Hey! Thyroids are a very important topic, and we know that testosterone lowers Thyroid hormones. I was wondering what your take is on this? A lot of specialized clinics already hand out thyroid meds together with testosterone (HRT vs TRT) when needed. In my particular case, I feel a bit sluggish and it looks like my free T4 is on the lower end, which could explain this, although in reference ranges, this is highly personal, just like testosterone ranges. I'm about to try T4/T3 meds, what's your take on this?

Hi Dr. Vincent, Super glad you added this platform! Always looking to learn as much as I can. What is you opinion on Telmisartan? Best, Patrick Brothers

hey dr ty im 18 and just did my first injection of 100mg of testosterone (had levels in 300s naturally for 2 blood tests) i joined because i really appreciate your information on younger people on testosterone because most people dont talk about it and just demonize it if theres anything i need to be careful of or i should know i would really appreciate it.

Hi Dr. Ty, Thank you for creating this platform. I've been watching your videos for quite some time, and they have had a positive impact on my understanding of men's hormone health. Here's my story and what brought me here today. Maybe this might resonate with others asking the same questions. At age 44, I was experiencing many symptoms of low testosterone: brain fog, fatigue, low motivation, low mood, poor recovery, reduced libido, and just not feeling like myself. My PCP eventually tested my testosterone, and it came back at 190 ng/dL. Looking back, it had been declining for quite some time before anyone addressed it. I was started on TRT (100mg weekly) and after several months my levels improved, but many of my symptoms remained. What has been frustrating is that most doctors I've seen focus on getting patients within the laboratory reference range, even when the patient still doesn't feel well. I've consulted with multiple specialists and have yet to find anyone willing to follow the treatment philosophy you discuss in your videos and TRT Information for Men handout. My questions are: 1. Why do so many physicians focus primarily on laboratory ranges instead of symptom resolution and quality of life when treating men with hypogonadism? 2. Do you work with or recommend physicians in other states who understand and follow a similar approach to TRT optimization? 3. Many doctors express significant concern about elevated hematocrit and polycythemia on TRT. Can you explain why opinions differ so much on this topic and how you evaluate that risk in your practice? 4. When monitoring men on TRT, at what estradiol level do you become concerned, and what factors do you consider before recommending an aromatase inhibitor? Do you focus more on symptoms, lab values, or both? 5. What is your opinion on combining GLP-1 medications with Testosterone Cypionate and HCG? Have you found this combination beneficial for men who are working on improving body composition, metabolic health, and overall quality of life?

Hey Dr Ty, I know you mentioned HCG use as mostly for fertility. But I was wondering what you think about using it at all times together with your testosterone (which is what I'm doing). I hadn't had much success with testosterone only - HCG improves libido/erection quality significantly. I'm pretty sure there has to be some mechanism in action here. I'm wondering if having functioning testicles is very important not only for fertility, but for libido/erection quality, and also, one thing I notice my downstairs is way more sensitive to HCG, so in short, on testosterone alone, I lose some sensibility. I'm pretty sure intra-testicular testosterone/estrogen is important to have this system fully working. I also heard in one of the podcaster which was really into medicine and biology, that pretty much TRT only obviously shuts down the testicles, and with enough time, scar tissue builds up inside the testicles, and blood flow down there drops significantly - which then if you want to have a child or even stop the TRT (I know you shouldn't) significantly harder or even impossible. So, would it make sense to add HCG to preserve testicular function? I know I'm not alone with what I experienced, HCG being necessary for optimal libido/erection quality/sensation - plenty of people experienced the same if you visit Reddit, for example.