In this episode, we welcome Alexander Friedrich. He's a bodybuilding coach, expert, and founder of a fitness supplement company, and he has personal experience with testosterone replacement therapy for medical reasons. We discuss testosterone deficiency and what patients often have to go through these days, as well as how Adon Health is finally making medical care accessible to many men. We also talk about the importance of proper training and supplements, and the misuse of testosterone in bodybuilding.
In this episode of the Men's Health Podcast, Dr. Jonathan Apasu speaks with Prof. Dr. Ingo Fietze about one of the most important, yet often underestimated, topics in men's health: sleep. Prof. Dr. Fietze is a physician, internist, pulmonologist, and sleep medicine specialist with over 35 years of experience in diagnosing and treating sleep disorders. In the conversation, he explains why sleep is not just about recovery, but a central pillar of health prevention, longevity, metabolism, and physical performance.
In this episode of Men's Health, Dr. Jonathan Apasu speaks with Daniel Ruppert about ice bathing, cold exposure, cold showers, recovery, stress management, and the health benefits of the Wim Hof Method. Daniel is a certified Wim Hof instructor and shares not only theoretical knowledge but also his personal story: From a successful architect with an extremely high workload and multiple burnout experiences to a life more focused on health, resilience, and conscious recovery.
Testosterone replacement therapy (TRT) is one of the most discussed and misunderstood topics in modern men's health. In this in-depth podcast episode, physician Jonathan Apasu and bodybuilding coach Max Madsen discuss the medical basics, individual differences, and practical experience gained from thousands of patients and athlete interactions.
The central point is the clear distinction that medically indicated testosterone replacement therapy is not doping. The goal is not supraphysiological performance enhancement, but rather the restoration of a healthy physiological hormone balance. This makes it clear that testosterone is far more than just a sex hormone. It influences energy and motivation, muscle and bone health, blood cell production, metabolism, and mental performance.
A central theme of the episode is diagnosis. The total testosterone level alone is insufficient for a sound assessment. Free testosterone, SHBG, the conversion to dihydrotestosterone and estrogen, as well as the sensitivity of the androgen receptors, all play a crucial role. Many men exhibit typical symptoms of testosterone deficiency despite normal blood test results, while others feel energetic despite low levels. This makes it clear that the individual optimum testosterone level cannot be determined by a single number.
The practical implementation of TRT is also discussed in detail. The frequently recommended injection of testosterone enanthate every 14 days is critically examined, as it can lead to pronounced hormonal fluctuations, side effects, and reduced well-being. Practical experience shows that shorter injection intervals can lead to more stable hormone levels and better tolerability.
Furthermore, questions regarding injection sites, application methods, storage of testosterone, alternative preparations such as gel or Nebido, as well as costs and practicality for everyday life are discussed. The bodybuilding context is also openly examined. Long-term steroid abuse, the loss of the body's own testosterone production, and the role of medically supervised testosterone replacement therapy (TRT) as a medically sound solution are discussed in detail.
This episode offers one of the most comprehensive German-language analyses of testosterone replacement therapy. It is well-founded, practical, and free of stigmatization, and is aimed at men with symptoms of testosterone deficiency, TRT patients, and anyone who wants to understand how modern men's health is thoughtfully conceived today.