KYZATREX®

“Oral testosterone replacement therapy, once avoided due to liver concerns, is now a safe and effective option. Newer formulations bypass liver metabolism, and real-world experience confirms their safety.

This therapy benefits men who prefer non-invasive options, dislike messy gels, or experience elevated red blood cell counts from other TRT methods. The main considerations include a twice-daily regimen with food and a higher cost, as it is currently only available as brand-name Kyzatrex. A low-dose version for women is not yet approved.

As with many of our treatments, I have personally experimented with oral testosterone and found it highly effective, achieving testosterone levels equivalent to what I maintain with injections. That said, I still prefer the convenience of injections a couple of times per week over the twice-daily oral regimen.”

Together, they help optimize energy at the cellular level while lowering oxidative stress — a major driver of aging. The results can be felt in better stamina, sharper cognitive focus, and even improved skin vitality. From executives to elite athletes, many high performers use NAD+ and methylene blue to maintain their motivation, energy, and mental edge.

I personally incorporate an oral daily methylene blue capsule with thrice-weekly NAD+ injections to sustain the energy and drive required to manage a thriving medical practice and demanding schedule.”