Hey everyone, I'm a 66-year-old male living in East Texas, currently in pretty good shape and on testosterone replacement therapy. I recently watched a video by Dr. Vincent where he recommended optimizing total testosterone to an average above 1,500 ng/dL, or even dosing up to 2,000 ng/dL. I’ve never heard of providers targeting levels that high. In fact, my current doctors get concerned whenever my bloodwork comes back around 1,200 ng/dL and tell me it's too much. Unsurprisingly, no local provider I know will prescribe a protocol to reach those higher numbers. Does anyone have recommendations for telemedicine clinics or specific providers who are well-versed in advanced hormone optimization and open to managing protocols in these higher ranges? Thanks in advance. Are you experiencing any specific side effects at your current 1,200 ng/dL level, or are you primarily looking to adjust your protocol based on the video's recommendations?

Hey doc I heard you say briefly that this is your method of birth control for over a decade? We have three kids and don't want to make more lol. Wondering how effective TRT is as birth control? Are there some studies you can point me to? I'd love to not have to use condoms but don't want to risk it. Thank you!

Hey doc, I have not started TRT yet. My total t when last tested was 600 and free T was only 59. I feel tried a lot. I do use cannabis daily as well so that could contribute to the tired feeling? But keep thinking I need to get on TRT. I would prefer to inject using insulin needles subcutaneous instead of into the muscle. I've heard many doctors on youtube say this is how they do it. I'm curious what your opinion is on this? Thank you!