Protocols·Hormones

TRT Support Protocol

Pre-TRT optimization and adjunct support for men on testosterone replacement. Designed to maximize endogenous T before pharmaceutical intervention.

8 interventions · Evidence-graded

Sleep 7.5–8.5h, anchor 22:00

Strong

70% of LH pulses occur during sleep. Short sleep is the #1 T-suppressor.

Resistance train 3–4x/week

Strong

Compound lifts (squat, deadlift, press) acutely increase T 15–20%.

Zinc 25mg + vitamin D 5000 IU

Strong

Both are essential cofactors. Test 25(OH)D — aim 50–70 ng/mL.

Ashwagandha KSM-66 600mg

Moderate

RCTs show 15–20% T increase in stressed/overtrained men over 8 weeks.

Cap alcohol at 5 drinks/week

Strong

Each drink suppresses T 6.8% at peak. Chronic intake damages Leydig cells.

Boron 6–10mg/day

Preliminary

Increases free T by reducing SHBG binding. Cheap, well-tolerated.

Full lipid + hormone panel q3mo

Strong

Total T, free T, SHBG, E2, LH, FSH, lipid panel, hsCRP, fasting insulin.

Magnesium 400mg + creatine 5g

Moderate

Mg modulates SHBG. Creatine supports DHT and recovery.

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