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Why Do So Many Men Need TRT In 2026?

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Many men, even young ones, are experiencing significantly lower testosterone levels than previous generations, leading to widespread issues like depression and anxiety. This decline is multifactorial, stemming from modern diet, lifestyle, environmental factors, and societal conditioning, often overlooked by conventional medicine.

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https://www.youtube.com/watch?v=8oYKsfHdMDI

[00:00] So men under 25 and men over 60 in 2012,
[00:02] So men under 25 and men over 60 in 2012, there was no difference in their testosterone levels.
[00:05] I'm doing everything right.
[00:07] I'm looking after myself the best way possible.
[00:10] I still feel like I still can't put on any muscle mass and I'm depressed.
[00:14] A lot of them are walking around the world or going through the world with a broken foundation from the start and they have no idea what is going on with male testosterone levels, depression, anxiety at the moment.
[00:31] like why is there such a massive plummet in our current society with the Russia?
[00:35] It's a very good question and there I think it's a it's a very multiffactorial um situation.
[00:44] I think it's a combination of everything and I think some things play a bigger role than others but it's a combination of a lot of factors.
[00:51] Um, so an interesting thing to start with is like people throw around different statistics about like, you know, we don't have the same testosterone levels as our grandfathers did and yada yada
[01:01] as our grandfathers did and yada yada yada.
[01:03] And to give it some some hard yada.
[01:03] And to give it some some hard context going in.
[01:05] So for those who don't know, testosterone peaks when you're we assume it's about when when people finish puberty, whenever that is in your individual timeline.
[01:10] So you know, 17 to 22 depending on the individual.
[01:13] And then assuming that you're in good health, you basically have a linear decline in your hormone levels from that point until you die.
[01:20] So it very gradually declines over time.
[01:24] And that's just how men work.
[01:27] So you're in your peak when you're younger and then you gradually decline over the course of your life.
[01:30] Now if you get obese or if you don't look after yourself properly, then obviously then your levels will decline faster and that will be a factor as well.
[01:37] But there's a lot going on that impacts this.
[01:40] So when we look at endocrine disruption, so dis you know disruption and interfering with this correct hormone pattern that we're supposed to be having, one factor is and this is this is purely the things that I believe are the the main factors is the pesticides in the food, the actual
[02:01] pesticides in the food, the actual composition of the diet shifting away.
[02:03] composition of the diet shifting away from animal based and animal based fats.
[02:05] from animal based and animal based fats or animal based foods, animal based fats.
[02:07] or animal based foods, animal based fats um with the introduction of vegetable.
[02:09] um with the introduction of vegetable oil as our primary fat source that was a huge factor.
[02:11] oil as our primary fat source that was a huge factor.
[02:12] with the elimination of vitamin A, E, DK, and cholesterol from the diet in significant amounts.
[02:14] vitamin A, E, DK, and cholesterol from the diet in significant amounts.
[02:16] Then you've also got the modern lifestyle.
[02:18] you've also got the modern lifestyle.
[02:21] So more sedentry, less physical activity, more time indoors, more disruption of the natural circadian rhythm.
[02:23] more time indoors, more disruption of the natural circadian rhythm.
[02:25] Um, and then we've got all these other factors.
[02:27] then we've got all these other factors, which is a societal conditioning away from masculinity, which I believe is a is a big factor.
[02:30] which is a societal conditioning away from masculinity, which I believe is a.
[02:32] from masculinity, which I believe is a is a big factor.
[02:35] is a big factor. Uh, and then you've also got the stuff that is a little bit more nuanced and a little bit less clear, stuff like EMF exposure.
[02:37] also got the stuff that is a little bit more nuanced and a little bit less clear, stuff like EMF exposure.
[02:38] more nuanced and a little bit less clear, stuff like EMF exposure.
[02:41] um factors like that and then you've also got you know the amount of uh birth control uh metabolites in the water you know all these microplastics um so many other factors I also think plastic and polyester exposure is a factor too but I think that there are just so many things that not only impact us over the course of our lives but also likely impacted
[02:43] factors like that and then you've also got you know the amount of uh birth control uh metabolites in the water you.
[02:46] got you know the amount of uh birth control uh metabolites in the water you know all these microplastics um so many other factors I also think plastic and polyester exposure is a factor too but I think that there are just so many things that not only impact us over the course of our lives but also likely impacted
[02:48] control uh metabolites in the water you know all these microplastics um so many other factors I also think plastic and polyester exposure is a factor too but I think that there are just so many things that not only impact us over the course of our lives but also likely impacted
[02:51] know all these microplastics um so many other factors I also think plastic and polyester exposure is a factor too but I think that there are just so many things that not only impact us over the course of our lives but also likely impacted
[02:53] other factors I also think plastic and polyester exposure is a factor too but I think that there are just so many things that not only impact us over the course of our lives but also likely impacted
[02:56] polyester exposure is a factor too but I think that there are just so many things that not only impact us over the course of our lives but also likely impacted
[02:57] think that there are just so many things that not only impact us over the course of our lives but also likely impacted
[03:00] that not only impact us over the course of our lives but also likely impacted
[03:02] of our lives but also likely impacted our parents and grandparents you know.
[03:03] our parents and grandparents you know when we were in uterero um you know.
[03:05] when we were in uterero um you know sucking on a pacifier when you were a.
[03:07] sucking on a pacifier when you were a baby um all those different things have.
[03:10] baby um all those different things have impact ed us over so many years but also.
[03:13] impact ed us over so many years but also our epigenetic coding coming into this.
[03:15] our epigenetic coding coming into this world where so and this is one of the.
[03:18] world where so and this is one of the big factors as well I also think being.
[03:20] big factors as well I also think being obese during puberty is a big factor too.
[03:22] obese during puberty is a big factor too that a lot of people don't talk about.
[03:24] that a lot of people don't talk about huge huge huge one um but what what's.
[03:27] huge huge huge one um but what what's happening as a result is you've got.
[03:29] happening as a result is you've got widespread suffering you've got a whole.
[03:33] widespread suffering you've got a whole bunch of guys who are doing everything.
[03:34] bunch of guys who are doing everything they possibly can and their testosterone.
[03:36] they possibly can and their testosterone levels are still in the garb in in the.
[03:37] levels are still in the garb in in the gutter but the there was an interesting.
[03:40] gutter but the there was an interesting study that I was looking at a while back.
[03:42] study that I was looking at a while back for an unrelated purpose.
[03:44] It was it was one of the very few interventional.
[03:46] studies on aromatase inhibitors in men.
[03:48] and it was done in 2012 and there was.
[03:52] and it was done in 2012 and there was this like side note by the authors in.
[03:54] the paper where and this is why it's so.
[03:56] important when if people want to look at.
[03:58] science you actually have to read the.
[03:59] whole study not the abstract and what.
[04:02] the what the authors found before the.
[04:05] the what the authors found before the intervention so just in like the pre-intervention.
[04:07] so just in like the pre pre-trial screening was that there was pre-trial screening was that there was.
[04:10] so they had two groups they had a group of men under 25 and a group of men over 60.
[04:12] of men under 25 and a group of men over 60 and they found that there was no statistical difference between their baseline testosterone levels.
[04:16] statistical difference between their baseline testosterone levels.
[04:18] So men under 25 and men over 60 in 2012 in this western cohort there was no difference in their testosterone levels.
[04:20] in this western cohort there was no difference in their testosterone levels.
[04:23] That is hugely problematic because if guys are only peaking at the point they should be when they're 60 then it's all downhill from there.
[04:25] then it's all downhill from there.
[04:27] And what one thing that I think is a huge factor which I spoke recently about at my friend uh Alli Gilbert's Silverback Summit was what happens to a man's psyche?
[04:29] was what happens to a man's psyche?
[04:32] What happens to a man's mental health?
[04:35] And and I'm much more interested in mental health than than stuff like bodybuilding and muscle hypertrophy.
[04:38] What happens to a man's mental health when he doesn't have that experience of peak androgen exposure during his development?
[04:39] And then so what happens when this man goes through life and goes through these
[05:06] through life and goes through these formative years when he's always got the lowest testosterone level in the room?
[05:11] lowest testosterone level in the room? How is that going to impact his confidence?
[05:12] How is that going to impact his confidence? How is that going to impact how he sees himself in the world?
[05:14] how he sees himself in the world? But also, how is that going to set up the trajectory of him going forward in life
[05:16] also, how is that going to set up the trajectory of him going forward in life having a purpose, taking risks, and actually becoming something of himself
[05:17] having a purpose, taking risks, and actually becoming something of himself and even wanting to do that?
[05:23] and even wanting to do that? because it is testosterone that impacts the way that a lot of not only neurotransmitters work in relation to drive and motivation and pleasure, but also acting as an antagonist, as a as an opposition to the effects of stress on the body.
[05:25] is testosterone that impacts the way that a lot of not only neurotransmitters work in relation to drive and motivation and pleasure, but also acting as an antagonist, as a as an opposition to the effects of stress on the body.
[05:28] So, what's happening with these younger guys is they're finding life much more difficult than they should.
[05:30] what's happening with these younger guys is they're finding life much more difficult than they should. They're much less motivated and driven to go out and do the things that they want to do.
[05:32] They're much less motivated and driven to go out and do the things that they want to do. But then the problem is that they think that it's it's due to their lack of discipline.
[05:34] then the problem is that they think that it's it's due to their lack of discipline. They think it's because they've got all these issues where it's all up here.
[05:36] They think it's because they've got all these issues where it's all up here. It's all mental. They're not trying hard enough.
[05:40] It's all mental. They're not trying hard enough. And that is a big factor.
[05:41] And that is a big factor. A lot of guys aren't trying hard enough. But a lot of them are walking around the world or going through the world with a broken
[05:43] A lot of guys aren't trying hard enough. But a lot of them are walking around the world or going through the world with a broken
[05:45] walking around the world or going through the world with a broken
[06:06] through the world with a broken foundation from the start and they have foundation from the start and they have no idea because they go to the doctor.
[06:10] no idea because they go to the doctor with all these symptoms.
[06:11] with all these symptoms.
[06:14] They go to the person who has been appointed by society in the role to heal them who they trust and then that person is telling them and saying, "Oh, you need an anti-depressant."
[06:19] anti-depressant."
[06:21] Or, you know, they're not checking their blood work.
[06:22] not checking their blood work.
[06:23] They're not talking about the diet and lifestyle.
[06:24] lifestyle.
[06:25] They're not doing any of that.
[06:27] They're going, "Oh, you've got you've got a serotonin deficiency, which is [ __ ] that's never been proven."
[06:29] is [ __ ] that's never been proven."
[06:32] And, you know, here's some Lexapro or some Zoloft or some Prozac or whatever the pharmaceutical sales rep of the day has encouraged them to prescribe, which they know nothing about.
[06:33] some Zoloft or some Prozac or whatever the pharmaceutical sales rep of the day has encouraged them to prescribe, which they know nothing about.
[06:35] has encouraged them to prescribe, which they know nothing about.
[06:37] they know nothing about.
[06:40] And then then what happens?
[06:42] And we have an even worse situation where the testosterone levels are further suppressed.
[06:44] situation where the testosterone levels are further suppressed.
[06:46] Um, and the individual suffers even more and then ends up on a medication that now all of a sudden they've got all these side effects, but they can't get off it.
[06:48] individual suffers even more and then ends up on a medication that now all of a sudden they've got all these side effects, but they can't get off it.
[06:50] ends up on a medication that now all of a sudden they've got all these side effects, but they can't get off it.
[06:51] a sudden they've got all these side effects, but they can't get off it.
[06:54] effects, but they can't get off it.
[06:57] And it's heartbreaking for me to see and know how many men this is happening to every single day.
[07:01] know how many men this is happening to every single day.
[07:03] If you've just started TRT, it is completely normal to feel
[07:06] TRT, it is completely normal to feel overwhelmed and confused.
[07:09] There's a lot of new territory to cover and there is a lot of conflicting information.
[07:14] I wrote DRT 101 so that you can have everything that you need to know in an instruction manual in one place that you can refer back to that you can have all the questions answered before they even come up.
[07:26] TRT 101 is my best practice approach from for TRT from start to finish and it contains everything that you need to avoid all the challenges and pitfalls that I've seen come up in my clients over the last 5 years.
[07:41] You can check it out via the link below.
[07:42] Yeah.
[07:45] Wow. Like like you said, it's a very multifaceted issue.
[07:50] Um like I I I already agree with the the I knew to an extent diet would play a role into it, but I didn't I didn't know even like the seed oils, the pesticides, like I guess the water we drink.
[08:02] Um I do know there has been like a like men like [ __ ] on men has been really in vogue
[08:08] On men has been really in vogue in the last five years.
[08:09] I think that's starting to flip around a bit more.
[08:12] Um but yeah, also I guess I guess also just like men's mental health has never been really taken seriously or just has been very poorly managed um in in the whole I guess medical space and psychology space, you know.
[08:27] So um man, I don't even know where to go from here.
[08:29] Like there's just so many things you can talk from here.
[08:30] But I guess for any man who is like feeling like that that kind of the kind of things you're saying like just hits them like they've been doing everything right, they've been training, they've been eating better, sleeping better, and they still don't feel right.
[08:44] Um what are some natural remedies that you would recommend that are not commonly I guess um recommended currently?
[08:57] Sure. So without um without throwing stones here, there's a lot of uh herbal supplements which are being promoted at the moment for uh boosting testosterone.
[09:07] Um I encourage
[09:10] boosting testosterone.
[09:13] people before looking into taking those supplements simply just going on a website called examine.com and reading for yourself uh the human studies on these compounds and you might find the one that's being pushed the most actually has no research in humans for safety or efficacy, but that's a different story.
[09:27] So, I think what people need to be looking at with this is there's no capsule, there's no supplement, there's no uh quick overnight fix that you can just take in the morning and then resolve all these issues.
[09:44] Um, your endocrinology is a consequence and also a positive feedback loop from how you show up in the world and who you are.
[09:54] So, it's everything from your habits, your diet, your sun exposure, your community, your purpose, your physical health, you know, physical pain and inflammation in the body.
[10:03] Um, body composition, how much body fat you have, how much muscle you have.
[10:10] And all of those factors to resolve and to improve are much more
[10:13] resolve and to improve are much more difficult, much less marketable than,
[10:16] difficult, much less marketable than, you know, take this pill.
[10:18] Um, it will fix the problem.
[10:20] So the the big factors that guys want to be looking at here is
[10:23] I think nutrition and exercise are the two lowest hanging fruits for a lot of people, but they're also the hardest
[10:27] thing to work on.
[10:28] So I encourage people to look at well firstly what is testosterone made from and then what
[10:33] modulates and receptors in the body and when you look at the nutrients that impact that it's basically everything
[10:39] that you find in red meat.
[10:41] creatine, carnitine, choline, three C's that I talk about a lot in nutrition.
[10:47] Uh they both have uh all three of them have an impact on the metabolism of testosterone into DHT which is a more potent androgen
[10:55] in the body which is metabolized by a five alpha reductase but also modulating the function of the androgen receptor.
[11:02] Vitamin D is also a factor in that.
[11:03] All hormones are made from cholesterol.
[11:06] vitamin A, E, and K.
[11:07] In addition, the fat soluble nutrients all have modulatory functions on the androgen and
[11:14] modulatory functions on the androgen and estrogen receptors.
[11:17] So, increasing the estrogen receptors.
[11:17] So, increasing the amount of egg yolks um or whole eggs,
[11:20] amount of egg yolks um or whole eggs, but including the yolk, not just the
[11:21] but including the yolk, not just the whites, um whole eggs, good quality red
[11:25] whites, um whole eggs, good quality red meat, um in the diet is extremely
[11:28] meat, um in the diet is extremely important.
[11:30] And one of the big issues with the seed oils is in addition to the
[11:34] uh pro-inflammatory uh nature of the
[11:36] omega-6 uh industrial seed oils, it's
[11:39] the fact that they're completely devoid
[11:40] of nutrients.
[11:42] So you're replacing, you know, 40 50 60 gram of fat a day, which
[11:45] is nutrientdense with 40, 50, 60 grams
[11:47] of fat a day with no nutrients in it
[11:50] whatsoever.
[11:52] And that's a big problem.
[11:54] So we're missing a lot of the precursors
[11:56] that the body actually needs to make
[11:57] testosterone.
[11:59] And it's one of the reasons why I'm such a fan of um Stan Effering's vertical diet.
[12:01] I think that's an excellent framework for people just
[12:02] to go, okay, what's a framework?
[12:04] What's a template that I can start with?
[12:05] I think that's a good start for a lot of
[12:06] people.
[12:09] Um so that's a factor as well.
[12:12] And then looking at your lifestyle, I think what a lot of guys need to
[12:13] understand is that going to the gym
[12:16] understand is that going to the gym three to four times a week for an hour.
[12:17] three to four times a week for an hour to 90 minutes and then sitting on your.
[12:19] to 90 minutes and then sitting on your ass for the rest of the seven days is.
[12:22] ass for the rest of the seven days is not enough.
[12:24] not enough. Humans need more than five hours of exercise a week.
[12:27] Um, so people need to move more.
[12:29] If the sun is available, which I mean it's not available to me now.
[12:30] I think it's about minus15 outside.
[12:31] Um, if the sun is available to you, you want to get sun exposure.
[12:34] You need to move more.
[12:35] Not just training your ass off in the gym, but going for walks, mobility work work, moving your body, not being sedentiary.
[12:44] for massive periods of time, sitting behind a screen, and then having all this stiffness and tightness in your body, which the systemic inflammation is.
[12:49] body, which the systemic inflammation is then downregulating the function of dopamine, which is the main neurotransmitter, which is going to.
[12:53] then downregulating the function of dopamine, which is the main neurotransmitter, which is going to actually give you that get up and go and drive to go out and do all these things.
[12:57] actually give you that get up and go and drive to go out and do all these things.
[13:02] So, diet and lifestyle is is the biggest factor in this.
[13:05] And the the problem for a lot of guys, and this is the part that is very difficult, is that you have.
[13:09] is very difficult, is that you have these guys who are doing all of that stuff like to the nth degree.
[13:11] Like
[13:18] stuff like to the nth degree.
[13:18] Like they're doing it so right.
[13:20] They're doing they're doing it so right.
[13:20] They're doing everything they possibly can and their
[13:22] everything they possibly can and their testosterone levels are still in the
[13:23] testosterone levels are still in the gutter.
[13:23] And what I'm referring to this
[13:26] gutter.
[13:26] And what I'm referring to this as is I'm calling this generational
[13:28] as is I'm calling this generational hypogonatism or you know there's
[13:31] hypogonatism or you know there's different terms for it coming up now.
[13:33] different terms for it coming up now.
[13:33] Androgen resistance is a factor as well
[13:35] where these guys just don't seem to be
[13:38] able to respond properly to these inputs
[13:42] in terms of making the right amount of
[13:44] antigens.
[13:44] And I think that's a long-term
[13:47] downstream exposure of these endocrine
[13:51] disrupting factors happening over
[13:53] multiple generations.
[13:53] So now we're
[13:55] getting to a point where the vessel is
[13:57] just broken.
[13:57] Like it just doesn't work.
[13:59] And I think some people are too far
[14:01] gone.
[14:01] you know, obesity during puberty,
[14:03] I think, is a big factor.
[14:03] But I think a lot of guys just got off to a bad start
[14:05] with this.
[14:05] And that's why it is so integral for and it's why I'm so proud
[14:07] of all my clients when they come to me
[14:10] because they [ __ ] worked all this [ __ ] out.
[14:12] Like they they were the one like their doctor said, "Nah, you don't
[14:13] need to get your testosterone levels
[14:19] need to get your testosterone levels checked. You're only 25.
[14:21] checked. You're only 25. And then they've gone out and researched
[14:22] they've gone out and researched everything they need to do to do it. And
[14:24] everything they need to do to do it. And they're still doing everything right.
[14:25] they're still doing everything right. And then they realize their levels are
[14:27] And then they realize their levels are still low. and then they come to someone
[14:28] still low. and then they come to someone like me to talk about TRT. And that's
[14:32] like me to talk about TRT. And that's what more guys need to do is is to think
[14:34] what more guys need to do is is to think critically and take control of their own
[14:36] critically and take control of their own health. Take ownership and
[14:37] health. Take ownership and responsibility of the situation and look
[14:40] responsibility of the situation and look in and go, "Hey, I'm 24, 25, 26,
[14:44] in and go, "Hey, I'm 24, 25, 26, whatever. I'm doing everything right.
[14:47] whatever. I'm doing everything right. I'm looking after myself the best way
[14:48] I'm looking after myself the best way possible, and I still can't get an
[14:51] possible, and I still can't get an erection. I still feel like [ __ ] I
[14:53] erection. I still feel like [ __ ] I still can't put on any muscle mass. And
[14:55] still can't put on any muscle mass. And I'm depressed."
[14:58] I'm depressed." And if that is what is going on with you when you're listening
[14:59] going on with you when you're listening to this and you're like, "Fuck, that
[15:00] to this and you're like, "Fuck, that that resonates." You got to go out and
[15:02] that resonates." You got to go out and get your hormones checked, but you've
[15:03] get your hormones checked, but you've also got to accept that the western
[15:05] also got to accept that the western medical model is not going to help you
[15:08] medical model is not going to help you because the doctors are not trained in
[15:11] because the doctors are not trained in this actually being an issue and this
[15:13] this actually being an issue and this being a solution. You can go to an
[15:15] being a solution. You can go to an endocrinologist who is a, you know,
[15:17] endocrinologist who is a, you know, professional hormone specialist and they
[15:20] professional hormone specialist and they will laugh you out of the room.
[15:22] will laugh you out of the room.
[15:24] And if you are fortunate enough to get a TRT protocol off one of these guys, it's
[15:27] TRT protocol off one of these guys, it's going to be a terrible outdated TRT
[15:30] going to be a terrible outdated TRT protocol which barely will shift your
[15:32] protocol which barely will shift your levels north of where they are now.
[15:34] So there's a huge amount of responsibility
[15:37] that I think guys shouldn't have to take
[15:40] because obviously you should be able to
[15:41] walk into the doctor and actually have
[15:43] your health fixed, but this is where the
[15:45] ball has landed.
[15:48] And I think if guys can just go, okay, this is This is
[15:50] likely corrupt.
[15:53] This is not what it should be, but this is where the ball
[15:55] has landed and I've just got to play it
[15:56] and take responsibility for it.
[15:59] You can take the ownership and responsibility
[16:01] through interventional endocrinology to
[16:03] change your life.
[16:05] I think when it comes to testosterone, you want to get the
[16:06] optimal bene benefits of testosterone
[16:08] and testosterone will continue to become
[16:10] more optimal for you until you take too
[16:13] much.
[16:15] There's not a lot that's changed
[16:17] in injectable dosing for testosterone in the last few years.
[16:17] It's just

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