Different Ways Treating Low T Dr Hyman

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What you've been told or given broken down by Dr. Michael Hyman. • More info visit: https://www.drhyman.net/ • TRANSCRIPT: • I'm Dr. MichaeI'm Dr. Michael Hyman with LA Sexual Health, • you can go visit the website LASexualHealth.com • Today we're going to talk about different • ways of treating low testosterone. So you've been told that your testosterone • level's low or it's in the low-normal range, you've been given a trial of testosterone • injections, because that's my approach...I find that the best way is to just get some • trial doses in the office of pure Testosterone Cypionate as we call it, about 200 milligrams, • every two weeks for about a month, and say you come back and tell me 'Hey, I feel great, • this has improved my sex drive, my mood is better, I'm more active, I'm going to the • gym, I'm more motivated, it's just a big boost in my quality of life...' We're then going to have a conversation about your best approach for long-term treatment. And really, the first thing--let me just get out it out of the way--there is no oral treatment. You can't swallow a pill. I know that many of you asked me about the supplements that you see online, you go to Amazon or whatever and it'll say Testosterone Supplements or Testosterone Booster . Honestly, it's all mostly plant extracts or some other variant, and it is not testosterone. And here's why. The reality is, when you swallow a pill or take anything down the gastrointestinal track, the first place that substance is going, from your gastrointestinal track (your stomach or your small intestine), through the wall, absorbed by the bloodstream, it goes directly to the liver. That is its first stop. For everything. So, we call this first-pass metabolism. Some drugs you find with first-pass metabolism, but in the case of testosterone, it's completely deactivated. There is no activity, it's broken down completely. And so you cannot take oral testosterone because it will be completely deactivated by the liver. Therefore, you have to bypass first-pass metabolism, and the only way to do that is to go through • the skin. So how can we administer something through skin? Well, we can give you a shot, obviously; there are absorbable gels, creams, salves, whatever you want to call them; and then there are what we call subcutaneous pellets. So I'm going to talk about all three of those things. So, the shots are, as I said in the beginning of this video, are great for just getting your levels right up there. Very dependable, it's going to get it at a normal level, and you're going to feel it probably within 24 hours if you do respond, and in that regard it's great. You do have to get a shot which isn't so great, you do have to have it administered. Some people can do it themselves, other people have to come to the office and have it done, and it is an intramuscular injection. So it's not just going superficially under the skin, it's going deep into either your deltoid muscle, or your gluteal muscle in your butt, whatever. It's gotta be intramuscular. And the other downside is of course that it's not particularly long-lasting, so in the case of say, a 200 milligram dose, you're going to need to get a repeat shot every two weeks. Some doctors might alter that schedule. Some people might do once a week a lower dose or once a month a higher dose, but make no mistake, there is a real kind of peak trough phenomenon. In other words, you get the stuff, it goes in quickly into your bloodstream but, after say 6, 7, 8 days, it's going to start falling off also pretty quickly. So you do get this kind of high-low experience and a lot of people don't like that. And you can try to fiddle with it by changing the timing schedule or the dosing schedule, but it really is a problem for long-term therapy. Then there's the topicals. And that means like skin creams or gels or salve, whatever you want to call that. Now there are two that are FDA-approved and you need a prescription. • And by the way, any prescription for testosterone has to be written on a DEA schedule prescription • pad. DEA-3 I believe, schedule prescription pad. That means that it is basically like a narcotic. • It's a controlled substance. You can't have it called in. It has to be on a physical DEA prescription • pad, and that's a little inconvenient. ...

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