Todd Vande Hei’s comprehensive insights into TRT (testosterone replacement therapy) offer valuable guidance for men considering the therapy. From the importance of optimal hormone levels to lifestyle adjustments and addressing common misconceptions, Todd presents TRT as a powerful tool for enhancing physical and mental health.
We've expanded on each of the key takeaways that Todd discuses, its benefits, risks, and frequently asked questions.
Todd stresses the importance of men managing testosterone levels as they age. Typically, testosterone begins to decline around age 30. Todd not only shares his personal experience with TRT in this video, but he also explains how it can improve your muscle mass, mood, energy, and cognitive function when done correctly.
Watch the entire video on YouTube: Everything You Need To Know About Testosterone Replacement Therapy
For more information, watch our live TRT Q&A recording!
Todd emphasizes that “normal” testosterone levels for older men are often too low to maintain vitality. He advocates targeting the optimal hormone levels found in healthy young adults. Many doctors, however, aim to restore testosterone to the average range for someone’s current age. Todd recommends finding a healthcare provider who believes in optimizing hormone levels for enhanced quality of life, helping men maintain youthful energy, muscle mass, and mental sharpness as they age.
Todd discusses his approach of microdosing testosterone daily. Instead of larger, less frequent doses, which can cause spikes in testosterone and increase estrogen conversion, Todd’s method keeps hormone levels more consistent. This method reduces the need for additional medications like aromatase inhibitors, which are used to block estrogen conversion. His personalized regimen of subcutaneous injections is a key part of managing testosterone replacement safely and effectively.
Frequent testing is a crucial part of Todd’s TRT routine. Initially, monthly tests ensure testosterone levels are stabilizing correctly, followed by quarterly monitoring once everything is in balance. Todd stresses the importance of measuring both total and free testosterone, the latter being more critical for experiencing the full benefits of TRT. Other biomarkers, like estrogen and DHT levels, are also tracked to avoid imbalances and side effects.
Todd repeatedly stresses that TRT is not a magic solution on its own. A healthy lifestyle is essential to maximizing the benefits. This includes maintaining a balanced diet, getting enough sleep, regular exercise, and managing stress. Without these lifestyle components, even the most well-managed TRT regimen may fail to deliver optimal results. Proper vitamin D levels and omega-3 to omega-6 ratios are also necessary for hormone receptor function and overall health.
There are many misconceptions around TRT, and Todd addresses several of them. Contrary to outdated research, Todd explains that TRT does not increase the risk of prostate cancer or cause issues like “roid rage” when properly managed. In fact, he discusses how testosterone has protective effects on cardiovascular health and overall well-being, dispelling the myth that TRT can lead to heart disease or aggression.
Todd openly talks about the potential side effects of TRT, such as testicular shrinkage and hair loss (read this article about finasteride). He offers solutions like HCG therapy, which can help maintain testicular function. He also notes that while hair loss can occur in men predisposed to male pattern baldness, the overall benefits of TRT often outweigh these risks for those seeking to improve their health and vitality. His approach encourages patients to weigh the pros and cons based on their individual priorities.
A surprising yet significant benefit of TRT is its impact on mental health. Todd shares that many men, including himself, notice improvements in mood, memory, and focus shortly after starting TRT. The restoration of optimal testosterone levels has a profound effect on cognitive function, making men feel sharper, more enthusiastic, and even more charismatic. This mental clarity and emotional balance are key benefits of maintaining healthy testosterone levels.
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