Hi dr Ty, I’ve been delving into your content (good stuff!) and I noticed that you advocate for quite a large TRT dose of 2500mg per month in order to get levels between 2000 - 3000 ng/dl. That’s a quite unique approach which honestly intrigues me. I’ve read studies supporting the fact that 600mg test weekly is tolerated quite well in men, but you hardly ever see this recommended by any TRT professional. Some would even state this to be a body building cycle. I would love to learn more about your views in this matter. What brought you to this protocol and why is it superior In your view (contrary to other protocols for example 200mg per week)? How do you manage overall health and androgen fatigue on these doses? Thanks in advance for elaborating.

Hello Dr., I'd like to know if you think the BPC 157 and TB500 blend can be injected sub-q around the belly for a systemic affect of repairing tendons throughout the whole body. Or, must it only be applied to the specific muscle/area where that is injured? I'm also curious to know if you have tried these, especially for tendon injuries or tears, and if you know of any bad side effects that may come with these. Alternatively, do you know of other similar compounds that do the same, or better job, at tendon repair throughout the body? In what cases would you recommend someone to take these, and what possible risks should we be on the look out for. Thank you

Hi Dr. Tyler Vincent, I started TRT about 8 weeks ago. My latest blood work shows a total testosterone of around 1,450 ng/dL. My combined estrogen (E1 + E2) is approximately 152 pg/mL (Estrone 86 pg/mL + Estradiol ~66 pg/mL), so I'm above the range of 50–100 pg/mL that I've often seen discussed. I brought this up with my TRT doctor. He told me that this isn't necessarily a problem because estrogen is expected to increase proportionally with testosterone. He said that if I want to lower my estrogen, I should simply reduce my testosterone dose. He also said that if I decide to use anastrozole, it would be at my own risk, and he would not recommend it because lowering estrogen could disrupt the testosterone-to-estrogen balance and potentially lead to side effects such as reduced libido, depression, and other symptoms. My question is: Do you agree with this approach? In someone with a testosterone level of around 1,450 ng/dL, do you think estrogen should simply be accepted as long as it rises proportionally, or do you believe there is an upper level (for E2 or combined E1 + E2) where using a low-dose aromatase inhibitor becomes beneficial, even if testosterone remains high?