Derek (More Plates More Dates)

this stuff is insidious but it'll still creep up quick and you might not notice the change incrementally because you're so either the changes are still like on a daily basis you might not notice it yourself but also a lot of women are kind of with even some of them are willing to like overlook it because they feel so good with the protocol it's like my quality of life is so great now i don't want to mess with anything and they'll just stay the course and then like fuck themselves up

And they don't need to.

They could have got the same symptom relief at, like, a much lower dose.

So... Wow.

Yeah, you got to be careful if you're a woman, like, replacing tests, especially, because it's... There are a lot of doctors that, like, especially the ones that have cookie-cutter protocols that are, like, you know, everyone should get to a total T of, you know, 200 to 300.

Like, it might be a bit aggressive.

So, you know, I mean, like there's definitely a way to go about it that I think is net beneficial for sure.

It's not like clinically effective.

There's a guideline that says at this level equals you're the equivalent of hypogonadal and you should be on testosterone.

It's always going to be an off-label recommendation based on an assessment of what kind of net benefit you would hopefully get out of it, which for a lot of people with responsible use in menopause would probably be a net benefit if they needed it.

But your deterioration in testosterone production is not going to diminish to the same degree of...

velocity is your estrogen progesterone that essentially plumbing into nothingness like a lot of the testosterone is mediated through adrenal synthesis and like peripheral tissue conversion it's not all ovarian so like you're the proportion of how much testosterone you make in each area is not going to be equivalent woman to woman it's going to change depending you know individual genetics so you might not have that big of a drop in testosterone

or even like the perceived impact of that drop relative to another woman, it might not be nearly as significant.

Like you might be totally fine in menopause just being on estrogen and progesterone micronized or whatever.

Um, it all depends.

And that's where like, and a nuanced assessment and like no cookie cutter protocols.

Like there are general guidelines of kind of like where to start with things.

But like, that's the reason you gotta be like insanely educated about this stuff going in, especially if you're a woman using like an off label prescription of something that is not FDA approved.

Like there could be a huge quality of life bump, but like, you gotta know what you're doing when you go in and like,

It sounds bad, but you almost, like, got to know what the ideal protocol is for you, like, before the doctor tells you, and you have to, like, find the doctor who, like, you know is responsible, which is crazy.