The five most common medical mistakes in testosterone and steroid therapy are: (1) using aromatase inhibitors to suppress estrogen, which provides essential cardiovascular and neurological protection; (2) overphlebotomizing (excessive blood donation) based on hemoglobin levels without considering individual risk factors like family history of blood clots or strokes; (3) using too much testosterone, with many clinics starting patients at 200mg/week which is excessive for most individuals; (4) ignoring blood pressure as a major cardiovascular risk factor, which the FDA added as a blackbox warning in 2024; and (5) not knowing if you have underlying heart disease while taking testosterone, which can be dangerous despite the FDA removing the blackbox warning about heart disease, stroke, and death from testosterone products.
Ask The Testosteronologist®-LIVE Q&A本站添加:
Oh, there it is.
Are we live, everybody? All right.
What's going on, everyone? Setting up all these lives with my team here. So excited. So, all right. Here we go. This is uh the live event uh for testosterone. Ask the testoster. My name is Dr. Thomas Okconor. I'm the first testoster.
But we have a bunch of testosterone society to service all you members at the testostery health portal where you can get your answers to anything related to testosterone and anabolic steroids.
of course harm reduction just really trying to protect all you guys is I've been doing this for how many years I mean 20some years so this is I want you guys to understand how I do it right so these are live events and free events so I'm here to answer as many questions as I can I'm really the first doctor in the world that's a real internal medicine doctor academic guy but also a guy that has been involved in this and I'm 62 and my heart my kidneys are protected and I want to I want to preserve and share that. I want to preserve health for everyone. So again, I'm not putting down gurus and and health coaches and all these guys too much, but there has to be a line. There has to be now I have to buttress myself and put my foot in the sand and say that's enough now. So, if you're on testosterone and you're at a clinic and it's good and they they they're helping you, but you're not that happy or they don't know everything like we do, you have to get your questions with us. So, again, and and this is just what I guys, if you for all you guys who don't know know me, you can see I've been around for a long time taking care of a lot of pro bodybuilders, powerliffters, and strong men and doing the best I can. I'm trying to and a lot of the guys despite even what I've tried to do, they end up with heart disease and kidney disease. I'm not kidding. I mean, that happens to people as they get older anyway. And then if you're on steroids or too much testosterone, this is a nightmare. Again, the world of testosterone's open up. I love that. I'm very happy. I always want to keep kids off steroids, but let's get going.
That's my spiel. Again, you want to go to testosterone.com and you want to see everything that we've developed. This has been for years and years and years and now we have doctors and nurse practitioners working and giving you legitimate health related information. This is legitimate evidence-based internal medicine. It's not anti-aging and all this kind of [ __ ] This is real super hardcore yet complex yet conservative internal medicine for people that are on testosterone. Now, my presentation together today, because I'm always going to give a little snippet for free. So, the five top medical errors, the five top medical mistakes that I see in the world of testosterone, TRT, and of course bridging over to the utilization of steroids because if you're on steroids, you're on testosterone, okay?
And it's just it's just a dose dependent phenomenon, right? What's the difference? People always say, even good doctors ask me, "Doc, what is the difference between testosterone and a steroid? They're both control drugs. I don't understand this." Well, testosterone theoretically is for replacement for men and women need it, too. But that's really off label use for women. Off label, but we all agree women need it. But again, these are the guidelines that I'm developing with other experts in the world that are real. Not like wellness and anti-aging.
That's just not real, guys. It's not real. So, this is understanding how to protect yourself as you live in the best quality of life on androgens. So, when you when you really look at the data, there's a lot there's no data for a lot of this stuff using arominase inhibitors and all these things. So, let's go into what what I've seen over 20 plus years, what the medical mistakes are. Let's start down at the bottom. Medical mistake number five, using aromase inhibitors. I'm going to keep it down to five. It's not even number one, right? So, and I think about this stuff all the time, right? So, aromase inhibitors are and I want I always want you guys to fact check everything I say, but just do it with legitimate means. You know, an AI can be legitimate, but it's like go to a real doctor who But hold on, maybe if a doctor doesn't know it, you can go to your guru or coach. And I am pushing coaches. Come come stand on a stage with me. You want to come up and try to argue me on some of the cardiovascular, you know, you know, modalities and and how steroids and testosterone can affect the heart and kidney? Let's serve it up, man. Serve it up. So, number number five, arominase inhibitors. You go to a clinic. This is notorious now and there's no data for this and it's just anecdotally crazy now. You start on too much testosterone and then you just block the estrogen with the aromdinase inhibitors. Arominous inhibitors are saying no the number one right. This is a drug and fact checked all this. It's a drug that has been over decades produced for women. 99% of breast cancer is women 1% men. Check that out. So, they use these drugs and they still use them, but they don't use them to like let's balance the estrogen. They use it to save lives because a woman's going to have another breast cancer from one breast to another. It's called metastic breast cancer. So, and they don't feel good when they're crushing their estrogen, but they have no choice because they're going to die.
Now th those medicines are very powerful and they've been it's amazing how they made it into the world of anti-aging and wellness but there's no indication and I we can use things off label but it's just notorious that that these clinics and in the streets and bodybuilders have developed these protocols to use these different aromise inhibitors at day two day four use that you it's just and you look at this number on paper for estrogen That's a medical mistake, brother.
Serve it up because there's no way. It's you don't do it like and estrogen has been proven to be brain effective, CNS protective, cardiovascularly protective, but you you and you the way you get around not using an AI is you micro dose. You don't take too much estrogenic testosterone. Keep it to a down low. And what is the estrogen doing? Are you moody? work around it. Work on your doses. Don't take 200 milligrams a week and just give the AI. It It doesn't I have to yell and scream. It doesn't make sense. No. Who? I want someone to try to argue. I want someone to argue me. I want it. Number four, overflabizing.
So many videos on this for so many years. I made the ABCDS, A1C, blood pressure, cholesterol. you know those are going to be coming up as we go towards number one guys. So when we look at this, this is my D. The D, the the D is iron deposition or iron depletion disease. I want you to really under this is where it's beyond the the health coaching guru. This is a deep dive into hematology, understanding the paleontology or the anthropology of the hemoglobin moati.
Isn't that funny? hemoglobin.
It's [clears throat] con it's it's a it's a mammal thing. You understand in humans that when you look at the development of this over over I almost said decades. That would be crazy. I'm so used to saying that.
You're talking thousands of years. Okay.
Now, you look at humans, there are three types of of really of mutations of what's happened with the with with the the the the paleontology of people. You have northern European people, right?
And you have you have people that are this is when you look at northern European ancestry and hereditary hemocromattosis.
This is a deep dive. Then you have cickle cell and carrying state. Then thalosemias we're done. That covers the whole world. Okay. From Europe to Asia to the continent of Africa throughout that itself over to North America, Central, South America, Asia, Russia.
I'm done. Okay. and in in the polls right in the Iceland and all this the European people look when you take androgens it's going to affect the ariththroytosis but most of these clinics and and guys in the underground and streets they they think that when you produce x amount your hemoglobin goes up say to 174 and your hematocrid is like 523 got to dump blood and then the the the the doctors, these poor doctors don't know anything. It's sad for them. I think it's just embarrassing because we're supposed to be smart guys and it's an embarrassment and it's a tragedy and a paradox that they don't the bro guys know more than the doctors. But that's coming to an end with me and in the and testosterology because over 20 years I've brought those together. Steroid world meet traditional medicine. Hi, nice to meet you sir. Okay. So when you're overflabottomizing you're not understanding the the the the the pathophysiology.
Are you urithous cytosis is too much.
What's the line in the sand? Is it 18 grams per decilator for hemoglobin? Is it 17? What's your risk? Have you had blood clots? Have you had pulary embolism, strokes, heart attacks? Have you checked for those some of those things? Do you have thick blood in the family? I'm telling you guys, this is why I created this. It seems over the top, but you could learn it yourself.
You can go on this health portal and learn this. We've been developing this for for uh over 20 years. Okay? And it's sound medicine. So, you're overflammizing.
I see it time and time. When you start to dump blood, you're dumping blood for the wrong metric. You are you do you have headaches and blurry vision? Are you really thickened in blood? You're again, come on board. Let me ask some questions. I know the deep dive data on this. It's hematology.
It's not bro science. Okay, this is well characterized, but there we don't know the limits from randomized control trials. And you have to understand we're I'm a science guy. I can't just wing it and make it sounds good. It's a nice whiteboard and hypo. It doesn't work that way. We really need when we look at cancer and cardiovascular disease, understand that we have to look at real data. We can't just make things up.
Please, I'm trying to defend doctors that will save the We're all, you know, guys, stop hating on the doctors and and told they have to save your effing life or your your your son or your your wife's life because they're working in hospitals. They're not influencers.
I really mean that. And and you know, I really mean it. No one knows everything.
And it's a tragic time. People are dying. people in this country have no access to medicine. Forgive me. So again, you're overflamming and doesn't mean I I don't have to phbotomize my own patients, but I know when and when not to. And you you have to look at the CBC and the hemoglobin hematocrit and you have to look at it in conjunction to the feritin and the iron studies. These gurus are they don't even know they don't know internal medicine.
They haven't worked a day in their life in the goddamn hospital. Let's move on.
Number three, you're on too much testosterone.
The average clinic is starting at 200.
That's an embarrassment. You don't need that much. But some guys may end up taking 200. I like to start my patients, if you're the a if you're a newbie, which is very rare for me. Most guys transfer their care to me. And now all these doctors and nurse practitioners and I'm training because they're on testosterone from a clinic. Let's be honest, the clinic is not good. The clinic is not servicing. The clinic is terrible. And people are like, "Ah, guys are scared. Wives are scared. The the wives are on testosterone." And something happened. They're not they're they're doctors or nurse practitioners that are in the primary care world or in the hospital. They're like, I your red cells are up. You're hypertensive. Like, what is going on? Forget hair loss, gynecomastia, acne, and all the cosmetic stuff. Who even gives a [ __ ] about that?
I'm talking about serious medical complications here.
Okay, so number three is you're just you're boom, you're on too much testosterone.
It's notorious. So micro dose and figure it out. Maybe you need oral tes I don't again testosterone in injection esters are king because they are very effective and they're they're accessible. the other some of these other things are the injection I mean zyostat it's expensive it's actually an injection but they have a patent on the injector not not the the drug called ananthate they don't own that they own the injector and it's really nice and easy 300 bucks a month you know you can't compete with with a a vial of testosterone cipinate or nanate I don't know what it is 40 50 60 bucks a month and the the the needles and the syringes, they're dirt cheap. They're nothing, right? So, this is where they can't. And then you have the topicals and the pellets and the nasal gel even there, which is kind of funny. And then the oral stuff, which could be good, but the compliance is bad. Who who people don't want it? They can't take it. The old school injection is king.
Taking too much. Understand it. The least effective dose. I've been on this stuff for 35 years, guys. I live it. I'm from the streets. Let's keep going.
Number number two most common, most egregious medical mistake, blood pressure.
federal government, FDA, they just removed a blackbox warning on testosterone on all testosterone products that said from 20145 they stamped a black testosterone itself can cause heart attack, stroke and death. You could fact check it and I saw it come. I've been a physician since I don't know 2002 residency graduated in 2005. I was a real doctor then, you know, 2005, I guess I've been a real boardcertified internal medicine doctor.
2005 before that, it's been training for a million years, right? So, okay, the Fed did that and then I remember the arguments. It was from two big studies and I don't want to bore you with that.
And then some of the experts, including me, looked at it and we questioned the methodologies and we were like, is that real? I mean, is it real? I mean, does it really make sense? And then of course it was scrutinized and it took a long time. And then lo and behold last year they removed it off they removed the blackbox war. THEY DON'T DO THAT. They did the FDA. They did. Now we're involved with because I'm the testosterone societyy's involved with this openly right with the testosterone panel that you can look at in the FDA trying to really we have to redo. It's time to make a redo. We have to readjust. And hopefully we're going to get it off the control drug list because it's been on there since 1990 because of the MLB and like bodybuilding and Olympics. That doesn't make sense for me and you. It's limiting the average bear.
Okay. Not to mention bear at people. So, and not kids. So, second most common problem they put they removed one warning and they put blood pressure on.
It was never on there before is an independent blackbox warning. I want you to check that. You're going to go, "Wait a minute, wait a minute, wait, wait, whoa, whoa, whoa." They remove heart disease, stroke, and death from a global blackbox. But they put back on hypertension.
Now, wait a minute. Number one cause of death in the country. I want you to fact check it. Google number one cause of death. It's actually the world now, but we'll say America, right? So, it's cardiovascular disease. Holy moly. What causes cardiovascular disease? Three things. It's really simple. Diabetes, blood pressure, and bad cholesterol, which is complicated and doesn't fit for everybody. But you could. Those are the big three modifiable cardiovascular risk factors. Trust me, I'm an it is. And I'm not selling you nothing. No statins. You take nothing. Good for you. Okay. So most guys, most men on testosterone, they're hypertensive.
If your blood pressure is 120 over 80, that's level one hypertension. Again, you're going to fact check that and go, "Wow, I can't believe it's fat. It's level one hyper. What does that mean?
Level one hypert. It means that if you're under that, if you run the curves out, the guy that is 118 over 78 or lower and you don't want to go too low versus the guy that's 120 something over like 82 and the numbers are all over. We know blood. It's kind of like the average. Not easy. This is like an art and science, right? So, when you look at those those numbers, they they there's divergence. And this is why you want someone smart. Maybe you don't want someone smart.
the number diverges and there's an area under the curve. I'm sorry that's this is like science stuff. So, and it's significant in the end [clears throat] where the person that has like perfect blood pressure less than 120, less than 80 their whole life, they're out there, they're rare, less dementia, vascular dementia, less heart attack, less stroke, and and less kidney disease, peripheral vascular disease. And you know what, guys? Less erectile dysfunction. Go to Google hypertension.
Does hypertension cause erectile dysfunction? Holy [ __ ] But I don't want those medicines because the medicines, beta blockers or even calcium channel blockers, those hurt my erections. Well, if you go on the health portal over here, you're going to learn what tricks I've developed with other experts in the world to make your blood pressure and your [ __ ] even better. Because nitric oxide and it's not nitric oxide supplement, it's real medicine.
Endothelial nitric oxide. It's just true with some great supplements. Number one, and we're going to move on to questions.
The drum roll, please. Number one most egregious medical mistake on testosterone and steroids in the world.
You have heart disease. you don't know it and you're taking testosterone and you think it's safe. Huge medical mistake. So, let's talk about it. Okay, you know, I was writing for this. The Fed just pulled off major that you well you could doesn't cause heart disease. They didn't say that. They said we're pulling the black box off, but it causes hypertension. Be careful. But the truth is the trial that showed that and they it's called the Traverse trial.
All the guys in the Traverse trial had heart disease and all they did was they they found out they looked at who has low tea around 300. They double blinded those guys and they all had heart disease. So they were all being treated aggressively for heart. they had stances bypass or they had acute what's called acute coronary syndrome or or they or they were really they were really high risk with like diabetes, blood pressure, cholesterol, smoking.
I'm obese. I'm that was they did a great job on this and then they they double blind it and they ran it for over two years and one side of of the they gave they gave gel and they increased testosterone but it didn't go up that high as much as injections. That's a point that a lot of people don't know which is kind of like it's an apple to an orange. But h however over two years later these men all men hypogonatal all had heart disease to start the in two years on a little testosterone gel.
There was no difference in the two arms, right? The placebo versus the treatment arm with having a second event done.
That's all it is. But it was a very well done. This is tough stuff, man. That's a well randomized double blinded placebo.
This is this is the holy grail. And they said, therefore, testosterone for men with heart disease appears safe. All I'm saying to you is, do you know if you have heart disease? And these guys did have heart disease, but the guys in both of the arms, they were treated aggressively for the risk factors.
sugar, diabetes, pre-diabetes, hypertension, and and and cholesterol.
Again, don't get crazy on the cholesterol, guys. We have a lot of medicines for cholesterol, and cholesterol is not a scheme. It's not a scam or a scheme.
It's very complex and its fingerprint.
But I'm telling you, so many men go to these clinics and themselves or the steroid guys, and I'm not talking kids.
You're 22 years old. Why are you getting a a calcium score? It's I'm not saying it's an embarrassment, but it's like you're 22, dude. You could do all the drugs you want. Your heart's going to be perfect. You're 22.
But if you're 32 and you have bad family history, holy [ __ ] I have Doc, I have bad family history. Like the guys in my family have heart attacks in their 40s, 50s. Oh my god, I'm biting my nails. Why wouldn't you want to be aggressive? Get a calcium score. Now we have CT angography with with enhanced plaque analysis. If you got a few bucks, if you if you're smart, I don't know, get a calcium score and then you go, "Holy [ __ ] I have some atherosclerosis. Let me look at my rent." This is all the information for you right here. $24 a month, guys. I gota I got to put a lot of work into this. All right, I'm done. Hope you guys like that. Let's go. Questions.
Let's open this thing up to questions.
I'm in the UK. Love you guys. Love the UK. I've been on TRT. I am I want a job once I want a job once a day. Any ideas sir, you're in the UK. I have been on TR. I am okay sir. You're micro dose every day. I don't think it's necessary but just you can do it. You're pro if I'm gambling right now. You're in the UK so you're taking either testosterone and ane at 250 or you're on sustenon 250 which I love and I wish we could get it here. So the I what I would tell you to do is if you want to do little baby doses not for a baby not for a baby. If you want to do this stuff the little baby doses every day it it it will build sir it gets tired.
It gets tiring. I do it every five days and then I sometimes go oh man what day is this? My wife says you know what you're pretty grumpy right now. You're turning you're like your estrogen is high. You're you're you're you need your injection. What? Holy lo my lord. It is day six or seven. Oh wow. So guys again and I have so many patients like doc can I just do it every Sunday morning? I can't remember every three or five. Who does this? It but it's it is like it's very interesting that when when you look at this you know guys when they start this it's like a new toy. you know, you get the new car, the Mustang, and you go, I want to go outside and just look at that car a couple times a day. And then how but over years like then all of a sudden you're driving the car and you're like, I just want to and you're like, I used to look at that car. I mean, this is like a new toy. But how long can you do it where you need to be injecting every day? There's no health outcomes unless you are very sensitive to these esters. the esters. Guys, let me explain it. Proponate and forget the the the the forget the the the aquous stuff like the bodybuilders use. I mean know I know it's aquous and it's like sus it's called suspension testosterone suspension man and it's like let's do it before we work out. Wow. I got it. Okay.
Everything else is oil esters old school 70 years old. Proponate, cipinate, enanthate, sussen on 250 and then undecinate is like half this is like a half life of like eight, seven days, right? We prop like two or three days.
Come on guys, everyone knows this. And then you have to understand the pharmarmacology when you're injecting based on your fingerprint for how your body is going to metabolize it. How does it build up? How does it go? I I've done these posts on this stuff, right, with the half-life decay, right? And the, you know, the it's not a linear equation, right? It's like it's it's like all sorts of different waveforms, not sinosoidal but but half sinosoidal with different decay rates. This is for guys that are really smart in pharmarmacology. It's really fascinating. But in the end of the day, you just take a small dose, you inject it. The more you can theoretically when you could break it down and and micro dose, you theoretically get this even distribution. It is true. But you can you do it and do you need to do it?
Okay, next question. What do we got? Any more questions? Mark, what do we serve them all up? The they there are truth of these peptides being promoted containing vaccines.
Hm. And that's a cool picture there of the of the uh goat. Okay, sir. There's a truth of these peptides being promoted containing I don't think so. I don't know. Peptides. Let me just spew on that. Peptide. It's a fragment of protein. To me, an old school science guy, peptides just like, yeah, those are peptide sciences. Now, peptides mean like there's healing pep BPC 157, TB500.
I'm not making fun of it. I think this stuff theoretically is like amazing.
Where are you getting it from? I I wish it was really a holy grail and I think this stuff is going to be good. And I don't want the Fed I don't want big pharma to get it and to take it. I'm for you guys. I'm a libertarian really guys.
I I'm for you and I don't but you understand that research and development and the brand names like Gucci and if you don't you want a Gucci or Mercedes versus a Toyota. I'm so sorry but it's like there's higher quality and stuff. I want high quality. So when you look for healing peptides BPC TB500 Glow Gal gal all these different and I'm not an expert in the peptides guys. Peptides are everything. So there's reit they lump them all together and then even on peptide sites there's like growth hormone secret that's those are not peptides I mean some of them could be peptide type which I know they are I know they are but they're really just medical agents and is a nostril a peptide where I can go on my peptide site and get a nostrol oh we just lump it all in doc what are peptides I don't know peptides And unfortunately, the fact it's not regulated, I'm happy to see that RFK and these guys are are saying, "Hey, here's 11 of the ones that are, you know, probably good. We need to make them special so no one's going to get a felony, right? If they're using them, but like what are you going to do, guys? Don't you want real science?" Not just like, "You did it for your lab rat and we thought it worked." And it's like again, this is the future because now how many peptides are coming up every day? You can't even keep up with the peptides. It's crazy. Which is a good thing, but it's the nature of the technology and the AI beast. So, is there vaccines in there, sir? No, no, no, no, no, no. And I'm not going to go into the vaccine stuff, right? because I'm a doctor and I thought some vaccines were not bad back in the day, but then the COVID thing came, you know, and it's just like, oh man, now we're in a quagmire. All right, next question.
Will TRT help me in my overall daily life? I am constantly tired and unmotivated, sir. You know, I love you for this, Mr. Prototype.
I don't know, sir. I mean, you're not motivated. You don't feel good. You need you need an evaluation. Come on the health portal, ask questions. we we'll try to help you the best we can. So that that's that's a great general chief complaint. If I had you as a patient, it would take me an hour and a half, probably longer, right? To brother, I'd have to open you up, ask a million, family history, drugs, alcohol, how much you weigh? I look at your ABCDs and boom, boom, boom, boom, blood. So we I don't know, sir. Just don't go just go on testosterone.
But really check out your ABCDs and come on. It's a good question, Dr. I'm 31y old male. I have a removed testicle after which retained up in my stomach.
So I had it removed, right? And I was fixated in my groin. My test is 220 NOGS per deciliter. Wow. 31y old guy, guys.
Hold on, Mark. Keep it there. 31y old guy. This is this is the good stuff in my up my alley. So you have what's called cryptocoidism.
Cryptocoidism where the testicle is sitting up in the abdomen and there when you're going through devel gestational development in the mama it before you're born there they should be they should have dropped into the ingual canal and then the little boy has testicles but and and if it doesn't drop it's it's it's called cryptocoidism and it's it's usually unilateral right and but but be because of that the increase in risk for testicular cancer is significantly I'm a primary care doctor as you can see but I men's health so I really know this you're they removed your testicle because of your increased risk for testicular cancer and you're young right or it was it it was it it was achy or it was twisted and that's a torsion so you you have one you unilateral it's called a unilateral orchtomy and you have one testable left. Real quick story. 15 years ago, primary care doctor taking care of little old ladies and people in the community. Guy comes in about your age. Doctor, hi. I'm a new patient. How you doing, sir? Yeah, let me doc. I had testicle cancer when I was like 20some and they removed the testicle. So, I'm He goes He goes, "Doc, I'm flying on one wing. I'm flying on one testicle." I go, "Okay, I I've heard this." And he and he goes, "Um, my testosterone levels were like 400." And he was like, "Is should I replace testosterone?" I go, "Hold on a minute." I called this doctor. I called his urologist at Sloan Kettering in New York City. Doctor Tom Okconor here.
Does this guy need to? He said, "You know, Tom, it's interesting, but most guys that are young that we remove a testicle, the other testicle picks up and and they don't they they're okay.
Like you could remove a kidney and the other one picks up."
be careful giving stuff. So taking taking organs. So look sir, this is a good question and your levels you'd I'd have to look at the levels that are in this. I think everyone's from Europe here, right? In my metric system, I would have to look at it several times at least twice. Again, I'm trying to give really good information including the free testosterone, sexually binding globulin, right? your prostate, your health issue, your you can't make a decision, gentlemen and women just on just jumping on you need the best health care which is here testosterone internal medicine super super excellent health care practitioners and I've taught them as much as you could possibly know on testosterone and now this is the whole whole world so sir it's a great question but I want you to look more into what you could allow us to help you. I'd love to. We love new questions because with AI, imagine we're geniuses on geniuses here. I mean, we we take AI, we run some of the stuff through AI. It just brings us to a new level. You know, my top testosterone.
You see the ones you see the ones on on go to testoster look at providers. These are the chosen ones. Okay. So, sir, that's a great question and I I would h I can't answer that just I don't even see you. I don't know. But it's a great question. You have you have one testicle and you're not old. How's your sex? H how is your testosterone overall from this Arcadian rhythm standpoint in the morning, at the night? How do you feel?
How's your erections, man? Are you in a relationship? Do you want to have children? You have one testicle. If we give you testosterone, we're shutting that baby down.
All right, let's keep going. Next question. Sir, please get on the portal.
Let's go.
What antibiotics can I can I be on? I love this stuff. With coronary artery disease, 40 years old with a big family history of heart disease. I just had a quadruple back BY OH MY LORD, SIR. WOO.
This is the kind of stuff that I see.
This is real stuff, guys. Bypass surgery four months ago. Still doing test though, brother. Your 40-year-old guy, guys. This is real. He's a 40-year-old guy. He had he had he had either heart attack or chest pain. He got into some medical facility and they went to the calf lab with him, I'm assuming, and then they tried to put stances in the guy and they said, "Shit, we can't stench you, bro. Call the thoracic sir."
And then the guy came in and ripped open your chest and they did a quadruple bypass. Welcome to This is nothing new.
So, and because your family history, I told you guys, family history, medical mistake number one. This guy, thank God, is alive. Brother, I'm not I can't sit here and hey dude, you could take some Anavar, you know, just be careful with the with the trend and dude, stay on testosterone, brother. Stay on testosterone. You can This is just testosterone. Come on, guys. I'm 62.
You You sir, I want to protect you. A, you need the ABCDS. A1C, blood pressure, cholesterol, you ape B. You do you have you probably have LP little you know I love the lipid stuff I love the heart prevention guys with technology now it's freakish nothing more than worth my pen I have this I have these different I love my drug I love these cardiac drugs because I could almost like hey I could do steroids and and I'm not I don't do that and that's bad information right I want to keep the kids off steroids but the truth is like who doesn't want to feel good as you're getting older so sir be careful You're just on test though. I want to say it like that. You're just on test though, bro. So that's okay. Keep it to a down low. You don't need much sir. If you have heart disease, you already have had a bypass. We have to prevent you from not having another occlusion, another blockage. You already have cardiologists.
So this is a great again if you ask more and more specific questions on the health portal we will be able to again ethically and in the health portal we ask questions we just see your age you're a man or a woman because we have women in there we we're open to women and it's your age you're a man or woman and this is your medical question and then you give us as much pertinent medical information we make a video we make a video and give it back to you've never seen seen this before. Next question. Please be careful, sir. You're on testosterone. Easy as she goes. And don't tank your HDL. Be very careful.
ABCDs. Do you think they will ever take the schedule three, dude? Awesome.
Here's a secret because I'm working with the Fed on this stuff right now. Here's a secret.
Not this year. Not this year. Next year.
Next year. Next question.
Next year. It's gonna happen next year.
Do you think that Okay, next question.
Oh my lord. Who's this? What's that?
What's the guy with the crazy um Marilyn Manson? Okay, I I felt better when testosterone was 239 before TRT. Now I feel that I feel now. I felt better.
Okay, here's what happened. If I'm just gambling, you you started testosterone at some clinic or with a doctor, and I love doctors, but urology doctors, you need to surrender testosterone and get back in the goddamn operating room.
You're surgeons. You shouldn't be doing this. Stop it. That's like me going to the operating room. If I go to the operating room, take my license away.
I'm getting That's going to be dementia.
Okay, you're a surgeon. Get in the operating room. This is a medical specialty. Okay, sir. Probably what's happening is you're not getting the right dose of testosterone and they're either giving you too much or too little and they're shutting you down. They're giving just Do you realize that you can take just a little bit of testosterone and if it's not enough that you actually shut down the guy's natural testosterone that he had, at least he was feeling somewhat good and then you're done. This is where doctors really need to understand the science of giving testosterone. Okay. I don't know, sir.
So, I assume that's what's going on. But again, come into the health portal and I need more information. The more information that a doctor I could have, I'm going to give you a finite response.
Let's go. Next question. See, I'm getting pretty good at these class questions. I'm I'm moving right along.
We can't Mark, we can't have the guy live. We can't. We're not doing that.
We're just going to There's a million questions. We're just going to >> talk it up. Try the show.
>> Okay.
Can we do it, though, Mark? Can we?
>> Yeah.
>> How do we do it?
>> Doc, let me ask this question, but go back to the next question. I want to see guys >> what?
>> Oh, you guys, if you want to be seen and ask me a question, and if you don't, don't do it.
>> Go on stage. Mark, help me out.
>> They can be voice only.
>> Oh, they're they're voice only.
>> They can be voice only if they want to be anonymous.
>> What happened last week? We we we don't have that right now where they can be visualized.
>> They can. They have to go to that link.
>> Guys, put the link up again. Mark, guys, go on stage to ask your questions. Go to testosterology.comstage.
You may turn off your camera. Okay.
Maybe they can turn it on. Can they turn the camera on? I can see them.
>> Yes, they're optional.
>> Okay, let's keep going, guys. Let's see the next question. Doc, do you recommend lowd dose as to you to avoid blood clots? Oh my lord. Doc, sir, do you want me to talk for six hours? Okay, this is a loaded question, sir. The answer is no. Let's talk about why lowdose aspirin is FDA or I know you guys don't like the FDA. I don't like the FDA sometimes.
Okay, let's talk about the indications for lowd dose aspirin. Number one, lowd dose aspirin. Number one, you have coronary artery disease. You've had an event. The guy with the bypass, oh, he's going to be on not just aspirin, but probably Plavix, right? A complicated world, right? anti-plate dual antiplate very complex now. So the guy is so if you have heart if you have enough heart disease like your calcium score is like legitimate and you you have risks that you could have a mioardial infuction called a heart attack you you'd want to take a baby dose of aspirin. Now, when you start looking at TRT and the re and the relationship, this is my D to the to the buildup of the red blood cells, it's a loaded question, sir, because it's too it's way too complex. But the essential answer is no. Unless you have some risks that I know the risks that pertain to legitimate lowd dose aspirin utility because if you look for some of the recent studies that we and you could I want you to fact check this. This is all I do guys. It's the same thing over and heart kidney heart kidney. So you can look you'll see that just giving people aspirin if they don't have enough risk to outweigh like risk benefit analysis they get bleeding and if you're certainly when you're getting older don't call me old but 60s7s 80s people will have gastrointestinal bleeds and [clears throat] fact check this hemorrhagic bleeds if especially if you're hypertensive this is this is deadly stuff guys deadly deadly stuff so there there's a there's a there's There's a benefit there. There's a risk benefit that I run on every single patient and I check it. Now, if you look for aspirin utility, I like lowd dose aspirin for some other features like if you have colon uh cancer in your family like lynch syndrome and you're going to fact check this. Holy [ __ ] But god, this is all I do. I like the utility of that. Okay. But just to use aspirin if you have thickened blood what's is it 17 is it 18 grams per deciliter the data on that sir came from doctors that meant well decades ago where they're looking at polyythemeia vera go to Google polyythemeia vera it's a malignancy line that affects not just the right red blood cells but the platelets this is an antiplatlet agent and also the WBC's. Okay. Now, and and they they they this is medicine in the streets, right? There's no studies saying that you should take aspirin if you're on testosterone. There's nothing nothing.
But they said, "Wait a minute. If you have polyythemeia vera, or any polyythemeia secondary to to androgens, but they they're making it up now. You should take therefore my doctor said take an aspirin. It means well, but it's wrong. There's no data to support it because the the line in which you're you you have increased red blood cells, not to mention iron, which is not the red blood cell. The red blood cell holds four atoms of iron tightly. And then you can look at iron apart from it.
Come on, guys. Come on. And you can look at deposition of iron with feritin and saturations and transference. Come on, guys. I mean, this is just a super deep.
If you want to join this and learn from me, let's go. It's internal medicine.
I'm just talking here. I go from neurology, hematology, cardiology, nephrology, psychiatry, and then I go back all the way around. This is what it is on and right. This is a whole day job now. So, great question. And the answer is no. But it goes back to like is your blood thickened and do you have potential danger? Because you have androgen induced ureiththracytosis.
Don't say polyythemeia.
Don't. I'm trying to correct that. And the doctors I have to slap them. Slap that doctor hand. Stupid doctor. Sorry.
Because it's just a it's it's just an it's a it's just an categorical error.
You're not you're not saying it right.
It's androgen induced ureiththraosis.
Go to Google. And it's very specific and it's only the red blood cell line and all the indices.
And are you bleeding? Do you have hereditary hemocromattosis? Do you have phthaloisemas? Sickle cell. Come on guys. And do have you had a stroke? Have you had a the guy that has the bypass? I got to put some extra love in the guy. I have millions of guy. I have thousands of people like that. This is how I cut my teeth. I still I still take care of patients that have all sorts of from healthy guys to guys that have I've had 10 transplant guys. I have a million kidney transplant guys. This is complicated stuff. Next question.
Been on 100 a week for testosterone eight years. I'm developed gynecomastia on left side. Thinking about having a surgical remove. Can it come back? Oh boy. Great question. You know what? You know what I like about this guy here? So you got a little gyno. There's two types of gyno. One is sensational where oh it burns. Oh man, it's burning. It's annoying. Or and and the other one is you you see it. It's a physical mass.
And I always worry if you have a if you go to a doctor, any good doctor, nurse practitioner, I got a mass right here.
Holy [ __ ] They're going to think it's breast cancer until you proven otherwise. And that's good for them. But we know that testosterone and steroids actually, they don't cause breast cancer. We're talking men. What's the percent of pe of men breast cancer? 99% women, 1% men. Go to Google. Go to Google. You're going to be like, "Holy [ __ ] he's right." One out of a hundred men. You ever go in a block outside in a beach and go 100 people I'm looking at right here. 1%. One guy's got breast.
It's crazy. It's kind of like weird. So, look, I've never seen a case of breast cancer. And I'm the anabolic doc. I've been doing this really for 20some years, right? full-time and that's the that's just like thank god I've seen breast cancer on probably half a dozen patients when I was a primary care doctor and of course working in the hospital systems in New York and Hartford Connecticut right these big systems so I was rounding on like that guy's got breast cancer wow you know genetic or alcoholism with with liver disease fact check that with like just just having a a disproportion of estrogen with with low testosterone you not high testosterone and and aromatization. That's a whole another animal. This is complicate. And then that's why, you know, let's just use tmoxifen and AI. No. God, no. Come on. I mean, can you make an argument we should live on test and master because Masteron is a drug that was utilized 60s7s for metastatic breast cancer mainly for women.
But they don't use it anymore because we have other adjunct. We have other chemotherapies and those are oncology doctors. I respect them. So sir, this is a great question. I I really bring it back up again. Mark, what was the question again? I'm getting tired. So I I think if you have gynecomastia, you should go to a great surgeon.
It could this is going to be a specialized surgeon. If you don't like that, like most guys just go like, "Yeah, and what is gynecomastia?" If you have a if you have like male boobs, and again, guys, I'm not perfect. I don't want to take my shirt off at the beach anymore because I'm just not I I'm I'm like a big reexia guy. I don't feel great about I I feel good doing that, but I don't feel good in my shirt. And I'm me. That's me. I used to. So it's like but is do you have body habitus or is do you really have gyno and I could tell you if you're very very lean you'll get rid of the the habitus with the male boobs but then it could accentuate I ain't no plastic surgeon it accentuates the skin and if you're older and it's f go to a plastic surgeon go I get Botox okay go to a plastic surgeon go to him and but go to a good one that does gynecomastia. Go to Google gynecomastia. Look at the reviews.
Because if you go to a general surgeon and if we're outside the world here, here's what happens if you go to a a a regular surgeon that goes, "Yes, what are you a surgeon?" "Yes, sir. I'm a surgeon." "What kind of surgery do you do?" "I do everything, son. I'm a surgeon." And that's like, "Holy [ __ ] no. No plastic surgeons only that do gynecomastia. You can go to Google there. There's this guy Dr. I'm going to say his name. I don't really The guy we got into a fight. We get I get in fights with with other doctor. I fight doctors.
So Morai Blau Dr. Blau Dr. Blau New York City or White Plains guy's as old as the hails now. As long as his hands aren't shaking, this guy's got to be really good. This guy is just an arrogant guy because he's like, "Hey, Tom, you see the freaking Lamborghinis and this and that? I get $8,000 per per I do like six a day, man." He probably didn't have the accent like that, but he said all those.
And it's just like, but he's so good because all he does is gyne go to a surgeon. Remove it. Remove it. Let's keep and don't use don't use arominase inhibitors. Do not use this is a me medical mistake number six maybe number two guys that say the gurus and the coaches and the in the clinics hey man we're going to um just we're going to just keep you on an AI maybe even like tomoxifen a relaxine and we're going to like um we're going to reduce that mass that is so unethical because you ain't going to reduce that mass you just may have been chance you think it goes, but you're destroying the person's central nervous system, heart, and joints from crushing the estrogen. All to reduce this little area that that I the surgeons have told me, they're like, you know, Tom, these guys don't once you have gyno, it's a it's it's a fibroic hardened mass, okay, of the mammalary glands. And and again with the grace of God is it cancer versus not the guys you have to understand the real world of of worrisome medicine. We go to Z and we come back. We always think it's just embedded in us the worst case scenario and we we we we start excluding not that the other guys go to the other way. What can I give you and what do we do and I want to do this and maximize [ __ ] You start from [ __ ] What is it? Let's make sure it's not this. It's not that.
It's not stroke. It's not cancer. And then we work backward. And then sometimes we go, you know what? Good news, bad news. Good news. It's not this. It's not cancer. It's not this.
It's not It's not a stroke. It's not your kidney. It's not blah blah blah.
And then the end of day, I don't know what it is. That's an honest doctor. You can't know everything. Next question.
Say, let Okay. So Mark told me, can the guy know it can come back if you don't go to a good surgeon? And if you go I know I'm all over the place a little bit. I'm getting excited. It's been a long day, but I'm going to keep going.
So I've seen so many guys go to bad surgeons and you know what it looks like? It looks like ice cream scoopers.
Ice cream. The your nipples are invaginated. I've seen so many guys come into my office like, "Thank look at this." and they pull the shirt up and I go, "Oh man." And then I have to send them to a reconstructive plastic surgeon to try to fix it and it's hard to fix.
Go to a good surgeon like like medical.
Go here with us. Don't get away from this craziness and come to a legitimate traditional physicians and health care providers that are spending our days working on people that are on testosterone and steroids. The time is this is it. This is a legitimate specialty. Now, let's keep going, guys.
What's next? My test is 200, so my doctor won't prescribe. It says it's under the two LOL. My test was 200, so my doctor won't prescribe. It says it has to be under 200. Sir, dude, get a new doctor, bro. LOL is right. It's It's like 300. Doctor, doctor. And we don't even look at the numbers like that anymore. We look at the numbers and then we do the hit we how's your clinical sir go get go on the health portal go on find a testoster find a provider and if you're in America get one of our there there's no health care provider in the space of TRT and harm reduction and steroid protection than the testosterone it's just not possible no one can compete there's There's no come on in surrender to us to healthcare providers time to surrender and come up to the highest standard of care. Let's keep going. I'm trying to look for I want someone to argue me one day. You can see so which is I get bored. So which is better cipate or nanate? Great question. There's no difference. Let's talk about the very subtle difference. Cipate and nan are esters that we see to be very similar from a molecular standpoint. They're they're it's the it's the hydrocarbon fatty. It's the hydrocarbon chain and it that's a nanthate versus ciponate and that's all they're slightly different with the hydrocarbons. This is a bro science pharmace pharmacology like like a organic chemistry or like a bio biology question and it's the halflife is literally everything else is the same but the halflife is is a nanate is a little one day shorter but it kind of depends also on your fingerprint. So they so cyponate and ananthate we always say which is true that essentially they're they're they're pharmacologically similar they're equal theoretically but guys I know that this guy loves an ante doc I have to have an ante and this guy has to have s okay it's okay and then but the real difference is that there's no studies on this right head-to-head study that would no one's doing it that would be a cool study that would be head-to-head trial sip and Anthony and then double blind it run it for like I don't know 3,000 guys for like I don't know a year or something like that like but but starting them denovo like like new like and and like ask questions like how's your sex how's your intelligence can you do math is your wife mad at you are you snapping on people I mean you know and then strength and all it would be fascinating to see my guess is there'd be no difference so but the the the kinetics are different. And you know what's different? The kinetics again like you know the halflife a little different but you know what's different is if you make it in different oils this is where the money is guys think it's cipinate or nanate they're going to try when the truth is when you look at say the pharmaceutical grade that's in America in Walgreens and CVS which is theoretically you know exc I'm not saying that compounding places aren't compounding places are excellent some of them. No names mentioned, but when you look at the standard stuff, they're in linseed or cotton seed oil, but we know that you could make it with grape seed, MCT oil. I'm showing off to you guys that know this. and and those for people there are subtle differences not to mention you know there's like skin eczemas and allergies and and when you're using different I asked this to our Omar Hatchimosa who's our our foreign PhD Omar he's my chief of education and strategy check out who this guy is go to the you know go to the portal and check out you know who's who's on the team on our executive team and he explained to me. He said, "Doc, when you change the oils and the solvents, it it does change sometimes the kinetics and and stuff." So, very very deep question, but in nanthate and cypate themselves is a molecular testosterone esters. They're very similar except for one day different half-life and anth shorter. Let's keep going, guys. Love you, Doc. You have helped me a bunch in my journey. Thank you so much, sir. I that helps me hear that because it's not always easy doing this [ __ ] guys. Definitely doing the best I can for you guys. Trend, should it be feared or avoid?
Oh, the trend guy. Knew the trend guy was out there. Dude, trend. You ever hear of like something too good is too good to be true? That's trend there.
There's steroids. Then there's trend. I mean, trend is kind of sitting over here and we could dissect it all night long.
It's a nandalone derived and all that.
The bro science guys have always been very impressive to me, you know, because when I was writing in the magazines when the anabolic doc back in 2009 right to like, I don't know, on and off for about 10 years to like 2019 or 2020 or something.
I worked with some of the top, you know, bodybuilders and some of the biggest influencers in the world. And and Bill Llewellyn, remember Bill Llewellyn, put that in Google. Bill Llewellyn, hard to spell it. and the anabolics, man. So, tren acetate, you know, and nanthay and like I guess a regular guy from the back in the day where I did some old school steroids. I tried Tren maybe a couple times. Holy crap. Coughing. I almost called 911. The Trend cough. I couldn't believe it. And then the anxiety. I almost had a panic attack, guys. And I'm pretty I'm a pretty robotic like tough guy and I was like and I and sweating the bed. All right.
So guys, Tren man I mean I don't think if there's a utility for Tren unless you're a pro bodybuilder and then if you're a pro bodybuilder I just want to hug you and cry for you because you're going to destroy your heart and kidneys. There's no way to get around it. And I'm not talking about who's out there today, you know, because I know some of these guys and I've been the doctor to some of these guys and it's just like it's scary right now that the young guys are using trend and it's it's scary that they're very matter of fact and flat like yeah I know I know I may not even make it till 40 and they're like sober.
This is why men I think are warriors.
Yes, sir. No, sir. Men go to war. And I'm not going to be Mr. I'm not going to be this weirdo right now with like, but guys say that, man. Like, I'm ready to rock and roll, bro. Bro, that's what I do. And the adrenaline and the dopamine of being on social media, man, this is just and and being like, again, guys, it is what it is. But I didn't grow up in the 80s and 90s, dude. I mean, hold on.
I grew up in the 80s and 90s. I didn't grow up around T. I I knew was at parabolan. I know it's out there, guys.
And and I did I saw a guy putting Trent on, you know, the acetate. He was he was putting it on with ceram wrap. He was he was like he he he said he wasn't on steroids and we're like, "This guy's a monster." And then we caught him. We went to go pick him up one morning to go to the gym and he was and we're like, "We're coming in, buddy." And his door was open and we caught him with like the saram wrap on with the trend arms. We were like, "I can't make this up." And I was like, "Holy [ __ ] dude."
He was like, "Guys," and we looked at the table and we were like, "Holy [ __ ] dude. What is this?" And he, "All right, guys. I gotta talk to you guys." All right, bro. We don't We know you're on steroids. You're a monster. He was like doing 405 for 12 reps on the bench. I mean, my had to check my ego at the door when I went into that gym with this guy.
It was brutal.
So, Trent, unreal, dude. I don't know.
Be careful with Tren. I mean, I would stay away from trend unless you're like this warrior and you have to be a pro bodybuilder and you you're going to destroy your I know if you're young you can get away on and off and this and that. It's health reserve. Health reserve is this big but you're chewing into it and it doesn't show on the labs.
It's such an embarrassment. Do your labs. My labs I look better and better.
Take a rubber band. Keep pulling it.
Keep pulling it. Keep pulling it. Keep This is my rubber band story. Pull it.
Pull it. Pull it. Right before you pull that rubber band, you you let it you let it come back. Look at it. It looks normal, but you pull it. It breaks. But the rubber band that was sitting there, never touched. Like say in a glass vacuum in the closet for 100 years, you could pull it. It's never been touched.
Mechanically, when you use these steroids, they really do. They're taking health reserve out of your organs. No one's going to argue me. It's not possible. You have tons of health reserve when you're young. It's just a gamble. But if you have underlying health issues that you don't know about, this is where the straw and the camel's back. I mean, come on, guys. I've been doing it. No one's been doing it as long as me. And I all these guys that are not doctors, they don't see the doctor's side, the hospital side, the pathology report side. They they don't they don't understand these pathophysiologic paradigms and I'm still around. So I be careful with trend, dude. I I'm like an old school guy. Can we bring back old school? You got to be like a man to take steroids or a woman, an adult, and then don't take much and you're going to get shut down. And all the side effects, cosmetic, well, that's not going to kill you, but suck it up, buttercup. And as far as your balls and your fertility, well, we'll do the best we can. It's going to be other injections and all the and maybe you're going to have to lose this girl because she's going to say, "Hey, you know what, sir? Love you. I got to go." Why? I got to get a kid.
I've seen it, guys. Don't kid yourself.
Not all these broads are going to accept this. I'm just tell. Call me crazy. Call me crazy. It's kind of We're old in these new broads and new kids. They're not going to ch they want to have children. And if you can't give a kid Yeah, we know Ronnie's got nine kids.
Don't compare to Ronnie. He's a beast.
And we're not going to go into Ronnie. I love this poor guy. I mean, it's sad, right? We're the same age. It's sad.
He's no He's no He's no free. He He's true guy. He's an honest guy. Here he is, man. It's no free lunch. And I'm not going to use that much. I don't want to be on that level anyway. This and that.
Well, then don't do it. And some guys can walk away apparently. H how old are they right now? Hm.
I don't wish these guys harm, but I've taken care of some of a lot of these guys. If you knew what was really going on, man, you couldn't believe it. It's just like they have chronic kidney and chronic heart disease. It's sad, but it's like that happens to people anyway.
Okay, let's keep going. Next question.
I'm trying to get these guys to understand easy as she goes. What about 300 350 a test e one mil a week benefits?
Oh, Adam. Adam leg, dude. I mean, 350 that's steroid dose, but it's not the M.
I mean, it's it's a steroid. It's it's it's testosterone.
350 milligrams a week is like a steroid level. Back in the day, guys would do one milliliter of sustenant. I took care of some of the famous guys. They would they they powerlifters. Forget bodybuilders are kind of wackadoodles.
I'm sorry. I'm sorry, guys. Wacka doodles. It's like powerlifterss back in the day, 70s, 80s, you know, they they'd live on a CC of Sussen on 250 and then they Yeah. they'd ramp up and stuff, you know, for the meets. They knew they couldn't do more than like two or three meets a year. I'm just telling you the truth. And these guys, some of Look at Louis Simmons. He lived to like 70s something years old. God rest his soul.
Unreal. I knew all the I I met Lou.
Louis took me to to to breakfast or or lunch and like I don't know if he was he was threatening to to like hurt me if I went off the reservation or something and I was looking at his wife. What is Louis talking about? Great dude. Great.
Then he gave me all this gear. He gave me not gear gear but like shirts and you know the Westside barbell. I mean guys I've been around. So sir 350 of of nate I mean it's a steroid dose but it's like are you ready for it? Are you are you doing it? Like it's a lot. It's It's not like 1,500 or a gram of test, but you you don't need that much. I I again guys, old school, a little bit a little bit goes a long way. If you just want to be strong and have a family and take care of your heart and your kidneys, look at me, mom.
Okay? And I I intend to live to 110 or 20, but I use all the technology, right?
That's what maybe that's why I'm looking like I don't know. Like my heart my kidney when you have really good heart and kidney function, you're going to look young. You're going to feel young more importantly. And your erections are going to be great from real truth. And you're going to have stamina. Your brain is going to be great. And you're going to live a long life. And quality life is everything. I don't want to live one day. I have like I have to get attorneys I think to tell my wife like if I'm ever paralyzed or like on, you know, life support or something, I swear to God, don't keep me going. I will throw myself over the I will get somehow over to chew on something to kill myself. I mean, there's no way. Quality of life is everything, guys. But why don't you want to live a great quality of life? You're gonna if you're hypertensive, if you're cholesterol, your kidneys, it's fun to work on health portal. Next, next question. Could you do glucathione for doctor supply 30 mls with vials or 200 connector? These doctors are script for IV do I do, but can I do one cc every other day for two months my own injections and get the same result? Love the question. I've looked into it for myself. I like gluc glutathione. I like it for the liver. I like it for the restorative, but the truth is I'm a data guy and I don't know about this. You know, I know like if you do too much there's like this sweet spot and you don't want to be too toxic on it. Funny enough, like the paradoxic, right? So, I don't know this stuff. Okay. I don't know everything, but I sir, my feeling on this stuff is my endothelial, you're looking for protection of the heart and kidneys.
Well, take it from a different perspective. Look at it like try to stay as lean as you can. Don't smoke and drink, right? If you drink, so like take it easy. Try to lower all the all the risks. Do prevention. Look at prevention, your ABCDs, you know, skin cancer prevention, colonoscopies. If you have heartburn, get an endoscopy. Oh my lord. I tell guys in my my own patients and on the health portal, I tell you guys what to do. And last month a patient of ours who's 50some, he never had a colon. He went for the colonoscopy.
He has colon cancer, but they said, "Thank God you did the colonoscopy. You should have done it at 45 when it was everyone everyone 45. They brought they lowered it." But no one's doing it because everyone's disenfranchised.
I I'm not going to go into politics yet, guys, but if I do, it's going to be all about getting medical care for people in America. And we're not going to call it socialized medicine. We're just going to get medical fair care for everyone. I'll I'll figure it out. Okay. So, glucathione, sir. Glutathione. I don't know that question. So, I'm going to have to move on. But I like it. But I don't No one is going to argue me that there's random is there randomized clinical trials on it. And you're going to be, "Oh, this Dr. Okconor is so annoying." Like, of course, we don't have it. Well, why don't we? There's been there's there's there's been some studies, not randomized clinical trials.
Well, you can't afford that. Oh, well, I mean, someone would make money on I don't know. Well, that's not patentable.
Okay, I'm just trying to get in my brain, right? You're you're see. So, but does it really have health outcomes for you potentially? I agree. But are you deficient in vitamins and I again, it's a rabbit hole. But then what's your when guys are going for this kind of higher okay lowhanging fruit ABCDs and then if you're beyond hold on if I did a health history on you I could guarantee guaranteed I haven't seen the healthiest person in the world I will find something 100% guaranteed I will run the tight ABCDS as an academic internal medicine concierge guy and I will find not just one thing but a whole plethora of things that I could improve, but not with these IV drips. I'm not against the IV drip. What? A woman just died. They gave her the IV drip too quick. Potassium must have been in there, I assume. And she c she arrested.
Cardiac arrest. Man, those guys are done. And that's rare. And that was a that was a tragedy. But I don't know, guys. If you're drunk and you're hung over and you get the IV, bro, and you're feeling better. I don't know. I just go to a diner and have like eggs and bacon twin ch cheeseburgers and and diet a coke and just and go to sleeps. I mean, that's just kind of how I do it. I I don't I don't know. I mean, I I like ABCDs and I like to see someone argue me with A1C, blood pressure, cardiovascular evaluations, looking deep into your fingerprint for your your own lipidology, okay, in your family history and then genetics. And then use diet, exercise, some very good supplements, right? But not the IV drip stuff. And but I don't mind that if it's if you're deficient in it and you want to move forward, but be careful. I got to keep going. All right. Great question. I'm assuming you wouldn't recommend a serum like anomophen alone for improving hormones. No, I do. Many clinics are doing so, sir. No, no, no. Let's talk about the spectrum. You're a man. You're you're a man. you have low tea or low teaish and you want to start testosterone, but you're like, "Hey man, I don't want to start the injections. I don't want to shut my testicles off."
So, this is from left to right, right?
So, that's kind of the end right here, right? And most guys just end up jumping on that. But if you That's steroid guys, right? So, but if you have low tea, low tish and you want to just boost your testosterone with not a testosterone booster, you know, from a supplement, but real clomophene. Let's talk about clomophene versus anomophen. Do you know the difference, sir? You ever see the right you think the right hand is the left hand?
Remember the OJ case? If the glove doesn't fit, you got to acquit. Okay?
The glove doesn't fit, you got to acquit. Okay, right hand, left hand.
These are different the these are stereoisomers.
Right hand is clomophene. I believe it's the other way around. Left hand is clomophene. Right hand is enlomophene.
And that stereoisomer in the world of the molecular structure pharmacologically does have slight differences and may be more effective with its vector with the receptor. I do agree.
Okay. Clomophene and Clolophene selective estrogen receptor modulator.
You're right, sir. And I've tried, guys, I've been doing this 25 years. I've started I don't know how many guys, maybe 150, couple hundred guys over the course of that time where they're coming to me, they don't want to start testosterone. No, they've never done steroids. Kind of like a 30 or 50 something year old executive and he's like, "Oh my god, doctor, I don't injections. I don't want to take steroids. my hair, my testicles, but I can't how can we increase testosterone?
All right.
Clomophene. Now we have enquamophene.
That's it. And it we for fertility, too.
And it's part of a steroid, you know, rehab and the postcycle therapy. Come on, guys. It's very simple stuff, actually. There's only a few things in the tool bag. It's actually quite simple. So, Clomine or and Clomophine and Clomine, I like it. Here's the problem. Here's notorious. Great question. It's going to work. 12.5 milligrams typic not for I don't give advice here but the average bear 12.5 it's half the dose of clomophene because it's probably the receptors are more accurate and they're more precise voila it's pro it's I believe there's no studies really on this stuff I'm talking randomized clinical trials but there's some studies and anecdotal medicine is huge where I've seen a thousand guys and I that's anecdotes those are my that's the doctor who has the experience That's that's why you pay for that doctor, okay? Or these doctors that are here, the nurse practitioners.
Look, you take enclophene or clomophene.
It works. It tricks your brain because it blocks the hypothalammic receptors for estrogen. It this whole system is blocked and your body responds in the brain by increasing LH and FSH. You could measure it. It's kind of how I bust guys like are what do you want? I could kind of see what they're on, right? Versus like steroids and what point they're on and what they were taking. So when you do that, it will work on paper. This is what I say when I say it's working on man,00 you're just it's kind of hard to keep the testosterone down. All you have to do is just increase the dose and and look a lot of the urology guys that they're like okay we'll start with that.
They feel comfortable. It's it's really that they feel comfortable with their medical license because chromophene and chromophene it's not a controlled drug.
Isn't that crazy? The hCG is a controlled drug in some states and testosterone is controlled from a federal level. Hopefully that is next year that's going to come off. Hopefully I'm gambling. I hope so. Maybe this year. Probably not. Probably next year.
So you do it. You look at number. How do you feel? I feel pretty good. But what happens is it doesn't correlate. The number stays high like 800, 900. You're taking it every day, every other day. There's maybe down reggulation. We don't really know. I think it just gets tolerant. And I think what happens is you're producing endogenous or your sperm count goes through the roof. I mean, this is what it's a great thing. But here's there's there's a ton, guys.
I've only seen I've seen a guy the longest time five years and then you all in the end you're going to transfer over to testosterone. So when I tell that to guys that are newbies and virgins to you know they no steroids they're on to stop and I start saying you need okay we do the history we make the analysis and plan we look at the heart the kidney the prostate the whole nine yards and then I say I would I feel comfortable giving you a trial right and I'm scared I don't want to lose my license right because I was under investigation and I got through all that because I'm I'm just helping steroid guys they were all messed up and I didn't mess him up. I just help I helped him. Kind of like methanol maintenance. It's true. So a little extreme. So I don't start a guy.
You have to like be low enough and have clinical symptoms and then I'm like, "Yeah, it's worth a trial. I'll do it."
And then what should I take, doc? What should I Well, I have a whole We have a whole training program on this for doctors and nurse practitioners that want to be testoster. So a lot goes into this, man. A lot. So I'll say you could do clomophene or enlomophene and then I well doc what is that looking like? Well you take it and you know your your testicles will produce more. I mean your your ejaculate you're going to be like a you're going to be like a porn star you'll be a little oh I want who doesn't want to be a porn star and then they go that kind of goes away and then wait a minute now my testicles are aching and they're I don't know you can fact check it and maybe you're you're going to get a clot in the eye or you're going to get blindness. Holy [ __ ] Check it. Clomina and Clomine blindness. Oh my lord. I don't know, doc. I don't know. One out of a thousand. I'm gambling today, man.
Maybe I'm I don't know, sir. It's up to you. I'm just We're doctors. We're just down. Sir, sign sign the paper. Here are the risks. Okay. All right. So, you could try it. We try it. Guys, they don't THEY DON'T GO WHOA. THEY DON'T.
They go yeah, yeah, yeah. Then they see the number on paper and they go, "Whoa, I don't feel like I'm that though. I'm just telling you." And then you work around. Ah, let's try a little more. Let's let's let's just But I'm okay. My tennis game. These are not lifting. These are not steroid. These are just like And I'm not calling them like little Look, they're just they're not like they're not they're just not those guys, okay? Because if you're this guy, you know what you're doing. You know what you're doing. Did you get the memo? Did you talk to Arnold back in the 70s? All right. So guys, it's like so everyone's doing it and then you just end up switching. You're gonna and you could shut you're going to shut down your brain your it we don't have any data. So if you come off you get this like oh man. So I end up saying to the guy, "Sir, you can do and if you want to maintain fertility for a year or two, that's a great utility. That's a you want to maintain fertility, fertility, fertility, utility. I could do a rap song, guys. If you want to maintain fertility and be like, "Doc, I want to maintain the fertility. I just want to get through another year or two and I just want to Okay, great use." And then a lot of guys tap out. Doc, doc, you see me tap. I'm tapping. I'm tapping out. What do you want to do, dude? Ah, God, this stuff sucks. I feel terrible on it. You could look at the look at all the anecdotes on this in the internet because it's blocking your hypothalammus.
It's blocking for guys that have depression or anxiety. I'm telling you, this is where I don't even want to even try it because I've seen almost 100% of them do poorly really. And then so just go on testosterone, dude. Suck it up or don't do any of this. Go away. Okay, next question.
I'm on three milligrams of redder right now along with one point one 122 2.5 test sip and I have pushed my feritin down to 40 doing 30 minutes of cardio a day and leaning too hard in the protein powers I started 50 milligram all right sir how old are you a young guy all right three milligrams of rea so reatride is I did the video with Colette Nelson it's a it's a GLP gip and glucagon on it's it's it's the next level weight loss med that we know preferentially potentially burns fat and okay so you're on rea and you're on some a little bit of siponate 120 I guess per week right so that's probably per week and he's pushed it so feritin it's interesting so when you this guy knows stuff this is complicated this is like the ABCDS right so the feritin is a storage form so most men that are on testosterone, they're going to produce some red blood cells. Where do you think the iron comes from? Well, it comes from a storage form.
So, we know that when you you're going to remove the iron out of the feritin, which is a storage form.
So, that goes down and it makes red blood cells. Now you either make too much red blood cells or you make some extra red blood cells but it's balanced because your body is breaking it your metabol you're you're breaking down the red blood cells are always being degraded and that's in your poop that your poop the stirco billy rubin is actually degraded red blood cells matter that's how your body it makes red blood it's cir every 90 to 120 days that's the whole life cycle cycle of the red blood cell the iththraite.
So steroids and testosterone now with rea I'm just trying to deep dive into the brain here. So reatride let's say it's something like tzapatide which is the gip.
This one is just adding glucagon. And guys it's not a drug yet.
It's it's out there in the peptide world. I know a lot of people are using it. I love if it works, but you're getting it and I'm not going to say like I'm not gonna I'm gonna say you're getting from Asia, but I don't I'm not against Asians.
Okay. But you're getting it from a source that is like potentially the best we can do, doc. Okay. So, you're see do you think Reddit Nabiv law should become standard of care? Sir, you can't I love this is a bright guy. I love these guys. Right. So, heart rate back in nor. So, if you're on Redda, it's interesting, right? The heart rate goes up on people. You know why that is?
It's it's it's it's when you look at what's happening with Rat True Tide. Are you dehydrated? That causes sympathetic stimulation. Are you dehydrated or is it doing something to your autonomic nervous system? And the heart rate goes up, right? It just can we we these are just generalized side effects that we have to look at but you're you're catabolic but you're you know rea is catabolic all these drugs are catabolic you're you're you're calorically restricted okay and the the ompic face and you're losing muscle but then now just because the glucagon is in action it doesn't make it anabolic. It just makes it potentially less catabolic.
I have to be I have to get into your brain, sir. This is real science, okay?
And I know it. So, that's the beauty of it. And it's it's really re it's it's it's shifting metabolism to fat. I know what's going on, guys.
But I don't believe it's always really happening. A lot of people love this stuff and they love like suggestion and there's there's placebo tepatide I think is probably the best thing that's legitimate but I know it's expensive and it's safer. I mean it's because it's legitimate but sir but if your heart rate's not good and you're using it for whatever you're doing and I like Nabiv law you know I do you see my stuff I like the nitric oxide donating effects of Nabiv law for the endoil I love it it's been around for decades this is my baby with with my telmard my air and it's just no one could argue the science but are you taking a drug for a drug for a drug and you look very young to me.
But see, these young guys love the science. And you know, some of the older guys when they hear this stuff and doctors that I work with and um that I just know, they they they go, "What do they do?" They're like, "Holy mol, I can't believe this is like too complicated for me, Tom." Well, the young guys like this like to play with the technology. So, sir, you're asking great questions, but I don't, you know, you're not a patient of mine, and I want to be careful. I like those effects of those drugs for the average bear that's hypertensive, that needs to lose weight.
But again, is it sustainable? Where are you getting it from? And what are the side effects? Next question. But that's a smart guy. I'm 42. Did a cycle 300 test primo rea? God, rea's out there now, huh? I knew. I knew it. I knew that. Great experience. Felt great.
Blood work at 10 weeks. look good except for low feritin causes for this is it common and best way to address it sir. Okay. Okay. So, you did steroids testin and primo, right? Which is the the the test primo which is testosterone esters with the DHT derived primo.
Awesome combination, but it's just like awesome guys. Love that. Right. And then rea. So, you you were staying lean and all this and you felt great blood work blah blah blah. So, guys, what's your baseline feritin brother? What's your baseline? Again, ex what I you need to look at the CBC. You need to track. You can get this in the health. You can come to the let us work on this is the stuff I'm here for you. This is the only place you can get this from a legitimate testoster.
We know this. But hold on. Don't you wish you had a real doctor but also knew the stuff? Well, we do now. They're here. I'm here. Okay. So, when you look at the low feritin, what's your iron studies saturation? Are you bleeding from the GI tract? Is there any other medicines that are causing it? Again, this is a great question. I need more information, brother. But I think like the other guy, if I'm just gambling and you're a healthy 42 year old guy, you're on a little steroids and then the red. I mean you know what's interesting when we look at when we look at the sodium glucose co- transansporters jardians this is probably one of the most important you know conceptual drugs in the world to protect the heart and kidney so I can keep trucking you know and that's a whole and I'm going to explain this stuff when you're in when you're inside the portal and I'm on this stuff right because it really works now but it it affects the the the the hematocrit so if you have a problem with that someone asked the other day, doc, my real patients that I give I give these medicines to them in North America because I have a pers I have a license I can work all over this country and even outside but they have to come here and I do I tell them what to do and so you have all these vector forces some vector forces are increasing ithocytosis some are decreasing and then you look at the I you need to do the CBC with the iron studies and it looks like you are, but you just said feritin. What's your iron?
What is your saturation in iron and your CBC? If your feritin is just low low like that a little bit and and it's because it's taking it out of the bank, that's okay because most men on testosterone, not to mention steroids, are going to use up the feritin. But are your iron studies low? Are you phabbotomizing, sir? A lot of guys I remember I said medical mistake number four 54321 medical mistake number four overflabottomizing and then the iron studies are low and you're speeding up the re doctor we can't get doctors come to me this is how I started doctors in the northeast they were sending all their patients to me even endocrinology doctors because they're diabetes experts and and thyroid and osteoporosis and you you know, Cushings disease. They're like, "Tom, can you I don't want to be like I feel like I don't know anything. Tom, just take these guys." So, New York, Massachusetts, Rhode Island, Connecticut, they were all coming to me.
This is my history. So, doctors were saying them because they didn't understand the ariththraytosis, all the hematology, and just all the steroid. Now, it's just crazy. So, you you need to look at the big picture. And then at 45 we will get a colonoscopy for everyone. Are you bleeding from the GI tract with the grace of God? Do you have a family history of colon cancer? This is just like you with the grace of God.
If you want to live a long long long life, you do your ABC DS's.
There's nothing. This is primary care.
I'm a primary care doctor right on steroids. I'm just joking. So you want to understand but sir what you're talking about I need more information.
So get on the health portal and ask the question. Ask the testosterologist. I need more. Get into the dashboard we built for you. There's a you have a your own personal dashboard. You much money and time. This took five years. A lot of money. A lot of engineering. There's nothing like this in the world because in the end you have access to real health care providers that actually know testosterone and steroids for real. not making it up and not anti-aging or not guru. Next question.
What synergy would you expect synergy would you expect to see in a male pushing 50 m 10% body fat? You're currently on just 200 milligrams a week full body split and highintensity cardio. This is my kind of guy. This guy's all business here. Okay. What synergy you expect to see in male pushing maintenance 10% body?
I'm not sure what that mean. Synergy.
Synergy. So, um, synergy, you're doing good, sir. Less is more. You're doing awesome. You're on testosterone just on 200 a week. I mean, can you believe it?
Can you imagine how many There's tens and millions of you guys. I love you guys. So, I don't want you to have any health consequences, brother. You're 50.
I'm 62.
You got to understand you have to you have to look at your A B cardiac a calcium score synergy real this is real synergy I mean like this is like real karma synergy synergy it's been a long day man I need some coffee where my cough guys sir you need to know your ABCDs A1C B is blood pressure C cholesterol, cardiac.
Did you get a calcium score? Get inside this health portal and let us work with you and tell you how to do it. Labs with no doctor's prescription, cheap with no insurance, bulk numbers, panels just for you. Just health portal. So that's your synergy, sir. Come on. 62. I am showing off a little bit, right? But don't you want to be like me with you know what my most important feature is? My heart and my kidneys. And that's why I'm so strong and I feel so good. And my sex function is like a goddamn 20-year-old, which is a problem. It's actually a problem because my health, your heart and your kidneys make great sex.
Everything else, you're getting misinformation, guys. It's all wrong information for as far as when you're getting older.
Okay. So, sir, you're you are super impressive. You want to hold on when at 50, even 40.
You start dodging bullets. Dodging bullets, right? Cancers, heart strokes.
You you you you motor vehicle accidents, depression, murders. I don't know. I I mean, I I can only do what I can do, sir. I could lead you to the water. I want you to drink a horsey. Come on, horsey. Have a drink. A B. That's your synergy. So, Oh, I think synergy. He wants me like, can you add like a little anavar, a little primo, you know, certain peptides?
Yeah, man. I don't know. What do you want to do, bro?
How about you keep it simple and you don't ever worry about having a heart attack and you get older and you're just a beast and your brain is great and your sex is great and if if I'm gambling, you're married and maybe you have a few kids, you can be an old dad like me. I still got my hand on that kid's neck. My kid just loves it. He's like, "Tad, you're going to be 90 and still be able to beat me up." He's like, "That's gonna be great." I'm like, "You're damn right, son.
It's great, man. Let's go. Next question. Synergy. Lovely. Doc, will high doses of fish oil help cholesterol?
Oh my god, I just read about this the other day. My LDL spikes TRT. Thank you, dude. Great question.
Go to data. Go to a good data bank.
The only fish oil that is legitimately proven to protect against people that have heart disease. It's called the reduce it trial, guys. Reduce it.
Capitals re reduce hyphen it. It's aopentinoic acid vasipa. People had these are people that had significant disease. It was a secondary trial. They random. They were on maximally top, you know, they were on the medicines like they had some elevated triglycerides, but they weren't like over 500 and they double blinded and they gave him unbelievable outcome. I love aopetinoic acid. The data has shown up. This is controversial to some guys are going to just mean this is why I have to have guns on me because I say stuff and they get so angry at me because they're like that's not true. But hold on. If you believe really good medicine with randomized control trials, there's been a lot of them with fish oils, none of these have ever shown to truly protect the heart. You're getting misinformation.
And funny enough, sadly enough, paradoxically enough, those fish oils can be rancid. I want you to check that.
And you're getting you're getting increased oxidation in your system. So my opinion, the only fish oil that is top in the real world of science and very wealthy people are all on this.
It's a pentinoic acid otherwise known as vasipa va and I ain't selling for that company but I want if you're a smart guy young guys are really smart seems like the older guys are not that smart. I'm like, "Sir, you're old. You have all the money, but you're you're belie young guys are smart. They're going to live a long time, but they're listening to real technology. So, when you guys fact check that, you're going to go, "Whoa, whoa." So, EPA derived without DHE. That's where the money is. So, EPA, don't take sir, your LDL potentially is high as you said. I want you to understand what are your card do you have atherosclerosis?
Do you have family history? What's your LDL? What's your A1C? What's your blood pressure? How do the kidneys look? Do you have LP little A? It's all in the health portal.
This is real stuff. Any doctor that's following, I know you're like rock on Dr. Thank you so much, brother, sister.
Thank you. Thank you. Thank you. I'm going to turn this [ __ ] around for this misinformation.
Next question. Sir, be careful with that with the rancid fish oil. No data. Does the atome test you can buy to to to test to see if steroids are Yes. Yes, there are some. And I'm working with Dr. Timothy Ptowski. Go on Google Dr. Timothy Powski, anabolic steroid expert, PhD.
Follow him on Instagram.
Australia is way ahead of us with like with like steroid checking. He has like open public places where you could bring your steroids in and they they get them checked. I'm embarrassed that we don't have it in America. I'm working on it, guys. I'm going to work on it. Okay. So, yes. Ro is it is it roid? I think it's called roid test. I'm not sure. I That's That's Bill Llewellyn. And I I've heard it was good. I I really This is a great question, but really those testing kits, the the good ones that are really like the the the the forensic testing, which is real like forensic level like in like the FBI lab and stuff like they're really out there. And the guy in the guy and the doctor Pattowski who I work with were doing research in Australia, Dr. Timothy Pietowski, Anabolic Steroid.
Okay. I I co-published articles with him. He's a beast. And what a great doctor. Really harm reduction, trying to help people. We're very progressive.
We're out there now. We're we're traditional doctors in the traditional medical world at all the universities and we're belling up to the bar. They they're they're tolerating us. The old guys are going away. Go away, old man.
Go away, crunchy old damn man. We're coming up, man. This is real. This is like people need to understand this and be safe. So, yes, those tests, I just don't know which ones are great. There's roid test with Bill Llewellyn. I heard it was good, but I'm kind of out of the loop on that apart from real steroid testing sites. We don't have them in America. I got to get him here. Mark, put it on the list. Put it on the list.
We got to get that done. Steve, put it on the list. All right, guys. Next question. That's a good question. That's a good academic question. I'm going to go for about another 15 minutes until I cave over until I start stuttering.
Heard test and mast is fountain of youth. God, hold on. Let me think about that. Test and mast. Is it a fountain of youth?
H not really, but it's a great combination for guys. It's well tolerated typically and um can make you really horny, right? because it's like going to increase, right, the your free testosterone and all this kind of stuff.
And Masteron, right? So, look, Masteron, it's going to block the estrogen theoretically, right? We can go into a rabbit hole on that. Primaboan does too, but they're all similar drugs, guys. I know that, but they're hard to get. You can't get Masteron here in America. You can't get Primabone. And what's going on with the last year and a half where the the supply of of mastron and primaaboan supposedly out of Asia is completely shut down.
Wow. Unbelievable. I think we need to have steroids, legitimate steroids like primo and and we already have some anavar here. I'm all good with that, but that's already here. And but but I think we need to have some legitimate anabolic steroids that are have a history of safety like Masteron, but we need to have them above board where like cannabis. You can go to a cannabis facility. I'm going to get it going, guys. And you can get real steroids.
Come on. I mean, versus like alcohol and drugs and overeing. A little bit of steroids. There's no way you're gonna There's no way. Right. So I agree with that and and it but it is changing and even like if you look at the politics we have politicians like RFK if you don't like him or you love him or you hate him like he's on testosterone he does pull-ups I mean like he's older he's 10 years older than me and like you can't you can't agree you can't like the guy's a beast it's kind of cringy when he talks a little bit sometimes but it is what it is I think he's doing the best he can but the guy's a beast and I'm not saying he's on steroids but he does say he's on testosterone and some peptides.
That's in our government now. How is it going to be the next 10, 20 years? I mean, imagine we're going to have all politicians are going to be imagine Trump was on full-blown trend. It would be World War we'd be done with the atomic bomb would be off already. I mean, thank thank god Trump doesn't take threat. All right, guys. Let's keep going. Next question. Mark, I thought you were going to laugh on the Trump with Trent. I look over at Mark and he's laugh. Thank you so much, Doc. Getting on the portal and upload all the dude, get on it, bro. inform the blood work I can going to get more blood work including more iron studies in a few weeks before my next cycle rock on doc dude you are awesome so here's the deal go to the ABCDS don't get don't get intimidated dude you're a smart man break it down easy as she goes plug and chug and then use use your ask the dot and I'm going to answer all your questions with some of my top testosterone, the chosen ones. And we're going to give you all your videos just for you.
And I'm not going to know I don't know who you are. I don't I saw the name there. I don't want to see it though.
And we're just going to give you your information and you're going to learn piece by piece. And I've been doing this for five. We had we had open live aster docs like this where it was it was wild and crazy, but it just got so out of hand. So, I had to convert it over to where it's you have your own portfolio in the membership and then you're organized with your ABCDs and then you ask questions. You get your lab, get the labs all on the portal if you want or get your own labs. You don't need a doctor to get labs anymore. You don't need a prescription in America to get labs. People don't know that.
Get your labs. Figure out your ABC. I will walk you through. This is all I want to do. I want to spread it. And this is the beginning. The technology we've developed in there with AI where we have we have 700 plus videos that I've made. They're not the ones on YouTube, right? They're specialized videos. We actually brought a few in from YouTube, but most of the videos on there are videos because YouTube has been censoring the [ __ ] out of me and taking me down. You know, I have a huge YouTube channel, 270,000, and I'm shadowbanned. I should have millions. You know, they got to keep the anabolic doc down. That's okay. So, what did I do? I built my own. I built my own. Wasn't easy to do. This is the fifth year. This is a big operation. But thank you so much, brother, because I'm autonomous in here, and ain't no one shutting me down. And I'm ethical, and I'm here to help you. You make your own decisions. I'm going to show you what it is and I'm going to tell you and guide you. There's nothing wrong with that. So don't get intimidated when you get in there and you look start with the ABCDS start with a B understand it and then very soon we are hooking up tele medicine where you can get all your medications straight through the health portal. Yeah. Telmardin the bevel in America right telmardin the bevel you can get good statins a little bit don't hate on a statins you need a little bit of them okay pleotrophically trust me you want to protect your heart let me help you and then sir get a calcium score and if if you have if you got a few extra bucks and you're like over 30 or 40 around there do a ctangio from clearly I'll I'll they give us the give me the report and I'll read it for you and I'll tell you I have billionaires that I take care of that I help with this. This is what I do in my day job. I'm scaling it for you guys and then you can understand do you need Rapatha? Do you need Jardians? And I'm going to do the best I can to get it for you from a good source as as cheaply as I I can't work. I'm trying to work with the big boys for all these Where's my Where's my repathopen?
Guys, you want to use technology? That's why my heart is so good. I just kept my mouth shut for years and years and years and now it's all No one could shut me down in here. They They can't do it. And if they do, I'll move to the Cayman Islands. I'm not messing around, guys.
We'll see you inside there, sir. Next question.
I'm 26. I'm on testosterone 350 cruising. Ammons has five milligrams.
Bruva statatin a little statin baby.
Nival five telmasar and you guys this my stack bro 40 milligrams. Cardiac markers are great. Can I stay on as long as my bloods are good. Can you imagine guys?
26 year old man. Sir this is incredible.
God bless you. So I I I don't want you cruising on that much. Look at this handsome guy though. Still has great hair. I I want you to sir. Why? Why and why and I a I a Y.
Maybe you're not American. This is like sounds like an Australian guy. Love you guys. Get in on the app all over the world. Do your ABCDs.
Take it easy. I'm I'm Do what are your A Let's Let's bring the guy back up. Mark, let me see some [snorts] cardiac markers. Sir, you you're on sealis which is a nitric oxide donating PD5 inhibitor right for sex right also for for pulmonary hypertension like like sedenaphil in the in do you know that these drugs are IV sedenaphil in the intensive care unit I've prescribed them for pulmonary hypertension because they vasor die you're gonna go like I'm gonna check that that's crazy yeah Look, so they're very good potentially, but there are some side effects. Heartburn, look how red I am all the time. And the veins are just crazy. But you know that, but you're on ruatin and nivol talisartin.
So my ABCDS blood pressure, right? So nivol telmartin, but so you're 26 and I I wonder are you hypertensive at 26 and from baseline? I would want to work.
That's my first question for you when you come in the health portal. Are you hyper I want a blood pressure? This is the here's the here's the academic gold standard. We don't really care what your blood pressure is in the clinic anymore because it's it could be white coat. It could be mask hypertension. That's the reverse. It doesn't matter what you are when you're in there really. What is your blood pressure 247? And you know what the data shows? Get a home blood pressure cuff like Omron Platinum. Get a nice one. Fits the arm. and check your blood pressure twice a day, three times a day. Do it for a week. I kind of get obsessive with it, right? I love You guys love the data. And then let's dial your blood pressure in. At your age, you have to be less than 120 and less than 80. And if and if you're on testosterone, my free test was 700 at one point, section 111. Libido wasn't wasn't crazy. Lol. Only when I added the trend, my my libido came in or it's it's incredible. I mean, trend is no joke, dude. Be careful with trend. I've seen a couple guys, however, very rarely that have done Tren and the sex drive was so crazy on Tren when they came off trend and they were still on tons of testosterone, they couldn't get their libido back.
And I've I had I have guys all over the UK and I worked with the with the medical system inside London and I you know they had some great they were bringing the phone in. This is my doctor. This is like 10, 15 years ago when I was working in the streets and I'm like talking to the guys in London and they're like, "Yeah, yeah, Tom, we're try. What should we do, Tom?"
"Hey, do this, do that, run that." It was sad. This guy ended up just saying goodbye to me, crying. He's depressed.
He He is I think depression, but did did it have massive sexual dysfunction that never came back after just he did trend for a while. Easy as she goes. Easy as she goes with Trent. But again, you're young, 26, blood pressure. I want to see your blood pressure. Do you need that?
M. So, the thing is, great question. Do you need to be on those medicines forever? I have. How can I possibly know, sir, I don't? I need to see your medical issue. Do the medical questions in the Great, but sir, get in the damn health portal and understand. Let us help you bit by bit. ABCDs. Understand it. It's guaranteed if your ABCDs are perfect. There's nothing missed. It this is go from head to toe. It's screening for all cancers that are appropriate for you based on the epidemiological public health. I mean, how can you how can you argue this? But you have to plug and chug it.
This is not this health portal is not for someone who's lazy.
If you're lazy, you you I'm not even working with lazy. If you're lazy, I I've had some very wealthy guys, right?
They're mostly very annoying. Okay, I'm not against capitalism. They're so [ __ ] wealthy. They just pay the money and they they think like we're going to like exercise their arms for I mean, it's just like put an exoskeleton on.
Let me just train you, sir. Let me punch you in the face, sir. You're annoying as [ __ ] to me. Because it's like with all that money and like I'm not doing this anymore for you. You're done. Goodbye.
So, it's like you don't need that much money to get this damn health portal and figure out ABCDs. And some of these medicines could cost a few bucks, but if you put your head through it and you really work around it, my vital signs are that of a of a of a child's. And I'll show you my labs. You guys see my blood pressure.
Imagine my crazy personality. I need blood pressure medicine. I need like darts in the ass for like a rhino. But I live this way, guys. Now, don't do what I do, but I'm I'm living proof that you can do this and live a great life, have great sex. This is real anti-aging.
Anti-aging is [ __ ] real real health and understanding the vector forces A1C blood pressure endothelial cardiovascular understanding the truth of lipids your lipids your health history what's in your coronary artery did you do a calcium score the American College of Cardiology American Heart Association don't [ __ ] on those guys those they're the group they that that's who they are okay they are the hard guys They're they're science guys. It's they're annoying, but they're they're not [ __ ] okay? And they're not selling stuff. I I I mean, they're just not I know there's there's complicated relationships with industry. Please, if you look at the data, I've been I'm a doc. I'm an internist, okay? This is this is this is real magical great science. They integrated this year the calcium score. This is falling on deaf ears. I know how to interpret all this because I've been doing it for years and I'm a real internal medicine doctor and I'm humble for that. I don't know everything, but I know this. I know A, B, and if I don't know something, I send you to a doctor that does and I coordinate. I'm really a manager. Next question, guys. Get on the goddamn health portal and use it. What do we got, Mark?
>> Last one.
Oh my lord, I almost made I'm gone for two hours. Besides comprehensive blood panels, what test screenings are crucial before starting to your teeth? This is a great question, sir. So, comprehensive blood panels, let's talk about it again, sir. Let's go over the ABCDS.
Again, I'm not kidding. Hemoglobin A1C.
So, if you're going to start testosterone, [snorts] hopefully you need it. Again, this is apart from steroid guys. You know, those are my guys. Leave them alone. I'm going to help them. Leave my boys alone. They're starting testosterone. They definitely don't need it, but they're going to do it anyway.
And they're not playing NFL. They're not playing MLB. I don't want to hear the cheating. And the enhanced games is a whole another animal protect. I don't want children on st that's going to enhance that's going to provide potentially information and want to want children to do steroids like it's going today. I don't want I want to protect them somehow. If you're 21 23 man you're you're a [ __ ] man. Rock on. You can go to the war and kill yourself and kill people that we get. That's you're an adult. Let's go. So you want to start testosterone the way my history and physical it's inside this portal to train doctors and to for members like you correct well what is your medical sir what are your medical issues do you have blood pressure cholesterol is what is it have you looked inside your heart for a pre-existing diagnosis of atherosclerosis let's not wait for a heart attack or a stroke what's your family history. Do you drink? Do you have depression and anxiety? I did. I still live on some medicines. I'm a real person. I'm not perfect. Be careful. If you start testosterone, you have an underlying history of depression or anxiety. It's very It's tricky. I'm not saying it can't be great. I'm saying it's tricky.
Okay? This is my real life. So, and then again, what medicines are you on? What are your allergies to medications? It it's very simple. Chief complaint, history of present illness, the whole thing. I'm an old guy, right? So, these are the barber baits. This is like the med school, right? I was trained up in New York in Connecticut. I'm not sound arrogant, but I mean, come on, guys.
It's really unbelievable. It was brutal.
And I've never stopped, right? Never never stopped. 20 I I' I'd live, sleep, eat, and [ __ ] this stuff. And I feel like I know nothing. I know. I never forget as a as a intern and a resident, the older doctors said to me after 23, 24, 30 hours up seeing bubbles and dots thinking, I got to drive home. Holy [ __ ] I better start doing, you know, I better start snorting the c I've actually had like the cak taking out of the cath the coffee like I used to eat coffee with water down just to like get home. I'm not kidding. That was crazy because I wanted as much caffeine and they were like, "You going home, O Connor?" Shame on you, man. how much do you know? What did you learn last night?
And then you try to tell them and you're nervous and you're they're like, "Oh god, you know, you're kind of pathetic right now. Why don't you just go home?"
And then you leave and you go into the the gar garage, you know, after the hospital and you just have these feelings of euphoria then dipping and it's just like, "Wow, I know nothing. I learned nothing." And then you realize looking back year after year that you learned something. Okay, sir. You're going to understand medical history, your heart, your kidneys, your prostate. Testosterone doesn't cause prostate cancer, but it if you have prostate cancer and you're older, because that's usually an older guy, right? If you're young, it's going to be rare. 40s, 50s, it's out there, but you better understand that. So, these are the all the tests are inside the they're actually outside the app for free.
They're they're actually outside. You don't have to be in the portal. I wanted people to access all the labs. So, go to the health portal. I want you to be inside and to get the labs and understand how to use them in your ABCDS and ask a testoster.
However, you can go outside and just get these labs, but you're going to be winging it yourself. You have to understand really your medical issues, your heart, it's going to affect blood pressure. It's going to affect blood pressure. Do you just start? Look at these guys here. Look at these young guys here that are already starting prophylactic hypertension medicines.
What do you think about that guys? And it's is that I mean is is it unethical?
Of course it's not. These guys these guys are trying to block the effects the adverse vector effects that the androgens can cause on the What about not doing it guys? Go away. It's not how it's not how it's going to be. Go away. Go to sleep.
Go back to bed.
Men have to understand and women, these are effects of these drugs. You have to understand your underlying health first.
That's what I'm here to help you with.
There's no one better than me. That's what I do. Internal medicine, primary care, over 20 years.
you understand your health and then your fingerprint based on the technology now we can use this we can use that don't do anything do dash diet dh keep your blood pressure down cut down the sodium chlor don't listen to these idiots that are out there oh my god there's such bad information and you they're just young they're yolked and young and and they have disease but it's just silent and and they're just trying to make money Okay, that that's that's really really bad karma, but they don't care. It's all about Lamborghinis and money. Boom, boom, boom, boom, boom. That's okay. It is what it is. So you come here because you want true medical information from the highest source and you're going to understand exactly what labs to do what medical information against or your heart your kidney your prostate thyroid these are all part of the differential diagnosis and then you understand what to do moving forward and then you monitor. So once you start testosterone then you're monitoring. We have labs called on androgens monitoring the red blood cells right and if you have a good history a lot of these clinics just here you go and then it's like they come to me because I'm the cleaner up. I'm the cleaner up. I was called the cleaner uper. Got to go to Okconor. This is like over the last 20 years in the I'm the end of the stage. I'm the end of the line guys. You go to all these clinics, do all this and that, and things happen, and they come to me, I got to clean things up because once you're on testosterone long enough, you're not going to stop. And I'll protect you.
Doctor, you you the guy, he doesn't need to take that much steroids anymore, but he's got to be on a little testosterone.
Now, people agree. But if you don't, if you don't need testosterone and you're young, please don't take it until you need it. Testosterone is a light switch.
It's either on or it's off. Don't do it.
If you need it, you rock on and you come in and you have a testoster.
I'm done. Two hour two hours and five minutes.
Love you guys all so much. So, what's what's the um Mark? Flash up the the because we have a half off you guys.
Just for the people listening, we have a special offer today. 60% guys. I thought it was 50%.
Oh god. Off the first month, the portal membership $9.99.
Use code live99.
And we're going to leave this open for a while for you guys. Hope you enjoyed the all the work I'm doing for you guys. I am having a good time. So don't feel too bad for me. [laughter] But everything's cool. You're not going to believe the technology. Now in the next week or two, every week we're doing this. So keep coming back. Tell your friends, tell your family, tell your animals, all your pets have to come and I'm going to answer. I'm also a pet psychic also come and we're going to but now we're going to get my testosteries.
We have some nurse practitioners that are they're they're psychiatric nurse practitioners.
I know nothing. I keep it from the chin down, guys. These guys are brilliant, legitimate psychiatric licensed nurse practitioners better than doctors. I didn't say that, did I? In this country that are autonomously functioning and they know more than anyone on depression and anxiety and OCD and and stress disorders, PTSD.
You're going to see these guys. Jason Bennett, for example, is unbelievable and he's, you know, unbelievable. Okay?
And I've vetted these people very, very closely. So, you'll see them on the health portal. If you'd like to consult with them, feel free.
You don't even need to be a member inside the app. But these these these health care practitioners that I've developed and I've worked on for two years now with the training they're open and ready some of them the chosen ones to ask the testoster because they're testoster licensed under me.
So awesome dude. You signed up. Whit way.
Where are you from brother?
Thank you so much information. I have a lot to learn. Consider before.
Excellent. See this? This is a guy that's not on testosterone and this is really the best stuff because he's not going on. He's going to get the best information, education, and make an informed decision. I love it, brother.
That's thanks. information you're giving everyone. Always great stuff to share. I wish I could spend an hour on the phone.
Well, dude, get in the damn thing and do the best we can offer is you're going to ask questions and I'm going to answer it with my other test. Wait till you see the information in there. I got to go um not have a drink. I I love drinking, but I can't drink anymore. So, I'm a real person, guys. I'm a real person. All right. Love you guys. I'll see you next week.
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