In this episode, Dr. Ravi Gupta breaks down what every man needs to know about testosterone — why levels decline, which symptoms actually matter, and how to rebuild your hormonal foundation the right way. From lifestyle fixes to lab testing, boosters, TRT, and peptides, this is a practical, evidence-based guide to feeling stronger, sharper, and more resilient.

• Start with lifestyle. Nutrition, sleep, stress management, and resistance training are the non-negotiable foundation before any medical intervention.

• Labs guide everything. FSH/LH levels help pinpoint the cause of low testosterone and determine whether boosters or TRT are appropriate.

• Boosters vs. TRT. Enclomiphene supports natural testosterone production and preserves fertility. TRT is powerful but suppresses endogenous production and carries fertility risks.

• Peptides as advanced tools. Options like BPC-157 and GH secretagogues support repair, recovery, and performance when used strategically.

1. The Problem: Testosterone Decline & Symptoms

• Testosterone naturally drops beginning in the 30s; muscle mass declines ~1% per year after 40.

• Common symptoms: fatigue, brain fog, low libido, poor strength gains.

• Clinical low is <300 ng/dL, but most men feel optimal between 600–1000 ng/dL.

• Free Testosterone matters most — high SHBG can bind up circulating T and require higher total T.

2. The Foundation: Lifestyle & Supplements

Before labs or prescriptions, dial in:

• Whole-food nutrition + high protein

• Resistance training ≥3x/week

• 7–9 hours of quality sleep

• Stress reduction
  Foundational supplements include zinc, vitamin D, magnesium, and omega-3s. Most men benefit from a 1–2 month lifestyle-first approach.

3. Medical Options: Boosters vs. Testosterone Replacement

Labs to order: Total T, Free T, SHBG, FSH, LH, Estradiol (test before 10 AM).

Enclomiphene (Booster):

• Increases natural FSH/LH → boosts endogenous testosterone.

• Best for secondary hypogonadism (low T + low FSH/LH).

• Pros: preserves fertility, reversible, mild side effects.

Testosterone Replacement Therapy (TRT):

• Direct hormone replacement; suppresses natural production.

• Best for primary hypogonadism (low T + high FSH/LH).

• Pros: very effective for severe deficiency.

• Cons: infertility risk, potential long-term suppression, requires careful physiologic dosing.

• Monitoring labs: Total/Free T, Estradiol, H&H.

• Does not increase prostate cancer risk.

4. Advanced Tools: Peptides

Peptides assist with targeted physiologic functions:

• BPC-157: tissue repair, gut healing

• Sermorelin / GH Secretagogues: sleep, recovery, natural GH release

• KPV: anti-inflammatory support
  Typical cycle: 8–12 weeks on, 4 weeks off. Use only high-quality, third-party tested sources (≥98% purity).

Menopause isn’t a sign that you’re broken—it’s a natural transition, just like adolescence. In this episode of the Peak Health Podcast, Dr. Ravi Gupta is joined by Dr. Harpreet Gujral, integrative nurse practitioner and women’s health expert, to demystify perimenopause and menopause.

From hot flashes and brain fog to mood swings and libido changes, we cover the top 10 questions women have about this life stage. Learn how hormones, lifestyle, and evidence-based treatments like hormone replacement therapy (HRT) and natural alternatives can help you thrive—physically, mentally, and emotionally.

Whether you’re noticing subtle symptoms or looking for strategies to support your long-term health, this episode provides clarity, empowerment, and actionable guidance.

🔹 Who Should Listen:

• Women experiencing perimenopause or menopause symptoms

• Women considering hormone replacement therapy or natural alternatives

• Professionals balancing career, family, and self-care during midlife

• Anyone interested in understanding the science behind menopause and actionable ways to thrive

Suggested Timestamps:

• 00:00 – Introduction & why menopause matters

• 02:30 – Perimenopause vs. menopause explained

• 06:15 – Common symptoms and what to look for

• 12:00 – Long-term health risks of unmanaged menopause

• 18:30 – Lifestyle interventions & natural remedies (maca, flax seeds, black cohosh)

• 24:45 – Hormone replacement therapy: benefits, dosing, and safety

• 33:00 – Managing mood, sleep, libido, and cognitive changes

• 38:30 – Debunking WHI study misconceptions

• 42:15 – Personal empowerment and embracing this life transition

• 46:00 – Closing thoughts & encouragement for women

To ensure accuracy and support informed decision-making, we’d like to clarify two brief moments from the conversation:

• At 25:25 – 25:27, Hormone Replacement Therapy (HRT) was referred to as “the gold standard.” This was said in a general context, but it does not apply to women with a history of certain cancers.

• At 44:45 – 45:55, there is a reference that may imply HRT can be continued indefinitely.
  To clarify: According to the North American Menopause Society (NAMS), most women use HRT for 5–8 years, with longer use considered only on an individual basis in collaboration with a healthcare provider.

  NAMS guidance states:

  “There is no single ‘right’ time to stop hormone therapy. Women may choose lower doses or switch to non-pill forms. Decisions about duration should be made together with a healthcare professional. Longer-term use may be appropriate in cases of persistent symptoms such as hot flashes or night sweats, osteoporosis prevention, or improved quality of life. Because risks may increase with age and longer duration, ongoing reassessment with your clinician is essential.”

Disclaimer: This content is for educational purposes only and is not medical advice. Always consult your healthcare provider before making treatment decisions.

Healthy and Youthful Skin Part 2: Anti-aging and Advancements in Skin Care Welcome to the Peak Health Podcast, where we dive into the everyday choices that shape our health in profound ways. Today, we’re thrilled to welcome back Dr. Meenal Kheterpal! If you haven’t listened to her first episode yet, be sure to check it out—we covered invaluable insights on how lifestyle affects skin health, along with practical tips to protect and care for your skin. Dr. Kheterpal completed her training at the University of Michigan and now practices at Duke Medical Center, specializing in dermato-oncology. She also has an interest in obesity related skin disorders and how to improve them through weight management. Her passion lies in exploring the connection between lifestyle choices and skin health, revealing how simple, science-backed adjustments can help protect and enhance your skin.

Today, we're back for Part 2 of Breathwork with Sachin Patel, a distinguished functional medicine practitioner and breathwork facilitator, and the founder of The Living Proof Institute. Sachin is dedicated to empowering individuals to harness their body's natural healing abilities and improve their health in profound ways. With extensive experience conducting workshops and reaching millions through his online content, Sachin is a well-regarded figure in the realm of holistic health and personal transformation. In this follow up episode, we’ll continue to explore the transformative power of breathwork. We'll discuss how it can unlock our body's innate potential for healing and significantly enhance both our physical and mental performance. Whether you're looking to reduce stress, elevate your health, or simply learn more about the natural capabilities of your body, this conversation promises to offer valuable insights into the science and practice of breathwork.

Today, we're joined by Sachin Patel, a distinguished functional medicine practitioner and breathwork facilitator, and the founder of The Living Proof Institute. Sachin is dedicated to empowering individuals to harness their body's natural healing abilities and improve their health in profound ways. With extensive experience conducting workshops and reaching millions through his online content, Sachin is a well-regarded figure in the realm of holistic health and personal transformation. In this episode, we’ll explore the transformative power of breathwork. We'll discuss how it can unlock our body's innate potential for healing and significantly enhance both our physical and mental performance. Whether you're looking to reduce stress, elevate your health, or simply learn more about the natural capabilities of your body, this conversation promises to offer valuable insights into the science and practice of breathwork.

We are excited to announce the launch of our new episode of the Peak Health Podcast, and you won't want to miss this one! In today's episode, we're diving into a topic that's close to the hearts (and health) of many women: strength training and hormone balance. Our special guest is the incredible Laura Alexander, a pharmacist, personal trainer, and passionate advocate of functional medicine. Laura has a wealth of knowledge and personal experience to share with you, especially when it comes to supporting women in navigating their perimenopausal and menopausal years.

Visit us at https://www.peakwellnesshealth.com/ to learn more about our Body Reset Program and our Body Transformation program!

Meenal's passion is how lifestyle changes can influence overall skin health, and how simple adjustments can protect and enhance our skin. Join us as we delve into practical, science-backed strategies for maintaining vibrant skin at any age.

0:00 - 0:07
Introduction to sun exposure and sunscreen.

0:07 - 0:23
Sun is a major cause of skin damage.

0:28 - 1:07
Introduction to Dr. Meenal Kheterpal dermatologist focused on skin cancer and health.

1:14 - 1:33
Holistic view of skin as part of the body system.

2:10 - 2:48
UV rays are carcinogens; importance of sun protection.

2:55 - 3:29
Diet impacts skin conditions like acne and eczema.

5:01 - 5:39
Gut health, including "leaky gut," influences skin inflammation.

6:06 - 7:12
Microbiome’s role in preventing skin autoimmune diseases.

7:18 - 7:46
Gluten sensitivity and its effects on skin.

14:44 - 15:50
Stress significantly impacts skin health.

17:30 - 18:12
Importance of hydration; hyaluronic acid retains moisture.

24:29 - 25:18
Simpler skincare routines are better.

34:22 - 35:03
Effective sunscreens: Zinc, Titanium, Iron Oxide.

40:04 - 41:08
Concerns about chemical sunscreens and their absorption into the body.

46:05 - 47:06
Anti-aging routine: Vitamin C in the morning, Retinoids at night.