Episode #148:  The TRUTH about TRT (Testosterone Replacement Therapy)!!  Do You REALLY Need TRT?  Is Testosterone use "dangerous"?  What blood markers should you check?  Is it "cheating" and more!! artwork

Episode #148: The TRUTH about TRT (Testosterone Replacement Therapy)!! Do You REALLY Need TRT? Is Testosterone use "dangerous"? What blood markers should you check? Is it "cheating" and more!!

The Dylan Gemelli Podcast

July 25, 2026

Episode #148:  The TRUTH about TRT (Testosterone Replacement Therapy)!!  Do You REALLY Need TRT?  Is Testosterone use "dangerous"?  What blood markers should you check?  Is it "cheating" and more!!
Speakers: Dylan Gemelli
**Dylan Gemelli** (0:17)
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It's the science back breakdown of exactly what's happening to your muscles as you age and how to fight back. Why does everybody now think that you have to be on TRT to be healthy? Why does everybody think that if you're on TRT that all of a sudden you're cheating or you're going to be this mass monster or have this huge advantage over everybody else? Why is it the biggest thing at every single clinic you go to where they're putting everybody under the sun on TRT whether they need it or not? First of all and foremost, I am well known as being one of the biggest TRT advocates on the planet. Meaning that if you need it, if you have a hypogonadal condition and your body absolutely needs to be on it, then yes, yes, yes, it will improve your quality of life. It will allow you to feel rejuvenated and alive again. But if you don't need it, if your body is producing testosterone, okay. And for some people, optimal range is going to be a little bit higher than others. And some people are going to be just fine at a little bit lower range. But if you are doing just fine, there's no reason in the world to try to fix something that's not broke. And there are other ways to boost testosterone levels if you just need a small boost as opposed to just going full blown TRT. Now, I will say this, steroid users, which a lot do watch my channel, I'm not going to tell you to get on testosterone boosters to fix anything. I think we all know at this point in time that if you have used steroids, that chances of a testosterone booster helping you are pretty damn slim. You could always use it as a secondary or even third look to try to give you a little bit extra bump, but to totally rely on it is just, it's not accurate. I went through years of that with different companies and people trying to feed me studies and convince me and made me look quite foolish to be honest with you, where I'll never sit up here again and tell everybody, well, use this for your BCT or this is going to cure you. No, it's not. Now, if you're a non-steroid user and you don't have a severe condition or a woman that may have a lower condition, then we may want to look at it first just to try without jumping on. But then again, we need to temper our expectations and realize that a lot of it is lifestyle changes, foods that we're eating, et cetera, and that might just add a little bit to it.
But there are so many things that people need to look at before just jumping right on to TRT. Let's start with the blood panels. This is the most important part of all aspects of our life. This is how we know what is going on within our bodies or not. Whether we're looking at TRT, whether we're looking at diagnosing any sort of issue that we're having symptoms of, the blood panels and the blood work are going to tell us everything. The first thing that we have to understand is, especially when we're getting our testosterone tested, is how do you go into the test? Because you can have a skewed number if you're not fasted, if it's not first thing in the morning, if you've been working out, if you've been doing something stressful, these will skew your numbers. So oftentimes, when I have clients, I tell them, okay, it's good that we got this test, now we need to go back and just make sure before we do something that we may not need to do. That's step one. Step two is actually getting the proper panel. When you go to a regular doctor or practitioner, generally speaking, they're gonna give you a basic panel, which is gonna be a CBC, and they call that a complete blood count, which it's not complete, but it is helpful. And then a CMP, which is a complete metabolic profile, it's again, not complete, but it will cover some of the bases we need, liver, kidneys, sometimes it will hit different electrolytes that we need to look at, depending on where you're getting the testing done. And it'll look at some potentially basic cholesterol parts too as well. Not always, but sometimes you'll have to add those in extra. There's a slew of other tests that we need to look at before and as we get started. You need to know if you have prior family history and conditions. You need to know if you may have an elevated PSA, high blood pressure, high cholesterol. These are all very, very important markers to look at before you jump on something like testosterone. And you need to know these in general. You need to know your family histories and you need to check to see if, like for me, I didn't know I had an Lp little a gene that is an inherited thing. I went through life testing, but never testing that. Only getting basic cholesterol numbers when those are not foundationally what we need to know if we have an issue. Thankfully, I still caught it, but it was at a point where I developed some plaque in my arteries that probably more than likely could have been avoided.

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