Ask a Urologist: Improving Erections, No Nut November, and Low Testosterone | Dr. Rena Malik

[@RenaMalikMD]

Thanks for having me on the podcast! Always a great time collaborating with you!

[@AlenAbdula]

Great discussion as always. Thank you.

[@MYSTERIOUS-r9n]

Unfortunate, you couldn't comment any earlier.

[@AlenAbdula]

@@MYSTERIOUS-r9n she doesn't sit refreshing like you do

[@tentaplayz3691]

DID Y'ALL CHANGE THE THUMBNAIL OR AM I TRIPPING?

[@flappyelf4065]

Wait what??? Ohhhh yeahhhhhhh!!!! I noticed that now lol

[@Kobieldz]

Hearing doctor Mike talk about edging is wild 💀💀

[@GD--]

Gotta add this to stuff that happened before GTA 6's release. 💀

[@osbre8110]

not that much, its not really an internet term, it's just a popular practice

[@Kobieldz]

@@osbre8110🤓

[@jjonez704]

Those who knows 💀💀💀💀💀💀💀💀

[@BlakieTT]

Dr. K (@HealthyGamerGG - a psychiatrist on KZbin as well) has recently talked about "gooning". Very interesting.

[@Yukongoldpotato]

As someone who grew up in a household where these discussions of sex and even genital health were very unacceptable, this discussion covered in less than 2 hours most of what it took me years to figure out on my own. Thank you for helping people get the information I didn't have.

[@hzgolshan777]

I can relate

[@ttrroy]

I’m a nursing major and this helps a lot with questions I don’t ask in class thank you Dr Mike 🙏 !!!

[@pibblesnbits]

You are paying tuition to learn. Be brave. Ask them in class bro

[@Mannyiwlf]

If you can’t advocate for yourself, how can you advocate for your patient? -From a fellow nursing student.

[@KMD-qj1qc]

I love it when Dr Mike has other doctors on and talks medicine ! 😃, hope we get more of these kind of podcasts

[@EPS5000]

“Why are guys obsessed with increasing semen” I have never in my life thought of my semen levels. I didn’t even know some guys worry about it.

[@blessedisshe3753]

Men who are struggling to reproduce do. And sadly the population is on a swift decline

[@pingponglee]

Sad

[@chelsearetherford3335]

I don't know I think a lot of guy just thinks more is better and bigger is better it gets to the point they become obsessed with it even if there the only one who notices.

[@arneshpal7702]

nah more is good

[@SuperGalinaBro]

Males with infertility are more worried about their semen levels.

[@DrJesseAbend]

Fantastic conversation! 🙌 You both covered so many important and relevant topics-I hope this podcast reaches a wide audience. One topic that really stood out to me was testosterone. I see many young males in my practice being unnecessarily prescribed testosterone by online companies, often without proper workup or monitoring, which is truly concerning. I’ll be sharing this with my patients and hope more people tune in!

[@jacobgames3412]

Jesse we need to cook - Heisenberg

[@Patrick-y4d1z]

Would love to see a video on hairloss in men - it's so easy to get online-prescriptions for finasteride and minoxidyl that it's a little worrying. And so many companies are advertising on KZbin through creators a lot.

[@user-hr1rd6gl6n]

*wild audience you mean 😉 jk lol

[@klo7020]

I’m literally a 17 year old girl this has nothing to do with me but I’m watching the whole thing 😂😂

[@meow0112]

Same

[@viirinsoftworks1304]

Who knows, in the future you might need this info in order to make someone else in your life make certain changes.

[@Star_Gazyer]

I’m doing this as a 15 year old😂😂😂

[@SunneeDragon]

It’s pretty fascinating ngl

[@BrandonWestfall]

Literally or actually? Stop overusing "literally."

[@Horsegirl-o4u]

I'm learning from my mom's medical book I know a little bit of huge words but my mom's a nurse and I get to learn from a doctor this is so exciting for me❤️

[@tannercaron8463]

The issue with testing for testosterone, the "normal range" is 300-1200. The range is extreme. This range doesn't even look at age. So 300 for a 20 year old and 300 for a 65 year old are both considered normal.

[@taylorhillard4868]

Yes because age changes the number, not the sensitivity. Meaning the range is pretty accurate for all ages. A 20 year old at 220 and an 80 year old at 220 are both hypogonadal. However what's more important is symptomology in general. You might have one guy (regardless of age) at 290 that feels fine and has no symptoms because his sensitivity is higher than normal. You can also have guys at 350, who are having all the symptoms because thier receptor density or sensitivity are abnormally low. That's part of why the range is so broad to begin with, since a lot of guys with "low normal" are usually highly sensitive, and guys with "high normal" levels are less sensitive, since guys with 400 and 900 are basically indiscernible from each other.

[@jonevansauthor]

I don't see how you're supposed to build data on this and determine what is actually normal, when doctors are refusing to do testosterone tests and no-one is gathering the data on a population level and your doctor hasn't got your previous checks in your medical records so they can say, 'Look, your T was 500 at 19, 485 at 30, 470 at 45 and this reduction isn't due to a hormonal problem, but because this chart matches up perfectly with your muscle mass loss which I also have the data for.' I really don't think doctors get big data or what it's for yet. There's a company that's edging in on using heart rate to accurately pin down your blood glucose which would democratise continuous blood glucose monitors since it'll be a one time purchase. They can only do that with huge amounts of data, which Dr Mike has said before he's opposed to gathering because the general public can't interpret it. Well... neither can scientists if they aren't allowed to gather it.

[@nab5035]

@@taylorhillard4868 usually people get ordered a hormone panel through their primary care physician and they ask for symptomology and interpret current T levels in the context of patient history. If T is borderline low, there are lifestyle interventions that can nearly double the testosterone, especially in younger men. Having more sensitive and specific tests and adjusting the ranges for age might be a good thing, but the problem that ‘some people who would benefit from TRT are being missed because of these rigid and outdated reference values’ is just not existent, because even if the T is low - lifestyle first, medications later. And not that many people maximize their T FOR SURE because majority of them are (a third of the male population-and that’s a conservative estimate) sedentary and don’t sleep enough. Drugs are cool but they don’t cure the underlying issue of WHY the T was relatively low. Sorry if it sounds like i made a couple of strawmen here, my point wasn’t really orthogonal to yours but kinda adjacent 😅

[@jonathan2847]

The problem is that these sort of "normal range"s are based on medical affects without considering life style affects. A doctor might tell a patient they are "healthy" then they go home and kill themselves, the problem is this seperation.

[@nab5035]

@@jonathan2847 strawman argument. anyone with relative low T whose symptoms like suicidal ideation checks out would be adviced lifestyle modifications. they would unalive themselves not because of low T (like just because someone died of a heart attach and had covid didn’t die from r o m covid) and even if it was low T doctor is not responsible for not prescribing TRT

[@valerieemming6377]

Thank you for talking about the testing time of day & side effects of testosterone therapy to your audience. Infertility has yet to mentioned in other platforms. As a pharmacist, it’s disheartening that this important information is missed. I end up commenting, but that does not guarantee anyone sees that information. Love this talk and the quality info! Thank you!

[@Pinecone391]

Dr. Mike is a W

[@JohnnyboiRL]

1st replie

[@ewrock7635]

He would know a thing or two about low testosterone, being a liberal man and all...

[@EyeHeartSUSHI]

he is a 10/10

[@jacobgames3412]

Frfr

[@maggiemajor4348]

Dr. Mike can you make one of these relating to women’s health and dispelling birth control myths. Why does testosterone come with all these risks of infertility if female OCP doesn’t

[@patrciaclemons8183]

Eggs are already there homegirl. Sperm isn't

[@carelilomeli794]

I love how this human took the opportunity to inform and educate us, based on real facts and scientific evidence, being a great doctor and taking advantage of his "fame" for something good unlike many people who only want to benefit themselves, I like how you make your content so easy to understand. Thank you!

[@Grintock]

This human? As opposed to what, a dog?

[@christosegkos]

Excellent discussion! I greatly respect both of you; please continue your efforts. Your ethics and passion are greatly needed.

[@LouisvilleHawk]

Dr Mike, I want to thank you for these kinds of videos. Especially after Tuesday, we need to have more forces out there sharing solid, fact based, and informative content about these kinds of subjects. And viewers, we need to share these kinds of videos with our friends and our kids! Share positive and expert information!

[@Galvantez]

For real. Health and health education is in real danger.

[@isagoldfield7393]

Thank You Dr. Mike💕

[@Malaikamuskan-v5z]

Psychedelics are just an exceptional mental health breakthrough. It's quite fascinating how effective they are against depression and anxiety. Saved my life..

[@carly102982]

Can you help with the reliable source I would really appreciate it. Many people talk about mushrooms and psychedelics but nobody talks about where to get them. Very hard to get a reliable source here in Australia. Really need!

[@cemalcanguzel3683]

Yes Steve_porss1, I share similar experiences with anxiety, depression, PTSD, and addiction. Psilocybin mushrooms have been a game-changer for me, aiding greatly in my recovery and sobriety.

[@carly102982]

Is he on instagram?

[@cemalcanguzel3683]

Steve_porss1 is the man

[@carly102982]

On Instagram?

[@jonevansauthor]

BPH - Benign prostatic hyperplasia (BPH) is a health issue that becomes more common with age. It's also called an enlarged prostate. Not sure they mentioned it several times if they actually said what it was.

[@Mc-r4q]

Dr. Malik is great and so informative! Thanks for having her on! HAPPY BIRTHDAY DR. MIKE!! 🎂 Love your channel! 😃

[@rocky8855]

Rena Malik is the best. I learn so much from her podcast!

[@entdraws4392]

Man I hope NNN is not actually beneficial cuz I lost 10days ago

[@rickard486]

Lmao

[@theonehaly]

NNN is js about self control and resisting lust. In the end, its supposed to help you recognize how what you do affects how you think and treat others as well as how healthily you treat yourself

[@jacobgames3412]

Same 😢

[@hugegamer5988]

It’s not that hard, I don’t really enjoy peanuts or almonds or anything.

[@Theo_Yt1530]

Bro, I lost day one when I saw my homies 💀

[@ajblood2758]

Valuable information Comprehensive podcast Impressive I found several answers to questions in situations that happened to me in daily life Several questions that came to my mind were resolved 👑

[@victoriahamilton1442]

Thank you for providing me a stress free place to watch content! It has been hard for me to be online at all after this years election results and it’s nice to have somewhere to go.

[@blu_heron]

Dr. Malik is fantastic, it’s so great to see her in the Check Up

[@mattymo2012]

Had an issue with pelvic floor dysfunction a few years back. Painful/burning urination, sex etc. Did pelvic floor therapy and it was a life saver. Never knew it was a thing but I am so thankful for it. Thank you Dr. Mike and Dr. Malik for this interview. Hope it helps a lot of guys that went through or are going through the same thing I did.

[@chris_bb]

what did you learn from it? Were there exercises you did that helped? and if so, do you mind sharing those exercises? :o

[@hyunkayxx]

Do you know Dr. Mike? You made my hopes of becoming a doctor resurrect, thank you for your help I can decide my dreams come back, hopefully someday I can pride myself on wearing a long white coat and being a great doctor like you. And sorry for my english, I hope you understand what I'm saying.

[@Valintinus]

Thank you, Dr. Mikhail! Watching you from Kiev.

[@2trappyshekar_ZA]

no one asked

[@khalidmerghani1277]

I hope you and your family are safe. And may god watch over you.

[@heyyou..]

@@2trappyshekar_ZAI did

[@The.noble.outcast.official]

@@2trappyshekar_ZA shut up bro

[@OmANnIe]

​@@2trappyshekar_ZAyou need to relax. No reason for hate here.

[@Zdeciak]

This was a great coversation, done with such a proffesional tone. That's how this should be done.

[@KingstonHawke]

I saw the length of this and was not intended to watch the entire video in one sitting... but I did! Almost couldn't help but to. You two do a great job asking questions that are interesting, and answering them in ways that are easy to understand.

[@paulatorres3227]

Great podcast with discussion some things I knew about but several things I was definitely educated on. Great info thanks to both of you.

[@lara.lakovic]

I've been having low s drive problems for more than two yrs now and I had no idea there was treatment for that. Def gonna talk about it to my gynecologist, thank you for doing your job amazingly!

[@rjladd2787]

Two of my favorite KZbin physicians. One for the medical advice and knowledge, the other for their comedy. Which one is which? Decide for yourselves

[@lenithemonster7119]

She is amazing! Waw, how well she can talk about the problem so we all can understand. Thanks dr Mike! Another great interview

[@BentleyFn-i6v]

Hey Doctor Mike, Been enjoying your content

[@adrianrr18]

1:18:35 "Do you ever talk about breathing with your patients during sex?"Phrasing, Dr. Mike!!! lmao

[@tentaplayz3691]

looool😂😂

[@lot.bajrami]

My patient? Are you breathing fine? Wait a moment!

[@hihellotatabye]

We got dr. mike and dr. rena collab before GTA6😭😭💗💗

[@TalEdds]

Dr. Rena was amazing.

[@THEoneGIRL127]

Yayy i‘ve been waiting for Dr.Mike to collab with Dr.Rena Malik🏆bc i havent seen him collab with her byee ima watch now got my snack ready 😊😂(also ik they collabed together already i just meant not like a podcast )

[@LightMotivation1]

These podcasts are actually really interesting! Would love to see this turn into a series 💯❤

[@PainReaverX2]

Love your videos Dr. Mike especially, these ones. The talks with special guests! Молодрц!

[@tappingtechie08]

I wholeheartedly agree on how painful a kidney stone is. Had one several years ago. 0/10 wouldn't recommend. So thankful to the ER staff that took fantastic care of me and the amazingness that is Zofran.

[@patrickstonetree1]

Hydronephritis is a kind of pain that is hard to describe - I usually say it is "all encompassing and impossible to ignore."

[@oddw0rd]

Good episode. It would be better if you didn't use acronyms or when u do that you regularly provide the unabbreviated form.

[@tans3015]

I'm a medical professional, and I noticed the same thing.

[@Ferinex_666]

Lots of us would love to see a doctor instead of using the cheaper online options, but we can't afford it

[@hunteruk3967]

Wow...the amount of information un this video which can be easily understandable by non medicine affiliated people is immense. This is such an informative and highly recommendsble video. Specially for societies where sex education is frowned upon unfortunately and the youth is deprived of the most mecessary information such as this.

[@EVWOW13]

Thank you Doctor Mike for giving us the content we need. You always put a smile on my face and it has been great to watch you discuss problems in our society! You are an amazing human and you should be recognized for all you do!

[@evanpaulsmithfalconfogolin6147]

Rena cares more about your package than you do. This woman has dedicated her life to helping people be happy with healthy packages, true expression of love right here.

[@Theo_Yt1530]

I saw the NNN part of the title and I was immediately intrigued

[@SantoshSantosh-z2s]

It’s crazy no one here is talking about the hidden herbs by Anette Ray…

[@sourajitmondal8465]

started reading it yesterday too

[@Shubhamkumar92411]

read it a few days ago, its great

[@gulshangulshankumar5044]

great book, unfortunately this industry is all about profit, nothing more, nothing less

[@lot.bajrami]

Scammer detected. Report the comment guys

[@billybob917]

SCAMMMER

[@wbae1340]

Dr. Mike, you have had many nurses on the podcast, when will you have a PA or NP on the show?

[@ArianaAte-mm2]

Who else loves dr Mike ? ❤

[@kevindexterpattee]

Really great talk. Informative without the soundbite/clickbait that you find with so many other health "communicators".

[@etefanyt245]

Dr. Mike thank you, for sharing both of your expertise on this subject. I really appreciate you for all the educational content you have posted!

[@KillaMikhal]

Doctor Mike talking about No Nut November. What has the world come to

[@LucyDahlmann]

That’s a really great question 😅

[@Meow-1892]

What does this mean and why in November??

[@LucyDahlmann]

@ ya don’t wanna know

[@KillaMikhal]

@@Meow-1892 stay innocent bro

[@andrewhamel1]

It's a real thing that many young men participate in and as such it's relevant for a doctor to address..I don't understand why anyone is confused about this

[@PainReaverX2]

I found Dr. Rena Malik's videos after I had a kidney stone removed, wearing a catheter, what to except, and how to prevent kidney stones in the future!

[@dragonofmordor]

Hey, women have testosterone too. So this should be useful for everyone.

[@JM-vh7oc]

My son had low testosterone from a pituitary tumor. He recently passed away from sudden cardiac death. Is there any link between low testosterone and cardiac problems?

[@tans3015]

I'm sorry for your loss.

[@SangramJena-q2d]

I'm sorry for your loss. I think you should watch the full video, they did talk about it.

[@JM-vh7oc]

Thanks... I will go back and listen again - had it on when I was working.

[@MyahLiVEiN2Min-r3r]

Psychedelics are just an exceptional mental health breakthrough. It's quite fascinating how effective they are against depression and anxiety. Saved my life.. ❤

[@samiraperi467]

She tackles the topics about your tackle.

[@ChloeDavidson-n8g]

HAPPY BIRTHDAY MIKE HOPE U HAD A GOOD DAY 👍

[@IRdatank]

This podcast was epic. Mandatory watching for all adults, especially men.

[@LiaKaier]

Hey Mike could you talk about self harm and mental health

[@sirasaturn]

40:28 no nut November

[@Vader4499]

Thanks

[@ghassenbahloul1330]

Thanks !

[@akashsmvn1429]

THANKS DUDE..!

[@mirelanita9418]

I look forward to listening to this short conversation. 😅 Carefully!! 😊 Thank you in advance for the information.

[@danielvox]

My numbers were “in range”, suffered from depression on and off again. Started low level 100mg of TRT. (Felt different and better in 48 hours) Seems like everything’s “range” IS in fact different.

[@EmDaMo]

That’s literally what Dr Malik says after 30:41.

[@AverageGamerPlays97]

Thank you Mike this is a video that men do need

[@Ladykat1808]

Went to see a stand up comedian last week and even he was talking about his TRT! Saying how much better he felt about his male menopause 😂

[@KyleHohn]

Good content! Actually informational and makes the world a better place :) educational and authoritative

[@GoalLine_Graphix]

Dr Mike is Just……❤❤Creates Great Content,Is Funny,Handsome and is just an amazing person overall🤌🏻❤️

[@thearianagabourel7845]

Happy Early Birthday Dr.Mike!My birthday is also the same date as yours!The videos was great keep up the great work!

[@deveshmultani6641]

Hey brother a lots of love from India, I was watching your whole 30 challenge video and came to to know that today is your birthday, so I wish you a very happy and healthy birthday, I wanna thank you to bring such amazing content to ud I hope you will burst all myths and keep educating us. At last just stay happy and healthy. Peewoop (signing off) 🎉🎂

[@Z1ddee]

I don't think he'd come on, but he definitely might and it would be a big deal and could be a game changing conversation, but yeah Byung-Chul Han. He comes from a very different world and different perspective. I would just love to hear a conversation in the West about his work, like "The Burnout Society", or his recent book the "Crisis of Narrative". I think speaks English, maybe just German and Korean, but yeah the world needs to know about actual smart alternatives from other places than the US.

[@jackiesmerk9611]

I really wish I could find a Doctor like Dr. Mike in my area.

[@CeciliaSantiago-e2o]

Keep up the good work!

[@mirelanita9418]

@DoctorMike 1:31:39 All right, I got it. I am not sure I feel understood as I would love to be. However, working on doing my best to understand your point of view. Fortunately, I know how precious patience is as well. Have a lovely day! Sending hugs.

[@Arilanna-16]

HAPPY BIRTHDAY DR MIKE 🎉

[@alexzhang5246]

Thank you Dr Mike and Dr Malik for giving us a very insightful video about this particular health that is undervalued. Dr Malik has shown me how under appreciated urologist are and now have I more respect for her and all urologist for their care towards our sex health. Thank you!!!

[@juhel5531]

A friend once told me that if you are grinding at your work in your 20's to 40's, not doing low dose HRT is sub optimal. Assuming you had the cash from said grinding, getting a low dose HRT would essentially be spending hitpoints(fraction of your life currency for non gamers) to create a barrier that is worth 3-5x the worth of your life spent. The problem is that high test makes you want to do EVEN MORE and burn yourself out, so if you don't have ultra high restraint, the high test will end up costing more of your life through increased risk taking and an actual hunger for inflicting self damage to speed up progress being greater than the added health currency to spend.

[@yellowishnesses1138]

I'm sorry to say this, but your friend doesn't know what they're talking about.

[@stankobabic9395]

I learned something today.Thank you.

[@eyesweyedopen4599]

Hey Dr Mike! Was just wondering if you would ever consider having Dr John Campbell on for an interview. It would be very interesting, as, if you have heard of him and followed him, he began on one side of the aisle regarding COVID and had since moved to the other. Of course, there is more nuance to it, and I still really find his videos interesting, giving me another perspective on things that I don't necessarily agree with at all, as he has made it his personal and professional mantra to "Follow the evidence, wherever it leads". I understand things grow ever more polarizing, so I just wanted to suggest that perhaps it would be most helpful now to refocus on the realistic nuance in health and science specifically as well as applied globally. Thanks for always providing interesting and informative content through your podcasts and videos!

[@tans3015]

I was surprised at the downplaying of herpes. Depending on which virus it is, it can most certainly be a factor in causing different types of cancers.

[@Flxmer23]

Happy birthday Dr Mike I don't really Watch you but I'm subscribed now!

[@denisethegood]

I'm a woman who's needed to see a urologist since my teen age years. Sitting in waiting rooms with mostly older men and feeling really odd, I always wondered why there are no 'male specific' doctors like there are for women (=ob/gyn) and why don't we normalize visiting one - again like we do for women? For both physical health and sexual health?

[@tianamarie989]

I guess that's because that's the biggest difference between male and female.

[@nirvanaheights]

proctologist?

[@thuslymars]

Yo, it's not just about NNN. the most overtime is done in 11th month of the year .but about the ED alot of vitamin D zinc, and nitro maybe shrinkage and bruising from overusage plays a factor

[@MelissaLiu-ps4us]

Happy Birthday Doctor Mike🎊🎂

[@Jihyoncess]

Happy birthday Dr Mike!! 🤍

[@FaustinTorres]

HAPPY BIRTHDAY!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

[@vinvin4884]

I've tried a lot of supplements and although I know this is anecdotal experience, Tongkat Ali really felt like it made a noticeable difference to my performance in the gym. I've never felt stronger or had better pumps than when I was using Tongkat Ali.

[@vanessamichaels9512]

looking great dr mike!

[@disguisedtoastofficial]

Day 78 of asking Doctor Mike to post a video about Hair Loss and its Treatment.

[@Timelessecko]

Learned a lot in this segment. Thank you both for the information.

[@Safistacatedadult]

I’m glad that doctors have channels like this so these topic can be talked about formally

[@OriginalMeofc]

HAPPY BIRTHDAY DOC!

[@AidenPlayzRBLX]

happy birthday, Mike! 🥳

[@dennythebudgie]

I haven't enjoyed your videos for a long time! This one's amazing so educational :D

[@heidibarcomb257]

According to Wikipedia...Happy Birthday, Doctor Mike!

[@luisespinozazuloaga2389]

For many years I was really into weightlifting and light bodybuilding and many trainers offered you testosterone pills like it was candy, inside the gyms. It was crazy, like a blackmarket but at plain sight.

[@leiromero4378]

you should react to more painful basketball injuries, you barely scratched the surface with the last one, react to Haywards injury, Kevin wares, Paul George's 2012 USA injury, Shaun Livingston's etc.

[@chaablah8645]

Hey Dr. Mike, I just found out about a pediatrician Dr. Bob Sears and I feel like he is a source of vaccine hesitancy. He has been around for awhile but think it would be informative if you could get him on the podcast or a video about some of his claims. Keely up the great content!

[@karlataylor1172]

HAPPY BIRTHDAY DOCTOR MIKE!!!! ❤🎉🎂😊 🎁🎈🎊Happy Birthday to you!!! Happy Borthday to you!!! Happy Birthday!!! Happy Birthday!!! Happy Birthday to you!!!!❤🎉🎂😊🎁🎈🎊Lots of Love from Barbados!🇧🇧 xox

[@brendadeclercq5797]

Happy birthday Mikhail enjoy your day have fun🎂🍾💋