Gynecomastia on Testosterone PT2

Anabolic Doc

Gynecomastia (male breast growth) is a side effect of testosterone replacement therapy (TRT.) This video is the second in my series, “On Testosterone,” where I discuss the factors that should be considered while on TRT and before starting. I cover the science and causes of gynecomastia, how to assess your risk before starting TRT, and how to manage gynecomastia while on testosterone. If you are on TRT or considering it and concerned about gynecomastia, watch this video! For information on my practice and consultations, visit https://www.testosteronology.com For anabolic recovery consults, visit: http://www.testosteronology.com/anabo... New government guidelines allow me to offer fully remote care to most new TRT and Anabolic Recovery patients. Email or call the office to see if you qualify. TABLE OF CONTENTS: 00:00 - Intro 00:53 - GYNECOMASTIA SCIENCE & CAUSES - Growth of breast tissue in men due to an imbalance of testosterone & estrogen, can occur on all types of TRT 02:19 - Contributing factors: hyperthyroidism, obesity, age 02:46 - Liver and kidney disease 03:04 - Anti-androgens like finasteride & dutasteride 03:33 - Heart failure & blood pressure meds, spironolactone 04:32 - Testosterone, antidepressants (especially tricyclic) 04:48 - Anxiety meds, antibiotics, heart burn meds 05:16 - Antihistamines, alcohol, amphetamines 05:52 - Marijuana, heroin and other opiates 06:06 - MANAGING MEN ON TRT WITH GYNECOMASTIA - Detailed medical history, some men can tolerate more T 06:43 - 2 types of gynecomastia: sensational and growth 07:24 - Labs: total & free T (specific type!), estradiol (not just total estrogen, which is subject to contamination) 09:12 - Microdosing T to avoid gynecomastia 10:00 - Anti-estrogens: last resort, minimally, with close monitoring 10:42 - Continued use can lead to poor mood, libido, injury, heart risks. A brief reset, not long-term use! Stay Strong and Healthy, Dr. O ____________ As the Anabolic Doc, since 2003, I’ve provided men who are using or have used anabolic steroids a confidential, ethical and professional medical venue to discuss their use. I do NOT in any way support the use of any performance enhancing drugs - PEDs, anabolic steroid or other medicine for muscle building or body transformation. The “off-label” use of PEDs, as such agents is considered elicit and may lead to adverse health outcomes. Please consult an expert health professional regarding any medical agent and do NOT use any medicine without the explicit advice and supervision of an appropriate medical expert. This video is for education and information only. This is not medical advice. Only take medications as prescribed by your doctor. Do not take illegal substances. Taking steroids can lead to serious health consequences. #TRT #Gynecomastia #Gyno