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

The Leading Men's Health Forum for Testosterone Optimization & Hormone Wellness

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 Conflicting information, outdated medical advice, and unqualified opinions flood the internet.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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The use of 17-hydroxyprogesterone as a biomarker in men seeking fertility
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Strategies to increase testosterone in men seeking fertility Kevin Y. Chu , Justin K. Achua , Ranjith Ramasamy ABSTRACT The prevalence of testosterone deficiency is increasing in the adolescent and young adult male population. As the...
Sildenafil, 25 Years Later
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Sildenafil: 25 Years Later – Summary Twenty-five years ago, the FDA’s approval of sildenafil (Viagra) radically reshaped the treatment of erectile dysfunction. Editor-in-Chief of Grand Rounds in Urology, E. David Crawford, MD, sits down to...
Novel therapeutic avenues for kisspeptin
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Novel therapeutic avenues for kisspeptin (2022) Jovanna Tsoutsoukia, Ali Abbarab, and Waljit Dhillo Abstract Kisspeptin is a hypothalamic neuropeptide that acts via the hypothalamus to stimulate hypothalamic gonadotrophin-releasing hormone...
Can Testosterone Therapy Be a Viable Option for Men After Prostate Cancer Treatment?
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Table 1 Guidelines for testosterone therapy in men with prostate cancer Current Evidence and International Medical Organisation’s Guidelines As shown, the guidelines pertaining to testosterone therapy use in hypogonadal men with treated or...
Fluoroless Pulsed Field Ablation of Atrial Fibrillation
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Mansour Razminia, MD, a cardiac electrophysiologist at Northwestern Medicine, discusses the innovative technique of fluoroless pulsed field ablation (PFA) for treating atrial fibrillation. He explains how this ultra-rapid electrical field safely...

5 PROVEN Ways to Fix Low Libido Fast

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In this episode, Dr. Brandon and Dr. Morgentaler discuss the causes of low libido in men, how it affects relationships, and what can be done to regain sexual desire and confidence Chapters: 00:35 The Psychological Impact of Low Libido Dr...
Testosterone and meibomian gland (eyelid) dysfunction
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Abstract The meibomian gland, the largest sebaceous gland of the body is responsible for the biosynthesis of the lipid layer of the tear film to prevent excessive evaporation. The loss of normal functions of the meibomian gland, known as...

Treatment resistant acne

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Hi, Just looking for a second opinion on the cystic acne I’ve been dealing with and a plan to re-introduce testosterone. The back ground is a little long but pertinent, I think. Back in May I started a course of prednisone for an ulcerative...
Ipamorelin Dosage Discussion
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On recent labs, my doctor noted my IGF-1 was on the low end, 105ng/mL (range 88-246). He added 350 micrograms of ipamorelin per day to my current protocol, injected before bed every night. I've been trying to do a bit of research on ipamorelin...

Cold Therapy for Pain Relief and General Health

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Interesting report for chronic fatigue syndrome: https://www.healthrising.org/blog/2024/11/26/cold-exposure-chronic-fatigue-syndrome-fibromyalgia-long-covid/ __________________ Cold therapy, also known as cryotherapy, has shown promising...
Rises in Hematocrit is Associated with An Increased Risk of Cardiac Events in Men Starting Testosterone Therapy
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ABSTRACT Objective Elevated hematocrit (Hct) can result in increased risk of major adverse cardiac events(MACE) in men receiving testosterone therapy (TTh). However, the impact of the magnitude of the change in Hct from baseline after starting...
Potential Causes of Low Testosterone
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Testosterone is more than just a sex hormone. It plays a crucial role in a range of physiological processes, including the development of muscle mass, bone density, and even the modulation of blood sugar levels. While high levels of testosterone...

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