Hormone replacement therapy in the aging population?

[JohnBoy2000]

This is being universally introduced across the UK shortly for women post menopause I believe.

Which seems like a fairly pivotal movement in health care.

I believe post menopausal women are more prone to a reduction in bone density (perhaps explaining the massive increase in joint replacements at that age compared to before it).

I followed an endocrinologist from the US before after watching him on the JRE years ago, called "Mark Gordon".

He was a strong advocate for TRT in men to increase longevity and performance into later years.

Anyone well informed on this area?

Is it a no brainer?

 

[Voxide]

Anyone well informed on this area?

Is it a no brainer?

I mean, what are you trying to ask? Specifically

I don’t care about women and especially not post menopausal ones; but if you’re a male with a T level under 350ng/dl and you’re suffering some classic symptoms of androgen deficiency (libido issues, low energy, brain fog, increased fat mass, generally being an emotional pussy), then yes, TRT will bring you back within the normal range and revitalize you in that aspect. It’s going to require an endocrinology specialist with bloodwork. If you aren’t deficient, no point in it if you don’t compete in bodybuilding.

I don’t support hopping on the shit haphazardly just because of age itself, since that doesn’t always correlate to low T on an individual-case-case basis and a lot of these cases can be reversed with lifestyle changes (that most folks are too lazy, of course, to implement). It’s a good idea if you legitimately need it

That being said it’s not risk free, especially for older men there is a risk of hematocrit going up, prostate problems, etc etc.

Whether or not it’s worth it or a no-brainer is individual dependent. I’d like to see more of a paradigm shift in our society where men are actually men again and don’t just have to rely on synthetic testosterone lol. This shit was not needed in the 60s and 70s. That’s for a multitude of reasons which we could prob dedicate a whole separate thread for I guess

I’ve got over a decade plus of exp with everything under the sun, but that was for bodybuilding purposes

 

[TheFunkeeJunkee]

The population wide endocrine dysfunction isn't going away any time soon. Only when we reduce obesity, improve our diets and begin to left heavy things again will we see testosterone levels improve. Xenoestrogens is a whole other beast but it's safe to say they are there for good.

I'm on TRT, 26 and I fucking love it. I'd never go back. But I am tied down to a needle once a week for the rest of my life. Most people aren't willing to make that sort of commitment and it's a serious consideration for ANYONE considering TRT.

There's a lot of talk about reference ranges, numbers, metrics, yada yada. What really matters is this: do you feel good at 300ng/dL? And if you don't, what other issues may you have?

If you feel good, your dick works, you are strong and fit but your total T is 300ng/dL who cares?

 

[TheUltimateFixx]

The population wide endocrine dysfunction isn't going away any time soon. Only when we reduce obesity, improve our diets and begin to left heavy things again will we see testosterone levels improve. Xenoestrogens is a whole other beast but it's safe to say they are there for good.

I'm on TRT, 26 and I fucking love it. I'd never go back. But I am tied down to a needle once a week for the rest of my life. Most people aren't willing to make that sort of commitment and it's a serious consideration for ANYONE considering TRT.

There's a lot of talk about reference ranges, numbers, metrics, yada yada. What really matters is this: do you feel good at 300ng/dL? And if you don't, what other issues may you have?

If you feel good, your dick works, you are strong and fit but your total T is 300ng/dL who cares?

If your levels are too high you're at an increased risk of heart attack and stroke, among other things. THAT'S why you should care.
Sex hormones affect things in your body beyond the obvious; they're a serious medication, not a feel-good drug. I'm on HRT because of an intersex condition, and my levels get monitored with regular blood work.

 

[someguyontheinternet]

If women start estrogen 7 years after menopause there can be a lot of complications like clotting issues and stroke or MI

Recent looks at old studies have shown that current clinical guidelines to never give women estrogen after menopause have shown the above and hopefully clinical recommendations will change soon because many issues with menopause can actually be prevented with supplemental estrogen when starting menopause, as long as HRT is started within that 7 year window

 

[pioneer28]

M / 55, I have been on Test Cyp weekly for about 4 years due to extremely low levels (initial test ~68 ng/dL). Have regular blood work and at least 2x/year visits to the urologist whose care I’m under. For me, has been exceptionally helpful and in appropriate conditions, I’d recommend it. Find a reputable endocrinologist and urologist to oversee your treatment….dont fall for the bullshit online services (except those who do just fulfillment) or the “wellness doctors” who will also gladly sell you HGH and a host of other crap you don’t need (not to mention charge you $1K+ for a several-month course of Cyp that costs $75 at your local pharmacy). And, stick with Depo or other name brand or generic test, not compounded. Test Cyp is CHEAP AS FUCK (without insurance), there’s zero reason to go with compounding.

 

[pioneer28]

P.S. some endocrinologists and urologists don’t do TRT because in the past, it was controversial and in many cases the “Wild West”. Don’t give up. There are a shitload of board certified urologists/endocrinologists who are adept at TRT and have multiple regular patients who are on it. You just have to do your homework and your research.

 

[JohnBoy2000]

a lot of these cases can be reversed with lifestyle changes

Such as?

I've recently absolutely turned my diet upside down.

I call my new routine the "anti-oxidant" diet which makes (obviously enough) anti-oxidants the central component of every meal.

With sufficient protein, carbs and fats for satiety.

So far my skin and hair has began to improve.

Best as I can tell it's the same routine this dude follows:

Login • Instagram

Welcome back to Instagram. Sign in to check out what your friends, family & interests have been capturing & sharing around the world.

www.instagram.com

He's 60 but looks about 30.

Simply optimally counter-acting free-radical/oxidation/toxin damage, I assume.

 

[JohnBoy2000]

The population wide endocrine dysfunction isn't going away any time soon. Only when we reduce obesity, improve our diets and begin to left heavy things again will we see testosterone levels improve. Xenoestrogens is a whole other beast but it's safe to say they are there for good.

I'm on TRT, 26 and I fucking love it. I'd never go back. But I am tied down to a needle once a week for the rest of my life. Most people aren't willing to make that sort of commitment and it's a serious consideration for ANYONE considering TRT.

There's a lot of talk about reference ranges, numbers, metrics, yada yada. What really matters is this: do you feel good at 300ng/dL? And if you don't, what other issues may you have?

If you feel good, your dick works, you are strong and fit but your total T is 300ng/dL who cares?

Why did you get on TRT?

It's under an endocrinologist?

I got my tesosterone checked at 28 and I was about 50 ng/dl above the top reference range (which was 900 and something, I was just below 1000), so the endo said I could actually damage myself going on TRT.