Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate

L carnitine benefits for men: What it can and cannot do for fat loss, workouts, and testosterone signaling

Oct 25, 2025 · 16 min read

L-carnitine can modestly improve endurance style training output and may support sperm motility in selected men, but it is not a guaranteed fat loss or testosterone shortcut. This evidence-based guide breaks down which l carnitine benefits are real, what dose and timeline matter, and how to use it like a structured experiment instead of a ...

7 low testosterone symptoms: Get small daily joys back!

Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate

Oct 23, 2025 · 15 min read

Common low testosterone symptoms in men include low libido, fewer morning erections, fatigue, low mood, reduced muscle and strength, increased belly fat, and infertility, but diagnosis requires symptoms plus two low early-morning blood tests. The American Urological Association (AUA) and European Association of Urology (EAU) recommend diagnosing testosterone deficiency only when persistent symptoms line up ...

Testosterone Сypionate: Relief you can feel, but what about fertility?

Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate

Oct 17, 2025 · 14 min read

Testosterone cypionate can relieve true hypogonadism (diagnosed in men with consistent symptoms plus repeatedly low morning testosterone; AUA guidance uses a total testosterone cutoff around 300 ng/dL, while EAU guidance uses about 12 nmol/L, roughly 346 ng/dL), but it commonly suppresses LH and FSH and can sharply reduce or shut down sperm production. Learn how ...

Enclomiphene: Double testosterone without injections

Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate

Oct 12, 2025 · 13 min read

In randomized trials of men with functional hypogonadism, daily enclomiphene (a SERM) blocks estrogen feedback in the hypothalamus and pituitary to raise LH and FSH. This can increase morning testosterone into or near the normal range, and in some men with very low baseline levels it may roughly double testosterone on labs while sperm counts ...

Low testosterone: 10 quiet signs beyond libido

Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate

Oct 10, 2025 · 16 min read

Low testosterone can show up as a quiet cluster of signs beyond libido, including fewer morning erections, fatigue, increased belly fat, reduced strength, brain fog, low mood, poor sleep, and reduced body hair. Here is how to recognize the full pattern early, what it means medically, and which steps actually move the needle. “Men often ...