This podcast episode from ExcelMale.com provides an extensive overview of high hematocrit, a condition involving an elevated percentage of red blood cells in the blood, often associated with testosterone replacement therapy (TRT). It explains what hematocrit is, its normal ranges, and why TRT can lead to increased levels, detailing the risks of high hematocrit, such as blood clots and stroke. The text also explores whether hematocrit can stabilize with long-term TRT and, most significantly, offers multiple strategies to lower high hematocrit, including blood donation, dose adjustment, hydration, and addressing underlying health issues like sleep apnea. Ultimately, it emphasizes the importance of monitoring hematocrit levels to mitigate cardiovascular risks for individuals on TRT.

In a YouTube video, Nelson Vergel reviews a 2001 study published in the American Journal of Physiology, Endocrinology, and Metabolism by Dr. Bhasin, focusing on the optimal testosterone dose for men. The study involved 65 young men whose natural testosterone was suppressed before administering varying weekly doses of testosterone cypionate (25-600mg) for 20 weeks, with no exercise or dietary changes allowed. The research aimed to evaluate the impact of different doses on hormone levels, body composition, muscle strength, and sexual function, revealing that while higher doses increased muscle mass and strength, they also led to negative effects like decreased HDL cholesterol and increased hematocrit, whereas lower doses could be ineffective or even detrimental. Vergel highlights the study's unique approach and its relevance to understanding testosterone replacement, acknowledging that such comprehensive research is rare due to ethical and logistical challenges. More info: https://www.excelmale.com/threads/what-is-the-optimum-trt-dose-for-muscle-growth-nelson-vergel-reviews-the-data.32770/

Are you waking up several times a night to urinate, or find yourself straining just to empty your bladder? Benign Prostatic Hyperplasia (BPH), commonly known as an enlarged prostate, affects millions of men worldwide—especially as they age. After 60, about half of all men will experience it, and that number climbs dramatically with each decade[1]. For many, urinary symptoms such as urgency, frequency, dribbling, and incomplete emptying can severely impact quality of life.

While lifestyle changes and medications can help, some men cannot tolerate these therapies or simply don't improve enough. When symptoms persist, surgical options become a necessary consideration. Here’s an expert, evidence-based overview of today’s treatments, their risks, benefits, and factors to weigh when making a decision.