Nelson Vergel Beyond Testosterone Podcast

Nelson Vergel
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Nelson Vergel founded the men’s health forum www.ExcelMale.com and www.DiscountedLabs.com, interviews experts and debunks myths about testosterone and other hormones that affect men’s health. ExcelMale.com is one of the largest and best moderated men’s health and TRT forums on the Internet, focused on increasing health, potency, and productivity in men considering or using TRT and other hormone therapies. With over 44,000 members that include educated men, physicians, pharmacists, dietitians, exercise trainers, nutritional supplement experts, and other professionals in the field, ExcelMale is quickly becoming a leader in the field . Forum topics range from testosterone replacement therapy (TRT), Trimix injections for ED, HCG use for better fertility and libido, estradiol management, thyroid function optimization, peptide information, exercise routines, best supplements for men, effective diets, TRT side effect management, and much more. We also provide men’s health information via interviews with experts, videos, and webinars. Last but not least, ExcelMale forum members can participate in blood test discussions and provide their reviews of TRT clinics and doctors, compounding pharmacies, pharmaceutical products, supplements, and much more. ExcelMale moderators review every post daily to detect spammers or abuse, so ExcelMale is a safe environment for all men. And since every man wants to help important women in their lives, the forum does not neglect female health information as we include a folder called “ExcelFemale” to post the latest on HRT in women.

  1. JAN 11

    The Psychedelic Medicine Pipeline 2026: Setbacks and Progress

    By early 2026, the psychedelic medicine sector has entered a critical period of clinical and regulatory maturation marked by both significant breakthroughs and institutional challenges. While the FDA’s rejection of MDMA-assisted therapy necessitated stricter trial designs across the industry, Compass Pathways achieved a historic milestone with the first successful Phase 3 psilocybin results. Major pharmaceutical players have signaled confidence in the field, highlighted by AbbVie's billion-dollar acquisition of a novel tryptamine program. Multiple substances, including LSD, DMT, and ketamine derivatives, are currently advancing through late-stage testing for conditions like depression, anxiety, and PTSD. Consequently, a potential shift toward streamlined FDA approval policies may soon allow these once-stigmatized compounds to enter the mainstream medical market. Currently, the landscape is defined by a diverse pipeline of breakthrough-designated therapies nearing final regulatory decisions.

    18 min

  2. 12/04/2025

    Nitric Oxide: The Ultimate Vitality Moecule

    The episode captures a discussion on nitric oxide (NO) biology and highlights the molecule's profound importance in metabolic health and chronic disease reversal. It explains that a deficiency in this "miracle molecule" leads to a recognizable hierarchy of symptoms, often beginning with erectile dysfunction and progressing to severe conditions like hypertension and insulin resistance. Experts in the field criticize the supplement industry, arguing that products using arginine or beet juice are largely ineffective because they fail to restore the body’s natural NO production pathway, which is damaged by common factors like high sugar intake and the use of acid blockers (PPIs). Instead of symptom management, many expert advocate for a restorative physiological approach, using science-backed technology to replace lost NO and pursuing FDA-approved NO drug therapies for illnesses such as Alzheimer’s and non-healing diabetic wounds. This work aims to shift the narrative from ineffective drug cocktails to addressing the root cause of endothelial dysfunction.

    15 min

  3. 10/20/2025

    The Hidden Reason Testosterone Works Better for Some Men

    In this comprehensive episode, you will learn: 1. A Deep Dive into the Science: Uncover exactly how the Androgen Receptor gene works and why this single genetic marker has such a massive and wide-ranging impact on a man's life. 2. Are You High or Low?: Explore the average CAG repeat numbers for different global populations—including European (21), African (17), and Asian (23)—and understand what the "normal" range is. 3. Testing Options Explained: Learn about the types of genetic tests available, their cost, and how you can have an informed discussion with your doctor about getting tested. 4. Actionable Steps: Discover how to interpret your potential results and what they mean for optimizing your health, energy, and vitality—whether you are currently on TRT or not.

    16 min

  4. 09/16/2025

    Natural Thyroid Medicine Under Threat by the FDA: What You Can Do Now

    The FDA has just dropped a bombshell that could affect nearly 2 million Americans taking natural thyroid medication. In a controversial move, they've reclassified desiccated thyroid extract, or DTE, as a biologic rather than a traditional drug. This means compounding pharmacies have exactly one year before they must stop making the customized thyroid medications that countless patients depend on. Critics are calling foul, arguing the decision is based on an inactive pig protein that gets digested in your stomach anyway, and pointing out that the real active ingredients - T4 and T3 hormones - haven't changed. What's really raising eyebrows is that this shift appears linked to a petition from AbbVie, the company behind brand-name Armour Thyroid, potentially setting up a monopoly situation.

    13 min

  5. 09/09/2025

    Penile Injections for Erectile Dysfunction: What You Need to Know

    This episode reviews information from Dr. Ryan Flannigan, a urologist specializing in reproductive and sexual medicine, and provides a comprehensive overview of penile injection therapy for erectile dysfunction. He details what the treatment entails, including common medications like Trimix and Bimix, and how it works by locally stimulating blood flow and muscle relaxation within the penis. The video outlines reasons for considering this therapy, such as failure of other treatments or nerve damage from prostate cancer, alongside contraindications like dexterity issues or bleeding disorders. A significant portion of the video is dedicated to a step-by-step guide on performing the injection safely, from preparing the medication and the injection site to delivering the dose. Finally, Dr. Flannigan addresses the critical risk of priapism (prolonged erection), explaining its dangers and providing detailed instructions on prevention and management, including when to seek emergency medical attention.

    14 min

  6. 08/31/2025

    Unraveling Testosterone Therapy: Myths, Risks, and the Future

    Join us as we dive into the world of testosterone therapy with insights from Dr. Khera a leading voice in men's health. With over 100 published articles, Dr. Khera brings credibility and depth to this crucial discussion. This episode serves as "Testosterone 101," cutting through the noise to explore the real risks, benefits, and the latest guidelines. We address common myths surrounding testosterone therapy, such as its links to blood clots, heart attacks, and prostate cancer. Dr. Kara's research provides a nuanced perspective, challenging outdated assumptions and offering a comprehensive view of hormonal health. Explore the impact of testosterone on fertility and the natural contraceptive effects it can have. We discuss alternative options like clomiphene citrate and HCG for those wanting to boost testosterone while preserving fertility. Discover the "four pillars of testosterone optimization"—diet, exercise, sleep, and stress reduction—and how they can naturally enhance testosterone levels. Dr. Khera emphasizes the importance of these lifestyle changes in creating a balanced hormonal environment. Looking to the future, we delve into exciting possibilities like nanotechnology and stem cell research that could revolutionize testosterone therapy. Imagine a future where lifespan is extended and hormonal health is restored naturally. As we wrap up, the key takeaway is the importance of personalized medicine. Every individual is different, and having a knowledgeable doctor is essential for tailored treatment. Stay informed, stay curious, and make empowered decisions about your health.

    17 min

  7. 08/31/2025

    Neurotransmitters Involved in Erectile Function & Libido

    This podcast episode provides an extensive discussion on the complex interplay of factors influencing male sexual function, particularly sex drive and erection quality, beyond just testosterone. It outlines the neurochemical symphony involving dopamine, serotonin, testosterone, oxytocin, and vasopressin, explaining their individual roles and interactions within the hypothalamic command center. Furthermore, the text identifies multifactorial influences on sexual dysfunction, such as obesity, diabetes, cardiovascular disease, sleep deprivation, and stress. Finally, it addresses clinical implications and treatment approaches, emphasizing lifestyle interventions, testosterone therapy considerations, and sleep optimization, underscoring that optimal sexual health is deeply interconnected with overall physical and mental well-being.

    19 min

  8. 08/27/2025

    How Your Circadian Clock Affects Your Testosterone- Deep Dive

    This Beyond Testosterone podcast episode comes from an academic review article from the Asian Journal of Andrology, published in September-October 2025. This article, titled "Regulation of testosterone synthesis by circadian clock genes and its research progress in male diseases," examines the relationship between circadian rhythms and testosterone production in males. It explores how circadian clock genes centrally and peripherally regulate testosterone synthesis and secretion, and how disruptions in these rhythms are linked to various male health issues, including late-onset hypogonadism, erectile dysfunction, male infertility, and prostate cancer. The authors also discuss potential therapeutic approaches, such as chronotherapy and non-pharmacological interventions, for these conditions based on circadian rhythmicity. The episode concludes by highlighting current limitations in research and suggesting future directions for investigation.

    28 min
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About

Nelson Vergel founded the men’s health forum www.ExcelMale.com and www.DiscountedLabs.com, interviews experts and debunks myths about testosterone and other hormones that affect men’s health. ExcelMale.com is one of the largest and best moderated men’s health and TRT forums on the Internet, focused on increasing health, potency, and productivity in men considering or using TRT and other hormone therapies. With over 44,000 members that include educated men, physicians, pharmacists, dietitians, exercise trainers, nutritional supplement experts, and other professionals in the field, ExcelMale is quickly becoming a leader in the field . Forum topics range from testosterone replacement therapy (TRT), Trimix injections for ED, HCG use for better fertility and libido, estradiol management, thyroid function optimization, peptide information, exercise routines, best supplements for men, effective diets, TRT side effect management, and much more. We also provide men’s health information via interviews with experts, videos, and webinars. Last but not least, ExcelMale forum members can participate in blood test discussions and provide their reviews of TRT clinics and doctors, compounding pharmacies, pharmaceutical products, supplements, and much more. ExcelMale moderators review every post daily to detect spammers or abuse, so ExcelMale is a safe environment for all men. And since every man wants to help important women in their lives, the forum does not neglect female health information as we include a folder called “ExcelFemale” to post the latest on HRT in women.

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