Does prednisone increase testosterone

Suppressed Testicular Function ‘Mostly Reversible’ After Steroid Abuse

This article is a collaboration between MedPage Today and:

NEW ORLEANS — Most men achieved near-full recovery of testicular function after stopping abuse of performance-enhancing steroid hormones, according to an observational study reported here.

In a sample of about 100 men, non-users and patients who last used the hormones a mean 300 days prior did not significantly differ in terms of mean sperm output (189 vs 173 million/ejaculate) or measures of pituitary function, including serum luteinizing hormone (LH; 5.2 vs 5.5 IU/L) and serum follicle stimulating hormone (FSH; 4.9 vs 4.7 IU/L), reported Nandini Shankara Narayana, MBBS, of the ANZAC Research Institute in Sydney, Australia.

But not all testicular function returned to normal for past users within the study period, as compared to non-users. Men who had used androgens in the past had significantly lower testicular volume (23.2 vs 18.6 mL) and sex hormone binding globulin (SHBG) levels (42 vs 33.9 IU/L), Narayana reported at ENDO 2019, The Endocrine Society annual meeting.

“Coming off these drugs is difficult, mainly due to the symptoms of hypogonadism,” Narayana said when presenting the findings. “When men stop using testosterone, they experience lethargy, loss of vitality, and sexual dysfunction, as well as loss of muscle mass and strength, the very reason they started using it in the first place.”

Nandini Shankara Narayana, MBBS, FRACP, presents her group’s findings (Photo by Elizabeth Hlavinka)

Christina Wang, MD, of the Los Angeles Biomed Research Institute in Torrance, California, agreed that it’s difficult for men to discontinue androgen use and that this is usually a slow process.

“Unfortunately, the abuser typically doesn’t use just one androgen or two, they keep stacking and stacking levels and they use a very high male hormones or androgens,” Wang, who was not involved in the study, told MedPage Today. “It’s very difficult to withdraw from them.”

Prior reports have estimated that about 6% of men have used anabolic-androgenic steroids globally. Use of these performance-enhancing hormones has ticked upward recently due to their availability online, Narayana said.

For this study, Narayana and colleagues used social media to recruit 41 current androgen users, 21 non-users, and 31 past users, defined as having last used androgens at least 3 months prior to enrolling in the study. Mean age for each group was 35, 33, and 34 years, respectively.

It took a mean 9 months from when the men in the study quit taking androgens for LH levels to return to normal, a mean 14.2 months for sperm output to return, and a mean 18.7 months for FSH levels to be restored, Narayana and colleagues reported.

When asked whether other agents could be used to expedite the recovery process for men with histories of androgen abuse, Narayana told MedPage Today that there are currently no medications prescribed to enhance recovery time. Prior research has investigated the use of human chorionic gonadotropin (hCG) to stimulate the hypothalamic-pituitary-gonadal axis in men with past androgen abuse, but it has produced mixed results.

Some men use hCG, a placental hormone, as a “post-cycle” therapy to increase testosterone production after using androgens. But while hCG can increase testosterone levels, it has showed no benefit in terms of pituitary recovery, Narayana said.

Wang hypothesized that aromatase inhibitors, which are anti-estrogens, may be able to help recover function in the hypothalamus and pituitary glands, which produce FSH and LH. However, she emphasized this has not been evaluated in men with past or current androgen abuse, and said future research was necessary to confirm this idea.

Primary Source

ENDO 2019

Source Reference: Narayana N, et al “Rate and extent of testicular function recovery after ceasing non-prescribed androgen abuse” ENDO 2019; Abstract LB038.

Comment

Is it possible to get back to precycle testosterone levels after doing one steroid cycle?

Yes, but that can take from weeks to months for the body to recover to pre-cycle T levels, depending on Individual body type and genetic disposition.

There is also a very possible chance of the T levels never reverting to old levels at all, and developing Hypogonadism.

This is the reason why people undergo 3–4 week PCT (Post Cycle Therapy) after doing a Steroid Cycle.

Depending upon your blood work results immediately after the the cycle, you will need to consider the following:

  1. If your estrogen levels are elevated due to Aromatization of excess T, you will need to take an AI like Arimidex for 4 weeks
  2. For restoring your natural T levels to normal (because your HPTA axis would have got affected and T production would have been shutdown), you will need to take OTC medication like Nolvadex and/or Clomid for 4 weeks
  3. If you got hit by testicular atrophy due to your steroid abuse, you will need to take HcG immediately for 2 weeks after the Cycle to reverse that

Any natural test boosters suggested after a cycle are mostly useless, and just way for supplement companies to make more money.

6 Ways You’re Ruining Your Testosterone

Here are a few ways you may be lowering your testosterone levels without knowing it:

1. Being overweight. “Waist size has a much bigger impact on testosterone than aging,” says endocrinologist Frances Hayes, MD, an assistant professor of medicine at Harvard Medical School in Boston. “We can’t slow aging, but we can prevent weight gain.” Excess weight can keep testosterone levels low, according to the Society for Endocrinology. Obese and overweight men see the greatest improvement in their testosterone levels if they lose weight with a combination of exercise and a restricted-calorie diet, according to research in the July 2014 Journal of Diabetes and Obesity. Aim to lose at least 15 percent of your weight — an amount that triggers a significant rise in testosterone, according to the results of the European Male Aging Study, which followed more than 2,000 men aged 40 and older for about four years. The results were published in the February 2013 European Journal of Endocrinology.

2. Sitting around. Being physically inactive could also lower your testosterone. When researchers had 30 sedentary young men participate in a 12-week exercise program, they found that the participants’ testosterone levels increased, according to a study in the April-June 2014 Indian Journal of Physiology and Pharmacology. In addition to weight loss, with exercise “men may note improvements in testosterone, bone density, memory, fertility, heart and sexual health, as well as mood,” says Ryan P. Smith, MD, a urologist with the University of Virginia Health System in Charlottesville, Virginia.

3. Using narcotic pain medications. “Continuous use of narcotic painkillers can cause low testosterone,” says Dr. Saadeh. A review article in the May-June 2015 Journal of Opioid Management found a strong link between long-term use of narcotic pain medications and hypogonadism, but cautioned that researchers do not yet know whether there’s a link between chronic pain management and low testosterone. Talk with your doctor about how to stop using these medications, Saadeh advises.

RELATED: 6 Best Foods for Men’s Health

4. Using anabolic steroids. “Use of anabolic steroids for bodybuilding will cause the testes to shut down their testosterone production,” Saadeh says. “This could be permanent, even after discontinuation of these drugs.” When researchers compared weight lifters who used anabolic-androgenic steroids with weight lifters who did not use them, they found an increased risk for low testosterone even after the weight lifters stopped using steroids, according to research in the May 2015 journal Addiction. Make sure you let your doctor know if you’re now using, or have ever used, steroids for bodybuilding.

5. Using hair-loss medications. “Certain hair-loss medications, such as Propecia (finasteride), block the conversion of testosterone into other active metabolites and can cause low libido and sexual function,” Saadeh says. Some people experience persistent symptoms like sexual dysfunction and depression after using finasteride, possibly because of the medication’s effect on testosterone and other hormones in the body, according to February 2015 research in The Journal of Steroid Biochemistry & Molecular Biology.

6. Not getting enough sleep. “Sleep disruption does tend to lower testosterone, and there is a link between obstructive sleep apnea ,” Dr. Hayes says. A review of research underscores the complicated relationship among excess weight, sleep disturbance, and low testosterone, and examines the recommendation that men both lose weight and use a CPAP machine to correct sleep apnea. The research was published in the June 2014 journal Current Opinion in Endocrinology, Diabetes and Obesity.

While researchers untangle all of this, take Saadeh’s advice: “A normal sleep cycle is important.” Try to stick to a regular sleep-wake cycle and get plenty of quality sleep. If you or your partner suspects you have sleep apnea, a condition in which you stop breathing briefly during the night, talk with your doctor.

Testosterone and anabolic steroid abuse – side effects

Testosterone is an endogenous androgenic hormone, or in other words, a male hormone produced in the human body. Anabolic steroids are its synthetic derivatives. These drugs can only be used for therapeutic purposes, including the treatment of osteoporosis. It is estimated that there are currently between 5,000-10,000 anabolic steroid abusers in Finland. They often use these substances periodically to increase muscle mass. The abuse can cause hormonal imbalances and a number of serious medical and psychiatric conditions, including infertility, cardiovascular disease, liver damage and depression.

Medical uses

Both testosterone and anabolic steroids are classed as doping substances under the decree (705/2002) amending Chapter 44, Section 16, Clause 1 of the Finnish Penal Code. They are prescription-only medicines and can only be used to treat medical conditions as authorised by the Finnish health authorities.

These include primary and secondary hypogonadism, anaemias, osteoporosis and a number of chronic conditions associated with protein deficiency and in the event of impaired tissue regeneration. Testosterone is also used in the symptomatic treatment of the male menopause.

Testosterone is administered by injection as testosterone esters (including testosterone propionate, testosterone enanthate, testosterone phenylpropionate, testosterone isocaproate and testosterone undecanoate) and orally as testosterone undecanoate capsules. Anabolic steroids are available in injectable or tablet form.

Abuse

It is estimated that some 5,000-10,000 people in Finland abuse testosterone and anabolic steroids. Anabolic steroid abusers tend to be males aged between 20 and 35. Their key motivation for the abuse is to increase their muscle mass and enhance their appearance. Steroids are additionally used to garner respect in the weightlifting community. Competitive weightlifters use these banned substances to improve their competition performance.

The abuse of anabolic steroids tends to be periodic and intermittent. The periods of abuse range from a few weeks to several months, with breaks of a few months in between. The dose is increased gradually and the use is discontinued in stages over a 1-2 week period. Excessive doses are a feature of abuse.

Side effects: hormonal imbalances

When excessive levels of testosterone and anabolic steroids are introduced to the body, they cause a hormonal imbalance.

In men, this suppresses endogenous hormone production and leads to the structural degeneration of the endocrine organs and glands, including the gonads. The periods of abuse are followed by infertility and loss of sexual function.

In women, testosterone and anabolic steroids cause excessive hair growth, deepening of the voice, reduction in breast size, hair loss, clitoral hypertrophy, acne and disruptions in the menstrual cycle. Some of these changes may be permanent.

Young people who are still developing physically may suffer from stunted growth as a result of testosterone and anabolic steroid abuse.

Side effects: serious medical conditions

When used in excessive doses, both testosterone and anabolic steroids cause harmful changes in cholesterol levels. In the long-term, persistent use will increase the risk of cardiovascular disease and strokes. Steroids restrict the heart’s ability to contract, leaving users susceptible to arrhythmias and sudden death.

In addition, the misuse of these hormone preparations increases the risk of diabetes. Sharing needles to inject them also increases the risk of blood-borne infections, including different types of hepatitis and HIV.

The excessive use of testosterone and anabolic steroids also increases the risk of cancers and liver damage. Anabolic steroids administered orally are more damaging to the liver than if they are injected. Liver disease can vary from temporary minor cell damage and jaundice to malignant hepatic tumours, which even when treated are associated with a poor prognosis.

Side effects: mental health

Testosterone and anabolic steroids also affect the functioning of the central nervous system (CNS), particularly the areas controlling mood, sexuality and aggression.

Some 20-30% of people who consume excessive amounts of testosterone and anabolic steroids exhibit symptoms of psychiatric illness during the intake period, including depression, anxiety, and psychotic reactions including hallucinations, hypomania and cognitive impairment.

Some 30% of people who consume excessive amounts of anabolic steroids exhibit aggressive behaviours, hostility and irritability during the intake period. A number of case reports have argued that the hormones are responsible for impaired impulse control. These include reports of previously stable individuals becoming violent and committing manslaughter following hormone consumption.

The findings of a Finnish population-based study suggest that for people abusing anabolic steroids and testosterone the risk of premature death is 4.6 times higher than for the control group.

Timo Seppälä
Medical Director
Finnish Antidoping Agency (FINADA)

Pirkola & Seppälä (2005): Huumeet ja anaboliset aineet. Nuorten terveys 2000. Kansanterveyslaitoksen julkaisuja, KTL B7 / 2005, 65–68.

Bahrke & Yesalis (2004): Abuse of anabolic androgenic steroids and related substances in sport and exercise. Current Opinion in Pharmacology 4: 614–620.

Hall & Hall (2005): Abuse of Supraphysiologic Doses of Anabolic Steroids. Southern Medical Journal 98: 550–555.

Seppälä & Karila (1996): Suorituskykyyn vaikuttavien aineiden väärinkäyttö. Käytännön Lääkäri 3: 129–135.

Taimela & Seppälä (1994): Voimaharjoittelussa käytettävien anabolisten aineiden haitat. Suomen Lääkärilehti 20–21: 2051–2061.

Karila, Hovatta, Seppälä (2004): Concomitant abuse of anabolic androgenic steroids and human chorion gonadotropin impairs spermatogenesis in power athletes. Int J Sports Med 25: 257–263.

Kanayama, Hudson & Pope (2008): Long-term psychiatric and medical consequences of anabolic–androgenic steroid abuse: A looming public health concern? Drug and Alcohol Dependence 98: 1–12.

Mäntysaari, Karila & Seppälä (2005): Cardiovascular findings in power athletes abusing anabolic androgenic steroids. International Review of the Armed Forces Medical Services 75: 12–15.

Thiblin, Mobini-Far & Frisk (2009): Sudden unexpected death in a female fitness athlete, with a possible connection to the use of anabolic androgenic steroids (AAS) and ephedrine. Forensic Science International 184: e7–e11.

Pärssinen & Seppälä (2002): Steroid use and long-term health risks in former athletes. Sports Medicine 32(2): 83–94.

Pärssinen, Kujala, Vartiainen, Sarna & Seppälä (2000): Increased premature mortality of competitive powerlifters suspected to have used anabolic agents. International Journal of Sports Medicine 21: 225–227.

How do you treat low testosterone?

Disclaimer: This information isn’t a substitute for professional medical advice, diagnosis, or treatment. You should never rely upon this article for specific medical advice. If you have any questions or concerns, please talk to your doctor.

Low testosterone treatment: Testosterone Replacement Therapy (TRT)

The most common way to treat low testosterone is with testosterone replacement therapy (TRT). TRT is available in multiple forms, including as injections, topically (as a patch, gel, or cream), in implantable pellets, or in an oral form. The exact dosage depends on your individual needs and may need to be adjusted over time. Talk with your doctor to determine your proper starting dosage that has the most benefits and fewest side effects.

How does testosterone replacement therapy work?

Think of TRT like a mild form of steroid use—because that’s exactly what it is. The immediate benefits of testosterone replacement can include:

  • More energy
  • Weight loss
  • Stronger sex drive
  • Improved mood

But just like other anabolic steroids, testosterone replacement therapy comes with inherent risks and potential side effects.

Steroids May Cause Low Testosterone Levels

There is no controversy for men who have decrease in libido, decrease in energy levels and a blood test that confirms the diagnosis of low testosterone or low T.  These men can be helped with hormone replacement therapy consisting of testosterone injections, application of topical gels containing testosterone or the use of testosterone pellets inserted beneath the skin.  Treating men with low testosterone levels, who have symptoms of low T, is good medical practice, and the men who are treated are most grateful that testosterone has been prescribed.  These men who are receiving testosterone replacement therapy must have a regular follow-up and have a prostate examination, a test consisting of blood count, a PSA level and perhaps a testosterone level.

Men with Normal Testosterone Levels

I don’t know of any physicians who would condone the use of anabolic steroids, or testosterone like medications, in men with normal testosterone levels, whose only complaint is desire to increase their muscle mass or their athletic performance. The use of anabolic steroids in young men is fraught with danger and can result in permanent hormone deficiency and permanent infertility. Testosterone was first identified in 1935 as responsible for its masculinizing effects, along with the effect of increasing lean muscle mass.

Recently, the illicit use of performance enhancing drugs has become an issue for athletes and those men wishing to increase their athletic performance, their strength and their muscle mass. It is estimated that there are three million anabolic steroid users and abusers. And now, we have found that nearly five to six percent of middle and high school students have in the past or are currently using anabolic steroids. These anabolic drugs are now identified to negatively affect the pituitary (small pea-sized gland at the base of the brain) gland hormones that stimulate the testicle to produce testosterone. These drugs result in prolonged reduction of natural testosterone production and may cause a decrease in production for many months and maybe even permanently in men who have used and abused anabolic steroids.

Most men will return to baseline natural production of testosterone in one to two years, after discontinuing the use of anabolic steroids. There are numerous reports of profound suppression of testosterone in nearly half of all men who have used anabolic steroids. Because anabolic steroids can have a profound reduction in sperm production, men should understand the consequences of anabolic steroid use. That is, if they want to father a child, they need to stay farther away from anabolic steroids.

Bottom Line: Anabolic steroid abuse can affect a man’s production of testosterone and may cause permanent reduction in testosterone production by a man’s testicles. I suggest that all men who might consider using anabolic steroids to take this into consideration before making a bad choice that may affect their health and well-being forever.

Dr. Neil Baum is a physician at Touro Infirmary. He can be reached at (504) 891-8454 or via his website, http://www.neilbaum.com

You can’t buy salvation though men in white offer to sell it to you.

Steroids have come a long way since Dr. John Ziegler introduced Dianabol in 1960 to achieve unprecedented strength gains in older males.

Arthur Saxon had shocked the world at the turn of the 20th century by developing a physique that his contemporaries had only seen in classical sculpture.

Sixty years later, Steve Reeves, one of the last bodybuilders before anabolic steroids were invented, developed such an impressive physique that he was the highest paid actor in Europe at the peak of his career.

Saxon and Reeves: the known limits of natural bodybuildingA few short years later, steroids had completely redefined the boundaries of masculine athletic performance.

Today, there is as much difference between Dianabol and modern anabolic androgenic steroids (and related interventions) as there is between a telegraph and a smartphone.

Ronnie Coleman and Jay Cutler demonstrate the state of the art:

Coleman and Cutler: triumphs of endocrinologyVirilization is not as simple as pressing the “testosterone” button. The human body contains powerful homeostatic adaptations to keep its hormones in optimal proportion, fine-tuned by countless generations of natural selection.

Introducing exogenous testosterone — an unprecedented novelty — upregulates conversion to estrogen, requiring aromatase inhibitors. Excessive testosterone results in excessive dihydrotestosterone, causing an array of unwanted side-effects from acne to prostate cancer, requiring 5α-Reductase inhibitors. And so forth.

The more we squeeze a tube of toothpaste in one spot, the more it bulges in another, requiring a biochemical Rube Goldberg machine to suppress unintended consequences of yet more unintended consequences.

We can’t improve a finely-balanced, complex machine by blowing one of its components out of proportion. A butterfly flaps its wings in a man’s androgen receptors and a hurricane blows through his scrotum.

What does steroid abuse have to do with TRT?

Testosterone Replacement Therapy is steroid abuse in “moderation.”

Testosterone Replacement Therapy is an Orwellian euphemism.

“Replacement” — as if some testosterone had just, you know, gone missing, and is simply being put back where it belongs.

“Therapy” — literally “the treatment of disease or disorder.” Low testosterone is a disease! A disorder!

Reason #1: Nature is working as intended

Every normal human body, male or female, is producing exactly the amount of sex hormones that it needs for its current responsibilities.

Male hormones exist to facilitate traditional masculine responsibilities. As discussed in our earlier article, those specifically masculine responsibilities include protection from physical threats, provision of physical resources, and procreation of physical offspring.

Not protection from social threats. Not provision of social resources. Not social, recreational sex.

These are the traditional feminine responsibilities!

The more men disengage from the physical responsibilities that are their very reason for differing from women, the more they assume feminine responsibilities for which they are, by definition, not as well suited by nature as are actual women.

Women are not as well equipped by nature as men to press heavy weight. But if you put a woman on a rigorous program of pressing, her hormones will adapt, and she may even outperform the men.

Men are not as well equipped by nature as women to navigate palace intrigues. But if you cut a man’s balls off and lock him in a seraglio, his hormones will adapt, and he may even put the next emperor on the throne.

In the dying Roman Empire, eunuchs and women managed palace intrigues. Today we don’t castrate men physically because there are many more subtle methods of driving feminized behavior — methods men don’t even recognize because they were born into them.

Low-fat diets. Forced sitting. Automobiles. Forklifts. Elevators. The list of emasculating innovations is endless. When men don’t need to be masculine, they aren’t.

When men take on feminine responsibilities, masculine hormones become a liability.

As a man becomes older, his responsibilities naturally become more feminine. (Something like the opposite happens in babushkas.) He is less suited to physical challenges due to accumulated physical insults, and more suited to social challenges due to accumulated experience. The younger men take over the masculine responsibilities; the older men bridge the gap between masculine and feminine — a critical responsibility — and this is all carefully choreographed by natural changes in sex hormones.

The human body has been exquisitely adapted to recognize reproductive challenges and fine-tune its hormones, including sex hormones, to suit.

You’re going to override that with a testosterone patch?

Good luck, Nancy.

Reason #2: Your nutrition is a joke

How often have you heard a man say he eats “80% healthy”? That man is 80% full of shit.

Nobody outside of our most successful paleolithic ancestors ever managed to eat 80% healthy. Are you dining on mastodon liver? Auroch brains? You have a valid excuse but you’re still not eating it.

Then how about spoiled fish? Rotten fish with maggots?

The latter was one of the favorite foods of men who grew near seven feet tall, ran down bison on foot and killed them with knives. They would be delighted to meet a man who had learned to eat 80% healthy and would surely offer him the first, choicest bites with apologetic hospitality.

Claiming to understand what foods are healthy today is breathtaking hubris of the starkest pig-ignorance.

Mr. 80% wasn’t there when the human race evolved by concentrating nutrition under far more demanding conditions than we can imagine.

Most of those ancient discoveries are now lost.

Read anthropology, read biochemistry, and understand that we don’t know what we don’t know.

That said, there is a lot the average man could do to patch up his diet. Try that rotten-fish link. Are you eating raw liver? Tripe? Homemade pemmican?

Are you getting healthy fats? Plenty of saturated-, monounsaturated-, and the ideal ratio of Omega-3, Omega-6 and Omega-9 polyunsaturated fats — whatever that ratio might be?

Are you getting fat-soluble vitamins and minerals in quantities far exceeding the laughably inadequate Recommended Daily Allowances?

Try your damnedest to eat 100% healthy and you may, some day, reach 20%.

Until then, you have no business even thinking about exogenous testosterone. You already have two testosterone factories gathering dust in your nutsack.

Reason #3: Your exercise is terrible

Are you squatting, deadlifting, and pressing heavy weight regularly, trying your hardest for progression? Are you carrying half your bodyweight for miles most days? Are you sprinting now and then like your life depends on it?

Congratulations, you’re now getting about 20% as much exercise as the average Native American “voyageur”.

If you’re not fighting off actual predators — animal and human — and carrying all your possessions for a dozen miles at a stretch, while occasionally sprinting from or towards an existential threat to you and your loved ones — you are living a ludicrously softer life than even your recent ancestors.

No wonder so much testosterone needs “replacing.”

Reason #4: Your lifestyle is an insult to your ancestors

Modern American men are lucky to get seven hours of sleep. Their ancestors slept and rose with the sun.

Modern American men are trained from birth to sit down, shut up and pay attention to their (female) minders. Their ancestors learned to survive deadly wilderness by playing all day unsupervised.

Modern American men watch porn, simulating the lifestyle of a helpless voyeur. Their ancestors had actual reproductive sex or didn’t have hetero sex at all.

Modern American men have maybe two children to protect (kinda) and to provide for (by swiping a credit card). When hunter-gatherers have fewer than 5 children each it’s considered a demographic crisis.

And low testosterone is a disease requiring pharmaceutical correction!

Reason #5: Honesty is as important as strength

This might be the most important of all.

How many men are honest and open about steroid use? I can think of only one: Mark Sisson. And even though I disagree with him vehemently on this subject, we all must respect, and learn from, his habits of honest inquiry.

There is nothing but honor in honest experiments. That’s the only way we can truly learn anything.

But for every Mark Sisson, there are thousands of men juicing in the dark. Athletic or not; small doses or large; wherever we can actually measure it, even legal steroid abuse has reached epidemic proportions.

That guy at the gym with 80% of his body mass in his upper body who spends most of his time curling and checking his phone? Juicing.

That guy on Instagram who transformed from a 40-year-old ectomorph on a bike to a comic-book superhero with oak-stump forearms in two years? Juicing.

That swole geezer in the clickbait pic with a long white beard and a body like young Schwarzenegger? Juicing.

What is the consequence of living a lie, and being congratulated for that lie, day after day?

What is the consequence of looking at thousands of men with strength you can’t possibly match and crediting their results to byzantine workouts, superstitious eating and “willpower”?

If our world has a deficit of masculinity, it has an even worse deficit of honesty.

In our world, a man who told the truth about everything would be dead within days. A man who told nothing but lies would have many promising careers open to him.

This is precisely the opposite of the world of our ancestors.

# # #

I promised you 95 reasons, and this is a downpayment. We haven’t even discussed how steroids create hypermasculine bodies and hyperfeminine minds due to uneven testosterone resistance — a catastrophic combination about which more later.

But a word to the wise is sufficient.

The only way to develop an authentic male phenotype is to assume authentic masculine responsibilities.

Eat like a hunter. Lift like a gorilla. Fight like a trench-slogger. Fast long. Gorge hard. Carry your weight and the weight of all the bastards who refuse to carry their own. Wean yourself from physical “comforts” and learn the meaning of true comfort.

Be a man for your tribe — possibly the only man.

In the end, nothing substitutes for necessity. Jerking off is not making babies. But we might at least not confuse the two.

Salvation is earned, not bought and certainly not injected.

When the priests come calling with GMO indulgences for your sins, throw them out the third-floor window and return to your roots.

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