In the Journal /
The Journal / readings from the practice
What a physician reads.
The headline, the lab, and the life it belongs to, read the way a doctor with the time would read them. Evidence-literate, plainspoken, and skeptical of both medical dismissal and wellness hype.
TRT After TRAVERSE: What the Heart-Safety Study Actually Says
For a decade testosterone carried a cloud of cardiovascular worry. The largest trial yet has cleared some of it, and left some in place. Here is the honest reading.
Metabolic healthGLP-1s and Low Testosterone: When Treating the Weight Treats the Cause
For many heavier men, a low testosterone reading is a symptom of the weight, not a gland that has failed. Sometimes the better first move is not testosterone at all.
FertilityTestosterone Therapy and Fertility: The Conversation Too Many Clinics Skip
Standard testosterone therapy can shut down sperm production, sometimes for good. A man who may want children deserves to know that before the first dose, not after.
ED & libidoED Is Not Just a Bedroom Problem. It Can Be a Blood-Vessel Problem.
Erectile dysfunction is often the first place vascular disease shows itself. Here is why a careful physician treats it as a whole-body signal, not a quick fix.
Treatment judgmentWhy We Don't Prescribe Testosterone From One Afternoon Lab
Good treatment starts with a real evaluation: morning testing, repeat labs, symptoms, and the things a single blood draw can never show.
Testosterone labsYour Testosterone Is "Normal." That May Not Be the Whole Story.
A result inside the reference range can still miss what you are feeling. Here is what a physician reads after the total.
Testosterone labsTotal T, Free T, and SHBG: The Three Numbers Men Should Understand
Three lab values, one picture. What each one measures, why the total can mislead on its own, and how a physician reads them together.