whats the age you started trt and your age now

[BigBadWolf]

31/31 hate to be a hater but I'm glad to see people young than me and with lower levels than I was at. I thought I was a freak.lol

[Bigfoot66]

41/45

[zaggahamma]

6 years

WINNING

[Drmagic]

I'm also a physician who treats over 300 men with TRT. My oldest in in his 70s and has been treated for over 10 years. I have 10 - 20 who are under 35, many of which are shift workers - fire fighters, ER employees etc who are almost always deficient. Western medicine is so far behind in this field it is sad - a lot of these men see their doctors who refuse to treat them if they are in "normal," range even though they are in the bottom 10% of normal at 35 years of age and have every symptom in the book of low testosterone. Or they are treated with useless gels or shots every 2 - 3 weeks which may be worse than not treating at all becasue of the roller coaster of hormones. I see more and more younger men with lower levels, not sure why but my theory is that we drive ourselves so hard in today's culture, less sleep, poor diet, long work hours, high stress all of which decrease production. I monitor many labs on my patients and almost always see reduction in cholesterol, body fat, blood pressure and CRP levels. I think we will see a huge long term improvement in health and longevity in men who are treated over time. Research is pretty clear that lower levels of testosterone over time contributes to higher levels of diabetes, heart disease, and certain cancers. Just make sure you are keeping estrogen in check.

[zaggahamma]

I'm also a physician who treats over 300 men with TRT. My oldest in in his 70s and has been treated for over 10 years. I have 10 - 20 who are under 35, many of which are shift workers - fire fighters, ER employees etc who are almost always deficient. Western medicine is so far behind in this field it is sad - a lot of these men see their doctors who refuse to treat them if they are in "normal," range even though they are in the bottom 10% of normal at 35 years of age and have every symptom in the book of low testosterone. Or they are treated with useless gels or shots every 2 - 3 weeks which may be worse than not treating at all becasue of the roller coaster of hormones. I see more and more younger men with lower levels, not sure why but my theory is that we drive ourselves so hard in today's culture, less sleep, poor diet, long work hours, high stress all of which decrease production. I monitor many labs on my patients and almost always see reduction in cholesterol, body fat, blood pressure and CRP levels. I think we will see a huge long term improvement in health and longevity in men who are treated over time. Research is pretty clear that lower levels of testosterone over time contributes to higher levels of diabetes, heart disease, and certain cancers. Just make sure you are keeping estrogen in check.

welcome

a few questions

do your patients self inject

any problems with dhea

r you yourself on trt...age/age started

have you read our forum/site

[Drmagic]

Sorry about the delay in response, little password problem. To answer your questions, 90% of my patients self inject, some come in to see me weekly, others use topicals or troches (sublingual). No problems with DHEA but it can muddy the waters because the body can turn it into other hormones including estrogen so like everything else you have to watch dosing. I've seen a few people get palpitations from it and that seems to be common knoweledge in the anti aging world. I take cyp 150 or so per week, cycle on and off HCG, and have recently worked in a couple months of sermorelin/GHRP combo - mostly to see if it would affect healing my knee as I am also getting PRP treatment done on it. I have been browsing the site for the past few days, some of the members here know more than most doctors about HRT/TRT, I get patients who are well versed and there are not a lot of referenced out there for me so I read the studies but forums like this are like a real world biochemistry experiment. Learning a lot. BTW, started at 39, now 42.

[Drmagic]

welcome

a few questions

do your patients self inject

any problems with dhea

r you yourself on trt...age/age started

have you read our forum/site

Answered these questions but they are at the end of the thread.

[zaggahamma]

Answered these questions but they are at the end of the thread.

yeh i saw and appreciate and saw your other posts as well

like the reference to the importance of sleep

look forward to your input and also more updates with your recent sermorelin/GHRP combo...couple months already? any benefit thus far?

welcome to 42

[kelkel]

I'm also a physician who treats over 300 men with TRT. My oldest in in his 70s and has been treated for over 10 years. I have 10 - 20 who are under 35, many of which are shift workers - fire fighters, ER employees etc who are almost always deficient. Western medicine is so far behind in this field it is sad - a lot of these men see their doctors who refuse to treat them if they are in "normal," range even though they are in the bottom 10% of normal at 35 years of age and have every symptom in the book of low testosterone. Or they are treated with useless gels or shots every 2 - 3 weeks which may be worse than not treating at all becasue of the roller coaster of hormones. I see more and more younger men with lower levels, not sure why but my theory is that we drive ourselves so hard in today's culture, less sleep, poor diet, long work hours, high stress all of which decrease production. I monitor many labs on my patients and almost always see reduction in cholesterol, body fat, blood pressure and CRP levels. I think we will see a huge long term improvement in health and longevity in men who are treated over time. Research is pretty clear that lower levels of testosterone over time contributes to higher levels of diabetes, heart disease, and certain cancers. Just make sure you are keeping estrogen in check.

Welcome DOC! Questions: Why do you think the higher incidence of TRT for emergency/shift workers. Curious about that as it relates to me. Second, do you consider all gels useless or just some? Please explain as some of us here are on gels and doing fine.

Once again, great to have you here!

[Drmagic]

Thanks Kelkel, What I have found with topicals is this: the mass produced stuff is junk, rarely works, messy, smells, and doses are too low. I use compounded creams mostly because they can make higher concentrations like 200mg/gram. What I have found is that some people absorb well and some people don't. There is a bell curve for everything and you see this with topicals. I have men that are able to maintain 900 levels and others that can barely get above 300 taking 150 mg per day. I believe it is related to absorbtion rates but can't be sure. I use it once in a while to take a break from shots and it seems to work well but I don't usually monitor my numbers. As I said in my prior post, shift work just grinds you down, circacian rythms are so important for hormone control so if you aren't sleeping at night you disrupt this cycle, cortisol usually elevates and you run a sleep deficit. Then we dump caffien in the mix to stay away which alters cortisol and insulin so you have a whole other problem there. I try to minimize medication in my practice but when it comes to sleep I am more aggressive, use ambien, melatonin, whatever it takes to get proper sleep, especially the older you get. the peptides seem to help me with this as well.

[kelkel]

Thanks Kelkel, What I have found with topicals is this: the mass produced stuff is junk, rarely works, messy, smells, and doses are too low. I use compounded creams mostly because they can make higher concentrations like 200mg/gram. What I have found is that some people absorb well and some people don't. There is a bell curve for everything and you see this with topicals. I have men that are able to maintain 900 levels and others that can barely get above 300 taking 150 mg per day. I believe it is related to absorbtion rates but can't be sure. I use it once in a while to take a break from shots and it seems to work well but I don't usually monitor my numbers. As I said in my prior post, shift work just grinds you down, circacian rythms are so important for hormone control so if you aren't sleeping at night you disrupt this cycle, cortisol usually elevates and you run a sleep deficit. Then we dump caffien in the mix to stay away which alters cortisol and insulin so you have a whole other problem there. I try to minimize medication in my practice but when it comes to sleep I am more aggressive, use ambien, melatonin, whatever it takes to get proper sleep, especially the older you get. the peptides seem to help me with this as well.

Thanks Doc! You just described the first half of my career. Shift work can be very hard on your body. I'm still on agel and respond well but I'm sure I'll make the jump in the future. Question: Why cycle on and off HCG? Pretty sure I know your answer but I'd still like to hear it!

Thanks again and welcome (again)

[steroid.com 1]

I'm also a physician who treats over 300 men with TRT. My oldest in in his 70s and has been treated for over 10 years. I have 10 - 20 who are under 35, many of which are shift workers - fire fighters, ER employees etc who are almost always deficient. Western medicine is so far behind in this field it is sad - a lot of these men see their doctors who refuse to treat them if they are in "normal," range even though they are in the bottom 10% of normal at 35 years of age and have every symptom in the book of low testosterone. Or they are treated with useless gels or shots every 2 - 3 weeks which may be worse than not treating at all becasue of the roller coaster of hormones. I see more and more younger men with lower levels, not sure why but my theory is that we drive ourselves so hard in today's culture, less sleep, poor diet, long work hours, high stress all of which decrease production. I monitor many labs on my patients and almost always see reduction in cholesterol, body fat, blood pressure and CRP levels. I think we will see a huge long term improvement in health and longevity in men who are treated over time. Research is pretty clear that lower levels of testosterone over time contributes to higher levels of diabetes, heart disease, and certain cancers. Just make sure you are keeping estrogen in check.

WELCOME Doc!

Amen on the last sentence; you can't believe how many times we hear Doc's not wanting to even check for E2 levels...like they never heard of Aromatization!

I tend to believe in your theory as much as I do aging and genetic make up as for low or imbalanced hormonal levels.

Restorative medicine in the US is slowly becoming main stream but it's a slow migration as you well known.

Please do us all a huge favor and visit us from time to time! We value the input and counsel from a trained Physician like yourself. You can really be a big help to many men here.


BTW, are you an A4M?

gd

[Drmagic]

Thanks gd, I'm in the fellowship program through A4m, went to learn about HRT because of my own profound experience and it has turned into so much more than that, has changed how I practice medicine across the board and caused me to open my own shop so I can practice medicine how it was meant to be practiced. Happy to give my 2 cents, I'm learning along the way although I am 3 years into my practice, I have a lot of antecdotal info to share as I have watched patterns over this time and have altered my treatment protocols because of them.

[bass]

I'm also a physician who treats over 300 men with TRT. My oldest in in his 70s and has been treated for over 10 years. I have 10 - 20 who are under 35, many of which are shift workers - fire fighters, ER employees etc who are almost always deficient. Western medicine is so far behind in this field it is sad - a lot of these men see their doctors who refuse to treat them if they are in "normal," range even though they are in the bottom 10% of normal at 35 years of age and have every symptom in the book of low testosterone. Or they are treated with useless gels or shots every 2 - 3 weeks which may be worse than not treating at all becasue of the roller coaster of hormones. I see more and more younger men with lower levels, not sure why but my theory is that we drive ourselves so hard in today's culture, less sleep, poor diet, long work hours, high stress all of which decrease production. I monitor many labs on my patients and almost always see reduction in cholesterol, body fat, blood pressure and CRP levels. I think we will see a huge long term improvement in health and longevity in men who are treated over time. Research is pretty clear that lower levels of testosterone over time contributes to higher levels of diabetes, heart disease, and certain cancers. Just make sure you are keeping estrogen in check.

welcome to our village doc! my question is whats your take on SQ injections?

[bigboy67]

welcome to our village doc! my question is whats your take on SQ injections?

Should we start a Dr.Magic thread to bounce ideas/questions off of him?

[Drmagic]

Thanks for the welcome, SQ injections of what?

[bass]

Thanks for the welcome, SQ injections of what?

testosterone!

[Bigfoot66]

I monitor many labs on my patients and almost always see reduction in cholesterol, body fat, blood pressure and CRP levels

All true for me. Amazing.

[warchild]

I'm also a physician who treats over 300 men with TRT. My oldest in in his 70s and has been treated for over 10 years. I have 10 - 20 who are under 35, many of which are shift workers - fire fighters, ER employees etc who are almost always deficient. Western medicine is so far behind in this field it is sad - a lot of these men see their doctors who refuse to treat them if they are in "normal," range even though they are in the bottom 10% of normal at 35 years of age and have every symptom in the book of low testosterone. Or they are treated with useless gels or shots every 2 - 3 weeks which may be worse than not treating at all becasue of the roller coaster of hormones. I see more and more younger men with lower levels, not sure why but my theory is that we drive ourselves so hard in today's culture, less sleep, poor diet, long work hours, high stress all of which decrease production. I monitor many labs on my patients and almost always see reduction in cholesterol, body fat, blood pressure and CRP levels. I think we will see a huge long term improvement in health and longevity in men who are treated over time. Research is pretty clear that lower levels of testosterone over time contributes to higher levels of diabetes, heart disease, and certain cancers. Just make sure you are keeping estrogen in check.

great to see a trt doc on the forums! i agree with everything you said, i am a fireman and been on trt since 25. I know a few other guys i work with that are also on trt in their 20s and 30s.

[dec11]

I'm also a physician who treats over 300 men with TRT. My oldest in in his 70s and has been treated for over 10 years. I have 10 - 20 who are under 35, many of which are shift workers - fire fighters, ER employees etc who are almost always deficient. Western medicine is so far behind in this field it is sad - a lot of these men see their doctors who refuse to treat them if they are in "normal," range even though they are in the bottom 10% of normal at 35 years of age and have every symptom in the book of low testosterone. Or they are treated with useless gels or shots every 2 - 3 weeks which may be worse than not treating at all becasue of the roller coaster of hormones. I see more and more younger men with lower levels, not sure why but my theory is that we drive ourselves so hard in today's culture, less sleep, poor diet, long work hours, high stress all of which decrease production. I monitor many labs on my patients and almost always see reduction in cholesterol, body fat, blood pressure and CRP levels. I think we will see a huge long term improvement in health and longevity in men who are treated over time. Research is pretty clear that lower levels of testosterone over time contributes to higher levels of diabetes, heart disease, and certain cancers. Just make sure you are keeping estrogen in check.

why would this be pronounced in this population? stress?

[steroid.com 1]

Time to jump in: 47/51.

Game changer!

[lvs]

he may not know what he got himself in to!

[steroid.com 1]

he may not know what he got himself in to!

LOL and we are probably visited by a lot of TRT Docs but don't participate for just that reason lvs

[flatscat]

Uh guys..... this is like a profile pic on a dating site... I hope he is a physician, but he could be a tour guide. Jus sayin ....

But welcome anyway doc!

[steroid.com 1]

Uh guys..... this is like a profile pic on a dating site... I hope he is a physician, but he could be a tour guide. Jus sayin ....

But welcome anyway doc!

I thought about the same thing later Flats.

Time will tell; you can tell a true TRT Physician from a layman in a New York minute.

[mauler]

How many cycles did you guys do before you needed hrt?

[bass]

How many cycles did you guys do before you needed hrt?

good question, but this should be its own thread!

[zaggahamma]

good question, but this should be its own thread!

AND
last i looked its in our profiles?????????????????????????????????????????? ?????????????????????????????????????????????????? ???????
not sure if its just me but i'm seeing quite a bit of merry go round posts these days

[funkymonk]

How many cycles did you guys do before you needed hrt?

0

[Fred40]

How many cycles did you guys do before you needed hrt?

0

Same......never did one. I was diagnosed low at age 44 but I can assure you it was low for years.

I'm actually starting to wonder if I ever had upper range levels.....even in my late teens early twenties. I'm making faster strength gains now (on 100mg/week) then I did when I was 19 training naturally.

[Bigfoot66]

Fred..I'm a year older than u and think the same. I am almost certain, based on the positive results of TRT, Arimidex, and DHEA that I was always in the tank. I was on Accutane in the test group in 1981 and took a high dose for one entire year. I was only 14. I think it screwed me up ANC we didn't know better.

Same......never did one. I was diagnosed low at age 44 but I can assure you it was low for years.

I'm actually starting to wonder if I ever had upper range levels.....even in my late teens early twenties. I'm making faster strength gains now (on 100mg/week) then I did when I was 19 training naturally.

[zaggahamma]

twas a nice refresher first post

[flatscat]

Hey Drmagic,

I think it would be great if you would go to the new male members area and introduce yourself to the mods of this site. Also if you would start a new thread so we can get out of this one - it will be harder to find questions and reposes to you and from you on these topics in this thread.

[flatscat]

Guys - really well thought out questions and answers. I have opinions on these subjects like many others here. But can we please get out of this thread and start new topic specific threads so as to spread the wealth to others interested in those subjects?,,

[bass]

good idea, but it will be hard to do unless Dr. magic starts the thread himself!

[flatscat]

Nope, he can reply to any thread he chooses too.

[bass]

Nope, he can reply to any thread he chooses too.

hmmm! isn't that what he did here?!

[steroid.com 1]

Flats is correct. I try so hard not to break protocol here...but it's just so fantastic and compelling to have a Physician of DrMagic engage in discussion with us.

But I will abide.

bass, this thread was started be vere76 just asking at what age we all started TRT. The discussion with the Doc has gotten pretty far off that track...LOL.

[flatscat]

Bass. Brother.

I am trying to get the good doc to share his wealth of knowledge in different threads. My point was he can post in any thread he wishes to, but his reponses would be best utilized if they were in a topic specific thread.

Any clearer now?

[bass]

Bass. Brother.

I am trying to get the good doc to share his wealth of knowledge in different threads. My point was he can post in any thread he wishes to, but his reponses would be best utilized if they were in a topic specific thread.

Any clearer now?

10/4