Why Testosterone Replacement Therapy Is Failing You

Men, Optimal T is the Goal.

 Image from <http://dbolmassgainer.com/major-benefits-of-testosterone-booster/>

Image from <http://dbolmassgainer.com/major-benefits-of-testosterone-booster/>


So, Why Is Testosterone Replacement Therapy Failing You?


Is your testosterone manufactured in a Chinese bathtub?

Do your breasts rival those of your girlfriend?

Do you love your backne?

Have your testicles regressed into baby almonds?


Of late, I've received a surge in consultation requests by men who are already taking supplemental testosterone. 

These men are injecting themselves with an unknown substance and without the guidance of an experienced medical doctor. Not smart.

Frustrated with sub-optimal results and undesirable side effects, they've contacted me to get their hormone levels tested and switch to pharmaceutical-grade products. Now that's smart.

Below I've outlined four reasons you aren't achieving optimal results while taking testosterone.


1. Your Testosterone Isn't Pharmaceutical Grade

From whom are you purchasing your testosterone?

From your trainer? From your drug dealer? From an overseas pharmacy?

Are you injecting yourself with a substance of unknown origin?

Do you really think that's a good idea?

Do you think the cost savings is worth it?

Counterfeit testosterone products are rife on the black market.

Your body is your most valuable asset.

Improper hormone manipulation can lead to irreversible damage to the brain-testicle axis.

Only administer pharmaceutical-grade products under the guidance of an experienced medical doctor.

Be smart. Don't jeopardize your hormonal system with black market drugs.


2. You Aren't Taking an Estrogen Blocker

Instead of going bra shopping with your girlfriend, take an estrogen blocker while taking testosterone.

Aside from gynecomastia, excessive estrogen can cause water retention thereby artificially inflating your weight and blunting the chiseled physique you seek.

I never prescribe supplemental testosterone without also prescribing an estrogen blocker.

Anastrozole [brand name Arimidex] is the most commonly prescribed estrogen blocker. Anastrozole functions by inhibiting the enzyme aromatase, which converts testosterone into estrogen.

What't the relationship between testosterone and estrogen?

Don't completely block estrogen 

Beware! Taking too much of an estrogen blocker can also harm your health! The only way to know if the dose of your estrogen blocker is sufficient is, you guessed it!, to get your estrogen levels tested.

A portion of your body's testosterone is converted into estrogen by the enzyme aromatase. When increasing the amount of testosterone in the body--like when taking supplemental testosterone--a portion of that testosterone will be converted into estrogen. Although estrogen is essential to the well-functioning male anatomy, excessive estrogen levels can negate the effects of increased testosterone levels.

An optimal level of testosterone can be completely blunted by excessive estrogen levels.

 Image from &lt;https://visual.ly/community/infographic/health/how-acacetin-helps-reduce-conversion-testosterone-estrogen&gt;

Image from <https://visual.ly/community/infographic/health/how-acacetin-helps-reduce-conversion-testosterone-estrogen>

The effect of testosterone is determined by the concentration of testosterone AND the relative ratio of testosterone to estrogen.


3. You're Taking Too Much Testosterone

Many men fear testosterone supplementation due to the possibility of side effects.

And they should.

Taking too much testosterone can cause a host of problems from pesky back acne and frustrating irritability to deadly stroke.

In order to achieve an optimal level of testosterone (700-1100 ng/dL), most men require supplementation of 100 to 200 mg of testosterone weekly.

Contrast this with excessive doses taken by bodybuilders, some of whom take 1,000 mg or more of testosterone per week. Side effects are much more likely to occur at these abusive doses.

Regular blood work monitors for appropriate hormone levels while on testosterone replacement therapy. Taking supplemental testosterone without monitoring your blood work is simply foolish.

Most men require 100-200 mg of supplemental testosterone per week to achieve optimal T.


4. You Aren't Taking hCG

Testicular shrinkage is a well-known side effect of testosterone supplementation.

Fortunately, taking hCG [Human Chorionic Gonadotropin] simultaneously with testosterone preserves testicular volume so your testicles don't look like the huevitos of a pre-pubescent boy.

hCG is the bioidentical form of Lutenizing Hormone, the signal from the brain to your testicles to produce testosterone. Taking supplemental testosterone will suppress your body's release of lutenizing hormone and production of testosterone. This hormonal suppression also curtails production of sperm.

hCG maintains stimulation of the testicles while on testosterone replacement therapy, thereby maintaining the size of your testicles and sperm production.

Sir Brain & Mr Testicles Convo.png

hCG preserves testicular volume and fertility while taking supplemental testosterone.


Ready for physician-supervised, pharmaceutical-grade hormone optimization?

Call Me: 646.568.6636

Email Me: Services@DoctorK.nyc

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