Rena Malik, MD Podcast Why Most Doctors Say NO to Testosterone And Why it Might Be Killing you.
Jan 23, 2026
A lively dive into the recent FDA panel on testosterone, covering regulatory hurdles and possible benefits for the right patients. They explore diagnostic challenges, screening tradeoffs, and differences between therapeutic use and steroid abuse. Conversations also cover online prescribing risks, adulterated supplements, key clinical trials, and how weight‑loss drugs relate to muscle preservation.
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Low T Raises Fracture And Death Risk
- Low testosterone dramatically increases fracture risk and post‑hip‑fracture mortality in men.
- Hip fractures in elderly men carry a one‑year mortality around 31%, highlighting urgency of bone health evaluation.
Get Proper Testing And Counseling
- Avoid online clinics that prescribe testosterone without proper testing or counseling.
- Get screened and counseled about infertility and lifelong implications before starting therapy.
Discuss Fertility Before Treatment
- Discuss fertility plans before starting testosterone because even low doses quickly suppress sperm production.
- Assume treatment is often lifelong and plan accordingly if you want children.