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TRT AND HT


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This is a great topic, because as you said we want hair, but we want to feel good, and let’s face it: as men testosterone is the feel good hormone.

Dr. Glenn Charles is the perfect person to answer. I’m gonna reach out to him, he’s wealth of knowledge. 

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8 hours ago, Melvin-Moderator said:

This is a great topic, because as you said we want hair, but we want to feel good, and let’s face it: as men testosterone is the feel good hormone.

Dr. Glenn Charles is the perfect person to answer. I’m gonna reach out to him, he’s wealth of knowledge. 


thanks @Mavin !
I'm doing my home-work and reading a lot of stuff.
Looking on this topic, I found an interesting theory about hair loss and testosterone/DHT.
High DHT level are the effect and not the cause of hair loss. If this statement is true, it can change a lot in TRT management to fight hair loss.
According to this theory, hair loss is related to recused fat layers in scalp. low fat layer damage hair follicles ---> to repair hair our bodies produce more test/DHT (according to this theory, test and DHT increase hair growth)--->the more DHT causes fat layers to reduce further ---> more hair follicles damage---> more hair loss.
So, far injections (that are proven to work) can allow us to use test with no problem.*


* consider that fat cell are the first source of aromatase, so more fat means more estrogen.

 

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Not sure about that ‘fat layers’ theory.....I’m more inclined to believe it’s the theory that it’s scalp calcium fibrosis and that more of and less of oxygen & blood-flow to the follicles the more the follicles get smothered and suffocated and succumb to the miniaturization process. Some even posit that good scalp blood-flow (and nutrition/oxygen in the blood) can neutralize DHT but too much DHT may still be at it.

My own personal observation....ever since my hair started thinning in my early 20’s I would always notice that the strands of shed hair I had always had this hard white/yellowish bulge attached to each follicle and I always wondered wtf was this and why, I now know it’s the hardened sebum but that got me thinking if DHT in the Sebum oil attacks the follicle then hardens killing off the blood supply and with each cycle after cycle until its nil. Recently though, since I’ve started microneedling, using Minoxidil and oil topicals I have not seen any shed follicle with this dried sebum.

And...I’m inclined to believe receptor sensitivity and autoimmune issues play a big part.

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TRT will likely contribute to and accelerate hair loss, even if you are taking Dutasteride. DHT is a large contributor, but there are many new factors at play that we didn't understand before because the science was not as evolved (exosomes, androgen receptor sensitivity, hormesis, etc).

If you have a legitimate medical reason like bone loss or impotence, than do you what you have to do. Just be aware it might make things dicey.

Edited by bismarck
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1 minute ago, bismarck said:

TRT will likely contribute to and accelerate hair loss, even if you are taking Dutasteride. DHT is a large contributor to hair loss, but there are many new factors at play that we didn't understand before because the science was not as evolved (exosomes, androgen receptor sensitivity, hormesis, etc). If you have a legitimate medical reason like bone loss etc than do you what you have to do. Just be aware it might make things dicey.

very good point.
T exposure increases androgen receptors density. 
 

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Good topic, would be open to T repaclement therapy down the line if they ever dipped .  However would not want to jeopardise hair situation.  In saying that my hair on top now is mostly transplanted so technically could be DHT resistant.  Wouldnt want to risk it too much though after 3 transplants

Edited by BaldingBogger
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Very rarely do men legitimately need testosterone therapy. Most guys doing it (other than bodybuilders or pro athletes) went to an unethical doctor who will prescribe anything for money. It's normal for your testosterone to dip as you age. Your testosterone also fluctuates throughout the day even. Diet and especially SLEEP affects it. Even being around women your attracted to will have an affect on your testosterone levels (https://www.ncbi.nlm.nih.gov/pubmed/18675269). That is why good doctors are very hesitant to prescribe it. Your levels may appear low on a blood test and two weeks later are normal. TRT therapy long term is no joke. As bismarck said if you have legit medical reasons why you need TRT then ya go for it you need it. If it is just because your erections aren't like they used to be your better off getting some cialis and focusing on getting better sleep, better diet, better exercise and don't watch porn (not saying practicing no fap i dont think thats good either).

Dorian Yates when he was on Joe Rogan's podcast (must watch) said that if you are a pro athlete, bodybuilder or movie star who needs to buff up for a role and has millions of dollars on the line for your job than ya go for it but if not it is not worth the risk.

Edited by Sam818
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I happen to have some credentials in Gym Instructing and Personal Training (although I did the courses part time about 4 years ago, more for fun than a career move).  I can still pack on quite a good amount of mass without the need for any TRT.  TRT I would consider maybe in 10-15 year time but I'd only do it to get levels back to a moderate level.  No  bodybuilder cycles...

What I would say with regards to training and holding on to T:

  • You want to be doing weight sessions 2 or 3 times a week, and no more than 45-55 minutes at a time.
  • If you are over 40 I would suggest focussing more on metabolic fatigue type training, i.e. instead of training heavy weights to short rep failure.  Instead, pick weights where you can do no more reps after at least 12-15 good quality reps.  It's far safer for the untrained or people carrying small niggles.   Rest for no more than 75-90s per set.  I tend to do some weeks heavy (4-8 reps) and some more metabolic, but then I have been doing this for 5 years.
  • Unless you can find a reputable instructor or know what you are doing, I'd steer clear of deadlifts and squats.  I see such bad form in the gym.  A bad back is not worth the risk and you can potentially do other things depending on what equipment there is in the gym.  Lunges, leg press machine, hyperextensions etc.
  • Consider doing some type of HIIT type training, 1 x a week.  You can do this at home to save time.  15 mins max.
  • Try to do some steady state cardio 1 x a week.  Maybe walking to work, or cycling for 30-45 minutes.  Even rigourous housework can count to a certain extent.
  • Don't eat trash!  I tend to eat clean with an allowance of 1 crappy meal a week at most.  Refined sugars are a no no. 
  • Find out a rough guide as to how many calories you should be consuming at your desired bodyweight (I recommend the Schofield Equation - google it).
  • If you are overweight, try to cut 300-500 calories daily from your diet, and chip away at it from week to week.  No crash diets.
  • Make sure you are consuming a decent about of protein, carbs and fat.  protein and carbs have 4 calories per 1g and fat has 9 per 1g.  There are so many different diets out there you will have to do some research or trial and error.
  • Get a good 7-8 hours sleep.
  • Make sure you stretch afterworkouts.

Doing the above will certainly stave off reducing T levels and increase bone density, and lower body fat.

 

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17 hours ago, Sam818 said:

Very rarely do men legitimately need testosterone therapy. Most guys doing it (other than bodybuilders or pro athletes) went to an unethical doctor who will prescribe anything for money. It's normal for your testosterone to dip as you age. Your testosterone also fluctuates throughout the day even. Diet and especially SLEEP affects it. Even being around women your attracted to will have an affect on your testosterone levels (https://www.ncbi.nlm.nih.gov/pubmed/18675269). That is why good doctors are very hesitant to prescribe it. Your levels may appear low on a blood test and two weeks later are normal. TRT therapy long term is no joke. As bismarck said if you have legit medical reasons why you need TRT then ya go for it you need it. If it is just because your erections aren't like they used to be your better off getting some cialis and focusing on getting better sleep, better diet, better exercise and don't watch porn (not saying practicing no fap i dont think thats good either).

Dorian Yates when he was on Joe Rogan's podcast (must watch) said that if you are a pro athlete, bodybuilder or movie star who needs to buff up for a role and has millions of dollars on the line for your job than ya go for it but if not it is not worth the risk.

Good post,

That was a good podcast! 


I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice.

Check out my final hair transplant and topical dutasteride journey

View my thread

Topical dutasteride journey 

Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog.

Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube.

 

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On 1/8/2020 at 6:27 PM, Sam818 said:

Even being around women your attracted to will have an affect on your testosterone levels

 

Hmmm... My new testosterone increasing plan is to hang around lots of hot looking young women every day. I think this is a plan I can stick to  😀

Al

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(formerly BeHappy)

I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here.

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Interesting theory...I think TRT in general is risky, there are a lot of things we don't know about long term effects like prostate cancer and heart disease especially in younger men. Not to mention infertility and once you start on it your body becomes highly dependent on it (ie testes stop working) and it may be difficult to stop using it.

 

Another route that I was potentially interested in was taking something like Clomid, an oral medication which in men does raise overall testosterone without your body becoming dependent on it. I wonder if this could be a way to also counteract the side effects a lot of us get with finasteride.

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On 1/9/2020 at 5:08 PM, Curious said:

Doesn't TRT increase the risk of prostate cancer?

some doctor claim this theory but there is not correlation between T and PC (the letterature shows, by the other way, that PC is correlated with low T).

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