Full Transcript 0:02 our adrenal glands to provide DHEA to 0:02 our adrenal glands to provide DHEA to convert to testosterone for us. But once
Testosterone and menopause basics 0:05 convert to testosterone for us. But once 0:05 convert to testosterone for us. But once you hit menopause and those ovaries 0:06 you hit menopause and those ovaries 0:06 you hit menopause and those ovaries aren't working, those ovaries are not 0:08 aren't working, those ovaries are not 0:08 aren't working, those ovaries are not going to be producing any testosterone. 0:09 going to be producing any testosterone. 0:09 going to be producing any testosterone. So that's why you'll see a drop in 0:11 So that's why you'll see a drop in 0:11 So that's why you'll see a drop in menopause. 0:17 Is my testosterone dose too low? Signs 0:17 Is my testosterone dose too low? Signs for women. Hi, I'm Dr. Valerie Davidson
Introducing the podcast and testosterone for women 0:19 for women. Hi, I'm Dr. Valerie Davidson 0:19 for women. Hi, I'm Dr. Valerie Davidson from the Progressive Health Podcast. 0:21 from the Progressive Health Podcast. 0:21 from the Progressive Health Podcast. >> I'm Dr. Mackey from the Progressive 0:22 >> I'm Dr. Mackey from the Progressive 0:22 >> I'm Dr. Mackey from the Progressive Health Podcast. Uh so testosterone of 0:24 Health Podcast. Uh so testosterone of 0:24 Health Podcast. Uh so testosterone of course, um you know, that's really the 0:27 course, um you know, that's really the 0:27 course, um you know, that's really the only only option for men as far as 0:30 only only option for men as far as 0:30 only only option for men as far as hormones go. Um but women uh I mean 0:33 hormones go. Um but women uh I mean 0:33 hormones go. Um but women uh I mean there's a lot of other ones, but uh 0:34 there's a lot of other ones, but uh 0:34 there's a lot of other ones, but uh women uh certainly have gotten around to 0:37 women uh certainly have gotten around to 0:37 women uh certainly have gotten around to the idea that testosterone is helpful.
Benefits of testosterone HRT 0:40 the idea that testosterone is helpful. 0:40 the idea that testosterone is helpful. >> Oh yeah, testosterone HRT for women is a 0:42 >> Oh yeah, testosterone HRT for women is a 0:42 >> Oh yeah, testosterone HRT for women is a beautiful kind of I call it like an 0:44 beautiful kind of I call it like an 0:44 beautiful kind of I call it like an accoutrement to your HRT like if you're 0:47 accoutrement to your HRT like if you're 0:47 accoutrement to your HRT like if you're doing estradiol or a biest and and 0:49 doing estradiol or a biest and and 0:49 doing estradiol or a biest and and progesterone. Yeah, testosterone can be 0:51 progesterone. Yeah, testosterone can be 0:51 progesterone. Yeah, testosterone can be like the frosting on the cake. I think 0:53 like the frosting on the cake. I think 0:53 like the frosting on the cake. I think that that's really helpful for women, 0:55 that that's really helpful for women, 0:55 that that's really helpful for women, but if it's too low, um there's not 0:59 but if it's too low, um there's not 0:59 but if it's too low, um there's not you're not going to get the benefit from 1:00 you're not going to get the benefit from 1:00 you're not going to get the benefit from it, right?
What low testosterone looks like 1:01 it, right? 1:01 it, right? >> Yeah, so what is a without any 1:03 >> Yeah, so what is a without any 1:03 >> Yeah, so what is a without any testosterone, what is a typical blood 1:06 testosterone, what is a typical blood 1:06 testosterone, what is a typical blood level that a woman would see on her on a 1:08 level that a woman would see on her on a 1:08 level that a woman would see on her on a blood test? 1:08 blood test? 1:08 blood test? >> Now we don't want to chase the blood 1:09 >> Now we don't want to chase the blood 1:10 >> Now we don't want to chase the blood tests that way. I want to preface that. 1:12 tests that way. I want to preface that. 1:12 tests that way. I want to preface that. But if I see someone's testosterone less 1:14 But if I see someone's testosterone less 1:14 But if I see someone's testosterone less than 20, especially less than 10, the 1:17 than 20, especially less than 10, the 1:17 than 20, especially less than 10, the total testosterone, then yeah, I'm 1:19 total testosterone, then yeah, I'm 1:19 total testosterone, then yeah, I'm thinking that testosterone is too low. 1:22 thinking that testosterone is too low. 1:22 thinking that testosterone is too low. We'll do another podcast after this 1:23 We'll do another podcast after this 1:23 We'll do another podcast after this about testosterone um being too high, if 1:26 about testosterone um being too high, if 1:26 about testosterone um being too high, if your dose is too high, that's where 1:28 your dose is too high, that's where 1:28 your dose is too high, that's where we're incorporating it in a little bit 1:30 we're incorporating it in a little bit 1:30 we're incorporating it in a little bit more with the blood testing. But 1:31 more with the blood testing. But 1:31 more with the blood testing. But definitely if a woman has, you know, a 1:33 definitely if a woman has, you know, a 1:33 definitely if a woman has, you know, a testosterone total under 20, I'm like, 1:35 testosterone total under 20, I'm like, 1:35 testosterone total under 20, I'm like, okay, we got to let's let's let's work 1:37 okay, we got to let's let's let's work 1:38 okay, we got to let's let's let's work on this. But then it's not just the 1:39 on this. But then it's not just the 1:39 on this. But then it's not just the numbers, right? It's the symptoms, 1:41 numbers, right? It's the symptoms, 1:41 numbers, right? It's the symptoms, right? What symptoms would you say you
Symptoms of low testosterone in women 1:43 right? What symptoms would you say you 1:43 right? What symptoms would you say you would notice if a woman has low 1:44 would notice if a woman has low 1:44 would notice if a woman has low testosterone or her dose is a little bit 1:47 testosterone or her dose is a little bit 1:47 testosterone or her dose is a little bit too low? 1:47 too low? 1:47 too low? >> Certainly it can be on uh more on the 1:50 >> Certainly it can be on uh more on the 1:50 >> Certainly it can be on uh more on the subjective side. So, you know, mood, 1:53 subjective side. So, you know, mood, 1:53 subjective side. So, you know, mood, energy, motivation. Uh when a woman hits 1:56 energy, motivation. Uh when a woman hits 1:56 energy, motivation. Uh when a woman hits that um late perimenopause and they're 1:58 that um late perimenopause and they're 1:58 that um late perimenopause and they're they just say their motivation kind of 2:00 they just say their motivation kind of 2:00 they just say their motivation kind of drops off, you know, that's one where um 2:03 drops off, you know, that's one where um 2:03 drops off, you know, that's one where um testosterone can be pretty helpful. Um 2:05 testosterone can be pretty helpful. Um 2:05 testosterone can be pretty helpful. Um more you like I said, more so on the 2:06 more you like I said, more so on the 2:06 more you like I said, more so on the subjective mood side. Uh of course, the 2:09 subjective mood side. Uh of course, the 2:09 subjective mood side. Uh of course, the obvious one is libido. 2:11 obvious one is libido. 2:11 obvious one is libido. But sometimes, as you've always said in 2:13 But sometimes, as you've always said in 2:13 But sometimes, as you've always said in the past, sometimes the testosterone 2:16 the past, sometimes the testosterone 2:16 the past, sometimes the testosterone doesn't do the trick. Uh one especially 2:19 doesn't do the trick. Uh one especially 2:19 doesn't do the trick. Uh one especially if they're really stressed out and if 2:20 if they're really stressed out and if 2:20 if they're really stressed out and if their estrogen isn't in place, then 2:22 their estrogen isn't in place, then 2:22 their estrogen isn't in place, then giving them a bunch of testosterone 2:24 giving them a bunch of testosterone 2:24 giving them a bunch of testosterone might not make them feel any better. 2:26 might not make them feel any better. 2:26 might not make them feel any better. >> Well, there is some crossover with
Mood, libido, and recovery benefits 2:28 >> Well, there is some crossover with 2:28 >> Well, there is some crossover with estrogen um when you're looking at 2:30 estrogen um when you're looking at 2:30 estrogen um when you're looking at testosterone cuz you know, low levels of 2:33 testosterone cuz you know, low levels of 2:33 testosterone cuz you know, low levels of estrogen can cause a lot of these 2:34 estrogen can cause a lot of these 2:34 estrogen can cause a lot of these symptoms, too. But I will say that, you 2:36 symptoms, too. But I will say that, you 2:36 symptoms, too. But I will say that, you know, testosterone and libido do go 2:38 know, testosterone and libido do go 2:38 know, testosterone and libido do go together. Just make sure that the the 2:39 together. Just make sure that the the 2:39 together. Just make sure that the the estrogen is optimized, their estrogen 2:41 estrogen is optimized, their estrogen 2:41 estrogen is optimized, their estrogen HRT is optimized. But really, a lot of 2:44 HRT is optimized. But really, a lot of 2:44 HRT is optimized. But really, a lot of women tell me with that testosterone, 2:46 women tell me with that testosterone, 2:46 women tell me with that testosterone, it's getting their to-do list done. When 2:48 it's getting their to-do list done. When 2:48 it's getting their to-do list done. When they have a when they start feeling 2:49 they have a when they start feeling 2:49 they have a when they start feeling like, "I'm just not motivated. I'm not 2:51 like, "I'm just not motivated. I'm not 2:52 like, "I'm just not motivated. I'm not finishing my list. I have a list or 2:54 finishing my list. I have a list or 2:54 finishing my list. I have a list or maybe I'm not even I'm not even 2:56 maybe I'm not even I'm not even 2:56 maybe I'm not even I'm not even motivated to make a list." That's when I 2:58 motivated to make a list." That's when I 2:58 motivated to make a list." That's when I know, "Okay, well, we could probably add 2:59 know, "Okay, well, we could probably add 2:59 know, "Okay, well, we could probably add in a little testosterone because just 3:01 in a little testosterone because just 3:01 in a little testosterone because just from having, you know, experience with 3:03 from having, you know, experience with 3:03 from having, you know, experience with working with patients is when we have 3:04 working with patients is when we have 3:04 working with patients is when we have that testosterone dialed in, 3:06 that testosterone dialed in, 3:06 that testosterone dialed in, the first thing they say is, "I get my 3:08 the first thing they say is, "I get my 3:08 the first thing they say is, "I get my to-do list done. I'm I'm getting my 3:10 to-do list done. I'm I'm getting my 3:10 to-do list done. I'm I'm getting my to-do list done. I'm getting it done. 3:12 to-do list done. I'm getting it done. 3:12 to-do list done. I'm getting it done. I'm writing it down. I'm going to the 3:13 I'm writing it down. I'm going to the 3:13 I'm writing it down. I'm going to the store. I'm doing all this." And then 3:15 store. I'm doing all this." And then 3:15 store. I'm doing all this." And then also um exercise, that motivation to go 3:18 also um exercise, that motivation to go 3:18 also um exercise, that motivation to go exercise in the recovery period. So, um 3:21 exercise in the recovery period. So, um 3:21 exercise in the recovery period. So, um I had a patient not too long ago, she 3:23 I had a patient not too long ago, she 3:23 I had a patient not too long ago, she had worked out really hard with her 3:24 had worked out really hard with her 3:24 had worked out really hard with her trainer and took forever to recover from 3:27 trainer and took forever to recover from 3:27 trainer and took forever to recover from that. And of course, trainers can be 3:29 that. And of course, trainers can be 3:29 that. And of course, trainers can be pretty brutal. We love them, but they 3:30 pretty brutal. We love them, but they 3:31 pretty brutal. We love them, but they can be pretty brutal. But we raised up 3:33 can be pretty brutal. But we raised up 3:33 can be pretty brutal. But we raised up her testosterone and she noticed that 3:34 her testosterone and she noticed that 3:34 her testosterone and she noticed that she was improving, she was enjoying the 3:36 she was improving, she was enjoying the 3:36 she was improving, she was enjoying the gym, she was building that lean muscle. 3:38 gym, she was building that lean muscle. 3:38 gym, she was building that lean muscle. You don't get bulky with a lot of 3:40 You don't get bulky with a lot of 3:40 You don't get bulky with a lot of testosterone. You'd have to have a ton 3:42 testosterone. You'd have to have a ton 3:42 testosterone. You'd have to have a ton of testosterone really to get bulky. But 3:44 of testosterone really to get bulky. But 3:44 of testosterone really to get bulky. But you know, she had building that lean 3:45 you know, she had building that lean 3:45 you know, she had building that lean muscle and then having that recovery so
Optimizing hormones and avoiding excess 3:47 muscle and then having that recovery so 3:47 muscle and then having that recovery so she could go back to the gym. 3:49 she could go back to the gym. 3:49 she could go back to the gym. >> Sure. I've had a another patient that 3:51 >> Sure. I've had a another patient that 3:51 >> Sure. I've had a another patient that was um having some recovery issues and 3:54 was um having some recovery issues and 3:54 was um having some recovery issues and we're experimenting with a you know with 3:56 we're experimenting with a you know with 3:56 we're experimenting with a you know with a little bit of testosterone just to see 3:57 a little bit of testosterone just to see 3:57 a little bit of testosterone just to see if she's able to bounce back a little 3:59 if she's able to bounce back a little 3:59 if she's able to bounce back a little faster. Uh and uh for my patient it was 4:02 faster. Uh and uh for my patient it was 4:02 faster. Uh and uh for my patient it was like she 4:03 like she 4:03 like she uh she sort of hit a wall uh and all of 4:06 uh she sort of hit a wall uh and all of 4:06 uh she sort of hit a wall uh and all of a sudden now her recovery was just a 4:08 a sudden now her recovery was just a 4:08 a sudden now her recovery was just a little bit obnoxious. 4:10 little bit obnoxious. 4:10 little bit obnoxious. Uh and you know maybe a little bit to do 4:11 Uh and you know maybe a little bit to do 4:11 Uh and you know maybe a little bit to do with her volume and how much she was 4:13 with her volume and how much she was 4:13 with her volume and how much she was training. Uh you know so you know you 4:16 training. Uh you know so you know you 4:16 training. Uh you know so you know you know you're going to say something. 4:17 know you're going to say something. 4:17 know you're going to say something. >> I was going to say also kind of that 4:19 >> I was going to say also kind of that 4:19 >> I was going to say also kind of that that mood too. Sometimes when that 4:21 that mood too. Sometimes when that 4:21 that mood too. Sometimes when that testosterone's low people feel a little 4:23 testosterone's low people feel a little 4:23 testosterone's low people feel a little like tired, not really with it, just 4:26 like tired, not really with it, just 4:26 like tired, not really with it, just kind of um like that zest just isn't 4:28 kind of um like that zest just isn't 4:28 kind of um like that zest just isn't there. 4:28 there. 4:28 there. >> Yeah, right. Uh well, that's where you 4:30 >> Yeah, right. Uh well, that's where you 4:30 >> Yeah, right. Uh well, that's where you know now are they really deficient in 4:32 know now are they really deficient in 4:32 know now are they really deficient in testosterone? I mean testosterone's 4:34 testosterone? I mean testosterone's 4:34 testosterone? I mean testosterone's going to probably change a little bit 4:36 going to probably change a little bit 4:36 going to probably change a little bit into menopause anyways, but you're using 4:38 into menopause anyways, but you're using 4:38 into menopause anyways, but you're using you're using testosterone as a way to 4:41 you're using testosterone as a way to 4:41 you're using testosterone as a way to help them feel better. 4:42 help them feel better. 4:42 help them feel better. >> Yeah, we're optimizing the hormones. So 4:44 >> Yeah, we're optimizing the hormones. So 4:44 >> Yeah, we're optimizing the hormones. So you're you don't want to do too much of 4:45 you're you don't want to do too much of 4:45 you're you don't want to do too much of a good thing which we'll talk about 4:47 a good thing which we'll talk about 4:47 a good thing which we'll talk about later in another podcast, but it's 4:49 later in another podcast, but it's 4:49 later in another podcast, but it's helping to you know if you're getting 4:51 helping to you know if you're getting 4:51 helping to you know if you're getting you're motivated, you feel good, your 4:53 you're motivated, you feel good, your 4:53 you're motivated, you feel good, your libido's better, you're getting into the 4:54 libido's better, you're getting into the 4:54 libido's better, you're getting into the gym, you're recovering well and getting 4:56 gym, you're recovering well and getting 4:56 gym, you're recovering well and getting back to the gym, you're building some 4:57 back to the gym, you're building some 4:58 back to the gym, you're building some muscle, having that resilience, I'm able 5:00 muscle, having that resilience, I'm able 5:00 muscle, having that resilience, I'm able to deal with stress better. That's when 5:02 to deal with stress better. That's when 5:02 to deal with stress better. That's when that testosterone's up you can have more 5:04 that testosterone's up you can have more 5:04 that testosterone's up you can have more stress resiliency is that that's only
Testing, DHEA, and menopause changes 5:07 stress resiliency is that that's only 5:07 stress resiliency is that that's only going to help propel the health, you 5:09 going to help propel the health, you 5:09 going to help propel the health, you know, cuz that's what we're looking at. 5:10 know, cuz that's what we're looking at. 5:10 know, cuz that's what we're looking at. Anything we can any tool we can use 5:12 Anything we can any tool we can use 5:12 Anything we can any tool we can use that's safe and helps our health and our 5:15 that's safe and helps our health and our 5:15 that's safe and helps our health and our longevity. 5:16 longevity. 5:16 longevity. >> Yeah. Uh now um so uh what about a 5:19 >> Yeah. Uh now um so uh what about a 5:19 >> Yeah. Uh now um so uh what about a testosterone dose if it's too high? How 5:22 testosterone dose if it's too high? How 5:22 testosterone dose if it's too high? How do we go the other uh determine if 5:23 do we go the other uh determine if 5:23 do we go the other uh determine if something is the other 5:24 something is the other 5:24 something is the other >> That's our next podcast. We're going to 5:26 >> That's our next podcast. We're going to 5:26 >> That's our next podcast. We're going to talk about testosterone dose too high 5:28 talk about testosterone dose too high 5:28 talk about testosterone dose too high cuz there's a little bit more nuance 5:30 cuz there's a little bit more nuance 5:30 cuz there's a little bit more nuance with that. But if it's too low 5:32 with that. But if it's too low 5:32 with that. But if it's too low you know, I do feel like women do do 5:34 you know, I do feel like women do do 5:34 you know, I do feel like women do do feel it. You know, when I and when I do 5:36 feel it. You know, when I and when I do 5:36 feel it. You know, when I and when I do HRT with um with women is especially in 5:38 HRT with um with women is especially in 5:38 HRT with um with women is especially in menopause is I will start with you know 5:41 menopause is I will start with you know 5:41 menopause is I will start with you know the estrogen and the progesterone. So we 5:42 the estrogen and the progesterone. So we 5:42 the estrogen and the progesterone. So we make sure we get that optimized. Then we 5:44 make sure we get that optimized. Then we 5:44 make sure we get that optimized. Then we add the testosterone in later. I feel 5:46 add the testosterone in later. I feel 5:46 add the testosterone in later. I feel like that's a really good way of doing 5:48 like that's a really good way of doing 5:48 like that's a really good way of doing it. Some women do really great on higher 5:51 it. Some women do really great on higher 5:51 it. Some women do really great on higher levels of testosterone and some women 5:53 levels of testosterone and some women 5:53 levels of testosterone and some women don't. Like, for example, 5:55 don't. Like, for example, 5:55 don't. Like, for example, I you know, I don't take uh testosterone 5:57 I you know, I don't take uh testosterone 5:57 I you know, I don't take uh testosterone HRT cuz I don't need to. I'm my 5:59 HRT cuz I don't need to. I'm my 5:59 HRT cuz I don't need to. I'm my testosterone kind of naturally runs a 6:01 testosterone kind of naturally runs a 6:01 testosterone kind of naturally runs a little bit high. 6:02 little bit high. 6:02 little bit high. >> Yeah, it always it always has. 6:03 >> Yeah, it always it always has. 6:03 >> Yeah, it always it always has. >> But so you know, exactly. Not like out 6:05 >> But so you know, exactly. Not like out 6:05 >> But so you know, exactly. Not like out of range, but usually I mine runs around 6:08 of range, but usually I mine runs around 6:08 of range, but usually I mine runs around 40 to 60. Where um if somebody's like I 6:11 40 to 60. Where um if somebody's like I 6:11 40 to 60. Where um if somebody's like I said under 20 and they're having some of 6:13 said under 20 and they're having some of 6:13 said under 20 and they're having some of these symptoms that we're talking about, 6:14 these symptoms that we're talking about, 6:14 these symptoms that we're talking about, we want to implement it then we can test 6:16 we want to implement it then we can test 6:16 we want to implement it then we can test it. There's you know, testing the blood, 6:19 it. There's you know, testing the blood, 6:19 it. There's you know, testing the blood, but then also see how they feel 6:20 but then also see how they feel 6:20 but then also see how they feel subjectively. I feel like that's super 6:22 subjectively. I feel like that's super 6:22 subjectively. I feel like that's super important. 6:23 important. 6:23 important. >> Uh and uh we'll save this for the next 6:25 >> Uh and uh we'll save this for the next 6:25 >> Uh and uh we'll save this for the next episode, but there's some things 6:26 episode, but there's some things 6:26 episode, but there's some things cosmetically that'll happen. Um but it 6:28 cosmetically that'll happen. Um but it 6:28 cosmetically that'll happen. Um but it is amazing in how some women can
Dosing approaches and transdermal cream 6:30 is amazing in how some women can 6:30 is amazing in how some women can tolerate a good amount and some women 6:32 tolerate a good amount and some women 6:32 tolerate a good amount and some women can tolerate none. Uh it really does 6:34 can tolerate none. Uh it really does 6:34 can tolerate none. Uh it really does kind of run the gamut. Um you know, but 6:36 kind of run the gamut. Um you know, but 6:36 kind of run the gamut. Um you know, but most women are going to average 6:38 most women are going to average 6:38 most women are going to average somewhere between 2 to 5 mg. Again, this 6:40 somewhere between 2 to 5 mg. Again, this 6:40 somewhere between 2 to 5 mg. Again, this is 6:40 is 6:40 is >> Oh, as a again. Uh not for medical 6:42 >> Oh, as a again. Uh not for medical 6:43 >> Oh, as a again. Uh not for medical advice, 6:44 advice, 6:44 advice, educational like 6:45 educational like 6:45 educational like >> Uh but as a starting point and maybe 6:47 >> Uh but as a starting point and maybe 6:47 >> Uh but as a starting point and maybe even as a you know, full amount, they're 6:48 even as a you know, full amount, they're 6:48 even as a you know, full amount, they're going to use 2 to 5 mg at some point or 6:51 going to use 2 to 5 mg at some point or 6:51 going to use 2 to 5 mg at some point or certain amount o- over the course of a 6:53 certain amount o- over the course of a 6:53 certain amount o- over the course of a week. 6:54 week. 6:54 week. >> Yeah, so with the testosterone it's 6:56 >> Yeah, so with the testosterone it's 6:56 >> Yeah, so with the testosterone it's different. Sometimes I'll have people do 6:58 different. Sometimes I'll have people do 6:58 different. Sometimes I'll have people do it every day. Sometimes they do it a few 7:00 it every day. Sometimes they do it a few 7:00 it every day. Sometimes they do it a few times a week. That you can kind of work 7:02 times a week. That you can kind of work 7:02 times a week. That you can kind of work with the patient to see how it's 7:04 with the patient to see how it's 7:04 with the patient to see how it's tailored to them. But so and and then 7:06 tailored to them. But so and and then 7:06 tailored to them. But so and and then you always want to do it really as a 7:08 you always want to do it really as a 7:08 you always want to do it really as a cream. You want to do a transdermal 7:09 cream. You want to do a transdermal 7:09 cream. You want to do a transdermal cream. You don't ever want to take 7:10 cream. You don't ever want to take 7:10 cream. You don't ever want to take testosterone orally. That's not good for 7:12 testosterone orally. That's not good for 7:12 testosterone orally. That's not good for the system. You don't really absorb it 7:14 the system. You don't really absorb it 7:14 the system. You don't really absorb it anyway. But the neat thing with the 7:16 anyway. But the neat thing with the 7:16 anyway. But the neat thing with the cream is you can start off a little low 7:17 cream is you can start off a little low 7:17 cream is you can start off a little low and then work your way up. I always feel 7:19 and then work your way up. I always feel 7:19 and then work your way up. I always feel like it's easier to do that. I have some 7:21 like it's easier to do that. I have some 7:21 like it's easier to do that. I have some women that take 1 mg of testosterone 7:24 women that take 1 mg of testosterone 7:24 women that take 1 mg of testosterone just once a day. I have some women that 7:26 just once a day. I have some women that 7:26 just once a day. I have some women that take it twice a day and they do really 7:28 take it twice a day and they do really 7:28 take it twice a day and they do really well. I have some women that take 5 to 7:30 well. I have some women that take 5 to 7:30 well. I have some women that take 5 to 10 mg of testosterone daily. It really 7:32 10 mg of testosterone daily. It really 7:32 10 mg of testosterone daily. It really you know, it really kind of depends on 7:35 you know, it really kind of depends on 7:35 you know, it really kind of depends on on on the person. 7:36 on on the person. 7:36 on on the person. >> Yeah, and it's always better to with
Starting low and monitoring symptoms 7:38 >> Yeah, and it's always better to with 7:38 >> Yeah, and it's always better to with testosterone that if you start lower 7:40 testosterone that if you start lower 7:40 testosterone that if you start lower because you want to make sure that 7:41 because you want to make sure that 7:41 because you want to make sure that there's some tolerance um cosmetically 7:45 there's some tolerance um cosmetically 7:45 there's some tolerance um cosmetically and then from there you can always you 7:47 and then from there you can always you 7:47 and then from there you can always you know that's always been your philosophy 7:49 know that's always been your philosophy 7:49 know that's always been your philosophy or your approach is always to start low 7:51 or your approach is always to start low 7:51 or your approach is always to start low and then just work it up over time. 7:52 and then just work it up over time. 7:53 and then just work it up over time. >> And then we go over the symptoms. I've 7:54 >> And then we go over the symptoms. I've 7:54 >> And then we go over the symptoms. I've never had a woman get really 7:56 never had a woman get really 7:56 never had a woman get really crabby on testosterone. I don't think 7:59 crabby on testosterone. I don't think 7:59 crabby on testosterone. I don't think that that's really as much of an issue. 8:00 that that's really as much of an issue. 8:00 that that's really as much of an issue. >> So women don't get roid rage? 8:02 >> So women don't get roid rage? 8:02 >> So women don't get roid rage? >> No, I've never I've never seen that. 8:05 >> No, I've never I've never seen that. 8:05 >> No, I've never I've never seen that. Like I've seen other symptoms like I 8:06 Like I've seen other symptoms like I 8:06 Like I've seen other symptoms like I said we'll go over with too much 8:08 said we'll go over with too much 8:08 said we'll go over with too much testosterone but I've never seen anybody 8:09 testosterone but I've never seen anybody 8:09 testosterone but I've never seen anybody get 8:10 get 8:10 get crabby or snarky or angry or ragey. But 8:13 crabby or snarky or angry or ragey. But 8:13 crabby or snarky or angry or ragey. But they'll but you'll notice as you add 8:15 they'll but you'll notice as you add 8:15 they'll but you'll notice as you add that in like how was your energy? How 8:18 that in like how was your energy? How 8:18 that in like how was your energy? How was your motivation? How are you getting 8:19 was your motivation? How are you getting 8:19 was your motivation? How are you getting your things done? 8:21 your things done? 8:21 your things done? How's your libido? 8:23 How's your libido? 8:23 How's your libido? How's that the sex drive? Is it back on 8:25 How's that the sex drive? Is it back on 8:25 How's that the sex drive? Is it back on the brain or is it not? And then like I 8:27 the brain or is it not? And then like I 8:27 the brain or is it not? And then like I said there is a little crossover with 8:28 said there is a little crossover with 8:28 said there is a little crossover with estrogen so you want to make sure that 8:30 estrogen so you want to make sure that 8:30 estrogen so you want to make sure that their estrogen's dialed in. And I know 8:33 their estrogen's dialed in. And I know 8:33 their estrogen's dialed in. And I know that a lot of you listeners are super 8:35 that a lot of you listeners are super 8:35 that a lot of you listeners are super smart and I mean you know all this stuff 8:37 smart and I mean you know all this stuff 8:37 smart and I mean you know all this stuff but that testosterone can aromatize to 8:39 but that testosterone can aromatize to 8:39 but that testosterone can aromatize to estradiol. So testosterone can turn into 8:41 estradiol. So testosterone can turn into 8:41 estradiol. So testosterone can turn into estrogen or turn into estradiol. 8:44 estrogen or turn into estradiol. 8:44 estrogen or turn into estradiol. The doses do need to be pretty high to
Blood testing and subjective response 8:46 The doses do need to be pretty high to 8:46 The doses do need to be pretty high to see it go that much but at the same time 8:49 see it go that much but at the same time 8:49 see it go that much but at the same time we're always like I said checking in 8:50 we're always like I said checking in 8:50 we're always like I said checking in with their estradiol too make sure those 8:52 with their estradiol too make sure those 8:52 with their estradiol too make sure those levels are staying where they should be. 8:54 levels are staying where they should be. 8:54 levels are staying where they should be. >> Yeah. 8:55 >> Yeah. 8:55 >> Yeah. Uh 8:56 Uh 8:56 Uh Uh so is there anything else that you 8:58 Uh so is there anything else that you 8:58 Uh so is there anything else that you want to talk about 9:00 want to talk about 9:00 want to talk about testosterone dosing? 9:02 testosterone dosing? 9:02 testosterone dosing? >> Um yeah this one was just more about 9:04 >> Um yeah this one was just more about 9:04 >> Um yeah this one was just more about lower dosing. We could go and I talked a 9:06 lower dosing. We could go and I talked a 9:06 lower dosing. We could go and I talked a little bit about the the blood testing. 9:08 little bit about the the blood testing. 9:08 little bit about the the blood testing. If you're going to do a blood test 9:09 If you're going to do a blood test 9:09 If you're going to do a blood test there's other tests you can do free 9:10 there's other tests you can do free 9:11 there's other tests you can do free testosterone, sex hormone binding 9:12 testosterone, sex hormone binding 9:12 testosterone, sex hormone binding globulin, DHEA. I like to do DHEA 9:14 globulin, DHEA. I like to do DHEA 9:14 globulin, DHEA. I like to do DHEA sulfate if you're doing a blood test. 9:16 sulfate if you're doing a blood test. 9:16 sulfate if you're doing a blood test. >> Yeah. 9:16 >> Yeah. 9:16 >> Yeah. >> DHEA is made from the adrenal glands it 9:18 >> DHEA is made from the adrenal glands it 9:18 >> DHEA is made from the adrenal glands it does convert over to testosterone. So 9:20 does convert over to testosterone. So 9:20 does convert over to testosterone. So that's as we go into menopause, I'm 53, 9:22 that's as we go into menopause, I'm 53, 9:22 that's as we go into menopause, I'm 53, I'm in menopause, we're relying on our 9:24 I'm in menopause, we're relying on our 9:24 I'm in menopause, we're relying on our adrenal glands to provide DHEA to 9:27 adrenal glands to provide DHEA to 9:27 adrenal glands to provide DHEA to convert to testosterone for us cuz 9:29 convert to testosterone for us cuz 9:29 convert to testosterone for us cuz you're not making as you know the 9:31 you're not making as you know the 9:31 you're not making as you know the ovaries aren't making it. You make a 9:32 ovaries aren't making it. You make a 9:32 ovaries aren't making it. You make a little bit in the ovaries you don't you 9:33 little bit in the ovaries you don't you 9:34 little bit in the ovaries you don't you make more of it from from DHEA 9:35 make more of it from from DHEA 9:35 make more of it from from DHEA conversion. But once you hit menopause 9:37 conversion. But once you hit menopause 9:37 conversion. But once you hit menopause and those ovaries aren't working, you're 9:38 and those ovaries aren't working, you're 9:38 and those ovaries aren't working, you're not going to um those ovaries are not 9:40 not going to um those ovaries are not 9:40 not going to um those ovaries are not going to be producing any testosterone. 9:42 going to be producing any testosterone. 9:42 going to be producing any testosterone. So that's why you'll see a drop in 9:43 So that's why you'll see a drop in 9:43 So that's why you'll see a drop in menopause, not a huge drop, but you see 9:45 menopause, not a huge drop, but you see 9:46 menopause, not a huge drop, but you see that drop. So, like I said, there's a 9:47 that drop. So, like I said, there's a 9:47 that drop. So, like I said, there's a lot of other testing you can do with 9:49 lot of other testing you can do with 9:49 lot of other testing you can do with that. But if I I really go by the 9:51 that. But if I I really go by the 9:51 that. But if I I really go by the symptoms and then also, you know, maybe 9:53 symptoms and then also, you know, maybe 9:53 symptoms and then also, you know, maybe checking that total if it's if we're 9:55 checking that total if it's if we're 9:55 checking that total if it's if we're feeling like it's too low. 9:56 feeling like it's too low. 9:56 feeling like it's too low. >> Yeah. Uh and I've seen some numbers, you 9:59 >> Yeah. Uh and I've seen some numbers, you 9:59 >> Yeah. Uh and I've seen some numbers, you know, as far as checking total um uh 10:01 know, as far as checking total um uh 10:01 know, as far as checking total um uh kind of all over the place. I had one 10:02 kind of all over the place. I had one 10:02 kind of all over the place. I had one just the other day. She wasn't taking 10:04 just the other day. She wasn't taking 10:04 just the other day. She wasn't taking hardly any her number was kind of high. 10:06 hardly any her number was kind of high. 10:06 hardly any her number was kind of high. She doesn't have any of the symptoms of 10:08 She doesn't have any of the symptoms of 10:08 She doesn't have any of the symptoms of having too much, which we'll talk about 10:09 having too much, which we'll talk about 10:09 having too much, which we'll talk about on the next one. Maybe we'll use her as 10:11 on the next one. Maybe we'll use her as 10:11 on the next one. Maybe we'll use her as almost like a I know you've had a bunch 10:13 almost like a I know you've had a bunch 10:13 almost like a I know you've had a bunch of those as well, too. We'll talk about 10:14 of those as well, too. We'll talk about 10:14 of those as well, too. We'll talk about that on the uh on the next or when we 10:16 that on the uh on the next or when we 10:16 that on the uh on the next or when we get to that episode. I think we have 10:17 get to that episode. I think we have 10:17 get to that episode. I think we have another one in between. 10:18 another one in between. 10:18 another one in between. >> Yeah. 10:19 >> Yeah. 10:19 >> Yeah. >> Okay. Uh anything else you want to add? 10:21 >> Okay. Uh anything else you want to add? 10:21 >> Okay. Uh anything else you want to add? >> No, I think this was great talking 10:22 >> No, I think this was great talking 10:22 >> No, I think this was great talking about, you know, if your testosterone 10:24 about, you know, if your testosterone 10:24 about, you know, if your testosterone dose is too low. 10:25 dose is too low. 10:25 dose is too low. >> Yeah. Uh well, I don't know what's 10:26 >> Yeah. Uh well, I don't know what's 10:26 >> Yeah. Uh well, I don't know what's happening exactly, but um as of late, 10:29 happening exactly, but um as of late, 10:29 happening exactly, but um as of late, our channel is doing very well. 10:31 our channel is doing very well. 10:31 our channel is doing very well. >> It is. 10:31 >> It is. 10:31 >> It is. >> Yeah, yeah. So, uh if you'd like to like 10:33 >> Yeah, yeah. So, uh if you'd like to like 10:33 >> Yeah, yeah. So, uh if you'd like to like and subscribe or um you know, write some 10:35 and subscribe or um you know, write some 10:35 and subscribe or um you know, write some comments down below, we really, really 10:37 comments down below, we really, really 10:37 comments down below, we really, really appreciate that. Uh but until next time, 10:39 appreciate that. Uh but until next time, 10:40 appreciate that. Uh but until next time, uh I'm Dr. Maki. 10:40 uh I'm Dr. Maki. 10:40 uh I'm Dr. Maki. >> And I'm Dr. Valerie. 10:41 >> And I'm Dr. Valerie. 10:41 >> And I'm Dr. Valerie. >> Take care. Bye-bye.
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