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Testosterone talk is everywhere right now, but most of it is either fear-driven or fitness-forum folklore. We sit down with Dr. Khashayar Farzam, a Canadian emergency physician board certified in Canada and the US, with a clinical focus on obesity medicine, men’s health, testosterone-related care, and body composition. He also competes as a drug-tested powerlifter, which gives him a rare blend of real-world performance context and evidence-based medicine.
We start with the line he hears every day in clinic: “I don’t feel like myself.” From there, we break down what can actually sit underneath that feeling, including low libido, fatigue, mood changes, poor sleep, loss of muscle, and increased visceral fat. Just as important, we name the common “costume” conditions that can look hormonal but aren’t, like sleep apnea, chronic stress, and burnout. If you’ve been tempted to self-diagnose based on a single lab result or a social clip, this conversation helps you slow down and get clearer on what to test, when to test, and why.
Then we tackle the big myths head-on: TRT and heart attacks, TRT and prostate cancer, and how decades-old low-quality evidence still shapes modern opinions. Dr. Farzam explains what responsible testosterone replacement therapy looks like in real medical practice, including choosing a modality, starting with a physiologic dose, and doing the follow-up that keeps people safe, like blood pressure checks and lab monitoring for hematocrit and cholesterol. We also talk about the dangerous gap between supervised care and unregulated online or DIY protocols.
If you care about safe TRT, low testosterone symptoms, and long-term men’s health, listen through and share it with a friend who’s getting mixed messages. Subscribe, leave a review, and tell us: what’s the biggest question you still have about testosterone therapy?
Connect With the Guest:
Website: https://www.truenorthmetabolic.com
Instagram: https://www.instagram.com/doctorkhash/
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