Podcast with Nelson Vergel: Things Your Doctor Did Not Tell You

Nelson Vergel

Founder, ExcelMale.com

Things your doctor may forget to tell you before you start TRT​

  • Clomiphene vs HCG?
    • What is the most current protocol for those that want to remain fertile?
    • What about for those that are older and/or don’t want kids?
  • Elevated Hematocrit – TRT may increase your blood viscosity or proportion of red blood affecting cardio health. I’ve spoken to doctors that require the patient to stop trt because of this, donate blood because of this, and even some that do nothing.
  • TRT shuts down your natural testosterone production.
  • Does TRT help you lose weight? Many people say no, but I’d argue that when you take TRT, your body functions at a much higher level than your baseline, including your metabolism. Not a magic bullet though.
  • IM vs Sub q injections – what’s your preference? Needle gauge?
  • Gels and creams – which is superior?
  • Injecting every two weeks
  • TRT can worsen sleep apnea
  • Libido improvement
  • Monitoring your own labs without a doctor’s visit
  • Telemedicine – do you see the vast majority of guys using clinics or are they able to treat with any doctor?
  • TRT does not cause prostate cancer or heart attacks. Where did this come from?
  • Excelmale.com, testosteronepodcast.com, reddit, ******** groups
  • Doctor only checking total t – my story
  • Some men do not get benefits from TRT – medications to blame?
    • Which meds?
  • Biggest mistake you see?
  • Most important labs to monitor after starting?


Podcast- Nelson Vergel: Things Your Doctor Did Not Tell You
 

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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