Alan Aragon
speaker
1,513 appearances
3 recordings
2 series
first heard Aug 2025
last heard 27 Mar
Alan Aragon’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 2 in all, peaking in Mar 2026 with 1.
Appearances
a symptomologic reason to get on it.
So you have to be incurring or experiencing symptoms that are disrupting to your quality of life, regardless of what your blood labs are.
Like for testosterone, for example, if you are out of range for testosterone, on the lower end, let's say, but you have no symptoms and you feel fine, you perform great in all aspects,
then it's really up to you whether it bugs you enough that you're below range or on the lower end of the range to correct that.
It's up to you.
And so symptomologically driven.
Now, the other thing to look at with HRT is, and a lot of people, they get a single testing point and they judge their need to get on a hormonal replacement therapy based on a single test.
What people need to do is see whether there is some sort of trend going on in one direction or another or not.
And if that trend is going in a bad direction over time, and you can do this by just multiple time points, over an extended period, it's debatable, like six months, 12 months, to see what's going on.
Try to correct things through lifestyle and diet, and often they are correctable.
I've come across many cases
where a guy will be underslept, overworked, eating like crap, gets his testosterone levels tested.
Oh, you're right at the bottom or you're even below range.
Oh, time for HRT.
Well, hold on a second.
Let's get this guy some sleep.
Let's improve his lifestyle, improve body composition, and then bang, testosterone levels double.
This is not an uncommon thing.
And so I'm very much a proponent of first, are there symptoms driving the justification for HRT?
And then secondly, are we basing things on a single time point or did we actually see a trend over time?
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