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.

Where this was said

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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