Medical Procedures on TRT - 12 Rules to Live by on Testosterone - Doctor's Guide

This video is about medical procedures on TRT and during the diagnosis of low testosterone. This is part of my 12 Rules to Live by on Testosterone series. Sometimes lab tests don’t tell the whole story of why a man has low T or of what’s going on once he’s on TRT. Persistent high prolactin, testicular and prostate changes, gynecomastic lumps, and of course cardiovascular disease progression may require medical procedures to fully understand what’s going on. These can include ultrasounds, MRIs, biopsies, and more. In this video I discuss these procedures, when they may be required, and what doctors are the best fit for each. If you’re on testosterone or think you may have low T, please watch this video!

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TABLE OF CONTENTS:

00:00 - Intro
01:04 - Brain MRI in specific circumstances
01:56 - Sheds light on hypothalamus-pituitary region
02:57 - Diagnose residually high prolactin level
03:52 - Very rare prolactinomas
04:59 - Working up a gynecomastic lump
06:05 - Working with a breast surgeon
06:48 - MRIs and biopsies of gynecomastic lumps
07:43 - Breast surgeons: mammogram, ultrasound, MRI, biopsy
08:22 - Cardiovascular procedures
08:52 - Hstory: what to focus on before procedures
10:44 - What to do if your history is concerning
11:17 - Calcium score is recommended if plaque is indeterminate
12:03 - Echocardiogram with cardiologist
13:14 - Left ventricle, ejection fraction
13:53 - Stress tests with a cardiologist
15:28 - Testicle imaging with a urologist
16:50 - Ultrasound and MRI
18:04 - Prostate imaging & PSA with a urologist
18:59 - What to do about high PSA
19:54 - Digital rectal exam - where to go
20:42 - Consider a prostate MRI before biopsy due to side effects








Stay Strong and Healthy,
Dr. O

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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.

#Testosterone #TRT #MRI #Ultrasound