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Seeking Transformation: Ravi's Journal

Discussion in 'My Optimal Journal' started by Ravi Sandhu, Mar 21, 2021.

  1. Hi Jan,

    Thanks for the above!

    I emailed Dr. Thierry Hertoghe to ask if there are any doctors in the UK who he could recommend I consult with.

    I will also send the thoughts you outlined above to Dr Robert D.W. Stevens and see if he can accommodate with his tests. I should be going to see him to do the SpectraCell draw and TRT test in 3 weeks.

    Note: Since discontinuing the dutasteride, which is only for 4 days at this stage, I have noticed an increased interest in sex, thoughts of sex, and attraction to women. I did notice that.

    Best wishes,
    JanSz likes this.
  2. A gentleman I know also provided the following thoughts on my labs:

    • Your overall levels of estrogen in urine is pretty damn high. Your metabolism of it is efficient though. Your body is doing it's best to break it down and get it out of your system with pretty good methylation activity. One potential reason for this is because your testosterone is tanked. Meaning, it's being aromatized to estrogen as discussed before.
    • Your cortisone levels are high but they're not being converted that much to cortisol which is a good thing. This can simply be a feature of the ketogenic diet so as long as you feel you're not being overly stressed out I think you'll be okay.
    • Your Etiocholanolone levels are very elevated and in this case, with normal androgen levels but low T levels, this is simply because there is a lack of overall testosterone available. It could indicate some mild inflammation as well but this is not likely.
    JanSz likes this.
  3. Dr. Hertoghe's secretary emailed me a list of people he has trained in the UK, most of them offer cosmetic and skincare type services, but one does look at hormones and health more broadly. She does appear to specialise in women's health, but I have emailed her to ask if she does offer services to men.

    We'll see!

  4. JanSz

    JanSz Gold

    Dr Hertoghe is heavily into Anti-Aging Medicine
    You may want to peruse his (and others) videos.

    Keep also in mind
    American Academy of Anti-Aging Medicine


    John Schumacher likes this.
  5. JanSz

    JanSz Gold

    I have this book (2010)

    Have not realized until now that newer version is available. Ordered ((Dec. 3 - Dec. 8) Estimated delivery


    Testosterone: the therapy for real gentlemen Paperback – January 1, 2019
    by MD Thierry Hertoghe (Author)

    1 New from $350.00

    Testosterone, the therapy for real gentlemen is an innovative book, based on Dr. Hertoghe’s vast experience that gives practical advice to physicians about what they need to know about testosterone to administer it to men. The topics covered include: l Where and how much testosterone is produced l Testosterone’s physical and psychological benefits for men and its prevention of age-related diseases l Testosterone as a safe treatment for deficiency, and the risk of avoiding treatment l Information on potential risks of testosterone therapy and how to overcome them l How to diagnose testosterone deficiency: symptoms, signs (with pictures), and ideal ranges for laboratory test results l The average age to start with testosterone treatment l 30 steps to increase testosterone naturally without testosterone supplementation l How to treat with testosterone: bioidentical testosterone or anabolic steroids l When to give testosterone systemically and when topically l The type of testosterone, route of administration, and appropriate doses l How to start treatment: low or high dose, or the appropriate dose, to personalize the therapy l How to monitor testosterone treatment l How to adjust the dose to sports activities, stressful situations, disease, or decreased activity l How to solve problems during follow up: acne, edema, smaller testicles, decreased fertility, and other excess testosterone signs l The causes and risks of high estrogen levels; the inconvenience of a high DHT-low testosterone imbalance; how to achieve the right balance between testosterone, estrogens, and DHT l How to solve problems specific to men: male pattern hair loss, breast enlargement, erectile dysfunction, Peyronie’s disease, prostate hypertrophy, prostate cancer l Tips from experienced doctors

    I do not see it above as a topic that he wants to address
    there is a problem with testing methodologies (for the same analyte)
    not all laboratories are worth going to

    Last edited: Nov 29, 2021
  6. JanSz

    JanSz Gold

    Dr. Thierry Hertoghe, MD HGH and other Hormones (antiagemedical.com)

    Can Anti-Aging and Bioidentical Hormones Help You Live Longer?- with Dr. Thierry Hertoghe

    We’ve been following Dr. Thierry Hertoghe and his lectures at the American Academy of Anti-Aging Medicine for a number of years. It’s always a pleasure to listen to his talks and watch him discuss his views on anti-aging and longevity.

    In the first video, Dr. Hertoghe speaks about bioidentical hormones and if they can help you live longer.

    8 Hormones for Reversing Aging, Restore Libido in Men with Dr. Thierry Hertoghe

    In the second video, Dr. Hertoghe is interviewed by Dr. Nick Delgado. They discuss the benefits of hormone replacement and peptides as supplements. Their discussion includes HGH, IGF-1, Vasopressin, testosterone in women, hair loss, among other supplemental therapies.

    Jul 19, 2017
    Anti-Aging - Tools For Living Longer and Reversing Aging

    In the final video, Dr. Thierry Hertoghe discuss Anti-Aging and the potential science of reversing aging. We are now closer than ever where we can make smart choice which will significantly influence the aging process.

    As Dr. Hertoghe suggests, don’t think you don’t have hormone deficiencies. With the current state of the modern western diet, pollution, and other factors, Dr. Hortoghe suggest that even many babies are born with some hormone deficiencies. As he discusses, we have over 35 important hormones and many are sub-optimal.

    Review his views on:

    1. Hormones
    2. Stem Cells
    3. Telomeres
    Functional medicine is at the cusp of a major revolution. Learn what all of us can do to make life and health-span happier, longer, and better.

    Anti-Aging - Tools For Living Longer
    Sep 12, 2016
    Last edited: Nov 30, 2021
    John Schumacher likes this.
  7. JanSz

    JanSz Gold

  8. Thanks for this Jan!

    All very interesting things to consider, and we can definitely explore these areas.

    It could definitely get rather complicated, so for now, I think I will try to get a really solid program from Dr Ettinger and do the best I can naturally. As you highlight there, it seems like we can enhance hormones naturally.

    I was out today scoping out locations for my next move, and I watched a few videos from Dr Hertoghe above, who is quite clear coffee shouldn't be consumed for those interested in increasing testosterone.

    I am typically a 2-3 cup a day drinker!

    I didn't drink any coffee today, and I did notice I felt rather 'drawn' to several women I saw out. If this is happening after just 1 day without coffee, I am sure my sex organs are not completely dead lol. I also stopped the dutasteride. I am sure these things will heal in time!

    I'll study some more of Dr Hertoghe's work. Also, I can begin working with Dr Robert Stevens, but I am conscious his recommendations are likely to be related to beginning TRT....Maybe not the road I want to go down just yet.

    Best wishes,
  9. JanSz

    JanSz Gold

    In my suggestions in post #160
    iron study tests (some may be repetitive):

    C-Reactive Protein (CRP), Highly Sensitive
    Homocysteine, cardio
    Lipoprotein (A) Lp(A)
    Iron and Iron Binding Capacity
    Iron, Total
    Folate, RBC & Hematocrit
    Hemoglobin A1c (496X)
    Hemoglobin, Plasma
    John Schumacher and Ravi Sandhu like this.
  10. Dan2

    Dan2 Pedantic schlub

  11. JanSz

    JanSz Gold

    @Ravi Sandhu

    There is (very old) video, done by dr Tierry Hertoghe.
    I have seen it 15 or more years ago.
    Eye Opener Progesterone Therapy in Men
    This picture below is from that video. If I am correct, the video was available via membership in 4AM (low cost).

    Would love to relisten to that video.
    Especially that in few days I should have his 2019 book, and be able to compare.

    John Schumacher likes this.
  12. JanSz

    JanSz Gold

  13. JanSz

    JanSz Gold

    Last edited: Nov 30, 2021
    John Schumacher and Ravi Sandhu like this.
  14. JanSz

    JanSz Gold

  15. Hey all!

    Dan, I will look into preg supplements, I did use them before :)

    Jan, thanks for the above. I registered for the webimar. Also, regarding hCG injections, under Dr W Steven's care, his patients using TRT do in fact take hCG injections. I do have a bottle of Progest-E liquid supplement at home from the Ray Peat days (LOL). I can definitely use this.

    I can look into enrolling on Dr Hertoghe's hormone course here, but I think the priority for me right now is getting a comprehensive program dialed down. I am talking to Dr Ettinger this weekend, and I will schedule the tests with Dr W Stevens in January.

  16. JanSz

    JanSz Gold

    At this point, I would suggest to first get clear picture of your situation (tests, tests, tests), before you take any medicines or supplements.
    2. Resist using supplemental Testosterone, but be open to HCG
    3. Make sure that you have GH and IGF-1 where Dr Hertoghe wants you to have it.
    Think of proper (IGF-1) ---> (350) as a short road to:
    lots of hairs on your head
    stiff penis (when need and when you sleep)
    Item that will help you get (natural and proper levels of) FSH, LH, Testosterone (to defend your FERTILITY)

    I use HCG 400iu/twice a week (just to keep scrotum and testicles)
    From what I came across, doses of 800iu/2xweek or even 800iu/EOD are ok from point of view of their effect on estrogens.
    If the HCG would actually work for you, you will need to fish out the dose that you need.
    That may be higher dose than I just posted.
    If you need those higher doses, you will need to (have better) control of E1 & E2 and other estrogens.
    More important will be to really go after correct IGF-1. (Your hairs and Total testosterone are dependent on it).


    Dr W Stevens in January.
    Good move.
    Make sure that by then you know what dr Hertoghe would do for you, and try to get that from Dr Stevens
    Last edited: Dec 2, 2021
    John Schumacher and Ravi Sandhu like this.
  17. Hi Jan,

    Sure. I will resist supplemental testosterone.

    To get clearer on my body right now, I am working on booking the SpectraCell and TRT Complete Plus tests with themenshealthclinic & Dr Stevens.

    OK, I can look at getting GH and IGF-1 Tested. There are several anti-aging clinics in London who do these tests. I will contact them, do the appropriate tests, and see what they can do to get me to the appropriate level of IGF-1.

    I sent off some enquiries, here is an example of a place I could speak to:


    Best wishes,
    John Schumacher and JanSz like this.
  18. JanSz

    JanSz Gold

    If/when you get to your first injection of Norditropin.
    Make first shot very small.
    Once in the blue moon, one in the 1000000 person's gets high pressure in the eyeballs.
    Do not take any more of those shots if that would happen.
    See remedy first.

    Last edited: Dec 2, 2021
    John Schumacher and Ravi Sandhu like this.
  19. JanSz

    JanSz Gold

    Two minutes ago, I got this.
    Guess where this book opened first?


    Last edited: Dec 2, 2021
    John Schumacher and Ravi Sandhu like this.
  20. Haha!!

    So Jan, when it comes to getting testosterone levels in a good range, I am thinking lifestyle and nutrition will help me a lot. I do not think we will need things like TRT, though I have looked at Dr Hertoghe's videos and I am interested in exploring HGH therapy. I have contacted some clinics and will do some tests.

    Do you think these approaches alone could bring my testosterone where we need it? I know Dr Hertoghe has commented on optimising testosterone naturally, and his recommendations are based on good diet and removing factors that crush testosterone (apparently coffee & alcohol are really bad for any hormone healing!).

    The tests with Dr Stevens will be in January, and they will give a very useful baseline.

    Dr Ettinger will have me on a program by then, and we can start rebuilding me to higher levels.

    I do feel better since stopping the dutasteride and not drinking coffee. I do feel more interest in sex. I am not getting morning erections yet, but I did get a spontaneous erection today, and I also have a date with a lady in 3hrs which I am excited about. About 2 weeks ago, the hardness of my erections did begin to diminish, at which point I began to share more info on this log and that was what got me off the dutasteride.

    It feels to me as if there is definitely a lot of healing potential inside me. And I would be very interested in learning how HGH therapy could help me. Dr Hertoghe is clearly a big fan and I am receptive to this, if my test shows low GH, perhaps this could help me....

    John Schumacher likes this.

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