REALPROGRESS - TERAPIA TESTOSTERONEM (HTZ/ TRT / 40+), BŁĘDY,

Summary

In this video, Maciej Pietre of the Real Progress channel discusses common mistakes people make during testosterone replacement therapy (TRT), particularly for individuals over 30. He highlights the importance of maintaining testosterone levels within the optimal range, adjusting dosage according to individual needs, and avoiding large fluctuations in hormone levels. Key topics include the correct timing of injections, managing estrogen and prolactin levels, and the use of aromatase inhibitors. Maciej emphasizes the need for regular blood tests, tailored treatment plans, and maintaining overall health with proper supplementation and lifestyle changes for the best results with TRT.

Takeaways

• 😀 TRT is for individuals struggling with low testosterone levels, not just for those over 40. It can benefit those 30+ who experience symptoms of low testosterone.
• 😀 The goal of TRT is to maintain testosterone levels in the upper range of the normal reference (e.g., 700-800 ng/dL) without exceeding it.
• 😀 Individualized dosing is crucial for TRT. Different people require different doses based on their metabolism and needs, typically ranging from 100-150 mg every 3-4 days.
• 😀 Avoid using long-acting testosterone esters, as they cause fluctuations in testosterone levels. Injections should be done every 3-4 days for stable results.
• 😀 Aromatase inhibitors (e.g., Arimidex, Letrozole) are often necessary to control elevated estradiol levels during TRT. Not managing estradiol properly can lead to side effects like gynecomastia and fatigue.
• 😀 It's important to monitor prolactin levels during TRT, as they may rise and require treatment with medications like Cabaser. Prolactin levels should be checked regularly to ensure they don't cause issues.
• 😀 Combining TRT with other anabolic steroids (like Oxa or MPP) leads to hormonal imbalances and health risks. TRT should involve only testosterone.
• 😀 HCG (Human Chorionic Gonadotropin) is recommended for maintaining testicular health and fertility during TRT. It should be used periodically, with careful dosage adjustments.
• 😀 Regular blood tests are essential to monitor testosterone, estradiol, prolactin, and other health parameters. This helps in fine-tuning TRT for optimal results.
• 😀 A comprehensive health approach is necessary alongside TRT, including antioxidant supplementation, healthy fats, and regular exercise to support overall well-being and optimize TRT effects.

Q & A

What is the primary goal of testosterone replacement therapy (TRT)?

The primary goal of TRT is to maintain testosterone levels within the upper range of normal, usually around 700-800 ng/dL, in individuals with low testosterone levels.

What is one common mistake people make when using testosterone esters during TRT?

One common mistake is using testosterone esters with too long half-lives, leading to fluctuations in testosterone levels, which can cause inconsistencies in the effectiveness of the therapy.

What is the recommended frequency for testosterone injections during TRT?

Testosterone injections should be administered every third or fourth day, rather than just on Mondays and Thursdays, to avoid fluctuations in testosterone levels.

Why is it important to monitor estradiol levels during TRT?

Monitoring estradiol levels is important because elevated estradiol can lead to side effects like gynecomastia, fatigue, and poor recovery. If levels rise too high, inhibitors may be required to bring them back within a comfortable range.

What role do aromatase inhibitors play in managing estradiol levels during TRT?

Aromatase inhibitors like Arimidex, Exemestane, or Letrozole help manage elevated estradiol levels by blocking the conversion of testosterone to estradiol, thus preventing symptoms like fatigue, poor libido, and mood swings.

How should the dosage of aromatase inhibitors be adjusted during TRT?

The dosage of aromatase inhibitors should be individualized based on regular blood tests. Some may need to take a fraction of a tablet, while others may need to adjust their dosage more frequently depending on their body's response.

What is the relationship between prolactin and TRT?

Testosterone therapy can sometimes cause an increase in prolactin levels. In such cases, medications like Cabaser (Bromocriptine) may be used to manage elevated prolactin, which could affect libido and overall well-being.

What should be monitored in addition to testosterone and estradiol during TRT?

In addition to testosterone and estradiol, levels of prolactin, hemoglobin, hematocrit, ferritin, thyroid function, and lipids should be monitored to ensure overall health and optimize the effectiveness of TRT.

Why is it not recommended to use additional anabolic steroids while on TRT?

Using additional anabolic steroids while on TRT can disrupt hormonal balance, leading to negative effects on lipid levels, prolactin, and overall health. If further enhancement is desired, increasing the testosterone dose is a better option.

What is the role of HCG in TRT and how should it be administered?

HCG (Human Chorionic Gonadotropin) is used in TRT to support testicular function and prevent testicular atrophy. It is typically administered every third or fourth day, though the exact dosage depends on the specific HCG brand and individual needs.