His Labs Were Normal. But He Was Crashing.

What happens when your labs are “normal” — but you know something is wrong? In this episode of HuMed, Dr. David Spiro sits down with Dr. Stephen Sanders, a board-certified family physician and men’s health expert, to talk about the moment his own health collapsed in his late 30s. On paper, everything looked good: career, family, success. But inside, he was struggling with brain fog, fatigue, low energy, weight gain, erectile dysfunction, poor sleep, and the frightening feeling that his best days might already be behind him. Dr. Sanders shares how one photo during a bike ride in Colorado became the turning point — and how he rebuilt his health through sleep, nutrition, training, hormone optimization, community, and a completely different approach to men’s health. We discuss: • Why “normal labs” don’t always mean optimal health• Testosterone, free testosterone, and hormone optimization• Sleep, wearables, HRV, and recovery• Intermittent fasting and whole-food nutrition• Ultra-processed foods and metabolic health• GLP-1 medications, muscle loss, and protein• Creatine, sauna, cold plunge, and longevity tools• Male loneliness, stress, vulnerability, and community• Why medicine treats disease well — but often fails at creating health This is a conversation about men’s health, longevity, burnout, behavior change, and what it takes to feel alive again. Subscribe to HuMed with David Spiro, MD for more conversations about the human side of medicine. #MensHealth #Testosterone #Longevity #HuMed #HealthOptimization Learn more about your ad choices. Visit megaphone.fm/adchoices