Adam Lamb
This question was submitted by our Dr. Adam Rogers. What's our position on the pellet for HRT? Well since you asked :)
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[00:00:00] Hey, welcome back to another episode of superhuman radio today. We have the ReNew Life RX Show with Adam Lamb my co-host in just a moment before we do that. I have to mention that all American pharmaceutical and EFX Sports is our title sponsor. And right now you can get six of their top-selling products.
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[00:01:42] How you doing? Add are you girl? Oh good. Okay here. Hey, yeah. So today's show is actually the result of the end of last week's show the week before actually we offered to answer questions. And I said [00:02:00] if anybody submits a question that we that we find fits the the the theme of the show and we use your question.
[00:02:08] They're going to win $200 worth of free product from prototype nutrition. And that is true and that the follow-up question. We will also going to give them some free live on Labs product, which I have right here in the studio and the winning question actually comes from a doctor of Pharmacy who's recently been on the show and that's dr.
[00:02:30] Adam Rogers. And so I'm going to go ahead and read his question and we can pick it up from there. He said. I'd love it. If you guys would touch on your take regarding trt and obviously HRT pelleting the pellet. I've noticed unwanted hair growth with topical cream after converting from pellet. I also like the idea of not having to inject weekly or more often.
[00:02:57] I felt better on the pellet [00:03:00] but seems most guests on sh our radio do not share my inclination with the pellet why so. And also do you ever recommend cycling on and off of trt to maintain testicular function and childbearing? So what is your I mean, what's your opinion of the pellet Adam? You're my opinion.
[00:03:21] The pellet is a couple things. I'll share a personal story where one of my best friends for a long time and has been on pellets. He's not a client of mine then on pellets. And loves it - is there and he's just like me and I'm happy and I'm like, all right, you're happy and I'm happy to look at it. If you want to make a change the second thing though is we've seen a lot of people doing tell us where they're let's say they do a three-month program or four-month program and their blood work is showing low testosterone again, or at least low hormone levels in the place that they're supplementing.
[00:03:58] Two and a half [00:04:00] months in three months in or something like that where it's time for them to get those levels back up where they should be but they the doctor won't move forward with new injections because they're not it's not time yet. Right and so or we've also have seen horror stories to wear.
[00:04:20] The drugs are kind of Hit the system significantly faster than they're supposed to and now you're that kind of balance out different problems with you know, unwanted symptoms things like that acne or hormone levels that are way higher and then at that point, how do you treat it? Because the drugs already in the system and I are going to have to take something like this on a daily dose or something to counteract that.
[00:04:47] And now you're in a situation where maybe you should have just started with something that's more controllable. And the thing that we've loved about the creams over injections and we still do both but [00:05:00] in going to college it will be obvious is that you can manage that daily, right? And so if your work six weeks into a program with a new patient and they're they're sharing their symptoms because we touch base usually every two weeks.
[00:05:14] Then were able to kind of Opera call relay the relay the information the doctor can make a judgment to either let's get blood work done or adjust the dosage, right? If you're doing two pumps of testosterone cream in the morning and at night. Well, maybe it's two pumps in the morning and one at night.
[00:05:31] Maybe it's one in one or maybe it's you know, there's different variables that can be done today as opposed to. Well next time we'll adjust the dose in 90 days or two months or whatever. It might be that now the patient has to deal with those adverse effects that could have happened. It could be happening at that time.
[00:05:49] And this is a key. This is a key reason why I tend not to lean to the pellet as they go to approach for HRT in [00:06:00] for women or men. the controllability. Is the issue now that's not to say that some people don't do better on the pellet and I think what works for you is what you need to use but talking about the pellet specifically.
[00:06:19] I'm actually working with the woman right now who was on the cream and no matter what they did. They couldn't get her blood levels of estradiol up high enough. This could be a variety of reasons. Some of them are out of our control, you know, if she's putting the cream on and inappropriately or she's not letting it do its job before maybe putting clothing on or she's sweaty whenever there's so many factors with the cream and and sometimes that you have to eradicate get people right up front to understand.
[00:06:54] This is how you have to apply it every day. And so they decided to go to pellet with her [00:07:00] and her initial experience for the first six months with the pellet was outstanding. The problem was. the third pellet they put in either the doctor accidentally double-stacked or the pellet before that had not completely dissolved and this is why if you go on the pellet you absolutely must get blood work done prior to your next pelleting because we need to see they need to see.
[00:07:30] Is it dissolving too fast as Adam points out? Is it dissolving too slow and we don't want to put the same pellet of dosage and we probably want to back it down some because we're still getting fed the body still getting fed from the pellet that hasn't completely dissolved. This. This is a look I met dr.
[00:07:48] To Tara when I lived in Phoenix. I actually had them on the show. He's the guy who brought pelleting to the United States.
[00:07:57] Some pelleting requires [00:08:00] a lot more observation and as Adam points out a lot more willingness of the doctor to quote-unquote fill in the gaps in the early stages of discovery of how this person is reacting to the pellet. So some women as you point out and Men. The pellet has dissolved so much faster that last month.
[00:08:22] They've got nothing the doctor has to be willing to say, okay. I'm going to call in a prescription for tro keys for testosterone in a guy or or some cream and we're going to get you through the next time we're going to do instead of waiting. Every three months will go to every two months with you because for whatever reason you are just eating these pellets up faster and in the case of the woman, Who gets double-stacked?
[00:08:45] Oh my God, your estradiol levels are still really in good range. I don't think I want to put another estradiol in you. I think we're just going to put you know, the the testosterone and progesterone portion of it in or you're taking Progesterone at night. They have to do that with the [00:09:00] pellet because the effects of so long term it takes a lot more.
[00:09:06] Wisdom and and watching of the patient now if you've got somebody who's on subcu injection of testosterone you can you can turn that around quickly. If you got somebody's even on weekly injections, you could turn that around quickly and the creams you can turn that around in days. But the pellet requires a lot more work in my humble opinion from a practitioner to get it right and it's not always good for everybody.
[00:09:30] But some people do go I did the best on the pellet and if that's the case, that's what you should do. What do you. Yeah, I think that there's one of the biggest I guess pitfalls that I see with folks and pellets is the only time they're actually getting their blood work done is towards the end of the pellet therapy as opposed to really you should be looking at you know, 30 days.
[00:09:55] It's initially write it once you get going same thing with a lot of our [00:10:00] patients. Once they've been with us for a while. We've kind of what we call crack the code and write down their kind of home base. You don't have to fault as much right because you this is the way I feel I feel great. We look at the blood work the blood work looks great.
[00:10:15] That's where the that's that's your happy place whether you know from a we use testosterone just as an example. Ruby that's 800. Maybe it's 1200 right? Some people might feel great at 800 some people might not feel like they're on anything in the the reason they explored stuff. So entropy was it because they're like, I feel that my testosterone levels are at 650, right?
[00:10:40] They know that they feel a certain way. They have list the symptoms. So we want to solve the symptoms to get them feeling great and make sure they're healthy. Right. And so those are those are the two key factors that we always put in place for our patients and with the pellets sometimes especially when it's new people don't really know what they're [00:11:00] feeling right?
[00:11:00] Look if you're somebody who's maybe been in the industry or you you've dabbled with some stuff in the past or you've been on hormone replacement therapy in the past, you know your body a little bit more that sooner never has. And the feedback loop so to speak that you get from that patient really has to be this is going to be some time spent in conversation.
[00:11:21] Are you sleeping? How are you know, whether it's morning erections or libido or you have night sweats. Are you finding yourself irritable or you find yourself in a better mood? Like there's a lot of stuff that in the answers to a lot of those questions that we go through really can tell us. Where medication might be and we've done this long enough and done the testing and the follow-up to know that when you know client says X Y and Z typically just to change here and there will solve that right because we've seen it hundreds of times and so we're able to do that.
[00:11:54] And if for some reason it's not. It starts out for blood work, right and we're not checking one [00:12:00] thing. We're checking everything again because we want to see how the hormones that you're not supplementing with are not just affecting those specific hormone levels. But how are they affecting everything else in your blood work?
[00:12:12] Right hemoglobin hematocrit. Look, it's those kind of things that sometimes I see on follow-up Labs that are client yesterday just sent me blast like before year of blood work and his initial blood work was like crazy. In depth and then everything after that was like three things and to me I looked at that I was like if you're going to look at the full picture continue to look at the full picture because they're going to see things and then we look at the full picture form.
[00:12:39] We see where there's a bunch of holes in his program. That would not have been seen in primary and sometimes they don't look at those things because. They don't know how to treat it if that goes to hire that goes to lower. That's not what it should be. You know, I mean, so so before we get into Adams second part part of the question, so [00:13:00] NE be dough which is the testosterone under Cohen eight Esther, which is supposed to have a three-month delivery or two month delivery does not seem to be very popular.
[00:13:11] So guys, you'll go to the pellet first why are doctors not going? Okay? You you like the idea of the pellet you like the idea of once every three months you come in and we inject this little you know thing in your in your subcutaneous fat. Why don't we just give you a shot of testosterone a thousand milligrams of testosterone under Cohen 8 and let's see how that rides out.
[00:13:33] And then maybe we can figure out that every two months or every two and a half months. You need a shot. Why is why doctors not going to that particular shot intramuscular Depo-Provera process? It's a great question. I think two parts to that question is to answer the why the pellets over that is there's a lot of people that are really really good at the science behind pellets.
[00:13:57] Right? Did they work? They wouldn't be available and they [00:14:00] wouldn't be so readily available if they were bad. Right? So but those people have to train people and the people that really have to have a level of confidence to prescribe and run. Pellet therapy right? There is nobody that I'm aware of that's training anyone on giving clients be your patients to be the thousand milligram and decanate version.
[00:14:24] I'd be honest and say I don't know. I haven't even those like a blip that came on the radar and I looked at it and just said, I don't even know if that's worth looking into because there's so many other things right here right now that we know. Work today, right and I'll say like, you know, my wife for example, she was when she was on birth control a hundred years ago before we had kids she did the shot which was totally right Depo-Provera, right?
[00:14:53] And that worked fine from the standpoint of we didn't have kids when that three-month expired. She stopped and we [00:15:00] got pregnant one month into it. We were super blessed but it worked there's plenty of people practitioners that are using that product. For her experience. It was fabulous. You didn't have any hormone goofy things or any negative reactions.
[00:15:14] So it's not to say that this this other the testosterone and economic. I believe this isn't the next thing. I just don't think there's enough doctors out there that are like. Signing up to do it, right which goes goes all the way back to one on replacement therapy. Why isn't it? Why isn't it prescribing every family practice throughout the country as their level of comfort a with hormone replacement therapy is super low and it's just lack of education and lack of.
[00:15:43] It's and then you bring this new thing in that this in art. We'll try prescribing that like I wasn't going to do the cream you no way. I'm doing this once every three months shot, you know, and I think that's really the mentality that position but I'm guessing we've never even entertained that yet and [00:16:00] that's to say we won't be sure and it's actually kind of ironic that she brought it up because I think it is something as well.
[00:16:07] And now that there is one challenge that I will sure. We'll play out with the longer acting Esters. Here's what we do know about testosterone preparations from research done. Very very long time ago. The slower the Esther the more estradiol it produces. So if you use testosterone propionate, it will produce a blip of estradiol but if you use did not decode if you use.
[00:16:37] And and in fate or recipient 8 they produce more in fact any Theta is slightly slower than sippy innate and produces a slightly higher amount of estradiol then sipping 8, I have to believe the under Cohen. It produces the most estradiol whatever the phenomenon is Anthony Roberts tried to explain it to me one time.
[00:17:01] [00:17:00] But whatever the phenomenon is the slower the Esther. To deliver the more estradiol it produces. Have you seen this at all?
[00:17:15] Adam that's a good question. I'm sorry, you know that that's a great question. I would say not particularly. We as far as the more estradiol it produces because the reality is everybody's unique so we don't. Necessarily gauge everything behind something like that meaning that you know that that may be true and.
[00:17:40] Patient a patient D might just have a predisposition right to aromatize an estradiol levels control regards just just add just saying testosterone right? And so we focus on the data which we've always done and which also leads us to why why do we [00:18:00] start here today is because we've seen what happens when we start here.
[00:18:04] Thousands of times right? So in some of those things, you know that and I hearing from for patients all the time that will I heard this is this and that is this mr. This thing like have you done it yet know what we don't know yet, right. So we got to see we know a safe range to begin everybody so that they're guaranteed to get results and the very unlikely that they're going to get.
[00:18:29] Sex right and then we follow up with that, you know eight to ten weeks blood work that allows us to say. Yeah, this is this is the right place for you know, what this is a little hard and want to be your this is low and I should be let's tweak it right then. We move on right another 90 days and we follow that follow up process of communication with the patient.
[00:18:49] So I don't know but all I haven't had enough experience in that and sometimes you know, I had someone say to me the other day. They said you 10 all the a for em, cops [00:19:00] conferences and and I haven't in part of the reason is that sometimes it can be a little bit of noise, right? Because this new study came out and this group.
[00:19:10] I wasn't a part of I didn't see it. I don't know the patient's I don't know their Lifestyles. I don't know their age that those kind of things and in although that information can be super valuable. It's not also it's not stone for everything. Yeah, and it's not it's not going to drive your decisions and how you treat your patients now, obviously at the bottom of our philosophy is very simple and I saved everybody I said it just earlier is how do you feel?
[00:19:35] And are you healthy? Right? So if your health is progressing or your remaining healthy meeting like your different blood indicators and you feel great, that's all it matters that the science of what Esther might do this or does it that's a news tip innate like which that's tough. Is it to me becomes noise that distraction away from the individual the human being that has to live their [00:20:00] life day to day.
[00:20:02] How are they feeling about a great whether it's cream ejections, whatever you want. If you're healthy that's the process will go on and make sure that you feeling great. Right and it sounds kind of silly but the less is more mentality is really the answer I think in this space. Yeah, and sometimes it gets over Complicated by the next thing that just came out.
[00:20:23] You know what I mean? I want to take our first commercial break and when we come back, I want to answer part two of that question about the topical and unwanted. Hair growth and and if that's actually been an issue, I have a funny feeling that some people yes, some people know we're talking with Adam Lamb.
[00:20:40] The website is ReNew Life RX.com. You can go there. You can actually save 20% off your blood work if you decide to use them, but more than anything else you get lots of questions answered and you'll interface with Adam specifically and all I get is emails from people. Who are working with Adam [00:21:00] who say man?
[00:21:01] This guy is amazing and you can find that yourself by giving him a call go to the website ReNew Life our x.com. Let him know you heard about them on superhuman radio. We'll be right back. Welcome back to the ReNew Life RX Show with Adam Lamb. So part two of dr. Rogers question was the occurrence of.
[00:21:25] I'm sorry, actually a couple questions never mind that let me what do you really want? Those do you recommend cycling on and off trt to maintain stick testicular function and childbearing? What do you think of that? I think it's a great question. I think the very responsible question which unfortunately in some cases in I'm sure you'll test it responsibility and hormone replacement therapy often or not on the same.
[00:21:51] Cage in the book and that's one thing that's important with us is most clients as their most because like I said, everybody is not the same [00:22:00] some clients don't need as much intervention in certain areas as others do but most of our clients will will continue to do something sort of like HCG is probably most popular while I'm just AA stirone to help continue to stimulate.
[00:22:17] The LH and FSH function. It also can help keep your shbg in line. That's a big trade secret. Most people don't know that we've seen it proven over and over again. We also because the cream is less likely to lower your LH and FSH levels, especially with taken correctly. We we don't look at cycling off cream as much a perfect case scenario for patient.
[00:22:41] If you said if you came in here, like what's the best thing that you've seen we have the station's do 12 months. We do initial blood work. We do the file upload work, and then we'll have them stay on for 12 months. Come off do like a reset reboot we call. Would you be somewhere like a post psychotherapy [00:23:00] but that doesn't mean it's just like any other post Cycle Therapy might find in a forum.
[00:23:04] They're all they're not all created at people come to me with down to do 5,000 IU's every day and I'm like you're going to burn out your LH and FSH. But anyway going through that and retesting and blood work done too. So doing that also shows you that hey, you can do this for 12 months come off and here's what you look like today if you.
[00:23:23] Just didn't do it again. Right and it gives them that reassurance of knowing that but this isn't something you have to be on forever. If you do it wrong, you may become dependent on it. We believe in doing it, right and the second part of that question to answer is for our patients that do injections.
[00:23:39] Typically we do five months on. Thirty days off and do sort of a post Psychotherapy in that situation and you know, we've had obviously you can imagine tons of push back on that and but what we found is the same patients that pushes back here like I don't need to take breaks through no proof in there that we need to do that that after a year or so into therapy throughout [00:24:00] the I think it's time for my my reset because it's refreshing it helps some of the the.
[00:24:06] Blood indicators get back or stay normal and actually improved if that's needed and then when you get back on testosterone, you almost get that feeling like the first time you did it, you know, like I think it will refer to that different drug scenarios where sometimes it just you get your honest assessment therapy and you're like, ho-hum same thing.
[00:24:26] Maybe I need more and in your receptors or getting accustomed to it and things like that and so switching it up regularly like that. It's good. I think the continue with the childbearing stuff and and we'll talk about the child during that more specific from our. But also to keep your LH and FSH levels function because here's the deal you might not be able to do hormone replacement therapy forever.
[00:24:49] Right? And so let's say you get laid off you get a divorce. There's see at the number one reason people discontinue hormone replacement therapy is not lack of results or lack of care ever on our [00:25:00] end. Sometimes it's Financial right there going through a life change that causing them to not have the budget to do that.
[00:25:06] And if they're wise about it, you get that ahead of time with us and just say hey, I got forgot a plan man. I can't continue it at a client recently just got married new wife doesn't work bought a new house move changing jobs, and he's like I'm panicking. I'm looking at my budget. He's like, what can I do here?
[00:25:21] We help them go through the reset process and then look at his blood work and he's better than when he first came on board at our Clinic three years ago. Natural levels like 45 days out. So it's been about two weeks after that reset when he's taking nothing. No, he's taking notes supplementation.
[00:25:41] No medication from a hormone standpoint and that he has that first off that. Understanding that had chemically his body is better than it was he feels good. That is big enough that feels good five 600. Mm. Mm as you do it Thousand Eleven Hundred necessarily, but knowing that he can move forward and [00:26:00] whenever he wants to come back and can the child bearing piece is you know, what we've seen and we kind of laughed about it that a lot of our clients that are on testosterone therapy tend to have no issues getting pregnant.
[00:26:15] And tend to have voice and we have our clients that are on therapy but maybe doing a real reset region stronger swimmer to come off stronger swimmer. No, I mean my son was born when I was on my daughter was my son was conceived when I was on and my daughter was conceived when I was off I do because every now and then I'll do I'll take two months off do like a reset work.
[00:26:38] I'm not hiding just a certain things like that. And so we had we joke like a total joke, please don't The holster this but we joke and say like we know what usually result in a. And we see what usually results in a female right and a lot of times when people worried about childbearing and things like that.
[00:26:58] It's a very responsible worry because [00:27:00] you can affect that through abuse of disaster own therapy rarely proper testosterone therapy and most of the time the guys that guys are out there today that have never done testosterone therapy that has. Reproductive issues have those issues and if those guys unknowingly have reproductive issues and then decide to get on testosterone therapy.
[00:27:23] They might think oh man, that's the therapy did it right? But the reality is it's just like when people say things like certain things cause cancer will there's a ton of people that don't do that that still get cancer that same kind of can write it write it so. Direct linking them. I don't think it's fair and I believe in you know you and I talked about long time ago.
[00:27:42] It really resonated with me is that when our bodies are just awesome mobiles or higher? We're in that state mentally and physically of reproduction right where we're kind of running to the battlefield as opposed of retreating which might be the analogy for [00:28:00] someone a man that's in their 60s or 70s.
[00:28:02] Who's no longer trying to Bear children, even though some rare cases they still do but if that makes sense to you, so all kind of belief is that if your testosterone high in your bodies in that thriving State and you're healthy you should be able to. Very easily their children unless there's an underlying issue that has unknown right?
[00:28:23] We don't do fertility testing or not fertility clinic. We're having so many doctors. We always tell people that when the this kind of topic comes up, but we could tell you what we've seen with our patients are our friends and we know that I have I have to this month that are coming up any day now that are having 1 7 boy was having a girl.
[00:28:42] You know because we're part what part of the life because we talked so much we know what's going on. It's important part of I think of proper care. They I know I know several Pro bodybuilders who during their careers had children Which [00:29:00] flies in the face of science because. It's assumed that once you go on testosterone.
[00:29:09] That's spermatogenesis just stops. I mean look they use a certain types of androgens in Europe as male contraceptive. So we just assume that once you're on your your fishy don't swim anymore. And then these guys I know peep. I know a guy who's been on a gram of week for over a decade now and he's fathered three children during this decade.
[00:29:33] And so, you know, there's a lot as you point out if you have if you have issues and no one no one knows because nobody says it's not like you go to the range and go I think I'm not going to kill anybody. I want to shoot a Target and make sure I can hit the target. Nobody goes. I'm going to go knock some girl up now at 19 to make sure that I can actually get a girl pregnant later.
[00:29:54] Nobody. Does that right? It's quite the opposite for you and everything. You can not to get someone pregnant. And [00:30:00] then you get on and then you find out you can't get your girl pregnant you like oats the testosterone. I know a lot of pro bodybuilders who are on ridiculous amounts of androgens who have who have had fathered children during their careers and and and on a personal note.
[00:30:21] So my audience knows the whole story, so I'm not going to go through it. But I have ridiculously high testosterone levels right now because of my liver is not clearing the testosterone out we discovered why and so I have not given myself a shot now in three weeks and so my testosterone at my last blood work three weeks ago was 30 105 and that's way too high.
[00:30:45] I don't need that at this age. I'm not competing. I'm not I would just like to be around 1100. So I haven't had a shot in three weeks. I don't feel anything yet. I got to believe that I'm probably gonna have to stay off for a couple [00:31:00] months before I go back on on trt to get down and I'm looking I'm looking forward to this reset.
[00:31:05] I'm actually look I'm like, I wonder what's going to happen. I've been on since 2007 continuously. I wonder how I'm going to feel in a month or two. It's going to be interesting to watch. It is interesting and into the going into that the other part of the question about topical hair growth. I think it just goes goes along with you know, we just spoke about with fertility is that some people just have fertility issues.
[00:31:32] Right? Like when I'll talk to people they're like we'll just going to make my hair fall out. I'm like What's your. What's your mom's dad's hair look like in your dad's hair look like they're both fault and the current could be bald anyway, but yeah you want to be you know, like in when is the time and wind it all going to happen?
[00:31:47] I don't know that's friends going bald in high school right now said friendship and grow full thick beards in high school. But it those things have nothing to do with this awesome therapy because we should say they have nothing to do with it. It can play a part in it, [00:32:00] but it's not the deciding factor necessarily because.
[00:32:03] We see it regardless of any intervention of hormones, right but when it goes to the hair growth, and I'm not sure if not specific on the question as far as your growth on the. Area topical cream. I think it I think you got it. Look there are people who are predisposed to aromatization and they produce a lot more estrogen from the androgens and there are people who are prone to 5-alpha reductase in and they produce a lot more DHT from their androgens and.
[00:32:37] It's of the weird thing about DHT is it makes your hair on your head fall out, but it makes the hair on your body grow which like I'm still wrestling with that. This can't be there's got to be another player involved in the scalp that's not present in the in the rest of the body. But if you're a five Alpha reducer, I got to believe yeah, you may end up with additional hair growth where that testosterone is penetrating the skin.
[00:33:00] [00:33:00] I think it's just that simple.
[00:33:05] The partner still kind of is unclear is and I'm assuming it's just overall body hair. Not just topple her it just to be clear. I guess where the cream put sod and using a cream for like three years. I'm not a very hairy guy fortunate it's so I don't have excessive hair in the place that I put it but I also would go back and say, you know, does it stimulate unwanted hair growth like back hair and that kind of stuff.
[00:33:37] I think it's just part getting older. Maybe you know if I see people that their neck hair longer than their head hair and I'm thinking there's somebody at home if they tell you to trim that up cleaning other neck whether or not there is going wild or notes or their your hair's gone. Wild no more back there.
[00:33:56] Like I noticed as I've got older like I said, I'm not a hairy person. So [00:34:00] I do notice if more hair tends to. Pop up and I still owe you get that one two, two little stragglers that might have my wife hit with the tweezers or something like that. But I would say for me personally someone who's been on hormones for you know, 15 years and the early part of that my bodybuilding gears abusing hormones and doing it responsible for now for around a decade ish.
[00:34:27] And being on creams the last three years there is no significant change in hair other than the receding hairline that is just part of my male pattern baldness through. You know, my younger brother has less hair than me. So I'm like, I almost feel fortunate for where my hair is today as opposed to that and I look at my dad both grandparents grandfather.
[00:34:52] Everybody had receding hairline known as bald. It's just part of the cards, right? Those are my cards. I'm going to deal with [00:35:00] that. And so that has a bigger play in it than the the cream or the injections are being on therapy in general. Hi, how's it going? I'm starting to discover that iron levels have more to do with hair loss and male pattern baldness than androgens.
[00:35:18] Interesting. Yeah. I've been doing a really deep dive into iron. My audience knows why I am suffering from Iron overload right now and everybody's level of iron overload is different just like just like we know that's you know, some people do better with high testosterone and low testosterone. You just can't go.
[00:35:35] Oh this is what everybody should be at. There are some people are much more sensitive to iron than others and some of the earliest signs are hair loss. It's amazing and and your liver starts to malfunction. I remember talk I talk just recently with the nurses Nelson Virgil Virgil on the show and I quoted a study that was done by [00:36:00] bashing and he was giving older men and young men the same exact testosterone dose did pre blood work knew where their levels were gave them?
[00:36:12] Testosterone for 16 weeks and every single of the older men seem to not clear testosterone to the degree. So 250 milligrams in the young guy. Maybe got him to 1100 250 milligrams in the old guy got him to like 1700 and so they just said this must be like an evolutionary gift as you get older you seem.
[00:36:34] Retain more testosterone and maybe that's because you're producing less testosterone. Well, I found a paradox in Iron overload. One of the earliest signs. The iron overload is is. Testicular atrophy and a drop in testosterone production very very early on this happens because of the inflammatory response in the lytic cells themselves from the iron deposition, but interestingly enough iron [00:37:00] also causes the liver to malfunction and not clear hardly anything properly and you start retaining everything at higher doses including testosterone and I'm thinking to myself what if the problem with those older guys because when I asked Nelson Virgil this he said.
[00:37:15] We don't see older guys and I keep in mind he's dealing with guys typically who are struggling with HIV and AIDS. And and so I started to think about this. I think you know, what if it turns out all of us guys when we get older. Have much higher levels than we did in our 20s because we just keep saving it and save it and save it a woman bleeds once a month.
[00:37:37] It's equivalent of her donating blood three times a year when women stop menstruating their iron level start to go up as well and iron levels in men have been attributed with a variety of advanced aging symptoms and I thought to myself what if the reason guys. Testosterone starts to drop but more importantly the older guys that are on [00:38:00] HRT seem to get a greater rise in total testosterone and free testosterone than the younger guys is because of iron and everybody's level of sensitivity is different.
[00:38:13] It was just kind of thinking as you speak of like an older. Clients and I don't see with what we do in primarily with the cream. I'm just take off the top my head like what my oldest client and. Put in 98 next month. We don't ask would you be able to would you ask him if he's had ferritin levels tested and more importantly T IBC ferritin is not indicative of iron.
[00:38:38] It's only indicative of the iron transporter protein. You can take high doses of vitamin C and raise your ferritin levels in days without increasing your iron intake so. Looking at ferritin alone is like looking at blood sugar without looking at insulin. You have to look at the test is called Ti BC its total tissue iron and it should be around [00:39:00] 240 or below.
[00:39:02] I'm really Adam. I am so fascinated by Iron, you know, you know, the only difference between blood and chlorophyll is that blood has iron in it and chlorophyll has magnesium in it. Everything else is exactly the same. It's crazy. I believe today that they say I was talking about he would work directly with his primary care physician.
[00:39:27] He also has a he's a very wealthy man and also has many different positions he works with that's why I still kicking ass at 98 years old and we're glad to be part of that group. He also has an incredible energy doctor that he works with who is also. A patient of ours and also his primary care is also a vision of our that and that's how we got connected but he actually considered bringing him on the show.
[00:39:52] I know that you and I talked about some some pretty cool guest to bring on the show with myself that that can add some value for the listeners and [00:40:00] he has some incredible stuff and I'll ask him about that the let's get him on the show. Let's get him on the show. Let's let's let's get him on the show.
[00:40:08] Yeah. Yeah. He does all kinds of different studies of how the body's responding whether it's do injections and he's done stuff with Admiral and simmer Ellen. He's one of the guys that was showing the study on the testosterone polling additionally more essential amino acids and crying from the spine everything from hydration, you know, all kinds of really interesting stuff and I'm sure I can ask him about the iron questions and he will have.
[00:40:39] Be a wealth of knowledge. Yeah, and then let and then let's get them on because I want I want to learn I want to learn for him as well. I want I let's take let's take a quick commercial break when we come back. We have a runner-up question. We're just going to mention it not necessarily pontificate too much on it, but we will announce that person next stay tuned.
[00:40:57] Welcome back to the ReNew Life [00:41:00] RX show. with my co-host Adam Lamb. So I'm trying to get my Webmail to open up here so I can read the next question. So the next question is interesting. It's really something that I have an opinion about but my opinion may actually be wrong for all I know so this question actually came from.
[00:41:22] Tommy D. That's all I know the less than ischl D. He said are there any accurate test to determine particular neurotransmitter dominance acetylcholine dopamine serotonin, etcetera. I know all of us display high levels of certain neurotransmitters and he means by personality and so on and deficiencies as well along with hormones having an accurate test would certainly benefit.
[00:41:48] Quality of Life by correcting those deficiencies and displaying particular dominance may also determine what diet and training style works best for that individual. Thanks in [00:42:00] advance for your thoughts. First of all, I agree with his assumptions that knowing those things would help us. I just don't know personally.
[00:42:10] I don't trust neurotransmitter testing because in my humble opinion, and I'm an idiot. In order for it to be accurate. You have to have a leaky blood brain barrier.
[00:42:23] What do you think you what do you mean? Well, we just had we just had dr. Dale bredesen on the show. He's actually reversing Alzheimer's disease. He was on my show first time in four years ago and he came back again and he's reversing Alzheimer's disease and no one is talking about this guy. Let me rephrase that not enough people are talking about this guy.
[00:42:46] And so one of the things that he now has adapted to help people who are developing. Dementia is a way to test to see if you have a leaky blood brain [00:43:00] barrier. The brown blood-brain barrier is exclusive goal. And job is to keep a partition between the stuff that's floating around in your bloodstream.
[00:43:11] That's damaging all your organs not getting into the brain and vice versa. The things that are in the brain not getting out into the bloodstream and a case in point. I had a biologist tell me I was lying and then I sent her the studies your brain produces its own insulin on demand your brain produces its own estradiol on-demand.
[00:43:35] If you get hit in the head your brain will spontaneously produce estradiol to stop the swelling of the brain. So the brain is like it's got this wall in between it and the body. And it says I love you, but I don't want to swap spits with you. That's basically what it's saying like like what goes on in here is what goes on here goes on out there.
[00:43:57] So the idea that I could draw blood from my arm and [00:44:00] go. Oh your brain neurotransmitters are XY and z i just don't buy just don't buy it unless. You in fact do have a leaky blood-brain barrier and some of that is getting out and some of that is getting in then I tell ya you got a shot at doing something.
[00:44:15] But if you have a leaky blood brain barrier, you're already on the road to dementia. Yeah, you know, I think that it makes a lot of sense and I think of you and I may have shared the story of my father who was an alcoholic and I mentioned you in my book and he will he retired he just drink all day right and eventually what happened.
[00:44:35] Through what they kind of called soaking the frontal lobe of his brain with alcohol. It created onset dementia alcohol induced because dementia and to your point, I never really I've never heard about this leaky blood brain barrier obviously committed blood-brain barrier and it makes me wonder if the alcohol.
[00:45:00] [00:45:00] I could eat that away, which I'm sure could right. I'll call can just for just about anything in our body and it makes me curious if something like that, you know or being having a predisposition to alzheimer's dementia center of my grandfather's dad. Ended up with dementia eventually to not from alcohol and it makes me think and I'll be honest with you that part of that looking at my grandfather's history.
[00:45:23] My dad's history where my dad got there early alcohol was one of the reasons why I stopped drinking because at the end of the day, my brain is is more important than my body in the sense of you know, I spent so many years caring about what I look like and physical health met my bench press or all that kind of crap now from a cognitive function.
[00:45:41] That's that's the most important thing to me. So I'm like thinking, how can. Preserve. my brain and knowing that there could be some potential Dementia or Alzheimer's and ahead of me. I think we're going in medicine. We're going to be able to divert it. I think there's a lot of things that were working with right now just you [00:46:00] know things like nope apt and different different things out there that are helping.
[00:46:06] Slow that down or stop that process and even reverse that process. I think that as the future comes we're not going to it's not going to be as big of a concern. I look forward to that future where Alzheimer's is not something that we have to think about or dementia alcohol alcohol is in fact, one of the things that does get through the blood-brain barrier alcohol.
[00:46:26] Create acetate accumulation in the brain. So alcohol absolutely is one of the things that is successful at getting past the blood-brain barrier. So your assumption about its effect on the brain of very very accurate. In fact, we don't have an ethanol receptor in our brain like. Just for a second.
[00:46:47] There's a big war going on whether or not we should legalize marijuana and it's a silly War it look if I am not condemning people who like to alter their state through [00:47:00] alcohol or through other things right? I'm just looking at the science for a second from an evolutionary perspective. We have an endocannabinoid system.
[00:47:09] And we have cannabinoid receptors which means that four point six and six million years of evolution. We have either been eating plants that have cannabinoids in them, but it actually became part of us just the way you know, mitochondria was a virus that we caught. That's how it got into the cells in the first place.
[00:47:29] So the fact that we have an endocannabinoid system means that cannabinoids are an appropriate. Thing for your body you don't have an ethanol receptor said receptor. Ethanol was poisoned alcohol. Yes, of course makes you drunk by poisoning your brain. Right, and if you have too much alcohol. You've poisoned your body beyond the fun part and you die because your brain function stops and rest your [00:48:00] organs shut down.
[00:48:00] All right, and so that that to be immunized same page as soon as you said, we don't have an alcohol ethanol scepter. I thought because I work with a group out of Florida. I told you to do some Consulting with that there's heavy in the CBD space. These guys are. Curing cancer, I mean doing amazing amazing like things that are bring you to tears, but for people even seen some work that they've done with animals and one of the things I learned through this stuff and these guys are so intelligent was that we have cannabinoid receptors in our body is ready to receive that right?
[00:48:34] And so like you said, I'm not condemning anyone from the smoking pot or whatever you want to do it yourself, but. Taking CBD regularly, which I do I believe in its healthy. Yes think it's good for you, you know, and I think that as humans the there's more time in our Year's rally. He talked about what over 4 million years ago, whatever there's probably more time that we [00:49:00] consume.
[00:49:00] Higher amounts of cannabinoids weight whether it's to hemp or whatever plants, you know, there's different stuff is right there. This is outside of my not an expert in this rope or opinion, but those things that will happen. We just maybe haven't been doing it in the snapshot of the last, you know few thousand years that we.
[00:49:20] Attention to and I think it's interesting that we're figuring it out removing the stigma of getting Stone getting high the in a pothead and realizing that there's way more benefits than there is problems that associated. Different things in the cannabinoid space right? Like I'm the first person to say someone that's hitting some huge bong with some wax.
[00:49:47] He's harder percent THC stuff. I would never in a million years right there. Look at doesn't appeal to me to be that intoxicated but to take the tincture of CBD, that doesn't make me feel anything other [00:50:00] than I know it helps me be healthier than reduce inflammation in the body. That's good. Sign me up.
[00:50:07] Well, well in fact is there is there is a study out there that came out this year earlier this year that showed that consuming cannabis that is not decarboxylated by heat actually improved memory recall of people in their 60s and 70s now think about this for a second. Wow, we probably didn't start smoking anything until maybe three four thousand years ago Native Americans worshipped the tobacco plant.
[00:50:39] In fact, they have the name tobacco comes from the Native American religion. Tobacco that they worship this plant because it had medicinal properties. Okay. So the reality is that we probably didn't smoke the stuff. Until four or five thousand years ago prior to that we were eating it and [00:51:00] apparently when you Chow Down on Raw.
[00:51:06] Cannabis it actually has medicinal benefits to the body including improving memory recall in older adults that appear to have poor memory Recall. Now you burn it and you inhale it in your lungs totally different story because decarboxylation activates the THC you don't absorb the THC when you eat it, you could eat a pound of weed.
[00:51:27] It's not going to get you high like on those movies that doesn't happen. It's got to be heated first in order to decarboxylate the THC and. Get make you high. So interesting study for doing that if you know, I think that there's probably a large group of older folks that would be interested in. You know, who wouldn't want to if I was getting older losing a memory and.
[00:51:54] Having an opportune that was more of a natural way to in your salad and your salad, you know [00:52:00] what I mean? Well, we'd sell it. Right and it's put it's funny because there's so much stigma that yeah, I think we're gonna move past this ideas as time goes on just feel my home state of Michigan. They just voted just a couple weeks or last week was to legalize marijuana there.
[00:52:20] And so it's very interesting got a lot of friends back there too. But I've seen I was there through the time of the medicinal stuff at a friend that owned a dispensary there and just you know, hearing the heartfelt stories of those people that can get off the coins Medicaid. Yeah. Yeah to tune our just there Hi, I mean like right on the couch not be able to do stuff high, but they're doing it before.
[00:52:49] Killing the body with just different kind of painkillers and things like that. So and it works. I think there's also that trickle effect of what about students, right? Like [00:53:00] if you're my flask on if you're 40 years old and your life is just good. You've got you put your things together and you want to smoke some pot night and watching Netflix movie or something mayor more power to you.
[00:53:11] But if you're 18 years old and you're trying to figure out what the hell you want to do in your life. Smoking pot every day is probably going to limit that weld it take on you know, and you know that I work a lot with young people in that that there's a there's a kickoff that has to happen in your life or never.
[00:53:26] Does that like rocket ship blasts off of power and excitement and passion and it doesn't happen. Typically if you're high all the time that or drunk all the time. But anyway, you don't have that clear mind set. So that's the young people against all that stuff. But I think that doing medicinal uses for anything like that.
[00:53:51] That's more natural that's going to help alleviate things that lead to more problems, you know, like the opiate that you take for pain ends up leading to addiction and depleting [00:54:00] to heroin and overdose or you know committing crimes to get drugs. Like that's sad that's all friends of mine do it. I've kinda had a back injury and it went now he's in jail.
[00:54:12] Breaking into houses to steal stuff to sell for money to get drugs and it all started with a back injury. You know what I mean? There's a sad sad stories around this country. And we don't talk about things. It's not glamorous, but it's terrible. So any solutions wonderful. I want to throw one other thing in here to Tommy D's question about neurotransmitters.
[00:54:30] So it's an interesting phenomenon that people develop neuroses like schizophrenia and bipolar disease when they go through puberty and there's a lot of people who ignore this phenomenon. But it's obvious to anybody who looks and the medical office doxy does not think it's important to look at these people's sex hormone levels and they may find out that they have an imbalance in testosterone or DHT [00:55:00] or estradiol to extra all or one of these things and no one pays attention to that yet.
[00:55:06] We know and any parent listening to me or anybody who's listening to me that has a cousin that develop schizophrenia, you know, he did they develop around 12 13 14 years old when boys start going through menopause girls develop it right around the time that they start having a period and no one pays attention to this so.
[00:55:25] Kind of like instead of paying attention to the light on your dashboard pay attention to what your engine is doing what maybe with clinicians need to do instead of trying to find better tests to accurately determine certain neurotransmitter dominance AZ to look at a person and say. Let's look at their blood work for the DHT.
[00:55:47] Testosterone DHEA. Pregnenolone progesterone. Let's let's triangulate these let's look at these and let's get a thousand people who when they went through puberty develop schizophrenia. [00:56:00] Let's look at their blood work. Let's see. Oh my God. Look at this. They all have no oxytocin or something like that and see.
[00:56:08] We could probably influence those people by understanding their sex hormones because they all develop it when they go through puberty. That's interesting. I think it's a great idea and you know, the unfortunate part of medicine we discussed many times is too often. We just do what we've always done in treated the way was always treated until some crazy lunatic comes out with an idea that actually changes something major.
[00:56:36] And I think that that's pretty kind of crazy cool idea and I think for myself personally you have a ten-year-old son and as he gets into puberty and those kind of things like I'm going to have him get his blood work. I was just seeing my wife. My daughter's going to be six in January. She's never had blood work done it primarily people.
[00:56:54] Don't get the kids blood work. My son had to have it done. Once he had Mono we couldn't figure out what was hoped [00:57:00] always tired and had Mono at a very young age and but the point being that. What's if we didn't do for lab Hills, like you said for our kids we're giving him shots to prevent sexually transmitted diseases that can lead to cancer right?
[00:57:17] So why wouldn't we look at the blood work and see what trajectory and I think what we'll find is. Estrogen dominant in males were the shouldn't be in a lot of it leads back to process food and some other things like that that are in soy and things like that the time allowed in the house and slowly milk and almond milk things like that because I see it as level above clients.
[00:57:40] You can look and just go you can sue moments. You can seem so earlier. That's exactly whether estrogens words that it doesn't mean the rest or dial time. But it also shows up in the blood work sometimes so I think what you're saying is you triggered a thought I never thought about checking my son's hormones as he gets older.
[00:57:56] Yeah, 1415, but I will I'm going to know well [00:58:00] do double that. Well, is it licit that his future I'm sure you've had this happen and you've heard this before but women are the most observable when women go through menopause the families almost the women who go through menopause hard. The families almost always say I don't even know this person her personality change like she just became a different sex hormones have an amazing role on neural hormones.
[00:58:30] You know anybody who's been on high levels of test knows you dopamine goes through the roof man, you it goes through yo, you are dopamine driven animal at that point in time. And when that when testosterone levels are low the reward in life seems to disappear because dopamine disappears, you know, Eric Braverman has done a lot of work in this area.
[00:58:50] And so, you know, The greatest thing you can do for your child is what Adam just said now when your child is 19 20 [00:59:00] years old have complete blood work done. I don't care if it cost you you have to finance it and pay it off over the year because. What you will do for your child is have a snapshot a time capsule of when they were at the peak of sexual reproductive point in their lives where everything sexual reproductive Fitness holds the body together.
[00:59:24] And it and then then when they turn 40 and 50 and they start feeling lousy instead of some epidemiological high and low range and means nothing to him. They can walk into the doctor says this is what I used to look like when I was 19 doctor goes. Oh, wow, you didn't really have that high of testosterone, but you seem to have a lot higher DHT like that could change the trajectory of your child's life.
[00:59:45] You'll be Way Gone. They'll go man my dad. Gave me a gift from Beyond by doing this when I was 19 years old. Well, the interesting thing is is what blows my mind is how we get to [01:00:00] things like a stage four cancer like this diseases that you have almost no hope which could have been identified just the fact that you know, we talk about health care a lot and Country obviously and people over and over they just I want Healthcare one of Health Care before I want to have good health care would lessen your blood work done by like 12 years ago with me man.
[01:00:21] You can't tell me that you care about your health because you're not watching it, right. Attention to it you want to know that if something terrible happens that you're going to be taken care of and we want that right? But I guess what you can take a look regularly and monitor right? You can start looking at your blood cell count right those simple things like that can tell you that something's going on in your body.
[01:00:42] You know, we've had clients come through their igf-1 levels or unexplainably high and you know, sometimes I'm like, hey, I don't want to scare you. You might have a tumor on your pituitary gland. Why would you think that would igf-1 levels unless you some freak or you're running a bunch of growth hormone or not telling us they go in [01:01:00] sure enough that we've never had anyone that was keep that had cancer but every single time there was a tumor on the prop on their pituitary.
[01:01:08] It's a but they would have never discovered that every I mean I talk about people are like 40, right and in who long who knows how long it's been there. Maybe there are chronic person that's had symptoms of low testosterone. They can't explain why they're 22 and a doctor would treat them. They didn't check that if they would have checked that it would have figured out why this kid aside low testosterone forever and suffered for 20 years of your life.
[01:01:31] Now we figure it out just by looking through igf-1 levels to take it to the next level to their endocrinologist and go into few things like that and so much disease could be avoided by. I really like you mentioned earlier with our young people 17:18 getting blood work done and doing it regularly. I support a Health Care system that forces people to do that right?
[01:01:54] Because then we know then you're not treating sick people anymore. You're just keeping people well, and and I think [01:02:00] that that was a kind of philosophy with some doctors and going inside always been very pushy about getting things looked at. Nothing's wrong. Yeah, and sometimes when it's wrong you can't correct it so I would rather see something on the beginning then the end side of it where you have more control.
[01:02:19] No doubt. No doubt I so we will be getting in touch with both. Dr. Adam Rogers and Tommy D. I just have a less than actual d by email. To get addresses Tommy D. We're going to send you some free live on Labs product. And then Adam Rogers. I'm going to put you in touch with the folks over at prototype nutrition.
[01:02:45] So you get 200 with a free product from The Genius of Patrick Arnold and I'm going to take a quick commercial break. I got to come back and talk about the Sleep show. But Adam, I'm going to go ahead and let you jump off because I know you have patience to talk to and stuff like that and [01:03:00] we're going to do a follow-up to The Sleep show that I did because I've gotten so many good reviews but additional questions.
[01:03:07] So check out. Check reach out to Adam. Go to renew our ReNew Life are x.com. Let him know you heard about them on Superior. I'll talk to you next week. Okay item or the week after actually, thank you. I have a Happy Thanksgiving brother. Yeah you too. I will be right back with more superhuman radio stay tuned.
[01:03:26] Welcome back. Mr. Real real quick note. So the show I did the 10. Tips to getting better sleep tonight and feeling great tomorrow people have emailed me. And posed additional questions. Some people are saying that obviously a lot of the tips improve their sleep right away a couple people have told me that they still have some problems in different areas that I'm going to address in the next show that I do also a couple people said, hey Carl you missed this one or you missed that one and it's true.
[01:03:59] I did miss [01:04:00] a couple I'd you know, I tried to do the. There's evidence that if you say like the 10 tips for this attend tips for that you get a lot more viewers and listeners. And so I exploited that and it did work. There's no doubt about it. The show is really still getting passed around and it's getting lots of downloads.
[01:04:17] But if you think I missed something, please send me an email. At on are at superhuman radio dotnet because I plan on doing a follow-up show probably within the next two weeks and I will address your question or your comment on that show for sure. So again if you think I missed something. In the original 10 tips to sleeping better today and feeling great tomorrow.
[01:04:48] Please email me at on air at super human radio dotnet. I will give you a shout out for sending that in as well. I look that's it for today a Monday. We have a great show. Don't [01:05:00] miss next week. It's going to be short, but it's going to be packed with great shows. We'll see you then.
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