The Dr. Gabrielle Lyon Show

Testosterone Replacement Therapy: Is It Only for Men? | Dr. Rob Kominiarek

11 snips
Aug 15, 2023
Dr. Rob Kominiarek, an expert in Age Management Medicine, discusses the future of healthcare, testosterone replacement therapy, the benefits of strength training, and the science behind hormone optimization. He also explores the effects of testosterone therapy on metabolism, type 2 diabetes, cardiovascular disease, and other health conditions. The importance of collagen protein and factors affecting response to therapy are covered, along with the side effects of testosterone replacement therapy and erythrocytosis.
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ANECDOTE

Origin Story

  • Dr. Kominiarek's first testosterone patient was a man who lost his testicles in a motorcycle accident.
  • He initially struggled to find a stable dosage but learned from a bodybuilder that more frequent, smaller doses worked better.
INSIGHT

TRT Paradigm Shift

  • Testosterone replacement therapy (TRT) has shifted from being viewed negatively to being recognized as cardioprotective and metabolically beneficial.
  • Dr. Kominiarek believes the body can heal itself with the right environment, sometimes making TRT unnecessary.
ADVICE

Personalized TRT

  • Consider patient history, including age, cardiovascular health, and metabolic factors, when prescribing TRT.
  • Don't just prescribe testosterone to everyone; evaluate individual needs and consider alternative therapies.
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