Testosterone Protocol

Dosage of T varies but as a guide, 50mg daily at first. If male pattern baldness is starting, then maybe a reduced dose to start with. (because T converts to DHT, which may cause hair loss when older)

Check blood results after one month then 2 monthly until at the desired level.

Testing can be 6 monthly after that.

• How long to get benefits 3-6 months but some mind and libido effects may be quite soon.

How to optimise results

• Eat Mediterranean diet - low in carbs, sweets. see diet>>
• Avoid getting overweight - this makes female hormone estradiol
• Avoid tight underwear -wear boxers - heat reduces testosterone
• Avoid excess stress - may need more T during phyiscal or emotional stress
• Avoid smoking any form, have low alcohol intake, prefer red wines

Other hormones influence T positively

• DHEA mildly
• Growth Hormone a lot
• Thyroid Hormones a lot

How to use T Cream or Gel

1. Rub 10 times at least to get best penetration
2. Apply to non or less hairy areas such as non hairy upper chest, neck, forehead, inner arms, inner thighs, sides of abdomen
3. Avoid rubbing onto obese (fatty) areas as it will convert more easily by the fat into female estrogens - you need some estrogen but not too much!
4. Avoid using oils or lotions on these areas as it may interfere with T absorption
5. Caution putting on at night and then rubbing it off on your partner - she may not appreciate virilising effects after months of exposure!

What about my prostate - doesn't testosterone cause cancer

NO ! It actually protects against prostate cancer. HOWEVER, men do get prostate cancer. It is prudent and commonsense to have the prostate checked out BEFORE starting on T treatment. How?

1. Symptom checklist
2. Any family history of prostate cancer
3. DRE (examination rectally - its easy, really)
4. PSA blood test - this may not by any means be a definitive yes or no. Its still controversial as to absolute benefits, but guys, its all we have right now. So do it.

If any concerns from the above screen, you can be referred to a Urologist for an Ultrasound and Urine flow test - both easy and non-invasive. If the PSA is high or DRE shows an abnormal 'feel' then the specialist will make recommendations for further testing.

PSA testing - PSA is a normal substance released by the prostate cells. It can increase with inflammation or cancer. To determine better if the PSA is more likely from cancer, the test is split into Free and Total PSA and and the ratio calculated.

If the ratio of Free to Total is very low, like under 15%, the cancer risk is highest.

If no concerns, it is safe to proceed with treatment with Testosterone.

Follow-up

1. Do blood T and E levels, and PSA, at 1 month - 3 months and then 6 monthly
2. Do DRE 12 monthly if prescreen normal, more often if any concern
3. Do 6 monthly general blood tests

Risks

Again, we are promoting the restoration of reasonable adult levels of his natural hormones which if left to become depleted may be associated with declining health and possibly increased risks of heart disease and cancer. Using of course bio-identical hormone supplementing.

Because men can process testosterone differently with age, such as convert T into estrogens which in turn convert into certain metabolites (which some experts believe may be the key culprit triggering cancer changes) then sensible caution must be taken. Other protective measures are put in place such as weight reduction, excellent diet, a nutritional supplement program and a low stress lifestyle.

The risks of NOT doing this program are far greater than being proactive.