madman
Super Moderator
[42:22] — When rising testosterone doesn’t fix symptoms
[43:24] — Free testosterone vs. total testosterone
In this episode, Dr. Jesse Mills, Director of the UCLA Men’s Clinic, joins Mike Haney to explain what’s driving that shift and what today’s data-driven approach to men’s health looks like.
He breaks down the testosterone “revolution,” what’s really happening in low-T diagnoses, and how lifestyle, sleep, and stress management can influence hormones as much as prescriptions can.
They discuss:
What Dr. Jesse Mills & Mike Haney discuss
:[2:10] — How men’s health became its own field
[8:05] — Why younger men are finally talking about sexual health
[12:00] — Testosterone 101: how the system actually works
[18:45] — When low testosterone is reversible through lifestyle
[26:50] — Why we need “forensic endocrinology” to interpret labs
[42:22] — When rising testosterone doesn’t fix symptoms
[43:24] — Free testosterone vs. total testosterone
[52:33] — The importance of PSA screening before TRT
[1:02:18] — Testosterone delivery methods and how they change physiology
[1:06:27] — The hidden risks of testosterone gels[
1:14:51] — The #1 rule of testosterone evaluation: find reversible causes
[1:23:56] — How MRI transformed prostate cancer detection
[1:27:57] — The USPSTF screening mistake and its consequences
[1:31:23] — The emotional weight of prostate cancer uncertainty
[1:41:23] — Why you can’t biohack your way out of medical care
[43:24] — Free testosterone vs. total testosterone
In this episode, Dr. Jesse Mills, Director of the UCLA Men’s Clinic, joins Mike Haney to explain what’s driving that shift and what today’s data-driven approach to men’s health looks like.
He breaks down the testosterone “revolution,” what’s really happening in low-T diagnoses, and how lifestyle, sleep, and stress management can influence hormones as much as prescriptions can.
They discuss:
- How men’s health became its own medical discipline
- What testosterone really does—and how to know if it’s low
- Primary vs. secondary hypogonadism and how to tell the difference
- When testosterone replacement is appropriate (and when it’s not)
- Why younger men are now embracing prevention and optimization
What Dr. Jesse Mills & Mike Haney discuss
:[2:10] — How men’s health became its own field
[8:05] — Why younger men are finally talking about sexual health
[12:00] — Testosterone 101: how the system actually works
[18:45] — When low testosterone is reversible through lifestyle
[26:50] — Why we need “forensic endocrinology” to interpret labs
[42:22] — When rising testosterone doesn’t fix symptoms
[43:24] — Free testosterone vs. total testosterone
[52:33] — The importance of PSA screening before TRT
[1:02:18] — Testosterone delivery methods and how they change physiology
[1:06:27] — The hidden risks of testosterone gels[
1:14:51] — The #1 rule of testosterone evaluation: find reversible causes
[1:23:56] — How MRI transformed prostate cancer detection
[1:27:57] — The USPSTF screening mistake and its consequences
[1:31:23] — The emotional weight of prostate cancer uncertainty
[1:41:23] — Why you can’t biohack your way out of medical care