Until January 31st: 10% discount on your first lab test with the code NEUSTART
GDPR-compliant data management
ISO-certified laboratory
Hospital laboratory quality
Discreet ordering & shipping
Therapy based on the latest science
#86 - TRT im Detail - Alles was du wissen musst! | Max Madsen bei Männergesundheit
< 1 Minute Lesezeit |

#86 - TRT im Detail - Alles was du wissen musst! | Max Madsen bei Männergesundheit

Dr. Jonathan Apasu

Testosteron Experte von Adon Health

Testosteron-Ersatztherapie: Sinnvoller medizinischer Fortschritt oder gefährlicher Trend?

In dieser Episode des Männergesundheit Podcasts spricht Arzt und Podcast-Host Jonathan Apasu mit Bodybuilding-Coach Max Madsen so offen und tiefgehend wie selten über TRT, Testosteronmangel und die oft missverstandene medizinische Realität dahinter.

Gemeinsam klären sie, warum Testosteron nicht gleich Doping ist, weshalb Blutwerte allein nicht die ganze Wahrheit erzählen und wie individuell das „Testosteron-Optimum“ wirklich ist. Außerdem geht es um Injektionsintervalle, Nebenwirkungen, Gel vs. Spritze, subkutan vs. intramuskulär und warum viele Leitlinien in der Praxis problematisch sind.

 

Themen dieser Episode:

 

  • Testosteronmangel: Ursachen, Symptome & Fehldiagnosen

  • TRT ≠ Doping: Die wichtigste Abgrenzung

  • Freies vs. Gesamt-Testosteron & Androgenrezeptoren

  • Warum Referenzbereiche oft nicht das Optimum sind

  • Die richtige Injektionsfrequenz (und warum 14 Tage fatal sein können)

  • Gel, Nebido, Enantat: Welche Therapie für wen sinnvoll ist

  • Bodybuilding, Steroidmissbrauch & der Weg zurück in eine gesunde TRT

 

Wenn du mit dem Gedanken spielst, deine Testosteronwerte zu überprüfen oder bereits eine TRT machst, diese Folge solltest du unbedingt hören. 

Links zum Podcast

Spotify Apple Music YouTube

Zusammenhängende Posts

#56 - Was deine Blutwerte wirklich bedeuten - Step by Step | Dr. Helena Orfanos-Boeckel bei Männergesundheit

#56 - What your blood test results really mean - Step by Step | Dr. Helena Orfanos-Boeckel at Men's Health

In this podcast episode, Dr. Jonathan Apasu speaks with renowned internist and nephrologist Dr. Helena Orfanos-Boeckel about a topic that many underestimate, despite its central importance to one's health: the correct interpretation and classification of lab results. Using his own comprehensive blood test, which includes over 70 parameters, Dr. Apasu and Dr. Orfanos-Boeckel guide listeners step-by-step through key health markers such as kidney function, hormone levels, cholesterol, inflammatory markers, and vitamin D levels. This discussion highlights the complexity of modern laboratory diagnostics and how easily incomplete interpretation or incorrect assumptions can lead to a false sense of security. The discussion compares two different kidney markers, creatinine and cystatin C, to demonstrate how muscle mass, exercise, and diet can distort the classic values. Dr. Apasu's testosterone levels are also discussed in detail. This includes not only total testosterone but also free testosterone, SHBG levels, and the underlying hormonal regulatory circuits. Particularly interesting is the analysis of elevated cholesterol levels in conjunction with a healthy lifestyle, including an assessment of the genetic risk profile and the significance of lipoprotein(a), ApoB, and small LDL cholesterol. The podcast episode makes it clear that high LDL levels do not automatically require treatment if certain protective factors are also present. Furthermore, Dr. Orfanos-Boeckel addresses the widespread misconception that vitamin D supplements are universally effective and demonstrates, using specific data, that individual absorption, genetic factors, and co-factors such as magnesium, boron, and vitamin K2 are crucial. She explains the importance of regularly monitoring nutrient and hormone levels and not relying solely on general reference values. The episode also provides well-founded information on the connection between blood pressure, inflammatory markers, vascular health, and the risk of cardiovascular disease. This episode offers a practical and in-depth introduction to the world of functional laboratory diagnostics and is aimed at anyone who doesn't want to leave their health to chance. It vividly demonstrates that a complete blood count alone is insufficient to make truly relevant statements about one's health status, and that prevention begins with a willingness to look more closely. A must-see for anyone who takes men's health seriously and wants to optimize it based on evidence.

Learn more
#57 - Der Weg zu Mr. Olympia - Training und Ernährung | Patrick Teutsch bei Männergesundheit

#57 - The Road to Mr. Olympia - Training and Nutrition | Patrick Teutsch at Men's Health

In this in-depth episode of the Men's Health Podcast, Dr. Jonathan Apasu speaks with Patrick Teutsch, one of Germany's most successful bodybuilders and a current competitor in the prestigious Mr. Olympia competition. Patrick looks back on over 17 years of bodybuilding experience and shares his entire journey from a dissatisfied teenager who simply wanted to get back into sports to the top of the professional strength sport world. Particularly impressive is how Patrick manages to combine his athletic achievements with a demanding professional life and his role as a family man. The podcast offers a wealth of valuable insights for anyone interested in muscle building, fitness, nutrition, and mental strength. Patrick explains in detail what his daily training routine looks like, how he structures bulking and cutting phases, how he plans his diet with up to 4500 calories a day, and what macronutrient distribution he uses. He discusses different training splits, describes how he specifically targets weaknesses such as back width or leg muscles, and why individual adaptation is the key to long-term success. He also explains how to effectively plan between different training phases, what to pay attention to when performing exercises, and how important it is to objectively measure progress—for example, through photo comparisons, training logs, or performance data. A key focus is on the discipline and mindset that bodybuilding requires over many years. Patrick describes bodybuilding as a long-term project that demands patience, structure, and above all, mental strength. He speaks openly about the physical and psychological challenges of the pre-competition diet phase, particularly regarding symptoms such as fatigue, lack of motivation, hormonal imbalances, and sleep disturbances. He demonstrates the importance of planning structured diet phases with refeeds and targeted rest periods to maintain performance and protect health. The podcast also addresses the topic of health in competitive sports: Patrick discusses how he regularly has his blood work and vital parameters such as blood pressure and hormone levels checked, why he maintains close contact with doctors, coaches, and experts, and which blood markers are particularly important to him, such as testosterone, thyroid function, blood lipids, and liver function. The podcast also addresses the critical issue of often neglecting one's own health in strength training and urges all listeners to take an early look at their own preventative healthcare. Patrick explains how men can actively, consciously, and data-drivenly manage their physical development, whether as competitive athletes or health-conscious recreational athletes. This podcast episode not only offers a fascinating glimpse behind the scenes of professional bodybuilding, but also provides a wealth of practical tips and concrete recommendations for everyday life. Whether it's about effective training design, healthy nutrition, the right mindset, or long-term health management – ​​this conversation with Patrick Teutsch is a must-listen for anyone who wants to purposefully advance their physical development and gain a deeper understanding of the connections between sport, health, and lifestyle.

Learn more
#78 - Sauna & Eisbaden: Das sagt die Wissenschaft | Prof. Andreas Michalsen bei Männergesundheit

#78 - Sauna & Ice Bathing: What Science Says | Prof. Andreas Michalsen at Men's Health

In this episode of the Men's Health Podcast, Dr. Jonathan Apasu speaks with Prof. Dr. Andreas Michalsen, Chief Physician at Immanuel Hospital Berlin and Professor at Charité, about the scientifically proven effects of saunas, ice baths, and cryotherapy chambers. They discuss how heat and cold affect cells, metabolism, the cardiovascular system, and mental health, and how to safely integrate both into everyday life. Professor Michalsen explains what's actually behind terms like heat shock proteins, autophagy, and brown fat. While regular sauna sessions train the blood vessels, improve circulation, and stimulate cell regeneration, cold exposure promotes the activity of brown adipose tissue and has a positive effect on metabolism and mood. Studies show that both heat and cold stimuli can reduce inflammation, stimulate the immune system, and lower the risk of cardiovascular disease. Furthermore, Professor Michalsen discusses why the combination of sauna and cold is particularly effective, what to pay attention to when switching between the two, and which typical mistakes beginners should avoid. He explains why not every sauna infusion is automatically better, how significant the influence of humidity really is, and why re-warming after cold applications is crucial. His recommendations for a safe introduction are especially interesting: from Kneipp treatments and cold showers to targeted ice bathing. The podcast demonstrates that both heat and cold are important natural stimuli for the body, training our physiological systems and supporting self-healing. It's not about extremes, but about regularity and moderation. With practical tips, sound science, and years of experience, Professor Michalsen provides valuable insights for anyone wanting to improve their health, energy, and mental strength through simple, natural methods. This episode is ideal for anyone who wants to understand how modern research confirms traditional naturopathy and how to safely strengthen the heart, metabolism and immune system with heat and cold.

Learn more

4,7