In the final episode of this three-part series, Dr. Nichols dives into the debate around higher testosterone levels, aromatase inhibitors, estradiol management, and the idea that every man should fit into the same “normal” or “optimal” hormone range.

Dr. Nichols challenges the belief that estradiol must be aggressively controlled in men on testosterone and explains why symptoms, physiology, and clinical response matter more than chasing one specific lab number.

Dr. Nichols also discusses why some men may need higher testosterone levels to feel their best, why suppressing estradiol may interfere with some of testosterone’s benefits, and why providers should be cautious about treating lab values instead of treating patients.

This episode brings the entire series full circle with one core message: follow evidence, not ideology.

Connect with Victory Men’s Health:

Website: https://www.victorymenshealth.com/
Podcast: https://www.victorymenshealth.com/podcast
Instagram: https://www.instagram.com/victorymenshealth/
Facebook: https://www.facebook.com/victorymenshealth
Amy Stuttle Instagram: https://www.instagram.com/amystuttle/

Connect with Dr. Keith Nichols and Tier 1 Health & Wellness:

Tier 1 Health & Wellness: https://tier1hw.com/
Dr. Keith Nichols Bio: https://tier1hw.com/personnel/keith-nichols/
Tier 1 YouTube: https://www.youtube.com/tier1healthandwellness
Tier 1 Health & Wellness Podcast: https://podcasts.apple.com/us/podcast/tier-1-health-and-wellness-podcast/id1724352005

Disclaimer:

This podcast is for educational and informational purposes only and is not intended to provide medical advice, diagnosis, or treatment. Listening to this episode does not establish a patient-provider relationship with Amy Stuttle, Victory Men’s Health, Dr. Keith Nichols, Tier 1 Health & Wellness, or any guest featured on the podcast.

Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, hormone therapy, or treatment plan. Individual results may vary, and medical decisions should be made based on your personal health history, symptoms, lab work, risk factors, and an appropriate clinical evaluation.

In Part 2 of this three-part series, Dr. Keith Nichols discusses one of the most debated and misunderstood areas of testosterone therapy: estradiol.

For years, many men have been taught to fear estrogen, chase a specific estradiol number, or use aromatase inhibitors to “control” estrogen while on testosterone. But the physiology is much more nuanced.

In this episode, Dr. Nichols explains why testosterone does not act alone. Testosterone works through testosterone itself, DHT, and estradiol — and estradiol is not simply a side effect. It plays an important role in sexual function, body composition, cardiovascular health, bone health, and overall androgen response.

Dr. Nichols discusses why aromatization matters, why suppressing estradiol may interfere with some of testosterone’s benefits, and why lab values need to be interpreted in clinical context rather than treated as isolated numbers.

This is Part 2 of a 3-part series.

Connect with Victory Men’s Health:

Website: https://www.victorymenshealth.com/
Podcast: https://www.victorymenshealth.com/podcast
Instagram: https://www.instagram.com/victorymenshealth/
Facebook: https://www.facebook.com/victorymenshealth
Amy Stuttle Instagram: https://www.instagram.com/amystuttle/

Connect with Dr. Keith Nichols and Tier 1 Health & Wellness:

Tier 1 Health & Wellness: https://tier1hw.com/
Dr. Keith Nichols Bio: https://tier1hw.com/personnel/keith-nichols/
Tier 1 YouTube: https://www.youtube.com/tier1healthandwellness
Tier 1 Health & Wellness Podcast: https://podcasts.apple.com/us/podcast/tier-1-health-and-wellness-podcast/id1724352005

Disclaimer:

This podcast is for educational and informational purposes only and is not intended to provide medical advice, diagnosis, or treatment. Listening to this episode does not establish a patient-provider relationship with Amy Stuttle, Victory Men’s Health, Dr. Keith Nichols, Tier 1 Health & Wellness, or any guest featured on the podcast.

Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, hormone therapy, or treatment plan. Individual results may vary, and medical decisions should be made based on your personal health history, symptoms, lab work, risk factors, and an appropriate clinical evaluation.

Why “Normal” Isn’t Always Optimal with Dr. Keith Nichols

In Part 1 of this three-part series, Dr. Keith Nichols, Medical Director and CEO of Tier 1 Health & Wellness, deep dives into one of the most misunderstood topics in men’s health: testosterone.

Dr. Nichols breaks down why testosterone levels have declined over time, how lab reference ranges have shifted, and why many men are told their numbers are “normal” even when they are experiencing symptoms consistent with testosterone deficiency.

Dr. Nichols discuss the difference between population-based reference ranges and individual physiology, the importance of free testosterone, the role of SHBG, and why a single lab value should not be the only factor used to determine whether a man is healthy, optimized, or appropriately treated.

This episode is about challenging dogma, questioning outdated assumptions, and returning to the evidence.

Topics discussed in this episode include:

Testosterone levels declining across generations
Why lab reference ranges have shifted lower over time
The problem with using one universal testosterone threshold
Total testosterone vs. free testosterone
How SHBG affects testosterone availability
Why “normal” does not always mean optimal
Why symptoms, history, and clinical context matter
The limitations of current testosterone guidelines
Why men may be undertreated despite feeling symptomatic

This is Part 1 of a 3-part series: Testosterone: Beliefs vs. Science.

Connect with Victory Men’s Health:

Website: https://www.victorymenshealth.com/
Podcast: https://www.victorymenshealth.com/podcast
Instagram: https://www.instagram.com/victorymenshealth/
Facebook: https://www.facebook.com/victorymenshealth
Amy Stuttle Instagram: https://www.instagram.com/amystuttle/

Connect with Dr. Keith Nichols and Tier 1 Health & Wellness:

Tier 1 Health & Wellness: https://tier1hw.com/
Dr. Keith Nichols Bio: https://tier1hw.com/personnel/keith-nichols/
Tier 1 YouTube: https://www.youtube.com/tier1healthandwellness
Tier 1 Health & Wellness Podcast: https://podcasts.apple.com/us/podcast/tier-1-health-and-wellness-podcast/id1724352005

Disclaimer:

This podcast is for educational and informational purposes only and is not intended to provide medical advice, diagnosis, or treatment. Listening to this episode does not establish a patient-provider relationship with Amy Stuttle, Victory Men’s Health, Dr. Keith Nichols, Tier 1 Health & Wellness, or any guest featured on the podcast.

Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, hormone therapy, or treatment plan. Individual results may vary, and medical decisions should be made based on your personal health history, symptoms, lab work, risk factors, and an appropriate clinical evaluation.

We track our sleep, steps, heart rate, HRV, glucose, and recovery — but why aren’t men tracking one of the most important indicators of sexual and cardiovascular health?

In this episode, Amy sits down with Dr. Elliot Justin, CEO and founder of FirmTech, to talk about the future of sexual health wearables and why erectile fitness deserves to be part of the men’s health conversation.

Dr. Justin explains how nocturnal erections can provide valuable insight into a man’s vascular health, sexual performance, and overall wellness. They discuss why erection issues are often treated with a pill instead of investigated as a potential warning sign, how FirmTech’s TechRing tracks firmness, frequency, and duration, and why objective data may help men and providers better understand what is really happening.

They also cover the connection between cardiovascular health and erectile function, performance anxiety, testosterone optimization, pumps, Trimix, erection rings, and why men need better tools than guesswork when it comes to sexual health.

This episode is a candid, funny, and eye-opening conversation about erections, data, confidence, relationships, and why men should stop driving blind when it comes to their health. Links Mentioned

FirmTech Website / TechRing: https://www.myfirmtech.com
FirmTech Instagram: https://www.instagram.com/myfirmtech
FirmTech LinkedIn: https://www.linkedin.com/company/myfirmtech
FirmTech YouTube: https://www.youtube.com/@myfirmtech
Dr. Elliot Justin LinkedIn: https://www.linkedin.com/in/elliot-justin-md
Dr. Elliot Justin Instagram: https://www.instagram.com/doctorelliotjustin

Victory Men’s Health: https://www.victorymenshealth.com
Victory Men’s Health Instagram: https://www.instagram.com/victorymenshealth
Victory Men’s Health YouTube: https://www.youtube.com/@VictoryMensHealth
Victory Men’s Health LinkedIn: https://www.linkedin.com/company/victory-men%27s-health
Victory Men’s Health Facebook: https://www.facebook.com/victorymenshealth

For questions, email: [email protected]

Disclaimer: The Women Want Strong Men Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

In Part 2 of our conversation with Dave Lee, we break down some of the most common questions men have about testosterone replacement therapy.

How long does it take to see results? What should men realistically expect in the first few weeks? And how do you know if treatment is actually working?

Dave explains why TRT is not an overnight fix, but a process of moving in the right direction. Libido, mood, energy, and motivation may start to improve within the first several weeks, but the real marker of progress is not always perfection — it is movement.

One of the biggest mindset mistakes men make is measuring how far they still have to go instead of recognizing how far they have already come. Going from a 1 to a 3 may not feel like the finish line, but it is still meaningful progress.

We also discuss common side effects, what men should watch for, and why proper monitoring, dosing, and expectations matter when it comes to safe and effective testosterone optimization.

This episode is for any man considering TRT, currently on TRT, or trying to better understand what realistic progress should look like.

Dave Lee's Instagram Click HERE

Victory Men's Health Click HERE

For questions email [email protected]

Disclaimer: The Women Want Strong Men Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional healthcare services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.