Testosterone: Navigating Options & Implementation in Clinical Practice

[madman]

Great interview!

Very thorough.

This video discusses the importance of men’s health and the role of urologists in addressing conditions like testosterone deficiency.


Key Takeaways:

*Dr. Andrew Sun provides an overview of different testosterone treatment options, including both internal (endogenous) and external (exogenous) methods.

*Internal production boosters include medications like Clomid and Anastrozole, as well as direct testicular stimulants like HCG.

*Exogenous replacement options include injections (testosterone cypionate or enanthate), gels, pellets, nasal gel, and oral testosterone.

*Dr. Sun highlights the benefits and drawbacks of each option, considering factors like cost, side effects, frequency, and invasiveness.

*He explains the importance of checking comprehensive lab panels, including total testosterone, free testosterone, estradiol, FSH, and LH levels.

*Dr. Sun also discusses the potential impact of testosterone replacement on fertility and the preservation of testicular size and function.

*He shares his experience with the effectiveness of oral testosterone, specifically Kaiser TRX, which has been shown to lower SHBG levels and increase free testosterone.

*Dr. Sun emphasizes the need for passionate professionals and dedicated staff to successfully execute a Men’s Health program and provide patients with better access to care.

*Lastly, he explores different methods of obtaining testosterone, including in-office dispensing, specialty pharmacies, and telemedicine follow-ups, to improve patient access and reduce paperwork burdens.

 

[madman]

The Modern Men’s Health Clinic

We have the privilege of sitting down with an authority in men's health today! Joining us is Dr. Andrew Sun, a board-certified urologist and the esteemed leader of one of the most renowned men's health clinics in the United States. As a board-certified urologist and the Director of the Center...

www.excelmale.com

 

[madman]

His thoughts about T and libido are from an article I posted in a previous thread!

Truth About Testosterone and Your Libido

https://www.yahoo.com/lifestyle/truth-testosterone-libido-185000725.html?soc_src=social-sh&soc_trk=tw&tsrc=twtr As an expert on andrology and sexual dysfunctions, urologist Andrew Y. Sun, M.D., sees plenty of patients who’re struggling with low libido. And most are pretty sure they already...

www.excelmale.com

As an expert on andrology and sexual dysfunctions, urologist Andrew Y. Sun, M.D., sees plenty of patients who’re struggling with low libido. And most are pretty sure they already know why: They must have low testosterone levels. Even if it turns out they don’t, “most of them still strongly believe that increasing their testosterone levels will improve their libido,” says Sun, who practices at Urology Partners of North Texas.

The Complicated Relationship Between T and Libido​

“It is true that testosterone is related to libido in many men,” says Sun. People gleaned that long before we knew what hormones were, by observing things like the effects of castration or testicle injuries on men’s sexual lives. (Men produce testosterone in their testes—hence the name.)




But our longstanding focus on this relationship has arguably blinded many people to a simple fact: This hormone isn’t the only biological factor with clear, substantial power over our libidos.





Notably, estrogen, although often characterized as the female sex hormone, plays a major role in maintaining male libido. (Sun sees plenty of men who assume that estrogen will counteract their testosterone, so they take pills to suppress it. But estrogen and testosterone actually balance and support each other in any body. "Complete suppression of estrogen is a surefire way to destroy a man's libido," Sun adds.)




“Libido is very complex, and definitely poorly understood,” stresses Sun. So it's often far harder to treat sex drive issues than banner ads for testosterone treatments often seem to suggest.

 

[Nelson Vergel]

Notably, estrogen, although often characterized as the female sex hormone, plays a major role in maintaining male libido. (Sun sees plenty of men who assume that estrogen will counteract their testosterone, so they take pills to suppress it. But estrogen and testosterone actually balance and support each other in any body. "Complete suppression of estrogen is a surefire way to destroy a man's libido," Sun adds.)
“Libido is very complex, and definitely poorly understood,” stresses Sun. So it's often far harder to treat sex drive issues than banner ads for testosterone treatments often seem to suggest.

It’s good to have doctors agree with what I have been saying for over 10 years and what several studies are confirming.

 

[madman]

Texas!

Andrew Y. Sun, MD | Urology Partners

"Men are at higher risk for nearly every major preventable disease, yet we are notoriously bad about taking care of ourselves. I want to be a champion for men’s health."

www.upnt.com

 

[madman]

Nah bruh you got it twisted!

LOL.


20:27-21:12

*I think from a clinical practice standpoint always much easier to start low and go up with testosterone than to start high and try to convince the patients to take less that is an uphill battle

 

[Systemlord]

Texas!

Andrew Y. Sun, MD | Urology Partners

"Men are at higher risk for nearly every major preventable disease, yet we are notoriously bad about taking care of ourselves. I want to be a champion for men’s health."

www.upnt.com

Texas really is a great state to live in for men needing treatment for hypogonadism!

Great interview!

Very thorough.

This video discusses the importance of men’s health and the role of urologists in addressing conditions like testosterone deficiency.


Key Takeaways:

*Dr. Andrew Sun provides an overview of different testosterone treatment options, including both internal (endogenous) and external (exogenous) methods.

*Internal production boosters include medications like Clomid and Anastrozole, as well as direct testicular stimulants like HCG.

*Exogenous replacement options include injections (testosterone cypionate or enanthate), gels, pellets, nasal gel, and oral testosterone.

*Dr. Sun highlights the benefits and drawbacks of each option, considering factors like cost, side effects, frequency, and invasiveness.

*He explains the importance of checking comprehensive lab panels, including total testosterone, free testosterone, estradiol, FSH, and LH levels.

*Dr. Sun also discusses the potential impact of testosterone replacement on fertility and the preservation of testicular size and function.

*He shares his experience with the effectiveness of oral testosterone, specifically Kaiser TRX, which has been shown to lower SHBG levels and increase free testosterone.

*Dr. Sun emphasizes the need for passionate professionals and dedicated staff to successfully execute a Men’s Health program and provide patients with better access to care.

*Lastly, he explores different methods of obtaining testosterone, including in-office dispensing, specialty pharmacies, and telemedicine follow-ups, to improve patient access and reduce paperwork burdens.

I like the part in the video when Andrew, Y Sun, MD said he likes to have his patients take the oral testosterone in the early am and again in the early afternoon (1-2 pm), to keep hormone levels elevated during the time we’re awake and more active, because who needs high testosterone when sleeping!

This is a great idea for men that have trouble sleeping, feeling amped up with high testosterone!

 

[Systemlord]

Notably, estrogen, although often characterized as the female sex hormone, plays a major role in maintaining male libido. But estrogen and testosterone actually balance and support each other in any body.

Remember @equal, he finally solves his libido problem, testosterone was too high in relation to his estrogen. He started taking estrogen and strong erections and a vigorous libido followed!

 

[Systemlord]

Andrew, Y. Sun, MD, also states 0% cases of erythrocytosis in men taking oral testosterone Kyzatrex.

Wow!

 

[madman]

Andrew, Y Sun, MD, also states 0% cases of erythrocytosis in men taking oral testosterone Kyzatrex.

Wow!

Look over the PKs for any of the oral TU formulations (Jatenzo, Tlando, or Kyzatrex).

The two daily peaks are short-lived let alone Cavg achieved is nothing to brag about!

FDA Approves Oral Testosterone Replacement Therapy Kyzatrex

Another oral testosterone undecanoate. https://www.empr.com/home/news/fda-approves-oral-testosterone-replacement-therapy-kyzatrex/

www.excelmale.com

 

[Systemlord]

Look over the PKs for any of the oral TU formulations (Jatenzo, Tlando, or Kyzatrex).

The two daily peaks are short-lived let alone Cavg achieved is nothing to brag about!

FDA Approves Oral Testosterone Replacement Therapy Kyzatrex

Another oral testosterone undecanoate. https://www.empr.com/home/news/fda-approves-oral-testosterone-replacement-therapy-kyzatrex/

www.excelmale.com

Dr. Mohit Khera mentions even Natesto, which has an even shorter peak/half-life, activity at the T receptor lasts for many hours after the peak.

 

[madman]

Dr. Mohit Khera mentions even Natesto, which has an even shorter peak/half-life, activity at the T receptor lasts for many hours after the peak.

Your reply from post #9.

Andrew, Y. Sun, MD, also states 0% cases of erythrocytosis in men taking oral testosterone Kyzatrex.

Wow!



Forget editing your post as I already seen what you originally wrote.

Must have gone over your head.

Again look over the PKs of any of the oral TU formulations.

This is the main reason why they are less prone to driving up hematocrit.

Now if you want to get to the bragging about being on Jatenzo and all the good it has done you so be it.

Unfortunately, you and everyone using any of the oral TU formulations let alone anyone using Natesto have nothing to brag about when it comes to reaping the full anabolic potential of T (packing on muscle/increasing strength).

As I have stated numerous times on the forum injectables are KING and will always take the cake when it comes to body composition benefits.

This is one of the main reasons oral TU let alone Natesto will never replace injectables as everyone and their brother wants to achieve very high/absurdly high trough FT levels 24/7 steady-state in order to reap the full anabolic potential of the hormone we all love testosterone.

Many men will sacrifice having a piss-poor libido and constantly struggling with sides as it's all about having those absurdly high T levels and dem gainzzz BRUH!

NATESTO/Tlando

Hi all, Does anyone here know where I can get Natesto, that is my protocol for 1 year 1/2 -3x daily pharmacy got a letter from McKesson no longer available commercially? Now seriously considering Tlando is there anyone currently on that medication and could you please tell me the pro's and...

www.excelmale.com

 

[Systemlord]

Unfortunately, you and everyone using any of the oral TU formulations let alone anyone using Natesto have nothing to brag about when it comes to reaping the full anabolic potential of T (packing on muscle/increasing strength

As I have stated numerous times on the forum injectables are KING and will always take the cake when it comes to body composition benefits.

Well if injections increase lean muscle mass in the lower extremities, versus topicals, than that would most likely also apply to orals, such as Jatenzo.

I’ll take the insane libido, over the increases in lower extremity muscle mass.

 

[madman]

Well if injections increase lean muscle mass in the lower extremities, versus topicals, than that would most likely also apply to orals, such as Jatenzo.

I’ll take the insane libido, over the increases in lower extremity muscle mass.

Why do you think so many are gunning for that 200 mg T/week protocol?

Even than many of these same individuals are cruising on such doses and abusing T in much higher doses throughout the year to achieve let alone maintain that fake build they are walking around with.

That chemically assisted fake build that has one caught up on that steroid merry-go-round.

Big, tough, strong, and manly they say.....LMFAO!

 

[madman]

Well if injections increase lean muscle mass in the lower extremities, versus topicals, than that would most likely also apply to orals, such as Jatenzo.

I’ll take the insane libido, over the increases in lower extremity muscle mass.

That new so-called optimized HRT 200 mg T + 200 mg ND it's just for providing relief/improvement of low-T symptoms and achy joints.....I swear BRUH!

LMFAO!

 

[madman]

Contemporary Management of Male Hypogonadism

Male hypogonadism refers to a reduction in the functioning of the male gonads, which decreases the output of the sex hormone testosterone.1,2 Commonly identified as testosterone deficiency (TD), male hypogonadism is characterized by serum testosterone levels below the normal range. Testosterone...

www.excelmale.com

 

[madman]

Contemporary Management of Male Hypogonadism

Male hypogonadism refers to a reduction in the functioning of the male gonads, which decreases the output of the sex hormone testosterone.1,2 Commonly identified as testosterone deficiency (TD), male hypogonadism is characterized by serum testosterone levels below the normal range. Testosterone...

www.excelmale.com