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Changing the Paradigm Shift of Hormone Optimization – Part 2 – The Tier 1 Mission w/Dr Keith Nichols & Dr Scott Howell with Dr Keith Nichols & Dr Scott Howell

There are many hurdles and roadblocks getting in the way of quality optimization reaching the patients who need it.

How is a lack of physician awareness contributing to this issue?

What are the mechanisms that interfere with androgen metabolism and distribution in the body?

On Part 2 of this episode, Dr. Keith Nichols and Dr. Scott Howell from Tier 1 Health and Wellness continue on the work they are doing to redefine testosterone optimization and how it benefits patients.

If you’re not raising your testosterone levels to exert a response you won’t get a response. -Dr. Scott Howell

In part 2 of the episode, Dr. Keith Nichols shared on the three key metrics that determine the success of testosterone optimization.

We also talked about the importance of focusing on a full picture of wellness when it comes to dealing with testosterone optimization.

We also discussed:

  • Why misinformation and misrepresentation of credentials is so bad for optimization
  • The importance of physicians integrating evidence into their practice
  • Why optimization patients need to have realistic expectations

Three Takeaways

Men focus on the wrong information when it comes to testosterone.

They tend to put all their focus on their appearance and libido, and miss all the other points.

There’s no such thing as ‘high estrogen symptoms‘, or ‘estrogen dominance’, there’s only insulin resistance caused by inflammation (and vice versa).

The 3 critical steps of hormone optimization are:

  1. getting the hormone in a sufficient amount to exert a response
  2. giving it time(patience is critical)
  3. noticeable improvement in symptoms in relation to the hormone’s deficiency.

Guest Bio-

John Keith Nichols, M.D. is the Medical Director and CEO of Tier 1 Health and Wellness, the premier preventive medicine clinic in the Southeast.

Scott Howell, Ph.D. is the Research Director of Tier 1 Health and Wellness, Center for Clinical Research.

He is an epidemiologist, exercise physiologist and mechanical engineer with research interests in the long-term safety of therapeutic androgen use, endocrine disrupting chemicals exposure, and preventative medicine.

For more information, visit

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