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Dr. Ty Vincent

44 members • $9/month

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19 contributions to Dr. Ty Vincent
Benefits at 2000-2500 — and how do you know you're there?
Hey @Ty Vincent — you've said most men find their plateau at a total testosterone somewhere in the 2000–2500 ng/dL range. Mine came back at 1764 on my last panel, so I've increased my dose. What should I be watching for to know I'm in the sweet spot? I read your post on dropping your own dose at 53. Fatigue, joint and muscle pain, general ill feeling, and then better energy and mobility once you came down. What I can't work out is how you told that apart from being too LOW, since you've said overdose tends to reproduce the same deficiency symptoms. You mentioned feeling that way for a year or more before acting. What finally made you read it as too much rather than too little? And at 45 rather than 53, would you read the same symptoms the same way?
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18 / TRT / Fertility
I've been thinking about trying TRT ever since I heard all the problems it solves, however I am scared of the fertility side effects. I have watched lots of videos on the subject, including yours, and I've seen a lot of people online try TRT. I think the information I have seen is vague; "when you take test your balls turn off, but you can take HCG to turn your balls back on." I fear most TRT advocates and users online aren't backed enough by studies that are convincing to me. I have searched and searched for that china study you mention a lot in your videos and the only study I found was from 2003 which tested 300 men with a low dose of 500ng a month. I don't think that's the one you reference but it's the only one I could find. I haven't really seen any cases of 18 year olds or younger being on it long enough to definitively say if fertility is for sure not an issue long term. I plan to have kids when I'm 30. I don't want to be on TRT for 10 years and then find out I can't have kids. Thats very scary to me. i don't want to cycle on and off TRT to preserve my natural production. And I'd prefer not to take hcg weekly with the TRT (will if I have to i guess). If I could just have a clearer answer I will get on TRT in a heartbeat. I'm pretty healthy and have good habits, I'm active with sports, gym, and did well in high school. I just realized one Day that I have all the symptoms of low test; unmotivated, low energy, brain fog, hard to wake up, anxious all the time, moody. My parents always said that I'm just a teenager I'll grow out of it, it's just a phase. got tested and what do you know I have low test Side note: attached at the bottom is my lab from about a year ago (I was 17) I'm 18 now, though I reckon I feel the same low test symptoms. I'm getting retested soon. I convinced my dad to get on TRT through all the information on your website so thank you.
18 / TRT / Fertility
1 like • 1d
Hey Parker — smart questions. Good to see how much you're thinking this through. Ty has covered several pieces of this across the community. Pulling them together while you wait for him. The China studies you're looking for — https://www.skool.com/drtyvincent/trt-effective-birth-control This is the thread where he states them directly: multiple Chinese studies showing that an injection of just 500 MG of testosterone undecanoate every 12 weeks is 95% effective as male contraception. Note it's 500 mg per 12 weeks, not 500 ng per month. Two things he adds that matter for you: some men stay fertile no matter how much TRT they use, and the way to actually know is a post-vasectomy semen test (not a full analysis) at 2.5 to 3 months, which is how long it takes for the sperm you'd already made to clear. He also made several videos specifically on this, I think this one might be most applicable — https://www.youtube.com/watch?v=2P1tiqA1D0c ("Does TRT mess with your fertility?") On wanting studies before you commit — https://www.skool.com/drtyvincent/questions-about-trt-and-health Worth reading because he doesn't oversell it. He says plainly that he has never found a study treating men to levels above 1000, so there's no direct long-term evidence either way. Where the 2000-2500 target came from, and why he says start high rather than titrate up — https://www.skool.com/drtyvincent/250mg-every-3-days Closest thing to your situation — a 22-year-old's starting protocol, and his advice to have an AI on hand but not take it until symptoms or the 2-3 week estrogen draw say to: https://www.skool.com/drtyvincent/starting-trt-questions And another 18-year-old's post: https://www.skool.com/drtyvincent/18yo-258ngdl-total-t
Sleep Duration
Hey @Ty Vincent I appreciate all the guidance you've been providing. I'm hoping you could offer some perspective on sleep. I go to bed around 8:00–8:30 p.m. aiming for 7–8 hours, and I wake almost every night at 2:00–3:00 a.m. and struggle to get back down. What's already covered, from your sleep guidance: - No artificial light in the bedroom at all, including taped-over device LEDs - No screens in the evening — no TV, no phone - No food within two hours of bed - No caffeine after noon - I've very calm before bed and fall asleep in mins The other piece is nighttime urination: I'm up 2–3 times, usually once around 10 p.m.–midnight and again at 2:00–3:00 a.m. I drink roughly 1–1.5 gallons of water a day and cut fluids off around 5:00 p.m. I'm curious how you'd think about this. Is the nocturia likely driving the sleep issue, or could something else be contributing to both? Appreciate your perspective.
0 likes • 7d
@Ty Vincent thanks, that's a completely different frame than I've been given/operating under. Wondering if the below are worth it, or if I shouldn't waste time chasing numbers? 1. 24-hour urine sodium + total volume (with urine creatinine to confirm a complete collection). My thinking is this shows what I'm truly taking in and how much water I'm clearing. 2. Renin and aldosterone — my understanding is if my body is straining to hold onto sodium, both would run high? 3. Serum osmolality — to see whether I'm actually concentrated or just dumping dilute urine. For context, my last panel was sodium 138, potassium 4.5, chloride 100, BUN/creatinine ratio 17, albumin 5.0, eGFR 61. From my layman perspective, nothing looks depleted, but I it sounds like serum sodium can stay normal even when total body salt is low. Do you find these tests useful, if so, would you run them before starting the salt to get a clean baseline, or just start and judge by symptoms?
0 likes • 6d
Excellent, thanks. Will try the "Fractional Excretion of Sodium", and collect urine samples for sodium and creatinine levels.
Not sure if my E2 is too high, any recommendations?
Hey guys, I’ve been on test for about a year now. I’ve been feeling constantly lethargic and unmotivated no matter how much sleep I get. My E2 is 211pmol/L on 150mg of test a week. Do you think this could be too high and potentially contributing to how I’m feeling? What are your thoughts?
0 likes • 7d
Dr. Ty has covered this pretty thoroughly in a few threads if you want to dig in while you wait for him: Estrogen management and when an AI makes sense — https://www.skool.com/drtyvincent/doctor-says-dont-use-anastrozole-do-you-agree When to start an AI and typical dosing — https://www.skool.com/drtyvincent/starting-trt-questions His reasoning on dosing and target levels — https://www.skool.com/drtyvincent/250mg-every-3-days One thing worth knowing: he goes by Estrone (E1) plus Estradiol (E2) added together, not E2 on its own, so you may want an estrone level too.
Periodic live Q&A sessions
My current plan is to do live Q&A sessions two Sundays per month (every-other Sunday, so there should be one month {and in some years 2, since there are 52 full weeks in a year plus 1-2 extra days depending on the year and a roughly 18% chance of an extra Sunday in a given year} where there are three such Sundays - my brain made me clarify that, sorry) The next is planned for next weekend August 30th at 8am Hawaii time like last weekend. I'll tentatively keep it at that schedule until a number of people request they be held at other times. If you cannot attend live, feel free to send me questions to address during the session and a recording with those answers/discussions will be available afterward.
0 likes • 10d
@Ty Vincent love the idea of a live PubMed walk-through. Beyond searching, it would be helpful to discuss how we can leverage AI to easily digest and vet the papers, maybe along with key technical details to keep an eye on (like study limitations, collection methods, and other red flags). Would love to see that covered.
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Louis Camassa
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@louis-camassa-5494
Focused on health, fitness, and continuous self-improvement.

Active 25m ago
Joined Jul 19, 2026
California
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