How Steroids Cause Low T – Anabolic Steroid Induced Hypogonadism (ASIH)

Steroids cause low testosterone due to ASIH, Anabolic Steroid Induced Hypogonadism. In this video, I explain the research on ASIH, its mechanisms and treatment, and why steroid use so often leads to having to live on TRT. I also explain how ASIH is mainly secondary hypogonadism, meaning the problem seems to be in the brain, not the testicles. There is variation in who experiences ASIH, but the process can start with one steroid cycle, or even T boosters. While ASIH is very complicated, avoiding it is not!

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00:00 – Intro
00:37 – Androgenic side effects have been studied since the 1930’s
01:04 – ASIH is why TRT is necessary after long-term steroid use
01:27 – Most doctors don’t know what post-cycle therapy is and there is no good data on whether it works
01:27 – WHAT IS ASIH?
– Steroids affect the central nervous system (CNS)
02:33 – Literature: steroids affect brain reward systems and can lead to withdrawal symptoms
03:02 – Literature: long term use is thought to cause permanent CNS damage & low libido
03:39 – Pituitary does not produce gonadotropins on steroids, leads to testicular atrophy
– Varies by individual, steroid type, dosage, & more
05:27 – Can start with one cycle or even T boosters
– Seems to be a problem with brain signaling testicles, not testicles themselves (they respond to LH analogs)
07:01 – But we do see some problems with testicles
07:27 – When used, HCG (LH analog) stimulates the testicles, but doesn’t fix them after use
07:59 – Diagnosis: labs and symptoms
09:35 – In ASIH low T fails to stimulate LH & FSH
09:53 – If you don’t want to get ASIH…

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.

#LowT #ASIH #Steroids

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