Dr. Andy Galpin

And that number is low. Great. First stop is, is that normal for that person? Second stop is, do they have any symptoms? Again, are they fatigued, libido, recovery, like anything there? Awesome. If you haven't even gone to those two steps, we probably shouldn't be jumping to therapies and things. But past that.

And that number is low. Great. First stop is, is that normal for that person? Second stop is, do they have any symptoms? Again, are they fatigued, libido, recovery, like anything there? Awesome. If you haven't even gone to those two steps, we probably shouldn't be jumping to therapies and things. But past that.

And that number is low. Great. First stop is, is that normal for that person? Second stop is, do they have any symptoms? Again, are they fatigued, libido, recovery, like anything there? Awesome. If you haven't even gone to those two steps, we probably shouldn't be jumping to therapies and things. But past that.

Before I'm even worrying about any of those things, I'm gonna look at this and go, okay, why is testosterone low? And then I'm gonna look at things, the easy one that's gonna come to people's mind is things like cortisol. There's an antagonist relationship between cortisol and testosterone.

Before I'm even worrying about any of those things, I'm gonna look at this and go, okay, why is testosterone low? And then I'm gonna look at things, the easy one that's gonna come to people's mind is things like cortisol. There's an antagonist relationship between cortisol and testosterone.

Before I'm even worrying about any of those things, I'm gonna look at this and go, okay, why is testosterone low? And then I'm gonna look at things, the easy one that's gonna come to people's mind is things like cortisol. There's an antagonist relationship between cortisol and testosterone.

If your blood draw cortisol is super high, there's lots of ways to measure cortisol, that's why I specified blood. then before you go anywhere with testosterone, all you have to do is get cortisol back down and your testosterone will go up.

If your blood draw cortisol is super high, there's lots of ways to measure cortisol, that's why I specified blood. then before you go anywhere with testosterone, all you have to do is get cortisol back down and your testosterone will go up.

If your blood draw cortisol is super high, there's lots of ways to measure cortisol, that's why I specified blood. then before you go anywhere with testosterone, all you have to do is get cortisol back down and your testosterone will go up.

If we then start looking at things like sodium to potassium ratios, now again, both those numbers are probably gonna be fine, but that individual ratio itself will tell us a lot about acute versus chronic fatigue. So if I start looking at that and I start seeing, okay, resting cortisol is normal, but sodium potassium ratios are off. We don't have an acute stress issue.

If we then start looking at things like sodium to potassium ratios, now again, both those numbers are probably gonna be fine, but that individual ratio itself will tell us a lot about acute versus chronic fatigue. So if I start looking at that and I start seeing, okay, resting cortisol is normal, but sodium potassium ratios are off. We don't have an acute stress issue.

If we then start looking at things like sodium to potassium ratios, now again, both those numbers are probably gonna be fine, but that individual ratio itself will tell us a lot about acute versus chronic fatigue. So if I start looking at that and I start seeing, okay, resting cortisol is normal, but sodium potassium ratios are off. We don't have an acute stress issue.

You have a long-term stress management issue. Then I start poking around and we start looking at things like HRV, your respiratory rate, how often you're breathing, your CO2 tolerance, and some other functional categories there. Maybe we're looking at basic pH and we start seeing three or four or five signs of chronic stress. And what's key about this is that may or may not

You have a long-term stress management issue. Then I start poking around and we start looking at things like HRV, your respiratory rate, how often you're breathing, your CO2 tolerance, and some other functional categories there. Maybe we're looking at basic pH and we start seeing three or four or five signs of chronic stress. And what's key about this is that may or may not

You have a long-term stress management issue. Then I start poking around and we start looking at things like HRV, your respiratory rate, how often you're breathing, your CO2 tolerance, and some other functional categories there. Maybe we're looking at basic pH and we start seeing three or four or five signs of chronic stress. And what's key about this is that may or may not

manifests itself in psychological stress. So the person may not be like, no, I'm not stressed. Depression, no, I'm fine. Anxiety, no, I'm good. Like, no, they may or may not have the symptoms, but we can look at it and see they are physiologically very stressed. So now all we do is resolve some or most of that physiological stress, and guess what happens to testosterone? It shoots right back up.

manifests itself in psychological stress. So the person may not be like, no, I'm not stressed. Depression, no, I'm fine. Anxiety, no, I'm good. Like, no, they may or may not have the symptoms, but we can look at it and see they are physiologically very stressed. So now all we do is resolve some or most of that physiological stress, and guess what happens to testosterone? It shoots right back up.

manifests itself in psychological stress. So the person may not be like, no, I'm not stressed. Depression, no, I'm fine. Anxiety, no, I'm good. Like, no, they may or may not have the symptoms, but we can look at it and see they are physiologically very stressed. So now all we do is resolve some or most of that physiological stress, and guess what happens to testosterone? It shoots right back up.

It depends on what the cause is.

It depends on what the cause is.