Gynecomastia – On Testosterone Ep 2

Gynecomastia (male breast growth) is a side effect of testosterone replacement therapy (TRT.) This video is the second in my series, “On Testosterone,” where I discuss the factors that should be considered while on TRT and before starting. I cover the science and causes of gynecomastia, how to assess your risk before starting TRT, and how to manage gynecomastia while on testosterone. If you are on TRT or considering it and concerned about gynecomastia, watch this video!

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00:00 – Intro
– Growth of breast tissue in men due to an imbalance of testosterone & estrogen, can occur on all types of TRT
02:19 – Contributing factors: hyperthyroidism, obesity, age
02:46 – Liver and kidney disease
03:04 – Anti-androgens like finasteride & dutasteride
03:33 – Heart failure & blood pressure meds, spironolactone
04:32 – Testosterone, antidepressants (especially tricyclic)
04:48 – Anxiety meds, antibiotics, heart burn meds
05:16 – Antihistamines, alcohol, amphetamines
05:52 – Marijuana, heroin and other opiates
– Detailed medical history, some men can tolerate more T
06:43 – 2 types of gynecomastia: sensational and growth
07:24 – Labs: total & free T (specific type!), estradiol (not just total estrogen, which is subject to contamination)
09:12 – Microdosing T to avoid gynecomastia
10:00 – Anti-estrogens: last resort, minimally, with close monitoring
10:42 – Continued use can lead to poor mood, libido, injury, heart risks. A brief reset, not long-term use!

Stay Strong and Healthy,
Dr. O


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 elicit 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.

#TRT #Gynecomastia #Gyno

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