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#17 - Stigmata aufgeklärt: TRT bis Prostatavorsorge | Dr. Tobias Jäger bei Männergesundheit
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#17 - Stigmas Explained: From TRT to Prostate Screening | Dr. Tobias Jäger at Men's Health

Dr. Jonathan Apasu

Testosteron Experte von Adon Health
17

Why do men avoid preventative health checkups? How are erectile dysfunction and heart health related? And why are testosterone levels in the population steadily declining?

In this podcast episode, we speak with Dr. Tobias Jäger, who has specialized in men's health for many years. Together, we discuss the most pressing topics: from prostate cancer screening and PSA tests to dealing with low testosterone and preventative approaches such as nutrition, exercise, and raising awareness. Tobias explains why it's so important to take action early and how men can maintain long-term health through small changes.

If you want to learn how to take control of your health, why nutrition and exercise are the foundation for a healthy life, and what preventative care really achieves – then be sure to tune in! Get expert knowledge directly from practical experience.

🎧 Listen now and learn more about your health!

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Zusammenhängende Posts

#79 - Die Wahrheit über TRT, Peptide & Co. - Adon Health Arzt packt aus | Dr. Regaluto bei Männergesundheit

#79 - The truth about TRT, peptides & co. - Adon Health doctor speaks out | Dr. Regaluto on men's health

In this episode of "Men's Health with Dr. Jonathan Apasu," Dr. Apasu speaks with Dr. Christoph Regalbuto , internist and one of Adon Health's first partner physicians, about modern testosterone replacement therapy (TRT) . Dr. Regalbuto has already treated several hundred men with sometimes severe testosterone deficiency – from exhausted family men to athletic men in their mid-30s who, despite exercise, diet, and sleep, are persistently lethargic, irritable, or weak. A central topic of the conversation is a large study of 133,000 patients , which impressively demonstrates that correctly adjusted TRT not only improves symptoms such as exhaustion, loss of libido, and mental fatigue, but also reduces the risk of heart attack, stroke, atrial fibrillation, prostate cancer , and even overall mortality . The two discuss why this data, while clear, is often slow to be adopted in the medical field—and why many men have unnecessary fears about prostate cancer or heart problems due to misinformation or outdated ideas. Another important point: Many doctors still believe that testosterone deficiency only affects overweight, inactive men. Dr. Regalbuto explains, however, that fit, young men are also frequently affected – and are not taken seriously in traditional practices. This is precisely where modern, evidence-based diagnostics and treatment come into play. The episode clearly distinguishes between medically supervised TRT and steroid abuse ("drugs") in bodybuilding . It explains why the risks often attributed to testosterone in the media stem almost exclusively from supraphysiological scenarios and have nothing to do with reputable TRT. Instead, the therapy focuses on finding a patient's individual "sweet spot" where vitality, mood, and libido are stable and side effects remain controlled. Another focus is the topic of fertility . The two explain why a current desire to have children is a clear contraindication for TRT and what alternatives exist—such as clomiphene, tamoxifen, hCG, or recombinant FSH —to support sperm production. At the same time, the fear of "lifelong dependence" is dispelled: studies show that both the body's own testosterone production and sperm production usually normalize within 9–12 months after discontinuing TRT. Finally, Dr. Regalbuto and Dr. Apasu address a trending topic: peptides such as BPC-157 and TB-500. They explain why animal studies are promising, but why there are hardly any human studies and no approved preparations – and why caution is advised despite potential benefits. This episode provides one of the most comprehensive German-language insights into the topics of testosterone deficiency, TRT, hormone health, heart and prostate risks, fertility, steroid abuse, and peptide therapy . Any man concerned about his long-term health or experiencing symptoms of testosterone deficiency will find well-founded, understandable, and scientifically proven answers here.

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#68 - Was Testosteron wirklich mit dir macht | Dr. Nicole Weirich bei Männergesundheit

#68 - What Testosterone Really Does to You | Dr. Nicole Weirich at Men's Health

In this episode of the podcast "Men's Health with Dr. Jonathan Apasu," urologist and hormone expert Dr. Nicole Weirich discusses the multifaceted significance of testosterone and explains why it is far more than just a symbol of muscles and masculinity. Testosterone influences energy levels, sleep, libido, concentration, emotional stability, and overall performance in men. Nevertheless, many men are often left to their own devices with the explanation that their blood test results are "normal," even though they feel tired, lethargic, or unbalanced. The conversation makes it clear that a thorough diagnosis involves more than just measuring total testosterone. Free testosterone is crucial, as it can be significantly affected by factors such as SHBG, stress, or being overweight. Hormones like LH, FSH, and prolactin, as well as the patient's medical history, also play a central role in differentiating between primary and functional hypogonadism. This episode explores both the causes and modern treatment approaches. While primary forms often require lifelong testosterone replacement therapy, functional causes such as sleep deprivation, stress, or insulin resistance can be positively influenced by lifestyle changes. Dr. Weirich provides a practical explanation of the differences between gels and injections, determining the correct dosage, and the necessity of close medical monitoring. The aspect of fertility is particularly important, as testosterone therapy can affect spermatogenesis and therefore must always be individually tailored. Another focus is on the role of abdominal fat, aromatase, and the conversion of testosterone to estrogen. Visceral fat promotes hormonal imbalances, which can be positively influenced by targeted training, nutrition, and improved insulin sensitivity. The text also explains how the liver and intestines are involved in hormone metabolism, the role of B vitamins, bitter substances, sulfur-containing amino acids, and the gut microbiota, and why the estrobolome is crucial for maintaining a balance of sex hormones. This episode conveys that testosterone should not be viewed in isolation, but rather as part of a complex system involving hormones, metabolism, lifestyle, and psychological factors. Thorough diagnostics, medically supervised therapy, and practical lifestyle measures are the foundation for helping men achieve greater energy, vitality, performance, and quality of life in the long term.

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#33 - Was die Medizin bei Männern falsch macht | Prof. Kleine-Gunk bei Männergesundheit

#33 - What medicine is doing wrong with men | Prof. Kleine-Gunk at Men's Health

Why do men have a life expectancy that is five years shorter than women? While this figure is often accepted as fact, the crucial question remains unanswered: Why isn't it seriously questioned and addressed? If women were the ones suffering the consequences, there would likely already be large-scale research programs, political measures, and targeted health initiatives. But when it comes to men, much is overlooked, and the healthcare system fails to acknowledge the specific risks and challenges. A key problem is the lack of a structured healthcare system for men. While women benefit from having a consistent medical contact person and their gynecologist plays a crucial role throughout their lives, there is no comparable system for men. There is only one professorship in men's health in Germany, compared to 37 in gynecology. Men visit the doctor less frequently, and when they do, it is usually only after serious symptoms have already developed. Preventive measures that could detect and treat illnesses early are rarely used or simply not offered. This deficit is particularly serious in the case of mental illness. Depression is often considered a typical women's illness because the diagnostic criteria are geared towards classic symptoms such as withdrawal, sadness, and lack of motivation. However, men often exhibit depression differently, for example through outbursts of anger, excessive physical activity, or addictive behaviors. These symptoms do not fit the common picture of depression and are therefore often overlooked or misinterpreted. The result is a suicide rate that is three times higher in men than in women. Instead of receiving timely help, the illness remains undetected until it is too late. Other medical fields also demonstrate that men are often disadvantaged. Osteoporosis is almost exclusively considered a women's disease, even though men are also significantly affected. Hip fractures are a clear indicator of bone loss, yet the risk in men remains largely ignored. A similar situation exists with prostate cancer, which is among the most common cancers in men but receives significantly less research funding than breast cancer. While comprehensive early detection programs are established for women, comparable measures are lacking for men, even though mortality rates are similarly high. Another major problem lies in the lack of prevention. Men have a significantly higher risk of cardiovascular disease and suffer heart attacks on average ten years earlier than women. Nevertheless, there are no targeted prevention programs that educate men early on and promote regular checkups. Many health problems could be avoided if early testing for testosterone deficiency, bone density, or heart health were part of routine medical practice. But while women benefit from well-structured preventative programs, corresponding services are lacking for men. The lower life expectancy of men is not an inevitable fate, but rather the result of structural deficiencies and a lack of attention. As long as awareness of men's health remains unchanged, the statistics will hardly improve. In addition to a fundamental transformation of the healthcare system, a shift in societal attitudes is also necessary. Men must learn to take their health seriously, not ignore symptoms, and seek medical help early. At the same time, a medical system is needed that focuses not only on women but also on men and recognizes their specific needs. Men's health must no longer remain a blind spot.

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