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#74 - Männer zwischen Hormonmangel und Lebenskrise - was steckt wirklich dahinter? | Dr. Christoph Keining bei Männergesundheit
< 1 Minute Lesezeit |

#74 - Men between hormone deficiency and life crisis - what's really behind it? | Dr. Christoph Keining at Men's Health

Dr. Jonathan Apasu

Testosteron Experte von Adon Health

Testosterone is more than just a "muscle hormone." It influences energy, drive, libido, sleep, stress resistance, and mental clarity. In this episode, Dr. Jonathan Apasu speaks with Dr. Christoph Keining, physician and systemic couples therapist, about effective testosterone therapy in practice: microdosing instead of the hormonal rollercoaster, injections versus gels, what lab results really mean, and why true medicine takes place with the patient, not just in the lab. They also discuss how lifestyle, psychology, and relationships can cause the same symptoms and how systemic therapy can address these issues.

Topics in this episode:

• Free testosterone, SHBG and why “normal” does not automatically mean symptom-free

• Microdosing with testosterone enanthate: stable levels, fewer side effects, improved quality of life

• Injection vs. transdermal: Gel, Nebido, transscrotal cream – what works for whom and why

• Subcutaneous or intramuscular? Practical reality, depots, consistency and tolerability

• Lifestyle first or alongside TRT? Overweight, aromatase, side effects, and realistic goals

• “Don’t treat the lab, treat the patient”: Symptoms, monitoring progress, individual dose finding

• Systemic couples therapy: When fatigue, loss of libido, and irritability are not purely hormonal issues

• High performers on TRT: Performance boost vs. exhaustion trap - how good medical support protects

• Guidelines, threshold values ​​and off-label therapy: why evidence is more than reference ranges

Tune in if you want to understand what a smart, individualized TRT really looks like and when coaching or therapy is more important than more milligrams. 🎧

Links zum Podcast

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