When it comes creating the most normal hormonal landscape inside the body, what protocols, substances and dosages make the most impact and ensure that the body benefits? This week, we discuss this with TRT expert, author and founder of All Things Men Dr. John Crisler and discuss optimal treatment protocols and estrogen control.
Entropy is part of youth, the more variability you have in your hormones, the younger you are.
We’re all biochemically unique, there is no one size fits all approach for any of us.
The goal of TRT is for a man to be on it and not have his body notice it. The aim is to recreate a normal hormonal landscape deep inside the body.
At the start of the episode, Dr. John told us about his background and how he became involved in medicine with the aim of building a practice that would take care of body builders. Next, we discussed how doctors are managing endocrine systems and what it was like in the early days of the practice.
We also talked about estrogen management and the reasons for the high estrogen problem a lot of young men are facing. John says, “all males are being assaulted constantly by estrogen substances whether it’s soy products, pesticides, BPAs etc.” We discussed optimal treatment protocols and how Dr. John starts with the medical history, “80% of your diagnosis is going to be made on your medical history.” We also discussed how to stimulate the system for patients under 40. We also talked about Clomifene, DHEA, HCG and aromatase inhibitors.
We also discussed the choice between transdermals and shots when it comes to TRT. For a young male, gels mimic normal hormonal levels more closely that shots. They are variable through the day and stable across the week, whereas a shot is variable across the week and stable through the day. Towards the end of the show, we also discussed subcutaneous injections.
HRT for males under 40 requires system stimulation. Whatever protocols you employ should take into account the fact that hormones in younger men are more variable. The best protocol is a combination of HCG, a testosterone and some estrogen control along with DHEA. It’s important to remember that we’re all biochemically unique, so there is no one size fits all approach for any of us
"Dr John" Crisler is a world renowned author and expert on testosterone replacement therapy (TRT), having created several treatment protocols which have changed the way physicians everywhere care for their patients. There are good reasons why men have travelled to be seen by him from every state as well as dozens of foreign countries: "Dr John" successfully treats the tough cases.
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People : Dr. Crisler is not doing anything special, in fact, he is basically a salesman, continually trying to appear uniquie; he was the one of the few HRT doctors many years ago that pulled men in offering additional compounds but looking at his meducation selection now, this nothing you cant get from a regular doctor and many you can simply purchase on your own like DHEA.
There is no such thing. Smart Doctors go by symptoms and side effects. If you have none, the lab measurement number is meaningless. All of this is explained in the TOTBible.com. It should be required reading for every Man over the age of 25 on the planet interested in maintaining his health for life.
Jay what are your thoughts on Dr John starting a patient out using several drugs at the start of treatment? I know you've said before you just want to see someone start out with just testosterone only for example to better be able to tell which drug is causing side effects.
Jay L: Dr. Crisler is not doing anything special, in fact, he is basically a salesman, continually trying to appear uniquie; he was the one of the few HRT doctors many years ago that pulled men in offering additional compounds but looking at his meducation selection now, this nothing you cant get from a regular doctor and many you can simply purchase on your own like DHEA.
+Thats Wright obviously I am aiming to be under the E2 production level using cypionate and DHEA...without the need for an AI... I'm still titrating the T dose yet. Who may I ask is this strength coach and possibly a YouTube link to that DHEA discussion if you have time. I'm a strength guy myself. Thanks 👊
J. Allen Dr. Recommends higher dosage. The protocol I provided comes from a highly regarded Strength Coach. You could use with TRT as TRT reduces natural DHEA production. However, watch your E2 levels and adjust your DHEA dosage, or use an Aromatase Inhibitor to control excess estrogen spill over.
+Thats Wright very helpful thank you. I understood everything. So Dr. C is recommending 5mg morning and 5mg at night...avoids the bolus dose correct? I have a powder pill... Have you found breaking a cap and using 5mg subL works better? Also, are you using this with TRT? Results with both if you are? Thanks again.
He means sublingual. If you buy micronized DHEA in a capsule, you can open the capsule and allow the powder to dissolve under your tongue. Anything over 10mg is a bolus dose and can inhibit your body's natural production and could cause hair loss or prostate issues. Use 5mg once or twice daily... did wonders for my libido and exercise recovery.
Having moved from Tostran Gel to Sustanon 250 (14days inn protocol) after two years I'm now not feeling great again and has some gyno symptoms. Uk doctors are terrible with this. I seeking some advise regarding lab work and AI usage please.
just had a question...I recently switched from pellets to injections...my doc has me taking one injection per week...starting off with 250mg a week...will probably lower it after we see blood work...my doc gives me 4 needles per month...if you split your dose in half .do two injections per week...can you use the same needle...use half of the cypionate, and inject the other half later in the week. with the same needle...just clean it really good with alcohol....and also, what size needle is he using? did Dr say 21 or 29
I appreciate the quick response, I have purchased and read both your book and Dr. Crislers book. I have an appointment with Dr. Saya in one month. I just want to be at optimal levels if I am going to be on TRT or TT for the rest of my life. Another question, if I am on HCG longterm, won't that downregulate the LH receptors throughout the body??
Patients taking Viagra are less likely to suffer a heart attack, new research claims.
Men taking the impotence drug were found to have a lower risk of having a heart attack or dying from heart failure than those not on the medication.
The findings mean Viagra could soon be used to treat hundreds of thousands of heart failure patients and even prevent fatal heart attacks, scientists say.
Experts from the University of Manchester studied 6,000 diabetic patients who had been given Viagra to treat erectile dysfunction.
The drug relaxes muscle cells in the blood vessels supplying the penis, allowing more blood to flow there.
This increased blood flow increases the likelihood of getting an erection.
Given the increasing reports of deaths in which the use of Viagra may be implicated, clinicians need to exercise caution when advising their patients with heart
Experts believe a key ingredient in Viagra called PDE5i, which relaxes blood vessels, also prevents damage to heart cells.
Heart failure is caused by the heart failing to pump enough blood around the body at the right pressure.
It most often occurs because the heart muscle has become too weak or stiff to work properly and is usually treated with medication which supports the heart.
Despite diabetics being prone to heart problems, the study participants did not suffer as many incidents as similar patients not on the drug.