PODCAST · health
Healthspan Podcast
by Mike Belkin, FNP-C
Welcome to the Healthspan Podcast, where we talk all things health, hormones, and what it actually takes to stay hard to kill. 💪 Hosted by Mike Belkin, Family Nurse Practitioner and founder of MensHealthspan.com, where he helps patients optimize hormones and metabolic health. This show cuts through the noise around TRT, HRT, nutrition, training, longevity strategies, and targeted interventions, including hormones and peptides, so you can feel better, look better, and live better—for men and women who want to perform better now and stay healthier longer.
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TRT Q&A Livestream - Thursday May 21, 2026 @ 8PM Eastern Time
TRT Q&A LIVESTREAMThursday, May 21 at 8 PM EasternHost-Mike Belkin from Men's Healthspanhttps://menshealthspan.com/Guests-Mason Collins from Live Oak Testosterone & Weight Loss - https://www.youtube.com/@LiveOakHealthhttps://liveoaktestosterone.com/-Josh Dull from Virtus Health Optimization http://www.youtube.com/@virtushealthoptimizationhttps://www.virtushealthoptimization.com/-Matt Jimenez (The TRT Dad) https://www.youtube.com/@TRTDADThe TRT DAD Unscripted podcast https://open.spotify.com/show/1R3mEIn1nW86Ke5i2SZfNvTRT Dad Brotherhood Discordhttps://discord.gg/AxswzRTvaTime Stamps00:00 Intro 03:05 When Should You Start HCG Before Trying to Conceive?05:49 How Long Should You Try HCG Before Adding FSH?08:23 HMG vs HCG vs FSH for Fertility09:25 Can Hot Baths, Saunas, and Seat Warmers Hurt Fertility?11:12 How Do You Get as Muscular as These Guys?12:47 My NP Says Testosterone Over 1200 Is Illegal16:19 Enclomiphene: High SHBG, High Estradiol, and What to Do17:52 Why LH and FSH Matter Before Starting Enclomiphene22:13 Estradiol of 80 on TRT: Should You Take an AI?25:39 My Urologist Lowered My TRT Dose and I Feel Worse26:54 Why Is My Testosterone Over 1500 on TRT Plus Nandrolone?30:10 Nandrolone (Deca) for Joint Pain: Is It Worth It?30:38 Low SHBG: Should You Inject More Frequently?32:48 What Is Neandrogen? Legit or Hype?39:58 Do Your Testicles Really Shrink on TRT?42:30 DHEA and Pregnenolone: Who Should Use Them?46:19 ARBs vs ACE Inhibitors for TRT Patients49:50 Nebivolol, Blood Pressure, and Erectile Function51:13 Could Testosterone Reduce Brain Cancer Risk?53:26 Testosterone Levels of 215 and 273: Should You Consider TRT?56:36 What Is an Optimal Testosterone Level?01:04:53 Exercise vs TRT: What Matters More?01:09:58 Blood Pressure Management While on TRT01:18:36 HCG Fertility Protocols Explained01:24:27 IM vs SubQ Testosterone Injections01:30:14 Hormone Therapy in Women: Where Do You Start?01:36:12 Why Women's Hormone Optimization Is So Much More Complex01:38:03 Why Is Enclomiphene Suddenly Everywhere Again?01:39:12 Enclomiphene, Growth Hormone, and IGF-101:45:37 Cost Considerations in Hormone Therapy01:51:43 Religious Restrictions and Semen Collection Testing01:52:40 When Should You Draw Labs After a TRT Injection?01:56:51 If Cost Wasn't an Issue, Would You Run HCG Forever?01:58:45 IM vs SubQ Revisited: What We Actually See in Practice02:04:42 Oral Testosterone and Fertility Claims02:12:23 Deca for Chronic Pain: Good Idea or Bad Idea?02:18:50 Common Lab Interpretation Mistakes02:25:49 Growth Hormone Secretagogues02:34:01 Bodybuilding Health Phases02:39:58 Testosterone Propionate vs Cypionate02:48:01 Hormones, Politics, and Regulation02:56:00 Closing Thoughts📌 Need expert HRT guidance?At Men’s Healthspan, we fix hormones and metabolic health so you can feel better, look better, and live better.➡️ Book your free consult here:https://MensHealthspan.com📩 Newsletter + Free Diet Templates👉 https://subscribepage.io/mpnLInYou’ll get occasional emails with real-world tips on HRT, diet, training, and improving healthspan — from a healthcare provider who practices what he prescribes.🔢 Free TRT ToolsFree Testosterone Calculatorhttps://menshealthspan.com/free-testosterone-calculator-2/Testosterone Dosage Calculatorhttps://menshealthspan.com/testosterone-dosage-calculator-use-insulin-syringes-for-trt/GLP-1 Dose Calculatorhttps://menshealthspan.com/semaglutide-and-tirzepatide-dose-calculator/
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TRT Dosing: Minimum Effective Dose vs Maximum Tolerable Dose, with Dr. Andrew Winge
Healthspan Podcast | Episode 3TRT Dosing: Minimum Effective Dose vs Maximum Tolerable Dose, with Dr. Andrew WingeHow much testosterone is enough? How much is too little?And at what point are you no longer doing replacement therapy… ?In this episode of the Healthspan Podcast, I sit down with Dr. Andrew Winge of Man Medicine to discuss one of the most debated topics in testosterone replacement therapy:Minimum Effective Dose vs Maximum Tolerable Dose.We break down what realistic dosing looks like, why free testosterone is more important than total, the significance of SHBG, insulin resistance, the significance of genetic variability, anabolic resistance, aromatization, estrogen myths, body composition as a key metric, metabolic health, and why the “right” TRT dose is highly individual.We also discuss why many men fail TRT despite “normal” lab values, the limitations of current guidelines, why symptom resolution matters, and the growing divide between conservative TRT philosophy and the increasingly common “TRT+” approach seen online and in some clinics.If you’re on TRT, considering it, or trying to optimize your protocol, this episode will help you think about dosing in a much more nuanced and individualized way.⏱️ Timestamps00:00 Why “Safe” TRT Often Fails Men00:18 Introduction to Dr. Andrew Winge01:34 Dr. Winge’s Personal TRT Story05:40 How Testosterone Changed His Medical Practice08:46 Why Most Providers Don’t Understand TRT and why you shouldn't expect them to11:44 The Problem With Modern Primary Care13:35 Why Muscle Mass Matters for Longevity18:20 Minimum Effective Dose vs Maximum Tolerable Dose19:18 Why TRT Guidelines Fail Many Men21:57 Why Many Men Quit Testosterone Therapy26:06 Free Testosterone vs Total Testosterone28:45 Why Some Men Need Higher Testosterone Levels31:49 Why Out-of-Range Labs Aren’t Automatically Dangerous35:04 Testosterone Safety and Higher Dose Studies38:19 Testosterone, Muscle Mass, and Metabolic Health40:42 When Higher Testosterone Doses Stop Helping41:23 Why Lifestyle Still Matters on TRT43:35 Optimal Free Testosterone Ranges45:20 Why Broader Medical Experience Matters in a TRT provider46:47 The Big Rocks of Health Still Matter Most49:03 Estradiol, Aromatization, and Obesity51:20 Why Estradiol Is Protective in Men56:31 Why Adiposity Is the Real Problem57:58 The Problem With Aromatase Inhibitors59:01 DIM, Estrogen Myths, and Bad TRT Advice01:02:12 The Business Side of TRT Clinics01:05:12 Why Estradiol Labs Often Mislead Doctors01:07:18 Estradiol, Nitric Oxide, and Erectile Function🎙️ Guest: Dr. Andrew Winge | Man MedicineWebsitehttps://www.manmedicine.com/Instagramhttps://www.instagram.com/manmedicinemd/YouTubehttps://www.youtube.com/@manmedicine📌 Need expert HRT guidance?At Men’s Healthspan, we fix hormones and metabolic health so you can feel better, look better, and live better.➡️ Book your free consult here:https://MensHealthspan.com📩 Newsletter + Free Diet Templates👉 https://subscribepage.io/mpnLInYou’ll get occasional emails with real-world tips on HRT, diet, training, and improving healthspan — from a healthcare provider who practices what he prescribes.🔢 Free TRT ToolsFree Testosterone Calculatorhttps://menshealthspan.com/free-testosterone-calculator-2/Testosterone Dosage Calculatorhttps://menshealthspan.com/testosterone-dosage-calculator-use-insulin-syringes-for-trt/GLP-1 Dose Calculatorhttps://menshealthspan.com/semaglutide-and-tirzepatide-dose-calculator/
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Peptides Legal Landscape: Attorney Rick Collins on Peptides, FDA Policy, and What Comes Next
Healthspan Podcast | Episode 2Peptides Legal Landscape: Attorney Rick Collins on Peptides, FDA Policy, and What Comes NextPeptides are no longer just a niche topic inside bodybuilding and performance circles. They’re now showing up in everyday conversations among patients, medical providers, soccer moms, TRT dads, and probably your friends and neighbors.At the same time, regulators continue to raise concerns about safety data, product quality, and how these compounds are being distributed outside traditional medical channels.In this episode, I sit down with Rick Collins, The Defense Lawyer for the Fit and Jacked, to break down what’s actually happening inside the research peptide market, how the FDA is approaching these compounds, and what the next few years may look like for people using them.As peptide use continues to expand, the real question isn’t whether people are using them. It’s whether access moves toward safer medical oversight, stays in the gray market, or gets pushed further underground.-----------------------------------------------------------------------------------------------📌 Need expert HRT guidance?Michael Belkin, FNP — Host, Healthspan PodcastFounder, Men’s HealthspanAt Men’s Healthspan, we fix hormones and metabolic health so you can feel better, look better, and live better.➡️ Book your free consult here:https://MensHealthspan.com📩 Newsletter + Free Diet Templates👉 https://subscribepage.io/mpnLInYou’ll get occasional emails with real-world tips on HRT, diet, training, and improving healthspan — from a healthcare provider who practices what he prescribes.Follow for more TRT, peptides, and healthspan content:Instagram - https://instagram.com/menshealthspanTikTok - https://www.tiktok.com/@menshealthspanFacebook - https://facebook.com/61553012011701-----------------------------------------------------------------------------------------------GuestRick Collins, Esq. - The Defense Lawyer for the Fit and JackedAttorney representing clients in cases involving performance-enhancing drugs, testosterone replacement therapy, peptides, and dietary supplementsWebsite - https://rickcollins.com/Instagram - https://www.instagram.com/rickcollinsesq/-----------------------------------------------------------------------------------------------🔢 Free ToolsFree Testosterone Calculator - https://menshealthspan.com/free-testosterone-calculator-2/Testosterone Dosage Calculator - https://menshealthspan.com/testosterone-dosage-calculator-use-insulin-syringes-for-trt/GLP-1 Dose Calculator - https://menshealthspan.com/semaglutide-and-tirzepatide-dose-calculator/-----------------------------------------------------------------------------------------------Chapters0:00 Introducing Rick Collins and the Peptide Legal Landscape1:51 The Rise of Peptides in Health and Wellness23:09 Legal Perspectives on Peptide Use26:47 Risks and Trust in Peptide Sourcing27:11 The Dark Side of Supply Chains28:45 The Black Market and Legitimacy30:51 Navigating Legal Pathways for Peptides32:57 The Polarized Debate on Peptides35:32 The Future of Testosterone and Marketing38:27 The Role of Big Pharma in Innovation42:54 Legal Risks in the Research Chemical Market45:01 The Importance of Prioritizing the Basics in Health and Fitness
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TRT + Lifestyle: Why Testosterone Therapy Fails Without Lifestyle Changes
<p><strong>Healthspan Podcast | Episode 1</strong><br><strong>TRT + Lifestyle: Why Testosterone Therapy Fails Without Lifestyle Changes</strong></p><p>Without the fundamentals in place, your TRT experience will probably be disappointing.</p><p>In this first episode of the Healthspan Podcast, I sit down with Mason Collins from Live Oak Testosterone and Weight Loss to break down the biggest mistakes people make when starting testosterone therapy and the things many primary care providers and hormone clinics leave out of the conversation.</p><p>We cover sleep, nutrition, training, recovery, stress, and why testosterone works best as a catalyst for change, not a substitute for the basics.</p><p><strong>Guest:</strong> Mason Collins | Live Oak Testosterone and Weight Loss<br><a href="https://liveoaktestosterone.com/">https://liveoaktestosterone.com/</a><br><a href="https://www.youtube.com/@LiveOakHealth">https://www.youtube.com/@LiveOakHealth</a></p><p><strong>Book a free consult with Men’s Healthspan:</strong><br><a href="https://MensHealthspan.com">https://MensHealthspan.com</a></p><p><strong>Newsletter + Free Diet Templates:</strong><br><a href="https://subscribepage.io/mpnLIn">https://subscribepage.io/mpnLIn</a></p><p><strong>Free Tools:</strong><br><a href="https://menshealthspan.com/free-testosterone-calculator-2/">Free Testosterone Calculator</a><br><a href="https://menshealthspan.com/testosterone-dosage-calculator-use-insulin-syringes-for-trt/">Testosterone Dosage Calculator</a><br><a href="https://menshealthspan.com/semaglutide-and-tirzepatide-dose-calculator/">GLP-1 Dose Calculator</a></p><p><strong>⏱️ Timestamps</strong><br>00:00 Introduction to the Healthspan Podcast<br>01:39 Why lifestyle drives TRT outcomes<br>06:46 What primary care and hormone clinics often miss<br>08:37 Why personal experience matters in patient care<br>10:25 What “eating clean” actually means<br>15:11 Why tracking calories changes everything<br>21:27 Lifestyle vs medication: which matters more<br>27:06 Planning around holidays without losing progress<br>29:12 Why deload weeks improve results<br>31:18 Zone 2 vs high-intensity cardio<br>32:10 Why movement matters more than you think<br>35:04 Sleep duration vs sleep quality<br>38:35 Sleep hygiene that actually works<br>43:55 Supplements that improve sleep<br>46:37 TRT as a catalyst for lifestyle change<br>52:07 Hormone optimization vs symptom chasing<br>1:02:40 Patient management strategy and protocols<br>1:05:39 Progressive training principles<br>1:07:49 Hunger management while dieting<br>1:11:35 Periodizing diet and training<br>1:16:21 Maintaining muscle while losing fat<br>1:21:04 Long-term training strategy and goals</p>
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ABOUT THIS SHOW
Welcome to the Healthspan Podcast, where we talk all things health, hormones, and what it actually takes to stay hard to kill. 💪 Hosted by Mike Belkin, Family Nurse Practitioner and founder of MensHealthspan.com, where he helps patients optimize hormones and metabolic health. This show cuts through the noise around TRT, HRT, nutrition, training, longevity strategies, and targeted interventions, including hormones and peptides, so you can feel better, look better, and live better—for men and women who want to perform better now and stay healthier longer.
HOSTED BY
Mike Belkin, FNP-C
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