Dr. Ty, I’m 18 years old and considering starting 200mg/week of testosterone cypionate. My natural total testosterone has tested around 280 ng/dL. I sleep well, train consistently, eat a good diet, and take my health seriously. I also have a family history of low testosterone levels. My main concern is HPG axis suppression. If I start 200mg/week at my age, is there a risk that my natural testosterone production could be permanently shut down, even if I stop later? How common is permanent suppression versus recovery after discontinuation? Also, given my age and baseline testosterone level, would you recommend further investigation into potential causes before starting TRT? Thanks.

Hello Doctor, had a question on varicocele - I have one on my left testicle. Other doctors have said that it doesn't affect T, sperm, etc, and that any kind of surgery/procedure also wouldn't help. I want to know your opinion on if taking the time for a procedure to fix it (or block off the vein) is useful, or if taking TRT would not be an issue at all. I was worried that due to the extra blood pressure, vein size, and shrinking of the testicle it might be problematic. Thank-you

Buenos dias, soy de Colombia, estoy interesado en tener una consulta personalizada con usted, me gustaria saber como se podria hacer de forma virtual, quedo atento, saludos desde Colombia.

Dear Jinette and Vincent, I would really appreciate your advice, please put me in the right direction. I have been on treatment with 250 mg Sustanon once weekly. After the results below, I was advised to increase the interval to every 14 days and start taking half a tablet of Arimidex once a week. I feel really good on the once-a-week protocol, but I am struggling to control my estrogen. I am concerned that 14 days may be too long of a break for me. Any guidance would be greatly appreciated. Sensitive Estradiol (E2): 69.2 pg/mL Total Testosterone: 9.97 ng/mL Free Testosterone: 307 pg/mL Hemoglobin: 15.4 Hematocrit: 46.4 Estradiol / Estrogen: 69.2 pg/mL thank you!!!