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00:00 Intro 01:56 Nebido (Testosterone Undeconate) 02:50 Impact & role of SHBG 03:55 Sustanon & Testosterone Propionate 04:55 Supraphysiological testosterone levels 05:28 Testosterone reference ranges 07:38 When should you measure testosterone levels 08:45 What are optimal testosterone levels 09:30 Starting TRT protocol 10:03 TRT add-ons - Tadalafil & Exemestane 11:10 Tadalafil dose for libido 12:40 Earn Your Reward! The premise behind TRT is normalising your male androgen levels for long term physical and psychological well-being. We also want to reverse the negative symptoms that you have presented with! This involves a thorough assessment, analysing your lifestyle, nutrition and physical exercise; alongside addressing possible reversible causes. You should always look to increase your natural testosterone level before committing to what is a lifelong therapy. Here is a guide - https://themenshealthclinic.co.uk/how.... To decide if TRT is in your best interests, a formal diagnosis of testosterone deficiency is made following a full diagnostic blood test, along with a second confirmatory test. More information can be found here - https://themenshealthclinic.co.uk/tes.... If you’ve not had any blood tests to date, we would recommend starting with either the ‘TRT Complete’ or ‘TRT Complete Plus’ blood tests - https://themenshealthclinic.co.uk/hea.... These are both comprehensive blood tests that look at all of your hormone markers, as well as other general health parameters which would highlight any potential reversible causes for your low testosterone. If you would like to go ahead, we can organise a test for you, or you can request them from your GP. More details on our consultation and treatment process can be found at the following page of our website - https://themenshealthclinic.co.uk/hea.... This is further summarised here, along with a recommended plan of action depending on your personal circumstances - https://themenshealthclinic.co.uk/you.... Dr Rob Stevens MBChB MRCGP DipFIPT