Anabolic Doc

This is your toolkit to avoid a heart attack! Heart disease is 100% preventable if you manage your risks, get your heart health evaluated, and take action. This process happens every day in my practice and across the world, but too many men avoid it. Even if your fitness and lifestyle are on point, if you live long enough heart disease is likely. But we have very effective treatment that can stop this process if you address it early. Please watch this video to understand your risks and what you can to avoid heart disease, then get started! For information on my practice and consultations, visit https://www.testosteronology.com For anabolic recovery consults, visit: http://www.testosteronology.com/anabo... New government guidelines allow me to offer fully remote care to most new TRT and Anabolic Recovery patients. Email or call the office to see if you qualify. TABLE OF CONTENTS: 00:34 - LIFESTYLE FACTORS - Maintain a healthy weight, weigh yourself 01:21 - Diet: inflammation, sugar, calories, fat 02:05 - Exercise - not just to burn calories, HIIT 02:32 - Smoking, alcohol, other drugs, stress ( 03:33 ) 04:24 - DIAGNOSIS - Blood pressure: consider a manual cuff 05:26 - Lipids: HDL, LDL, + advanced tests 06:13 - Sugar processing: diabetes, fasting glucose 06:55 - Inflammatory diseases: RA, IBS, Chron’s, etc. 07:09 - Sleep apnea, family history with specific ages 07:52 - Coronary artery calcium score (images artery plaque!) and other tests 10:00 - Stress tests, possible angiography ( 10:44 ) 11:17 - Interpreting the data 12:26 - TREATMENT - Diet, exercise, & behavior change may not be enough 13:21 - Protective supplements 15:16 - Protective medicines - don’t just say no! Stay Strong and Healthy, Dr. O ____________ As the Anabolic Doc, since 2003, I’ve provided men who are using or have used anabolic steroids a confidential, ethical and professional medical venue to discuss their use. I do NOT in any way support the use of any performance enhancing drugs - PEDs, anabolic steroid or other medicine for muscle building or body transformation. The “off-label” use of PEDs, as such agents is considered elicit and may lead to adverse health outcomes. Please consult an expert health professional regarding any medical agent and do NOT use any medicine without the explicit advice and supervision of an appropriate medical expert. This video is for education and information only. This is not medical advice. Only take medications as prescribed by your doctor. Do not take illegal substances. Taking steroids can lead to serious health consequences. #HeartDisease #HeartAttack #HeartHealth

Gynecomastia (male breast growth) is a side effect of testosterone replacement therapy (TRT.) This video is the second in my series, “On Testosterone,” where I discuss the factors that should be considered while on TRT and before starting. I cover the science and causes of gynecomastia, how to assess your risk before starting TRT, and how to manage gynecomastia while on testosterone. If you are on TRT or considering it and concerned about gynecomastia, watch this video! For information on my practice and consultations, visit https://www.testosteronology.com For anabolic recovery consults, visit: http://www.testosteronology.com/anabo... New government guidelines allow me to offer fully remote care to most new TRT and Anabolic Recovery patients. Email or call the office to see if you qualify. TABLE OF CONTENTS: 00:00 - Intro 00:53 - GYNECOMASTIA SCIENCE & CAUSES - Growth of breast tissue in men due to an imbalance of testosterone & estrogen, can occur on all types of TRT 02:19 - Contributing factors: hyperthyroidism, obesity, age 02:46 - Liver and kidney disease 03:04 - Anti-androgens like finasteride & dutasteride 03:33 - Heart failure & blood pressure meds, spironolactone 04:32 - Testosterone, antidepressants (especially tricyclic) 04:48 - Anxiety meds, antibiotics, heart burn meds 05:16 - Antihistamines, alcohol, amphetamines 05:52 - Marijuana, heroin and other opiates 06:06 - MANAGING MEN ON TRT WITH GYNECOMASTIA - Detailed medical history, some men can tolerate more T 06:43 - 2 types of gynecomastia: sensational and growth 07:24 - Labs: total & free T (specific type!), estradiol (not just total estrogen, which is subject to contamination) 09:12 - Microdosing T to avoid gynecomastia 10:00 - Anti-estrogens: last resort, minimally, with close monitoring 10:42 - Continued use can lead to poor mood, libido, injury, heart risks. A brief reset, not long-term use! Stay Strong and Healthy, Dr. O ____________ As the Anabolic Doc, since 2003, I’ve provided men who are using or have used anabolic steroids a confidential, ethical and professional medical venue to discuss their use. I do NOT in any way support the use of any performance enhancing drugs - PEDs, anabolic steroid or other medicine for muscle building or body transformation. The “off-label” use of PEDs, as such agents is considered elicit and may lead to adverse health outcomes. Please consult an expert health professional regarding any medical agent and do NOT use any medicine without the explicit advice and supervision of an appropriate medical expert. This video is for education and information only. This is not medical advice. Only take medications as prescribed by your doctor. Do not take illegal substances. Taking steroids can lead to serious health consequences. #TRT #Gynecomastia #Gyno

Hair loss is a side effect of testosterone replacement therapy (TRT.) This video is the first of a series, “On Testosterone,” where I discuss the factors that should be considered while on TRT and before starting. I cover the causes of hair loss, the science of balding, how to assess your risk before starting TRT, and ways to minimize hair loss on TRT. Some tactics and treatments are more effective than others, and some come with their own side effects to consider. If you are on TRT or considering it and concerned about hair loss, watch this video! For information on my practice and consultations, visit https://www.testosteronology.com For anabolic recovery consults, visit: http://www.testosteronology.com/anabo... New government guidelines allow me to offer fully remote care to most new TRT and Anabolic Recovery patients. Email or call the office to see if you qualify. TABLE OF CONTENTS: 01:33 - HAIR LOSS CAUSES - Interplay of factors including hormones and genes 01:51 - Thyroid, autoimmune, dermatologic conditions 02:22 - Side effects of medicines and medical treatments 02:41 - SCIENCE OF BALDING 03:17 - DHT affects hair follicles, skin, prostate, and mood 03:34 - Your follicles’ sensitivity to DHT sensitivity may be more important than how much DHT you have 04:21 - If you are losing hair and keeping it is your top priority, don‘t start TRT 04:49 - MINIMIZING HAIR LOSS ON TRT - Get a good history & physical to know and reduce risks 05:19 - Minoxidil for top and apex balding 05:43 - 5a reductase inhibitors: finasteride & dutasteride 06:08 - These drugs reduce DHT which can impact libido, wellbeing, and mood. Be careful! 07:13 - Ketoconazole antifungal shampoo 08:17 - Laser treatment & platelet-rich plasma (PRP) 08:41 - Cosmetic tricks from an actor Stay Strong and Healthy, Dr. O ____________ As the Anabolic Doc, since 2003, I’ve provided men who are using or have used anabolic steroids a confidential, ethical and professional medical to discuss their use. I do NOT in any way support the use of any performance enhancing drugs - PEDs, anabolic steroid or other medicine for muscle building or body transformation. The “off-label” use of PEDs, as such agents is considered elicit and may lead to adverse health outcomes. Please consult an expert health professional regarding any medical agent and do NOT use any medicine without the explicit advice and supervision of an appropriate medical expert. This video is for education and information only. This is not medical advice. Only take medications as prescribed by your doctor. Do not take illegal substances. Taking steroids can lead to serious health consequences. #TRT #HairLoss #Balding

Testosterone is known to affect libido (sex drive) and erectile function, and men on TRT report improved sex lives. While these affects have been well researched in hypogonadal men, there is less data on men with normal or close to normal T levels. Increasingly, some experts suggest treating the patient and their symptoms more than the number (total T or free T). In this video I take a look at the available research to recommend that type of treatment, as well as the anecdotal data from my practice. Interestingly, most men report sustained improvements in their sex lives that do not diminish over time and treatment. However, these benefits must be weighed against the downsides of TRT