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XY Files Podcast

XY Files Podcast

Evidence-based men's health from Veedma, hosted by urologist Vladimir Kotlov, MD. We cover testosterone, sexual health, and longevity, grounded in clinical guidelines, not bro-science. Most low testosterone is reversible, so the focus is finding the cause and restoring your own testosterone before resorting to TRT.

Episodes

Episode 18: Long term TRT management: What to expect

· 21:17

Learn what long-term TRT management involves, including prognosis, monitoring, and who may need lifelong treatment.

Episode 17: When does TRT start working? Timeline and labs

· 20:50

TRT and Enclomiphene can improve symptoms over weeks to months, with follow-up labs confirming response and safety.

Episode 16: TRT formulations: Injections vs gel and dosing

· 21:23

This episode compares testosterone replacement options, dosing, and the tradeoffs between injections and gels.

Episode 15: Alternatives to TRT that preserve fertility

· 21:08

Enclomiphene offers a fertility-preserving alternative to TRT for men with secondary or functional hypogonadism.

Episode 14: Functional vs organic hypogonadism: Key differences

· 21:13

Learn how functional hypogonadism differs from organic hypogonadism and why the distinction matters.