
The Optispan Podcast with Matt Kaeberlein I'm Taking TESTOSTERONE: My Story, Mistakes & Insights From a Longevity Perspective | 120
Jul 31, 2025
Kevin White, a medical clinician specializing in hormone replacement and men's health, joins Matt to explore the journey of testosterone therapy. They discuss the initial signs of low testosterone, the mistakes made when starting treatment, and the importance of understanding lab results beyond total testosterone. Kevin provides insights on managing side effects, the debate between oral and injectable forms, and the link between testosterone levels and overall health. The conversation also tackles common myths and emphasizes the role of lifestyle changes alongside therapy.
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Delayed Diagnosis From Limited Testing
- Matt Kaeberlein discovered low free testosterone due to high SHBG after his primary care only measured total testosterone.
- He tried lifestyle changes and supplements before concluding he was likely testosterone deficient.
Exhaust Natural Options First
- Try lifestyle first: improve diet, sleep, exercise, and reduce alcohol before starting testosterone.
- Repeat blood tests over months to see if these changes move SHBG and free testosterone.
Primary vs Secondary Hypogonadism Matters
- Elevated LH and FSH with low testosterone point to primary hypogonadism from the testicles.
- Differentiating primary vs secondary hypogonadism guides distinct treatments like TRT or Clomid/HCG.
