Have you been put on testosterone… and still feel like something's missing? If that's you, I want you to know why, because I inherit a lot of women from other practitioners, and they almost always have the same thing missing. They came in tired, foggy, no drive, not healing well. Their doctor saw a low testosterone number and did the "obvious" thing: loaded them up on testosterone. Now they've got some facial hair and acne to show for it… and they still don't feel right. Here's what almost nobody told them: in a woman, the foundational androgen isn't testosterone. It's DHEA. Women only need a fraction of the testosterone men do, so DHEA quietly does the heavy lifting for strength, energy, focus, resilience, and your ability to heal and repair. And here's the part that changes everything: almost all of a woman's testosterone is made from DHEA in the first place. Give a woman the right amount of DHEA, and her body can build the testosterone she needs from it, the math is massively in her favor. So why does everyone skip it? Because DHEA is cheap and available over the counter. The compounding pharmacies that train most practitioners can't sell it to you at $300 a month, so it barely gets a mention. I sat in those seminars. I watched it happen. A few things I get into in this video: → Why "estrogen dominance" can happen at a normal estrogen level (it's about balance, not the number) → Why I give most postmenopausal women progesterone and DHEA without even testing → How I optimize DHEA first, then reassess, and the ~20% of women who genuinely need testosterone added → Why the same lab number means completely different things in different bodies The one line that I always come back to: your symptoms and your story come first. Two women with the identical number can need completely different things. Optimize the foundation, and the whole picture changes. 💬 So let me ask you: have you ever been handed a hormone and told "this is the fix," only to feel like it wasn't the whole story? Tell me in the comments, I read and answer every single one.

Dr Ty, what is you recommended testosterone levels for women along with estradiol.

Most women who come to me for hormones show up with a stack of Dutch tests going back 10 years, and I usually set them aside. Not because the lab is doing anything wrong. Because of what a urine test actually measures. Here's the part almost nobody explains: When you test urine, you're measuring what your body threw away, not what it kept. It's like judging your home's water quality by testing the toilet. There's a real, documented pattern where a woman wastes estrogen in her urine, so her "levels" look totally normal, while she's sitting there with hot flashes, night sweats, brain fog, and every deficiency symptom in the book. The test says she's fine. Her body says otherwise. If you keep on trusting the test over her, and you'll just keep on "confirming" she doesn't need estrogen. That's how people get sent down the wrong path for years. A few things I unpack in this video include: → Why the 24-hour collection is genuinely great for cortisol, and marginal for everything else → The dilution problem that quietly skews your results based on how much water you drank that day → Why saliva testing is, mathematically, the weakest of the three → The reason I can predict a patient's hormone panel ~80% of the time before the labs come back The line that I care about most in medicine: the patient is the most reliable data you have. The labs are there to confirm the story, not replace it. More data isn't better data. I'd take a little bit of reliable information over a mountain of unreliable numbers every time. If your hormones have been "normal" for years but you still don't feel normal, this video is just for you. 💬 Questions? Drop them right here in the comments. I read and answer every single one, that's what this space is for. 📞 Want me to look at your full picture? If you're ready for a one-on-one, tap the Book a 1:1 Call button and let's talk through your symptoms, your history, and what's actually going on.