Derek (More Plates More Dates)

So there's that.

And there's different ways you can take it, of course, which we could get into later.

But the next situation that's a bit more relevant is like the secondary hormone.

hypogonadism situation where somebody has pro like testes that function just potentially to like a suboptimal capacity

And there might be some level of like low gonadotropin output facilitated through some level of like lifestyle or diet or whatever.

Like Peter, for example, like he's pretty dialed.

And like he did a lot of stuff to try and like fix it before he went to any sort of replacement.

Sleep hygiene is on point.

Like the guy, like what else could you do when you're him, right?

He's, I think, 50 years old.

So what he did was he used HCG, which was assessing, okay, like,

are the testes responding to like a manual signal?

And they were.

And he's like replaced his hormones entirely by using a manual LH mimic, essentially.

Why his pituitary wasn't shooting out enough LH to hit the amount, like the enough stimulation he would need to produce the same amount of tests that would hit his like optimal?

Variety of factors, age related decline, who knows, but probably a combination of multiple things.

And at that point, it's kind of like, do you want to manually backfill with signal or do you want to take hormones pending?

You've done all the exhaustive, you know, things to try and like check the boxes because, you know, some people don't care as much and don't want to check the boxes, but like

In general, I would say it would be worthwhile to learn why you have the problem, even if your intention is to just end up on testosterone anyway.

I wouldn't delay treatment if you're symptomatic and it's hurting your quality of life.