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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 …

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50 Comments

  1. I was born with gyno and had a reduction when I was 16, so it's understandably my biggest concern now that I'm on TRT in my 30s (Sustanon+anastrozole). Doc: at what lab numbers would you consider E2 to be clinically significant to contribute towards gyno development and growth?

  2. I am 46 and on TRT and have gyno. I had managed it for the last few years with arimidex. My long term health concerns with my HDL being low and my LDL being high. Have had me change to micro dosing TRT and not using arimidex. It has been a learning curve to find the right dose of Test daily that makes me feel good and does not make my gyno flare up. I started at 20mg per day and have now reduced down to 10mg per day. One has to realize that estrogen is needed in the right ratio to regulate cholesterol levels and libido. with arimidex crushing my estrogen, I had lower libido and HDL and LDL concerns. Even tho my total cholesterol is 140-150.

  3. As always thank you very much for your useful information doc.
    Can you or anybody in here give me advice on this pls: I have used Sustanon 250 about two years ago for 3 months or so and it gave me a slight Gyno. I ran a PCT (possibly not fully) and it went away but not completely. To this day I still have a little bit of a drooping nipple sensation which makes me think my PCT wasn't conclusive. I am planning on starting HGH (Somatropin) + Test Propionate in a month or so. Of course I will give all the necessary blood tests beforehand. Should I first get rid of the remaining little Gyno (is it even possible after 2 years without surgery) before starting this new cycle or should I start the new Cycle once I get my test results back with low doses to prevent the growth of Gyno. What would be the best dose for HGH (Somatropin) + Test Propionate to be safe and not have major side effects?
    I appreciate anyone's time and advice in advance. Thank you.

  4. Why is he saying you have to be on TRT for the rest of your life if you did roids? He says this often, I did 4-5 cycles including very high doses of dianabol and 11 years later my test level is in the normal range, my libido is very high. I can't be the only one.

  5. I was a fat kid, when I hit my late teens, I got into body building. I got into great shape, but I always had some man boobs. I tried decline bench presses, flys, inclined underhook flys to hit the lower part of my chest, still no avail. I used winstrol stacked with deca for like 2 years. Looked great, but when I got off and became sedentary, I gained 100lbs and got fat man boobs. I blame my genetics, my habits and using those steroids.

  6. we need a drug that can literally eat away breast tissue in men, regardless of when it developed and how…surgeries are absurdly expensive and still not full proof

  7. I had gyno since my teens (28 now) never been on steroids or any other drugs or meds. Not over weight 8-10% body fat and I'd say I'm very healthy on average. Its not bad enough for me to get it sorted but I always hate it when I wear a tight t-shirt. If its cold and my nipples go hard it goes away sort of.

  8. When we block the reduction of testosterone to DHT, we increase the other metabolic pathway
    So aromatisation rate increases
    Besides in the absence of DHT, which is anti estrogenic, it sounds reasonable the elevation of beta estradiol
    Factors such as E2, PRL, IGF1, DHT and ratio between androgens and estrogens play a role

  9. I had gyno comastia at 16 then started getting ritalin and it never went away. My Brother got it at the same age as me and his went away. The ritalin ment my gyno never went away.

  10. Hi doc, i have gyno after a test and dbol cycle, and i dont really care much about it. im on trt now, but most of my fat is placed in my hips. on the side of my belly. even after diett when i lost a ton of weight, the last weight is at my belly/hips. is this because of estrogen ? i had very high estrogen on cycle and trt from 200-300 estrogen

  11. Very interesting doc. It is amazing how many chemicals that can contribute to gyno. Personally, I have never had it and I have used a good portion of these medications and had/have these conditions. At times, my estradiol was extremely high during bulking phases..but still no gyno. I have stage 3 kidney disease from abusing NSAIDS in the past and use kratom for pain. I go to the beach frequently and I have seen others who suffer from it and are oblivious to the condition. Now I know that there are a variety of reasons for the condition. Thanks doc! I have a question that

    you may cover in the future but that is important in my testosterone protocol to avoid many of the shortcomings and that is aerobic and anaerobic training in conjunction with trt. At my old age intense cardio keeps my numbers in check and WNL's consistently. Is this the norm? Have there been any studies that verify is speculation for all men?

  12. I guess I'm lucky when it comes to side effects. I have been on 1000mg of test for 8-10 weeks with no AI without getting gyno. My RBC has never been that high either. Been on testosterone for over 3 years by now, mostly low doses.

  13. Ok guys. So my nippels have been getting fluffy, im on sustanon and primobolan 0.7ml each twice a weak, stacked with anavar as well. I ve been noticing that my nippels are getting fluffy even tho the dosage im taking is very low as you can tell. I can also feel a lump under the right one. My chest looks fine but it is a noticeable difference in the size of my nippels because they got more fluffy. I ve tried letrozole and it helped out, but i stopped it after 7 days hoping that it has solved it, however it seemed to come back. Any recommandations for me, im honestly worried. Im also using exemestane as an aromatize inhibitor, started with anastrazole but i did not react wel to it

  14. Getting diagnosed or prescribed TRT in the UK is extremely difficuly so the vast majority, including myself, use underground sources to get their test. From large dose test use I know I am not sensitive at all to gyno but high e2 leads to poor mood and poor erections so I still have an AI on hand just incase.
    I currently take 200mg of test e once every 7 days and feel great. About every 12 weeks I change from enanthate to cypiomate or maybe sustanon the idea being that my receptors will be more receptive to different esters.
    I also sometimes use proviron to increase my free test just 25mg once a day and it really seems to help

  15. Very interesting. I saw my doctor when I was going through puberty because of this. And Rad-140 as well as LGD-4033 has caused my gyno to come back. And the odd thing was my first 2 cycles with LGD-4033 it didn't come back. but the third cycle of using SARMS I decided to try RAD-140 and that's when it showed itself and has kinda been there now for the last year. The doctor told me now the only solution if it doesn't go away on its own over time is to have it surgically removed.

  16. Guys, I’m not advertising for anyone here, but a Dr in NY did my surgery and I wasn’t even out under.. He numbed the area and cut it out… He gave me a little something because I was nervous,but was awake the whole procedure

  17. I had gyno.. I did a few cycles when I was younger.. Was stupid and didn’t know about anti estrogen products. It was before the internet.. Spent $8000 to have it removed. My chest never looked better… Dr did a bit of lypo and contoured my chest.. My chest looks great.

  18. Doctor, if I am taking one shot of Testosterone Cypionate, 200mg, every two weeks, would it be preferable to instead take one shot of 100mg every week to avoid this possible side effect? Thank you

  19. There are foods a person can eat daily to prevent aromatization; such as, mushrooms. It would be interesting to analyse all expensive anti-gyno supplements available over the counter to see if they have dehydrated mushrooms inside them.

  20. I'm in rural Australia and have never taken anabolics but get random periodic spikes of gyno. It is so frustrating as no doctors around here have a clue and will not even attempt to treat it. Instead I have to resort to buying AI and serms from sketchy websites and self treat. General practice medicine is so far behind on this issue.

  21. Hey Doc,
    I want to know what to do as a 61 year old. I want to get big muscles again like I did back in the 70's. I've started gym work again from home. I'm on a good rich nutrious diet and have no other health issues.

  22. Thanks for presenting that video it was very informativea lot of information that's out there is just an accurate and a lot of alternatives to aromatase inhibitors and anti estrogens or estrogen antagonist and agonist are just used unnecessarily when like you say using your testosterone if you're on trt and basically splitting up your dose instead of taking it all at one time basically helps keep the estrogenit's actually common Sense the lower the dosage of the testosterone that you're taking the less the amount of estrogen is going to be I hope you make more videos on this subject to keep those of us in the community informed 🇺🇸🦾👍

  23. I’m extremely sensitive to test, at just 200/week (enanthate) I get immediately gyno, even running arimidex at 1mg/day. i basically can’t even stand hrt without experiencing gyno. fun fact: it affects only my right side, on the left it just does not came up.

  24. I had my cut out last yeah,if i ever take some juice,i no use tabs to keep it at bay,wen i started back on the gear,i did notice it coming back,but got the meds to get rid again,so wen ever I’m on gear,i run the tamoxifen with it,i only do 1ml of Deka and 1ml of test 400 every 10/15 days lol but for some reason I grow like FK just on that small amount

  25. I would like to ask that everyone take a moment and reflect on our great country and ask how we can end this sorrow that is happening all to often.Just like the good doctor is trying to do by preventing sorrow from happening to the families of steroid users.Help him help you!

  26. The drama doc is that it again, “ putting avocado on your toast can cause Gyno” this guy jeez.. some people are going to get it and some people won’t no matter what they do or what they take

  27. It seems like now days at least a third of American men have some amount of “naturally” occurring gyno thanks to all the endocrine disrupters in our food/water supply and environment.

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