Derek (More Plates More Dates)

So it's not like that growth is even bad either, getting to the eugonadal state.

So just keep an eye on the PSA and be aware of it, but it's not something that seems to just like dose-dependently escalate.

The other stuff is worth mentioning is

like you in general like when i said testosterone does testosterone things in a dose dependent manner even if your protocol is dialed in if you're producing more than you would physiologically that your body can tolerate as well like you will have the whatever backhand consequence of managing the extra estrogen the extra dht you know that could lead to extra

acne hair loss um gynecomastia if you have excessive aromatization locally in the tissue that is not antagonized sufficiently by the dht and testosterone signaling hair loss in the scalp annoying body hair that sucks to get rid of if you care about that sort of thing more facial hair growth deepening of the voice um more than you already have as a male surprisingly there's like often like if you're if you were low t to begin with like

typically guys who get on and then like push their test levels up to high normal especially will notice like a little bit of a deepening like these are all kind of like the kind of like the maximization of the male secondary sexual characteristics being like pushed to the nth degree within physiologic parameters sleep apnea will get exacerbated pending your

Neck size increases, muscle increases in size, things that are contributing to the obstructive nature of your soft tissue falling into your airway will get worse pending you are dosing in a manner that pushes you there.

So if you're physiologically replacing, like a lot of this stuff is probably a moot point, but a lot of people won't be.

They'll be pushing to optimal.

optimal quote unquote which is fine just be aware that you will potentially increase your risk of sleep apnea and keep an eye on it i would absolutely recommend anybody even before they get on trt get their uh uh like a basic sleep study done um it's a lot less intensive than you might think and they're actually like pretty reasonable at home devices that measure like uh

uh apnea episodes per hour that will like essentially put you on a chart of how many uh um episodes of like ceasing breathing are you having per hour and you could have a baseline there and see if that goes up when you get on trt so it's not like this is a questionable like what's going to happen in your sleep apnea susceptibility like literally measure it like you have your baseline when you're not on it now you're on it what's the difference and like you would see in real time the literal diagnostic metric either going up or not changing at all and then you would have your answer kind of thing

But it is a possibility for sure, just like any of this stuff is.

But if you're physiologically replacing, like the risk is relatively low.

Even transiently.

Transiently.

And I'm checking on trough day, which means like typically a lot of physicians will say check your test levels on like the day where your test levels are lowest based on the pharmacokinetic profile of whatever the format of testosterone you're using.

So if you're on a long ester testosterone formulation, like a testosterone sipionate or an enanthate, these are the typical prescriptions to allow you to get away with dosing only like once or twice a week for adherence.

reflection of that in blood work is you would typically see because you're bolus dosing it at once your blood work would shoot into supra range depending on the total dose of course but like a lot of people this is what happens they shoot into like i don't know 1300 1400 1500 total t with the proportional

5-alpha reduction to DHT, suppression of SHBG, disproportionate freeing of free androgenic signaling via more DHT being free than would otherwise be normal, more free tea than is proportionally normal, more aromatization than would be possible if that dose was like even spread out on an even curve throughout the week on microinjections.

increase in erythropoiesis acutely beyond physiologic you know capacity to you know an unhealthy acute level at least for a periodic period of time and then you're in like a slow or steep depending on like the ester crash essentially into like sort of normal looking territory until your next shot that's the reality for a lot of guys i think in europe they do testosterone uh