How long does TRT take to work. What are the first steps after a low testosterone diagnosis. Which treatment options are available for low T. When will TRT start showing effects. Are there any potential risks associated with testosterone therapy.

Understanding Low Testosterone and Its Impact

Low testosterone, commonly referred to as “low T,” is a condition that can significantly affect a man’s quality of life. It’s characterized by a decrease in the production of testosterone, the primary male sex hormone. This decline can lead to a variety of symptoms, including:

• Reduced energy levels
• Decreased sex drive
• Mood changes, including depression
• Loss of muscle mass
• Increased body fat
• Reduced bone density

Beyond these immediate symptoms, low testosterone can have far-reaching health implications. Research has shown that men with low T may be at an increased risk for several serious health conditions:

• Heart disease
• Type 2 diabetes
• Osteoporosis
• Metabolic syndrome

Given these potential health risks, it’s crucial for men diagnosed with low testosterone to work closely with their healthcare providers to develop an appropriate treatment plan.

Initial Steps After a Low Testosterone Diagnosis

Receiving a diagnosis of low testosterone can be overwhelming, but it’s important to remember that effective treatments are available. The first steps after diagnosis typically involve a comprehensive approach that may include:

Addressing Underlying Health Conditions

In some cases, low testosterone may be secondary to other health issues. Dr. Ahmer Farooq, assistant professor of urology at Loyola University Medical Center, emphasizes the importance of treating underlying conditions such as obesity, type 2 diabetes, or sleep apnea, which may contribute to low T levels.

Lifestyle Modifications

Many healthcare providers recommend implementing lifestyle changes as an initial approach to managing low testosterone. These modifications often include:

• Adopting a balanced diet low in saturated fats
• Engaging in regular physical activity
• Managing stress levels
• Improving sleep quality and duration
• Maintaining a healthy weight

A 2013 study published in The Journal of Sexual Medicine highlighted the potential benefits of exercise for men with low testosterone. The research found that men who engaged in moderate-intensity aerobic exercise for more than 3.5 hours per week experienced greater improvements in testosterone levels, sexual function, and body composition compared to those who exercised less than 2.5 hours weekly.

Testosterone Replacement Therapy (TRT) Options

When lifestyle modifications alone are insufficient, testosterone replacement therapy (TRT) may be recommended. TRT aims to restore testosterone levels to a normal range, potentially alleviating symptoms associated with low T. There are several forms of TRT available, each with its own advantages and considerations:

Topical Gels

Topical testosterone gels are the most common form of TRT, used by approximately 70% of men undergoing treatment. These gels are applied daily to areas of the body less likely to come into contact with others, such as the inner thigh, shoulder, or armpit. It’s crucial to apply the gel to areas covered by clothing to prevent accidental transfer to others.

Injections

About 17% of men on TRT receive testosterone injections. These are typically administered every 7 to 22 days. Testosterone levels peak 2-3 days post-injection and gradually decline until the next dose.

Patches

Testosterone patches are used by roughly 10% of men on TRT. These can be applied to various body areas, including the back, stomach, upper arm, or thigh. The patches allow for gradual absorption of testosterone through the skin.

Implanted Pellets

A less common option, used by approximately 3% of men on TRT, involves surgically implanted testosterone pellets. These pellets release testosterone slowly over 3-4 months, after which the procedure must be repeated.

Oral Medications

Oral testosterone medications are rarely used due to potential liver-related side effects. When prescribed, they require careful monitoring by a healthcare provider.

Timeline for TRT Effectiveness

One of the most common questions men have when starting TRT is: How long does it take for testosterone replacement therapy to work? While individual responses can vary, there are some general timelines to consider:

Overall Timeline

Dr. Farooq notes that for most men, it typically takes three to six months to see significant improvements from TRT. He emphasizes that patience is key, stating, “Don’t expect a miracle overnight.” The effects of TRT are often gradual and cumulative.

Early Effects

While the full benefits may take several months to manifest, some men may notice certain improvements earlier. A 2011 study published in the European Journal of Endocrinology suggested that effects on libido and symptoms of depression might begin to appear after about three weeks of treatment.

Specific Symptom Improvements

The timeline for improvement can vary depending on the specific symptom:

• Sexual function: May start to improve within 3-6 weeks
• Mood and energy levels: Often show improvement within 3-6 weeks
• Body composition changes: May take 3-6 months or longer
• Bone density improvements: Can take up to 3 years to see significant changes

It’s important to note that TRT is typically a long-term treatment. If therapy is discontinued, testosterone levels are likely to return to their pre-treatment state, potentially causing symptoms to recur.

Monitoring and Adjusting TRT

Effective management of TRT requires ongoing monitoring and potential adjustments to ensure optimal results and minimize risks. This process typically involves:

Regular Blood Tests

Periodic blood tests are essential to monitor testosterone levels and other important health markers. These tests help healthcare providers ensure that testosterone levels are within the desired range and allow for timely adjustments to the treatment regimen if necessary.

Symptom Assessment

Healthcare providers will typically assess the improvement of symptoms over time. This may involve questionnaires or discussions about changes in energy levels, mood, sexual function, and other relevant factors.

Dose Adjustments

Based on blood test results and symptom improvements, the dosage or form of TRT may be adjusted to optimize treatment outcomes.

Monitoring for Side Effects

Regular check-ups allow healthcare providers to monitor for potential side effects of TRT and make necessary adjustments to minimize risks.

Potential Risks and Considerations of TRT

While TRT can be highly beneficial for many men with low testosterone, it’s important to be aware of potential risks and considerations:

Prostate Health

There have been concerns about the potential for TRT to stimulate the growth of existing prostate cancer. While research has shown mixed results, men with a history of prostate cancer are typically not considered candidates for TRT.

Sleep Apnea

TRT may exacerbate sleep apnea in some men. Those with existing sleep disorders should be closely monitored during treatment.

Cardiovascular Risk

Some studies have suggested a potential link between TRT and increased cardiovascular risk, particularly in older men. However, the evidence is not conclusive, and more research is needed in this area.

Fertility

TRT can suppress natural testosterone production and sperm production. Men who wish to father children should discuss fertility preservation options with their healthcare provider before starting treatment.

Skin Reactions

Topical forms of TRT may cause skin irritation in some individuals.

Given these potential risks, it’s crucial for men considering TRT to have a thorough discussion with their healthcare provider about the benefits and risks as they pertain to their individual health status and goals.

Complementary Approaches to Managing Low Testosterone

While TRT is a primary treatment for low testosterone, there are several complementary approaches that can support overall hormonal health and potentially enhance the effectiveness of treatment:

Nutritional Support

Certain nutrients play a role in testosterone production and overall hormonal balance. These include:

• Zinc: Found in oysters, beef, and pumpkin seeds
• Vitamin D: Obtained through sunlight exposure and foods like fatty fish and egg yolks
• Magnesium: Present in leafy greens, nuts, and whole grains
• Omega-3 fatty acids: Found in fish, flaxseeds, and walnuts

Strength Training

Resistance exercise has been shown to have a positive impact on testosterone levels. Incorporating regular strength training sessions into your fitness routine may help support hormonal health.

Stress Management

Chronic stress can negatively impact testosterone levels. Implementing stress-reduction techniques such as meditation, deep breathing exercises, or yoga may help support overall hormonal balance.

Adequate Sleep

Poor sleep quality and insufficient sleep duration have been linked to lower testosterone levels. Prioritizing good sleep hygiene and aiming for 7-9 hours of quality sleep per night can support hormonal health.

Herbal Supplements

Some herbal supplements, such as ashwagandha and fenugreek, have shown promise in supporting testosterone levels in some studies. However, it’s crucial to consult with a healthcare provider before starting any supplement regimen, as these can interact with medications and may not be suitable for everyone.

By combining these complementary approaches with appropriate medical treatment, men with low testosterone may be able to optimize their hormonal health and overall well-being.

After a Low Testosterone Diagnosis: What to Expect

A diagnosis of low testosterone, or low T, can be the answer to a number of concerns you’ve been having — your low energy, the decrease in your sex drive, or feeling depressed. But it also presents questions: Mainly, what happens next?

There’s no quick fix, but your first step is to follow up with your doctor, who may recommend treatment for low testosterone. Aside from causing a drop in your sex drive and energy levels, low testosterone can increase your risk for heart disease, depression, type 2 diabetes, and osteoporosis.

How to Treat and Manage Low Testosterone: First Steps

If your low testosterone is caused by an underlying health condition, such as obesity, type 2 diabetes, or sleep apnea, treating that condition may help improve low testosterone, says Ahmer Farooq, DO, assistant professor of urology at Loyola University Medical Center in Maywood, Ill.

Many doctors also recommend an overall healthy lifestyle as a first approach. But even if you’re prescribed testosterone treatment, diet, exercise, stress management, and other healthy habits are important to keep symptoms of low testosterone at bay as well.

“Eat foods that are low in saturated fat and exercise regularly,” Dr. Farooq says.

A 2013 study published in The Journal of Sexual Medicine found that men who engaged in moderate-intensity aerobic exercise for more than 3½ hours each week had greater improvement in testosterone levels, sexual function, and losing weight and belly fat than men who got less than 2½ hours of physical activity a week.

Treatment Options for Low Testosterone

Treatment for low testosterone may involve hormone replacement therapy. “Essentially, the body is being given the testosterone it’s lost,” says Farooq.

For some men, testosterone replacement therapy can help improve sex drive, ease symptoms of depression, and increase energy levels. Treatment may also boost muscle mass and bone density.

Testosterone replacement therapy is available in several different forms, Dr. Farooq says. The most common form is a topical gel. About 70 percent of men on testosterone replacement therapy apply these gels daily.

“Gels are used in places where men are less likely to come into contact with women or children, such as the inner thigh, shoulder, or armpit,” Farooq says. And the gel should only be applied to areas of the body covered by clothing to avoid contact with others.

About 17 percent of men treated for low T receive testosterone injections every 7 to 22 days. Testosterone levels peak two to three days after the injection and then slowly drop until the next dose of the hormone is given.

There are also testosterone patches that men can use. These patches can be placed on areas of the body such as the back, stomach, upper arm, or thigh. About 10 percent of men with low testosterone use the patches. The skin absorbs the testosterone, which is slowly released into the bloodstream.

An uncommon option, used by no more than 3 percent of those men being treated for low T, is implanted testosterone pellets. Over the course of three to four months, the pellets slowly release testosterone into the body. The procedure must then be repeated.

Only rarely are oral medications used to treat low T because these medications have potentially harmful side effects to the liver.

When Will Treatment for Low Testosterone Start Working?

For men who are prescribed testosterone replacement therapy, it usually takes three to six months to work, Farooq says.

“Some men may see improvement sooner, but for most men it’s a gradual process,” Farooq says. “Don’t expect a miracle overnight.”

Research published in 2011 in the European Journal of Endocrinology, however, suggested that the effects of testosterone replacement therapy on men’s libido and symptoms of depression may begin after three weeks.

Treatment for low testosterone is an ongoing process and usually will continue long term. As with many other chronic conditions, if you stop the therapy, the problem returns — your testosterone levels will drop back down to below-normal levels.

Potential Risks of Low Testosterone Treatment

The number of men using testosterone replacement therapy in the United States has increased dramatically over the past several years. Several short-term studies have shown it to be an effective treatment in appropriately selected individuals, but the long-term effects remain unclear.

Like any other medication, testosterone replacement therapy carries certain risks. Although research has shown mixed results, it could possibly stimulate growth of existing prostate cancer. Men who’ve been diagnosed with breast cancer or prostate cancer aren’t candidates for testosterone replacement therapy, Farooq says.

Testosterone replacement could also contribute to sleep apnea. Farooq says that men should be screened for sleep apnea before receiving treatment for low testosterone. Treatment for low testosterone could also limit sperm production, cause your body to make too many red blood cells, or lead to acne or enlargement of the breasts.

“It’s important to look at a man’s low testosterone levels and weigh the risks and benefits of treatment,” Farooq says. He also says that bringing your spouse or partner with you to checkups can help if you feel apprehensive about discussing your concerns or symptoms with your doctor.

When to Schedule Follow-Ups With Your Doctor

“During the first year of treatment for low testosterone, men are usually seen every three months to check their blood and testosterone levels,” Farooq says. Among the tests you can expect are the prostate-specific antigen (PSA) screening test for prostate cancer and blood tests to measure lipids, liver function, and red blood cell count.

“If you’re healthy after one year, follow-up visits may be spaced out to every six months,” Farooq says. “It’s important to make sure you’re not developing any of the potential side effects of treatment.”

A Man’s Guide to TRT: Everything You Need to Know

What It’s Like to Inject Yourself

Afraid of needles? Don’t worry, injections are not nearly as petrifying as they may seem at first. We’re not trying to sugarcoat this process, because injections are certainly a hurdle for many beginners on TRT. Even those who have been on TRT for years still have a little apprehension when it comes time to inject themselves. 

In reality, though, the gauge of the needle is very small when injecting testosterone; once you get past the initial puncturing of the skin, the needle will glide smoothly into your muscle tissue without much sensation at all. The best advice is to take deep breaths and be steady when inserting the needle.

Intuitively, you might just think that jabbing the needle in as fast as possible will bypass any sort of sensation you might feel, but that’s also not a very controllable approach. Use a firm grip on the barrel of the syringe, breath, and firmly penetrate your skin. The needle will smoothly glide into your muscle, at which point you will apply pressure to the plunger and dispense the testosterone.  (Your muscle might twitch slightly but it’s not a painful sensation for most people, more so a reflex.)

The entire injection process generally takes no more than 15 seconds. Always be sure to maintain a sterile environment. Wipe the injection spot with an alcohol wipe beforehand to disinfect the skin and do not reuse needles or syringes as this greatly increases the risk of infections.

When you inject testosterone, you’re putting a depot of oil into muscle tissue which is slowly dispersed into the bloodstream (for several days, or even weeks, depending on the ester). As a side effect of this, you might experience injection site soreness for a few days after the fact. Don’t worry, though; this is completely normal and subsides on its own. Massaging the muscle and applying a warm gel pack for 5-10 minutes can also help alleviate any soreness or stiffness at the injection site. 

Do I Have to Inject Myself on TRT?

If you have trouble injecting yourself, GameDay Men’s Health offers in-and-out injection appointments to our TRT patients. This is the most common option for many newcomers to TRT since you can just close your eyes and let us do the injection for you.

You may also ask a friend or family member to help with the first few injections if you prefer to do them at home. 

In the long-term, it behooves you to become comfortable with doing TRT injections by yourself.  It’s not always practical to find someone to inject you, especially if you live alone or want to maintain privacy about your TRT.

Just breathe and relax, you got this.

How Long Does Testosterone Take to Work?

Your first round of testosterone is an important step toward achieving your dream body. But how long does testosterone take to work? Let’s find out!

One of the most common questions we receive from patients is: How long does testosterone take to work?

Unfortunately, there isn’t really a black and white answer to this question. Most physicians assert that patients will experience improvement within 4-6 weeks.

But, like most treatment procedures, Low Testosterone Treatment (TRT) is dependant on the individual.

Since this answer is a little ambiguous, we will discuss the signs of testosterone kicking in.

After TRT, patients typically experience similar responses from their bodies. When you start having these experiences, it’s likely your treatment is beginning to kick in.

Read on to learn what to look out for to know when your TRT is working.

How Long Does Testosterone Take to Work: Timeline

Improved Sex Drive and Better Quality Sleep

The first two signs to look for is an improved sex drive and the ability to sleep better at night.

The frequency of erection and ejaculation increases usually around the 3 week mark. However, sometimes it can occur a little sooner or later as well.

Around 12-21 weeks, men are expected to experience steady levels of frequency with ejaculation. Also, around the 3 week mark, men also experience a stronger libido and have more sexual fantasies.

Restlessness among men with low testosterone is common. It prohibits the brain from falling into a deep sleep cycle.

During the early stages of TRT, men typically feel less anxious and more relaxed. This allows them to fall into better sleep patterns.

Better Mood

After a consistent improvement in sex drive and sleep, a patient’s mood changes.

Low testosterone in men often causes them higher levels of depression than others. However, around the 6 week mark of TRT, patient’s mood increases significantly.

Men tend to continue feeling less anxious and unclear throughout this period. They are much less irritable and also experience greater levels of sociability.

Their sexual performance also continues to increase. This can cause greater levels of comfort to men, further curbing a bad-tempered mood.

Change in Body Structure

When patients ask ‘How long does testosterone take to work for body development?’, the answer varies.

But, after falling into a better mental state, men usually notice more changes within their bodies.

This is when they will begin to see changes in fat mass, lean body mass, and muscle strength.

Also, their exercising ability is expected to increase around this time. This also attributes to changes in body development.

These core changes will continue to develop over several months. However, patients see early developments in body structure around the 3 month (or 12 week) mark.

Internal Benefits

Men begin to experience internal benefits around the time their body structure adjusts.

They are able to have more control over their eating habits, and blood sugar levels.

Men begin to see a decrease in blood pressure. This leads to a decrease in serious health threats such as stroke or heart attack.

Cholesterol levels begin to balance out around this time. Patients experience lower levels of LDL Cholesterol and higher levels of HDL Cholesterol.

Several Months Into Treatment

Bone density will continue to develop several months after the initial treatment.

Patient’s Prostate-Specific Antigen (commonly referred to as PSA levels or prostate levels) will increase around this time as well.

Having too high of PSA levels is dangerous for men as it increases their risk for prostate cancer.

Often times, testosterone treatment is considered negative when examining prostate levels. (This is, in fact, inaccurate and shouldn’t dispel a person from receiving treatment.)

Low testosterone treatment helps find a steady balance within prostate levels.

A Year After Treatment: What Can I Expect?

After a year of TRT, men tend to experience the full benefits of treatment.

Patient’s mental state is much more balanced and their brains are able to think much clearer. They are much more positive, happier, and see an increase in their overall well-being.

Their sleep habits are fully restored. This also boosts morale and greater feelings of enjoyment.

Men’s sex lives reach a peak, and they continue to experience great levels of sexual intimacy. Not only does sexual desire increase, but their physical attractiveness continues to develop.

Men will see continued growth in their muscle strength and have much stronger bones.

Their lean body mass is much more developed than it was at the 3-month mark. This leads to a reduction in overall body fat.

Prostate levels do not continue to grow after its initial spike. They have leveled out at this point in treatment.

Blood pressure, cholesterol, and triglyceride levels are also at a healthy state. Lastly, patients will see increased red blood cell formation.

Important Reminders During Low Testosterone Treatment

Upon receiving treatment, you must remember that TRT is not an overnight process. You aren’t going to wake up the next morning with increased body mass and a high sex drive.

Moreso, it’s a gradual process that requires frequent care and attention. Instead of asking “How long does testosterone take to work?”, ask “How is my body processing the treatment?”.

As you see above, most changes occur around the 3-week mark. However, it may not be as noticeable at first.

Remember to stay patient and trust that your body is developing as it should through TRT. Raising your testosterone levels shouldn’t be a race.

Also, it’s likely that treatment won’t be a consistent growth. There will be days and periods when certain elements will start to plateau.

It’s important to not get discouraged and to continue moving forward. It’s completely normal for things to slight infrequency.

Lastly, you need to be in tune with your emotions and what your body is going through. Pay attention to how you’re feeling and be weary if anything feels off (in a bad way).

You may have clicked “How long does testosterone take to work” and expected a direct answer. Unfortunately, this treatment will rely on the individual’s body and their ability to care for it.

Don’t be discouraged by this process. Trust that you are working with a physician who knows what’s best!

Are you interested in low testosterone treatment? Contact us to learn more about our TRT process!

When Will I See ‘Low T’ Treatment Results?

Men diagnosed with low levels of testosterone—often called “Low T”—experience symptoms ranging from lack of energy and productivity, reduced sex drive, depression, and brain fog. Once they’ve decided to get testosterone replacement therapy at our clinics in the Baton Rouge and New Orleans areas, they’re anxious to know when they can expect to notice results.

As you might expect, there isn’t a single answer to the question of how soon a testosterone replacement therapy patient will see results. Several factors influence the onset of the results, including the TRT method used, the specific symptoms being treated, and the patient’s physiological makeup. But studies have identified some general expectations that can help answer patients’ questions.

How soon you’ll notice results primarily depends on the symptoms of low T that a patient is experiencing. In this blog post, we’ll look at the differences between symptoms and how different methods of administering the therapy can also affect how long it takes for results to show up.

Testosterone Replacement Injections

If your primary focus is getting efficient results, testosterone replacement therapy injections are the superior way to provide you with bioidentical hormones. These hormone injections work the same way that your body’s naturally produced testosterone would and are proven to be clinically effective. Injections offer us the most control over your dosage, along with the opportunity to monitor how they are affecting you. Each time you come in for an injection, we can also address any issues or concerns you may have.

For men primarily concerned about a low sex drive or trouble getting erections, the good news is that testosterone replacement injections work most quickly addressing these concerns. Typically, patients will notice results after 3 weeks. Your libido will continue to ramp up for another 3 weeks and then plateau and maintain that level with continued treatments. The changes in erectile function take several more weeks to appear.

You can expect to notice an improvement in mood and reduced depression about six weeks after beginning TRT injections. Patients who want increased stamina and more energy will see results emerge after 3 months. You’ll also notice increased muscle mass and strength coupled with reduced fat between months 3 and 4.

Other Treatment Methods

Alternative treatment methods for testosterone replacement therapy at our Denham Springs, Metairie, and Baton Rouge clinics include pellets and creams. Patients choose these options for various reasons. Pellets, for example, typically last up to 3 months, and patients only need to schedule 4 appointments per year as part of hormone replacement therapy. The drawback is that, unlike injections, the dosage can only be adjusted when replacing the pellets.

Creams, as well as patches, have the advantage of being easily applied. The body absorbs the hormone through the skin, but the absorption rate varies from person to person and can be affected by factors such as sweat. They can also be messy and unintentionally transferred to a spouse or child. Patches can cause skin irritation.

Creams, patches, and gels can be effective, but it will take longer to see the results than with testosterone injections. The decision about which method to use is one that can be made after consulting with our specialists.

As you can see, there isn’t a specific day that hormone replacement therapy begins working. The process is gradual—especially if you opt for a method other than injections—and can change as your treatment evolves. A better question might be, “how long will I see the benefits of hormone replacement therapy.” In most cases, the answer is for years to come. You can begin the process now by contacting one of our clinics to schedule your initial appointment: (225) 960-1580 (Baton Rouge), (225) 900-7009 (Denham Springs), or (504) 252-9579 (Metairie).

Is testosterone therapy safe? Take a breath before you take the plunge

Understand the potential risks and consider alternatives before boosting your hormones indefinitely.

Millions of American men use a prescription testosterone injection or gel as forms of testosterone replacement therapy (often referred to as TRT therapy) to restore normal levels of the manly hormone. The ongoing pharmaceutical marketing blitz promises that low T treatment can make men feel more alert, energetic, mentally sharp, and sexually functional. However, legitimate safety concerns linger. For example, some older men on testosterone replacement therapy could face higher cardiac risks.

“Because of the marketing, men have been flooded with information about the potential benefit of fixing low testosterone, but not with the potential costs,” says Dr. Carl Pallais, an endocrinologist and assistant professor of medicine at Harvard Medical School. “Men should be much more mindful of the possible long-term complications.”

The low-T boom

A loophole in FDA regulations allows pharmaceutical marketers to urge men to talk to their doctors if they have certain “possible signs” that mean they could need low T treatment. “Virtually everybody asks about this now because the direct-to-consumer marketing is so aggressive,” says Dr. Michael O’Leary, a urologist at Harvard-affiliated Brigham and Women’s Hospital. “Tons of men who would never have asked me about it before started to do so when they saw ads that say ‘Do you feel tired?'”

Just being tired isn’t enough to seek testosterone replacement therapy. “General fatigue and malaise is pretty far down my list,” Dr. O’Leary says. “But if they have significant symptoms, they’ll need to have a lab test. In most men the testosterone level is normal. “
If a man’s testosterone looks below the normal range, there is a good chance he could end up on TRT hormone supplements — often indefinitely. “There is a bit of a testosterone trap,” Dr. Pallais says. “Men get started on testosterone replacement and they feel better, but then it’s hard to come off of it. On treatment, the body stops making testosterone. Men can often feel a big difference when they stop therapy because their body’s testosterone production has not yet recovered.”

This wouldn’t matter so much if we were sure that long-term hormone therapy is safe, but some experts worry that low-T therapy is exposing men to small risks that could add up to harm over time.

What are the risks of testosterone therapy?

A relatively small number of men experience immediate side effects of testosterone treatment, such as acne, disturbed breathing while sleeping, breast swelling or tenderness, or swelling in the ankles. Doctors also watch out for high red blood cell counts, which could increase the risk of clotting.

Men on long-term using forms of testosterone therapy long term appear to have a higher risk of cardiovascular problems, like heart attacks, strokes, and deaths from heart disease. For example, in 2010, researchers halted the Testosterone in Older Men study when early results showed that men on testosterone replacement therapy had noticeably more heart problems. “In older men, theoretical cardiac side effects become a little more immediate,” Dr. Pallais says.

Some physicians also have a lingering concern that testosterone therapy could stimulate the growth of prostate cancer cells. As with the hypothetical cardiac risks, the evidence is mixed. But because prostate cancer is so common, doctors tend to be leery of prescribing testosterone to men who may be at risk.

For male patients with low blood testosterone levels, the benefits of hormone replacement therapy for men usually outweigh potential risks. However, for most other men it’s a shared decision with your doctor. It offers men who feel lousy a chance to feel better, but that quick fix could distract attention from unknown long-term hazards. “I can’t tell you for certain that this raises your personal risk of heart problems and prostate cancer, or that it doesn’t,” Dr. Pallais says.

So, keep risks in mind when considering testosterone therapy or other therapies . “I frequently discourage it, particularly if the man has borderline levels,” Dr. Pallais says.

Take a cautious approach

A large, definitive trial for hormone treatment of men is still to come. Until then, here is how to take a cautious approach to testosterone therapy.

Take stock of your health first

• Have you considered other reasons why you may be experiencing fatigue, low sex drive, and other symptoms attributable to low testosterone? For example, do you eat a balanced, nutritious diet? Do you exercise regularly? Do you sleep well? Address these factors before turning to hormone replacement therapy for men.

• If your sex life is not what it used to be, have you ruled out relationship or psychological issues that could be contributing?

• If erectile dysfunction has caused you to suspect “low T” as the culprit, consider that cardiovascular disease can also cause erectile dysfunction.

Get an accurate assessment

• Inaccurate or misinterpreted test results can either falsely diagnose or miss a case of testosterone deficiency. Your testosterone level should be measured between 7 am and 10 am, when it’s at its peak. Confirm a low reading with a second test on a different day. It may require multiple measurements and careful interpretation to establish bioavailable testosterone, or the amount of the hormone that is able to have effects on the body. Consider getting a second opinion from an endocrinologist.

• After starting therapy, follow-up with your physician periodically to have testosterone checks and other lab tests to make sure the therapy is not causing any problems with your prostate or blood chemistry.

Be mindful of unknown risks of testosterone replacement therapy

• Approach testosterone therapy with caution if you are at high risk for prostate cancer; have severe urinary symptoms from prostate enlargement; or have diagnosed heart disease, a previous heart attack, or multiple risk factors for heart problems.

• Ask your doctor to explain the various side effects for the different formulations of testosterone. The different treatments include testosterone injections, gels and patches. Know what to look for if something goes wrong.

Have realistic expectations

Testosterone therapy is not a fountain of youth. There is no proof that it will restore you to the level of physical fitness or sexual function of your youth, make you live longer, prevent heart disease or prostate cancer, or improve your memory or mental sharpness. Do not seek TRT therapy with these expectations in mind.

If erectile function has been a problem, testosterone therapy might not fix it. In fact, it might increase your sex drive but not allow you to act on it. You may also need medication or other therapy for difficulty getting or maintaining erections.

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What are the benefits of Testosterone and how long do they take? Page 1 of 0

Often one of the most frequently asked questions for patients starting on testosterone replacement therapy (TRT) is ow long will it take before I feel the benefits?

How long does it take to experience testosterone benefits?

There is no definitive time frame that patients will start to experience the positive benefits of testosterone replacement therapy, but on average 4-6 weeks of starting the program is the most common answer from our patients and the industry as a whole (1,2).

Resolving the symptoms of low T does ways happen at al lab va Your commitment to the dosage sched d following recommendations from your doctor is essential to ensure your program is effective. In fact, your levels can be normalized within a few days, but there is a lag in the symptomatic response since it takes time for the body to normalize.

For patients that have had lo osterone for an extended period of time, an adequate time period must be given to the cells to respond to the new stimulus. There are no sudden effects, but more of a gradual response much like a blister on your foot from walking; your body will grow its response overtime.

Most patients experience positive benefits by the third week of therapy

Just what are the benefits of TRT?

The most commonly reported improvements fr tosterone replacement therapy include increase in lean muscle muscle, strength, improved mood, increase in libido and vitality, better and increased mental focus.

Clinical study: Effects of TRT on men with hypogonadism (low T)

We tracked 14 of our male patients who had hypogonadism (low T) through their initial six weeks of treatment to determine just how long it took them to report a symptomatic improvement in 4 of the above measures. Patients were asked to create a journal over the period of their treatment and in particular note at the end of each week, for 6 weeks, the reported change in 4 markers.

Please note: Percent improvement in the study is measured subjectively. Reported improvement is only accounted if there is at least a 50% improvement in symptom. This is not a controlled study and does not account for the placebo effect.

How long before TRT starts to work: What the science journals say

Scientific literature shows a considerable variation in the time TRT takes to show effects across a range of body functions.

In our n, this is al to the dosage method, type of testosterone used (cypionate, enanthate, proprionate) and method (topical, injection, oral, patch).

A systematic study published in the European Journal of Endocrinology(2) revealed the following results:

Sex drive

Effects on sex drive start to appear after 3 weeks and inrease until 6 weeks when they plataeu and become maintained at t vel. Changes in erections/ejaculations may require up to 6 months.

Improved quality of life

Patients begin to feel positive testosterone benefits on quality of life within 3–4 weeks, but maximum benefits take longer.

Uplifting mood

Depressive moods begin to lift after 3–6 weeks with a maximum after 18–30 weeks. Effec erythropoiesis (the production of red blood cells)are evident at 3 months, peaking at 9–12 months.

Body mass and muscle strength

Effects on lipids (fats) appear after 4 weeks and reach a peak after 6–12 months. Posivite changes in fat mass, lean body mass, and muscle strength occur within 12–16 weeks, stabilize at 6–12 months, but can marginal tinue over years.

Effects on inflammation occur within 3–12 weeks and benefits to bone are detectable after 6 months while continuing at least for 3 years.

Insulin sensitivity may improve within few days, but effects on glycemic control are only obvious after 3–12 months, making it easier for your body to absorb sugars and increase your body’s optimum performance.

Summary

Regardless of the time to experience the positive benefits of TRT, the vast majority experience profound changes in their mental outlook, sense of vitality and physical make-up.

If you have any questions regarding testosterone replacement therapy, or any other bioidentical hormone replacement, get in touch with the medical team to learn how this can improve your quality of life.

If you’re not ready to chat to us, download our book on andropause and learn how to win the fight against declining testosterone.

Alternatively you can read more about the what our testosterone therapy program is.

References

1. http://tctmed.com/ how-long-does-testosterone-take rk/
2. Saad F, Aversa A, Isidori AM, Zafalon L, Zitzmann M, L. Onset of effects of testosterone treatm d time span until maximum effects are achieved. European Journal of Endocrinology. 2011;165(5):675-685. doi:10.1530/EJE-11-0221.

How Long For TRT to Work?

In this article we will address the question of how long for TRT to work.  Many of my patients ask similar questions about how long it is going to take before they see the benefits of testosterone injections or topical testosterone.  The answer really depends on a few different things.  I will say right out of the gate that initially it is going to take about three weeks before you notice the benefits.  However, you may not get the full benefits for almost three months.  In between that time there are a few different things that you want to make sure are optimized and a few different things that can accelerate the benefits.  That’s what most of this article is going to be about. 

So if this interests you keep reading, we are going to get into the details. 

How Long For TRT To Work

Many people starting testosterone replacement therapy wonder how long for their TRT will start to work.   On average I expect people to feel some improvements in about three weeks.   For some it can take longer up to three to six months.  In the case you start feeling better early on, you may not get the full benefits until several months down the road.  Firsts let’s look at  what symptom improvements  you are expecting to see on TRT or testosterone replacement therapy. 

Benefit Timeline of TRT

The main benefits I expect to see when someone has low testosterone and they start testosterone replacement therapy are  increased energy, drive, and mood.  Along with this you will also typically see improvements in erectile dysfunction and libido.  The benefit that most people notice first is with energy mood and drive.  How long it takes depends on:

• If your dose is correct.
• If your estrogen levels are not going up.
• What’s happening with your androgen receptors. 

These three things are important but I also wanted to point out that most of us think a little bit is good, so more is even better.  That’s not always the case for testosterone replacement therapy.  The reason it is not in this case, is tied in with the downstream hormone metabolites of testosterone and other hormones.  If you’re on a high dose of testosterone and your levels are really high,  your enzymes will be saturated.  These are enzymes like alpha five reductase and aromatase.  The alpha reductase turns testosterone into dihydrotestosterone (DHT) and the aromatase makes estrogen or estradiol. The more testosterone in your system the more DHT and estradiol.  These can cause some side effects. 

The Role of Estradiol 

In the case of estradiol, it can diminish the positive effects of the testosterone.  So if you’re getting a lot of estrogen production with the increased testosterone, it may negate some of the benefits.  Sometimes you just decrease the dose testosterone and things even out.  Most people know that high estrogen negates some of the benefits of their testosterone replacement therapy.    What they sometimes forget is that, you have to check the levels at different times.  You have to make sure you check it mid week and several months into the treatment.  Once you get the estradiol optimized, you will see more of the benefits.  A high estradiol will delay the time it takes you to see benefits.  That doesn’t necessarily mean you have to discount the total time and start back from square one.  Once optimized it may take an additional 3 weeks after the estradiol is normalized. 

The Role of Your Dose

The other thing to look at when we’re trying to understand how long this might take for you to realize the full benefits, is your actual dose of testosterone.   The benefits of testosterone replacement therapy are all tied in with the androgenic and anabolic effects of testosterone.  One of the metabolites of testosterone is DHT which has stronger androgenic effects.  Testosterone replacement therapy can lead to higher levels of DHT.  If it gets too high, this can lead to more irritability and anxiety.   The outcome will really depend on how active your enzymes are.   Regardless of your enzymes, higher levels of testosterone will lead to higher DHT levels.  If you are taking it for mood reasons, pay attention to your mood in relation to your dose.  Generally it helps with mood and positive outlook but it can make things worse too. 

If your testosterone levels are still low after you check it six weeks later, your tissues may not be getting fully saturated with those androgens.  In this case, it will take longer than you expect to get to the full benefits.   Typically it’s going to take about two to threes months to get the full benefits if everything is optimized. 

Another thing that is important is the number of androgen receptors.  The main two hormones are testosterone  and dihydrotestosterone.   The dihydrotestosterone binds to the androgen receptor stronger than the regular testosterone.  As you’re saturating your tissues with more androgens from the testosterone replacement therapy that saturation has the effect on the cells and the tissues.   However, if you don’t have very many androgen receptors then you have less tissue saturation.  You can enhance the saturation and shorten the duration of time we expect to see benefits when you have more androgen receptors.   These receptors increase with more resistance exercise and to a lesser extent exercise in general.  The exercise likely creates more androgen receptors in all of your tissues, but it is specifically documented in muscles. 

The last thing i wanted to note is about cortisol levels.  Very high testosterone levels can cause high cortisol.  When your testosterone levels are low you may notice difficulty sleeping and waking up sluggish.  When your testosterone levels get too high the high cortisol can interfere with your sleep.  If you are having more issues with sleep when you start the testosterone that may be a problem.

If you have checked off all these boxes and you are not noticing the benefits of testosterone replacement therapy maybe there’s another problem going on.  That doesn’t necessarily mean you don’t need the testosterone at all.  If your levels started off  low it may be just a piece of the puzzle.  You may feel ten or thirty percent better but you’re still not quite where you think you should.  In this case, there’s probably another thing going on there you haven’t figured out yet.  If all the hormone levels are optimized, you know you have to look at other possibilities to what could be going wrong.

That should answer the question, how long for trt to work.  If you have specific questions about testosterone replacement therapy and how long it might take to work, ask in the comment section below.  If you want a customized plan on optimizing your testosterone replacement therapy, click on the link below to get started. 

90,000 COVID-19 PSYCHOLOGICAL HELP HOT LINE

COVID-19 PSYCHOLOGICAL HOTLINE

On March 23, a hotline was launched to provide free psychological assistance during the COVID-19 quarantine.
Self-isolation is a great challenge for a modern person. The work of the hotline specialists is aimed at providing first psychological aid in a difficult situation.

Consultations are provided by highly qualified specialists with many years of experience in the field of crisis psychology, whose qualifications and the right to provide psychological assistance are confirmed by state diplomas.

1. Free consultation with doctors on coronavirus-related issues. Hotline phone 8 (800) 201-27-45
2. Kazan helpline. Works around the clock. 8-843-277-00-00
3. Helpline for children and parents. All-Russian helpline 8-800-200-01-22
4. Psychologist of GAPOU “Leninogorsk Oil Technical School” Denisova Nailya Fargatovna.

1. Yardam.ru is a site where services, government services, distance learning and top news in one place. “Talk to a psychologist” tab. In this tab, you can find information about psychological services that are ready to help, with a link to their website.
2. Serdesh – Medical and psychological service has existed in the Republic of Tatarstan for 18 years. Until recently, she helped mainly residents of Kazan and consisted of two psychotherapists and five medical psychologists. With the introduction of a single free three-digit telephone number 1377 and the expansion of the service, it will be much easier to receive assistance, first of all, for the rural population of the republic.Consultation can also be obtained via the Internet and in person.
3. Meditation Center “Basis of Basics” – Now it is especially important to feel supported, whether you are alone in an apartment or with all family members 24/7. To do this, the meditation center invites you to all regular online classes.
4. Online Psychologist – Paid individual and family online consultations with a certified psychologist. Daily live streams on Instagram with analysis of questions from clients.

Psychological advice

Every day, the country with a sinking heart follows the roundup of news on the number of victims of the coronavirus. Some reassure themselves that nothing special is happening, and fearlessly attend mass events. Others are seriously worried. Someone travels the whole city in search of medical masks, some stop taking children to kindergarten, and others are locked at home altogether. How to deal with growing anxiety during an unusual epidemiological situation?

Alarm mitigation steps
Find one of the most reliable sources of information.

Irina Smirnova (Crisis psychologist)

When some kind of emergency, non-standard situation arises, anxiety can arise either due to lack of data, or from too much conflicting information, rumors. It is better to choose for yourself some one trusted, reliable source from which you will learn about the current situation. It can be, for example, the Ministry of Health. Do not rush to panic, try to focus on objective criteria: what percentage of the population and where was sick, how many recovered.Every epidemic has a peak and a trough. Look in dynamics if there is already somewhere an improvement in the situation, what are the criteria for recovery.

Discount your features (increased anxiety).

Irina Smirnova (Crisis psychologist)

If you know that you are prone to increased anxiety, then do not rush to find in yourself all the signs of the disease at once. Realistically assess whether you have a fever, cough, or other objective symptoms.

Remember that medical assistance is nearby.

Irina Smirnova (Crisis psychologist)

Even if you are not feeling well now, remember that only a doctor can make a diagnosis. In addition to the coronavirus, there are also “ordinary” SARS, flu. Medical assistance is nearby. There are specially trained people to provide it. And they are all on high alert now to help anyone who needs it. As a person who worked as a psychologist in the Ministry of Emergencies, I was sure of this for sure.

Reflect on stress situations that you have been able to overcome.

Irina Smirnova (Crisis psychologist)

Of course, you have faced difficult situations more than once. However, they managed to overcome them. This understanding can help reduce anxiety.

Elena Ovchinnikova (Psychologist, gestalt therapist, author and host of psychological programs in psychosomatics)

It is important to be able to use your experience of overcoming difficulties.Think about how you deal with stressful situations. Communication with relatives, friends, when it is possible to speak out helps someone. For some, the best way is meditation, for others – sports, walks. Remember which way is yours.

Irina Smirnova (Crisis psychologist)

It is not worth ignoring the emergency, just as there is no need to panic. If, when communicating with someone, you feel that your level of anxiety is increasing, it is better to temporarily exclude such contacts, if possible.Rely on someone who is sane and who calms you down. It may be some kind of public figure on the Internet, for example.

Observe the golden mean.

Elena Ovchinnikova (Psychologist, gestalt therapist, author and host of psychological programs in psychosomatics)

While you are calm about the situation, take adequate precautions: wash your hands before eating or after visiting public places, carry a bottle of disinfectant, etc.d.

Irina Smirnova (Crisis psychologist)

Determine for yourself how long you will, for example, wear a mask or not meet with friends. How do you know that you can return to your normal life 100%? Indicate an approximate time frame for when the situation can be resolved.

Take care of your physical condition.

Elena Ovchinnikova (Psychologist, gestalt therapist, author and host of psychological programs in psychosomatics)

At this time, it is especially important to get enough sleep, engage in moderate physical activity, and eat a balanced diet.This is necessary so that the body can, if necessary, cope with the virus.

Irina Smirnova (Crisis psychologist)

Stick to sleep, rest, drink plenty of water, take a shower, watch your breathing.

Avoid uncontrolled use of sedatives.

Irina Smirnova (Crisis psychologist)

Too much sedatives can lead to unwanted effects.If you absolutely need medication to calm down, it is best to discuss medication and dosage with your doctor.

Learn to switch.

Irina Smirnova (Crisis psychologist)

If you notice that you have been running worrying thoughts for several hours, stop yourself and try to switch to something that gives you positive emotions. Watch a good movie, read a book, play with your child. Life is not limited to just thinking about the virus.

Elena Ovchinnikova (Psychologist, gestalt therapist, author and host of psychological programs in psychosomatics)

If our brain perceives something as frightening, unknown, it exaggerates the degree of risk and gives the impression that this will actually happen or is happening to you. Accordingly, the body’s response to fear is an adrenaline rush. Then your body is under constant stress. And this is important to avoid, because in this state we are very susceptible to any diseases.Our anxious thoughts are very clinging, and the more we resist them, the more they cling.

Contact a psychologist or hotline

for help

Frequently asked questions – Official site LADA

Multimedia systems LADA EnjoY and LADA EnjoY Pro with Yandex.Auto

Do I need internet for LADA EnjoY Pro to work with Yandex.Auto?

For online services – yes. For example, without the Internet, you will not be able to find out about the weather, traffic jams or the situation on the roads. At the same time, LADA EnjoY Pro with Yandex.Auto has features that work autonomously – for example, offline navigation, FM radio, and an audio player.

How to connect the LADA EnjoY Pro multimedia system with Yandex.Auto to the Internet?

The LADA EnjoY Pro multimedia system with Yandex.Auto can be connected to Wi-Fi or to an LTE modem.

For step-by-step connection instructions, see the user guide for your multimedia system, section Communication.

Can I install an application from the App Store or Google Play in LADA EnjoY Pro with Yandex.Auto?

You cannot install third-party applications in LADA EnjoY Pro with Yandex.Auto.

What commands does Alice know?

Alice understands many commands, here are just a few examples.

Navigation control: “Build a route to…”, “Let’s go home!”, “Find on the map…”

Radio control: “Turn on the radio Silver rain”

Widget management: “Show weather”, “Turn on radio”, “Open navigator”.

Get information about the weather, exchange rates, the latest news: “What is the dollar exchange rate?”

Video in motion cannot be played

These are security requirements for all modern multimedia devices, including LADA EnjoY Pro with Yandex.Auto.

How to activate a Yandex account in the LADA EnjoY Pro multimedia system with Yandex. Auto?

Authorization is possible in the device settings:

Open the settings of the head unit, press enter;

Open the camera on your phone and scan the code displayed by the on-board computer.

Follow the prompts and instructions on the phone, after authorization, a confirmation will appear on the GU screen.

Software update for LADA EnjoY Pro multimedia system with Yandex.Auto

Apps are updated when connected to the Internet. Updates are free. You can only be charged for traffic in accordance with your tariff plan. When an update is available, a dot will appear next to the application icon in the navigation bar.

Authorization by several accounts on the multimedia system LADA EnjoY Pro with Yandex.Auto

Unfortunately, there are no multi-authorization functions on Yandex.Auto. In this case, to switch to another account, you need to log out of

accounts in the settings, then enter the desired account.

Is it possible not to use the Ya.Plus subscription, but to listen to music, for example, through Apple Music, or from a USB drive?

Listening to music using Apple Music and any other subscription to the multimedia system via your phone is possible via a Bluetooth connection.Also

you can listen to music from a usb drive using the player. You cannot install third-party music listening applications on your device.

The voice assistant does not respond to commands, the interlocutor does not hear anything during a telephone conversation, but the online functions work and communication directly from the phone works as usual.

We recommend that you contact an authorized LADA dealer for diagnostics.

The browser takes a long time to open, there are significant delays and slow response to user actions.

If the browser works with delays, sites open for a long time, video from video hosting sites is played “jerky” and the video sequence does not match the sound sequence – we recommend resetting to factory settings.

Attention, after the reset, all saved passwords and other user data on the device will be lost.

The USB application does not see the storage device connected to the multimedia system.

Make sure that the USB drive is formatted in a compatible file system format, the size does not exceed the recommended size.

Try to use another, known good USB drive

If a known good USB drive is inoperative, you need to contact the LADA dealer center to diagnose the device.

The control buttons on the steering wheel of the car stopped working.

In the event of a malfunction of the steering wheel control buttons, we recommend contacting an official LADA dealer center to diagnose the multimedia system and peripheral components (steering wheel control panels, wiring harnesses, steering wheel cable, etc.)P.).

Which modem can be used to access the Internet LADA EnjoY Pro with Yandex.Auto?

To provide access to the Internet without a Wi-Fi connection, it is recommended to use an original LADA accessory – an external LTE modem with a SIM card. For information on the terms of purchase and use, please contact the official dealers of LADA.

Compatibility of smartphones with LADA EnjoY Pro with Yandex.Auto.

The manufacturer has checked the compatibility of LADA EnjoY Pro with Yandex.Auto with a list of mobile phones specified in the full version of the user manual. If the Client’s phone is not included in the list and there are complaints and complaints about his work with LADA EnjoY Pro with Yandex.Auto, then the Client is recommended to use a compatible phone from the list. The manufacturer cannot guarantee the operability of Bluetooth in LADA EnjoY Pro with Yandex.Auto with all models of mobile phones of all manufacturers.

Questions and answers

Mult

Unique

Mom

TLC

Russian novel

T24

Living Planet

Viasat History

Viasat Explorer

Viasat Nature

Discovery Channel

Animal Planet

DTX

National Geographic

Da Vinci

TV1000

TV1000 Russian cinema

TV1000 Action

A1

Sony Sci-Fi

TV XXI

Comedy

Russian detective

Cinema House

Illusion +

Drama

Multi-music

Euronews

2×2

Live

# WhoWhere

Estate

Sundress

Kitchen TV

Psychology

Success

Retro

Auto plus

Weapon

Telecafe

TNT4

Saturday

Beaver

Tonus

RU.TV

Russian Music Box

Bridge TV

Chanson TV

Bridge TV Russian Hit

Europa Plus TV

A Minor

Football

KHL TV

MATCH TV HD

FOX HD

FOX Life HD

1HD Music Television

Russia Today HD

Russia Today Doc HD

Our Siberia HD

Sony Channel HD

Nickelodeon

Fan HD

Visiting a fairy tale

o2tv

HEAT

Victory HD

Our Theme HD

Novosibirsk news

Jewelery TV

Through the eyes of a tourist HD

Wildlife HD

Mosfilm.Gold Collection HD

90,000 Turkish TRT holding will attract experts from Mikhail Khodorkovsky

In 2020, the Turkish TRT media holding launched a project for post-Soviet countries – the Internet channel “TRT in Russian”.

The channel shows its version of Russia, different from reality, apparently in a negative direction. At the same time, Turkey continues to assure Russia of friendship and to promote the idea of ​​strategic partnership.

Revision Telegram- Channel “Istanbul Wolf” as part of the “Network of Influence” project conducted an investigation and learned how “TRT in Russian” uses Ukrainian journalists, why the Turkish edition uses the theses of the Russian opposition and how it is connected with all this fugitive oligarch Mikhail Khodorkovsky.

Between 1964 and the 1990s, TRT had a monopoly in Turkish television broadcasting. Now the holding has an impressive network of radio and TV channels throughout the country, as well as three international radio stations. At the same time, the events in which Russia appears, the English-language TRT broadcasts in a rather peculiar way.

In 2020, TRT decided to launch a Russian-language platform, aiming to “bring the voice of Turkey to the whole world”, using the image of Recep Tayyip Erdogan. At the same time, the creators promised that the channel would become “a source of objective and verified information for residents of Russian-speaking countries.”

The channel’s slogan is “We speak the same language”, but there is ambiguity in the news feed. If we are talking about Turkey, the channel mostly talks about the tourism sector, sights and cultural life of the country, and about 30% of publications are devoted to the military-industrial complex of Turkey.

But when it comes to Russia, an “objective” source of information tells about negative events: accidents, problems of citizens, crimes and disasters.

From such information it turns out that everything is not very good in Russia: people are dying, while the authorities do nothing to save their citizens.Other methods of influencing perception are also used, for example, the sound scale – when the talk on the channel comes to Russia, the background music becomes “an amateur”, and during the stories about Turkish military equipment, the music is replaced by a solemn one.

The channel works in contrast: women in labor are dying in Russia, while in Turkey, at this time, doctors are performing unique operations. Turkey plans to create a unique helicopter by 2023, while in Russia a CXT-40 rocket has punched a hole in a residential building in Saratov. There is a fire in a nursing home in Russia, and a Turkish-assembled fire engine entered the top ten in the world.

Examples can be given for a long time, but everyone understands that the presentation of news is rather one-sided. At the same time, the countries are not in a state of enmity, and the Foreign Ministries of Russia and Turkey report on the development of a close partnership.

Friendly relations with Ukraine is one of the main topics of the materials of “TRT in Russian”. The channel calls it a “strategic partner.” TRT editors reiterate that Turkish-Ukrainian relations have been strengthened after the “annexation of Crimea”. If the publications are talking about Ukraine, then not a word is said about the crisis.But on the Russian-language resource one by one there are such headlines: “ Ukrainian woman creates hats and ornaments from flowers” , “” Kiev artist creates Christmas tree decorations from cotton wool. ”

The face of the channel is the Ukrainian journalist Anton Ravitsky, along with Pavel Kazarin is known for his dubious rhetoric towards Russia. He left Ukrainian ICTV on July 3, 2020, and a couple of weeks later he was already accredited in Turkey. And now he tells the audience how it is “in fact” to live in Russia.

TRT is present on YouTube, Facebook, Twitter, Instagram and Telegram, and broadcasts in English, German and Arabic, and plans to launch in Russian in the spring.

Launching is obviously not cheap. The channel’s management has already agreed on financial support. There are rumors that Mikhail Khodorkovsky will be the sponsor of TRT in Russian. Previously, he has already supported opposition publications in the Russian Federation. The interests of the fugitive oligarch and the owners of the media holding coincided: he got a high-quality platform, and they – experts in the Russophobic information space.

Recently, the editors of TRT in Russian have referred to Russian opposition Internet resources. For example, in an interview with Novaya Gazeta, which, according to media reports, is sponsored by Khodorkovsky.

Any information about suspicion of someone in espionage by the Russian authorities is questioned, but if it comes to the same thing, only from Turkey, the information is given without any hesitation.

The topic of “spy mania” in Russia throughout 2020 was raised in the MBKh Media edition, founded by the same Khodorkovsky.

Recently TRT took abstracts from the material of “MBH Media”. This “argumentation” was based on the words of the FBK lawyer (who, apparently, also lives thanks to Khodorkovsky’s investments), as well as Alexey Navalny’s video .

To receive additional resources in three months starting in April, curators must accelerate the project and prove its viability. How to “correctly” submit information, apparently, the editorial staff will prompt foreign agents and “professionals” of subversive activities.

Tramp Stalker 2 (V2), universal, TRT-75

Two-person double-layer tourist tent with a spacious vestibule for things and a skirt for protection from wind and snow. Aluminum alloy arches. The versatile Tramp series.

The Tramp is a versatile camping tent designed for hikers or cycling enthusiasts in the spring, summer and fall. They will be useful to motorcyclists and hunters. Light weight, modern materials, strength, reliability and durability, as well as amazing ease of construction – these tents are perfect for any adventurer!

Main features:

• Really comfortable and logical design allows even a beginner to set up a tent without requiring any additional knowledge and skills.
• The use of high-strength polyester RipStop allows the tent to be lightweight, windproof and non-absorbent.
• The outer awning of the tent is UV resistant.
• The outer awning has a fire retardant impregnation.
• All seams are glued with a special heat-shrink tape that reliably protects the tent from leaks.
• High quality aluminum alloy bows with virtually no permanent deformation and are able to withstand any kind of bad weather.
• Two entrances provide excellent ventilation and comfortable sleep during warmer months.
• The entrances to the sleeping compartment are doubled with high-quality mosquito nets that can protect even the smallest midges.
• The tent is equipped with a windproof (snowproof) skirt.
• The tent is equipped with two ventilation valves.
• The tent is additionally fixed by means of braces with reflective elements, which are clearly visible in the dark.
• Inside the tent there are handy pockets for small items.
• Repair kit included.

Features:

Purpose

Trekking

Type

Double-layer

Season

Spring-Summer-Autumn

Number of seats

2

Design

Number of rooms

Number of rooms

Number of rooms

2

Protection

Water resistance of the awning, mm in.Art.

6000

Bottom water resistance, mm w.st.

8000

Mosquito net

Yes

Wind / snow protection skirt

Yes

Sealing of seams

Glued

Materials

Polyester

Rip 70007 Polyester

Polyester

Rip 70007 DIP

Inner tent

Breathable polyester

Arches and / or poles

Alloy Alu 7006 8.5 mm

Dimensions and weight

External dimensions (LxWxH), cm

300x210x120

Sleeping area) (LxWxH) (LxWx120)

150x210x120

Packaged dimensions (LxWxH), cm

48x21x20

Weight, g

4200

Additional information

…

The Sarzhevsky estate, a recreation complex in Gorno-Altaysk on Biryuzovaya (SEZ TRT “Biryuzovaya Katun”), 1 – reviews, address, phone number, photo – Flamp

The hotel is located on the territory of a special economic zone – everyone is constantly repeating this here and it seemed to me that they are proud of it, apparently not knowing the meaning of this phrase and apparently this explains the toll across the bridge to this very zone. On the territory of the hotel, the landscape design is all clean and well-groomed, there is a playground, but a small one…

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The hotel is located on the territory of a special economic zone – everyone is constantly repeating this here and it seemed to me that they are proud of it, apparently not knowing the meaning of this phrase and apparently this explains the toll across the bridge to this very zone. On the territory of the hotel, the landscape design is all clean and well-groomed, there is a playground, but a small parking lot. From entertainments: a bathhouse, excursions, rafting, bike rental 250r / h, great Chinese stealth, to be honest, the slag is rare, there are gyro scooters too, but they did not use the generally standard set that is present at every step.Restaurant average bill 1000 rub / person without alcohol! In principle, everything is edible, but you can’t lick your fingers, everything is mediocre! We lived in the new Yolki building, the room smells like wood, it’s nice and everything seems to be good, but there is no TV in the room, the audibility is just at a height, you can communicate with neighbors through the wall perfectly without raising your voice, the humidity in the rooms is like in a Turkish bath, radiators are natural no, in the bathroom there is neither a hook nor a bedside table, a toilet, a stall and a sink with a mirror and a shelf for small things. WiFI is absent in principle, the mobile Internet also works intermittently, but this is a question for the operators.Outside the territory, everything is asphalted, lawns are trimmed, souvenir shops, there is a supermarket with everything you need, a couple of establishments so that you don’t get bored in the evenings. An artificial lake with slides, catamarans, sun loungers and other beach paraphernalia – entrance price 350, sunbed 100, slide 100, umbrella also separately. In total, a day costs from 3.5 to 7 thousand rubles per person, excluding accommodation, which is from 1.5 to 2.5 thousand rubles per person. Draw your own conclusions

90,000 Science in isolation: how research teams work in a pandemic

Modern science is an international science.In a pandemic, the best minds of the planet are faced with a unique challenge and are forced to solve a whole range of atypical tasks. About unscientific, but very urgent problems of scientists – in the new material of RIA Novosti.

New format

Research centers in most countries have now imposed severe restrictions, minimizing the number of active staff as much as possible. Almost all leading universities in the world have switched to telecommuting.

The scientific community is adapting, several times more actively than usual, using the means of remote communication and access, which have long become familiar.Most of the current work issues, as noted by scientists, are resolved online without great inconvenience.

However, the lack of live communication with colleagues is strongly affected, especially the massive cancellation of conferences – both on the mental mood and on the speed of work. Scientists admit that the pandemic has left the community in some numbness, but the majority, of course, are optimistic, fully aware of the seriousness of the problem.

“When organizing the work of my laboratories in a remote format, I was faced with the fact that it is not easy for individual colleagues – for some, for example, it is difficult to act outside the team.There are many details that need to be worked out, but I think that now we are morally and technically quite ready to spend up to six months in this mode, “said Igor Abrikosov, a professor at NUST MISIS and Linköping University , .

While settling into new conditions, scientists, as they can, compensate for the inconveniences of isolation. In scientific centers in Europe, for example, special rooms for remote meetings are being created, where one can informally communicate with colleagues over a cup of coffee via the Internet – like classic coffee breaks, which will now be gone for a long time.

CERN on pause

Serious social distancing measures at the European Center for Nuclear Research (CERN) were taken even before the quarantine was declared in Switzerland and France, on the border between which it is located. Clubs, circles and public spaces were closed, the corporate car sharing system was blocked – the staff switched to bicycles.

The vast majority of scientists worked remotely with CERN before the pandemic, so the quarantine did not lead to a complete stop of work.The center continues to provide staff around the world with seamless access to both petabytes of experimental data and software to analyze it.

All projects requiring the direct presence of people are currently frozen. Scientists note that the most acute restrictions have affected the work with “hardware”, that is, the design, assembly and improvement of detectors.

Currently, only a small number of specialists remain on the territory of CERN, ensuring the viability of basic installations and services, while most of the staff had to return to their home countries.Some scientists – for example, some Chinese citizens – have decided not to return home yet, having settled near the Center.

“The TRT detector I am working on has been put into sleep mode. So far, we are working only with a remotely controlled test bench. But in case of emergency situations, I, as an emergency detector expert, with special permission, will be able to cross the border, which is now closed, in order to take measures personally, ”said Daniil Ponomarenko , a postgraduate student at NRNU MEPhI and an employee of CERN .

Another session of experiments at the Large Hadron Collider – the so-called Run 3 – was scheduled for next spring, but scientists have little doubt that it will be postponed. New data on particle collisions, most likely, will not arrive by 2021-22, but somewhat later.

According to scientists, at the moment, the pandemic has already introduced an approximately six-month delay in the plans of the Center. Scientists hope that the restrictions will last no longer than a couple of months, but no one knows their exact date.

We will adjust

In many countries, the virus is already leading to the shutdown of industries important for science. The quarantine in China has caused tangible supply problems for electronics, which has put several R&D centers in Europe into hibernation, indirectly hitting MegaScience as a whole.

Although CERN, the largest laboratory in the world, has practically frozen work, many other large-scale scientific and technical projects – for example, the construction of the SKIF synchrotron in Novosibirsk – are proceeding according to the general schedule, according to experts.

Moreover, some research centers turned out to be quite well adapted to work under quarantine conditions. Automation of processes makes it possible to operate with a minimum of personnel – as, for example, in Hamburg, at the DESY synchrotron and the European X-ray laser XFEL, built with the participation of Russia.

“The other day we had our first fully remote experiment – a great, productive experience.