In this episode, Dr. Ravi Gupta is joined by Steve Jones, MD, as they break down what every man needs to know about testosterone— why levels decline, which symptoms actually matter, and how to rebuild your hormonal foundation the right way. From lifestyle fixes to lab testing, boosters, TRT, and peptides, this is a practical, evidence-based guide to feeling stronger, sharper, and more resilient.

• Start with lifestyle. Nutrition, sleep, stress management, and resistance training are the non-negotiable foundation before any medical intervention.

• Labs guide everything. FSH/LH levels help pinpoint the cause of low testosterone and determine whether boosters or TRT are appropriate.

• Boosters vs. TRT. Enclomiphene supports natural testosterone production and preserves fertility. TRT is powerful but suppresses endogenous production and carries fertility risks.

• Peptides as advanced tools. Options like BPC-157 and GH secretagogues support repair, recovery, and performance when used strategically.

1. The Problem: Testosterone Decline & Symptoms

• Testosterone naturally drops beginning in the 30s; muscle mass declines ~1% per year after 40.

• Common symptoms: fatigue, brain fog, low libido, poor strength gains.

• Clinical low is <300 ng/dL, but most men feel optimal between 600–1000 ng/dL.

• Free Testosterone matters most — high SHBG can bind up circulating T and require higher total T.

2. The Foundation: Lifestyle & Supplements

Before labs or prescriptions, dial in:

• Whole-food nutrition + high protein

• Resistance training ≥3x/week

• 7–9 hours of quality sleep

• Stress reduction
  Foundational supplements include zinc, vitamin D, magnesium, and omega-3s. Most men benefit from a 1–2 month lifestyle-first approach.

3. Medical Options: Boosters vs. Testosterone Replacement

Labs to order: Total T, Free T, SHBG, FSH, LH, Estradiol (test before 10 AM).

Enclomiphene (Booster):

• Increases natural FSH/LH → boosts endogenous testosterone.

• Best for secondary hypogonadism (low T + low FSH/LH).

• Pros: preserves fertility, reversible, mild side effects.

Testosterone Replacement Therapy (TRT):

• Direct hormone replacement; suppresses natural production.

• Best for primary hypogonadism (low T + high FSH/LH).

• Pros: very effective for severe deficiency.

• Cons: infertility risk, potential long-term suppression, requires careful physiologic dosing.

• Monitoring labs: Total/Free T, Estradiol, H&H.

• Does not increase prostate cancer risk.

4. Advanced Tools: Peptides

Peptides assist with targeted physiologic functions:

• BPC-157: tissue repair, gut healing

• Sermorelin / GH Secretagogues: sleep, recovery, natural GH release

• KPV: anti-inflammatory support
  Typical cycle: 8–12 weeks on, 4 weeks off. Use only high-quality, third-party tested sources (≥98% purity).

Suggested Timestamps:

• 00:00 – Introduction to Stem Cells and Hormones

• 00:54 – Understanding Testosterone and Men's Health

• 01:05 – Meet Dr. Steve Jones

• 01:48 – The Basics of Testosterone Deficiency

• 05:43 – Lab Testing for Testosterone Levels

• 11:56 – Lifestyle Changes to Boost Testosterone

• 19:33 – Testosterone Replacement Therapy and Boosters

• 26:30 – Long-Term Commitment to TRT

• 27:55 – Side Effects of Enclomiphene

• 29:11 – Managing Off-Label TRT Use

• 31:02 – Cardiovascular Risks and TRT

• 33:08 – Monitoring and Lab Tests

• 35:59 – Introduction to Peptides

• 39:47 – Popular Peptides and Their Benefits

• 45:35 – Finding Quality Peptide Suppliers