Dr. Alexander Grant is a urologist and researcher specializing in men’s reproductive health and hormone balance. He helps men with testosterone optimization, prostate care, fertility, and sexual health through clear, judgment free guidance. His approach is practical and evidence based, built for conversations that many men find difficult to start.
Most erection trouble in men 35 to 50 comes from blood flow limits, pelvic floor weakness, and stress loops. Hormones matter, but pure low testosterone is the minority driver. “Most guys think erectile dysfunction is only about testosterone. In real life it is usually about circulation, pelvic floor control, or an anxiety loop that shuts […]
Losing about ten percent of body weight can raise testosterone roughly 85 ng per dL. A fifteen percent loss can raise it around 250 ng per dL. Treating sleep apnea and guarding the second half of the night also supports testosterone [1]. Incorporating regular exercise, especially resistance training, can further enhance testosterone levels, complementing the […]
Oral L-carnitine at 1–5 g per day helps move fat into mitochondria—the cell’s power stations—and may raise androgen receptor density in muscle. Watch TMAO, a gut microbe byproduct, by supporting your microbiome and using garlic allicin with higher intakes. For lifters and endurance athletes, L-carnitine is not magic, but the biology is solid. It moves […]
Low testosterone can dull energy, drive, and mood. Treating a true deficiency often helps men re-engage with work, family, and hobbies. “Men often look only at libido. The real low testosterone symptoms: fewer morning erections, low drive, fatigue, weight gain, and slower recovery. When testosterone is truly low, treating it can bring daily life back […]
TRT injections work when dosed in physiologic ranges like about 50 mg twice weekly, yet they also suppress LH and FSH and can drop sperm counts. Know how to dose, test, and protect fertility. “You can feel better on injections fast, but dosing and lab follow up matter. Keep levels steady, watch hematocrit and PSA, […]