1 00:00:00,160 --> 00:00:02,760 Speaker 1: Seven elsies Health and Wellness. 2 00:00:03,120 --> 00:00:06,080 Speaker 2: It's twenty three minutes now before twelve o'clock time for 3 00:00:06,240 --> 00:00:09,960 Speaker 2: our Health and Wellness feature end this morning, we're unpecking 4 00:00:10,720 --> 00:00:16,280 Speaker 2: undropause right. For years, conversations about hormonal changes have largely 5 00:00:16,560 --> 00:00:22,759 Speaker 2: centered on women, menopause, mood shifts, hot fleshes, you know, 6 00:00:22,800 --> 00:00:26,079 Speaker 2: in many ways that women's bodies evolve over time, But 7 00:00:26,680 --> 00:00:31,240 Speaker 2: men also experience a hormonal shift of their own, one 8 00:00:31,320 --> 00:00:36,640 Speaker 2: that can quietly affect their mood, can affect their energy levels, relationships, 9 00:00:37,200 --> 00:00:40,320 Speaker 2: you know, confidence, and even their sense of identity. So 10 00:00:40,360 --> 00:00:42,280 Speaker 2: this morning, what we want to do is tend the 11 00:00:42,320 --> 00:00:46,800 Speaker 2: spotlight on this conversation that many men experience, but few 12 00:00:46,960 --> 00:00:51,400 Speaker 2: actually openly talk about. So, undropause, is it something that 13 00:00:51,680 --> 00:00:56,200 Speaker 2: you have experienced? Other people call it male monopause? How 14 00:00:56,200 --> 00:00:59,720 Speaker 2: does it show up in your daily life, right in 15 00:00:59,760 --> 00:01:03,400 Speaker 2: your emotions at work and your relationships, And just as importantly, 16 00:01:03,960 --> 00:01:07,440 Speaker 2: how can you, as a man, and you as a 17 00:01:07,600 --> 00:01:11,480 Speaker 2: partner to that man, recognize the signs and respond with 18 00:01:11,600 --> 00:01:15,360 Speaker 2: understanding rather than frustration, and manage the stage of life 19 00:01:15,360 --> 00:01:19,240 Speaker 2: in a healthy, supportive way. Joining us on the line 20 00:01:19,240 --> 00:01:21,440 Speaker 2: to guide us through this conversation is doctor all the 21 00:01:21,480 --> 00:01:28,320 Speaker 2: way to Sondoche, who is a homeopathic doctor, natural hormone 22 00:01:28,440 --> 00:01:33,000 Speaker 2: expert and founder of Ask Doctor OL's Doctor Soon Dosha, 23 00:01:33,040 --> 00:01:34,560 Speaker 2: thank you so much for making time for us. 24 00:01:34,560 --> 00:01:38,800 Speaker 3: Good morning, Good morning, Clement, thank you so much for 25 00:01:38,840 --> 00:01:43,560 Speaker 3: having me, and good morning to your viewers, to your listeners. 26 00:01:44,240 --> 00:01:48,360 Speaker 2: So let's talk about andropause just from a basic understanding, 27 00:01:48,400 --> 00:01:50,960 Speaker 2: how do you explaining what exactly is it? And is 28 00:01:51,000 --> 00:01:55,760 Speaker 2: it sort of the male equivalent of menopause and women? 29 00:01:57,800 --> 00:02:02,520 Speaker 3: Yes, clemen, So yeah, today let's talk about something that 30 00:02:02,800 --> 00:02:08,000 Speaker 3: men seals but you really talk about, which is enropost 31 00:02:08,680 --> 00:02:16,160 Speaker 3: which is plainly it's male menopause. So what happens? So 32 00:02:16,320 --> 00:02:22,480 Speaker 3: it's age related decline in testeterm. Not as abruptly as menopause. 33 00:02:22,720 --> 00:02:25,639 Speaker 3: So in man it happens. 34 00:02:24,960 --> 00:02:26,919 Speaker 1: Like over like. 35 00:02:27,000 --> 00:02:32,520 Speaker 3: Decades, maybe like twenty two days for the symptoms to 36 00:02:32,680 --> 00:02:38,360 Speaker 3: show up, unlike in menopause, which happens abruptly like when 37 00:02:38,400 --> 00:02:44,960 Speaker 3: you stop your period like for twelve months, like at 38 00:02:45,080 --> 00:02:48,959 Speaker 3: later ages like fifty forty five, and then you'd say 39 00:02:49,160 --> 00:02:52,520 Speaker 3: you have like menopause. But then with men like it 40 00:02:52,639 --> 00:02:55,720 Speaker 3: happens insidiously like over time. 41 00:02:57,880 --> 00:03:00,920 Speaker 2: Okay, and at what age then do men usually start 42 00:03:00,960 --> 00:03:01,720 Speaker 2: experiencing this. 43 00:03:03,840 --> 00:03:09,160 Speaker 3: So like basically like from the ages of thirty so naturally, 44 00:03:09,480 --> 00:03:13,520 Speaker 3: like you know, the tested salum like specifically, and are 45 00:03:13,560 --> 00:03:17,800 Speaker 3: the male hormones like would third declining by one percent 46 00:03:19,400 --> 00:03:23,760 Speaker 3: From the ages of forty to forty nine they decline 47 00:03:23,960 --> 00:03:29,399 Speaker 3: like clinically speaking, by two to five percent. And then 48 00:03:29,639 --> 00:03:33,880 Speaker 3: as the men age, so from the ages of fifty 49 00:03:33,960 --> 00:03:37,680 Speaker 3: to fifty nine, so the testas rom level like would 50 00:03:38,080 --> 00:03:41,920 Speaker 3: would decrease by six to thirty percent. And then from 51 00:03:41,960 --> 00:03:45,800 Speaker 3: the ages of us sixty to sixty nine they decrease 52 00:03:46,000 --> 00:03:50,920 Speaker 3: roughly around about twenty to forty five percent, and then 53 00:03:51,600 --> 00:03:56,240 Speaker 3: from the ages of seventeen above they can decrease as 54 00:03:56,400 --> 00:03:59,440 Speaker 3: high as seventy percent by seventy percent. 55 00:04:00,480 --> 00:04:04,040 Speaker 2: And is it something that that affects all men, like 56 00:04:04,160 --> 00:04:06,760 Speaker 2: do we all experience it or does it affect some 57 00:04:06,960 --> 00:04:09,920 Speaker 2: men more than the others? 58 00:04:10,000 --> 00:04:17,720 Speaker 3: So like between the ages of thirty to forty, so 59 00:04:17,920 --> 00:04:22,839 Speaker 3: it doesn't really affect like all men, however, like these 60 00:04:22,839 --> 00:04:27,880 Speaker 3: are the symptoms that can point towards it, like for example, 61 00:04:28,000 --> 00:04:33,599 Speaker 3: like physical symptoms would include reduced sex like sex drive 62 00:04:33,920 --> 00:04:38,359 Speaker 3: like lipid or low lipid or or irretal dysfunction like 63 00:04:38,560 --> 00:04:45,800 Speaker 3: loss of muscleness and the boat defect would increase, especially 64 00:04:46,720 --> 00:04:51,280 Speaker 3: in your abdomen, like in the abdomen and low energy 65 00:04:51,360 --> 00:04:56,960 Speaker 3: levels like critique. And we're also like men also experience 66 00:04:57,040 --> 00:05:06,600 Speaker 3: hot fleshes, irritability, more changes, poor concenterration, poor memory, depression, 67 00:05:06,760 --> 00:05:12,160 Speaker 3: all those like cognitive symptoms as well that females or 68 00:05:12,279 --> 00:05:17,920 Speaker 3: women experience during that time because of the changes in 69 00:05:18,000 --> 00:05:22,599 Speaker 3: their homones. So men as well actual experience like those 70 00:05:22,640 --> 00:05:27,200 Speaker 3: symptoms because we share the same symptoms. But then the 71 00:05:27,200 --> 00:05:31,599 Speaker 3: difference is like females like for example, would have like 72 00:05:31,680 --> 00:05:34,720 Speaker 3: the same male hormones like the cessterone, but then only 73 00:05:34,760 --> 00:05:38,640 Speaker 3: it's in small quantities. And then as though men as well, 74 00:05:38,839 --> 00:05:44,280 Speaker 3: do you have like female hormones like protesterone, but then 75 00:05:44,360 --> 00:05:51,880 Speaker 3: in small quantities, So as men age, those those hormones 76 00:05:51,920 --> 00:05:56,159 Speaker 3: also declined, so would experience the same symptoms. 77 00:05:56,640 --> 00:05:59,880 Speaker 2: Mm hmm, this is quite fascinating. A lot do people 78 00:06:00,080 --> 00:06:05,200 Speaker 2: talk about this of men in particular? From your experience, 79 00:06:06,240 --> 00:06:09,599 Speaker 2: is this known that these are the kind of things 80 00:06:09,600 --> 00:06:12,160 Speaker 2: you will go through when you start entering this specific 81 00:06:12,240 --> 00:06:15,479 Speaker 2: age and these are the hormonal changes, because I think 82 00:06:15,560 --> 00:06:18,640 Speaker 2: a lot of men out there have experienced these symptoms, 83 00:06:18,680 --> 00:06:22,000 Speaker 2: but I don't think a lot of them actually attribute 84 00:06:22,040 --> 00:06:23,720 Speaker 2: them to andropause. 85 00:06:26,120 --> 00:06:31,080 Speaker 3: Yeah, not really, like not openly like, because like men 86 00:06:31,480 --> 00:06:35,800 Speaker 3: barely talk about like just like men barely visit like 87 00:06:35,880 --> 00:06:41,000 Speaker 3: clinics or like hospitals as compared to female. So men 88 00:06:41,160 --> 00:06:45,479 Speaker 3: tend to to be more closed up. And even if 89 00:06:45,600 --> 00:06:49,520 Speaker 3: like something is amissed, so and then sometimes they don't 90 00:06:49,560 --> 00:06:53,280 Speaker 3: even have a clue or they don't really want to 91 00:06:53,440 --> 00:06:58,640 Speaker 3: talk about like for example, like they decreased libido levels 92 00:06:59,440 --> 00:07:03,320 Speaker 3: like fitz lipido, so they don't really want to talk 93 00:07:03,360 --> 00:07:06,840 Speaker 3: about it. Maybe they're shy like to talk about it. 94 00:07:07,040 --> 00:07:12,440 Speaker 3: Or yeah, so yeah, they believe mentioned this, so you 95 00:07:12,520 --> 00:07:16,560 Speaker 3: would point this out or you pick this up maybe 96 00:07:16,680 --> 00:07:22,840 Speaker 3: during the consultation, and then when you look into symptoms 97 00:07:22,880 --> 00:07:27,720 Speaker 3: like symptom assessment and the blood test as well, and 98 00:07:27,760 --> 00:07:32,440 Speaker 3: then you notice that or maybe like maybe like total 99 00:07:32,600 --> 00:07:35,960 Speaker 3: testim like is low, and then you then try to 100 00:07:36,120 --> 00:07:40,640 Speaker 3: investigate what is going on obvious like in relation to 101 00:07:40,880 --> 00:07:42,840 Speaker 3: their like age as well. 102 00:07:44,240 --> 00:07:49,640 Speaker 2: Yeah, and I often wonder then what the psychological or 103 00:07:49,680 --> 00:07:53,280 Speaker 2: emotional effects are, because beyond the physical changes, you know, 104 00:07:53,840 --> 00:07:57,119 Speaker 2: they are psychological or emotional effects that men may also 105 00:07:57,160 --> 00:08:04,360 Speaker 2: experience during andropose, so do we also remood swings, irritability, anxiety, depression, 106 00:08:04,440 --> 00:08:06,800 Speaker 2: some of these symptoms that sometimes get mentioned by some 107 00:08:06,840 --> 00:08:08,160 Speaker 2: women who experience men of. 108 00:08:08,200 --> 00:08:16,160 Speaker 3: Possible yes, of course, like mostly depression. It's usually misdugnosed 109 00:08:17,080 --> 00:08:23,360 Speaker 3: as just like a classical or clinical depression, like, but 110 00:08:23,400 --> 00:08:29,000 Speaker 3: then from a road court perspective, like when you look 111 00:08:29,040 --> 00:08:33,160 Speaker 3: into it, you'd find that no, it's because like a 112 00:08:33,320 --> 00:08:37,440 Speaker 3: man is going through like andropos As I mentioned that 113 00:08:37,800 --> 00:08:42,560 Speaker 3: one of like some of cognitive and emotional symptoms that 114 00:08:42,720 --> 00:08:52,199 Speaker 3: men would experience include like depressed moods, irritability, loss of motivation, UH, 115 00:08:52,480 --> 00:08:57,280 Speaker 3: and sleep disturbances as well. It's quite common, like I 116 00:08:57,360 --> 00:09:00,000 Speaker 3: said that a lot in my practice, they are sleep 117 00:09:00,040 --> 00:09:05,360 Speaker 3: disturbances as well. But then that is very that is 118 00:09:05,559 --> 00:09:15,000 Speaker 3: very interesting because when they experience the sleep disturbances, so 119 00:09:15,240 --> 00:09:20,160 Speaker 3: usually like a person goes through the circadian clock, where 120 00:09:20,240 --> 00:09:25,280 Speaker 3: like certain hormones are most optimized at certain hours of 121 00:09:25,440 --> 00:09:28,920 Speaker 3: the day, like for example, when you want to test 122 00:09:29,120 --> 00:09:33,280 Speaker 3: the test asalom level, you test them around seven to 123 00:09:33,559 --> 00:09:37,720 Speaker 3: ten because they're usually at their optimal level. So now 124 00:09:37,800 --> 00:09:43,280 Speaker 3: if you do not sleep well due to androposts, that 125 00:09:43,440 --> 00:09:48,360 Speaker 3: means like your test the salum will fat that decrease 126 00:09:48,440 --> 00:09:51,240 Speaker 3: because you need like a good restorative sleep. But then 127 00:09:51,320 --> 00:09:53,960 Speaker 3: now if you don't get that, because that that's the 128 00:09:54,040 --> 00:09:57,000 Speaker 3: time where you sleep, like where in your sleep your 129 00:09:57,040 --> 00:10:02,439 Speaker 3: body restores itself, like repairs itself as well, optimize hormones 130 00:10:02,440 --> 00:10:05,800 Speaker 3: as well. So now if you don't sleep because of 131 00:10:06,000 --> 00:10:10,640 Speaker 3: the endropust and then that would fit the like expacipate 132 00:10:11,040 --> 00:10:14,720 Speaker 3: distant terms the entire symptoms of endropuss. 133 00:10:15,400 --> 00:10:18,160 Speaker 2: Okay oh on one eighty three oh seven o two. 134 00:10:19,000 --> 00:10:23,480 Speaker 2: Are you men that has experienced andropouse before? Did you 135 00:10:23,520 --> 00:10:28,160 Speaker 2: even know about it? Have you experienced mood swings, irritability, 136 00:10:29,880 --> 00:10:33,520 Speaker 2: maybe some anxiety, and have you been able to sort 137 00:10:33,520 --> 00:10:36,600 Speaker 2: of link it to andropause? Give us a call on 138 00:10:36,640 --> 00:10:38,600 Speaker 2: Oh one one eighty three oh seven oh two. You 139 00:10:38,640 --> 00:10:40,439 Speaker 2: can share your thoughts on the WhatsApp line as well 140 00:10:40,480 --> 00:10:44,240 Speaker 2: on oh seven two seven oh two one seven o two. 141 00:10:44,480 --> 00:10:49,080 Speaker 1: It's twelve minutes before Tough Health Wellness. 142 00:10:48,480 --> 00:10:53,599 Speaker 2: Ten minutes before twelfth o clock. We're talking about andropause 143 00:10:53,920 --> 00:10:57,200 Speaker 2: on our Health and Wellness feature this morning, and I 144 00:10:57,240 --> 00:10:59,720 Speaker 2: want to know from some of you men who have 145 00:10:59,760 --> 00:11:05,959 Speaker 2: experienced some symptoms that you are linking to andropause, and. 146 00:11:05,840 --> 00:11:08,240 Speaker 1: I suppose doctor Son do. 147 00:11:10,000 --> 00:11:12,800 Speaker 2: What what a lot of people are asking now is 148 00:11:13,480 --> 00:11:16,079 Speaker 2: how do I know that it's undroposeed? So how can 149 00:11:16,120 --> 00:11:20,280 Speaker 2: someone tell that difference between just normal aging and the 150 00:11:20,320 --> 00:11:23,480 Speaker 2: symptoms of of of andropose or is that the same thing? 151 00:11:25,440 --> 00:11:31,439 Speaker 3: So the clinical so the diagnosis is through clinical evaluation. 152 00:11:32,280 --> 00:11:38,520 Speaker 3: So basically it's symptom assessment and physical examination and blood 153 00:11:38,520 --> 00:11:42,320 Speaker 3: test and then like for example, like your blood tests, 154 00:11:42,520 --> 00:11:47,520 Speaker 3: like your total testesterum it should be between three hundred 155 00:11:47,800 --> 00:11:55,040 Speaker 3: to one thousand like normally nano gran decillitor like when 156 00:11:55,080 --> 00:11:58,880 Speaker 3: you test it. However, so if you have those symptoms 157 00:11:59,400 --> 00:12:03,760 Speaker 3: class at their abnormal lips and then like you then 158 00:12:03,920 --> 00:12:08,720 Speaker 3: suspect it okay of course, taking into stiring in age 159 00:12:08,760 --> 00:12:09,200 Speaker 3: as well. 160 00:12:10,040 --> 00:12:11,040 Speaker 1: Mmmm. 161 00:12:11,960 --> 00:12:15,840 Speaker 2: And what what misunderstand I mean, there's there's a question 162 00:12:15,880 --> 00:12:19,920 Speaker 2: here about homemade and traditional remedies because there's often misunderstandings 163 00:12:19,920 --> 00:12:22,800 Speaker 2: about you know, what can then the men use at 164 00:12:22,840 --> 00:12:27,440 Speaker 2: home as as just home or traditional remedies. And when 165 00:12:27,480 --> 00:12:31,120 Speaker 2: we talk about these conversations, some men will talk about 166 00:12:31,200 --> 00:12:34,200 Speaker 2: in base you for for instance, and others that help 167 00:12:34,320 --> 00:12:40,400 Speaker 2: manage undropause or maybe deal with their low libido. Are 168 00:12:40,480 --> 00:12:44,520 Speaker 2: those the things that you recommend for someone who feels, okay, 169 00:12:44,559 --> 00:12:47,520 Speaker 2: maybe my lowly bido is as a result of dropause, 170 00:12:47,600 --> 00:12:50,480 Speaker 2: And what's your advice to someone who then experiences iven 171 00:12:50,559 --> 00:12:53,600 Speaker 2: lowly bid or do you just quickly because of your 172 00:12:53,640 --> 00:12:57,559 Speaker 2: age decide okay, it could be undropos or just better 173 00:12:57,640 --> 00:12:59,160 Speaker 2: check with your doctor first. 174 00:13:00,720 --> 00:13:05,480 Speaker 3: Like anyone, like before they take anything, either like naturally 175 00:13:05,880 --> 00:13:09,640 Speaker 3: or even supplement, they should check with their doctor first, 176 00:13:09,679 --> 00:13:15,800 Speaker 3: because I remember claiming even those basis and stuff, they 177 00:13:15,800 --> 00:13:20,400 Speaker 3: are not clinically tested, so it's like we don't really know, 178 00:13:21,400 --> 00:13:25,480 Speaker 3: even though like from the feedback from their users, they 179 00:13:25,520 --> 00:13:27,760 Speaker 3: would say no, I'm based works, but then like you 180 00:13:27,840 --> 00:13:33,480 Speaker 3: don't know like the clinical complications or whether it's safe 181 00:13:33,520 --> 00:13:36,960 Speaker 3: clinically or not because it has not been tested and 182 00:13:37,040 --> 00:13:43,200 Speaker 3: their dotage as well, So so what is I usually do? 183 00:13:43,600 --> 00:13:46,840 Speaker 3: So I would test like obvious, like they ould order 184 00:13:46,920 --> 00:13:51,400 Speaker 3: the blood tests and like everything, and the symptoms as well, 185 00:13:51,520 --> 00:13:56,240 Speaker 3: like would assist them and then according to so I 186 00:13:56,320 --> 00:14:00,839 Speaker 3: would manage the low lipid or endroy post based off 187 00:14:02,080 --> 00:14:07,400 Speaker 3: they are individual symptoms or presenting like case presented. So 188 00:14:07,480 --> 00:14:10,880 Speaker 3: for example, like usually like it can be managed because 189 00:14:11,360 --> 00:14:16,720 Speaker 3: they are sectors that interest the risk of androposts besides 190 00:14:16,840 --> 00:14:20,440 Speaker 3: like aging and stuff. For example, if you're smoking, you 191 00:14:20,560 --> 00:14:27,160 Speaker 3: use alcohol, you have diabetes type two you obyes, you 192 00:14:27,360 --> 00:14:33,160 Speaker 3: use anabolic steroids. So those with interase the risk of 193 00:14:34,600 --> 00:14:40,400 Speaker 3: having or of being like in androposts. So you'd first 194 00:14:41,360 --> 00:14:44,440 Speaker 3: deal with a low hanging food, which are like stoking 195 00:14:44,640 --> 00:14:51,560 Speaker 3: as they smoke, smoking physition, stopping alcohol, and managing type 196 00:14:51,560 --> 00:14:57,800 Speaker 3: two diabetes and reducing weight. They are before like any 197 00:14:57,960 --> 00:15:00,440 Speaker 3: supplement or like cation. 198 00:15:00,920 --> 00:15:01,760 Speaker 1: M m okay. 199 00:15:02,040 --> 00:15:06,960 Speaker 2: Another question on the WhatsApp lind systement men boobs also 200 00:15:07,040 --> 00:15:09,760 Speaker 2: due to this so called male menopause. 201 00:15:11,960 --> 00:15:15,400 Speaker 3: No, like, they are not from that like usually they 202 00:15:15,400 --> 00:15:22,040 Speaker 3: are due to escorting dominance. Escorting usually it's a female 203 00:15:22,200 --> 00:15:25,760 Speaker 3: HOMEONWN so it's more dominant like in female because for 204 00:15:26,120 --> 00:15:30,840 Speaker 3: female sexual characteristics and stuff, so it's not supposed to 205 00:15:31,000 --> 00:15:36,600 Speaker 3: be high in men. So when their levels of escrogens 206 00:15:36,600 --> 00:15:40,000 Speaker 3: are high, so you develop books because those are like 207 00:15:40,440 --> 00:15:47,160 Speaker 3: female characteristics as well sexual characteristics like boobs and other characteristics. 208 00:15:47,720 --> 00:15:49,040 Speaker 1: Here's what's up. Let's come through. 209 00:15:49,480 --> 00:15:54,720 Speaker 4: Well Gant, well done. This is the most interesting thing 210 00:15:54,920 --> 00:15:58,840 Speaker 4: I have learned this week. Thank you for having this 211 00:15:59,040 --> 00:16:03,440 Speaker 4: topic and the doctor there is actually doing such a 212 00:16:03,480 --> 00:16:05,120 Speaker 4: great job explaining it. 213 00:16:06,720 --> 00:16:08,200 Speaker 1: Thank you, thank you so much. 214 00:16:08,720 --> 00:16:12,160 Speaker 2: Oh, thank you for that. I know some people are also 215 00:16:12,160 --> 00:16:16,880 Speaker 2: texting and saying, actually, we didn't know about andropause. Let's 216 00:16:16,880 --> 00:16:22,160 Speaker 2: talk treatment now, dot Stan doosha. Is there anything that 217 00:16:22,480 --> 00:16:25,720 Speaker 2: men can take, any treatment medication that can take care 218 00:16:25,760 --> 00:16:28,000 Speaker 2: of it? Or is it something that they would have 219 00:16:28,040 --> 00:16:29,520 Speaker 2: to learn to live with? 220 00:16:31,440 --> 00:16:37,280 Speaker 3: So Clement, Like you know, as I mentioned that lifestyle 221 00:16:37,440 --> 00:16:42,440 Speaker 3: changes the number and like fess line like treatment and 222 00:16:42,480 --> 00:16:47,160 Speaker 3: then as well as behavioral there are PI treatment like 223 00:16:47,280 --> 00:16:53,040 Speaker 3: going to a psychologist or psychiatrist for depressed moods and 224 00:16:53,160 --> 00:17:00,640 Speaker 3: irritability and controlling your diet as well. And yeah, medical 225 00:17:00,760 --> 00:17:09,080 Speaker 3: doctors do you like prescribe hormone replacement therapy? However, uh, 226 00:17:09,200 --> 00:17:13,880 Speaker 3: it's not like it's not really like clear the benefits 227 00:17:13,920 --> 00:17:19,399 Speaker 3: benefits am. But then like it also has very like 228 00:17:19,600 --> 00:17:24,000 Speaker 3: a bit scide effects like for example, like complications, but 229 00:17:24,080 --> 00:17:27,879 Speaker 3: for example it can increase the risk of getting heart attack, 230 00:17:28,960 --> 00:17:36,159 Speaker 3: stroke clotting. So yeah, so it's always good to do 231 00:17:36,600 --> 00:17:40,679 Speaker 3: like lifestyle changes first, but then if your symptoms do 232 00:17:40,760 --> 00:17:44,240 Speaker 3: not improve, and then like your doctor can weigh the 233 00:17:44,320 --> 00:17:56,800 Speaker 3: benefits and the the cons of of taking hr TA. Okay, 234 00:17:56,960 --> 00:18:01,199 Speaker 3: just just just to add one thing more before, yeah so, 235 00:18:01,760 --> 00:18:06,719 Speaker 3: as well as because when you inject testesterone like that 236 00:18:06,800 --> 00:18:10,000 Speaker 3: means it's an exogenous test a storm, it's not an 237 00:18:10,080 --> 00:18:15,040 Speaker 3: endogenous That means like your body doesn't recognize it as 238 00:18:16,200 --> 00:18:20,240 Speaker 3: yeah so, like it won't have like the same effect 239 00:18:20,640 --> 00:18:24,360 Speaker 3: or impact as your own like natural testesterone. 240 00:18:24,600 --> 00:18:25,280 Speaker 1: Okay, got it. 241 00:18:25,359 --> 00:18:27,920 Speaker 2: Doctor all way to son Dosha, thank you so much 242 00:18:27,960 --> 00:18:29,680 Speaker 2: for such an insightful chat. 243 00:18:29,680 --> 00:18:30,720 Speaker 1: I really appreciate your time.