I was listening to one of Jay Campbell’s podcasts with Dr Rob Kominiarek recently (I think it was this one - https://trtrevolution.libsyn.com/ask-jay-and-jim-why-people-battling-anxiety-depression-need-to-have-their-hormones-checked-wdr-rob-kominiarek). Dr Rob mentioned that some men don’t tolerate test injections due to MAOA deficiencies and slow clearance of catecholamines. He describes patients who have horrible anxiety/panic attacks from TRT.
Does anyone have any more knowledge on this subject? I’m considering TRT but I’m worried I’ll be one of the minority that has this issue. I have problems with anxiety (ongoing) and had panic attacks in the past (very rarely though). My questions -
Has anyone heard about this issue?
Would genetic testing be a good idea before starting TRT?
I’m currently on an SSRI, would this mitigate the effect if I did have the genetic issue he mentioned?
I really don’t want to go through panic attacks by going on test, so any help would be appreciated.