REBOOT: #462 Male Hypogonadism Pearls with Dr. Bradley Anawalt: Insights on Testosterone Deficiency

REBOOT: #462 Male Hypogonadism Pearls with Dr. Bradley Anawalt: Insights on Testosterone Deficiency

Author: The Curbsiders Internal Medicine Podcast January 26, 2026 Duration: 1:31:37

We have a classic episode for you. Master male hypogonadism diagnosis and management. Discover when and how to test, how to tackle confounding conditions, and why lifestyle changes may be more effective than testosterone therapy in certain patients. We are joined by Dr. Brad Anawalt, an expert in endocrine care, to guide us through the essentials.

Claim CME for this episode at curbsiders.vcuhealth.org!

Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME


Show Segments

  • Intro
  • Case 1
  • History and Physical 
  • Laboratory Testing 
  • Effect of Lifestyle on Testosterone
  • Case 2
  • Prostate and Cardiovascular risk
  • Treatment Options and Considerations
  • Secondary Causes of Hypogonadism
  • Case 3
  • Testicular Size and Klinefelter Syndrome
  • hCG and Clomiphene
  • Monitoring and Follow-Up
  • Take-Home Points
  • Outro

Credits

  • Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD. 
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Sai S Achi MD, MBA, FACP
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: Bradley D. Anawalt MD

Sponsor: Gusto

Try Gusto today at gusto.com/CURB, and get three months free when you run your first payroll.


Sponsor: Locumstory

Locumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums. 


Sponsor: MedStudy

MedStudy Qbank+ Study less. Remember more. Pass confidently. Medstudy.com/Curbsiders CURB15 for 15% off

Sponsor: The Sanford Guide

Curbsiders listeners can get 20% off the already very moderately priced yearly subscriptions directly at sanfordguide.com. Go to sanfordguide.com and use the code, CURB at checkout.


Tune in to The Curbsiders Internal Medicine Podcast for a direct line to practical clinical knowledge and the ever-evolving art of patient care. This isn't a dry lecture series; it's a dynamic conversation among practicing physicians who break down complex topics into actionable insights you can use. Each episode delves into the nuances of internal medicine, from managing common chronic conditions to interpreting the latest guidelines and navigating diagnostic dilemmas. You'll hear honest discussions about challenges at the bedside, evidence-based debates, and expert interviews that go beyond textbook summaries to reveal how medicine works in the real world. The podcast serves as both a continuing education resource and a professional companion, offering thoughtful analysis and clinical pearls that resonate whether you're a seasoned hospitalist, a resident in training, or a primary care provider. The focus is consistently on deepening understanding and improving daily practice, making the rounds or the clinic day feel a little less daunting and a lot more informed. Listen for a blend of curiosity, camaraderie, and a genuine commitment to mastering the craft of medicine, all delivered through engaging dialogue that feels like consulting with a trusted colleague.
Author: Language: English Episodes: 100

The Curbsiders Internal Medicine Podcast
Podcast Episodes
#522: Healthy Aging with Dr. Elizabeth Eckstrom [not-audio_url] [/not-audio_url]

Duration: 1:19:56
Join us as we explore practical, evidence-based strategies to help patients age with strength and confidence, and navigate the transition into retirement. We’re joined by Dr. Elizabeth Eckstrom (Oregon Health & Science U…
#521 Tales of the Pelvis [not-audio_url] [/not-audio_url]

Duration: 1:19:53
Gain an insider’s perspective on the techniques of pelvic floor physical therapy. Learn when to refer, what to expect and what can be gained from working with your friendly neighborhood pelvic floor PT specialist. We’re…
#520: Healthspan Medicine, A Practical Approach [not-audio_url] [/not-audio_url]

Duration: 1:19:36
How do we help patients improve health span without letting wearables, biomarkers, and wellness trends take over the conversation? Learn how to think about CGMs in patients without diabetes, how to interpret early cardio…
#519 Mild Autonomous Cortisol Secretion [not-audio_url] [/not-audio_url]

Duration: 1:13:57
Become a master of cortisol and learn how to identify and treat a common condition in patients with adrenal tumors! Join us as we learn about mild autonomous cortisol secretion (MACS) with Dr. Irina Bancos (@irinabancos)…
518: Cardiology Meets Longevity [not-audio_url] [/not-audio_url]

Duration: 1:31:28
Metabolic Health, Advanced Lipidology, and Preventing ASCVDLevel up your primary prevention game. Learn when ApoB, Lp(a), and CAC actually change management, how to spot cardiometabolic risk before diabetes declares itse…
REBOOT: #481 Prediabetes and Diabetes Prevention with Dr. Scott Isaacs [not-audio_url] [/not-audio_url]

Duration: 1:33:35
We have a classic episode for you. Conquer prediabetes and diabetes prevention! We’re joined by Dr. Scott Isaacs, who provides essential pearls on navigating screening tests for diabetes and prediabetes, identifying atyp…
#516 Lyme Disease Primer featuring  Dr. Sophie Woolston [not-audio_url] [/not-audio_url]

Duration: 1:18:30
Stop getting TICK’ed off by LymeMaster Lyme disease — from recognizing erythema migrans and avoiding unnecessary testing to managing disseminated Lyme and post-exposure prophylaxis. Learn practical, evidence-based strate…
#515 Primary Aldosteronism, A Deep Dive with Anand Vaidya, MD [not-audio_url] [/not-audio_url]

Duration: 1:26:11
Helping you diagnose a common cause of hypertension!Hypertension is a growing disease globally, affecting millions of individuals and increasing the risk of heart disease and stroke. Along with the expert help of Dr. Vai…