Nelson Vergel Beyond Testosterone Podcast

Nitric Oxide: The Ultimate Vitality Moecule

The episode captures a discussion on nitric oxide (NO) biology and highlights the molecule's profound importance in metabolic health and chronic disease reversal. It explains that a deficiency in this "miracle molecule" leads to a recognizable hierarchy of symptoms, often beginning with erectile dysfunction and progressing to severe conditions like hypertension and insulin resistance. Experts in the field criticize the supplement industry, arguing that products using arginine or beet juice are largely ineffective because they fail to restore the body’s natural NO production pathway, which is damaged by common factors like high sugar intake and the use of acid blockers (PPIs). Instead of symptom management, many expert advocate for a restorative physiological approach, using science-backed technology to replace lost NO and pursuing FDA-approved NO drug therapies for illnesses such as Alzheimer’s and non-healing diabetic wounds. This work aims to shift the narrative from ineffective drug cocktails to addressing the root cause of endothelial dysfunction.

The Hidden Reason Testosterone Works Better for Some Men

In this comprehensive episode, you will learn: 1. A Deep Dive into the Science: Uncover exactly how the Androgen Receptor gene works and why this single genetic marker has such a massive and wide-ranging impact on a man's life. 2. Are You High or Low?: Explore the average CAG repeat numbers for different global populations—including European (21), African (17), and Asian (23)—and understand what the "normal" range is. 3. Testing Options Explained: Learn about the types of genetic tests available, their cost, and how you can have an informed discussion with your doctor about getting tested. 4. Actionable Steps: Discover how to interpret your potential results and what they mean for optimizing your health, energy, and vitality—whether you are currently on TRT or not.

Natural Thyroid Medicine Under Threat by the FDA: What You Can Do Now

The FDA has just dropped a bombshell that could affect nearly 2 million Americans taking natural thyroid medication. In a controversial move, they've reclassified desiccated thyroid extract, or DTE, as a biologic rather than a traditional drug. This means compounding pharmacies have exactly one year before they must stop making the customized thyroid medications that countless patients depend on. Critics are calling foul, arguing the decision is based on an inactive pig protein that gets digested in your stomach anyway, and pointing out that the real active ingredients - T4 and T3 hormones - haven't changed. What's really raising eyebrows is that this shift appears linked to a petition from AbbVie, the company behind brand-name Armour Thyroid, potentially setting up a monopoly situation.

Penile Injections for Erectile Dysfunction: What You Need to Know

This episode reviews information from Dr. Ryan Flannigan, a urologist specializing in reproductive and sexual medicine, and provides a comprehensive overview of penile injection therapy for erectile dysfunction. He details what the treatment entails, including common medications like Trimix and Bimix, and how it works by locally stimulating blood flow and muscle relaxation within the penis. The video outlines reasons for considering this therapy, such as failure of other treatments or nerve damage from prostate cancer, alongside contraindications like dexterity issues or bleeding disorders. A significant portion of the video is dedicated to a step-by-step guide on performing the injection safely, from preparing the medication and the injection site to delivering the dose. Finally, Dr. Flannigan addresses the critical risk of priapism (prolonged erection), explaining its dangers and providing detailed instructions on prevention and management, including when to seek emergency medical attention.

Unraveling Testosterone Therapy: Myths, Risks, and the Future

Join us as we dive into the world of testosterone therapy with insights from Dr. Khera a leading voice in men's health. With over 100 published articles, Dr. Khera brings credibility and depth to this crucial discussion. This episode serves as "Testosterone 101," cutting through the noise to explore the real risks, benefits, and the latest guidelines.
We address common myths surrounding testosterone therapy, such as its links to blood clots, heart attacks, and prostate cancer. Dr. Kara's research provides a nuanced perspective, challenging outdated assumptions and offering a comprehensive view of hormonal health.
Explore the impact of testosterone on fertility and the natural contraceptive effects it can have. We discuss alternative options like clomiphene citrate and HCG for those wanting to boost testosterone while preserving fertility.
Discover the "four pillars of testosterone optimization"—diet, exercise, sleep, and stress reduction—and how they can naturally enhance testosterone levels. Dr. Khera emphasizes the importance of these lifestyle changes in creating a balanced hormonal environment.
Looking to the future, we delve into exciting possibilities like nanotechnology and stem cell research that could revolutionize testosterone therapy. Imagine a future where lifespan is extended and hormonal health is restored naturally.
As we wrap up, the key takeaway is the importance of personalized medicine. Every individual is different, and having a knowledgeable doctor is essential for tailored treatment. Stay informed, stay curious, and make empowered decisions about your health.

Neurotransmitters Involved in Erectile Function & Libido

This podcast episode provides an extensive discussion on the complex interplay of factors influencing male sexual function, particularly sex drive and erection quality, beyond just testosterone. It outlines the neurochemical symphony involving dopamine, serotonin, testosterone, oxytocin, and vasopressin, explaining their individual roles and interactions within the hypothalamic command center. Furthermore, the text identifies multifactorial influences on sexual dysfunction, such as obesity, diabetes, cardiovascular disease, sleep deprivation, and stress. Finally, it addresses clinical implications and treatment approaches, emphasizing lifestyle interventions, testosterone therapy considerations, and sleep optimization, underscoring that optimal sexual health is deeply interconnected with overall physical and mental well-being.

How Your Circadian Clock Affects Your Testosterone- Deep Dive

This Beyond Testosterone podcast episode comes from an academic review article from the Asian Journal of Andrology, published in September-October 2025. This article, titled "Regulation of testosterone synthesis by circadian clock genes and its research progress in male diseases," examines the relationship between circadian rhythms and testosterone production in males. It explores how circadian clock genes centrally and peripherally regulate testosterone synthesis and secretion, and how disruptions in these rhythms are linked to various male health issues, including late-onset hypogonadism, erectile dysfunction, male infertility, and prostate cancer. The authors also discuss potential therapeutic approaches, such as chronotherapy and non-pharmacological interventions, for these conditions based on circadian rhythmicity. The episode concludes by highlighting current limitations in research and suggesting future directions for investigation.

Everything You Need to Know About Testosterone Replacement Therapy

This episode summarizes the key information presented in the "Low Testosterone Causes and Treatments" lecture by Nelson Vergel from ExcelMale.com. It covers the definition of low testosterone, its health risks, diagnostic methods, and treatment options, emphasizing practical advice and addressing common misconceptions.
Understanding Low Testosterone: Causes, Diagnosis, and Treatment – Summary
What is Testosterone Deficiency?
Testosterone, the principal male sex hormone (androgen), is also found in women at much lower levels. It influences hair growth, liver protein synthesis, sexual and reproductive health, mood, muscle strength, bone density, and red blood cell production. The decline in testosterone typically starts at ages 30-40, gradually dropping about 1.2% per year.
Defining Low Testosterone & Health Risks
Normal male levels: 350–1,100ng/dL. For women: 10–50ng/dL.
Symptoms: Decreased libido and sexual function, fatigue, mood disturbances, muscle and bone loss, increased fat, concentration and memory problems.
Risks begin to emerge under 300–350ng/dL: Higher metabolic syndrome, erectile issues, mortality, anemia, diabetes/fractures/depression, and arterial problems.
Diagnosis: Thresholds & Testing
Definitions vary (European, Endocrine Society, insurers) but generally <300–350ng/dL is considered low.
Diagnosis: Two morning, fasting total and free testosterone tests. LH, FSH help distinguish primary (testicular) vs. secondary (pituitary/hypothalamic) hypogonadism.
Additional tests: PSA, lipid panel, CBC, estradiol, prolactin.
Physiology & Hormonal Interactions
Testosterone is produced via the hypothalamic-pituitary-testicular axis, starting from cholesterol. Most testosterone circulates bound to proteins (SHBG, albumin); only 2% is “free” and bioactive. Conversion products (DHT, estradiol) profoundly affect male health, especially bone, fat, and cognitive function.
Causes of Low Testosterone
Common causes include aging, obesity, diabetes, chronic illness (liver/kidney/COPD), sleep apnea, drugs (steroids, opiates), genetics, environmental toxins, and other hormonal deficiencies. Sleep quality, weight, and exercise are key modifiable factors.
Treatment Benefits
Normalizing testosterone may improve sexual interest, mood, cognitive function, cardiovascular health, muscle mass, inflammation, glucose control, and quality of life. Most benefits manifest within weeks to months.
Potential Risks and Contraindications
Risks: Acne, oily skin, decreased HDL cholesterol, increased red blood cells (hematocrit: may require blood donation), rare gynecomastia, male pattern baldness, sleep apnea, anxiety, water retention, reduced fertility.
Contraindications: Untreated sleep apnea, high baseline hematocrit (>50%), high PSA or prostate cancer, certain blood clotting disorders.
Treatment Options
Gels: Easy, stable but risk of skin transfer, variable absorption.
Injections: More consistent, cheaper; newer dosages and subcutaneous techniques minimize “peak and valley” side effects.
Pellets: Longer duration, minor procedure required.
Nasal, oral, patches: Less popular due to side effects or convenience.
Compounded medications: Custom options (especially for women), growing regulation.
Speaker’s Practical Advice
Monitor hematocrit closely.
Never “cycle” TRT.
Use simple injection techniques.
Protect fertility with HCG.
Question testosterone boosters and avoid untested supplements.
Stay informed on new medical information and guidelines.
Ancillary Therapies
TRT may be combined with thyroid meds, HCG, vitamin injections, ED drugs, and other agents to optimize results.