Do all roads lead to TRT? If you want to feel your best as you age instead of a shell of yourself then eventually, all roads will likely lead to testosterone replacement therapy (TRT) and that is a good thing as every man should be elated that effective options for TRT are available once natural methods no longer work you will definitely want to consider taking advantage of it. Who wants to age and feel like a shell of yourself due to depleted testosterone levels, when you could have superior testosterone levels on TRT then at anytime in your life? As effective as TRT can be for a man’s well being, it doesn’t have to be where you start. The Aggressive Strength Testosterone Booster (ASTB) will allow many to delay their speed on the road to TRT by helping enhance your own production of testosterone. However, if you live long enough chances are you will no longer derive what you require from natural production methods including ASTB which is by far the most effective natural testosterone booster on the market. ASTB is also fantastic for people on TRT who want to avoid shutting down natural production. You can take it with TRT to mitigate testicular shrinkage which often accompanies testosterone replacement due to your natural testosterone production being replaced by exogenous testosterone. ASTB may also allow you to take a lower dosage of TRT to get to the optimal range for you. For example, let’s say ASTB takes your total testosterone from 300 ng/dl to 600 ng/dl and your free testosterone goes from 65 pg/ml to a much better 95 pg/ml, yet you still don’t feel your levels are in the optimal range for you. You can get a prescription from, a knowledgeable physician for testosterone cream or shots (The two best methods) to stack with ASTB to take your levels to 1000 ng/dl and free up to 150-200 pg/ml or whatever number you need to derive the full benefits of having optimal testosterone levels. If you decide to desist from the TRT, you have ASTB as a backup plan to keep natural levels in motion.
Some doctors such as my friend Dr. Mark Gordon use the fertility drug Clomid with his TRT patients for the same reasons and finds the combination to be very effective. However, I think ASTB is a superior option to Clomid as unlike the latter ASTB does not reduce IGF-1 levels (an important hormone for physique composition goals such as building muscle and staying lean). Clomid increases testosterone by tricking the brain into thinking estrogen levels are low. The brain then sends the signaling hormone luteinizing hormone to the testes to ramp up testosterone production so that some of it converts back into estrogen. The problem is that the mechanism of tricking the brain into believing estrogen levels are low can have the side effects of actually having low levels of estrogen such as a depleted sex drive and poor sex function. This is why some experience a decline in sex drive and mood even though they derive a big boost in testosterone when using Clomid or Enclomiphene. Estrogen is also important for growth hormone and IGF-1 levels so the “estrogen trick” also has a negative impact on that front. ASTB increases testosterone free of the “estrogen trick” and also increases free testosterone by helping unbind it from sex hormone-binding globulin (SHBG). Also unlike, Clomid, ASTB contains mucuna pruriens which not only increases the motivational neurohormone dopamine, it also increases growth hormone as well.
When it comes to determining if you should explore taking advantage of TRT, you have to keep in mind that the reference range is for the most part worthless. The reference range is just a statistical range of everyone who has gotten tested. Most men don’t get tested as part of a routine exam but when they experience the symptoms of low testosterone such as a depleted sex drive, lack of drive overall, poor mood, and muscle loss. Therefore you may need to be way higher than the top end of the range to feel your best. The reference range does not take you as an individual into account. Just because you fall into the reference range does not mean you have optimal levels for you specifically. This is why a good doctor will treat symptoms rather than numbers on a page. If you go to a doctor and he or she tells you that your levels are fine because they are in the normal range, it is time to find a new doctor who actually understands hormones. You could have a total testosterone level of 350 ng/dl and free testosterone on the low end at 65 pg/ml and a clueless doctor will tell you that you’re fine even though you haven’t had a sex drive since the Clinton administration and you’re losing strength, muscle, and motivation every year. Instead of getting a prescription for TRT, you get one for ED drugs which certainly don’t address the underlying causes of the issues you’re experiencing. On the other hand, you could have a number towards the upper end of the reference range such as 800 ng/dl, and yet still not feel close to optimal because you need to be at 1500 ng/dl to feel your best. The bottom line is reference ranges are not conclusive by any means and should not be the priority consideration point.
As important as testosterone is for men and women for that matter to both feel their best, it is one of many important hormones to dial in. DHEA, Pregnenolone, thyroid hormones, insulin, leptin, DHT, and growth hormone are all crucial as well for your overall well-being so make sure to work with a professional who can put together a complete plan for comprehensive hormone optimization. If you’re in the US and can’t find a knowledgeable doctor in your area, check out https://maleexcel.com/ I have spoken to several online TRT clinics and most of them are complexly clueless and just prescribe TRT to anyone who contacts them. However, I was impressed with the staff at Male Excel. They are very knowledgeable on the importance of hormone optimization.
