Chapters: 00:00 Welcome, New Studio & Guest Introduction 03:00 Why Blood Work Matters Before TRT 08:45 Estrogen, DHT & Detox Pathways Explained 15:30 Alternatives to TRT (Clomiphene & Creams) 17:00 What Testosterone Really Does in the Body 22:20 TRT Dosing: Replacement vs Overdoing It 28:00 Supplements & Peptides to Support TRT 31:00 Testosterone Esters Explained (Cyp, Prop, Sustanon) 41:00 Injection Frequency, PIP & Carrier Oils 49:00 Diet, Fasting & Training Adjustments 52:30 MOTS-C vs SS-31 (Mitochondria Explained) 56:00 Intramuscular vs Sub-Q Peptides 57:30 Testosterone Therapy for Women 1:00:00 Final Thoughts & Wrap-Up We cover: Blood Work & Baseline Panels Why a comprehensive panel is essential before starting TRT or peptide therapy Inflammation markers, homocysteine, iron levels & clotting risks Common doctor mistakes: running only total testosterone with no free test or estrogen panels Genetic factors (MTHFR), detox pathways & why gut health matters for estrogen clearance TRT Side Effects & How to Avoid Them Estrogen conversion, DHT, prostate health & hair loss explained Common side effects (acne, gyno, fatigue, mood swings) and how to minimize them Methylation support: B6, B12, methyl folate, DIM, calcium glucarate Natural blood thinners: fish oil, natto kinase, bergamot, turmeric Ester Education From Sipionate to Propionate to Sustanon Fast vs slow release esters explained When to choose Test Prop vs Sip vs Sustanon vs Enanthate vs Undecanoate Daily vs weekly dosing strategies & injection protocols (IM vs SubQ) What "PIP" (post-injection pain) means and how to reduce it (oil type, heating, MCT vs grapeseed) Optimal TRT Dosing Why 200250mg is often too much for long-term use Why 125150mg/week is the true sweet spot for most men Expected results timeline: 3 weeks to feel it, 6 weeks to retest, 3 months to dial it in Monitoring lipid panels, hematocrit, ferritin, homocysteine over time Stacking with Peptides Using TB-500 and BPC-157 for injury recovery (yes, even for teens) Thymosin Alpha-1 for immune support alongside TRT When to avoid stacking GH secretagogues or MK-677 in younger athletes Women & TRT: microdosing for libido, bone density, mood & anemia Bonus Topics Intramuscular vs SubQ injection effectiveness Mitochondrial repair: Why SS-31 should come before MOTS-C Why some people feel NAD or MOTS-C and others dont (and why thats okay) Bottom line: Hormone optimization isn't about blasting your body
5) Optional Lipotropic/Metabolic Add-Ons (MIC/Lipo-C, Carnitine, NAD+) Some clients ask about metabolism add-ons to round out hydration, energy, and recovery support
McGraw-Hill / Lange rxlist.com (Januvia ) Keywords Saxagliptin Trade Name: Onglyza Mechanism of Action: a DPP-4 inhibitor, similar to Sitagliptin Pharmacokinetics: mixed renal & hepatic clearance dosage should be reduced in patients with moderate to severe renal impairment References: Masharani U, Kroon L (2024): Pancreatic Hormones & Antidiabetic Drugs (Chapter 41)
We consider not only the hemoglobin levels but also the persons overall health status and the underlying causes of their low hemoglobin
