ExcelMale Forum. TRT, Hormones, Peptides, Men’s Health

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Welcome to ExcelMale.com — the most trusted, expert-moderated community for men seeking evidence-based guidance on testosterone replacement therapy (TRT), hormone optimization, and total wellness. Since 2010, we've helped thousands of men take control of their health.

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Why ExcelMale? Evidence-Based Men's Health Information You Can Trust

Navigating testosterone replacement therapy and hormone health can be overwhelming. Conflicting information, outdated medical advice, and unqualified opinions flood the internet. ExcelMale.com was created to cut through the noise — providing a rigorously moderated space where men share real experiences, backed by clinical research and guided by genuine expertise.

Whether you're exploring TRT for the first time, optimizing your current protocol, managing side effects like elevated hematocrit or estradiol, or seeking to preserve fertility with HCG therapy, our community offers the knowledge and support you need. We discuss everything from injection frequency and bloodwork interpretation to lifestyle factors that affect testosterone levels.

"I founded ExcelMale after decades of personal experience with hormone optimization and seeing how difficult it was for men to find reliable, science-based information. Every man deserves access to knowledge that can transform his quality of life."

— Nelson Vergel, Founder & Author of Testosterone: A Man's Guide

Nelson Vergel has spent four decades turning personal health challenges into a mission that's helped thousands of men reclaim their vitality. Diagnosed with HIV in 1985 and then creating a testosterone-based program to reverse wasting syndrome for himself and his peers, he became a pioneer in understanding how hormones affect quality of life—and has been on TRT himself for over 30 years.

A chemical engineer by training, Nelson has served as a key opinion leader for pharmaceutical companies on clinical research strategy, trained clinicians on hormone optimization protocols, and authored definitive guides including Testosterone: A Man's Guide & Beyond Testosterone. He founded DiscountedLabs.com to make lab testing accessible and built ExcelMale.com into a community where men find and share evidence-based answers.

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Enclomiphene versus clomiphene study results
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Among 66 patients, enclomiphene exhibited a median testosterone increase of 166 (vs. 98 ng/dL, P=0.20) with lower estradiol change than clomiphene (–5.92 vs. 17.50 pg/mL, P=0.001). Adverse effects were statistically significantly less frequent...
Patient selection for Aquablation
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https://www.urologytimes.com/view/dr-aaron-bernie-discusses-patient-selection-for-aquablation In this video, Aaron M. Bernie, MD, MPH, discusses which patients may be particularly well suited for Aquablation for the treatment of benign prostatic...
Heavier Men May Require Higher TRT Doses
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We finally have a study that looked at this common question. Effect of Weight on Serum Testosterone Levels with Subcutaneous Testosterone Enanthate in Men with Testosterone Deficiency Introduction Obesity is a common issue among men and is...

Botox for your sexual health.

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Just wondering if anyone out there has tried the botox shots for ED yet, besides me? If you get them thru the P shot trained docs working with Dr. Runnels, they refer to them as "Bocox" shot. There are other plastic surgeons offering them for ED...

Coenzyme Q10 supplementation

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Coenzyme Q10 supplementation: Efficacy, safety, and formulation challenges Abstract World population growth and aging are posing unprecedented challenges in sustaining the health of 9.1 billion people that will be occupying the planet by 2050...
Responses of different doses of testosterone injections on body composition, strength, etc.
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Comment: 125 mg per week was the lowest dose that provided statistically significant changes in lean body mass and fat mass. PAPER ATTACHED Testosterone dose-response relationships in healthy young men. Bhasin S, et al. Am J Physiol...

Why is 200 mg/wk the "upper limit" for TRT?

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I keep seeing people post that 200 mg/wk of test propionate is the upper range for TRT and that anything more than that constitutes AAS levels, with the implication that if you go higher you are abusing the protocol. Why is that, exactly? I'm a...
Newer formulations of oral testosterone: development and liver side effects
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Abstract Introduction Testosterone deficiency is a clinical disorder due to either failure of the testes to produce testosterone or failure of the hypothalamus or pituitary to produce sufficient gonadotropins. Previous formulations of oral...

Stop Sabotaging Your Sex Life: Secrets Every Man SHOULD Know - Dr. Mohit Khera

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Dr. Khera getting real deep here! Nelson's house is where it's at! A must listen here! In Episode 1102, Dr. Mohit Khera, Mark Bell, Nsima Inyang, and Andrew Zaragoza talk about how erectile dysfunction may be an indicator of a much severe...
Testosterone Therapy Today: Clinical Advances & Safety with Dr. Abraham Morgentaler
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Dr. Morgentaler back in action! Listen closely, loved this one! Pros/Cons oral TU (51:24-57:12) * one of the things that the orals have transformed is the concept that you have to have a continually high level of testosterone to get...

A different dosing strategy with bremelanotide (PT-141) yields dramatically better results

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Could microdosing PT-141 (bremelanotide) deliver better libido results than standard doses? Many men find that typical PT-141 doses (500mcg-2mg) produce disappointing or inconsistent effects on libido—but a different dosing strategy involving...
Semen Analysis Optimum Parameters
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Here is a sample semen analysis report (optimum ranges) that I was able to obtain from a friend. Infertility testing: In an evaluation of a man's fertility, each aspect of the semen analysis is considered, as well as the findings as a whole...

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