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#83 - Übergewicht: Ursachen, Risiken & Abnehmen | Prof. Harald Schneider bei Männergesundheit
< 1 Minute Lesezeit |

#83 - Overweight: Causes, Risks & Weight Loss | Prof. Harald Schneider at Men's Health

Dr. Jonathan Apasu

Testosteron Experte von Adon Health

Being overweight is no longer the exception, but the new normal. In this episode, Dr. Harald (endocrinologist) speaks with Dr. Jonathan Apasu about the dramatic increase in overweight and obesity in Germany and worldwide. Together they explain why the BMI is only of limited use, what role visceral fat really plays, and why being overweight is far more than just an aesthetic problem.

The focus is on the health consequences of being overweight: cardiovascular diseases, diabetes, cancer, hormonal disorders, mental health, and the massive impact on quality of life and longevity. It also addresses muscle mass as a key protective factor, why diets almost always fail, and why new medications like GLP-1 agonists (Ozempic, Wegovy, Mounjaro) can be a real game-changer, but are not a miracle cure.

Topics in this episode:

  • Why over 50% of Germans are overweight

  • BMI vs. Waist-to-Height Ratio: What really tells you something about health?

  • Visceral fat, inflammation & hormones: The invisible danger

  • Obesity & Cancer: An underestimated connection

  • Muscle mass as a key to longevity and insulin sensitivity

  • GLP-1 drugs: efficacy, opportunities, risks & costs

  • Why strength training and protein are essential for weight loss

If you want to understand why losing weight is so difficult, what modern medicine can achieve today, and what real health improvement looks like, be sure to listen!

Links zum Podcast

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#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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#80 - How to age gracefully - The best tips | Dr. Hani Al-Mohamed at Men's Health

In this comprehensive podcast episode, Dr. Jonathan Apasu speaks with Dr. Hani Al-Mohamed, a long-time senior physician in geriatrics and now a mentor for entrepreneurs over 50, about the key building blocks for healthy aging, holistic prevention, and sustainable performance. The exchange vividly illustrates how modern medicine, while highly specialized, is too rarely focused on prevention. Dr. Hani explains why geriatrics, as the medicine of old age, is a prime example of how interdisciplinary teams—comprising physicians, physiotherapists, occupational therapists, speech therapists, and social workers—can guide people, even from the most severe conditions, back to independence and quality of life. The case of a patient who required intensive care for an extended period and regained the ability to walk within just a few weeks thanks to targeted geriatric interventions is particularly compelling. A central focus of the conversation is the influence of prevention – especially exercise – on longevity and health. Dr. Hani describes why, according to studies, exercise is just as effective or even more effective than medication for many illnesses. He explains the role of strength training, endurance, balance, and mobility, and why muscles are a highly active metabolic organ that processes glucose, produces myokines, and prevents diseases such as diabetes and cardiovascular disease. At the same time, he warns of risks such as improper strain and herniated discs, which often result from incorrect training, poor technique, or lack of mobility. Another key topic is the critical use of medication in old age. Many geriatric patients take long lists of medications – often unnecessarily or outdated. Dr. Hani explains how he systematically reviewed which medications are truly beneficial in his clinic and clarifies the importance of lists such as the PRISCUS or FORTA lists for safe and rational pharmacotherapy. Dr. Hani particularly emphasizes the importance of mindset: health begins in the mind. Many men, especially entrepreneurs, prioritize career, family, and responsibilities for decades, while their own health takes a back seat. He demonstrates how crucial an inner, emotional drive is for lasting change – and why fear ("If you continue like this, you'll have a heart attack...") is significantly less effective than positive motivation. Goals such as professional performance, vitality for the family, or the ability to be active with one's grandchildren create a long-term readiness for change. In conclusion, Dr. Hani describes the biggest levers for men 50+: a clear mindset, regular exercise, optimized nutrition, micronutrient diagnostics, stress reduction through HRV analysis, and sleep optimization – one of the fastest ways to more energy, better regeneration and hormonal balance. This episode offers a deep insight into modern preventive medicine and answers the question of how men can not only live longer, but better: productive, healthy and self-determined into old age.

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#76 - Testosterone in competition: What's allowed? | NADA experts Dr. Eva Bunthoff & Jutta Müller-Reul at Men's Health

In sports, testosterone replacement therapy is generally considered doping, even if medically prescribed. Testosterone may only be used legally with a valid Therapeutic Use Exemption (TUE). A TUE is a medical exemption that allows athletes to use a normally prohibited substance when it is medically necessary and no alternative treatment is available. In Germany, applications for a Therapeutic Use Exemption (TUE) are submitted to the National Anti-Doping Agency (NADA). There, the case is reviewed medically and according to regulations. After completion of the process, the result is forwarded to the World Anti-Doping Agency (WADA). WADA verifies whether the decision complies with the worldwide Anti-Doping Code. WADA thus assumes an important compliance function. It ensures that Therapeutic Use Exemptions (TUEs) are assessed internationally according to the same criteria and that no national differences or special regulations arise. Particularly with sensitive substances like testosterone, it is rigorously checked whether each TUE is correctly justified, medically warranted, and approved in accordance with regulations. WADA can also revoke TUEs retroactively if they were not issued in accordance with the rules. This is intended to prevent national agencies from being too lenient or athletes from receiving unjustified advantages. The goal is the global harmonization of rules and the assurance of fairness and equal opportunities in competitive sports. In the new episode of the Men's Health Podcast, Dr. Jonathan Apasu speaks with Dr. Eva Bunthoff, board member of NADA, and Jutta Müller-Reul from the medical field about testosterone, doping controls, TUEs, and the role of WADA. The two experts provide insights into medical and sports law practices and explain how responsible testosterone therapy, health, and fairness in competitive sports are interconnected. Listen now and find out how NADA and WADA work together, what criteria must be met for a TUE, and why transparency and clear rules are crucial for the integrity of sport.

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