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
#499 Inpatient DOAC Dilemmas with Dr. Jori May [not-audio_url] [/not-audio_url]

Duration: 1:07:20
Sorting out DOAC Drama in the Hospital Is it treatment failure or not? Join us for a great conversation with Dr. Jori May (University of Alabama-Birmingham) on all the nuances around DOAC treatment failure and treatment…
#498 Opioid Withdrawal with Dr. Ashish Thakrar [not-audio_url] [/not-audio_url]

Duration: 1:17:15
Grow your management tools for opioid withdrawal in the hospital. Investigate how to decide between methadone and buprenorphine, additional medications to manage symptoms and how and when to use short-acting opioids for…
REBOOT: #457 Cold and Flu Season: Upper Respiratory Infections [not-audio_url] [/not-audio_url]

Duration: 1:05:47
We have a classic episode for you. Dive deep into upper respiratory viral infections with Dr Amber Bird, MD (Penn). Feel confident on when to order testing, recommend symptom relieving treatments, and avoid unnecessary a…
#495 Fungal Infections -Histo/Blasto/Cocci with Dr. Andrej Spec [not-audio_url] [/not-audio_url]

Duration: 1:12:46
Why we need to stop calling them “endemic” mycoses & more fungi fun!Feeling muddled about endemic mycoses? We tackle the clinical presentation of diseases like histoplasmosis, blastomycosis, and coccidioidomycosis, the i…
Bonus: Hypermobility Q&A with Bendy Bodies Dr. Linda Bluestein [not-audio_url] [/not-audio_url]

Duration: 51:22
In this special bonus episode, Dr. Linda Blustein (Bendy Bodies https://bit.ly/m/BendyBodies) addresses listener questions about Ehlers-Danlos syndrome (EDS) and hypermobility spectrum disorders.00:00 – Introduction00:59…
REBOOT: #452 NAFLD/MASLD with Dr. Elliot Tapper [not-audio_url] [/not-audio_url]

Duration: 1:14:01
We have a classic Curbsiders episode for you. Expert guest Dr. Elliot Tapper (@ebtapper) shares his framework for approaching NAFLD/MASLD and the treatment tools he recommends including lifestyle modifications and medica…
#493: Joint Pain in Older Adults with Dr. Una Makris [not-audio_url] [/not-audio_url]

Duration: 1:13:56
An age-friendly approach to arthralgias. Attack arthralgias with ease! Learn how to evaluate and manage common joint complaints in older adults. We’re joined by Dr Una Makris, @unamakris.bsky.social (UT Southwestern).Cla…