Great content. Dr.Rand knows his stuff. Thanks for this one! 👍

@balancemyhormones

Жыл бұрын

Glad you enjoyed it!

I’m struggling to find an answer to this question: do any men stop TRT as they get to an advanced age? If I’m 60 and begin TRT do I continue until my last days? Or, do men taper off as they ready 80, 85, etc? My understanding is that it’s a life long commitment but I haven’t seen anyone speak to later stages in life. Any real world information on this is greatly appreciated.

This is the only doctor I listen to. Great video and information as usual.

@balancemyhormones

7 ай бұрын

Wow, thanks!

Yeah, but Arnold was known for using primobolan which lowers estrogen.

@balancemyhormones

24 күн бұрын

That's true, Arnold was known for his meticulous approach to his training and supplementation.

Credit the host here with Dr Rand with great questions for this great conversation

@balancemyhormones

Жыл бұрын

Thanks Christopher for wathching. Let us know if you have any questions you would like us to ask Dr Rand for next time we have him on.

Great presentation…real informative. How many mg’s of DIM daily please ? Thanks. 👍🏼

@balancemyhormones

Жыл бұрын

It depends but some studies show up to 300 of dim per day.

@gozitan5

Жыл бұрын

@@balancemyhormones Thanks for replying 🙂

Seems like this is a good reason to start TRT at low levels and slowly increase to dial your numbers in

@balancemyhormones

7 ай бұрын

Absolutely, starting TRT at low levels and gradually increasing allows for better control and adjustment to dial in optimal hormone levels. It's a thoughtful approach that supports a more personalized and effective TRT journey. Always consult with a healthcare provider for guidance tailored to individual needs and health parameters.

Michael does your clinic routinely check your clients for all the things you spoke about in this video?

@balancemyhormones

Жыл бұрын

We can check for all markers as requested by the treating doctor or if there is a marker you would like measured we are a believer in patient advocacy and empowering patients. Some of the markers mentioned are metabolites of estradiol and in functional medicine are measured in the urine.

I would be very curious to know what Dr Rand takes as his protocol and even yourself Michael. I have understood from previous videos of Dr Rand that he has touched on symptom resolution for a lot of patients only happens once they hit 1500+ ng/dl so makes me curious if this is what he shoots for himself personally? I don't believe Dr Rand does daily microdosing for himself, perhaps twice per week? Every protocol is specific to each person obviously but it would be really interesting to hear from doctors themselves like Dr Rand what their personal numbers are they sit at to feel best and how they personally achieve that for themselves. Doseage, Dosing schedule etc of Test and AI. Saying he does 1mg a week now of anastrozole is great, but does he split that across when he does injections etc or dose that once and test twice for example across a week? Perhaps you could ask these questions in another video if you do not know. Are you able to say what numbers you shoot for to feel best Michael? Test and Estrogen? You said you don't use an AI but are you on injections or cream? Do you daily microdose if injections etc? What dose do you use? Thanks again. This is a conversation I keep coming back to and watching over and over again. Very informative.

Calcium D Gluterate is very expensive in UK and i have been taking 1000mg per day for months and has done abolutely nothing for my E2 levels, not touched it at all. I was told need to take at least 2000mg per day which works out around £18-20 every 2 weeks. Starting on AI and see how it works out for me.

@balancemyhormones

Жыл бұрын

Thank you for sharing your experience with Calcium D Gluterate and your concerns about its effectiveness on your E2 levels. It's possible that the supplement may have been underdosed or that it primarily affects estrone levels, which might not be reflected in a standard estradiol biomarker test. Considering alternative options or consulting with a healthcare professional could help you explore other strategies. It's important to find the most suitable solution for your specific needs. Best of luck in finding an approach that works for you

How much should i take AI. What is normal range of estrogen in males?

@balancemyhormones

Жыл бұрын

The normal range of estradiol in men is generally considered to be between 15 and 70 picograms per milliliter (pg/mL). It is important to note that estradiol levels in men can vary due to a variety of factors, including age, body weight, and overall health. For example, estradiol levels tend to decrease with age in men, and men who are overweight or obese may have higher estradiol levels due to the presence of estrogen-converting enzymes in fat cells. It is also important to note that estradiol levels in men can be affected by certain medical conditions and medications.

What is ideal dose of AI while on trt for very high estrogen?

@balancemyhormones

Жыл бұрын

Dose adjustments would be made by the doctor for your T. Not sure what Dr McClaine would suggest.

I heard where DIM stops short all muscle growth

@balancemyhormones

7 ай бұрын

DIM can also act like an anti androgen.

Is there a DIM starting dose to titrate from?

@balancemyhormones

Жыл бұрын

Follow the directions of your doctor or look at starting dose on the supplement.

@block2129

Жыл бұрын

@@balancemyhormones Ok, thanks for great info on a subject that is very important to myself and other over 50 TRTers

@gozitan5

Жыл бұрын

@@balancemyhormones Doctors aren’t interested in the U.K. Mike….you should know that.

Thoughts on taking Anastrozole while on TRT? Good? Bad? Definitely don’t want my testosterone I’m trying to get up aromatizing to estrogen. Also understand to low estrogen is bad

@balancemyhormones

3 ай бұрын

It's a common concern among TRT users. It's important to find the right balance for your hormone levels.

I research HRT (testosterone, estrogen, prolactin, etc.) every single day. Dr. McClain is far and away the most knowledgeable there is. The amount of 'bro science' out there is ridiculous....especially, these guys who say to ignore estrogen levels because it doesn't matter. What a bunch of horse sh**. General statements for everyone is irresponsible and dangerous. Thank you for this video! It is the most estrogen-informative video I have seen to date!❤

@balancemyhormones

3 ай бұрын

It's crucial to separate facts from myths in the world of HRT. Stay informed!

@TonyNovation

2 ай бұрын

If you could make a science based recommendation, what would it look like? I couldn't tell half the time if they were talking about DIM or an AI, so I'm still confused.

Been on TRT for a year. Estradiol comes in at 57 and I feel and look like I am retaining water. Seems like the doc prefers numbers closer to 20 regardless of ratio

@balancemyhormones

Жыл бұрын

Not everyone experiences water retention with elevated e2. Dr Rand suggests DIM or calcium d glucarate in the video.

@CortexLabsChannel

Жыл бұрын

Or at least 15-25PG/ML lower than 57. Hope you’ve gotten this resolved 😃.

I'm on androgel. 2 pumps in the morning and 2 in the evening. My test hovers around 600ng total/150pg free. Total estrogen 255pg, estradiol 33pg. My NP put me on 1mg of anastrozole per day, and although my mood, energy, and emotional state has improved, my body feels like I'm 80 years old. Pain in every joint. Dry eyes and skin. I haven't had my estrogen tested since, but I feel like it's gonna be crashed. I'm kinda ticked off.

@joshuastam7704

Жыл бұрын

way too much. Cut in 4. 0.25mg every 3 days

@balancemyhormones

Жыл бұрын

Sounds like symptoms of low estrogen. Check back with your NP.

@christopher2206

Жыл бұрын

I take 1 MG a week!

@dlindo8892

Жыл бұрын

Yeah, that’s how much my np prescribed me also. I got a razor blade and cut the pills in 4 quarters. I used to take one a week now only when I feel like my estradiol is high. Probably don’t even need it.

My total test is at 1685 & my estrogen is at 200, but I feel great! Haven't had any side effects the only thing I can see is 5 or 6 pimples on my chest area other than that nothing. I was prescribed ½ pill of anastrazole but when I took it for the first & only time I think it did something to me & I didn't like it at all

@rad6918

Жыл бұрын

Bro you are holding all that estrogen in your face. if this is you on the profile picture. Dont want to be mean. but Like cmon! LOL Dial down the estrogen so you can lose water and fat. im relatively skinner than you but still would get puffy face an man handle even with only 100MG test a week. I need to take Dim to deal with the excess estrogen or lower my dose which i dont want. So i take DIM i can see relief instantly, i also take saw palmetto for the prostate and DHT control and helps with hair. 200 estrogen is the reason you cant lose fat. the fatter you are the more estrogen your body produce so its a vicious cycle. Lose fat, lower your trt dose to around 100mg week and take some supplements. Another thing is instead of pinning 1 or 2 times a week try splitting the dose in 4-5 times a day specially if you have low SHBG. Dont take AI take Dim, Glucarate, Saw Palmetto. Good luck

@dennisdavis2103

Жыл бұрын

The AI strips your mind and body of protective estradiol and progesterone. Your cognition will suffer. I take only 1/2 of .25 anastrozole capsule once per week. Then I do a subq injection of 125IU of HCG 15 minutes after I take the AI. The HCG restores the progesterone and improves cognition.

@dlindo8892

Жыл бұрын

@@rad6918Who in the hell pins testosterone or anything 4-5 times a day. Except for maybe a junkie

I have noticed that many physicians who prescribe testosterone for their male patients do not check E2 levels or DHT levels. If they did then they would be able to tell when too much testosterone is being used and converting into estradiol. Simply measuring blood levels 4 days after the injection will establish hormone levels in the physiologic range. Very interesting approach to the use of TRT for men.

@balancemyhormones

Жыл бұрын

Thanks Doc for the comment and your contributions to the channel.

@rickberglund2134

Жыл бұрын

High estrogen with TRT is considered safe in that it protects bone health.

@adamwhitfield5571

Жыл бұрын

So I've been on lower test and was great for about a year, then sensitivity, sex drive and orgasm went out the window. Got on estro cream Casey estro was 14. Felt better but not great. And now one moth later feel just like I did when I started. Went higher and higher in test till I'm taking now 180mg 2×s per week. And still don't feel right. I'm told to try dhea and preg. I'm hoping that does something but I'm not hearing anything from my Drs about these side eatros. Or even how to get them in range. Any advice would be appreciated.

If E2 at 15-25 is optimal at a testosterone dose of 200ng per week, then would E2 at 30-50 be optimal at a testosterone dose of 400mg per week?

@balancemyhormones

24 күн бұрын

It's important to monitor your E2 levels and adjust your testosterone dosage accordingly for optimal results.

Dr. Rand suggests using DIM to manage E2, but DIM is also known to be an anti-androgen and downregulates androgen receptors. So, how can this affect on a TRT?

@balancemyhormones

8 ай бұрын

DIM as more of an anti-androgen in some tissues like the prostate. That’s a good question but the studies that mentioned the anti-androgen component were looking at its in vitro effect against prostate tissue.!

@Giovanniir

8 ай бұрын

I understand, so the anti-androgen activity is tested on prostate, but we don’t know if it has the same effect on eskeletal muscle

I struggle to balance my oestrogen with Anastrozole (Arimadex). I either end up with it too high or too low

@balancemyhormones

Жыл бұрын

AI may not be the best option. Dose adjustments and frequency, reduction of body fat, Calcium d glucarate or possibly DIM, zinc.

@lennoxmate4064

Жыл бұрын

@@balancemyhormones what would you recommend instead?

@balancemyhormones

Жыл бұрын

Diet- eat more cruciferous vegatables, and or add DIM, and or calcium d glutarate, lower body fat, consider zinc as well.

@paulhahn7793

Жыл бұрын

I too had the same problem. I gradually decreased my T from 1 mL/week to .6mL/week. I am still getting noticeable benefits of T, but no longer have high E2 levels that warrant an AI. I didnt feel well on the AI's either. Also, decreasing your T will lower your hematocrit, if that is a problem.

@AverageGamerz4Life

Жыл бұрын

@@balancemyhormones wont zinc cause a copper deficiency?

Hello. I’m new to the channel. You guys mentioned you used to use 1MG of DIM per say? And then later 1MG per week? I’m confused as the starting dose is like 100MG??? Please clarify when you have a chance. Thank you :)

@balancemyhormones

Жыл бұрын

1mg Dr Rand was referring to was 1mg of Anastrozole per week not DIM. He did mention DIM.

I’m taking Testosterone shots for 7 years in and out … I’m 6.0 and normal 200 lbs. But because of Testosterone now I’m 52 years old and crazy 330 lbs. I hold lots of water and I don’t feel the Testosterone benefits … anybody can help me with this ? My estrogen is ski high. Thank you. Roberto from Orlando FL

@balancemyhormones

24 күн бұрын

Have you consulted with a healthcare provider about your concerns?

Im 210, 30% body fat, total test came back 246, total estrogen came back 234. Could my estrogen be high simply because of body fat and maybe after TRT it could go down with some fat loss or is that going to put me at risk of it going substantially higher with TRT?

@balancemyhormones

10 ай бұрын

“We’re delighted to provide this content for our audience. To learn more, please visit our website at www.balancemyhormones.co.uk. Feel free to reach out to our consultants at +44-2039003209 for personalized guidance and assistance.”

Did he say 1mg per day?

@balancemyhormones

Жыл бұрын

1mg of anastrozole per week.

Estrogens are also pre thrombotic

@balancemyhormones

Жыл бұрын

great comment

Most dont pay attention on 5 alpha reductase enzyme while on TRT. It makes no sense if you are on TRT if whole your Testosterone is reduced to Dihydrotestosterone because of overactive 5 alpha reductase enzyme ! You should decalare it that you are on DRT instead of TRT if your 5 alpha enzyme is overactive :)

@balancemyhormones

Жыл бұрын

Hi ISOMERLAB and thanks for the comment but i think you may not be aware that Dihydrotestosterone (DHT) is not the enemy here. DHT is the metabolite of Testosterone. It's a reduced form of testosterone and a hormone that is involved in the development and maintenance of male sexual characteristics. It is important for the development of male genitalia during fetal development and the development of secondary sexual characteristics during puberty. Some research has suggested that DHT may play a role in the development of male pattern baldness and benign prostatic hyperplasia (BPH), or even prostate cancer. However, there is no evidence to suggest that DHT causes prostate cancer. In fact, some research has suggested that DHT may have protective effects against prostate cancer. It is important to note that DHT is an important hormone for male sexual development and health, but more research is needed to fully understand its role in different health conditions. A systematic review published in the journal Prostate Cancer and Prostatic Diseases found that there is no evidence to support the hypothesis that dihydrotestosterone (DHT) is a major cause of prostate cancer. The authors noted that some studies have suggested that DHT may have protective effects against prostate cancer. However, more research is needed to fully understand the relationship between DHT and prostate cancer. Klotz L, Vesprini D, Sethukavalan P, et al. Dihydrotestosterone and prostate cancer: a systematic review. Prostate Cancer Prostatic Dis. 2010;13(2):121-128.

@isomerlab5071

Жыл бұрын

​@@balancemyhormones Thank you for your reply. We all know that dihydrotestosterone is synthesized thorugh catalysed rection of 5 alpha reductase enyzme with testosterone as procursor at some males this enzyme is more catalysed that in others therefore some males are more muscaline than others. We also know that it promotes hair growth volume and baldness in masculine man but this is off topic at this point. It is well proven that excess of Dihydrotestosterone leads to prostate benign hyperplasia which may later turn to prostatic cancer if left untreated. I claiming that most attention should be paid to 5 alpha reductase enczyme in order to proper balance ratio T : DHT. We know also that Testosterone protect mitochondrial function which prevent cancer and other dissase for procesing.

@americanzombie1802

Жыл бұрын

The higher my DHT, the more BPH symptoms I get. I keep having to lower my TRT dose to relieve my symptoms. It sucks

Not happy with my trt prescription with dr rand and associates. Ive had many issues past several months or more and his other doc says this looks normal or that but def have issues. I think its adrenals or calcification yet not help. I wont be re newing my costly trt. Almost to point to suspend payment for not getting to the bottom of it but i knew telemed probably wasnt good but thought he was the best but i never talked with him yet he knows my symptoms. Low igf of 60 an other says its fine. Aint this a hrt clinic to up levels. I was better doing my underground stuff myself for yrs. Id bet its adrenals period an brought it up and it was just disregarded

@balancemyhormones

7 ай бұрын

I'm sorry to hear about your frustrations. It's crucial to have open communication with your healthcare provider. Consider seeking a second opinion or consulting with a healthcare professional who can thoroughly address your concerns. Prioritize your health and well-being. 👨‍⚕️💬

The question is why do transsexuals on high estrogen and for years don't develop prostate cancer?

@balancemyhormones

Жыл бұрын

There is not enough data and studies on this but what’s out there is pointing to a small increase in breast cancer.

@isomerlab5071

Жыл бұрын

Probably because of Hypothalamic-pituitary-gonadal axis which works differenly in genuie males and consequently due to elevated Free Testosterone.

Rand speaks of literature. Mike, why didn’t you ask him for the literature to support estrogen management? There isn’t any. If one follows the medical literature, then you know the harms of aromatase inhibitors. Rand doesn’t understand the physiology of testosterone and how it actually works in the tissues. isn’t it interesting that bodybuilders like Arnold Schwarzenegger and Lee Haney, who is an eight time Mr. Olympia didn’t utilize aromatase inhibitors? They didn’t utilize them because they weren’t available until the early 1990s. So you’re going to tell me that a man on a normal dose of testosterone needs one? Testosterone works through its active metabolites. It doesn’t act as just testosterone in many tissues. It Has to be converted into its active metabolites. When you raise testosterone, you raise levels of the active metabolites because that’s how testosterone works. Rand treats, the bodybuilding world, and that is not the testosterone replacement therapy world. There is no literature to support what he is saying none at all.

@balancemyhormones

6 ай бұрын

Appreciate your input and insights on the topic. It's great to have engaged viewers like you who contribute to the discussion.

@keithnicholsmd6896

6 ай бұрын

@@balancemyhormones I'll be glad to talk with you anytime about the miss information continuing to be propagated regarding testosterone

@webbm75

3 ай бұрын

I’d enjoy learning more from you as I’m looking in HRT to treat low energy & depression like symptoms. Are you a Dr that has a clinic Or offer concierge service?

@TonyNovation

2 ай бұрын

If you could make a science based recommendation, what would it look like? I couldn't tell half the time if they were talking about DIM or an AI, so I'm still confused.

I have been on TRT 200 mg since 2018 (a few cycles of 300 mg in between) and truly felt great. In October 21, right after Covid vaccination (I am not sure if there is a correlation) for the very first time in my life I experienced ED; absolutely embarrassed! I must mention I was 44 at the time in a great shape, body fat around 12%. Since then, things just got worse and worse to the point I made myself ready to have a pump implanted! During that time, I tried anything under the sun, from quitting vaping, cannabis, coming off T completely and so on and so forth and nothing worked. However, a few months ago whilst I was completely hopeless and happened to know that Viagra or Cialis have no impact on my erection either, for the first time; I know is dumb, I tested my T ( was on 150 mg at the time) and came back 1450 ng/dl and Estradiol 70 pg/dl. I then decided to lower my T to 100 mg and started to add L-arginine to my diet. I must admit, I have great erection at sleep now and much better ones during sex (let's say 80% of what I used to have). I also need to add I had a Penile Doppler done and was told that there are not significant signs of poor circulation considering my age. But, I am still not happy with my libido and quality of erection. A few days ago, I got my T levels checked again ( 100 mg a week) and T came back at 900 however Estradiol was 65! I am thinking of lowering my T to 80 mg a week and feel my ED and lack of libido -by that I mean physical one because in my mind I always want sex but not down there- could be the outcome of high estrogen! Should I take AI or add DIM? Please feel free to share your thoughts and ask me questions because, I have almost tried anything. Thanks! *I am 6ft tall and fluctuate between 190-210 lbs depending on the time of the year and how crazy I am about the GYM, Unfortunately I do not have a baseline for my levels before I started TRT and I honestly do not know why I started it in the first place, too much KZread I guess.*

@BrazilBro_

Жыл бұрын

Ive had some of the same issues. Have you tired HCG yet? Also i would try .25 AI every 3 days and see how you feel after a few weeks. If you dont feel better you can stop the AI.

@balancemyhormones

Жыл бұрын

Thank you for sharing your TRT experience. Lowering your testosterone dosage to 100 mg and adding L-arginine to your diet has shown some improvement in your erections. Lowering your dosage further to 80 mg may help address high estrogen levels. However, it's crucial to consult with a healthcare professional who specializes in hormone therapy for personalized guidance. They can assess your hormone levels and determine if an AI or DIM is necessary. Additionally, consider discussing other factors like stress or lifestyle habits that may impact your libido. Best of luck on your journey!

@seanlewis4544

Жыл бұрын

I'd say just increase test dosage for a dosage you are gonna feel better and make mains in the gym giving your physique a sick look. And add in arimidex. Play around with arimidex dosage until you find sweet spot. If you don't mind pinning Mon wed Fri take test prop. do this to start Test prop 100mg Mon wed Fri total 300mg per week Arimidex 0.5mg Mon and Fri total 1mg per week. Thank me later brah 💪

@gettingfitat5015

11 ай бұрын

Dude. I could have written this WORD FOR WORD! Right down to the weight!! I haven't tried lowering my dose. But I do find that the Cialis helps "somewhat". Everything you said above, that's me. I have blood work done in a couple of weeks to check estradiol levels, so we'll see. Curious if things have improved any more for ya?

@marklowe5939

11 ай бұрын

Letrozole 2.5 once a week did wonders for me. It helps when the blood leaks out of corpus cavernous. All the testosterone in the world won’t help if the blood don’t stay where it’s supposed to be. It’s a little stronger AI but it only takes one a week 24hrs after your T shot.