Huberman Lab

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Essentials: Tools for Hormone Optimization in Males | Dr. Kyle Gillett

Explore episode Jul 2, 2026
Health & Fitness
How to Start Testosterone Therapy Correctly

Essentials: Tools for Hormone Optimization in Males | Dr. K… · Jul 2, 2026 Health & Fitness

A physiologic starting dose is 100–120 mg/week of testosterone cypionate or enanthate, divided into every-other-day or three-times-weekly injections. Warning signs requiring close monitoring include acne, hair loss, mental status changes, lipid shifts, cardiovascular risks, fertility issues, and elevated hematocrit.

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Fadogia Agrestis

At 26:48 · chapter starts 24:52

Fadogia agrestis is introduced as a plant genus that stimulates testosterone production by increasing LH release from the pituitary — acting upstream of the Leydig cells rather than mimicking LH directly. Huberman raises the toxicity concern he has heard about, and Gillett addresses it head-on: a rat study showed dose-dependent increases in the pro-inflammatory markers GGT and alkaline phosphatase at higher doses, but at the human-equivalent dose of 300 mg/day, no toxic effect was observed. He notes the important caveat that rodent toxicity doesn't always translate to humans, but recommends 300 mg/day as a conservative safe ceiling. A practical alternative he uses with his own patients is 600 mg taken three times per week (e.g., Monday, Wednesday, Friday), spreading out the exposure.

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