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64 contributions to Dr. Ty Vincent
1d •
Starting TRT Questions
Hello Doc @Ty Vincent I'm a 22 year old who has gone through a lot of your content and will be getting started on TRT I've had my blood tests done and my Testosterone Level came back at 478ng/DL(image attatched) And here is the protocol I am planning to start with: - Testosterone enanthate. I will be starting with a dose of 120mg/week. Pinning 3 times a week. And I will be titrating up slowly - I will also be ordering a Armomatise Inhibitor and take it if I feel symptoms of high estrogen. - I will also be taking another blood test 3 weeks after starting this protocol to look at different estrogen markers, DHT etc Anything you would add or I should look out for?
1 like • 1d
Hi Zain. I have a handout that goes into a lot of your questions, which I will attach here. At your age I suggest going straight to what is usually a good dose, injecting 250mg every three days - I do NOT recommend starting low and gradually increasing the dose because most men stop only halfway to where they would feel optimal. By going right up to the level where most men see optimal results you get to see that contrast in your brain right away and then you have an idea what your goals should be. The mental, psychological, emotional, motivational benefits are the most important. Physical changes take time and effort and will come eventually with good behavior, but the real transformation is all above the neck and should happen abruptly to get your attention in my opinion. Estrogen levels rise fast too, so you should get those checked by just two weeks after starting TRT and correct things if needed.
3d •
Free T
Hi! Any suggestions for ideal optimal free T for a 65 year old man on TRT ( total 1500) And also can you please talk about sleep apnea when CPAP does not work Thank you
0 likes • 1d
I don't find any value at all in testing free testosterone, and since we don't even offer "free" hormone levels of any other steroid hormone (cortisol, estrogen, progesterone, DHEA, etc.) we don't seem to value that data in general. The problem with trying to use the bioavailable portion as a tool for decisions is those levels change very rapidly and in different tissues at different times based on "demand". They aren't stable and reliable, which is why we don't even bother measuring them for other hormones. In reality, we don't measure free T directly either - that is a "calculated" value based on total T, SHBG, maybe other factors - totally useless informaiton. 1500ng/dL is a good total testosterone level for most 65yo men, but if he's not seeing any good results you might increase total monthly dosing by 30% and try to get it to 2000 - as long as there are no cardiac concerns. If certain symptoms persist, you would presume they are due to other causes. Sleep apnea is certainly a common cause of a lot of the same symptoms. If effective CPAP (using a device he will wear, which makes a good seal, and the mechanics of CPAP are all working as they are supposed to) isn't helping, then neurological causes need to be pursued. It's the brain that decides when we breathe and how much, so that's where need to look if the physical mechanics are all supported. Chemicals are the first and greatest consideration - paying attention to all chemicals intentionally taken into the body, trying to avoid environmental toxic chemicals and promote elimination of them. Opiates and sedatives directly suppress breathing and can lead to death from neurological sleep apnea essentially. There are a lot of other chemicals that contribute to this problem on a spectrum. Light pollution is another main issue - eliminating all electrically-generated light forms (candles and other forms of fire are fine) within at least 30 minutes before your desired bedtime is necessary for some people to sleep well.
3d •
Hello!
Hi Vincent, is there a possibility to get a bit more personal information, or a bloodwork review in this community? Happy to be here, amazing YouTube video’s!
0 likes • 1d
Thanks! Feel free to post questions in the community forum that we can all learn from.
4d •
CAR T-Cell treatment
Dr. Vincent, what are you thoughts on this method for auto-immune issues. How does this differ or have similarities to LDI. thanks! https://www.cartautoimmune.com/
0 likes • 1d
This type of immunotherapy has been used to target cancer cells, training the immune system to identify a person's specific cancer cells and destroy them. That mechanism has no role in the treatment of autoimmune conditions, which are misguided reactions against specific targets. In autoimmunity, that targeting aspect of our immune system is being used against ourselves and it needs to be "retrained", which is how Low Dose Immunotherapy works. The mechanism proposed in the link you provided is targeting your B cells in general rather than stopping a specific unnecessary immune reaction to particular targets. That is not a good idea because it leads to the same problem of general immune suppression and susceptibility to infections and possibly other health issues. It doesn't work to generally increase or decrease the immune system in this situation, you must specifically reprogram certain immune reactions. There is really no similarity at all between CAR-T therapy and LDI.
5d •
HCG for postmenopausal women to improve body composition
HCG (human chorionic gonadotropin) is a peptide hormone produced by the placenta (so it's only present during pregnancy, and it is the molecule detected by pregnancy tests). It directly stimulates the ovaries to produce a number of hormones in larger supply (progesterone, estrogen, and likely a collection of hormone specific to pregnancy that nobody has identified yet) and it also stimulates the maturation of follicles for ovulation. The FDA indication (HCG is FDA approved and available through all pharmacies by Rx) is for boosting a woman's fertility and promoting ovulation. HCG also has a significant effect on metabolism and energy resource utilization in both men and women, promoting the use of body fat for energy/fuel rather than glucose. This means we can use it to maintain and retain lean body mass while preferentially losing more fat while following a low calorie diet. I used the HCG weight loss program for patients in my clinic years ago with good success, but most people regain their weight because they don't make long term lifestyle changes. We are seeing the same human trend with the GLP-1 peptides - people don't want to stop using them and rely on their own discipline/willpower. A major problem with GLP-1 use for most people is that they lose an unacceptable amount of lean muscle while they are effectively starving themselves, which decreases their metabolic rate and energy, and when they try to stop the GLP-1 peptide they gain fat back rapidly and preferentially over muscle. Using HCG at the same time as the GLP-1 peptide improves things a great deal because it causes fat to be utilized more for energy and preserves the lean muscle. People lose more fat, maintain better energy and strength, and have a much easier time transitioning off the GLP-1 without rebound fat gains. The question about using HCG specifically in postmenopausal women is a good one and I don't know if it works as well after menopause because the ovaries are thought to be "burned out" and unable to produce those hormones any longer. We see FSH and LH levels shoot way up after menopause, suggesting that the ovaries are no longer functioning regardless of extremely high gonadotropin signaling. It would make sense the HCG isn't going to work if all it does is promote ovarian function.
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@ty-vincent-8952
Ty Vincent M.D. has broad education and over 20 years experience in many integrative medicine therapies, informing you how to best manage your health.
Active 1d ago
Joined Oct 15, 2025
Kailua-Kona, Hawaii
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