Gynecomastia - On Testosterone Ep 2

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!

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 illicit 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

========================

[pavelderus]

Is Sustanon 250 the king of testosterone? No, it’s you doc! Best doc ever!

[kevsgood]

You and Dr. T are much needed in this side of the medical field.

[clydelipp]

I am 46 and on TRT and have gyno. I had managed it for the last few years with arimidex. My long term health concerns with my HDL being low and my LDL being high. Have had me change to micro dosing TRT and not using arimidex. It has been a learning curve to find the right dose of Test daily that makes me feel good and does not make my gyno flare up. I started at 20mg per day and have now reduced down to 10mg per day. One has to realize that estrogen is needed in the right ratio to regulate cholesterol levels and libido. with arimidex crushing my estrogen, I had lower libido and HDL and LDL concerns. Even tho my total cholesterol is 140-150.

[ragingbull]

I'm in rural Australia and have never taken anabolics but get random periodic spikes of gyno. It is so frustrating as no doctors around here have a clue and will not even attempt to treat it. Instead I have to resort to buying AI and serms from sketchy websites and self treat. General practice medicine is so far behind on this issue.

[lopon]

I had gyno since my teens (28 now) never been on steroids or any other drugs or meds. Not over weight 8-10% body fat and I'd say I'm very healthy on average. Its not bad enough for me to get it sorted but I always hate it when I wear a tight t-shirt. If its cold and my nipples go hard it goes away sort of.

[ludusify]

Getting diagnosed or prescribed TRT in the UK is extremely difficuly so the vast majority, including myself, use underground sources to get their test. From large dose test use I know I am not sensitive at all to gyno but high e2 leads to poor mood and poor erections so I still have an AI on hand just incase.
I currently take 200mg of test e once every 7 days and feel great. About every 12 weeks I change from enanthate to cypiomate or maybe sustanon the idea being that my receptors will be more receptive to different esters.
I also sometimes use proviron to increase my free test just 25mg once a day and it really seems to help

[SlavkoMiladinovic]

There are foods a person can eat daily to prevent aromatization; such as, mushrooms. It would be interesting to analyse all expensive anti-gyno supplements available over the counter to see if they have dehydrated mushrooms inside them.

[gcardenas]

Crazy how I'm actually on test prop right now.and hearing about spironolactone from here....im actually on that medicine, but it's actually prescribed for me by my cardiologist for my heart...never knew it can cause a bit of gyno...love this channel

[timothyberlinski]

I may have to consult with you doc, I just talked to my endocrinologist and he refused to help me with labs and keeping an eye on things

[MeetSuperDave]

Thank you for all you do for men Doc! I’ve learned so much from this channel.

[anthonyzouki]

Hi, can you please make a video on Sarm MK677the growth hormone please

[imSTEALTH_G]

How do you know if you have gyno and not a fatty chest?

[stephenbrand]

It seems like now days at least a third of American men have some amount of “naturally” occurring gyno thanks to all the endocrine disrupters in our food/water supply and environment.

[thebeatman]

Thanks so much for all your videos and all the work it needs. Thanks so much 🙏

[joepauldipasquale]

At one time this gyno was covered by O.H.I.P
In these times I heard from many who have or had gyno is now at the patients cost. So take all precautions that will avoid this.

[wesleybrilhante]

tamoxifen versus anastrozole ? I’m on 250mg of testosterone per week and boldenona also 250mg and 100mg of trembolone I’ve never had sensitive problems but I have both of these “ tamoxifen and anastrozole, the anastrazole I take only 1 pill per week not every other day like most people suggest

[chrishobson]

Nasty case of gyno. Had it for years and didn't know due to excessive body weight, got healthy started hitting the gym and after the weight was there it was, argued with doctors for years with them just accusing me of abusing steriods.... it was only when they finally looked into my history did they notice that I took antipsychotic, antidepressants and a bunch of other meds for ten years. Now I just have to save for surgery.

[Kinsmenofthesun]

The most clear and precise description of cause and effects I've found. 👏👏👏👏

[brotatoechip.akaBC]

If I’m using test 250 E at 1 ml twice a week and I’m just now feeling strong pain in the left nip noticed today…. I’m taking an estrogen blocker but I’m feeling it. No lumps. If I cut back to 1/2 ml twice a week again… will this stop. Should I wing off and how?!

[ryanw]

Hi Doc! Thanks so much for all the remarkable content you’re putting out for the bodybuilding community and men in general. You often reference “microdosing” of testosterone but don’t mention specifics. I would LOVE a full episode devoted specifically to your recommendations around common or recommended frequencies, dosages, injection sites (e.g. glutes vs deltoids, as well as IM vs SubQ). I switched from test cyp once weekly doses to twice a week, where I inject every 84 hours (i.e. 3.5 days) and have noticed improvements.

However, I’ve heard about using insulin needles to reduce scar tissue and injecting every other day or even daily. Would love to hear your thoughts on this since I know the TRT community has a TON of non-expert debate on this topic in community forums, videos, etc. I also appreciate everyone is different and it depends on the ongoing relationship with your doctor, but I’d love to hear from the guru himself to get an idea of baseline. Thanks ahead of time!