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Joe Rogan, young men rave about these supplements. But do they reduce sperm count?

Joe Rogan, young men rave about these supplements. But do they reduce sperm count?

USA Today24-06-2025
America's birth rate has been on a steady decline since 2007, and pronatalists − both in the White House and out − are determined to raise it. But an underdiscussed obstacle might be standing in the way.
A growing number of men are using testosterone supplements in the hopes of enhancing their physical performance, unaware of the drug's impact on their fertility, and more public figures — from Joe Rogan to Dax Shepard — are making their use of supplements known. From 2016 to 2019, prescriptions for testosterone replacement therapy (TRT, or 'T') have increased by 20%. Dr. Masaya Jimbo, a urologist and male infertility specialist at Reproductive Medicine Associates Philadelphia, says more college students are coming into his practice seeking — or already taking — testosterone.
However, research shows up to 25% of men do not have their testosterone levels checked before starting therapy, and up to a third do not meet the criteria for testosterone deficiency. Jimbo warns that the desired benefits of TRT — such as increased sex drive and enhanced fitness — do not outweigh the damage TRT can have on men's fertility.
'There's a lot of men who are out there taking testosterone thinking that it's making them more virile, but in fact, the testosterone is telling their testicles to shut off,' says Dr. Neel Shah, the Chief Medical Officer at Maven Clinic, a virtual clinic for women's and family health. 'Within three to six months, they can go from producing normal amounts of sperm to producing none at all.'
The White House wants more babies. They're ignoring part of the problem − men
What is testosterone? Risks and benefits of testosterone replacement therapy
Testosterone is a hormone produced primarily in the testicles that helps maintain men's bone density, fat distribution, muscle strength and mass, facial and body hair, red blood cell production, sex drive and sperm production.
Testosterone levels generally peak during adolescence and young adulthood, and begin declining by approximately 1% per year after age 30 or 40. A blood test is used to diagnose a low testosterone level, and a doctor may recommend testosterone replacement therapy in the form of injections, pill, patches or gels, for men with conditions like hypogonadism (when low testosterone levels are due to a disease rather than normal aging).
Studies show that patients not meeting the diagnostic criteria for testosterone deficiency are still being prescribed testosterone therapy, often based on vague symptoms. Jimbo says that among his college-aged patients, some report getting testosterone supplements from their friends.
'There's a big community that thinks of testosterone as an important or beneficial, purely enhancing kind of treatment to do,' he says. He often sees patients that tell him, 'All my friends do it too.'
The risks of TRT can include worsening sleep apnea, acne or other skin reactions, stimulating the growth of existing prostate cancer, englarging breasts, limiting sperm production and causing the testicles to shrink, and stimulating too much red blood cell production, which contributes to the increased risk of forming a blood clot.
And, testosterone supplements aren't always delivering their advertised results. A 2019 study evaluated 50 'T booster' supplements for composition and product claims. 90% percent of supplements claimed to 'boost T,' 50% 'improve libido,' and 48% 'feel stronger.' However, only 24.8% of supplements had data to support these claims, and 10.1% contained active ingredients with data suggesting a negative effect on T levels.
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Testosterone therapy may lower men's sperm count
The pituitary gland (a part of your brain that controls hormone release) produces two hormones: follicle-stimulating hormone (FSH) and luteinizing hormone (LH). LH tells the testicles to make testosterone, and that testosterone works with FSH to produce sperm.
Testosterone supplements can have a 'quick and dramatic' impact on fertility, Jimbo says.
Once a person starts taking exogenous testosterone, the pituitary gland recognizes that it no longer needs to produce it on its own, which causes the testicles to shrink over time and can halt sperm production.
It typically takes 3-6 months for sperm production to resume, but individuals who have been on high-dose testosterone for longer periods will require longer to return to normal sperm production. It can take up to three years for sperm to recover, but in a small number of patients, sperm production never fully recovers.
Research shows that for heterosexual couples trying to conceive, when the cause of infertility can be attributed to a known factor, it's a roughly 50-50 split between male and female factors. The male partner was found to be solely responsible in about 20% of infertility cases, and a contributing factor in another 30-40% of all cases.
'Usually when people want to start having kids, they really want to start having kids,' Shah says. 'The difference of having to wait six months or 12 months can be really meaningful.'
More: Elon Musk, JD Vance and why 'pronatalism' is having a moment right now
Biohacking, masculinity misperceptions can harm fertility
Biohacking, which is the pursuit of accomplishing the "best possible results" from your body, even if it requires extreme measures, has exploded in the wellness industry.
'2025 is just a very different era in terms of being able to push a button and get a drug in general,' Shah says. Telehealth providers have streamlined the process of testosterone therapy prescriptions (among many other medications, like GLP-1s), and expanded the market for testosterone supplements.
'I think that there's a lot of testosterone use that's not measured, and it shows up again in the fertility clinic,' Shah says.
A 2025 report by Maven Clinic that surveyed over 500 men aged 25–49 found that among men currently trying to conceive, or planning to conceive in the future, over half (55%) would be motivated to make lifestyle changes if they felt confident the changes would help conceive a child.
'Anecdotally, the majority of people, once they see the line between testosterone and being able to have children, are very willing to make the changes they need to make to have a family,' Shah says.
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Joe Rogan shares blunt 4-word warning on common food staple
Joe Rogan shares blunt 4-word warning on common food staple

Miami Herald

timea day ago

  • Miami Herald

Joe Rogan shares blunt 4-word warning on common food staple

As pretty much everyone knows, Joe Rogan is one of the most famous podcasters in the U.S. Rogan has 14.5 million followers on Spotify, which recently paid him $250 million to renew his contract. He also has a large following on YouTube and other social media channels. Don't miss the move: Subscribe to TheStreet's free daily newsletter Rogan uses his platform to discuss a wide range of topics, from Ultimate Fighting Championship events to politics to comedy and current events. Rogan also provides fitness tips, as well as science and health advice – although there have been controversies in the past as to whether this advice was solid, especially during Covid. Now, Rogan has taken on another topic that matters a great deal to Americans: the quality and nutritional value of their food. The subject arose on The Joe Rogan Experience when Rogan was talking with Jim Norton, a comedian who appeared on his show in episode #2342 on June 25, 2025. Rogan had some very firm opinions on the subject, which he shared with his audience in order to warn them about what he sees as the dangers of a food most people have in their pantries on a regular basis. Image source: NBCUniversal via Getty Images The food that Rogan was so passionate about is one you wouldn't necessarily expect to prompt such strong emotions, but the Podcast host had a lot to say about a basic staple: bread. Norton and Rogan were discussing the differences between Europeans and Americans. Norton said he believes that differences in the quality of bread explain why Americans often feel tired and unwell after eating it, when Europeans don't. Related: Joe Rogan has blunt 6-word solution to Make America Great Again Norton described bread as "poison," and Rogan not only agreed but also had a video ready to share on the subject, which he said came from another comedian, Brian Simpson. (Apparently, bread is a hot topic among the country's comedians.) "Simpson sent me this and he said, 'I think I'm done with bread,' and I was my God, this is kind of crazy," Rogan said. The video, which Rogan played in full for his audience, explained some of the "problems" with our bread. It also prompted Rogan to issue a blunt four-word warning: "Stay away from bread." Rogan did make an exception for sourdough, though, which he believes is OK, and he also said that "It won't matter if it's World War 3, but if it's not World War 3, stay away." The video Simpson sent was created by Dennis Echelbarger, who explained the following: "About 200 years ago, we started stripping the bran and germ of the fiber in nutrients to make flour shelf stable, also nutritionally dead. Because the nutrients were gone, we enriched it with folic acid, which a large majority of the population can't even metabolize; therefore, many people experience fatigue, anxiety, hyperactivity, and inflammation." Related: Joe Rogan takes two-word shot at long-time enemy The video went on to claim that we then had to bleach bread with chlorine gas because it wasn't white enough, and had to add a carcinogen called potassium bromate because it didn't rise enough, even though potassium bromate is banned in other countries. And, the video said that the use of glyphosate to ramp up wheat production also caused endocrine disruption. The result, as Echelbarger explained in the video? "Now you're bloated, brain fogged, tired, and blaming gluten. But gluten is just the scapegoat. The real issue is ultra-processed, chemically altered, bleached, bromated, fake vitamin-filled wheat soaked in glyphosate. This isn't bread." More Retail: Walmart CEO sounds alarm on a big problem for customersTarget makes a change that might scare Walmart, CostcoTop investor takes firm stance on troubled retail brandWalmart and Costco making major change affecting all customers Rogan believes these issues with bread are likely the reason he feels better when he cuts the food out of his diet, and he urges his listeners to do the same, except, of course, for sourdough. These claims were not officially fact-checked, and there are no links to peer-reviewed science. So those who do want to keep bread in their diet should do their own research, as the quality and nutritional value of various breads can vary greatly. Related: Veteran fund manager unveils eye-popping S&P 500 forecast The Arena Media Brands, LLC THESTREET is a registered trademark of TheStreet, Inc.

Best and worst breads for your health, according to nutrition experts
Best and worst breads for your health, according to nutrition experts

Fox News

time2 days ago

  • Fox News

Best and worst breads for your health, according to nutrition experts

After Joe Rogan voiced his concerns about the bread offerings in America, experts are sharing their tips on choosing the healthiest varieties. On a recent episode of "The Joe Rogan Experience," the famed podcaster claimed that most of the breads in the U.S. are unhealthy and contribute to inflammation. "A lot of inflammation comes from diet," Rogan said. "Our bread is f***d — if you go overseas, and go eat bread in Italy, you won't feel bad at all." The podcaster then shared an Instagram reel from holistic health influencer Dennis Echelbarger (Denny_Dure) claiming that bread can leave people feeling "bloated, brain-fogged and tired." Many point to gluten as the culprit, Echelbarger said in the video, but he claims it's "just the scapegoat." "The real issue is ultraprocessed, chemically altered, bleached, bromated, fake vitamin-filled wheat soaked in glyphosate," he concluded. Rogan added, "I know when I cut that stuff out of my diet, it made a giant difference." He noted that one exception is sourdough bread, which he said is "great for you." For those who do eat bread, Rogan said, "You have to get it from a place that has heirloom wheat." (Heirloom wheat, also known as heritage wheat, refers to older varieties that have not been genetically modified and may have higher nutritional value.) New Jersey-based dietitian Erin Palinski-Wade, author of "2-Day Diabetes Diet," says it's not necessary to completely avoid bread to improve your health, but pointed out that not all varieties are created equal. "There's a wide range of breads — from those that can negatively impact your health to options that offer potential health benefits," she said in an interview with Fox News Digital. "The first ingredient is what makes up the majority of the bread, so this should be a whole grain." Breads made from refined flours, such as white bread, can cause rapid spikes and crashes in blood sugar, increasing the risk of weight gain and type 2 diabetes over time, the dietitian warned. Instead, she recommends opting for whole-grain and high-fiber breads that break down more slowly, helping to stabilize blood sugar and improve long-term glycemic control. When choosing a bread, it's important to read labels carefully and assess the ingredient list, Palinski-Wade advised. "The first ingredient is what makes up the majority of the bread, so this should be a whole grain," she said. "From there, the shorter the ingredient list, the better." An ingredient list made up of whole grains, yeast and a bit of salt — as well as limited added sugars and preservatives — is ideal, according to the dietitian. "Some brands add seeds or legumes as well," she added. Among store-bought breads, one of Palinski-Wade's top recommendations is Ezekiel bread, which includes sprouted whole grains and legumes, uses minimal processing and has limited added sugars and preservatives. "Another easy-to-find option is the line of breads from Dave's Killer Bread," she shared. "Made with organic whole grains, this line of bread contains minimal preservatives, added sugars or refined grains." Overall, the dietitian said, it's best to choose bread that contains mostly whole grains with little added sugars and preservatives, has a taste you enjoy, and works for your lifestyle. Julie Stefanski, RDN, a spokesperson for the Academy of Nutrition & Dietetics in Chicago, said that lumping all bread together as potentially harmful is a "big oversimplification." "As Americans, we have access to an enormous number of food choices," she told Fox News Digital. "When deciding what type of bread to purchase, a person should consider how often they choose it, how large a portion they consume and their own medical issues." Those who eat bread frequently or in multiple servings may want to prioritize choosing a healthier, whole-grain option, she advised. "When choosing bread with fewer preservatives and simpler ingredients, consumers need to be aware that the bread will not last as long, and may need to be frozen and toasted to eventually make use of an entire loaf," Stefanski pointed out. Sourdough bread has been shown to have a lower glycemic index (GI) than white bread, Stefanski noted, and thus can be easier to digest than other wheat breads. "A lower glycemic index (which measures how quickly any given food spikes a person's glucose levels) means the bread digests and turns into blood sugar slightly slower than typical white bread," she said. "In the process of making sourdough bread, the bacteria and yeast in the starter for the bread partially breaks down the carbohydrates that are in the wheat." People who are typically sensitive to digesting the sugars in wheat may notice less bloating, gas and digestive issues when eating sourdough bread compared to other varieties, according to Stefanski. Palinski-Wade agrees that sourdough bread is a good choice, but "not superior." "If you eat commercial white bread, the glucose in that starch is very, very quickly turned into glucose in the blood." "Whole-grain sourdough would be better than white sourdough, but sprouted grain breads would most likely be superior in antioxidants, fiber and nutrient composition," she told Fox News Digital. Making your own sourdough bread at home can be a healthy choice, Palinski-Wade added — but that isn't always a feasible option for people who are short on time or traveling. Dr. Jason Fung, a Toronto-based physician who is also an expert in intermittent fasting, agreed that bread's effect on health hinges not only on its carbohydrate content, but also on how quickly the starches are absorbed into the bloodstream. "If you eat commercial white bread, the glucose in that starch is very, very quickly turned into glucose in the blood," he reiterated to Fox News Digital. "This is because the flour is very refined — removing fiber, fats, proteins and bran, which all slow absorption — and is also very finely machine ground. This fine grind creates white flour, which is a dust that is quickly absorbed by intestinal cells." The texturizers and emulsifiers in commercial white breads — which are added to make them softer and easier to eat — also cause them to be more quickly digested and absorbed, Fung noted. "You can see the effect of this on the glycemic index, which measures how quickly bread spikes your glucose," he said. The GI is a scale of 0 to 100, with 100 being the highest glucose spikes. White bread has a very high GI of 73, Fung said, while machine-ground whole wheat is not much better, at 70. To counteract this effect, Fung recommends choosing any of the following healthier options. "You can also slow down the absorption of glucose by eating bread with olive oil and also vinegar," Fung advised. For more Health articles, visit Palinski-Wade agreed that it's important to carefully choose what bread is paired with. "Choosing breads with a low glycemic index and pairing them with foods rich in fat, protein or fiber can help minimize blood sugar spikes and support better glucose management," she said.

5 best online TRT clinics in 2025
5 best online TRT clinics in 2025

New York Post

time5 days ago

  • New York Post

5 best online TRT clinics in 2025

New York Post may receive revenue from affiliate and advertising partnerships for sharing this content and/or when you make a purchase. Accessing Testosterone Replacement Therapy shouldn't make you want to pull your hair out (especially if that's one of the reasons you're seeking TRT in the first place). But with so many new startups flooding the hormone health space, finding a safe, reliable, and affordable provider can feel impossible. It's not surprising that TRT has surged in popularity over the years. Back in 2023, a study in the Journal of Clinical Endocrinology revealed that testosterone levels in American men have dropped at a rate of roughly 1% per year. Such data has led more men's health experts to investigate the age-related decline in testosterone levels, sometimes called 'Andropause' by doctors or 'Manopause' across social media. TRT research has also inspired business leaders like Deep Patel to build online telehealth platforms where men can easily access testosterone treatment and expert support online. Patel, who is the co-founder of Ulo, believes that when TRT is done right, it can give you your life back. 'The benefits people report most often are way more energy, better workouts and faster recovery, higher libido, clearer thinking and focus, emotional stability, and a sense of drive and confidence that returns,' noted Patel. 'Look, it doesn't turn you into Superman, but it does help you stop feeling like a shadow of your old self.' post wanted picks Best TRT Clinic Overall: Ulo Ulo Best Runner-Up TRT Clinic: Hims Hims Best Holistic TRT Clinic: Hone Hone Best Quick Online TRT Clinic: PeterMD PeterMD Best TRT Prescription Alternative: Ro Testosterone Support Supplements Unfortunately, getting a TRT prescription and finding the right form of treatment is a bit more complicated. In the U.S., telemedicine laws vary by state, and most men aren't aware of the FDA regulations around testosterone prescriptions and labeling requirements. Most TRT sites require men to take a blood test to examine their testosterone levels. The normal range is considered to be anywhere between 300 and 1,000 nanograms per deciliter. Licensed physicians can prescribe testosterone after examining blood work and considering symptoms, as well as medical history. 'A provider must be licensed in the patient's state to legally prescribe. Some clinics skirt this with loopholes or overseas compounding, both of which pose safety and legal risks,' warned Tomo Marjanovic, the owner of Aspire Rejuvenation Clinic, a wellness center specializing in personalized hormone therapy. Marjanovic has explained that patients should look for a clinic that prioritizes comprehensive lab testing, physician oversight, and ongoing follow-up, not just one that ships out testosterone after a short questionnaire. Considering experts' advice and safety parameters, we've rounded up the best online TRT clinics to serve your needs, from holistic telehealth providers to startups that take a personalized approach to treatment. Best TRT Clinic Overall: Ulo Ulo Pros: Personalized approach to treatment Only charged for the treatment once your prescription is approved by the provider Multiple treatment options are available (injections, gels, and oral medication) Cons: Availability of services may vary by state due to telehealth regulations Originally launched to offer solutions for men's hair loss and other common struggles that men face, Ulo recently expanded into the hormone space. The company now offers a completely personalized approach to TRT, with required lab testing, telehealth visits, and medication delivered right to your door. Getting started with a blood test costs just $50, which can be credited towards future treatment costs, and you're only charged for treatment once it's approved by the provider. A licensed physician will look at your labs and recommend the best treatment options, plus you'll receive options as to what type of treatment might work best. Ulo's TRT services are fast, streamlined, and supportive, with real people working with you along the way, monitoring your bloodwork, and ensuring that your TRT journey is customized to your needs and goals. Price: $50 per blood test. Starts at $159/month for testosterone injections, $169/month for testosterone topical gel, and $189/month for oral medication. Best Runner-Up TRT Clinic: Hims Hims Pros: Hims offers a full suite of healthcare services, so you can access more than testosterone treatment Competitive pricing, starting at just $39/month Dual-action treatments available Cons: No testosterone injections are available through the Hims site While some sites offer dedicated testosterone support, Hims has a range of different treatments to address health needs, from weight loss to anxiety to erectile dysfunction. After answering some basic questions about your health, a licensed provider reviews your information to make a plan designed around your body's needs. Hims does not offer testosterone injections, but the company has a lineup of different treatments with dual-action benefits. Competitive pricing makes Hims a popular choice for men seeking Doctor-trusted solutions. Price: The price of medications varies, with Sex Rx + Testosterone Support starting at $39/month. Best Holistic TRT Clinic: Hone Hone Health Pros: Hone provides comprehensive biomarker testing, looking beyond testosterone TRT protocols are customized based on individual hormone levels and symptoms Treatment options include natural supplements as well as injections, gels, and tablets Cons: Availability of services may vary by state due to telehealth regulations Hone does things a little bit differently. Rather than taking a testosterone test, patients can pay $60 for a Hone test, which includes in-depth, 50-biomarker blood testing, personal health history, and validated questionnaires. It's a bit more comprehensive than a simple blood test, providing patients with vital information that can help them optimize their healthspan beyond hormones. From there, Hone users can meet with a licensed physician and receive a prescription. Hone offers testosterone creams, injectables, and tablets, as well as some more natural supplements that can help balance hormone levels and support the thyroid. It's a great place to start for people seeking holistic solutions. Price: $60 per Biomarker Test. Starts at $25/month for discounted access to a limited number of medications that don't require lab testing, and $149/month for everything Hone offers: regular lab testing, physician consults, and full access to its medications. Best Quick Online TRT Clinic: PeterMD PeterMD Pros: The website is very easy to navigate and user-friendly PeterMD provides in-depth blood panels, looking beyond testosterone PeterMD makes it possible to use recent lab work to get a treatment plan faster Cons: PeterMD does not offer testosterone gels or creams PeterMD has served over 300,000 patients searching for health support across a variety of concerns, from weight gain to lethargy and low libido. The site has a few options for men interested in TRT. If you've had lab work done in the past six months, you can skip the testing and jump straight into choosing your optimized treatment plan. For those who still need testing, PeterMD offers trusted nationwide lab partners to get your bloodwork done quickly. The site gives patients panel choices, too: a testosterone assessment panel, an optimization panel, a comprehensive panel, and a diagnostics panel. More in-depth panels offer additional insights into brain health, heavy metals, inflammation, Omega-3 balance, and tumor markers, which can supplement any information relating to hormonal imbalances. Pricing: Testosterone Assessment Panel starts at $95, and testosterone treatment starts at $99/month Best TRT Prescription Alternative: Ro Testosterone Support Supplements Ro Pros: A hormone-free alternative to regular testosterone injections, topicals, and supplements Six carefully sourced, vetted, and researched active ingredients Ingredients are absorbed into the body within hours Cons: This is not for men diagnosed with low testosterone Must take four tablets daily While Ro's hormone-free testosterone support is not designed to treat men who have been diagnosed with low testosterone, these supplements are a great alternative for individuals who do not have a prescription or those seeking a more natural approach. The Doctor-formulated blend includes just six carefully selected and well-researched active ingredients that absorb quickly, including magnesium to support muscular health, maca for emotional stress, and ashwagandha for testosterone support. Pricing starts at just $35 a month, making it a more budget-friendly option as well. Pricing: $35/mo and save $72/year when you choose a quarterly plan MangoRX Pros: Tablets are a convenient solution for people who struggle with injections Kyzatrex is FDA-approved and has shown high efficacy MangoRX offers a 60-day supply (fewer refills required) Cons: Only one prescription treatment (tablets) is available through MangoRX's testosterone services More expensive than some competitors Take charge of your hormone health with MangoRx, an innovative online men's health clinic that offers a streamlined TRT protocol with access to telehealth appointments with board-certified physicians, blood kits shipped to your home for simple testing, and an easy-to-take, FDA-approved daily pill. MangoRX may not provide as wide a selection of testosterone treatments, but Kyzatrex has shown high efficacy in restoring testosterone levels to normal ranges and is a great option for people who struggle with testosterone injections. It's also available in both 30-day and 60-day supplies, so you won't need to rush to the site to get your next refill. Pricing: An initial visit and 60-day supply start at $249/month (first month free) Best Online TRT Clinics FAQs The Post consulted three men's health experts to answer some frequently asked questions about finding the best online TRT clinics. How do you find TRT online? Deep Patel is the co-founder of the telehealth company Ulo, a startup that has recently expanded into the TRT space, offering personalized programs for men looking to optimize their health. 'Search for a company that emphasizes medical care rather than product. TRT usage requires lab testing, the involvement of a physician, and thorough follow-up based on data,' Patel said. He explained that if these three main elements are not prominently indicated on the company's website, it's best to step away and search for another option. How can you tell if an online TRT clinic is legitimate? What should you look for? Transparency is key, according to Patel. He believes that if the site is legitimate, it will clearly indicate that doctors are involved, lab testing is required, and follow-up care is part of the process. 'If you see no mention of medical oversight on the site, that's a red flag,' said Patel. 'To ensure the process is safe and effective, structure, accountability, and support should be built in.' What should patients consider when choosing an online TRT clinic? 'Patients should look for a clinic that prioritizes comprehensive lab testing, physician oversight, and ongoing follow-up, not just one that ships out testosterone after a short questionnaire,' explained Tomo Marjanovic, the owner of Aspire Rejuvenation Clinic, a wellness center specializing in personalized hormone therapy and other holistic wellness solutions. 'I always say that a provider should offer more than a one-size-fits-all protocol, because a real TRT program begins with understanding a patient's full health profile: hormone levels, lifestyle, goals, and medical history,' he shared. How important is the clinic's approach to diagnosis and ongoing hormone monitoring? Marjanovic explained that ongoing hormone monitoring is absolutely essential during Testosterone Replacement Therapy. 'TRT isn't a one-and-done therapy, because hormones are dynamic, and treatment should evolve based on regular lab monitoring and patient feedback,' he said. Marjanovic said that underdosing and overdosing can occur if proper diagnosis and ongoing tracking do not happen through the process. He also warned that physicians may risk ignoring other hormonal imbalances, like estrogen dominance or thyroid dysfunction, that can derail progress. Is testosterone treatment that is ordered online safe? What red flags indicate a potentially unsafe online TRT provider? 'TRT can be safe and life-changing when done right, but that's a big 'when,' Marjanovic warned. There are a few red flags he always tells his clients to look out for. Clinics that don't require bloodwork before prescribing Clinics that don't include physician consultations Clinics that offer cookie-cutter protocols (like weekly injections for everyone) Clinics that don't monitor estradiol, hematocrit, or other relevant markers Clinics that focus more on marketing than medicine Bottom line: If it feels more like ordering supplements than receiving medical treatment, it's a problem. Are there any regulatory or legal considerations patients should be aware of when choosing an online TRT clinic? Dr. Michael Aziz is a regenerative physician specialist at Lenox Hill Hospital in New York City and the author of 'The Ageless Revolution'. He's outlined a few legal considerations to make when starting a TRT program. 'The patient should be aware that some states do not honor controlled substances from a different state. It is honored where the provider is located,' he explained. 'The patient should ask if their script will be honored before paying for the consultation.' Azis added that any person starting a TRT program should have a letter from the provider stating that he was prescribed testosterone so that it is not confiscated by authorities when they travel. In your experience, which types of TRT delivery methods (injections, gels, pellets) tend to offer the best outcomes? According to Aziz, the delivery method of TRT is best chosen by both the doctor and the patient based on the patient's lifestyle and symptoms. Currently, testosterone injections are the most popular form of treatment for low testosterone. 'Gels are used daily but can be transferred to sexual partners and children,' Azis warned. 'Injections can be self-injected once to two times a week, or administered by the doctor every ten weeks.' What types of Doctors should oversee online TRT clinics? 'There are plenty of clinics that advertise TRT online,' Aziz noted. 'But, patients should only consider clinics which have physicians that are board-certified and are specialized in endocrinology, urology, and internal medicine with anti-aging training.' This article was written by Miska Salemann, New York Post Commerce Writer/Reporter. As a health-forward member of Gen Z, Miska seeks out experts to weigh in on the benefits, safety and designs of both trending and tried-and-true fitness equipment, workout clothing, dietary supplements and more. Taking matters into her own hands, Miska intrepidly tests wellness products, ranging from Bryan Johnson's Blueprint Longevity Mix to home gym elliptical machines to Jennifer Aniston's favorite workout platform – often with her adorable one-year old daughter by her side. Before joining The Post, Miska covered lifestyle and consumer topics for the U.S. Sun and The Cannon Beach Gazette. Looking for a headline-worthy haul? Keep shopping Post Wanted.

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