The Male Room with Dr. Jesse Mills

Dr. Mills is joined by reproductive urologist Dr. Jim Smith, a longtime colleague and leading expert in male fertility and men’s health. Together, they break down what a semen analysis actually measures, why quality and timing matter, and why men shouldn’t wait a year into the fertility journey to get checked. Dr. Smith also explains sperm cryopreservation — who should consider banking, how long it lasts, and why access remains a major barrier. Plus, they'll bust the biggest myths about what “kills” sperm, explain why semen can be a window into overall health, and offer a surprisingly practical prescription for better fertility.See omnystudio.com/listener for privacy information.

Dr. Mills sits down with hormone therapy physician and entrepreneur Dr. Peter Fotinos to unpack the difference between “hormone replacement” and true hormone optimization. They dig into how studies like the Women’s Health Initiative shaped decades of fear, and why symptoms and lived experience sometimes matter more than a single lab cutoff. The conversation also tackles common pitfalls of “testosterone mill” medicine (including routine aromatase inhibitors), plus what’s changing in women’s hormone care and why testosterone matters for women beyond libido. Finally, Dr. Fotinos shares how he’s scaling more responsible, check-in-driven telehealth—and what proactive medicine can look like for the everyday guy staring down metabolic syndrome.See omnystudio.com/listener for privacy information.

Dr. Jesse Mills sits down with gastroenterologist-turned-biotech leader Dr. Josh Ofman, president of GRAIL, the company behind a groundbreaking blood test designed to detect dozens of cancers early by analyzing DNA shed by tumors. They break down how multi-cancer early detection works, who should consider testing (even before age 50), and how the technology fits into the larger—and often confusing—longevity conversation. The episode also tackles concerns about over-screening, false positives, and why waiting decades for perfect data may cost lives today. Have a question for Dr. Mills? Send us an email at: [email protected] omnystudio.com/listener for privacy information.

Dr. Mills is joined by celebrity nutritionist and gut-health expert Dr. Daryl Gioffre to break down what’s really driving America’s acid reflux epidemic—and why the root cause is often too little stomach acid, not too much. After revealing the deeply personal story that pushed him into this work following his father’s battle with esophageal cancer, Dr. Gioffre shares practical strategies to support digestion and protect the esophagus — from the “three-hour rule” before bed to simple soothing tools like teas, honey, and magnesium. The conversation also gets into why sugar is so hard to quit, how ultra-processed foods (and “gluten-free” swaps) can backfire, and how to make realistic upgrades without white-knuckling your way through life—including how you might keep your coffee and calm your gut.See omnystudio.com/listener for privacy information.

Dr. Steve Poulter is back for Part 2 of our conversation, and this time we go straight to what he calls the hidden engine behind so much male anxiety, isolation, and anger: shame. Dr. Mills and Dr. Poulter break down how shame takes root early, why men often externalize it in ways that damage relationships, and why “anger management” is often really “shame management.” Plus, Dr. Poulter shares practical ways to get out of the “invisible/disrespected” spiral and explains why naming shame—especially around trauma—can be the turning point that finally lets healing (and even marriages) move forward.See omnystudio.com/listener for privacy information.

As the New Year begins, it’s the perfect time to take stock — not just of your physical health, but your mental one, too. Dr. Mills kicks off the year by welcoming renowned therapist Dr. Steve Poulter. Together, they explore modern masculinity, shame, isolation, and what it really means for men to be emotionally resilient. Drawing on decades of clinical experience — and a remarkable life path that included stints in law enforcement and the seminary — Dr. Poulter offers practical tools for growth, accountability, and connection. See omnystudio.com/listener for privacy information.

Dr. Mills sits down with board-certified sleep medicine physician and UCLA faculty member Dr. Sam Kashani to break down what’s really happening when you can’t stay asleep. They demystify REM vs. deep sleep, explain why sleep trackers can sometimes make insomnia worse, and outline the real red flags for sleep apnea—plus how home sleep tests are changing the game. Along the way, they cut through the noise on supplements like melatonin and valerian, and make the case for CBT-I as the gold-standard, evidence-based treatment for insomnia.See omnystudio.com/listener for privacy information.

Urologist and informatics leader Dr. Denise Asafu-Adjei joins Dr. Mills to break down how AI is quietly transforming men’s health, from AI-powered scribes that free doctors to actually look patients in the eye to chatbots that could triage symptoms and streamline access to care. They dig into the big questions patients (and physicians) are asking right now: privacy, accuracy, and whether technology will ease burnout or simply fill every last “free” minute on the schedule. Plus, Dr. Denise (@drdenise_official) shares where the field is heading next — including mind-blowing fertility advances like AI-assisted sperm identification — and what it’ll take (education, policy, and better data sharing) to make the future of medicine both smarter and more human.See omnystudio.com/listener for privacy information.

Can testosterone really turn you into a superhero — or is there a hidden cost? Dr. Jesse Mills is joined by Dr. Jasper Bash to talk all things super-physiologic testosterone, from jacked gym dreams to shrinking testicles, heart risks, and hormone crashes. Together they separate internet myths from medical reality and explain what actually happens when testosterone levels go off the charts. See omnystudio.com/listener for privacy information.

This week, Dr. Jesse Mills is joined by Dr. Jasper Bash — men’s health expert, researcher, and occasional a cappella tenor — for a candid look at how to build healthier sperm. They unpack the latest findings on marijuana, alcohol, and other environmental exposures, including what’s myth, what’s real, and what’s actually reversible. Dr. Bash also shares practical timelines, clinical tips, and the fitness and nutrition habits that keep him performing at his best.  See omnystudio.com/listener for privacy information.