Fitness influencer Alex Eubank recently started TRT, but was it a medical necessity or a lifestyle choice? In this deep dive, I use his journey as a case study to explore the difference between true Testosterone Replacement Therapy and performance "optimization." We'll break down his lab work, discuss the serious long-term risks like infertility, and question the cultural narratives driving young men to seek hormone therapy.

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CHAPTERS:
00:00 - Intro
00:27 - Medical Necessity or Personal Choice?
01:15 - Alex Eubank Explains Why He Started TRT
02:33 - Clinical vs. Functional Hypogonadism
04:15 - Inverting Medical Logic: Using Therapy to Sustain a Lifestyle
04:48 - Alex’s Goal: High-Normal Testosterone
07:30 - The Biggest Risk: Lifelong Fertility Concerns
09:47 - Lab Results Revealed: Dialing in the Dose
11:46 - Breaking Down The Numbers: Replacement vs. Optimization
14:13 - The Benefit of Stability (And The Unknown Risks)
17:05 - Decoding the Blood Work: LH, Hematocrit, and HCG
21:50 - The Mental Side Effects: Confidence or Chemistry?
23:38 - The "Testosterone Epidemic": Culture vs. Science
27:21 - Conclusion: Where Do We Draw the Line?

Selected References

https://www.auanet.org/guidelines-and-quality/guidelines/testosterone-deficiency-guideline

10.21037/tau.2018.04.11

*Disclaimer*
This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate.
Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.