hypogonadism

  1. madman

    Mark L. Gordon - The Fallacy of Clinical Laboratory Reference Ranges

    This gives us an OPTIMIZATION WINDOW of 11.8-15.9 ng/dL * over 20 years of the Millennium's clinical observation of patients we have identified that patients within this upper-mid quartile range demonstrate better energy, enhanced cognitive performance, improved metabolic stability and better...
  2. madman

    TRT and non‑major adverse cardiovascular event safety signals: Atrial fibrillation acute kidney injury, and pulmonary embolism

    * This narrative review integrates randomized and real‑world evidence on TRT‑associated AF, AKI, and PE, translates these signals into practical guidance for patient selection and safety monitoring, and outlines key methodological and mechanistic priorities for future research. In contemporary...
  3. madman

    ASRM’s New Guidance on Fertility Preservation: What Urologists Should Know

    In this episode of Better Edge, Robert Brannigan, MD, president of the American Society for Reproductive Medicine (ASRM), discusses key updates from ASRM’s 2026 committee opinion on fertility preservation. Dr. Brannigan outlines what urologists should know about early identification, rapid...
  4. madman

    Shalin Shah - Revolutionising Testosterone Replacement Therapy

    In this episode, Shalin Shah, CEO of Marius Pharmaceuticals and a passionate advocate for testosterone education, shares insights on the misunderstood hormone that impacts both men and women. We dive into myths, testing protocols, treatment options, and the importance of early diagnosis for...
  5. madman

    New Research from Marius Pharmaceuticals Reveals Major Men's Health Awareness Gap: 65% Have Never Had Their Testosterone Levels Tested

    * The survey found that the most commonly reported symptoms over the past year (among those tested) included low energy or fatigue (48%), poor sleep (47%), reduced motivation (34%), low sex drive (28%), mood changes or irritability (27%), brain fog (26%), weight gain (26%), and reduced muscle...
  6. madman

    Predicting Circulating Testosterone Concentrations in Individual Men

    * We devised a formula to calculate predicted total testosterone concentrations, based on meta-analyses of individual participant data from 21,074 men, aged 17-99 years, from nine cohort studies in Australia, Europe and North America of community-dwelling men with testosterone measured using...
  7. madman

    Jessican Colon-Franco (Cleveland Clinic) ICP-MS testimonial

    * Dr. Jessica Colon-Franco is inspired by providing answers to physicians and patients using mass spectrometry. Dr. Jessica Colon-Franco is the Section Head of Clinical Biochemistry and Medical Director of the Special Chemistry Laboratory at Cleveland Clinic. Her clinical laboratory...
  8. madman

    U.S. Department of Health and Human Services through the FDA Requested Updates to Testosterone Therapy Product Labels

    https://www.hhs.gov/press-room/fda-requests-updates-testosterone-therapy-labeling.html The U.S. Department of Health and Human Services, through the U.S. Food and Drug Administration (FDA), announced today that it is requesting updates to the prescribing information for testosterone...
  9. madman

    Is Your ED A Symptom Of Something Deadly? The Truth About Heart & Hormone Health - Roundtable

    Must listen here! Most men think erectile dysfunction is a bedroom problem and low testosterone is just a fact of getting older. This roundtable makes the case that both are early warning lights for your heart, your metabolism, and your long-term health and that ignoring them can cost...
  10. madman

    From Poverty to Medical Pioneer: The Incredible Story of Dr. Abdulmaged Traish

    Powerhouse in the field! In this episode, Dr. Brandon and Dr. Morgentaler welcome Dr. Abdulmaged Traish, world-renowned hormone researcher and professor emeritus at Boston University, to talk about his incredible journey from growing up in a poor village with no electricity or running...
  11. madman

    Enclomiphene Explained: Is It Better Than TRT?

    19:11 Why Enclomiphene Is So Unpredictable * the response is widely variable! Enclomiphene has quietly become one of the most prescribed men's health medications in America. It's marketed as the perfect alternative to testosterone replacement therapy (TRT): an oral medication that increases...
  12. madman

    We've Been Lied To About Testosterone

    In this episode, Dr. Kelly Casperson is joined by urologist and men's health expert Dr. Helen Bernie to discuss why testosterone may be one of the most overlooked biomarkers in medicine. They dive into the surprising links between testosterone, diabetes, cardiovascular disease, osteoporosis...
  13. madman

    When Low Testosterone Is Not Hypogonadism: A Case of Markedly Reduced SHBG in A Young Man

    I have been hammering this home on the forum over the years! Again the only way to know where your FT truly sits is to have it tested using the most accurate assay the gold standard Equilibrium Dialysis especially in cases of altered SHBG! * This case highlights a critical diagnostic pitfall...
  14. madman

    Long-Term Skeletal and Body Composition Responses to Androgen-Based Therapies in Male Hypogonadism

    * We studied 394 men aged 22–76 years with primary (n=132), secondary (n=96), or functional (n=166) hypogonadism treated for up to 7 years with T-gel (1–3 actuations/day; n=168), TU 1000 mg intramuscularly every 10–14 weeks (n=142), or hCG 1500 IU subcutaneously twice weekly (n=84). *...
  15. madman

    Preserved Gonadotropin Responsiveness without Tachyphylaxis during Chronic Kisspeptin-10 Administration in Healthy Men

    * We evaluated, for the first time in humans, whether chronic subcutaneous (SC) administration of kisspeptin-10 (KP10) can sustain gonadotropin secretion without desensitization. * This study provides the first evidence that chronic SC KP-10 administration can sustain gonadotropin secretion in...
  16. madman

    Know What You'Re Measuring: Exogenous Estradiol Monitoring Varies by Measurement Method and Route of Administration

    https://endo2026.endocrine.org/searchGlobal.asp Background Exogenous estradiol (E2) may be prescribed for transgender females and menopausal women. Automated E2 immunoassays are widely used but bias often exists when compared to mass spectrometry (LC-MS) methods. Lack of assay...
  17. madman

    Low FT directly measured using Equilibrium Dialysis is associated with worse sexual function in community-dwelling men

    https://endo2026.endocrine.org/searchGlobal.asp Introduction The association between circulating testosterone (T) levels and male sexual function was found to be stronger for free T than for total T. However, most studies have relied on calculated free T rather than directly measured...
  18. madman

    Reframing the Male Health Mindset

    Dr. Arthur Burnett discusses the way in which men traditionally have approached their health and talks about manners in which they may reframe their thinking.
  19. madman

    Penis Health, What Every Man Needs to Know - Dr. Amy Pearlman

    Most men think erectile dysfunction is a bedroom problem. It's actually one of the earliest warning signs of cardiovascular disease, capable of showing up three to five years before a heart attack.In this episode, Dr. Gabrielle Lyon sits down with Dr. Amy Pearlman, a urologist trained in...
  20. madman

    Do You Have Erectile Dysfunction?

    Erectile dysfunction is a very common condition in sexual medicine, but recognizing the symptoms and finding the right treatment isn't always easy. How do you know where to turn? Ask a Sexpert! In this video, Dr. Helen Bernie unpacks the common causes and symptoms of ED, as well as the various...
  21. madman

    Dr Mohit Khera Offers a Clinician Update on Testosterone Therapy for Men’s Health

    Born for this! https://www.renalandurologynews.com/features/mohit-khera-testosterone-therapy-for-men/ https://www.excelmale.com/threads/once-weekly-hcg-helps-preserve-fertility-in-men-on-testosterone-therapy-largest-study-yet.34086/
  22. madman

    NEW DRUG RELEASE CANADA: JATENZO®: Oral T replacement therapy

    https://canadianhealthcarenetwork.ca/new-drug-jatenzo-oral-testosterone-replacement-therapy
  23. madman

    Diagnosis and Management of Male Hypogonadism - SJHH Medical Grand Rounds

    My neck of the woods. One of the heavyweights in the field! Been at it for decades! Presented by: Dr. Shehzad Basaria Objectives: • To understand the Physiology of the Hypothalamic-Pituitary-Gondal Axis • To become familiar with various Etiologies of Male Hypogonadism •...
  24. madman

    He Lost His Drive. Is It His Testosterone?

    You've watched him pull away and wondered if something is actually wrong with his body — and you were right to wonder. Dr. Arthur Burnett, Johns Hopkins urologist, breaks down exactly what testosterone does (and doesn't) do for men's drive, erections, and mood — and why a basic blood test isn't...
  25. madman

    Understanding the Peptide Movement in Men’s Health, with Larry Lipschultz, MD

    In this episode of Pearls & Perspectives, Amy Pearlman, MD, is joined by Larry I. Lipschultz, MD, to discuss the growing interest in peptides, including their potential applications in men’s health, evolving regulatory landscape, and what urologists need to know as patient demand continues to...
  26. madman

    Testosterone Treatment in Prediabetes and Obesity: Cases and Review of Literature

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  27. J

    Have tried every protocol under the sun. No Libido, ED, good labs

    Good afternoon, I've been on TRT for little over 3 years and have tried every protocol under the sun, without ANY success. I am now in a phase where I realize I might need professional help, so if anyone has any online doctors that they would recommend and are ok with me doing UGL, please let...
  28. madman

    Summary of the EAU Guidelines on SRH recommendations for the measurement of total T and biochemical diagnosis of male hypogonadism

    * Immunoassays show acceptable accuracy for total T but are unreliable for free T measurement [19,20]. * As previously noted, the main limitation of free T evaluation in clinical practice is the poor accuracy of the available immunoassay methods [19]. To address this issue, several...
  29. madman

    Male Fertility and Sperm Health AMA: Dr. Andrew Sun & Dr. Noorhasan Answer Your Questions

    Join us for a live AMA on male fertility and sperm health! Urologist Dr. Andrew Sun (Urology Partners of North Texas) and reproductive endocrinologist Dr. Noorhasan (CCRM DFW) are teaming up to answer your questions — no topic off limits. From semen analysis and lifestyle factors to...
  30. madman

    The interplay between testosterone and depression: bridging research, clinical applications, and health

    * Overall, the available evidence suggests that TRT may provide clinically meaningful improvements in mood for hypogonadal men, particularly those with low baseline testosterone and coexisting depressive symptoms. However, current data do not support its routine use as an antidepressant therapy...
  31. madman

    AUA 2026: Survivor Debate: Best approach to Treating Low T

    * Each speaker presented compelling arguments supporting different testosterone delivery systems, illustrating that no single therapy is universally ideal for every patient. * Importantly, the session reinforced that the true “winner” of the debate was ultimately the patient. Rather than...
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