4.9 β’ 806 Ratings
ποΈ 2 December 2024
β±οΈ 7 minutes
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0:00.0 | If you were to get on TRT, hypothetically, I know it's something you've evaluated, considered. |
0:09.0 | You know, there is a range of what's considered physiologic, and that range is pretty damn wide. |
0:15.7 | Like you could be considered normal to one doctor interpreting it if you're at 300, which is pretty likely to not feel the |
0:23.3 | same as 1,100. |
0:25.3 | When it comes to yourself and you were to evaluate, you know, subjectively, presumably you |
0:32.3 | feel like pretty decent right now, even though you have a 389 total T, but there is something about, you know, |
0:40.1 | intervention that seems attractive enough for you to flesh it out, maybe. |
0:44.7 | Like, what are those factors that you think are worthwhile to maybe do yourself? |
0:50.2 | And also, like, what are you thinking about when it comes to targets? |
0:54.6 | Yeah. So, I mean, I would, um, you know, I would treat it the way I would, I would approach it the way I would approach it with a patient, right? |
1:04.0 | So even though I'll be the patient in this scenario. Uh, and by the way, I would absolutely do HCG as my first shot across the bow. |
1:11.4 | So that's what I will do actually. |
1:13.8 | So I'm going to do a few months of HCG and reevaluate. |
1:20.3 | And I'll dose it probably at 1,000 units twice a week. |
1:26.0 | So a vial is 10,000 units. That'll be, you know, I'll maybe do 15 weeks, |
1:31.4 | three vials and then reevaluate. So yeah, I'm starting out at 381. So that places me at about |
1:39.5 | the tenth percentile. And the first thing I would want to know is like, what's the response? So I, |
1:46.6 | it's possible I will have a lousy response because one, we don't know how much of my low |
1:53.5 | T is gonadal, peripheral, or central. So option one is I don't, you know, my T goes from 381 to 450 which in my view is a non-response like people tend to fixate on like these numbers and like you know 380 to 450 or even to 500 is a non-response. |
2:12.9 | Yeah and to be on drugs for that it's like not even worth it. Right. So if it doesn't get to 900 plus, then either the dose is insufficient or we have peripheral limitations. |
2:27.5 | You know, there's probably a gray zone where it goes to 650 and then I say, well, should we try 1,500 twice a week? And we can hum and ha on that axis. |
2:36.2 | But let's assume it's one or the other. If I end up going 381 to 457, then I think the only |
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