@Andrzej Krawczyk I didn't know how to save the first one, but have saved the last two and we have created a category for those in the video library.

Planning for the next live Q&A session Sunday October 4th at 8am Hawaii time. I am open to doing them at other days and times for people in time zones that don't align well with 8am Hawaii time too - just let me know what works for people and I can alternate days/times or something. I will also upload the recordings later that day from now on with no editing.

Jinette and I both see men and women and children of all ages, we don't segregate by gender. It's common that wives or girlfriends will suddenly find themselves in a libido mismatch (at the receiving end far more than they'd like) when their male partners get on TRT - I should have Jinette record a video about that because it lands better (with women) coming from her and she has a great way of discussing this. WE frequently end up trying to optimize hormones for women too in this situation, but for women libido is very often a psychological issue and no amount of BHRT will improve it. That's where psychedelic-assisted therapy comes in or maybe creative use of certain peptides and prescription medications. It's hormone levels generated within the brain itself that tend to affect this and that is not reflected in blood levels - you have to work through it clinically.

I think if you are around 5% you are doing great in this toxic world. Your fasting insulin should be <1 ideally though, so you may have mild insulin resistance. If you've been using growth hormone or any of the peptides that increase that in the body get off of those ASAP and don't ever use them again. I really hate that people believe growth hormone does anything beneficial for them in adulthood; it is far more likely to cause serious harm than any meaningful benefits. I think being wary of chemical exposures in your life is something everyone should pay attention to and doing things to promote detoxification (sauna, Epsom salt baths, sweating due to exercise) while taking in plenty of salt and water to flush through your system along with NAC and vitamin C and possibly some other supplements (not Milk Thistle, that really isn't helpful for overall detoxification, only a small number of chemicals get pushed faster through phase I detox by using milk thistle) is a good regular practice. Avoiding exposure is the most important thing and very hard to do in today's world. Increasing muscle mass is another very helpful thing to improve insulin resistance, and that's where TRT and other important hormones come in.

The most important thing is to find where you might be ingesting or otherwise getting exposed to chemicals. Occupational exposures, hobbies, living near an agricultural area or golf courses or factories, etc. are important to think about. Don't eat processed foods and beverages, nonorganic foods (especially animal foods - they have much higher concentrations of chemical toxins than plants do), personal care products and detergents, avoid eating/drinking from plastic containers, don't eat canned foods (they have plastic liners or are lined with resins) or use cookware with a nonstick coating. A lot of chemicals are taken in through manufactured beverages or drinking from plastic containers, and people don't tend to think about those exposures. The best way to clear chemicals overall is through heat-induced sweating. Sauna (either IR or ambient heat is fine) is the most effective method, then hot Epsom salt baths (the Mg sulfate binds chemicals in the water and keeps them from reabsorbing back through your skin). Exercise-induced sweating is good too. I suggest taking 1-2 tsp extra sea salt and water those days, as well as taking at least 1200mg NAC and 2,000mg vitamin C about half an hour before getting in the sauna. Alpha lipoic acid, magnesium, glycine, maybe other supplements might help with that level of detox too. If you want to assess for insulin resistance fasting levels are not helpful at all until it's WAY too late. You should drink some juice with about 50-75g of sugar total, then go to the lab and have blood drawn 30-45 minutes later to check glucose and insulin levels. That's how you can tell, you have to challenge yourself with a load of sugar and see how much insulin your body produces in an effort to control your blood glucose level.

There is no problem with a low PTH if you have functioning parathyroid glands (they weren't surgically removed or damaged by radiation) and normal calcium levels. Don't reduce your vitamin D because of that. I think optimal 25-OH vitamin D range is 120-150ng/mL and you level was still below 90. That suggests you were taking a substandard brand (don't use the Now brand, Pure Encapsulation, GNC or cheap brands from big box stores - they are all terrible and don't tend to raise levels like they should. Taking 10,000iu per day should have raised your blood level around 100 points and you (Shea) only went up by half that. Heitor, you must be taking a really bad brand if your level was only 46ng/mL. I usually see that with the Pure Encapsulations or Now brands - those two companies are either ripping off the public or they have some binders in their pills that prevent absorption. Also - make sure you are taking just vitamin D3, cholecalciferol - no D2/ergocalciferol because that stuff doesn't work in our bodies. I wouldn't bother checking those labs again because there is no problem with low PTH and normal calcium, and you don't need to worry about vitamin D toxicity until you get well above 200. No research has even demonstrated a level below 500ng/mL (or any level really, but that's a reasonable point to start worrying about it) causing a case of toxicity. All published cases thought to be vitamin D toxicity have involved a second factor causing the hypercalcemia (hyperparathyroidism, sarcoidosis, a paraneoplastic syndrome usually due to a squamous cell carcinoma somewhere, etc.).