Testosterone and Men's Health- Nelson Vergel

Nelson Vergel

Nelson Vergel interviews experts in the field of men's health, testosterone replacement and much more. Nelson Vergel holds a chemical engineering degree and an MBA. After a HIV diagnosis over 33 years ago, he explored therapies to reverse wasting syndrome to save his life and those of his peers, leading him to co-author “Built to Survive: The Clinical Use of Anabolic Steroids for HIV+ Men and Women”,” a book that became the leading wasting treatment guide in the HIV field. He has been a member of several NIH and pharmaceutical advisory groups, and FDA review panels. Nelson also founded the Body Positive Wellness Clinic and Program for Wellness Restoration in Houston, providing health education and services to HIV+ people. To expand help to the general population, he wrote “Testosterone: A Man’s Guide” and created ExcelMale.com and DiscountedLabs.com to provide men’s health education and access to affordable blood testing.

Episodes

  1. Top Facts You Should Know Before Starting Testosterone Replacement Therapy (TRT)

    2023-08-23

    Top Facts You Should Know Before Starting Testosterone Replacement Therapy (TRT)

    Testosterone Replacement Therapy (TRT) can be life-changing for many men suffering from low testosterone symptoms. However, before starting TRT, most men do not receive important information from their doctors. Here are the top facts that every man considering TRT should know: 1- TRT decreases your sperm count. 2- TRT may increase your blood viscosity due to an increased hematocrit, the number of red blood cells in the blood. Some doctors may want to stop your TRT when this happens, but this side effect can be managed easily with blood donations or therapeutic phlebotomy. Just be careful: frequent blood donations can deplete iron and cause fatigue. 3- TRT shuts down your own testosterone production. It may recover after a few weeks and up to six months after you stop. 4- TRT improves your sex drive, muscle mass, and burns fat. But it only works for some people, and dose, frequency, and other factors like side effect management are essential. It is not a magic bullet. 5- Testosterone can be injected under the skin (Most doctors think you should inject deeply into the muscle) 6- Testosterone gels and creams are effective, but most doctors do not use the correct dose or do not adjust the amount based on your blood level. 7- Many doctors prescribe testosterone injections at 200 mg every two weeks. Many move towards 100 mg/week or 50 m twice weekly with an insulin syringe. 8- TRT can worsen sleep apnea. 9- TRT improves erectile function in some men but not all. It improves libido in most men, regardless of age, though. 10- You can monitor your blood tests via companies selling discounted labs without a doctor's visit. 11- You can access a testosterone doctor via telemedicine if you don’t have one nearby. However, most of them do not take insurance. 12- TRT does not cause prostate cancer or heart attacks (cardiovascular outcomes depend on proper monitoring of hematocrit, HDL, and blood pressure, though) 13- Many men do not know that they can ask questions to other men who have used TRT for a few years by visiting the ExcelMale forum. 14- Many doctors only measure blood levels of total testosterone but forget to include free testosterone, DHT (a metabolite), and thyroid function tests. 15- Most insurance companies only pay for certain TRT products but not others. And most refuse to pay if your testosterone is over 350 ng/dL. 16- Urologists are quickly becoming the most knowledgeable doctors in TRT management. 17- Some men fail to achieve benefits from TRT. Comorbidities and other issues can be to blame.

    5 min
  2. How to Use hCG to Prevent and Reverse Testicular Atrophy and Infertility in Men on TRT

    2023-08-23

    How to Use hCG to Prevent and Reverse Testicular Atrophy and Infertility in Men on TRT

    This episode explains the use of HCG (human chorionic gonadotropin) in men and its potential benefits for testosterone replacement therapy. It discusses the role of HCG in maintaining fertility and preventing testicular atrophy. Additionally, it explores the potential enhancement of sex drive and mood when HCG is combined with testosterone. The reactivation of upstream hormones by HCG is highlighted as an important but understudied aspect. Highlights 💉 HCG is a hormone used in testosterone replacement therapy to maintain fertility and prevent testicular atrophy. 🚀 Combining HCG with testosterone may enhance fertility, sex drive, and mood in men. 📈 Reactivating upstream hormones through HCG could have cognitive benefits and prevent hormonal imbalances. 🧪 Research is needed to explore the full potential and effects of HCG in testosterone replacement therapy.

    15 min
  • 2 Episodes

About

Nelson Vergel interviews experts in the field of men's health, testosterone replacement and much more. Nelson Vergel holds a chemical engineering degree and an MBA. After a HIV diagnosis over 33 years ago, he explored therapies to reverse wasting syndrome to save his life and those of his peers, leading him to co-author “Built to Survive: The Clinical Use of Anabolic Steroids for HIV+ Men and Women”,” a book that became the leading wasting treatment guide in the HIV field. He has been a member of several NIH and pharmaceutical advisory groups, and FDA review panels. Nelson also founded the Body Positive Wellness Clinic and Program for Wellness Restoration in Houston, providing health education and services to HIV+ people. To expand help to the general population, he wrote “Testosterone: A Man’s Guide” and created ExcelMale.com and DiscountedLabs.com to provide men’s health education and access to affordable blood testing.

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