Testosterone levels in 40-year-old men are 30 percent lower than their fathers, and most doctors still have no idea what to do about it.&nbsp;-Watch this episode on YouTube for the full video experience:&nbsp;<a href="https://www.youtube.com/@DaveAspreyBPR" rel="noopener noreferrer" target="_blank">https://www.youtube.com/@DaveAspreyBPR</a>&nbsp;Host Dave Asprey sits down with Dr. Justin Houman, a nationally recognized&nbsp;urologist&nbsp;and Assistant Professor of Urology at Cedars-Sinai Medical Center. Fellowship-trained and specializing in men's health, male fertility, and sexual medicine, Dr. Houman combines&nbsp;cutting-edge&nbsp;medical advancements with holistic lifestyle strategies to help men&nbsp;optimize&nbsp;testosterone, sexual health, and reproductive performance at every age.&nbsp;Together, Dave and Dr. Houman tear through the myths, the bad science, and the outdated medical dogma around testosterone, erectile function, fertility, and male sexual health. They cover everything from why testosterone levels have collapsed in a single generation, to the real story behind the FDA black box warning, to practical protocols for men who want to&nbsp;optimize&nbsp;without sacrificing fertility. This is the masterclass on men's health that no one else is having on record.&nbsp;This is essential listening for anyone serious about biohacking, longevity, human performance, hormone optimization, brain optimization, anti-aging, functional medicine, mitochondria, and Smarter Not Harder approaches to male health.&nbsp;You'll&nbsp;Learn:&nbsp;<ul><li>Why testosterone levels in 40-year-old men are 30 percent lower than their fathers and what is driving the collapse&nbsp;</li><li>How low testosterone connects to anxiety, depression, high cholesterol, blood sugar dysregulation, and all-cause mortality risk&nbsp;</li><li>The truth about the original testosterone and heart attack study and why it still has not been retracted&nbsp;</li><li>How to preserve fertility while on TRT using Clomid,&nbsp;enclomiphene, and HCG&nbsp;</li><li>Why daily low-dose Cialis is one of the cheapest and most effective longevity drugs available&nbsp;</li><li>What shockwave therapy, PRP, exosomes, and Botox injections&nbsp;actually do&nbsp;for erectile function&nbsp;</li><li>How&nbsp;red light&nbsp;therapy at 660 and 850 nanometers supports testosterone production and nocturnal erections&nbsp;</li><li>The supplement stack including ashwagandha,&nbsp;tongkat&nbsp;ali,&nbsp;fadogia&nbsp;agrestis, and creatine that supports healthy hormone levels&nbsp;</li><li>Why porn-induced ED is epidemic in young men and how to reverse it&nbsp;</li><li>How PT-141 and peptides fit into a complete male optimization protocol&nbsp;</li></ul>Thank you to our sponsors!&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Pre-order Arthur Brook's new book today at&nbsp;<a href="http://themeaningofyourlife.com/" rel="noopener noreferrer" target="_blank">themeaningofyourlife.com</a>. You can also see Arthur speak live at the 2026 Beyond Biohacking Conference&nbsp;</li><li>fatty15 | Go to&nbsp;<a href="https://fatty15.com/dave" rel="noopener noreferrer" target="_blank">https://fatty15.com/dave</a>&nbsp;and save an extra $15 when you subscribe with code DAVE.</li><li>Establish a powerful foundation for sustained wellness with Pique. Unlock 20% off:&nbsp;<a href="http://piquelife.com/DAVE" rel="noopener noreferrer" target="_blank">piquelife.com/DAVE</a>&nbsp;</li><li>BrainTap&nbsp;| Go to&nbsp;<a href="http://braintap.com/dave" rel="noopener noreferrer" target="_blank">http://braintap.com/dave</a>&nbsp;to&nbsp;get $100 off the&nbsp;BrainTap&nbsp;Power Bundle.&nbsp;</li></ul>Dave Asprey&nbsp;is a four-time New York Times bestselling author, founder of&nbsp;Bulletproof Coffee, and the&nbsp;father of biohacking. With over 1,000 interviews and 1 million monthly listeners,&nbsp;The Human Upgrade&nbsp;brings you the knowledge to take control of your biology, extend your longevity, and&nbsp;optimize&nbsp;every system in your body and mind. Each episode delivers&nbsp;cutting-edge&nbsp;insights&nbsp;in&nbsp;health, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living.&nbsp;New episodes are released every&nbsp;Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient.&nbsp;Keywords:&nbsp;testosterone, low testosterone, TRT, testosterone replacement therapy, male fertility, erectile dysfunction, ED, men's health, sexual health, hormone optimization, Dave Asprey, biohacking, longevity, anti-aging, human performance, Dr. Justin Houman, Cedars-Sinai, urologist, shockwave therapy, PRP, exosomes, Botox penis, red light therapy, nitric oxide, Cialis, tadalafil, Viagra, sildenafil, PT-141,&nbsp;Melanotan, peptides, ashwagandha,&nbsp;tongkat&nbsp;ali,&nbsp;fadogia&nbsp;agrestis, creatine, Danger Coffee, Smarter Not Harder,&nbsp;Kyzatrex, clomid,&nbsp;enclomiphene, HCG, prolactin, cabergoline, porn-induced ED, refractory period, fertility, sperm health, spermatogenesis, FSH, LH, estrogen, aromatization, functional medicine, supplements, mitochondria, circadian rhythm, sleep optimization, cortisol, microplastics, inflammation, cardiovascular health, dementia, all-cause mortality, nocturnal erections, penile health, male optimization&nbsp;Resources:&nbsp;&nbsp;&nbsp;•&nbsp;Learn More About Dr. Houman’s Work At:&nbsp;<a href="https://houmanmd.com/" rel="noopener noreferrer" target="_blank">https://houmanmd.com/</a>&nbsp;• Get My 2026 Clean Nicotine Roadmap | Enroll for free at&nbsp;<a href="https://daveasprey.com/2026-clean-nicotine-roadmap/" rel="noopener noreferrer" target="_blank">https://daveasprey.com/2026-clean-nicotine-roadmap/</a>&nbsp;• Dave Asprey's Latest News | Go to&nbsp;<a href="https://daveasprey.com/" rel="noopener noreferrer" target="_blank">https://daveasprey.com/</a>&nbsp;to&nbsp;join&nbsp;Inside Track&nbsp;today.&nbsp;&nbsp;• Danger Coffee:&nbsp;<a href="https://dangercoffee.com/discount/dave15" rel="noopener noreferrer" target="_blank">https://dangercoffee.com/discount/dave15</a>&nbsp;&nbsp;&nbsp;• My Daily Supplements:&nbsp;<a href="https://www.shopsuppgradelabs.com/discount/DAVE15" rel="noopener noreferrer" target="_blank">SuppGrade Labs</a>&nbsp;(15% Off)&nbsp;&nbsp;&nbsp;• Favorite Blue Light Blocking Glasses:&nbsp;<a href="https://truedark.com/?coupon-code=DAVEASPREY15&sc-page=shop" rel="noopener noreferrer" target="_blank">TrueDark</a>&nbsp;(15% Off)&nbsp;&nbsp;&nbsp;• Dave Asprey’s BEYOND Conference:&nbsp;<a href="https://beyondconference.com/" rel="noopener noreferrer" target="_blank">https://beyondconference.com</a>&nbsp;&nbsp;&nbsp;• Dave Asprey’s New Book –&nbsp;Heavily Meditated:&nbsp;<a href="https://daveasprey.com/heavily-meditated" rel="noopener noreferrer" target="_blank">https://daveasprey.com/heavily-meditated</a>&nbsp;&nbsp;• Join My Substack (Live Access&nbsp;To&nbsp;Podcast Recordings):&nbsp;<a href="https://substack.daveasprey.com/" rel="noopener noreferrer" target="_blank">https://substack.daveasprey.com/</a>&nbsp;• Upgrade Labs:&nbsp;<a href="https://upgradelabs.com/" rel="noopener noreferrer" target="_blank">https://upgradelabs.com</a>&nbsp;&nbsp;&nbsp;&nbsp;Timestamps:&nbsp;00:00 – Introduction&nbsp;01:15 – Low Testosterone Epidemic&nbsp;04:23 – Ejaculation & Testosterone&nbsp;07:30 – Refractory Period & Aging&nbsp;09:58 – Porn-Induced ED&nbsp;11:09 – Cabergoline & Prolactin Management&nbsp;12:42 – Oral Testosterone&nbsp;13:24 – Testosterone Target Levels&nbsp;16:46 – Supplements for Testosterone&nbsp;18:46 – Anxiety-Based ED&nbsp;26:23 – Penis Enhancement Options&nbsp;27:37 – Shockwave Therapy&nbsp;28:57 – Cialis for Longevity&nbsp;29:56 – Fat & Filler Injections&nbsp;34:50 – Pre-Sex Optimization&nbsp;40:13 – Red Light Therapy&nbsp;42:18 – Heat & Cold for Testosterone&nbsp;43:35 – Underwear & Microplastics&nbsp;44:58 – Testosterone & Fertility&nbsp;49:15 – HCG & Preserving Fertility&nbsp;52:00 – Testosterone Dosing Timing&nbsp;53:22 – Creatine & Mitochondrial Health&nbsp;55:20 – Overtraining Effects&nbsp;56:24 – Peptides (PT-141)&nbsp;59:08 – Optimal Diet for Fertility&nbsp;See Privacy Policy at <a href="https://art19.com/privacy" rel="noopener noreferrer" target="_blank">https://art19.com/privacy</a> and California Privacy Notice at <a href="https://art19.com/privacy#do-not-sell-my-info" rel="noopener noreferrer" target="_blank">https://art19.com/privacy#do-not-sell-my-info</a>.

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