TRT Without The Hype, with Dr. Khashayar Farzam

Send us Fan Mail 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/ Immunology Diagnostics 30% off of IMBXX. Code: Healthymind Get the test, insurance covers. Couples Tantra Programme Unlock Deeper Connection and Intimate Pleasure in Your Relationship. Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you. Support the show Want to Be a Guest on Healthy Mind, Healthy Life? 👉  DM me on PodMatch  💬 Want to come on the show? Be a Guest  🌐 Explore the full network  | 📨 Newsletter | 👥 LinkedIn Community This isn't self-help. It's self-honesty. 💼 Sponsor Our Show | 🎬 Check Our Services 📌 Disclaimer This episode is for educational and informational purposes only. Guest views are personal and do not represent the host or Healthy Mind by Avik™. The Network does not verify or endorse guest statements. Nothing here is medical, legal, financial, or professional advice, please consult a qualified professional. Engage critically. Third-party content referenced under fair use. Guests are responsible for their own statements. Concerns? Contact us | Full disclaimer. By listening, you accept this disclaimer in full.