Phone: 512-238-0762

Fax: 512-341-7370

October 31, 2020

Any Way You Want “T:” Dr. Mistry On The Tried and True vs. Latest and Greatest Types of Testosterone Supplements

Speaker 1: 

Welcome to the Armor Men’s Health Hour with Dr. Mistry and Donna Lee.

Dr. Mistry: 

Hello and welcome to the Armor Men’s Health Hour. I’m Dr. Mistry, your host, here as always with my professional comedian practice manager and cohost, Donna Lee .

Donna Lee: 

You know what died with COVID? Live comedy.

Dr. Mistry: 

Live comedy.

Donna Lee: 

Sad.

Dr. Mistry: 

Well, luckily you can get your fix here.

Donna Lee: 

That’s right.

Dr. Mistry: 

On this very important men’s health show.

Donna Lee: 

The Armor Men’s Health Hour. Funny and full of energy and information.

Dr. Mistry: 

Well, I don’t know .

Donna Lee: 

No?

Dr. Mistry: 

Are you a low energy individual?

Donna Lee: 

No, I am not. I’m up very early in the morning, ready to come to work, to work with you.

Dr. Mistry: 

I will tell you that this practice often gets low energy individuals. In fact, low energy is one of the most common reasons that people come and see us.

Donna Lee: 

Segue!

Dr. Mistry: 

I’m a board certified urologist. This is a men’s health show. Our practice is NAU Urology Specialists. We’ve been in existence since 2007. I graduated from the great Baylor College of Medicine in Houston, Texas, where I also did my residency in urologic surgery. And for those of you that don’t know what a urologist is, they are specially trained sub-specialists of…

Donna Lee: 

Ding-a-lings and Yum-yums.

Dr. Mistry: 

And surgery. And we are, we are a surgeon first kind of mentality. I think you’ll get that in terms of the, really the, the approach that we take to medical conditions and life probably.

Donna Lee: 

And we’ve got a lot of…

Dr. Mistry: 

We like solutions.

Donna Lee: 

That’s right. We want to turn this podcast maybe into a high T podcast instead of a low T podcast .

Dr. Mistry: 

That’s right. That’s right. We should go, we should make goals for ourselves. Donna Lee, tell them about our offices and how to get ahold of us.

Donna Lee: 

That’s right . During the week, you can call us at (512) 238-0762 . Our podcasts are worldwide. Like I joke about that, but they really are. We have this little tool that we can check out and see where people are listening. And Dr. Mistry is super famous in Europe and Asia. So there you go. You can also reach out to us by Gmail: armormenshealth@gmail.com. That’s armormenshealth@gmail.com. Our website is armormenshealth.com. So reach out to us, we’ll answer your questions anonymously. We get so many questions every week, and they’re so much fun!

Dr. Mistry: 

Yeah, I think this week, we got a ton of questions, not only from listeners, but also from patients that came to see us interested in a better form of treatment for testosterone.

Donna Lee: 

Yes, we have a lot of those.

Dr. Mistry: 

You know, I think that some , there are people that get into the quote unquote “testosterone game,” or start getting treated for tested for testosterone in a number of different ways. And we see a lot of them after they’ve been on testosterone and are looking for improvements in what’s happening to them.

Donna Lee: 

Right. And they just want to feel better, and they want to have more sex, and they want to run around the block feeling great.

Dr. Mistry: 

And they want to have better, today I had a really good friend of mine from town who finally came to see me because he was getting more fatigued after his workouts in the morning, not less fatigue. And you know, that’s not really the way that we think about these things. We think about having a lot more energy, a lot more endorphin runs, but he was getting more tired. And so he wants to know if testosterone replacement could be something that could benefit him.

Donna Lee: 

I get tired just thinking about exercising.

Dr. Mistry: 

That is not true.

Donna Lee: 

It is true.

Dr. Mistry: 

You were doing, you were doing barre.

Donna Lee: 

I was doing barre three… well I was. And then after when COVID hit and everybody had to face their mortality, I was like, “Oh, look at the carbs!” So…

Dr. Mistry: 

“Look at the carbs!”

Donna Lee: 

Yeah. And stopped going to barre. I haven’t gained any weight somehow. So there you go.

Dr. Mistry: 

There you go. You’re winning, good job. So testosterone replacement therapy that we do most traditionally are going to include injection therapy and pellet therapy. People often approach us wanting to feel better, but you know, are questioning the types of therapies that are available. So I just thought for a brief review for our listeners, I could talk about each of the most common types of therapies and what are the goods and bads of it. And I love talking about this stuff. It’s stuff that I deal with all day. So I may go a little quick, but you know, it’s still satisfying.

Donna Lee: 

Hey, that’s what she said!

Dr. Mistry: 

So we have ways of treating your testosterone by not giving you testosterone, and that could include both lifestyle and dietary changes as well as supplements that can help increase your natural testosterone. A moderate exercise regimen, building of muscle mass, especially in your lower extremities–those things can naturally boost your testosterone. Then, especially in patients trying to keep their fertility intact, we can use medications like HCG or Clomiphene or Arimidex are going to be the three most common things that we use that more naturally increase your testosterone level without suppressing the function of your testicles. Then we have what we call peptide therapy, and that’s something that we provide prescriptions through our partner in testosterone and men’s health, BioTE. We use a specially designed peptide program. This is where, if you’ve ever heard of growth hormone or Sermorelin or GNRH agonists, if that’s something that you’re interested in pursuing and seeing if you’re a candidate for, then it’s something that we have a lot of interest and understanding of. And Dustin, who is one of our snapshot P A’s for men’s health here will take you through the BioTE peptide program.

Donna Lee: 

That’s right. Dustin Fontenot is one of our PA’s.

Dr. Mistry: 

That’s right. He’s awesome. He’s been with us for how long?

Donna Lee: 

Five, six years? He’s one of those manly men that see all our manly men patients.

Dr. Mistry: 

He can grow, he can grow a beard.

Donna Lee: 

He can grow very long beard and treat all the men in Austin.

Dr. Mistry: 

Then when we start into more traditional testosterone therapies, there is a pill that’s available now. The pill has been available for testosterone replacement in Europe for many years. I’ve been kind of reticent to use it because of my feeling that it may adversely affect the liver, but the FDA approved studies that were done found there was a, not an alarming amount of liver issues. We are starting to use this medicine more commonly it’s called Jatenzo, and if that’s something that you’re interested in looking at because of the other forms of treatment not really appealing to you, it’s something that we can try here in the office.

Donna Lee: 

I was spelling it wrong. Jatenzo.

Dr. Mistry: 

Yeah. J-A-T-E-N-Z-O.

Donna Lee: 

I started with the G yeah .

Dr. Mistry: 

Then there’s a , then we get to the gels and gels are some of my favorite ones, because I think all the gels are the same, but we just put them in different places. Like there’s one gel you put on your scrotum, there’s one gel you put under your arms, one gel you put in your chest. But my favorite one is the one you put in your nose.

Donna Lee: 

Oh, I thought you were saying in your butt.

Dr. Mistry: 

No!

Donna Lee: 

When you say “in your,” the following word’s usually “butt.”

Dr. Mistry: 

For some people. So it goes in your nose are called Natesto is interesting, because although it’s required twice a day, it is one of the only testosterone replacement therapies that has not been shown to really suppress your own native testosterone production. So if you’re still trying to maintain your testicular size, or if you’re interested in maintaining fertility, but the other forms of treatment just aren’t working, then Natesto may be the right treatment option for you.

Donna Lee: 

And there’s a really good looking guy on their website.

Dr. Mistry: 

Oh boy. Then we have, after the gels , then we go to injections and we offer injections, both intramuscularly, we can do it here in the office, although we prefer teaching you how to do it at home or having one of your somebody at home doing it–not just some random person, like somebody you know, though, you know.

Donna Lee: 

Some dude off the street?

Dr. Mistry: 

Some dude off the street. We get our testosterone compounded because we find the one mil vials sometimes hard to use, the ones you get from your pharmacy. We get a 10 mil multidose vial that costs about $66 bucks for three months supply–pretty cheap, comes with the needles, get shipped to your house, very efficient way of getting testosterone. But if you either don’t like how the weekly injections of testosterone make you feel because you feel the highs and lows of the number, a number of our patients do subQ or subcutaneous injections with a smaller needle. They use a smaller volume more commonly done during the week and have excellent outcomes, those outcomes and the effect of the medication is predictable. And so that’s why injections work very well. But absolutely positively the gold crown winner of testosterone therapy is going to be pellet therapy. And the reason that pellets work is that these are very small subcutaneous, little pellets–they look like little tictacs–get put underneath your skin through a very small, just three millimeter incision. I have how many people here almost all 10 of our providers are trained or trained and very experienced in doing a pellet therapy. They can be done virtually with minimal notice and the healing time.

Donna Lee: 

Set it and forget it.

Dr. Mistry: 

That’s right. You set it and forget it. You put them in and we can, based upon your weight and your physical activity level and how you’ve responded to pellets before, give you an excellent sustained level. I mean, many of our patients sustain their level at 900 or 950 for the course of the six months. And then you’ll start feeling it when it’s not working anymore, but we can also get a blood level to just to see where you’re at and then redose you. Our repelleting rate , meaning the satisfaction rate of pellets that leads to men and women getting another pellet is over 90%. And so that means that people really do appreciate the benefits of it. If you start testosterone therapy with me , I usually start you on injections to see if you like the , you know, the outcome of testosterone and then saddle you with a more permanent solution like pellets.

Donna Lee: 

Gotcha. Yeah. I’m on our testosterone therapy at work. And I noticed…

Dr. Mistry: 

It’s probably why you haven’t gained any weight during the COVID.

Donna Lee: 

Oh, is that it? I’m more active that I don’t know about? It was my high number–you were talking about symptoms before–my high number is super high on the lab result and it’s red and it’s like, “Ah, this is way too high!” But then my provider Leonora was like, “No, actually for you, that’s a normal number for where we want you to be.” So I wanted to remind the listeners.

Dr. Mistry: 

There’s no normal, there’s only normal for you.

Donna Lee: 

That’s right. Don’t look at your lab results and go by that number.

Dr. Mistry: 

Or actually be scared either one way or the other, or be convinced that you’re normal or not normal.

Donna Lee: 

Because I’m so normal.

Dr. Mistry: 

Well, I love it. Thanks a lot to all those questions about BioTE and testosterone pellet therapy. And Donna, how do people get ahold of us ?

Donna Lee: 

You can call us during the week, as you all know, (512) 238-0762. You can reach us by email armormenshealth@gmail.com and our podcasts are everywhere. They’re free and they’re amazing.

: 

The Armor Men’s Health Hour will be right back. If you have questions for Dr. Mistry, email him at armormenshealth@gmail.com

Austin Digital Marketing And Development By Fahrenheit Marketing