Episode 2: Testosterone replacement therapy near me: What to know
February 14, 2026 · 11:32
This episode explains evidence-based TRT: who benefits, necessary testing, risks, and how to find safe local care.
Hormone optimization
Strategies and insights for naturally and medically optimizing key hormones like testosterone, thyroid, and growth hormone. Learn how to fine-tune your hormonal health for improved energy, body composition, and long-term vitality.
Most-read topics as podcast episodes
We only record episodes on the topics readers care about most.
Start here
The essentials for hormone optimization — then explore the latest posts below.
Can Vitamin D impact testosterone?
Dr. Susan Carter, MD: Endocrinologist & Longevity Expert
Oct 28, 2025 · 15 min read
Vitamin D can modestly raise testosterone in men who are truly vitamin D deficient (25-hydroxyvitamin D below 20 ng/mL), likely because the testes contain vitamin D receptors and activation enzymes that may influence Leydig cell testosterone production. Here is how to tell when correcting vitamin D is a meaningful lever. It also explains when low ...
Estrogen in men: Low Estradiol can ruin your TRT therapy
Dr. Susan Carter, MD: Endocrinologist & Longevity Expert
Oct 26, 2025 · 14 min read
Low estradiol can derail TRT even when testosterone looks “normal,” because aromatase converts testosterone into estradiol and some men develop symptoms when estradiol is pushed to the low end (for example, around 20 pg/mL in controlled research using sensitive testing). Learn the key signs, the right lab test to order, and how to fix low ...
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 ...
Navigating testosterone replacement therapy costs: A simple guide
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Aug 09, 2025 · 13 min read
TRT can cost roughly $30 to $200 per month for generic injections (plus supplies) or $50 to $600+ per month for gels and patches, while pellets often run about $600 to $1,200 per insertion every 3 to 6 months. Your total cost is driven mainly by medication type, required labs, follow-up visit model, and insurance ...
Choosing the best testosterone replacement therapy clinic for you
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Aug 08, 2025 · 15 min read
The best TRT clinic is one that confirms true hypogonadism with both symptoms and repeat labs (often a consistently low morning total testosterone, commonly around 300 ng/dL depending on the lab and assay, and/or low free testosterone on an appropriate test) and then matches the dose, delivery method, and monitoring plan to your health risks. ...