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#33 - Was die Medizin bei Männern falsch macht | Prof. Kleine-Gunk bei Männergesundheit
< 1 Minute Lesezeit |

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

Dr. Jonathan Apasu

Testosteron Experte von Adon Health

Men die on average five years earlier than women – but why is that? Professor Dr. Bernd Kleine-Gunk, gynecologist and expert in prevention and anti-aging medicine, talks with Dr. Jonathan Apasu about the unequal health opportunities between the sexes. What does truly gender-equitable medicine look like? Why are there 37 professorships in gynecology but only one in men's health? And what mistakes does the healthcare system make in the diagnosis and treatment of men? Topics in this episode:

  • Why men die five years earlier than women
  • Heart attack, depression & osteoporosis: How men are underdiagnosed
  • Why there is no men's doctor – but 37 professorships in gynecology
  • Testosterone, potency & men's health: The hidden path to prevention

If you want to know why men are often overlooked in medicine – listen now! 🎧

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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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In the latest episode of the Men's Health podcast, Andreas Breitfeld, one of the best-known biohackers in the German-speaking world, talks about his journey from complete physical and mental collapse back to focus, energy, and quality of life. In his early forties, he suffered from extreme burnout, hormonal imbalance, word-finding difficulties, and severe exhaustion. Conventional medicine couldn't help him. Through his own research and consistent self-experimentation, he discovered biohacking—at a time when the topic was still virtually unknown in German-speaking countries. In this interview, Andreas reveals the strategies that truly made the difference for him. These include daily cold applications such as ice baths or cold showers, targeted light exposure through sunlight or red light therapy, the targeted use of nutritional supplements like molecular hydrogen, methylene blue, and NMN, as well as effective strength training, a one-meal-a-day diet, and sleep optimization. Particularly interesting: He also explains how he identified and successfully detoxified heavy metal toxicity with the help of regular blood tests. The focus is always on practical application, scientific evidence, and personal experience. This episode is a valuable resource for anyone who wants to understand how to effectively influence energy levels, concentration, regeneration, and long-term health using simple methods. Listen now and find out how biohacking can be not just a trend, but a sustainable path to a better quality of life.

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In this podcast episode, Dr. Jonathan Apasu speaks with Max Madsen, one of the first German bodybuilders to speak publicly and frankly about steroid use and its health consequences. Max offers a unique insight into the bodybuilding scene, recounting how he went from being an active athlete with a doping history to an educator and coach, and why openness and transparency are the only sustainable way to make young people aware of the risks. The episode not only sheds light on the psychological and physical side effects of steroid abuse but also addresses long-term health damage such as hormonal imbalances, cardiovascular strain, organ stress, and mental health issues. Another key point of the conversation is testosterone replacement therapy (TRT), its differences from traditional doping, and its role in men with actual hormone deficiency. Max and Jonathan discuss blood values ​​such as hematocrit, liver and kidney function, cholesterol profiles, and why it is so important to have these regularly monitored by a doctor—even if you don't experience any symptoms. The discussion also highlights the problems within the current healthcare system, where many men with testosterone deficiency are turned away or stigmatized, even though their quality of life is severely impacted. The exchange about modern longevity medications like metformin, Ozempic, and peptides is particularly interesting, as these can be a valuable addition to a healthy lifestyle. Max also shares his current lifestyle, including minimalist training routines, intermittent fasting, a controlled diet, and the conscious use of substances like Ozempic for appetite regulation. The episode provides valuable information for anyone interested in men's health, fitness, hormonal balance, and longevity. It is aimed at both former athletes and men who want to proactively take responsibility for their health. Key topics include: the honest reckoning with steroid abuse in competitive sports, the role of testosterone in quality of life and longevity, medical support during hormone therapies, and the practical application of new findings from longevity research. Anyone who wants to better understand their body and age more healthily will find inspiration, knowledge, and honest, relatable experiences in this conversation.

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