Join me this Sunday at 2 PM EST for a live Q&A session. Bring your questions, get clarity, and make the most out of the session! 🚀 📅 16th August, Sunday. ⏰ 2 PM EST. Don’t miss it! See you there! 🔥

Just to let everyone know - there is a small hurricane hitting my island right now and if it catches us wrong I may not have any power or internet in the morning for the planned Q&A session. If I am not on by 5 minutes past starting time you can assume my house is offline - sorry if that happens.

Hi dr Ty, I’ve been delving into your content (good stuff!) and I noticed that you advocate for quite a large TRT dose of 2500mg per month in order to get levels between 2000 - 3000 ng/dl. That’s a quite unique approach which honestly intrigues me. I’ve read studies supporting the fact that 600mg test weekly is tolerated quite well in men, but you hardly ever see this recommended by any TRT professional. Some would even state this to be a body building cycle. I would love to learn more about your views in this matter. What brought you to this protocol and why is it superior In your view (contrary to other protocols for example 200mg per week)? How do you manage overall health and androgen fatigue on these doses? Thanks in advance for elaborating.

Hi Dr. Tyler Vincent, I started TRT about 8 weeks ago. My latest blood work shows a total testosterone of around 1,450 ng/dL. My combined estrogen (E1 + E2) is approximately 152 pg/mL (Estrone 86 pg/mL + Estradiol ~66 pg/mL), so I'm above the range of 50–100 pg/mL that I've often seen discussed. I brought this up with my TRT doctor. He told me that this isn't necessarily a problem because estrogen is expected to increase proportionally with testosterone. He said that if I want to lower my estrogen, I should simply reduce my testosterone dose. He also said that if I decide to use anastrozole, it would be at my own risk, and he would not recommend it because lowering estrogen could disrupt the testosterone-to-estrogen balance and potentially lead to side effects such as reduced libido, depression, and other symptoms. My question is: Do you agree with this approach? In someone with a testosterone level of around 1,450 ng/dL, do you think estrogen should simply be accepted as long as it rises proportionally, or do you believe there is an upper level (for E2 or combined E1 + E2) where using a low-dose aromatase inhibitor becomes beneficial, even if testosterone remains high?

Hi Dr Ty, I’ve been on TRT for 2 years now and have been feeling great. I take good care of my health and sleep, nutrition and exercise are a priority for me. Just watched one of your videos on YouTube called TRT myths. The one thing that my doctor keeps zooming in on is my elevated hematocrit of 58%. He states that this is way too high and can be dangerous. I was somewhat confused when watching your video, where you state that there is no evidence for this to be an issue and that a high hematocrit is of no concern. I very much would like to read up on this subject in order to understand it better and to figure out for myself what science actually states. Could you point me in the right direction with regards to scientific papers and literature? Thanks in advance for taking the time to answer my question.