Peptide of the Week: TRT, HCG & Growth Hormone – The Foundation of Men’s Health Peptide of the Week https://peptideoftheweekpod.com/episodes/peptide-of-the-week-trt-hcg-growth-hormone-the-foundation-of-men-s-health/transcript We are not doctors. The content on this site is for educational and informational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Any compounds discussed may be intended for research purposes only. Use at your own risk. Amounts, timing and cycle lengths below are reported as the named speaker described them. Nothing here is a protocol to follow. --- 0:01 Speaker 0: Ultra running shoes are all about space. 0:04 Speaker 0: The space to go further, to feel better, 0:07 Speaker 0: to do something you never thought possible. 0:09 Speaker 0: And this space starts with ultra fit. Unlike traditional running shoes, ultra Fit gives toes more room to move naturally, 0:17 Speaker 0: so every step is strong, balanced, 0:19 Speaker 0: and comfortable. Whatever you're lacing up for, stay out there with Ultra. Shop now at ultrarunning.com. 0:26 Speaker 0: That's altrarunning.com. 0:39 Speaker 1: Welcome back to the Peptide of the Week podcast. I am your host, JD Dental across the way looking dapper. As always, my buddy, 0:47 Speaker 1: business partner, and friend, Mr. Williams. What's up? T Haas. How are doing, buddy? I'm good, man. Good to be How's life? I was like, I thinking. 0:54 Speaker 1: Cool. We had a cool 0:58 Speaker 1: meeting this morning. That was cool. So life's good. Life is good. 1:02 Speaker 2: I'm gonna go to 1:04 Speaker 2: shout out to the Paseya. 1:06 Speaker 2: Paseya. 1:07 Speaker 2: We're gonna go bring my Yeah. 1:09 Speaker 2: Bring my girl and 1:11 Speaker 2: stepson. 1:12 Speaker 2: I can't get right. And then we just go hang out in the hotel for the, for the night, go in the pool. Yeah. Staycation 1:19 Speaker 2: a 1:20 Speaker 2: couple of blocks away. It's 1:22 Speaker 1: a rat hotel. 1:24 Speaker 2: So 1:25 Speaker 2: I don't know. That's going on. Hopefully. 1:29 Speaker 2: Valentine's Day. Golf cart. We 1:32 Speaker 2: have a special have grown up golf cart. I know that. 1:35 Speaker 1: Special guest today. 1:37 Speaker 1: He is Doctor. Tyler 1:40 Speaker 1: to you. He is Tyler to us because he's a buddy of ours. 1:43 Speaker 1: So if we call him Tyler, don't judge us because we know him well. 1:48 Speaker 1: But he runs Action TRT. 1:50 Speaker 1: He is in Costa Mesa, California. 1:53 Speaker 1: He's engulfed in everything that we love, testosterone 1:56 Speaker 1: replacement 1:57 Speaker 1: and all the above. So we're gonna dig into that more. I know everybody loves that subject and the questions just keep rolling in on that subject. 2:07 Speaker 1: I can't believe there's still men out there with testosterone under 300. 2:12 Speaker 1: So we will talk some of that stuff. Yeah, it's very, very, very common. So we wanna take you guys and shake you. And so anyways, Doctor. Tyler, welcome to the show. My brother. Great to be here. Really impressive, 2:22 Speaker 3: your 2:23 Speaker 3: room here, 2:24 Speaker 3: and I'm proud of you guys. It's 2:28 Speaker 1: an honor to be here. It's good to have you on the show, man. You've seen some of the growth and that's been cool. You've kind of seen from the inception to where it's at. You know, we call it God's hands for sure. He's kind of putting his hand on this thing, but it's because we talk about subjects that need to be talked about. It's just the truth. Men's health needs to be talked about. I mean, all the above. Finally. All the above. You know, we're going to talk about some testosterone. Don't want to dive headfirst in, but why don't we? 2:54 Speaker 3: Why, 2:55 Speaker 1: in your opinion, you know, in your expert opinion, what is the reason testosterone 3:00 Speaker 1: lows are so damn low right now? Like it's an epidemic 3:04 Speaker 1: going on. 3:05 Speaker 1: I have some firsthand experience, 3:07 Speaker 1: so does well, just working with so many people 3:10 Speaker 1: in fitness and getting blood work done. I was blown away. I mean, I'd had like young 30 year olds with 3:17 Speaker 1: super low testosterone. I was blown away about that. Why would you say that is? That's a 3:21 Speaker 3: good point because as we know, our grandfathers testosterone in 3:27 Speaker 3: their 50s, 60s, and 70s were still 3:30 Speaker 3: in 600s, 700s according to the literature. 3:34 Speaker 3: And I would say the 1 answer is environment. 3:39 Speaker 1: Is 3:41 Speaker 3: as 3:42 Speaker 3: much as they're supposed to improve our lives, 3:47 Speaker 3: they're not improving our health. 3:52 Speaker 3: Computers, 3:53 Speaker 3: I mean, just this plastic. 3:57 Speaker 3: You notice, you hear stories about farmers and old guys out on farms who don't have all the exposure to the stuff we have 4:06 Speaker 3: their levels. Their levels are still good. The stuff in our foods, 4:12 Speaker 3: plastics, 4:13 Speaker 3: pesticides, 4:14 Speaker 3: hormones in our food. I mean, I think that we can't blame it on 1 of those things. 4:19 Speaker 3: A multitude of things. And if someone that happens every time, why is my why is my testosterone so low? We can't say there's no lab test to say it's because you have your 4:31 Speaker 3: iPhone next to your balls or 4:33 Speaker 3: because 4:34 Speaker 3: of your pesticides and your food, but you can speculate that it's a multitude of these things. When 4:40 Speaker 1: somebody comes in 4:42 Speaker 1: seeking help that probably, you know, there's people that know about testosterone replacement. A lot of people have no clue about it. So you have a fresh guy coming in with a lot of questions and no knowledge. What 4:53 Speaker 1: is 4:54 Speaker 1: your kind of experience with that? 4:57 Speaker 1: What's led them to you and just like take the people 5:01 Speaker 1: that are listening that are like that, that are not on testosterone. 5:04 Speaker 1: Their 5:05 Speaker 1: ears are perked up, whether it be this show or whatever has led them to start thinking about testosterone replacement. 5:11 Speaker 1: Nude guys sitting in your, in your office over 40, 5:14 Speaker 3: a little overweight and he's tired. What do you, how do you run that? How do how do you handle that? Well, 1st of all, how did he get there? What made him think, Hey, something's off with me? Was it he saw Joe Rogan or he saw a new podcast or a family member said, Hey, I'm on TRT, man. It's changed my life. Or someone at work is like, 5:35 Speaker 3: you know, you seem a little sluggish these days. Are you okay? So 5:40 Speaker 3: how did they get there? Did they Google it? 5:42 Speaker 3: Low energy and low sex drive. Did someone tell them? So I asked them the 1st thing is like, hey, like, how'd you hear about me? And their answer is different every time. What are some answers? 5:54 Speaker 3: My 5:56 Speaker 3: brother is on testosterone and said it changed his life and his marriage. 6:04 Speaker 3: I keep seeing these videos on Instagram about people on TRT and how it's so beneficial and how it's changed. 6:14 Speaker 3: I'd say the majority of people now have at least heard of it or 6:19 Speaker 3: know something about it. And then you have your small percentage of people who I've been researching this for 2 years and I finally decided, 6:26 Speaker 3: okay, 6:27 Speaker 3: I need to do something about this or at least get my numbers checked. 6:31 Speaker 3: Yeah. So I'd say most people 6:36 Speaker 3: know a little bit about it. The majority know a little bit more, and then there's a subsection who've really done their research and 6:43 Speaker 3: are like, okay, I've heard enough about it. It's go time. Yeah. 6:48 Speaker 2: Now what's your So then somebody comes in, like, what's your pro in your clinic, what's your process that you take somebody through? From lab tests, blah, blah, What are you looking for? So they 6:58 Speaker 3: schedule a call with someone. 7:00 Speaker 3: I have a men's health specialist. His name is David. He's fantastic. He's like the epitome of health. They have a call saying, and David's, What made you schedule this call? Oh, I'm feeling low energy. 7:11 Speaker 3: My sex drive is slow and my wife says I'm moody. 7:15 Speaker 3: Or whatever. We find out what's going on with them. The 1st thing we have to do is 7:20 Speaker 3: laps. 7:22 Speaker 3: And we're not talking, you know, I won't talk about the clinics that don't do this, but we're not. We 7:28 Speaker 1: have 7:31 Speaker 3: nothing else. Nobody got you was canceled back in because I called 7:35 Speaker 3: a certain clinic 7:38 Speaker 3: GD- GD 7:40 Speaker 3: game death health. 7:43 Speaker 3: You can take But that 7:45 Speaker 3: yeah, we're not checking just testosterone. 7:48 Speaker 3: We check total free bioavailable 7:51 Speaker 3: to you. 7:53 Speaker 3: Sex hormone binding globulin, 7:54 Speaker 3: albumin. 7:56 Speaker 3: We do check estrogen, but we'll get into that later. That's a whole nother thing. They were checking A1C, 8:00 Speaker 3: a complete metabolic panel, PSA to check and see where the prostate is now, 8:06 Speaker 3: all the thyroid stuff, everything you can imagine 8:10 Speaker 3: to see, okay, 8:11 Speaker 3: what else do we have going on that could be causing your symptoms? Because 8:15 Speaker 3: it's not just, 8:17 Speaker 3: I mean, everything works in harmony. You can't just treat testosterone and neglect like 8:23 Speaker 3: your thyroid 8:24 Speaker 1: or vice versa? Well, that's kind of the problem that we've run into. We talk about it often on here is if you go to like a typical MD, 8:32 Speaker 1: they will run just testosterone. Like, what's your free testosterone? Well, I don't see that. Or estrogen or all that stuff. Like you just said, 8:40 Speaker 1: see that every day. Yeah. And it's like such a problem because it's like, you, it's like you took a picture and you're trying to explain the picture and all you see is the corner. 8:48 Speaker 3: You know what mean? Then you're trying to like, like explain the picture and you don't see any of it. You know what I mean? We have guys who call in and they say, Hey, I'd like to schedule an appointment. I already have my labs done. 8:58 Speaker 3: My 9:00 Speaker 3: wife, Laura, who runs the place says, Well, what labs do you have? Well, says here testosterone, 9:06 Speaker 3: hemoglobin and PSA. And 9:09 Speaker 3: she'll say, well, unfortunately we can't see you yet. We have a lot more to check. And, you know, they'll kind of get a little attitude about it. And 9:17 Speaker 3: usually they call back and say, okay, 9:20 Speaker 3: let's 9:21 Speaker 3: just do the labs. But it is, you don't want, 9:24 Speaker 3: I mean, 9:26 Speaker 2: that's like, 9:28 Speaker 1: want to do it doesn't even like, you want to see that. You what mean? Like you need to see that. What is the difference between free testosterone and bioavailable testosterone? So free, 9:38 Speaker 3: let's put it like this. Free is almost like gross income versus net income. 9:43 Speaker 3: It's like, how much of your total do you have available 9:48 Speaker 3: to be used in your body? How much is 9:51 Speaker 2: free? How much is your pocket? We have 3 things that we're looking at. We have total. 9:56 Speaker 3: So we have 3 and bioavailable. Because what happens if your total is over here, 10:01 Speaker 3: but your free is over here. The take home story is the higher you're free, 10:07 Speaker 3: the more of the total you get to use. 10:10 Speaker 3: So you, if you have a total of 1,000 10:13 Speaker 3: and a free of 50, 10:16 Speaker 3: you don't get to use Jack of that. I mean, you're like, that puts you down to like 400. 10:22 Speaker 3: What happens if you have a total of 300 and a free of 40? 10:27 Speaker 3: That's really puts you at about 175. 10:30 Speaker 3: What happens if you're at 1000 and 10:33 Speaker 3: your free T is 200 or above? Boom. 10:38 Speaker 3: This is our sweet this or more. We can go way over here and still be in this scenario. This fella 10:44 Speaker 3: is able to use the majority of this 1,000 and feel like a savage, 10:51 Speaker 3: then the bioavailable, 10:52 Speaker 3: boom. So bioavailable shows us 10:55 Speaker 3: how much do you have available that is not bound up in your liver 11:00 Speaker 3: and other receptors of the body. 11:03 Speaker 3: So 11:04 Speaker 3: usually these 2 go hand in hand. If this one's low, this one's most likely going to be low too. Or if this one's low assuredly, 11:12 Speaker 3: these are going to be low for sure. Because we, you know, I'll see someone here, but then they're over here with the free and they're bioavailable. Yeah. 11:19 Speaker 1: What 11:20 Speaker 1: would affect, cause you, you see sometimes somebody has 1000, 11:25 Speaker 1: right? And that's, that's a fairly good total test, you know? And then you have somebody that has like a 6, 11:31 Speaker 1: what would be like, why would that be such a drastic difference? Because that is extremely low on the free test. 11:39 Speaker 3: Why would it be such a dramatic? What you want? Cause we had that question recently, which is So it could, yes. So that's this exact thing right here. So the lower your free T and low your bioavailable, 11:51 Speaker 3: the more we know that your testosterone is being bound up 11:56 Speaker 3: more specifically in the liver. So what do we do if we're gonna, there's ways to free up your free T. If this is already high, which is, this is not the typical. This is not typical 1000 and then you're here. Usually a typical is you're here and it just goes like this. It's a downward spiral. 12:14 Speaker 3: But if you're going to, if we're going to increase your testosterone inevitably, 12:17 Speaker 3: especially if we use other things like HCG, we're going to be increasing the free with it. 12:22 Speaker 3: But if we have this scenario, we know inevitably that you have too much testosterone bound up in the liver 12:29 Speaker 3: receptors and we need to free that up. There are ways to free that up. How do do that? Well, it could be just HCG. 12:36 Speaker 1: Could be things like boron supplements like that. So let's talk about that for 1 2nd because this is super interesting. So you generally speaking, HCG 12:45 Speaker 1: for people that are not you that know all about this would be taken for guys that want to stay fertile, that don't want their 12:53 Speaker 1: testicles to shrink. 12:55 Speaker 1: So would you say for most men on TRT that you're going to recommend HCG no matter what? 13:01 Speaker 1: I- 13:03 Speaker 3: For that reason. Don't even start recommending like I say your treatment is going to look like this. 13:10 Speaker 3: Testosterone, 13:11 Speaker 3: 2, the special sauce. I could call it whatever they want because my counterparts in Southern California 13:17 Speaker 3: are not giving this. They're just giving testosterone. 13:20 Speaker 3: They're sending them out of the office by, and then they end up coming in all messed up. But HCG is like the special sauce. 1, what does it do? 13:27 Speaker 3: It keeps your testes working. We just say balls. We just say balls. We don't need- That's right. Testicles, we don't need to be on- Keeps your balls work working. If your balls aren't working, it turns them on, 13:39 Speaker 3: Keeps them revved up, which 3 increases 13:43 Speaker 3: or helps to increase your natural T. So when I say we're giving you testosterone, you're getting 13:49 Speaker 3: exogenous, 13:50 Speaker 3: but you're getting the real thing too. You know, you know that saying there's nothing like the real thing. That's 13:56 Speaker 1: right. I love it. You're getting both. That's right. 4 prevents 13:59 Speaker 3: your nuts from shrinking. 14:02 Speaker 3: 5 keeps you fertile. And 6, 14:05 Speaker 3: we don't know what causes this. It tends to give you this sense of like the mental well-being. 14:11 Speaker 3: We're not sure if it has to do with the increase in the estrogen, a little spike in estrogen, 14:16 Speaker 3: but guys who are on this, 14:18 Speaker 3: they just seem to feel a little bit better than the guys are just on testosterone. Yeah. 14:23 Speaker 3: Do 14:36 Speaker 3: another, 14:37 Speaker 3: this is it. But then when they say, 14:39 Speaker 3: oh, the HCG is too expensive. I'm like, look, we have balls for a reason. Yeah. 14:45 Speaker 3: What we're gonna 14:48 Speaker 3: to me, rationally, logically, it doesn't make sense to shut down a whole system of our body, 14:55 Speaker 3: even if you don't want to be fertile. Okay. I've already snipped. It doesn't matter. 14:58 Speaker 3: I don't care. Okay. So we just took out 1 reason. So we're not worried about your fertility. We still want your balls to be on. We still want to rev them up. We still want to naturally increase your testosterone. What happens if you have 15:10 Speaker 3: to or want to come off of this later? 15:12 Speaker 3: You don't have to wait a year or 2 years to rev your nuts back up. They're already on. 15:18 Speaker 2: That's right. Makes sense. Do you mind sharing with us- Dosages? Your dosage, starting dosage for HCG- You 15:25 Speaker 2: can say no, if 15:27 Speaker 2: you don't want to give away this- Oh, no, 15:30 Speaker 3: generally, 15:31 Speaker 3: and this is, I'm not anyone's doctor here because 15:35 Speaker 3: this is what happens. 15:37 Speaker 3: Guys call in and they'll say, well, what dosages are you giving? And basically I'm like, I just 15:43 Speaker 3: gave them. Yeah. 15:46 Speaker 3: I like to say they've got to put some kind of skin in the game for me to tell you how I'm going to do this. But generally speaking, 15:53 Speaker 3: if we're looking for just to 15:56 Speaker 3: keep your testes working, we're looking at 500 IUs Monday 16:01 Speaker 3: and Friday. 16:02 Speaker 3: That's enough to keep them on to increase your natural. Now, 16:06 Speaker 3: if you're actively trying to reproduce, 16:09 Speaker 3: boom, we need to increase that big time. So 1000 IUs Monday, 16:14 Speaker 3: Wednesday, and Friday. And this is generally for the younger guy, 16:19 Speaker 3: who's been turned away by their fertility specialist saying, sorry, 16:23 Speaker 3: IVF, they're trying to sell IVF. I mean, I've had 16:27 Speaker 3: handfuls of guys saying, 16:29 Speaker 3: I can't get, we can't get pregnant. And 16:32 Speaker 3: 6 months later, they're like calling me crying. Oh my God, my wife's pregnant. I'm like, 16:38 Speaker 3: helped you do that. We're 16:41 Speaker 1: not doctors, 16:43 Speaker 3: but there's 16:44 Speaker 1: doctors that literally 16:46 Speaker 3: don't know that you can stay at testosterone and get the proof is in the pudding, man. Works. And I, by the way, it worked for me too. I'm 48. I have 16:57 Speaker 3: a 3 year old 16:59 Speaker 3: that 17:01 Speaker 1: wasn't supposed to happen. Yeah. Like, 17:04 Speaker 3: yeah, she's great. But like I had a guy tell me, you know, you don't make enough 17:09 Speaker 3: swimmers to get your wife pregnant. I'm like, oh man, okay, what do we do? 17:16 Speaker 2: I did exactly this. And then boom, yeah, The doctor told you that? What do about, what do you think about adding 17:22 Speaker 2: Enclomiphene 17:23 Speaker 2: in that 17:24 Speaker 3: thoughts? So this is going to be, this is going to be controversial and there's going to probably be, 17:29 Speaker 3: there's an entire industry revolved around Enclomiphene. 17:32 Speaker 3: When 17:33 Speaker 3: I started this practice 3 years ago, 17:36 Speaker 3: everyone did not get HCG. 17:38 Speaker 3: They got T and Enclomiphene. 17:41 Speaker 3: 1, 17:42 Speaker 3: because it's a pill. It's easier, right? And 2, it's more affordable. 17:46 Speaker 3: But here's the deal. 17:48 Speaker 3: Since then, I have taken 17:52 Speaker 3: probably 90 percent of my patients off of this because 17:57 Speaker 3: of the side effects. 17:59 Speaker 3: And because it wasn't 18:02 Speaker 3: initially 18:04 Speaker 3: created or found out that it works. It wasn't meant to be used long term. 18:10 Speaker 3: So some of the side effects, and this is, I've taken this myself, 18:16 Speaker 3: severe headaches, mood swings, 18:18 Speaker 3: even had a guy, 18:20 Speaker 3: ideation call me up at 12PM 18:23 Speaker 3: 1 night. And 18:24 Speaker 3: this happened as well. 18:27 Speaker 3: 20, I have over 1000 patients, about 20 times 18:31 Speaker 3: I've repeated their labs and their testosterone was in the tank. 18:36 Speaker 3: And I was like, 18:38 Speaker 3: this is impossible. I 18:40 Speaker 3: call the pharmacist at the compounding pharmacy. I'm like, have you seen this? He said, Oh yeah, in a small subsection, 18:47 Speaker 3: it'll do the exact opposite. And I'm like, 18:51 Speaker 1: The Enclomiphene 18:52 Speaker 1: will bring the testosterone down. 18:54 Speaker 3: We took them off of this 3 18:56 Speaker 3: months later, 18:58 Speaker 3: HCG they're back, you know, they're back where they should. And that was, it was a really hard thing for me to have to take 19:04 Speaker 3: 400 patients off of Enclomiphene. And 19:07 Speaker 3: you have all the social 19:09 Speaker 3: media companies, Maximus, 19:12 Speaker 3: they're basically calling Enclomiphene 19:15 Speaker 3: oral testosterone. 19:17 Speaker 1: And it's not, it's well, they're trying to tap into the dudes that have no idea about testosterone. So they're the dudes in the stands yelling at us going, you guys aren't cheaters and all this stupid stuff. 19:29 Speaker 1: They're just uneducated. 19:30 Speaker 1: And they, so there would be like, 19:33 Speaker 1: I don't want to take testosterone. 19:35 Speaker 3: So 19:36 Speaker 1: enclomiphene 19:37 Speaker 3: would be something that many people would suggest. Now let's talk about that. Let me 1 more thing. What 19:44 Speaker 3: I have found is that enclomiphene does not work for 100 percent of men. We're talking, when I'm thinking about 1000 patients, I'm like, wait a minute, I'd 19:53 Speaker 3: say it's about 60 percent. But it doesn't? It does. It just doesn't work. You 19:59 Speaker 3: just, we don't know how, essentially 20:02 Speaker 3: we're increasing your FSH and LH and the pituitary, 20:05 Speaker 3: sending a signal to our balls to 1, 20:08 Speaker 3: naturally increase test and naturally increase sperm. We don't know how the pituitary is gonna react. 20:14 Speaker 3: You could get a your pituitary could be dormant and you give it this and these guys get great results. I mean, I've had got great results. And then 20:23 Speaker 3: 6 months pass, 20:25 Speaker 0: 12 months pass, 20:26 Speaker 0: doc, I don't feel anything. We check it and it's their level. 20:31 Speaker 0: Ultra running shoes are all about space. 20:34 Speaker 0: The space to go further, 20:35 Speaker 0: to feel better, to do something you never thought possible, and this space starts with Ultra Fit. Unlike traditional running shoes, Ultra Fit gives toes more room to move naturally, 20:47 Speaker 0: so every step is strong, balanced, 20:49 Speaker 0: and comfortable. Whatever you're lacing up for, stay out there with Ultra. 20:54 Speaker 0: Shop now at ultrarunning.com. 20:56 Speaker 0: That's altrarunning.com. 21:00 Speaker 3: Have gone down to 400. Woah. So On the things that you're seeing, I don't even present in clomiphene anymore just because of the side effects 21:08 Speaker 3: and my personal 21:11 Speaker 3: observation. 21:12 Speaker 2: Mhmm. It works in some some people, because I will say, like, I know 21:17 Speaker 2: 2 people personally who, like, had never touched tests. They went to doc, test was low, they ran some Enclomiphene and their tests went up by about a, by a couple 100 points. Yeah. No, but again, we always talk about this every step when we're talking like, everybody's different. Sorry. Everyone's Everyone. So drugs I've had guys go up 600 21:35 Speaker 3: points. And I'm like Yeah. 21:37 Speaker 3: That's great. He's like, but I still don't feel So 21:40 Speaker 3: what happens? 21:41 Speaker 3: These guys that have only started out on just Enclomiphene at the beginning, 21:46 Speaker 3: 100% 21:47 Speaker 3: of them 21:48 Speaker 3: have called me up 6 months later and said, okay, I'm ready. 21:53 Speaker 3: I'm like ready for what? I'm ready to start the test. 21:56 Speaker 3: Congratulations. 21:57 Speaker 3: And then I'm talking a month later, they're texting and calling. 3 weeks later, thank you. I feel like a new man. I should've just heard, listened to you from the but get 22:06 Speaker 3: I don't know everything. 22:07 Speaker 2: Just an observation. 22:08 Speaker 2: Hey, how many what percentage of people would you say start testosterone, regular testosterone, and then maybe a month, 2 months be like, you know what? I don't like how I feel. Right? And I know that's probably there's probably some people, 22:20 Speaker 2: but it just want to kind of show tell the audience like, Oh, how many people started and started. Then they're like, I don't like this feeling. I don't like how that, what this is doing to me. I think I heard of a guy like a couple of years ago on a guy somewhere. 22:36 Speaker 1: You know what I mean? Let me answer that. It's the guys that don't take it properly, meaning like they don't take it in their proper doses, milligrams per week that's prescribed. They forget to take it. So there's like, you know mean? This is the God's honest 22:51 Speaker 3: answer. 22:52 Speaker 3: I have had 0 people say they don't like it. I have had a handful say, 22:59 Speaker 3: after I check-in with everyone at 60 days, we do 60 to 90 days, we do repeat labs. I 23:06 Speaker 3: haven't really noticed anything yet. 23:10 Speaker 3: I have noticed that. Haven't anyone saying, nah, 23:13 Speaker 3: this isn't real. Everyone has said, 23:15 Speaker 3: and I tell them, it's not if this works, 23:20 Speaker 3: it's when it works. Do that, man. Yeah. So, no, I've had 6 23:26 Speaker 3: months later someone say, You know, 23:28 Speaker 3: I broke out in a few, 23:30 Speaker 3: had some bad acne and I don't want to go back to when I was in high school, I got made fun of, then stop. 23:36 Speaker 3: But I've never had someone say, I don't like the way it makes me feel. 0. Yeah. 23:42 Speaker 1: Fair. Good. So you have, 23:45 Speaker 1: I know that we've talked a little bit about some AIs and that's a little bit different. I think that is 23:51 Speaker 1: going to be different for some doctors. So before I dig into this, let me tell you a little bit about my experience 23:56 Speaker 1: from the fitness side. 23:58 Speaker 1: Like the same doctors that are, they go get blood work, they run testosterone, 24:03 Speaker 1: total tests. They had that, there's nothing else. And they put them on 200 mg of testosterone, 24:08 Speaker 1: Symphony and Arimidex, 24:10 Speaker 1: right? Whatever it be, be a mega week or whatever. And they, that's what they prescribed them off the gates. And they don't run any other tests. That is what a MD 24:19 Speaker 1: plural, 24:21 Speaker 1: was running across in a high, a pretty high percentage of guys that I 60 24:26 Speaker 1: percent were on TRT, the other 40 percent, I would have them go get their blood work. And so we would, I'm not a doctor, but I would give them some guidance on things that I've worked And that would, I would be blown away by doctors that would just do that out the gate. Like, it's not 1 shoe fits every size. It's just crazy. It's not cookie cutter. Yes. At all. You, I know, have some different opinions on AIs 24:46 Speaker 1: than 24:47 Speaker 1: most. So let's talk a little bit about that. Is there a time when you would recommend it at all? Or give us somebody asked me yesterday, what does AI mean? So could you tell the It's artificial intelligence. Yeah. 24:59 Speaker 2: Or artificial insemination. 25:00 Speaker 3: Chatching teeth. Which never thought about that. So 1st off, before we start talking about AIs and estrogen in men, I wanna there's this quote, 25:10 Speaker 3: because this is gonna stir up a lot of stuff in guys because they read on a bodybuilding forum or their friend told them at the gym or Reddit told them or they Googled on AI estrogen in men. 25:25 Speaker 3: It's far better to walk alone than with a crowd that's going in the wrong direction. 25:31 Speaker 3: So you 25:33 Speaker 3: have that, you know why those people do that? 25:36 Speaker 3: To me, 25:37 Speaker 3: it seems like that's how they were taught. You mean the MDs? 25:42 Speaker 3: You go to 25:44 Speaker 3: American Academy, all these different conferences. Every 25:49 Speaker 3: clinic that I've had a patient leave 25:52 Speaker 3: and come to me, which is we're talking in the hundreds now, that's 25:56 Speaker 3: their cookie cutter approach. 25:59 Speaker 3: I don't know how they got that number or why they're giving them 0.5 CC twice a week with 0.5 mg of anastrozole, 26:08 Speaker 3: which is an AI, an estrogen blocker twice a week. But that's what they were taught. 26:13 Speaker 3: That's the way their doctor taught them. And what do we call that? It's, 26:18 Speaker 3: there's this idea. 26:20 Speaker 3: The 1st thing you heard is the 1 thing that's engraved 26:24 Speaker 3: in your brain and that's called 26:26 Speaker 3: confirmation bias. Okay. Sure. Makes sense. You heard that and then you heard, saw or heard it again. So that must be the truth. Yeah. 26:34 Speaker 3: Yeah. 26:35 Speaker 3: But I 26:36 Speaker 3: thought the same thing. My doctor 16 years ago when I started TRT, 26:41 Speaker 3: I don't even think it was called TRT. He was just like, your testosterone's 26:45 Speaker 3: 300. And I'm like, 26:47 Speaker 3: wait, I'm not invincible? 26:49 Speaker 3: So he's saying, you have to You take 26:51 Speaker 3: have to take this to block your estrogen. I'm like, sweet. So for 10 years, I took an estrogen blocker and 26:59 Speaker 3: physically 27:00 Speaker 3: I looked good, 27:02 Speaker 3: but here we go for talking like there's no filters here. Like libido was in the gutter. 27:09 Speaker 3: Boners were not like my normal, like, okay. 27:12 Speaker 3: Something was off. And 27:14 Speaker 3: I literally took this 3 times a week for years 27:18 Speaker 3: and I'm like, something's wrong. 27:20 Speaker 1: Well, you hear that commonly, 27:23 Speaker 1: libido will actually be not, 27:26 Speaker 1: they'll actually go down on testosterone. 27:29 Speaker 1: So let's talk about that. So you're saying that a lot of it could be the AI? 27:34 Speaker 3: Okay. 27:36 Speaker 3: So let's talk about 27:38 Speaker 3: 50 27:39 Speaker 3: of your libido and sexual function 27:42 Speaker 3: is due to estrogen. A 27:45 Speaker 3: lot of guys think, 27:47 Speaker 3: oh, it's all testosterone. The more testosterone, the better though. 27:51 Speaker 3: If I have estrogen, that's going to turn me into a girl and I'm going to, you know, no, 27:56 Speaker 3: no, physiologically 27:57 Speaker 3: 50% 27:58 Speaker 3: of your sexual function, 28:00 Speaker 3: meaning your libido, erection quality is due to estrogen. But if you tell that to a man who's heard something else, they're gonna be like, this 28:09 Speaker 3: guy's a quack. He has no idea what he's talking about. But go back to what you were saying. When I, 28:16 Speaker 3: when things weren't working with me, I was like, oh my God, 28:20 Speaker 3: I've 28:21 Speaker 3: got to, I have to, I'm stopping this. And it took 3 months. And 28:25 Speaker 3: then suddenly I'm waking up 28:29 Speaker 3: pitching a tent. You got 3 months off of the AI? Yes. Yes. 28:34 Speaker 3: And then when I started the practice, I thought, you know what, let's 28:39 Speaker 3: not, let's give them some, but let's only give them a little bit. So let's 28:44 Speaker 3: basically, 28:46 Speaker 3: let's not fully screw them up. Let's only screw them up a little bit now looking back on it. Yeah. 28:51 Speaker 1: Your intentions were good because that's what you knew. That's what now is more experience. 28:57 Speaker 3: But then you start to look in like, okay, what are the guys, 29:01 Speaker 3: the experts know about this? So 29:04 Speaker 3: this is a funny 29:06 Speaker 3: story. And when I used to start these guys, I give them an Astros all now and I literally on the instructions say, 29:14 Speaker 3: do not take on 29:16 Speaker 3: the instructions 29:18 Speaker 3: because they want, I want to feel like they have it in case they- They feel better. 29:24 Speaker 1: Because that's what they know. So like 29:26 Speaker 3: 80 percent of my patients are now not taking any AIs and it's, I've lost patients. 29:32 Speaker 3: Really? They've left because they're like, no, I 29:35 Speaker 3: went to this other doctor and he said, I always need to be on this. So this is a funny story. I get these calls and texts from my patients. 29:44 Speaker 3: Tyler, 29:45 Speaker 3: doc, 29:46 Speaker 3: I need to talk to you. 29:47 Speaker 3: When can we schedule a call? 29:50 Speaker 3: And instantly I know exactly what they're gonna ask 29:54 Speaker 3: or what they're gonna tell me. And I'll get on the phone and it's like, okay, so you can't get it up and your libido is down. Yeah, my wife thinks I'm cheating on her. And I'm like, okay, are you ready to stop taking this pill? 30:07 Speaker 3: I'm willing to do anything. Do I need Cialis? Well, we can do that. I want you to stop taking this pill 1st. I'm 30:15 Speaker 3: gonna report 30:16 Speaker 3: back in a month. And 30:18 Speaker 3: they're like, okay, we're good, man. I'm waking up with boners. 30:22 Speaker 3: Everything's working good again. And I'm like, 30:24 Speaker 3: okay. 30:27 Speaker 3: It just kept happening. 30:29 Speaker 3: And that is because they are taking too much and they are crashing their estrogen. 30:33 Speaker 3: Crashing their estrogen. But we also need to discuss that when we're not talking about the normal person who's not, we're talking about guys who are taking Optimize. 30:43 Speaker 3: Optimizing their testosterone. That 30:46 Speaker 3: conversion to estrogen 30:50 Speaker 3: is good. 30:52 Speaker 3: It's good. 30:54 Speaker 3: Having higher estrogen 30:55 Speaker 3: from the conversion of testosterone is good. Not having high estrogen when you're obese, 31:01 Speaker 1: having metabolic syndrome, insulin sensitivity, and high blood pressure. So when does it come too high? I love this. This is great. So when does that become too high? So we want estrogen because estrogen is going help with erections. 31:12 Speaker 1: Love estrogen 31:13 Speaker 2: converted from testosterone. Not- We're 31:15 Speaker 1: talking specifically 31:17 Speaker 3: about men 31:18 Speaker 3: who 31:19 Speaker 3: are on testosterone 31:21 Speaker 3: therapy. 31:22 Speaker 1: So what about the, yeah, so if you start taking too much testosterone where it goes into a steroid cycle that- 31:29 Speaker 3: We're not talking about those. 31:30 Speaker 1: I'm just saying like, would it, when was that, would that estrogen be too much to where you would need you, you personally think that you would need to bring it down on a TRT level? Wouldn't worry about it. Wouldn't 31:40 Speaker 3: go to the degree where like a 90 year clamshell. My estrogen is 150. 31:44 Speaker 1: And he told me, I was telling him, 31:46 Speaker 3: when I saw that, I was almost embarrassed and I was like, oh my, 31:51 Speaker 3: day when I was like, wait, you told me your numbers. And I was like, I wouldn't have known- couldn't believe it, dude. But I'm like, okay, wait a minute. 31:57 Speaker 3: This is the best I've ever felt. Like 32:00 Speaker 3: I pop up at a bed and I'm 32:03 Speaker 3: the 1st 1 up, I'm the last 1 to go to sleep, wake up with boners every day. I more sex with 32:09 Speaker 3: my wife than ever. Like everything's 32:12 Speaker 3: working. Am, by the way, 32:15 Speaker 3: this is a confirmation bias too. 32:18 Speaker 3: Are told and are misled that the higher the estrogen, 32:23 Speaker 3: the higher the 32:25 Speaker 3: body fat, 32:26 Speaker 3: which is 32:27 Speaker 2: completely 32:30 Speaker 3: the wrong thing. 32:32 Speaker 3: I mean The higher the estrogen, 32:34 Speaker 3: the more your metabolic system is going to be on fire and you're going to actually drop body fat. I'm going to have people, we're going have people comment on that, but I will dare them. We're used to. We're fine. It's fine. Okay, cool. It is. Yeah. Yeah. Mean, neither is this. But I feel like the inverse, like, so 32:50 Speaker 2: somebody who is obese in general 32:53 Speaker 2: has higher estrogen. It's the fat that causes the estrogen, not the estrogen that causes the fat. Correct. Okay. Yeah. Yeah. So people are not optimized though. Like if they're overweight and they're not completely different conversations. 33:04 Speaker 3: I'm saying so like, we're not, like, you're 33:06 Speaker 3: Completely different conversation. 33:08 Speaker 3: Is, there is our studies showing that men who are obese 33:11 Speaker 3: with metabolic syndrome, insulin sensitivity, 33:14 Speaker 3: and estrogen elevated that have had a higher risk of heart attacks. And you know what they blamed it on? It's gotta be the estrogen. 33:22 Speaker 3: But there are in 50 years, if you've, there's an expert, Doctor. Neil Rouge, 50 years 33:29 Speaker 3: of clinical evidence and medical research, 33:32 Speaker 3: there is no studies that correlate 33:34 Speaker 3: testosterone 33:36 Speaker 3: that converts into estrogen causing 33:39 Speaker 3: heart disease, 33:40 Speaker 3: cancer, or anything else. Actually, 33:44 Speaker 3: it lowers your morbidity and mortality 33:46 Speaker 3: up to 30 to 40 percent. I don't know. So it is a lot of the positive effects of testosterone are actually from the conversion to estrogen. Okay. That's awesome. Well, 33:58 Speaker 1: with that being said, you work with so many people and me, Will and I talk about it to the degree where like, 34:03 Speaker 1: we're a science project. It is not 1 size fits all. You have to find your sweet spots. There's levels like you told me your levels. I was like, woah, 34:10 Speaker 1: because that to me, 34:12 Speaker 1: just in this realm, that was high. But if you feel great, who gives a shit? 34:17 Speaker 1: Who cares? 34:18 Speaker 2: You're not having these symptoms. I don't see much of acne. You look lean. 34:23 Speaker 1: Let's 34:24 Speaker 1: talk about numbers to the degree where we can be vague of like, is there somewhat 34:30 Speaker 1: of a typical person, like a sweet spot, so to speak. Because before this conversation, I think I'm 34:36 Speaker 1: changing a little bit already, but like I would have said like 1000 34:41 Speaker 1: total tests give or take 50 free tests. 34:45 Speaker 1: That is generally, but you're saying you can do much liar. I'm going love it because I'm curious. This is a number. Doesn't matter. Number doesn't matter. How do you feel? 34:54 Speaker 3: That's it. How do you feel? How do you perform? 34:57 Speaker 3: If we get your, your numbers back and it's 1000 and your, estrogen, the, the, use a quest, so it's a 0 to 39 and you're at 60. The 1st question I ask is how are you feeling? 35:10 Speaker 3: Feel great. I feel great. Hey, but I noticed my estrogen was in the red. I'm like disregard 35:15 Speaker 3: that. Remember 35:18 Speaker 3: the higher your testosterone, the higher we want your estrogen. Yeah. You know, my workouts are great. My energy is good. My focus, I'm sleeping better. My sex life. Okay. 35:27 Speaker 3: So the answer is we're not chasing the number. 35:31 Speaker 3: Cause if you read the literature or some of the Reddit, you want a 20% 35:36 Speaker 3: ratio, a 20 to 1. And I'm like, 35:39 Speaker 3: if we're going to be chasing this 20 to 1 ratio, we're going be checking your blood like every 35:44 Speaker 3: week. Like, that's just not realistic. 35:47 Speaker 3: How are we ever going to get to a 20 to 1 ratio? 35:52 Speaker 3: Someone made that 35:54 Speaker 3: conversion up somewhere and that's what So if you read that on Reddit 6 times, you're gonna think, oh, this Yeah, I need it to be within normal range. 36:03 Speaker 2: Interesting. I agree. I agree with you. I think the last couple podcasts I've said, you know, I just did blood tests. 36:09 Speaker 3: I just would go how you feel. Yeah. Even if like same thing with testosterone though. 36:15 Speaker 3: Someone's 800, 36:17 Speaker 3: they may not feel good. 36:19 Speaker 3: And you bump up their dose just a little bit, 5 units or 20 36:23 Speaker 3: mg a week, and they get to 1100 and suddenly they feel unstoppable. 36:28 Speaker 3: Someone 36:29 Speaker 3: who's at 800, 36:31 Speaker 3: who started at 200, he may feel amazing now. 36:34 Speaker 3: If I was at 800, I wouldn't feel that great. My sweet spot's usually like 1,200, 36:39 Speaker 3: maybe even a little bit more. 36:41 Speaker 2: So tell us about methods 36:44 Speaker 2: of administration. 36:45 Speaker 2: What do you guys do at your practice? Is it all injectable? Do you guys do do pellet? I know there's all types of different things. What do you think about, 36:52 Speaker 2: sub Q? 36:53 Speaker 2: These are basic questions that everybody's got. So yeah, 36:59 Speaker 3: the standard of care 37:01 Speaker 3: used to be, I mean, you even talk about these specialists, 37:04 Speaker 3: these urologists, 37:06 Speaker 3: standard of care used to be 1 injection every 2 weeks. Then 37:11 Speaker 3: it changed to 1 a week. 37:14 Speaker 3: When I have people come to the practice all the time and they're like, yeah, my doctor has me on 1 shot a week and like, I feel good. Then something's, 37:21 Speaker 3: I'm like, that's 37:23 Speaker 3: not the standard of care. Minimum 37:26 Speaker 3: 2 times a week now. So we do Monday and Friday. And guys who are injection 37:31 Speaker 3: naive, meaning they've never injected before. We start with SubQ. Okay. 37:38 Speaker 3: If you were to ask a bodybuilder- Test 37:40 Speaker 3: it. Intermediate acting 37:44 Speaker 3: seems to be the best. I think it's the best. We're not, I'm not 37:48 Speaker 3: treating many bodybuilders 37:49 Speaker 3: or physique competitors, so we're not worried about a whole lot of different esters or long 37:54 Speaker 3: acting versus short acting and 37:56 Speaker 3: seems to be the best universally 37:58 Speaker 3: accepted too. Yeah. 38:01 Speaker 3: What's going on? So subQ, you started with subQ. SubQ. 38:04 Speaker 3: Now, 38:05 Speaker 3: subQ, 38:07 Speaker 3: again, you ask your bodybuilder friend, they'll say, No, it's 38:11 Speaker 3: more effective as it's rating your ass cheek rate in the muscle. Okay. But the literature shows that 38:18 Speaker 3: SubQ 38:19 Speaker 3: stays in the system longer, 38:22 Speaker 3: I'm gets or intramuscular 38:24 Speaker 3: gets in the system faster. So 38:27 Speaker 3: for rookies, 38:29 Speaker 3: we want you to be able to see what you're doing. So we just go SubQ. 38:32 Speaker 3: If they're ready to graduate and say, hey, you know, I'd 38:36 Speaker 3: rather do it in my butt cheek or my lateral thigh. Great. Some guys like to do it in their delts. At 38:43 Speaker 3: the end of the day, I honestly think at the end of the day, each his own. To each his own and the 38:50 Speaker 3: actual number or feeling, it's 38:54 Speaker 3: not any different. It's going in your system month 38:58 Speaker 3: after month, 38:59 Speaker 3: whether you do it. So I've done it sub Q and I didn't notice a difference. I prefer my lateral thigh. So 39:06 Speaker 1: to start out all sub Q. Yeah. Cool. And twice a week, do you ever usually twice a week? Usually There are some guys- The general starting dose of like the typical that you put or is it very 39:17 Speaker 1: literally- 39:18 Speaker 3: All of it depends on what their total and free is. So someone comes in and they're at $2.50, we're obviously going to start then. Yes, very common. 39:27 Speaker 3: On a little bit higher than someone who's at 400. 39:30 Speaker 3: And I have some guys that are coming at 50 and I'm like, 39:34 Speaker 3: I'm actually nervous for you. 39:37 Speaker 3: Seriously. This is making me anxious. Like, 39:39 Speaker 3: and I tell David, I'm like, tell this guy, 39:42 Speaker 3: Joe Smith to come in right now. Yeah. Poor guy. Yeah. I'm like, this is not okay. Does he know what stat means? 39:50 Speaker 2: So, 39:51 Speaker 1: okay. Great. 39:52 Speaker 3: Awesome. 39:54 Speaker 2: I agree. Like that matters. But 39:56 Speaker 3: it matters. 39:58 Speaker 2: Think that daily and I think, well, daily is a pain in the ass. Like, I mean, 40:04 Speaker 2: Pun intended. I think that it's probably the most effective. I don't keep you real even, 40:08 Speaker 2: but it just sucks. 40:09 Speaker 3: There's some others at clinic 40:12 Speaker 3: that does do the micro dosing daily. And yes, I would say it does mimic the body's natural 40:19 Speaker 3: testosterone 40:20 Speaker 3: release. But 40:22 Speaker 3: I mean, I personally, 40:23 Speaker 3: I don't What is realistic? 40:26 Speaker 3: Especially for a guy who is naive to this. What can you do? Who's never done this? For someone who's been injecting for 10 years, if you want to do it every day, 40:35 Speaker 3: great. 40:36 Speaker 3: If you want to do it Monday, Wednesday, Friday, 40:39 Speaker 3: that's good too. But 40:40 Speaker 3: for the guy who's never done it before, which is the typical move. 40:44 Speaker 3: Let's start with Monday and Friday. If we need to adjust later on, we can adjust, modify, 40:49 Speaker 3: whatever, 40:50 Speaker 3: and increase. 40:52 Speaker 3: Do you pellets? How about pellets? No. You do pellets? When I 1st started, we did pellets. 40:59 Speaker 3: I had 41:01 Speaker 0: Ultra running shoes are all about space. 41:04 Speaker 0: The space to go further, 41:05 Speaker 0: to feel better, to do something you never thought possible. 41:09 Speaker 0: And this space starts with UltraFit. 41:12 Speaker 0: Unlike traditional running shoes, UltraFit gives toes more room to move naturally, 41:17 Speaker 0: so every step is strong, balanced, 41:19 Speaker 0: and comfortable. 41:20 Speaker 0: Whatever you're lacing up for, stay out there with Ultra. 41:24 Speaker 0: Shop now at ultrarunning.com. 41:26 Speaker 0: That's altrarunning.com. 41:29 Speaker 3: At 41:30 Speaker 3: this time, I was still treating women and the 1st lady I did with pellets, she called me a week later and she said she was so horny that she wanted to screw the mailman. 41:41 Speaker 3: I was like, Oh, wow. And guess what? I can't adjust her dose. There's 41:46 Speaker 3: no adjustment. 41:48 Speaker 3: You are stuck with that for 3 or 4 She lives with a mailman now. 41:53 Speaker 3: When she said that, was like, wow, 41:55 Speaker 3: this stuff really works good. And 41:58 Speaker 3: then I've seen a couple of people, the incisions have opened up and then some have even gotten infected. 42:05 Speaker 3: So I'm like, okay, 42:08 Speaker 3: to me, I'm going to go with what is the best? 42:12 Speaker 3: Think this is the best. What is the most realistic? 42:15 Speaker 3: What is the least invasive? 42:16 Speaker 3: I mean, what can you control 42:18 Speaker 3: more? 42:19 Speaker 3: What can you adjust if it's too much? We just back your dose off. If it's too little, instead of waiting 3 or 4 months to me, that just some 42:28 Speaker 3: people who are advocates of pellets, that's great. If you get a great result, fine. That's 42:34 Speaker 3: personally not what I 42:36 Speaker 3: do. And the creams. 42:40 Speaker 1: No. 42:43 Speaker 3: We get some of those questions like, yay. I mean, I've done that too. I have a guy that swears 42:47 Speaker 3: by the cream, 42:49 Speaker 3: but out of over 1000 patients, 42:52 Speaker 3: have like 2 and they're all like 70 years old. This 42:57 Speaker 2: was a question earlier, but HGH and trying to make a baby. 43:02 Speaker 2: I've had doctors tell, 43:04 Speaker 2: friends of mine, man, 43:06 Speaker 2: should 43:07 Speaker 2: add in 1 IU of HGH because your sperm count is super low. I've had then people just recently where a chemist was like, if you're trying to make a baby, could pull the HGH, stop it. 0 Growth. You're talking growth hormone. Yep. 43:21 Speaker 3: It's beyond my expertise. 43:23 Speaker 1: I was on HGH, both kids, just so you know. So I don't know if that makes a difference. Mean, that's 43:30 Speaker 3: really interesting to see if growth hormone 43:34 Speaker 3: affects fertility. 43:35 Speaker 3: It's that's beyond, I have not heard or seen that if it is 43:40 Speaker 3: well, hell, that's great. It's 43:42 Speaker 1: interesting, Dihexa and clomiphene, because we've had this pop up and I've never taken it. But we get questions all the time. So this is great. I mean, it's been a good 43:51 Speaker 2: what else? What, 43:52 Speaker 2: about so many other treatments that you do that at your clinic that you think is really 1 good and forward and you're really helping men? Head of the 44:02 Speaker 1: I just kind of like, yeah, give us, what makes it a joke. 44:05 Speaker 3: Okay? So I'm 44:07 Speaker 3: your 44:08 Speaker 3: We're 44:09 Speaker 3: older guys, but we don't act like older guys, right? No. I'm 44:13 Speaker 3: 48 and I inevitably, 44:15 Speaker 3: you do too. Guarantee you do too. 44:18 Speaker 3: We're of the bigger stature. 44:20 Speaker 3: You have guys all What 44:22 Speaker 3: the time 44:23 Speaker 3: do you do? What do you do? What do you drink? What is your workout? What is your diet? What 44:29 Speaker 3: are your top 2, what are your best vitamins? And I'll say, 44:33 Speaker 3: and this is a joke, not joke, 44:36 Speaker 3: the most important vitamins 44:38 Speaker 3: are tea 44:40 Speaker 1: and GH. Yeah. I love it. Yeah. 44:43 Speaker 3: These 2 things together- Testosterone is just the godfather, man. This is the godfather and then 44:50 Speaker 3: you go- I love that, bro. Give me some Come on. I 44:53 Speaker 3: I I 44:55 Speaker 3: I literally tell people 44:57 Speaker 3: testosterone 44:58 Speaker 3: is the most crucial foundational chemical a man makes. We have been, what about the guys who say, Well, I don't want to become dependent on it. I'm like, 45:08 Speaker 3: dependent on it, by the way. Can depend on it since you're in your mother's womb. We're 45:14 Speaker 3: replacing 45:15 Speaker 1: what mother nature has taken I know people have a problem understanding that. That is so easy though. I feel like it's going away 45:21 Speaker 3: because of guys like us talking about it, but I'm like, these are the most important vitamins, even though they're not actually vitamins. It's like, 45:29 Speaker 3: When you optimize tea 1st 45:32 Speaker 3: and then you add a little bit of 45:35 Speaker 3: growth hormone, it's like- 45:38 Speaker 3: It's like- Dude, 100%. 45:40 Speaker 3: Is brighter. The colors are brighter. 45:44 Speaker 3: Your perspective is different and it doesn't take much. And we're not talking about bodybuilding doses. We're talking about just like- Longevity. 45:52 Speaker 3: People 45:53 Speaker 3: are like, 45:55 Speaker 3: what did you do? Are you doing something different? And I'm like, I'm not gonna tell them, but if they really wanna know, I'll tell them, but this is it, And 46:04 Speaker 3: then obviously tons 46:06 Speaker 3: of peptides, 46:08 Speaker 3: tons and tons and tons. I'd say we probably use about 46:11 Speaker 3: 12 peptides regularly. 46:14 Speaker 3: And 1 of those are several of those are growth hormone peptides. So the proof's in the pudding. We know growth hormone is like, 46:22 Speaker 3: in a nutshell, the fountain of youth. 46:25 Speaker 3: I tell people, 46:27 Speaker 3: heard of the book called like 10x. 46:29 Speaker 3: It's like when you optimize T 1st 46:32 Speaker 3: and you add growth hormone, you're like 10x ing, not, 46:36 Speaker 3: not your physique. This isn't just 46:39 Speaker 3: your life. Absolutely. 46:42 Speaker 1: Do you to feel the real life? I don't understand it. They're like, well, it's too expensive. And I'm like, 46:47 Speaker 3: look, either you're going to pay for it now or 46:50 Speaker 3: you're going to pay for it when you're 70 46:53 Speaker 3: and you're trying to crawl 46:55 Speaker 3: out of a hole from poor Way more money than 46:59 Speaker 2: those bills are gonna to you. Way more. Worked by 1000. 47:02 Speaker 3: You've to pay misery right now crawling through us. But humans are silly, right? But think about this too. Guys come in, they're like, oh, I can't afford $400 a month. 47:12 Speaker 3: And I'm like, is that your car right there? Yeah. 47:15 Speaker 3: How much do you pay for that? 47:18 Speaker 3: They're like, oh, it's my payment's like 800 a month. And I'm like, how many hours are you in your car? 47:24 Speaker 3: Like 47:25 Speaker 3: 1, 47:26 Speaker 3: 2 hours a day. How many hours are you in your body? 47:31 Speaker 3: They're like, 47:32 Speaker 3: all right, let's go. I'll 47:34 Speaker 3: sign up for 6 months. You know? 47:37 Speaker 3: Yeah. It's just, what's, what's more important to you at the time? What, 47:41 Speaker 2: what are your top 5 best selling peptides? 47:43 Speaker 2: Not that I shouldn't say sell whatever most was 47:46 Speaker 2: suggested. 47:47 Speaker 3: Well, this has recently changed. 49:39 Speaker 3: And this is great. I mean, is good systemically. 49:42 Speaker 3: It's amazing, dude. And if you have, you know, even a new or an old injury and, 49:49 Speaker 3: gut issues, of course. 49:51 Speaker 1: BPC 49:52 Speaker 1: literally, it's 49:54 Speaker 1: crazy because I've been using it forever. We were older guys. We're going to all lift until we die. That's who we are. I know that because I know everybody's in this table and 50:02 Speaker 1: I'm still 50:04 Speaker 1: freaking blown away by how good it is. You like, I'll have an injury and then I'll take it like 3 days later. I'm like, dude, I don't even feel it. It just continues to blow my mind. Even though I know how amazing it is. I'm still like, holy shit. It's 50:17 Speaker 3: amazing. 50:18 Speaker 1: Never. 50:31 Speaker 3: Yeah. Okay. Yeah. Which has the- All of them. Yeah. It's GHCP-three So 50:38 Speaker 3: I would say 50:40 Speaker 3: those 5 1 are the, I'd 50:43 Speaker 3: say are probably 80% of the peptides that I give my patients. And then you have your others. That's 50:48 Speaker 1: great. I mean, that that'll change the appetite, 50:52 Speaker 1: but that's, that seems to have just fallen by the wayside. 0 Yeah. It's definitely falling clip. But like, example, for example, some, some people, 51:01 Speaker 1: if you want to lose 50 pounds or more, I have recommended to some friends that Tirzepatide does work because it does block the hunger more. If you have a 50 pounds or more, 51:12 Speaker 1: need to stop eating and the Reddit throws a wrench in it because they still get hungry. And we need to block the hunger. So again, 51:19 Speaker 1: everybody's different, but Tirzepatide has its place. If we're working on a project like that, 51:23 Speaker 1: yeah, maybe start here. Start them in and blend them in. Because we all know here, Reta is a God, it's scientific 51:29 Speaker 1: breakthrough, but sometimes Tercepta has a place. To remember too well that HCG 51:35 Speaker 2: is a subtype. 51:37 Speaker 3: Yeah. 51:39 Speaker 3: That's a winner. But people don't, I don't think people realize that. No, they don't. 51:43 Speaker 2: And HGH is the ultimate peptide. 51:46 Speaker 2: Yes. 51:47 Speaker 1: I love it, man. The TRT and the HGH 51:50 Speaker 1: are just in my repertoire. I run 2 units and that's all I needed, man. I love it. Do you use stress hormone? Yes, I do. You do, don't you? Yeah, absolutely. I 52:00 Speaker 3: do 2 I use. That's what I do. I love it. I love it. A 52:06 Speaker 2: feeling. You know, I have done it. I did it for a year and 0.5 and then I stopped. And then when I stopped is when I went, Oh yeah, that's what it was doing. Does. Holy crap. Takes a little bit to rev up, 52:17 Speaker 3: but then once it hits, it's you're in like, and it's not the way you, yes, the way you feel is important, but when other people are like, 52:25 Speaker 3: what are you doing? 52:28 Speaker 3: I've even had guys who haven't told their wives 52:31 Speaker 3: and their wife is like, you're 52:33 Speaker 2: doing 52:34 Speaker 3: something. What is it? Yeah. 52:36 Speaker 3: Anyway, 52:38 Speaker 3: that's a good conversation. 52:39 Speaker 1: That was good. We love it. We love these conversations. I knew that was 3 52:43 Speaker 2: dudes talking around the table about stuff we love, man. Like this game. We're just started, didn't we? Yeah. Well, shoot, we're about time, man. Now we're in. That's how fast an hour goes dude. Tell everybody. Yeah. Like we're going to find you. Do they find you and how do get ahold of you? So where do they find me? 52:58 Speaker 3: The website is actiontrt.com. 53:02 Speaker 3: It's just like, let's take action. I was like, it used to be Alpha, but I'm like, screw Alpha. That 53:08 Speaker 3: take action. So actiontrt.com. 53:11 Speaker 3: ActionTRT 53:12 Speaker 3: high performance on Instagram. Unfortunately, 53:15 Speaker 3: the ActionTRT 53:17 Speaker 3: Instagram, 53:18 Speaker 3: I literally, I feel like my dog died. Got, um- Oh. Got taken down. Got taken down because I was talking about something 53:26 Speaker 3: that someone didn't like. So, 53:28 Speaker 3: but, 53:30 Speaker 3: action tier T high performance. We're on, 53:34 Speaker 3: X, we're on YouTube. 53:38 Speaker 1: Wherever you guys know that you can DM me. 53:40 Speaker 1: Everyone knows here at this point that I run the social medias, but you 53:44 Speaker 1: will find us. If you have questions, we will send them 53:48 Speaker 1: to Tyler's 53:50 Speaker 1: way, Doctor. Tyler, I like to say Tyler, everybody's, but, you know, we'll give them to you and, that's the thing that it's important. We love this stuff. 53:57 Speaker 1: We want to help people feel good, man. If you are struggling with trying to get on TRT, if you do not know by now by just listening to this, I'm gonna shake you. 54:07 Speaker 3: There's 1 thing, 1 last thing I'd like to say. I feel like a lot of these TRT clinics and anti aging clinics, you go in, they give you the same dose and you're on your way. 54:18 Speaker 3: Something that is different about my practice and about my team is 54:23 Speaker 3: that you're not alone. Like you have access to us. You can text and call David. You can text and call Laura. They are like extensions of my brain. And then finally you can text and call me. So this is not like, 54:36 Speaker 3: Hey, here's your bottle of This is not a test dispenser, 54:40 Speaker 3: which those are fine too, but this is a service and we're here to guide you through every step of the way, make adjustments, do frequent labs every 60, 90 days, 54:49 Speaker 3: whatever. But this is not alone. There's no, 54:52 Speaker 2: there's no straight lines in life. Right? Yeah. Well, it sounds like it. If you're telling me that you're getting text messages at midnight, you've made yourself available. Good for you. And I know that's tough. Yeah, 55:02 Speaker 3: well that phone goes in way. 55:05 Speaker 2: That's right 55:06 Speaker 2: on man. We'll cool. We 55:08 Speaker 2: learned a lot. Thank you. A great show. 55:10 Speaker 1: Was a good man. We've been trying to get on for a while. We wanted to wait until the the podcast room was ready and bought it. It was lives better. I'm glad we didn't do that. 55:17 Speaker 1: Was glad we waited. We almost did it a few months ago. This is so much better. Yeah, you guys should be proud of yourselves. This is good. Yeah, it's been good, man. So everybody else, we got the Q and A next. We will be recording 55:27 Speaker 1: it in the next couple of days. I will be putting it out on my story. We'll get some updated questions and fire away. 55:34 Speaker 2: There was a quest sorry to interrupt you. There was a question from last time that I'm gonna maybe shoot to you. Mhmm. Sure. Maybe giving you a little written answer and so I can tell the guy. It was a really it was basically like, hey, I'm taking to TRT, 55:49 Speaker 2: but I have no sex drive. 55:50 Speaker 2: And we went through the, Hey, could be estrogen, but I just want to hear, you probably mimic a lot of what we're going to say. But 55:57 Speaker 2: anyway, 55:58 Speaker 3: remember? Yeah. 56:00 Speaker 2: So I'll ask you and whoever wrote this comment or whoever requested, because like you were the dude that sucks. Yeah. Not being able to 56:07 Speaker 2: make sense. It doesn't make sense. 56:09 Speaker 3: It's not a fun testosterone 56:11 Speaker 3: does not give you erectile dysfunction. 56:13 Speaker 3: There's something else that else is that. So yeah. 56:17 Speaker 1: Cool. Good stuff. All right guys, we will catch you in the next round. 56:21 Speaker 1: Take care. Good day.