My TRT / Testosterone Protocol Reviewed by Doctor: Free Testosterone, SHBG, DHT, Estradiol & More…

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  • čas přidán 4. 08. 2024
  • Since I started doing videos on Testosterone Replacement Therapy (TRT) with Dr. Osborn, I've had a lot of people ask me what my testosterone levels and dosage looks like - So, I had Dr Osborn pull up my original bloodwork when I first came to visit him when considering TRT and together we reviewed all my numbers as well as the subsequent visits where we made adjustments to dial things in. This video covers a lot of details on topics like SHBG (Sex Hormone Binding Globulin), Total Testosterone vs Free Testosterone, Testosterone Dosing, Estradiol/estrogenic effects like gyno, aromatase inhibitors, and the effects of stress (cortisol) on testosterone levels just to name a few.
    00:01 My reasons for consideringg Testosterone Replacement Therapy (TRT)
    1:28 Dr reviewing my intitial lab results before starting TRT
    4:31 Effects of cortisol on testosterone levels and other blood markers
    6:04 Initial replacement protocol - Testosterone, Clomid, HCG, Anastrazole
    7:03 Dr reviewing bloodwork after first few months
    9:04 Hematocrit/hemoglobin levels. Potential Risks including stroke
    10:52 Estradiol/Estrogen and aromatase inbibitors (Anastrazole) and low libido
    12:34 Most recent bloodwork / lab results
    13:03 Finding the right dosing based on symptoms and goals not just bloodwork
    19:15 How much (or little) testosterone you need to build muscle
    -James Grage
    Muscle Geek

Komentáře • 469

  • @Josh00
    @Josh00 Před rokem +5

    Thank you James for being absolutely transparent. Your videos have always been helpful and informative! Much respect!

  • @powerkarma
    @powerkarma Před rokem +2

    I've been struggling with this issue and TRT for about 3 years, this video and the previous is extremely informative. This video helped me to make some decisions to explore my options again.

  • @tj9382
    @tj9382 Před 5 měsíci +1

    Great video, there’s so much to take into account and this helps to shed some light on it.

  • @brucebraddock
    @brucebraddock Před rokem

    James! Thank you for sharing! I will look at this some more in comparison to myself. I am 60, rebuilding my body! Almost 4 years on TRT.

  • @kngpin41
    @kngpin41 Před 9 měsíci +3

    DUDE thank you so much for posting this. Lots of insight for TRT and GREAT info

  • @Nickd778
    @Nickd778 Před rokem +13

    Dr. Osborn is super. I’ve been a patient for 5 years . This video was a superb discussion and reminder why we pay attention to our blood work, energy etc. I like how he said that you must put in your 50%. It’s both sides really… the extra help w the T and the eating, sleeping and fitness.

    • @zengerz
      @zengerz Před rokem +2

      If you need a doctor in order to check your own bloodwork you already failed ;)
      I sit in front of docters, ask them questions and end up laughing at them

    • @MW-od8vu
      @MW-od8vu Před rokem

      Where is Dr. Osborn located? Thanks 😊

    • @Nickd778
      @Nickd778 Před rokem +1

      @@MW-od8vu Jupiter Florida

    • @MW-od8vu
      @MW-od8vu Před rokem

      @@Nickd778 thanks Nick

  • @dennisdavis2103
    @dennisdavis2103 Před rokem +7

    That was a great informative video for TRT. Congratulations James for hitting your sweet spot of Total T at 703. You're a great example for all men on TRT!

  • @TmcIIIvideo
    @TmcIIIvideo Před rokem

    Hey James! Thanks for being so transparent and motivational to a lot of us in the health and fitness world… You have great taste in guitars I see a Seagull headstock back there…. Very cool! Great hardware… all my best!

  • @johnyousif3178
    @johnyousif3178 Před rokem

    This was a very informative video. Easy to understand and makes absolute sense. Thanks for sharing 🦍👊

  • @edwardguy6048
    @edwardguy6048 Před rokem +1

    Great information James. Thanks for your insight. Stay well!

  • @mudda2336
    @mudda2336 Před 7 měsíci

    im late to this video James - though this doctor and his brilliant attitude is needed in Australia.

  • @mind-blowing_tumbleweed
    @mind-blowing_tumbleweed Před rokem +3

    James, you are an awesome person, thank you for your channel. You are the reason why I'm exercising with bands instead of weights and feel just great.
    It's sad to see your channel doesn't have the following it deserves, but I hope I'll see more of you.

  • @robertchadwick518
    @robertchadwick518 Před rokem +8

    Fantastic video James, I recently had my first blood test (to see what my test levels are like) and it was an eye opener, bottom range of normal and low free test but high end of normal SHGB. Definitely considering TRT and this video has been invaluable

    • @zengerz
      @zengerz Před rokem

      another spineless unmanly man!
      go ahead and take the drugs, destroy yourself even more than you already did

  • @jimdavis9382
    @jimdavis9382 Před rokem

    Great video with loads of info. Thanks

  • @leetennant3080
    @leetennant3080 Před měsícem

    Wow being 51 this has been one of the most interesting and especially how I’m feeling and having a good insight now to speak with my doctor thank you 🙏🏻

  • @tonyfulton3901
    @tonyfulton3901 Před rokem +1

    Love this James. Been following you and your wife for years. And your always building your health. A1c is at 7. And with other meds test dropped besides feeling tired I hadn’t noticed trt going low. Started trt therapy a few weeks ago. Thanks for putting this info out

    • @yyxy.oncesaid
      @yyxy.oncesaid Před rokem

      Trt going low?
      Wrong

    • @luisvilla799
      @luisvilla799 Před 8 měsíci

      So how is your diabetes now I have diabetes and considering trt because I’m just dragging ass but afraid of side effects

  • @darrylwilliams7091
    @darrylwilliams7091 Před rokem +5

    I am in the same boat as James, although not near the lean muscle. I am a software developer and the last 2 years my Testosterone went from 605 to 450 and my ability to concentrate and motivation is in the toilet. I can sit at home on a Saturday and get little to nothing done. I am an active Crossfitter and I do enjoy working out and plenty strong and great body composition for a 56 yr old. I really want to have some giddy up as my first priority, Libido and muscle growth fat loss in that order. Thanks for being transparent, very helpful

  • @alanbaker-uh5mm
    @alanbaker-uh5mm Před měsícem +1

    Thanks for the honesty James👍👍

  • @lubas88pl
    @lubas88pl Před rokem

    Awesome video.Lots of good info.

  • @clemchirpich4907
    @clemchirpich4907 Před rokem +15

    Thanks. I am on testosterone and never got the amount of information that you covered. It helped explain some of the things I saw on my lab reports.

    • @JamesGrage
      @JamesGrage  Před rokem +3

      Glad it was helpful!

    • @decabeatzHealthWellness
      @decabeatzHealthWellness Před 6 měsíci +1

      Here is another tip divide your weekly dose into EOD to have stable blood levels and minimal side effects.

  • @powerslave
    @powerslave Před rokem +3

    Dude these 3 videos with dr osbourne have been exactly what i was looking for. Thank you and him very much. I just turned 30 and had my blood work recently done. i have a 357 Total T but other metrics are normal. Been feeling very groggy and unmotivated and i suspect thats why. I know i have a few things a in my life i have to optimize before even considering Trt but This is the knowledge i was searching for. my doctor said because said that because i fell in that 350-1000 range that im totally normal but i wasnt really buyin that since i was borderline. Thanks again man, Subb’d and looking forward to future vids!

    • @bowsama07
      @bowsama07 Před 5 měsíci +1

      Imagine how i feel at yr age with a 101 total.. scary.

  • @PugsCanDance
    @PugsCanDance Před 4 měsíci +1

    Amazing. I started T two weeks ago and my numbers were almost EXACTLY the same as yours. Hoping I get the same results you have. Thanks for sharing this info.

    • @JamesGrage
      @JamesGrage  Před 4 měsíci +2

      So the one thing you’ll have to define for yourself is what results you expect. For me, because I have been training hard for so long (since ‘91) the TRT didn’t do a lot for physique (except when my levels briefly got too high). The results I was hoping for were centered around energy. I was really dragging at the time and that’s where the TRT made a huge difference.

  • @StevenBarra
    @StevenBarra Před rokem

    This was highly informative. I recommend that every male get their bloodwork done, including testosterone and estrogen. Knowing this info will make your lives much easier. I've been pulling panels for the past four years ... I am 60 today ... incredibly helpful to me. Great job, James!

    • @zengerz
      @zengerz Před rokem

      You should have made sure you never ever even had to check your bloodwork. When you are stupid or a unmanly unnatural man you will end up needing to check your blood because the blood is degenerated already. Pumping test into your system because you already failed is not going to fix it and make you a simple junkie

  • @dakotahayden6937
    @dakotahayden6937 Před rokem +1

    VERY informative, thank you for posting this.

  • @s1vrbck_fitness
    @s1vrbck_fitness Před rokem +1

    Great information! Thanks James👊

  • @daviddavid1057
    @daviddavid1057 Před rokem +1

    Great video, very interesting as always! Thanks a lot brother!👍🏻

  • @TiberiusWorld
    @TiberiusWorld Před rokem +1

    Valuable info..thanks a lot..the only problem is that doctors, competent people that know what are talking about like Brett, are very few...
    Maybe in the future he's considering opening a clinic in London,UK..i will pay him a visit for sure

  • @DanielBrown-nj3th
    @DanielBrown-nj3th Před 6 měsíci

    Great content here 🙌🏼

  • @cesaria585
    @cesaria585 Před rokem +1

    Wow my bloodwork looks almost identical to your initial numbers. Especially the cortisol and glucose. This was super helpful in terms of figuring out if I should try TRT.

  • @postmanrp
    @postmanrp Před rokem +2

    I’m 43 and have been doing a lot of CZcams research on this subject. Have felt pretty shitty for a few years now. Gained quite a bit of weight and no drive. Seeing that this Dr is in Palm Beach area is awesome because I’m close. Need to setup an appointment with him. Thank you for this

    • @kingwillie206
      @kingwillie206 Před rokem +2

      Get in shape first so the treatment will have the greatest impact.

    • @michaelclifford6468
      @michaelclifford6468 Před rokem

      ​@@kingwillie206 get in shape and might not need it.
      Maybe sleep better, higher fat diet training less

    • @kingwillie206
      @kingwillie206 Před rokem

      @@michaelclifford6468 - Every man needs it eventually if they want to feel the best and perform the best. Nobody beats Father Time no matter what they do, which is why these treatments exist. It gives people who have tried everything else an opportunity to regain some youth. When my libido drops and my energy levels drop due to age I’m heading straight to the clinic because I’ll be 48 this year and I know my time is short. Sylvester Stallone is 75 and still doing weighted pull-ups because he’s on the good stuff.

    • @MilkyWayGalaxyy
      @MilkyWayGalaxyy Před rokem

      ​@@michaelclifford6468I am 42 and in great shape. Lift 3 hours a day. Sleep well. Eat really clean. Lost my libido completely 8 months ago.
      I think I need TRT.

  • @puregaming5714
    @puregaming5714 Před rokem +30

    I am very impressed for being 185lb the size you carry. I'm on trts well for medical reasons for hyperlipedimia. I've had this for over 20 years! In 1 session, it was back to normal. TRT has been a game changer for me all around. I've been given a second chance. I've stopped drinking, smoking, etc.. TRT set back the clock at least 15 years.

    • @fahadSmile
      @fahadSmile Před 3 měsíci

      Sir what is connection between trt and hyperlipidemia? I am also suffering through it since 11 years and due to that i had multiole episodes of pancreatitis(i dont drink though)

  • @Doriginal5
    @Doriginal5 Před rokem +2

    Good mature discussion. I’m nursing school and his understanding the of the science is spot on

    • @pm2007est
      @pm2007est Před 11 měsíci

      A man with a Testosterone level of over 500 given 200 mg injections of Testosterone a week so he can get his levels over 1500. He will have to phlebotomize because his HCT is going to be dangerously high. Do u agree with 200 mg of Test a week in this case.

    • @Doriginal5
      @Doriginal5 Před 11 měsíci

      @@pm2007est oh for sure

    • @Doriginal5
      @Doriginal5 Před 11 měsíci

      @@pm2007est Yes, your Hct and Hgb count will go through the roof. Increased RBC count will increased risk of stroke and blood clots. You have to give blood at that point or risk self harm. I wouldn’t ever want my Test level to be higher than 900 for that reason. If body builders are doing it they probably have their labs being strictly monitored.

  • @corso5150
    @corso5150 Před rokem +1

    Excellent video, thank you

  • @topherbradley9165
    @topherbradley9165 Před rokem

    Great video very informative

  • @bigbejar
    @bigbejar Před rokem

    Awesome information.

  • @Styxswimmer
    @Styxswimmer Před rokem +3

    I love your content Mr Grage. You taught me how yo use bands. Thank you

  • @johngreen1683
    @johngreen1683 Před rokem

    Wow. How informative for someone on TRT.

  • @cliff1422
    @cliff1422 Před rokem +5

    I wish there were more doctors like Dr Osborn and easier for people to access them. I am 42 and energy levels suck most of the time. Its just expensive and insurance does nothing. I'm not trying to become jacked. Just want to feel energetic again without going broke

    • @CaneIn850
      @CaneIn850 Před rokem

      Totally agree with everything you said. Don't know anywhere around here that I feel I could get honest input with. I'm 43 and just want to have the energy again

  • @erick6102
    @erick6102 Před 8 měsíci +1

    Thanks so much for sharing your lab work. This is very helpful. Seems like you could have just started slower on smaller , more frequent doses without the AI and slowly increased from there until you found your best levels / symptoms/ bloodwork

  • @ceerock8088
    @ceerock8088 Před 7 měsíci

    Thank you. Great info.

  • @marshallpotter818
    @marshallpotter818 Před rokem

    Great video!

  • @Robert-im5ut
    @Robert-im5ut Před rokem +1

    Great video. I do think you missed talking about how this is affecting your lipids, especially Apo-b and hdl. These inevitably can turn into bad values.

  • @familialclown6
    @familialclown6 Před rokem

    Awesome video. Great information.
    I'm a natural bodybuilder, with a high haemoglobin and haematocrit, is donating blood something I should consider. Where I live, doctors arnt very clued up on this kind of stuff. Cheers

  • @guzguzon3310
    @guzguzon3310 Před rokem +1

    Thank you!! Great video 💪🙏👍

  • @tomn9975
    @tomn9975 Před rokem +1

    You clearly have good genetics tho. Nice video I start my trt next week I have my consultation in a few days. Hopefully my doctor is as good as him.

    • @JamesGrage
      @JamesGrage  Před rokem +4

      Thanks my friend. I appreciate it. You know the conversation about genetics is an interesting one. If I hadn't worked out hard and consistently for the past 30+ years and didn't always watch what I eat, what would I look like - and would anyone ever say that I had good genetics? It's hard to say. There's a chance that I may look slightly better than someone else with the same lifestyle habits but probably not much different. Genetics is often an easy scapegoat for lifelong lifestyle habits.

  • @DRGUANE
    @DRGUANE Před rokem +2

    James - and anyone that reads this - I’m 49 now (2022/March) and I have been feeling like chit since I was 38. For the next 5-7 years I tried to find out what was wrong with me and all my doctors that I visited said I was good. I didn’t have drive and could sleep for hours only to wake up to get back to sleep. After 45 years old I ran into issues like my appendix then COVID and just now - after all this time I get some answers to my questions thanks to you James. My man , I don’t think I will go on TRT but will be trying to maximize on what I have for this year but I will do a follow- up post in the future. 🙏🙏👌💪

    • @JamesGrage
      @JamesGrage  Před rokem +1

      Hey my friend. I hear you. I can personally attest to how lousy it feels to have so little energy. I’m the type of person that likes to move and get shit done so having low energy was a crappy feeling.

    • @DRGUANE
      @DRGUANE Před rokem

      @@JamesGrage
      I just appreciate and listening to your discriminations of what you were going thru clarified and solidified my thoughts of what could be wrong with me. 🙏🙏🙏🙏
      Alway looking for ur next post as I am learning sooo much

  • @SM-ly7tn
    @SM-ly7tn Před rokem

    Very interesting video!

  • @BsnyderinsuranceUSA
    @BsnyderinsuranceUSA Před rokem

    Really enjoying videos and getting a lot of insight to TRT and good health. Do you know of a TRT specialist like your doctor in the Nashville TN area?

  • @aiami2695
    @aiami2695 Před rokem +1

    I month ago Started Nebio 1000 mg for every 12 weeks. I just had a blood test today, but need to wait for result a couple days. Sleep improved a lot, strength improved, libido is same...but testis are sore..hence blood test...😁 I really appreciate this info what you put out for us. 👍👍

  • @channelurviews
    @channelurviews Před rokem +2

    Thanks! Very good information, this one and the past couple! Been very helpful. So question I have is about the ranges on the test, they seem to vary from region and facility. Do you think the doctor could speak on that and if certain testing facilities are good like labcorp or quest?

    • @JamesGrage
      @JamesGrage  Před rokem +1

      I can definitely ask him.

    • @WideAwakeHuman
      @WideAwakeHuman Před rokem

      FYI - the ranges between labs don’t matter as much as some people think. The lab sets their “normal” ranges so that the result can be Interpreted correctly. So as long as you’re interpreting the lab result based on the normal range reported from that same company at the same time you got the test done then you’re fine.
      In other words, the absolute numbers don’t matter as much as the result’s relation to the range.
      For context I’m a clinical pharmacist and look at/interpret labs all day, every day so I know more than the average bear

  • @michaelrosa5410
    @michaelrosa5410 Před rokem +3

    Not since Rich Piana have I seen such a honest,to the point, break down of a hormone adjustment. You're much better than me Gage. If I shot T levels up, like yours did, i'd freak if I had to give blood to start over again. lol I'm a guy who doesn't do needles,vaccines, or even aspirin,well I took Tylenol all 4 times I had corona. That's it.
    64 and probably negative T in my body. But I just keep fighting thru. i'm a candidate for sure. So a video like this, is certainly inevitable if if continue bow hunting with an 80 pound bow the next several years if I stay healthy. i'm gonna need a boost. 200 Mg was too much,so maybe like 25 mg,just a little boost. Might work for a guy like me who isn't into taking meds.
    BTW love your content,and think you're fairly local to me in Palm Beach-Dade ? When I started back up in the gym when corona went down, I did the 20 reps thing to get range of motion,and restrengthen tendons etc. Got the tendonitis and your videos on it helped me immensely,the Doctor from the Dolphins ? Warm the body part up first before stretching it ? Turned my life around !! No bullshit. Shoulders were killing me. I bow hunt and shoot a ton of archery. It was the BICEP the whole time, not the rotator or labrum. I warm up good, and stretch,do a set, stretch again, and i'm good.
    I know you don't like doing it, but i'd like to see how you handle and workout using heavier weight maxing @ 12 reps or so ? Seems many guys like John Means and even Jay Cutler, feel 12 is a good way to work the muscle ? 20-16-12 is sorta what i've started doing. When I was your age, I maxxed @ 8 reps,,,,,lol 8 reps was lite weight.

  • @joshuahaney1135
    @joshuahaney1135 Před rokem

    Awesome video

  • @johnjperricone7856
    @johnjperricone7856 Před rokem +4

    Thanks for this James. I've been on TRT for over a decade, and my docs have NEVER been this clear and in-depth. Very useful.

  • @OTDefense
    @OTDefense Před rokem

    Great no BS video. Did you by chance have your cortisol levels tested? Curious as to what your AM cortisol was given what he referred to as the 'CEO profile'.

  • @skott5yahoo
    @skott5yahoo Před rokem +2

    I feel exactly the same way James is describing how he is feeling in this video. The difference is that I live in Canada where the sun doesn't shine that much over the winter time and James lives in Florida where the weather and sun are suppose to benefit your health even during the winter months.

    • @kingwillie206
      @kingwillie206 Před rokem +1

      Same here. Seattle weather is shyt!

    • @JoshRampling
      @JoshRampling Před rokem

      Get yourself some high strength vitamin d3 👌🏻

    • @marklowe5939
      @marklowe5939 Před 10 měsíci

      @@JoshRamplingRight I live in the PNW and I have to take 50,000 iu daily.

  • @anthonylemanski9032
    @anthonylemanski9032 Před 6 měsíci

    I was the same as far as my level is for being prediabetic. I just started my TRT protocol and hopefully within my next bloodwork I’ll be healthy again.

  • @inferidii
    @inferidii Před rokem +4

    I really love your honesty about it and especially about the libido part because it's a very important one , so now you only take cypionate , nothing else , but how much growth hormones are you taking with it

    • @JamesGrage
      @JamesGrage  Před rokem +1

      Appreciate it my friend. Yes, cypionate is the only thing I take. I don't take growth hormone but I'm sure there are plenty of doctors that would give the thumbs up if it was done the right way (to optimize healthy normal levels).

    • @kingwillie206
      @kingwillie206 Před rokem

      @@JamesGrage - I had a consultation with Evolve and they recommended HCG to keep the nuts hanging and CJC 1295 to stimulate HGH secretion. I hadn’t had any blood work done, but that was the basic protocol.

    • @dmukic111
      @dmukic111 Před rokem

      @JamesGrage how much HCG and chlomid were you using?

    • @dmukic111
      @dmukic111 Před rokem

      @@JamesGrage how much HCG and chlomid were you using weekly?

  • @weedylock
    @weedylock Před rokem +1

    so much info, i've learned a lot from this, thank you!

  • @letsgobrandon2014
    @letsgobrandon2014 Před měsícem

    Thank you for the great info! I struggle with the AI and going to try finding my sweet spot dose to get off the AI. Also do you split your dose? So twice a week but split.

  • @user-xg8jn1zw1h
    @user-xg8jn1zw1h Před rokem

    Thanks for all the info James, right on da money dude! Would 100mg of cyp/5days be ok with 3mg of triple boron (as boron citric acid/aspartic acid/glycine)?

  • @aaroncombest9351
    @aaroncombest9351 Před rokem

    Very informative Doctor! What state is this guys clinic in?

  • @1922johnboy
    @1922johnboy Před rokem +1

    Excellent ❤😮😊

  • @MOVIEKICKS
    @MOVIEKICKS Před rokem

    Thank you for the very informative video. TRT has it's merits, but I'm wondering why the good doctor did not try to stop your body from making so much cortisol so your body could product more testosterone naturally?

  • @jamescoad7174
    @jamescoad7174 Před 11 měsíci +1

    Thank you so much sir. I've been off trt for a year and I'm dead inside. Doctors just wanted to give me test. With no blood work I been to 3 different doctors and same thing. I stoped cold and I'm emotionally fucked and physically like shit. I'm calling Monday for appointment... thank you seriously

  • @MrJcrook88
    @MrJcrook88 Před 8 měsíci

    i wish i could see this guy for my DR

  • @algunz3047
    @algunz3047 Před rokem

    How we doing james
    I have seen your videos and i want to start trt
    Dr osborn is awesome
    My free testosterone is 65 on low side , should i start for first time ?

  • @miiiikee_
    @miiiikee_ Před 10 měsíci +3

    Doc Osborn seems like one heck of a professional, I like his style

    • @JamesGrage
      @JamesGrage  Před 10 měsíci +1

      He is. Incredibly solid guy

  • @7THxSIGN
    @7THxSIGN Před rokem

    Excellent video. This doctor definitely cares about his patients. I like many others enjoyed and reaped the benefits of TRT when I first started. That was short lived. Now I feel absolutely no benefits and I feel just as bad as I did before starting TRT. I've tried every protocol out there. Nothing has worked. Libido dead. Energy dead. Drive dead. Horrible. Tried countless endos and doctors. No one can fix it. Enjoy the honeymoon phase my friends, because after that, its gone forever.

    • @LuisGonzalez-ip8jp
      @LuisGonzalez-ip8jp Před 11 měsíci +1

      That's so scary man. I hope things get better for you. I'm debating on weather to do this or go the enclomiphene citrate route. I'm scared of the sterilization that could happen with trt

    • @7THxSIGN
      @7THxSIGN Před 11 měsíci

      @@LuisGonzalez-ip8jp thank you. I have two children and we aren’t looking to have anymore. HCG has been shown to work for conceiving. So you always have that option.
      I just switched to one dose a week IM. Second week of this. I feel a little better but still no where near where I was originally. I’m not giving up.

  • @Thewhitecollarguy
    @Thewhitecollarguy Před rokem +1

    When the doctor mentioned it’s a CEO profile, that really caught my attention. I had a same result profile and I was running a company too. He explains it so well exactly what makes it a CEO profile.

  • @manitouek
    @manitouek Před rokem

    Great video, very helpful information.
    Unfortunately i live in Czech Republic and it’s absolutely tabu to get TRT from our doctors.
    They say that it is normal to have a feeling to have sex once per 14 days :-(
    So then they don’t offer any possibilities how to improve that :-/

  • @Tron75158
    @Tron75158 Před rokem

    Very informative, thank you.
    I'm in the UK and would like to visit a specialist in this area.
    Do you have any contacts to help me in finding out the best company to use in North West England.
    Thanks

  • @mrmartinez4188
    @mrmartinez4188 Před rokem

    Pretty darn informative. I’m doing TRT I’m on quite a bit older.
    Obviously, you’re super cut up because I’m the same height as you but you look much bigger.
    I’m in great shape, but I don’t look as big as you do.
    I’m at 205 and I feel I could even get a bit bigger.
    So my question is, do I need to lose more body fat?
    I would like to get more cut, but it would take more sacrificing. I would have to really monitor my food intake.

  • @diablowlk
    @diablowlk Před rokem

    I'm from New York City and I would love to meet a doctor like the one you're interviewing now. Do you have any recommendations or what type of doctor is the one that you're interviewing now?

  • @beerandbones614
    @beerandbones614 Před rokem

    our bloods look very similar , I had issues with my H/H , Learned to do things smarter.. We have exact MCV MCHC , RDW Platelets, ect... One thing i was curious on was your liver enzymes were a little high i believe? I may have got confused or got distracted. What was the reason for that to go up? And just to share my last blood test, i tried to lower my hematocrit and red bloods by taking a month of TRT.. Well I dont advise ever just stopping.. I felt great for the 1st 3 wks but by week 4, very tired, pale got sick with fever and just in a catabolic state.. My total test was 35 free was 0.1 and i thoght i ws reading the test wrong.. It def lowered my bloods into the 16 ng/dl for hemaglobin. but i did that on my own and when i went to the doc and we went over the bloods he was happy to see them lower.. and even said maybe stay off test and let the body come back.. Problem is , im 45 and the reason i went to him in the first place is cus my testosterone levels were low in the low 300s and Nope i wasnt messing with Gear prior. Its not an Looks thing for me either,its feeling great and being optimal im looking for.. So anyway im writing and doing 5 other things at once , so some of this may come out scattered, but this was a great video, thank you for sharing your blood work..

  • @liamlynch2115
    @liamlynch2115 Před 6 měsíci

    Bro science is much better than most docs on this subject.

  • @danielcoronado481
    @danielcoronado481 Před rokem

    Do you recommend battle ropes? Havent see a video with you using them?

  • @ChiEF469
    @ChiEF469 Před rokem

    How did you find your dr? I’m looking for someone with the knowledge and experience dealing with trt and fitness not just a urologist that my regular practitioner referred me to. How can I differentiate the two?

  • @scottycollins3166
    @scottycollins3166 Před rokem +1

    Wow!!! Great video, how much arimidex were you taking 💪🏾💪🏾💪🏾 a week, it crushed my estrogen, I was taking 1mg a week split into 2 doses

    • @JamesGrage
      @JamesGrage  Před rokem

      It's been a long time so I can't remember but getting off that was one of the motivators for lowering my testosterone dosage. I didn't want to have to take Arimidex at all.

    • @scottycollins3166
      @scottycollins3166 Před rokem

      @@JamesGrage thanks for your reply 👊🏾

    • @mikearonson1071
      @mikearonson1071 Před rokem +1

      I was taking 1/2mg Arimidex every other day and did not cause any problems.

  • @josephfuccillo8079
    @josephfuccillo8079 Před 10 měsíci

    Hi James, you never explained how you were injecting.. was it subcutaneous or intermuscular? Also, how often were you injecting? Thank you.

  • @shawnbeauchamp4614
    @shawnbeauchamp4614 Před rokem +1

    I just started TRT a few weeks ago and was wondering if you guys tested your prolactin levels before starting. My level was a little high at
    20.3 ng/mol and so, initially, my pharmacist disagreed with the diagnosis (even though my test scores were in the mid 200s). If my prolactin does not lower after my next round of bloodwork (in three months), then she will refuse the prescription until it is resolved. No one I've heard talk about TRT ever mentions this, so I am curious whether or not it was something tested for in your case. Thanks, Great Video. Shawn

    • @bryanrussell5545
      @bryanrussell5545 Před rokem +1

      High prolactin suppresses testosterone level. I had very high prolactin and had to have mri to rule out prolactinoma. I was on cabergoline to lower prolactin and did get it normal. Testosterone never got high enough and now on TRT at 160mgs per week. My levels range 700-900 now.

    • @shawnbeauchamp4614
      @shawnbeauchamp4614 Před rokem

      @Bryan Russell a few more questions for you...Was there any reason for the high level? Do you remember what level it was at? How long did you take the medication before you started TRT? What were your testosterone numbers before treatment for the high levels of prolactin?

  • @israelhernandez1050
    @israelhernandez1050 Před měsícem

    My numbers were total test 327
    Free test - 10
    Was told all my numbers were normal , but have similar symptoms to you

  • @hitchhiker_1969
    @hitchhiker_1969 Před rokem

    James, it would be useful to learn the cost of your regimen for those on the lower end of the economic scale. I was on TRT for 13 years and felt amazing, unlike today with all the classic low T symptoms. I am super health conscious, but mental health is important as well. If we could get an idea of the ongoing cost with a competent knowledgable physician it would be very helpful. For some it might mean just tightening our belt in order to get a new lease on life.

    • @brandonj6548
      @brandonj6548 Před rokem +2

      I pay $40 for 10 weeks of testosterone and $12 for 10 weeks of anastrazole. Biannual doctor visits and blood work costs around $250 per year. Comes out to around $75 per month all in for the year.

    • @hitchhiker_1969
      @hitchhiker_1969 Před rokem

      Thanks! @@brandonj6548

  • @ericperry72
    @ericperry72 Před rokem

    Wish there was a clinic here in southeast michigan that was as knowledgeable as Dr.Osborn, I just had my blood work done and my test levels is now 199 and I just turned 50. Dr has referred me to a urologist, but I worry they will try to tell me its normal and I have to accept the depression like state im in.

  • @crdbr
    @crdbr Před rokem

    When starting TRT, how long does it take for your body to completely shut down its own factory? I started two weeks ago at 100 mg per week and my numbers were over 800 test. Does that mean that my body is still making its own test in combination with the exogenous test I am injecting weekly? Also, I am doing this without HCG right now, just Test. Also, what are your feelings about taking TRT with Fadogia? I have heard that Fadogia Agrestis could help in preventing testicular atrophy.

  • @scottnagel2516
    @scottnagel2516 Před rokem

    My clinic stopped hcg for atrophy due to FDA. I went with Fadogia agrestis 800 mg which worked great first few months then effects wore off. What other options for atrophy?

  • @afco06
    @afco06 Před rokem

    Thanks James, very intesting. One question though: in your first 2 results (at 5:30 and 8:00), the Free T reference range is 6.8 to 21.5 pg/ml, while in the third result (at 12:40), it is 35 to 155, still pg/ml. What is this incoherence ?
    As a side note, if the free T is to be 2% of total T, only the last range can be correct.
    I saw in another comment from a pharmacist that the difference in ranges doesn't really matter, and we should just look at where we position relative to whatever range our lab has established. But still, this is disturbing to get a result which means our free T is 0.2% of total T...

  • @nathan500100
    @nathan500100 Před rokem

    i wanted to ask why did the doctor have you take aramotase inhibitor at the start of the 200mg injections.

  • @caindl7393
    @caindl7393 Před 5 měsíci +1

    Brilliant, did you look into the supplements to help you achieve your optimal health, protect your liver, my LDL are elevated.

  • @DeanSchumacher
    @DeanSchumacher Před rokem

    Wow I'm 40 and I gave been feeling the way you describe and it sux I have all the symptoms as low t last time I had mine checked was over 10,yrs ago and it was in the 200s Dr wouldn't do shit they wanted to blame it on everything else so now my weight has went up no energy it horrible I have been looking at trt and trying to find the right Dr thanks for the video and some knowledge about trt

  • @randomguy32150
    @randomguy32150 Před 7 dny

    Enjoyed the video but I don’t think you mentioned anything about injection frequency. How many times a week are you injecting?

  • @redefv
    @redefv Před 3 měsíci

    7:35 mind you the average in 1984-85 in men ages 22 to 32 was 1200. That range is something newer that the medical community adopted within the last 15 years or so. I take 170 mg every Wednesday and my resting T is 780ish. My medical team started at 50 mg and increased the dosing slowly on a monthly basis.

  • @EB-bk4kv
    @EB-bk4kv Před rokem

    How long from when you got on trt to when this video was taken? Looking big bro

  • @janverschuren593
    @janverschuren593 Před rokem

    I feel how you felt all my life

  • @r.h.2830
    @r.h.2830 Před rokem +1

    Very interesting and informative! But don't you also need an alpha reductase inhibitor to reduce DHT because this also might rise significantly as a cause of rising Testosterone and leading to hairloss?

    • @FFTuk
      @FFTuk Před rokem

      Or bind the 5AR with finasteride

    • @decabeatzHealthWellness
      @decabeatzHealthWellness Před 6 měsíci +1

      Nope. Thats the whole idea behind TRT. Replacement only. The dose your taking will keep your test le else within the male range

  • @MrNtwill25
    @MrNtwill25 Před rokem +1

    Is it fair to say the Dr stopped his AI because of new information or a change of practice mind set?
    Would have liked to ask him if he thought there can still be a benefit of AI for someone who is in the high range, no gyno but having ED issues? Great informative videos. Thanks

    • @decabeatzHealthWellness
      @decabeatzHealthWellness Před 6 měsíci +1

      It depends on how high your estrogen level is and how you feel. If it's in rage there is no benefit to taking an AI. Estrogen is needed for good cardiovascular health a d brain health I forgot to add Estrogen is needed for mens libido. From experience as long as your estradiol stays below 70 your good

  • @hollisday1421
    @hollisday1421 Před 7 měsíci

    Why would I block estradiol? It’s cardiac protective. I didn’t block it in my teens and 20’s. There is no study showing a phlebotomy helps. Again, we didn’t do that when we were at our highest levels naturally. Is there a study showing these 2 issues?

  • @randybates789
    @randybates789 Před rokem

    How do you measure so accurately into the syringe (120, 130, 150)? I take .75 cc each week but it could be .7 or .8.

  • @kidqwick57
    @kidqwick57 Před rokem +4

    Its 700 on the lowest stage on TRT, for a 7 day pinning. Curious what it is at its peak. Usually 48 hours after pinning then gradually descending. I pin EOD because at once a week, I was crashing after day 6.

    • @enntense
      @enntense Před rokem +1

      Yeah, It's hard to say becasue if you look at it it seems clear that its a peak and valley effect, but..after several weeks the wave pattern does get flattened out. If you were at zero on last day, then you would just get the same wave pattern, but you get more and more overlap as weeks go by.

    • @mikearonson1071
      @mikearonson1071 Před rokem

      What dosage per day or per week?

    • @kidqwick57
      @kidqwick57 Před rokem +1

      @@mikearonson1071 I do 0.25 every other day. Tried once a week. Didn't like the crash. Did twice a week 0.4 and as well, but notice the trend is microdosing eod. Less peaks and troughs. Everyones different though. Need to find what works best for you.

  • @institorisinstitoris959

    I tested my T a few days ago and my total testosterone is 13,95 nmol/L and my free testosterone is 18,6 pg/mL. Is this too low and what should I do? I'm 37 yo and fairly active (run frequently, a few half marathon races per year)

  • @mblondon1000
    @mblondon1000 Před 5 měsíci

    I need a guy like this in the UK 🇬🇧