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The Restore Clinic
United States
Приєднався 11 сер 2012
We discuss:
*Testosterone replacement therapy (TRT)
*Thyroid optimization
*Anti-aging therapies
*Peptides
*Integrative medicine
*Fitness
*Testosterone replacement therapy (TRT)
*Thyroid optimization
*Anti-aging therapies
*Peptides
*Integrative medicine
*Fitness
TRC Podcast Ep6: Dr Adam Hotchkiss, DPM
In today's episode we have the pleasure of Dr Adam Hotchkiss spending some time with us.
He's trained as a foot and ankle surgeon however his career has lead him to men's health.
We discuss:
*The role of spirituality in men's health and finding spirituality
*The importance of community in a man's life
*Sex hormone binding globulin (SHBG) and its various health implications
*Lifestyle interventions to achieve optimal TRT results
If you want to reach out to Dr Hotchkiss here's his details:
1) Website: www.drhotch.com
2) Dr Hotchkiss' lab company: www.algodx.ai/
3) Instagram: @DrHotch
4) Dr Hotchkiss' UA-cam: @DrAdamHotchkiss
He's trained as a foot and ankle surgeon however his career has lead him to men's health.
We discuss:
*The role of spirituality in men's health and finding spirituality
*The importance of community in a man's life
*Sex hormone binding globulin (SHBG) and its various health implications
*Lifestyle interventions to achieve optimal TRT results
If you want to reach out to Dr Hotchkiss here's his details:
1) Website: www.drhotch.com
2) Dr Hotchkiss' lab company: www.algodx.ai/
3) Instagram: @DrHotch
4) Dr Hotchkiss' UA-cam: @DrAdamHotchkiss
Переглядів: 106
Відео
TRT thigh injection....with a 30g 1'' needle
Переглядів 19321 день тому
Typically, when people inject the quads they use 1 to 1.5'' needles with a 23 to 25 gauge needle. I wanted to experiment using the very small bore 30 gauge needle for my quad injection to see how it felt, if it were difficult to administer, and if it left any soreness. What's the verdict? Let's find out!
TRC Podcast 5: TRT trans-scrotal cream and men's hypothyroidism evaluation
Переглядів 155Місяць тому
Come join us as we welcome Dr Max Draper from AlphaGenix UK! In this interview we discuss: *The trans-scrotal cream for TRT *Evaluating men for hypothyroidism *The psychological and cognitive benefits of TRT *Why using a private TRT clinic is the way to go Want to get bloodwork done, but hate going to the doctor's office? Check out www.BuyLabWork.com to order your own labs! Dr Max Draper's IG: ...
Does glutathione enhance fertility (when on TRT)?
Переглядів 102Місяць тому
I'm sure you've heard of glutathione by now! But, have you ever heard of it's fertility-enhancing effects? Chances are, you haven't. That's because it's a poorly-known benefit of glutathione. Let's dig into it!
TRC Podcast 4: Dr Chris Bronson, MD
Переглядів 186Місяць тому
Dr Bronson is an internal medicine physician who specializes in hormone replacement therapy, but also has a focus on health monitoring and optimization for patients who use PEDs. We discuss: *Why you SHOULDN'T block estradiol while on TRT *Risk reduction practices for PEDs users *Using body composition as a diagnostic tool for TRT patients *The cardiovascular benefits of estradiol in men Want t...
Does TRT increase IGF1?
Переглядів 295Місяць тому
Does testosterone replacement therapy (TRT) increase IGF1? Let's discuss the multiple pathways of agonism on growth hormone (GH) production. In this video we discuss the relationship with TRT and GH production, other underlying causes of low GH/IGF1, as well as how the thyroid affects GH/IGF1 production.
Does testosterone cause heart disease...and death!
Переглядів 9342 місяці тому
Let's briefly discuss a new study that was recently published. In this short video we talk about a new study that looked at baseline testosterone levels and if there were any correlations with cardiovascular disease as well as all-cause mortality. *If you want to get blood work without going to see your prescriber visit www.BuyLabWork.com*
How to self-inject peptides!
Переглядів 2592 місяці тому
In this instructional video we discuss how to administer a subcutaneous injection for your prescribed peptides.
TRT, quit blocking estradiol, and the many nuances of SHBG
Переглядів 4562 місяці тому
Spend an hour of time with us discussing such topics as: *Burnout in healthcare *Why lab ranges shouldn’t direct your TRT protocol *How hormones affect us on the tissue level *Why you shouldn’t block estradiol while on TRT *Practices for optimizing mitochondrial and cellular health *The epistemology of practicing medicine *The many nuances of sex-hormone binding globulin (SHBG) Want to reach ou...
TRT, integrative medicine, longevity, and health optimization with Nico Misleh
Переглядів 5542 місяці тому
In this exciting interview with Nico Misleh, owner of Apollo Health Optimization, we discuss: *Neurosteroids and their use in treating postpartum depression and PMDD *Hormone optimization for men and women *How hormones positively impact psychiatric health *Melatonin, aspirin, NAD and other ancillaries for longevity and optimal wellness *Practices for optimizing mitochondrial and cellular healt...
Traveling on TRT!
Переглядів 2152 місяці тому
This is an easy-to-follow user guide when it comes to being on testosterone replacement therapy (TRT) and traveling. Travel shouldn't be difficult while on TRT...well, the airport and all that BS can be difficult, but the testosterone part is a breeze. Let's talk about it!
Does testosterone cause prostate cancer?
Переглядів 993 місяці тому
Does testosterone cause prostate cancer?
TRT, failure of the healthcare system, nandrolone and joint health, and TRT bloodwork
Переглядів 2173 місяці тому
TRT, failure of the healthcare system, nandrolone and joint health, and TRT bloodwork
Aspirate prior to testosterone injections? Is this a MUST?
Переглядів 1343 місяці тому
Aspirate prior to testosterone injections? Is this a MUST?
Testosterone replacement therapy (TRT) and SHBG? Does SHBG *really* matter?
Переглядів 7873 місяці тому
Testosterone replacement therapy (TRT) and SHBG? Does SHBG *really* matter?
Does TRT REQUIRE HCG? What are some *other* benefits of HCG?
Переглядів 2244 місяці тому
Does TRT REQUIRE HCG? What are some *other* benefits of HCG?
TRT & Lab Ranges: Quit chasing lab ranges
Переглядів 3784 місяці тому
TRT & Lab Ranges: Quit chasing lab ranges
Testosterone Replacement Therapy & Bloodwork: Why the lab ranges DON'T matter!
Переглядів 3434 місяці тому
Testosterone Replacement Therapy & Bloodwork: Why the lab ranges DON'T matter!
Testosterone cream vs injections Part 2: Pros and cons of each
Переглядів 2,1 тис.5 місяців тому
Testosterone cream vs injections Part 2: Pros and cons of each
Testosterone cream vs injections: Part 1
Переглядів 3,1 тис.6 місяців тому
Testosterone cream vs injections: Part 1
Low SHBG before TRT? What's that mean?
Переглядів 6706 місяців тому
Low SHBG before TRT? What's that mean?
Considering TRT? Why is my SHBG so high?
Переглядів 5226 місяців тому
Considering TRT? Why is my SHBG so high?
TRT and PSA: Part 2 -- How to ensure you get accurate blood work
Переглядів 1406 місяців тому
TRT and PSA: Part 2 How to ensure you get accurate blood work
TRT and PSA: Part 1 -- what is the PSA and does it matter?
Переглядів 1367 місяців тому
TRT and PSA: Part 1 what is the PSA and does it matter?
Is Telmisartan a better choice then Valsartan if i have Insulin Resistance????
Is Telmisartan a better choice then Valsartan if there is a Insulin Resistance?? I take since 6 weeks 80mg Valsartan, and my Blood Sugar went up from a obout 5.8 in the Morning to 7.2 in the Morning? So is Telmisartan a better choice which doesnt worsen Insulin Resistance??
There are other Oral TRT formulations, much better than all of these.
There are no issues with using the same syringe that you draw with, to inject with? I saw some other tutorials where they draw with a larger needle and then backload it into an insulin syringe that they then use to inject with. I thought there could be issues such as rubber getting stuck in the needle, if you use the same needle/syringe to draw and inject with, and greater chance of infection
No issues. We have plenty of patients who do the method we demonstrated. Think of it this way...diabetics have been doing this method for decades. Yes, you can do the backfill method as well, which is what you described. Technically, there's no "wrong" way of doing this. Just find what suits your preference.
@@therestoreclinic Appreciate the response and insight. I just started myself last month, and having to find out what works for me. Thanks
@@davidvonbank613 You're welcome. Best of luck.
At 300 I guarantee you will be a walking zombie, needing to sleep 12 hours or more and still wake up feeling extremely tired. 600 is maybe barely good enough. Undecanoate has a long way to go to be anywhere nearly as effective as injections. Anemic people will need injections because the pill doesn't promote red blood cell production, so that's not an option for many older men who tend to be anemic. This may work just ok for some men, but the data suggests the pill is medicore at best.
Correct, it's not ideal. Not to mention the cost is very high. Most of these orals can be easily $400+ per month
Low ferritin, low saturation. What you do?
Low ferritin in the context of low iron saturation typically means chronic iron deficiency anemia. Cases like these require an in-depth workup to figure out "why."
@@therestoreclinic too much trt, means too much red blood cells, which means less ferritin and less being transported to parts other than bone marrow. Iron is required for producing protein for mitochondria, to produce ATP. So you can have decent haemoglobin levels and still feel tired. In the uk doctors are thick. Also, all these companies thar sell trt are stupid.
Great video!
@@kodypemberton glad you enjoyed it.
DHT is the KING. After 30 years of trt... hybrid is my way!
Awesome to hear!
WRONG!!!
I've done both the cream and injections and both have killed my libido. Not sure what to do.
Libido is extremely complex. We've worked with countless patients and you'd be surprised how many had low libido due to reasons that were unrelated to their TRT program. In all honesty, libido may be one of the most challenging aspects of men's health as it's an intersection of psychological and physical health.
So many nuggets you just dropped my friend!! Thank you so much 🎉
Glad you enjoyed it. Thank you.
Optimized PodCast! Dr. Adam looking young!
Yes, optimized indeed!
It was awesome talking with you brother! Thank you for having me on
No, thank you. The pleasure is ours.
Do you think 27g is ok for delt and ventro glute if injecting 1ml? Are you using anything for hair loss?
A lot of our patients use 27g 0.5'' insulin syringes, which does include delt and/or VG injections, so yes, it works quite well. Also, I do not use anything to prevent hair loss. Hair loss is primarily genetic. If you look at some of my older videos you can see that I have had some thinning around the crown a bit. It happens. I really noticed it most in the last 1-2 years, but then again, I'm 40.
One of the best doc's on UA-cam. Please continue making videos man 🙏
I'm a nurse practitioner, not a physician. Regardless, we appreciate your compliments. Thanks for your support.
Awesome straight forward advice 👍👍👍
Glad you enjoyed it!
ive been using ghrp2 and cjc 1295, 150 mcg each morning and night, 4 weeks in ive put alot of weihjt on but the lethagy is killing me, is there a way to help this
One of the most common side effects of the GH peptides is fatigue. I give every patient a heads up that fatigue/sedation is common hence why I suggest they take these at bedtime. First, I'd suggest doing only bedtime dosing so that you aren't tired through the day (from the morning injection). If that doesn't help, then I'd recommend doing only one of the GH peptides at a time to rule-in/rule-out if it's either the GHRP2 or the CJC1295 that's making you tired. Lastly, if that doesn't help, then switch to tesamorelin as it isn't nearly as sedating.
Pfs is real and i have it. Wish i never touched this poison.
Sorry to hear this. We're hearing this more and more almost daily now.
I just want to buy the damn cream or try the xyosted pending on what my insurance will cover, but my stupid urologist isn't cooperating!!!
If you go through an insurance-accepting provider (i.e. urologist), then getting ANY compounded medication is damn near impossible. Reason being is because most insurance-based providers will only prescribe things that may be covered by insurance and anything compounded is considered "off label" and thus not covered by insurance. Xyosted, on the other hand, might be covered, though. My gripe with Xyosted is that it's only going to be covered for once-weekly administration. If it were covered for minimally twice weekly administration, then it would be a better product.
@@therestoreclinicThank you very much for the reply. My issue is because my number is "normal" but I have every single symptom known for low-t. So he doesn't want to treat me so I need to find a clinic that's 100% approval for treatment, and accepts insurance.
Thanks Justin!
Welcome!
Gr8 talk!
Yessir! Thank you.
Hello. I currently have 4 vials of 250/1ml enanthate per month. I use a 23G pin but am looking toward the 27 or 25G half-inch insulin syringe into my deltoid every three days. I am quite lean so shouldn't be a problem there. I have worked this out at 0.33mg per shot. would this combo be effective?. Thanks for a great, to the point video. New Suber BTW.
Go even smaller, like 29g/30g and then inject every day. You literally can't feel those needles and you get more stable levels with every day injections.
Very helpful!!!!
Glad it was helpful!
Is this guy for real LDL below 70? There are three basic lipid markers Triglycerides HDL LDL High HDL and low triglycerides should be the goal. Low LDL is The ideology from the '50s and '60s low-fat high carb diet. Is that what we're after? I thought everybody realized by now that was the wrong way to go. What are you going to do? Low cholesterol and low carbohydrates. Where's your fuel now? It's great to keep up with the way hormones affect the body. But if you don't have adequate cholesterol how do you expect to produce hormones endogenously? Even for those taking exogenous hormones, they still need to have enough cholesterol to keep their brain functioning in their nerves working properly.
Great info! Thanks!
I was not aware of any of these relationships to igf1. Very interesting. Thank you for this video, Justin!
My pleasure. Thanks for watching.
Justin and Nico are two of the best in the field of integrative medicine!
Wooweee! What a compliment! Thank you so much.
What about effectiveness of cream vs injection? I've heard creams will boost your T some, but then your body stops since there is an external source and you drop back down. IE... you're at 300, get on gel. Go to 600 for a few weeks, then your body shuts down and you go back down to 300.
ANY form of exogenous testosterone can suppress your endogenous production. We fully expect this. That's why it's important to be on an appropriate dosage that is robust enough to provide symptomatic resolution.
They arnt as good or strong as the injection type. There not goingbto raise your testosterone as high.
Correct. No very efficacious at all....unless you like cruising in the 400/500 range, but that's where many guys start TRT at.
This disease is horrible. Our channel has featured numerous PFS patients that come from extremely successful backgrounds in the medical field, biology, military, entrepreneurship, etc. These are normal people (men and women both) that have have been practically crippled by the devastating physical, neurological, and/or sexual side effects of Finasteride, or other anti-androgenic medications like Spironolactone, saw palmetto, etc. The effects unfortunately extend beyond just sexual and neurological issues at this point. We have young men AND women suffering from bone loss, muscle wastage, skin changes, facial changes, and many other issues that have completely wrecked their lives.
I’ve been taking it for over a year and just got lazy with taking it for about a month and I’ve been wondering why I’ve had crippling fatigue every few days, like stay in bed all day and do nothing fatigue. I’m gonna look into this.
Hemocrat at 54 without trt extremely low free and total test what do I need to do
Just because your HCT is elevated doesn't preclude you from TRT. However, it does beg the question as to why its elevated. Being a candidate for TRT comes down to your bloodwork, symptoms, and knowledge/comfort level of your potential provider to initiate care given your current HCT.
@@therestoreclinic what’s the main cause for HCT running high? Now granted I was a smoker and drinker for 15-20 years I have quit both in the past 2 months along with starting to diet and exercise
I ordered a vile of CJC-1295 No DAC 10mg / Ipamorelin 5mg - 15mg (Blend) How much reconstitution solution do I need? - 1mL syringe for 100 mcg dose - Do I base the reconstitution on 15mg (the total BLEND) for the calculator? Thank you and Great video!
Justin, thank you have having Dr Grant on your podcast. I don't know him, but participate in a forum where he shares his insight and knowledge. He seems like such a down to earth cool guy. I'm so happy to see he has gone out and opened his own DPC practice. I wish him continued success. I too have a DPC TRT practice. Much of this podcast resonated with me. Had a patient I treat come to me after getting his yearly labs done with his PCP. Guess what? PCP told him he was going to stroke out with a Hct of 55. Patient lives at high elevation in Utah and on TRT. Even though I had previously discussed his post TRT labs with him with similar lab numbers, I still had to talk him off the ledge due to the fear mongering of his PCP. PCP also told him his total T should never be above 700 ng/dl. Where on earth do these PCPs get these arbitrary numbers? LOL. The ignorance in insurance based primary care provider model is staggering.
Yessir! Dr Grant is a good dude. We chatted for almost 2 hours total! I'm glad to hear you enjoyed this episode. And yes...the overwhelming majority of the medical community still vilifies TRT without any intent of studying it or attempting to even understand the basics of it. Thanks for chiming in!
Dropping truth bombs!
You're too kind!
I've been on TRT for about 5 years. No issues, I'm 51.
Love hearing this! Congrats.
What if your hemocrat is 54 before you start trt
This doesn't necessarily preclude you from being a TRT candidate. Some clinical investigation as to why it's elevated should be warranted.
Particularly topical for me, I'd been considering TRT for a while and then last month (don't laugh) I had a heart attack ... I'll give it a 2 or 3 months more then look again ... :) But I think my very heavy lifting days are over,
Which symptoms have you Experienced bro
@@WorldwideFitness-fm6xr 4 Wks ago, Chest Pain / Left arm, 2 nights wired up in ICU... 5 nights on the Ward, lots of anticoagulants, did 25k on bicycle yesterday, getting back to it. (I'm 72)
You had heart attack on trt?
@@Nipajim thanks for that bro
@@Nipajim I was planning to Start TRT
Nice and simple explanation good job 💫
Glad you liked it!
So start trt with low shbg or not
Either/or. Having low or high doesn't determine eligibility; instead, it cues us providers into possibly secondary etiologies.
Dr. Grant is great. Straight forward information. He simplifies the subject matter. Now, if I need to learn about a drug, I always look for the other gentleman on this video. Clear information, just what we need. Thank you both!
He’s absolutely a rockstar. We honored to call him a friend and colleague. Thanks for watching.
1200-1500 FOR ME!
Hey Nico! Just heard MILLIONS good stuff about you! Keep it on and NEVER change your humble and genuine attitude. The more humble the more loyal followers!
Nico is awesome. We’re blessed to call him a friend and colleague.
Great episode!
Thanks, brother!
where can I buy it, what Brand .Thank you very much.
How much testosterone can you fill a insulin syringe and inject without having a issue of lumping because I have to inject 125mg of testosterone cyp twice a week(so 250mg every week) and would rather use a half inch insulin needle instead of a inch or 1.5 inch needle
For *most* people keeping the volume less than 0.3ml(ish) tends to mitigate the annoying nodules that can occur with subcutaneous injections. Obviously, some people get away with more/less volume, but from what we've seen clinically 0.25ml/0.3ml or less tends to be the ballpark volume.
The first part wasnt very hormone related but I loved it 😅 Otherwise listening to you guys I realise in what poor state is mainstream medicine, having the same issues all over the world. Hopefully more doctors will wake up.
Thanks for the love. Sadly, as insurance continues to lobby and dictate treatments I don't see things getting better anytime soon.
Amazing podcast!
Glad you enjoyed it!
Putting the time in looking at solid base research and then see if it stacks up to real life experiences we can definitely see the difference with each person. What I have learned over the years at 55 is you as a individual knows what going to work for you and what will not! Fine tuning the body is a constant thing for each person. I find that right combination I feel great, excellent energy, sex drive and my mind can think well but we have to try certain methods its just the way it is if we are going to learn. This entire approach can get very in-depth as we also have to include good nutrition and proper gut health. Working with someone that doesn't put in proper nutrition and take Healthy life style seriously is a waste of time. To many want a magic bullet but if they are not going to put in the effort its a dead end with these people. My real excitement is peptides and where we can go with them as well as studying how our minds work and learning to tap more of our mind's ability to alter our physical body.
100% accurate. The accountability lies on the patient.
Defy Medical is treating thousands and they are absolutely using AIs for "In the range" E2 numbers. For better or worse
That's pretty typical for the overwhelming majority of clinics despite lack of evidence supporting it.