I started TRT And I’m on my 4th injection and have been getting intermittent heartburn. Something I never struggle with before starting. Sure it could be a coincidence but that doesn’t seem right since that’s the only thing that changed. It seems to happen more intenselyo the second day after injecting. Could elevated estrogen be a culprit? I would love to hear your thoughts Doc!

Hello Dr., I have a question about which estrone test should be used with your E1 + E2 target of 40–100. I didn't know if the Estrone serum assay test or the LC/MC test were similar, so I just got both tests. In this case, just an example, The Estrone by LC-MS/MS was 17 pg/mL And yet, the Standard serum estrone by EIA was 81 pg/mL Given the large discrepancy between these two methods, I am not sure which one to use for the E1+E2 formula. Which estrone method did you intend for your formula: LC-MS/MS or the standard serum immunoassay? And for the estradiol I assume its LC-MS/MS? And I'm also curious to know about how these two tests can result in such different numerical amounts - if you have any insight behind that. Thank you

The PeterMd clinic started me off at this dose and the max they prescribe is 200mg/week. I've done 4 injections so far and can already notice a difference in energy, libido, drive. My question for you is around the transition phase of the body going offline in regards to producing testosterone. When does the body stop producing its own? Since im getting external testosterone during this initial phase is my body still producing testosterone as well? Or does the body shut off prodution pretty quick?

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!

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!