamina and libido
a. ED drugs
b. Caverjet/Trimix/Quadmix
c. HCG
d. Energy boosters
e. Nootropics
f. Thyroid issues
g. Mood boosting nutrients
17. Can testosterone help women?
a. Why is testosterone testing not common for women?
b. Barriers in diagnosis on testosterone deficiency in women
c. Potential side effects
d. FDA product pipeline issues
e. Pre and post menopause issues
f. Available formulations
g. Testosterone interactions with estrogen and progesterone
18. What are compounding pharmacies and their role in the TRT market?
a. Compounded products vs brand name pharmaceutical products
b. FDA regulations affecting the compounding industry
19. What resources can you and your clients access to stay updated on emerging TRT research?
a. Websites
b. Books
c. Conferences
d. Leading experts
e. Personalized coaching
20. Most frequently asked questions on TRT
Here is a potential agenda:
Agenda
1. Testosterone- Roles, actions, and endocrine interactions
a. Hormone functions
b. Endocrine system cascades
c. Hypothalamic-Pituitary-Gonadal Axis
d. Testosterone metabolites and regulation
i. DHT
ii. Estradiol
e. How does TRT affect other hormones?
i. DHEA
ii. Pregnenolone
iii. Progesterone
iv. Thyroid hormones
v. IGF-1
2. What are the causes and symptoms of testosterone deficiency (hypogonadism)?
a. Genetic mutations
b. Environmental factors and toxins
c. Metabolic syndrome
d. Pathologies
e. Pituitary tumors
f. Aging
g. Other hormone deficiencies
h. Nutrient deficiencies
i. Injury
j. Life style
k. Medications (anabolic steroids, etc)
3. What are the health risks associated with low testosterone?
a. Cardiovascular
b. Fertility
c. Cognitive
d. Muscoloskeletal
e. Diabetes
f. Quality of life related
4. Benefits of testosterone replacement therapy- Review of studies
a. Cognitive/Mood
b. Libido
c. Stamina
d. Cardiovascular
e. Body Composition
f. Glucose control
g. Fertility
h. Exercise and functional capacity
5. What tests are important in diagnosing testosterone deficiency?
a. Total and free testosterone
b. CBC
c. CMP
d. Prolactin
e. Estradiol
f. Thyroid function
g. Questionnaires
6. How can one increase testosterone naturally?
a. Sleep quality and hygiene
b. Nutrition
c. Weight loss
d. Avoiding environmental toxins
e. Glucose control
f. Exercise
g. Supplement myths
7. What TRT options are approved in different countries?
a. Oral
b. Gels/creams
c. Pellets
d. Injection (ester differences)
e. Long acting injections
f. Intranasal
g. Buccal
8. Testosterone injection methods
a. Intramuscular (IM)
b. Subcutaneous
c. Shallow IM
9. What are the main objections doctors have to deny TRT to a patient? Are they based on current data?
a. Cardiovascular fears
b. Prostate cancer concerns
c. Decreased fertility
d. Mood issues
e. Fear of abuse
10. What are the potential side effects of TRT and how can we prevent or manage them?
a. Polycythemia
b. Lipid changes
c. Edema
d. Acne
e. Hair loss
f. Tachycardia
g. Testicular atrophy
h. Gynecomastia
i. High blood pressure
j. BPH
k. Sleep apnea
11. What adjunctive therapies are used with TRT?
a. Aromatase Inhibitors
b. Human chorionic gonadotropin (HCG)
c. Nutrients
d. Peptides
12. What blood test target values and questionnaire outcomes are important in monitoring for TRT dose adjustment?
a. ADAM questionnaire
b. MMS questionnaire
c. Total and free T
d. Sensitive estradiol
e. DHT
f. Prolactin
g. Thyroid function
h. CBC/CMP
13. Estradiol management in men- Myths and realities
a. Role of estradiol in men
b. Gynecomastia and estradiol
c. Estradiol management abuses
14. What are the most commonly used TRT protocols (dosing,etc) in the United States?
15. What are the top 10 mistakes men make on TRT?
a. Use of over-the-counter testosterone “boosters”
b. Wrong product choice
c. Wrong dosing
d. Use of street products
e. Inadequate communication with physicians
f. Unrealistic expectations
g. Forgetting about the effect of other hormones
h. Life style choices
i. Provider selection
j. Others
16. When TRT is not enough to improve stamina and libido
a. ED drugs
b. Caverjet/Trimix/Quadmix
c. HCG
d. Energy boosters
e. Nootropics
f. Thyroid issues
g. Mood boosting nutrients
17. Can testosterone help women?
a. Why is testosterone testing not common for women?
b. Barriers in diagnosis on testosterone deficiency in women
c. Potential side effects
d. FDA product pipeline issues
e. Pre and post menopause issues
f. Available formulations
g. Testosterone interactions with estrogen and progesterone
18. What are compounding pharmacies and their role in the TRT market?
a. Compounded products vs brand name pharmaceutical products
b. FDA regulations affecting the compounding industry
19. What resources can you and your clients access to stay updated on emerging TRT research?
a. Websites
b. Books
c. Conferences
d. Leading experts
e. Personalized coaching
20. Most frequently asked questions on TRT