TRT: Who Actually Needs It? Risks, Benefits, and Fertility Considerations | Dr. Suks Minhas | Be Well Moments

TRT: Who Actually Needs It? Risks, Benefits, and Fertility Considerations | Dr. Suks Minhas | Be Well Moments

Author: Sarah Ann Macklin October 24, 2025 Duration: 8:15

Watch the FULL podcast here: https://youtu.be/Lw6iZbZBiw8


Thinking about TRT for low testosterone? This clip takes a closer look at who genuinely benefits from testosterone replacement therapy, what current evidence suggests about safety, and why fertility planning is crucial.


I’m exploring with my guest how to distinguish primary from secondary hypogonadism, why symptoms plus true biochemical low testosterone are needed for a diagnosis, and the point that if total testosterone is above 12, TRT isn’t indicated. This discussion focuses on updated data around prostate and cardiovascular risk, key contraindications such as active prostate cancer, polycythemia, and heart failure, and the reality that exogenous testosterone suppresses FSH and sperm production, acting like a male contraceptive and not always fully reversible. We also cover off-label options like clomiphene and hCG to support endogenous testosterone when fertility is a priority, the importance of screening for metabolic issues like dyslipidemia and prediabetes, lifestyle considerations, and the social pressures that drive recreational use. There’s a brief reflection on age-related declines, the idea that testosterone may drop after men have children, and how broader environmental factors might fit into the picture.


As a nutritionist and health communicator, I aim to connect the science with practical, balanced advice so you can discuss options confidently with your clinician.

Dr Suks Minhas in conversation with Sarah Ann


Listen to the full episode⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.⁠⁠⁠⁠⁠⁠⁠⁠


Watch the full episode on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠


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This episode is sponsored by: NOWATCH: Health tracking reimaginedKnow your body, trust yourself.15% off with code LWBW15 at nowatch.com


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There's a lot of noise out there about what it means to be healthy, and Live Well Be Well with Sarah Ann Macklin cuts straight through it. Sarah Ann brings a grounded perspective shaped by both personal experience and formal study, moving beyond quick fixes to explore what sustainable wellness actually looks like. Each conversation in this podcast feels like a thoughtful exploration rather than a lecture, tackling the interconnected areas of holistic health, practical nutrition, and realistic lifestyle shifts. You'll hear from a range of insightful guests alongside Sarah Ann's own reflections, all aimed at making sense of the information overload. The tone is refreshingly human-this isn't about perfection, but about finding a smarter, more integrated approach to everyday living. Tuning into this podcast feels like gaining a knowledgeable, empathetic friend who believes that feeling well shouldn't feel like a constant struggle. It’s a space for anyone wanting to move past the confusion and cultivate a genuine sense of vitality that fits into a real, busy life.
Author: Language: English Episodes: 100

Live Well Be Well with Sarah Ann Macklin | Health, Lifestyle, Nutrition
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