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Phlebotomy, or drawing blood, is frequently used by men on testosterone and steroids who have a high red blood cell count. However, excessive phlebotomy comes with its own risks. In this video I discuss those risks in the context of a case study, as well as explain why the red blood cells are elevated in the first place: androgen induced erythrocytosis leading to polycythemia. Not all men on androgens experience this, but there are several risk factors to watch out for and steps you can take to monitor yourself and manage the condition if it does occur. If you’re on androgens or are a healthcare provider treating men who may be on androgens, please watch this video!
For information on my practice and consultations, visit https://www.testosteronology.com
For anabolic recovery consults, visit: http://www.anabolicdoc.com
To ask questions in a webinar format, visit: http://testosteronology.com/webinars
TABLE OF CONTENTS:
01:24 - CASE HISTORY: 39 y.o. man with history of steroid use, now on TRT
03:10 - Symptoms: “heavy” heart beat, anxiety
04:02 - Began self phlebotomy (without consulting doc)
05:51 - Notable low iron status on blood tests
07:48 - ANDROGEN INDUCED ERYTHROCYTOSIS
- Can lead to polycythemia - increased red blood cells
09:35 - 4 risk factors for androgen induced erythrocytosis
12:28 - POLYCYTHEMIA SYMPTOMS
13:35 - ERYTHROCYTOSIS / POLYCYTHEMIA DANGERS
- Blood clots / hypercoagulable states
13:56 - Veins: DVTs, pulmonary embolism
14:29 - Arteries: heart attack & stroke
15:17 - MANAGEMENT FOR MEN ON ANDROGENS
- Full history & physical, monitor with blood tests
16:51 - Manage TRT dosage, potentially stop
17:13 - Sleep apnea & why it increases red blood cells
17:46 - Careful phlebotomy
Stay Strong and Healthy,
Dr. O
____________
As the Anabolic Doc, since 2003, I’ve provided men who are using or have used anabolic steroids a confidential, ethical and professional medical venue to discuss their use. I do NOT in any way support the use of any performance enhancing drugs - PEDs, anabolic steroid or other medicine for muscle building or body transformation. The “off-label” use of PEDs, as such agents is considered illicit and may lead to adverse health outcomes. Please consult an expert health professional regarding any medical agent and do NOT use any medicine without the explicit advice and supervision of an appropriate medical expert.
This video is for education and information only. This is not medical advice. Only take medications as prescribed by your doctor. Do not take illegal substances. Taking steroids can lead to serious health consequences.
#testosterone #steroids #polycythemia
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In this vulnerable and transformative episode, host Ken Freire sits down with Shawn Bonneteau, a Christian coach and advocate for men’s healing, to discuss overcoming erectile dysfunction (ED) without medication.
Shawn shares his personal journey, from the shame-filled struggles rooted in childhood wounds and pornography addiction to finding freedom.
Together, they dive into the psychological and spiritual aspects of ED, the importance of open communication in marriage, and practical steps men can take to reclaim their confidence and intimacy.
Whether you’re battling shame or seeking hope, this episode offers a raw, faith-centered perspective on breaking free from the lies that hold us back.
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* The role of faith and vulnerability in healing ED without medical intervention.
* How unresolved wounds from the past can impact intimacy today.
* Shawn's innovative "sexual template" method for fostering trust and connection in marriage.
* Practical advice for men who feel trapped by shame or fear of failure.
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To learn or work with Shawn more use the following links:
Website: https://secrethabit.ca/
Book a call: https://secrethabit.ca/
ED page: https://secrethabit.ca/erectiledysfunctioncoach/
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Make sure to follow the Shame(less) Podcast on social media:
Instagram - https://www.instagram.com/kenfreire
Facebook - https://www.facebook.com/kenneth.freire
Tik Tok - https://www.tiktok.com/@kenfreire
X - https://x.com/KenFreire
00:00 Intro
00:29 Introduction to Sensitive Topic
00:52 Sean's Journey to Czech Republic
01:35 What is erectile dysfunction and how does it manifest in most men?
02:51 Personal Struggles with ED and Pornography
05:07 Impact of Shame and Pressure on ED
06:22 Seeking Help and Finding Support
08:32 Overcoming Shame and Finding Grace
10:58 Healing through Communication and Support
14:15 Mentorship and Open Communication
16:55 Creating Safe Spaces for Healing
19:41 Fears of Rejection and Intimacy Challenges
23:17 What is the sexual template and how do you use it?
25:31 Implementing the Sexual Template
30:25 Guidelines for Discussing ED with Partners
35:57 Setting Boundaries and Building Trust
39:04 Final Advice and Resources
43:14 Outro
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Struggling with sudden loss of erection? 🚨 Urologist Dr. Lisa Cruz reveals the science-backed reasons and solutions to reclaim your sexual confidence! In this must-watch video, Dr. Cruz dives deep into the root causes of erectile dysfunction (ED), from stress and anxiety to chronic conditions like diabetes, hypertension, and medication side effects. Discover how your nervous system, mental health, and physical well-being impact sexual performance—and learn actionable steps to improve intimacy and reignite your sex life.
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