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Tools for Hormone Optimization in Males | Dr. Kyle Gillett

My guest is Kyle Gillett, MD, a dual board-certified physician in family medicine and obesity medicine and an expert in optimizing hormone levels to improve overall health. We discuss how to optimize male hormones using a range of nutritional and behavioral tools, exercise and supplementation (including tongkat ali, fadogia agrestis, creatine, peptides and more). We explain how puberty and aging affect hormone levels, how to use bloodwork to monitor hormone levels, how hormone health impacts fertility, libido, hair loss and prostate health and describe behaviors that negatively impact testosterone levels. We also discuss how to approach prescription hormone therapies, including which biomarkers to monitor when using these approaches and how to optimize synergistic hormones (e.g., growth hormone and thyroid hormone) to support complete hormone health safely and rationally. Dr. Gillett offers numerous actionable tools that can be tailored to specific goals and age ranges to attain and maintain optimal levels of male hormones for overall health, well-being and longevity. Thank you to our sponsors AG1 (Athletic Greens): https://athleticgreens.com/huberman Thesis: https://takethesis.com/huberman ROKA: https://www.roka.com/huberman Helix Sleep: https://helixsleep.com/huberman InsideTracker: https://www.insidetracker.com/huberman Huberman Lab Premium https://hubermanlab.com/premium Social & Website Instagram: https://www.instagram.com/hubermanlab Twitter: https://twitter.com/hubermanlab Facebook: https://www.facebook.com/hubermanlab TikTok: https://www.tiktok.com/@hubermanlab LinkedIn: https://www.linkedin.com/in/andrew-huberman Website: https://hubermanlab.com Newsletter: https://hubermanlab.com/neural-network Dr. Kyle Gillet Dr. Gillett’s clinic: https://gilletthealth.com Gillet Health YouTube channel: https://www.youtube.com/@gilletthealth6738 The Gillet Health Podcast on Spotify: https://spoti.fi/3Bu13kh The Gillet Health Podcast on Apple Podcasts: https://apple.co/3FJSCUz Instagram: https://www.Instagram.com/kylegillettmd Twitter: https://twitter.com/gilletthealth Timestamps 00:00:00 Dr. Kyle Gillett & Male Hormone Optimization 00:03:40 Thesis, ROKA, Helix Sleep, Momentous 00:07:43 Puberty: Height, Resistance Training, Childhood Obesity 00:15:14 “First” vs. “Second” Puberty 00:17:17 Hormone Optimization & Blood Work 00:22:14 Diet, Exercise, Sleep & Hormones 00:28:23 Hormones, Stress, Social Connection & Purpose 00:32:19 Hormones, Supplementation & Medication 00:34:08 Determining Individual Hormone Levels, ADAM Questionnaire 00:40:35 Libido, Masturbation, Pornography & the Dopamine “Wave Pool” 00:48:32 AG1 (Athletic Greens) 00:49:46 Sustainable Exercise Regimen for Hormone Health 00:58:12 Testosterone Replacement Therapy (TRT) 01:01:02 Supplementation: Creatine & Hair Loss, Betaine, L-Carnitine & Allicin (Garlic) 01:11:45 Vitamin D, Boron; SHBG & Free Testosterone 01:15:34 InsideTracker 01:16:39 Tongkat Ali (Eurycoma longifolia; Longjack) & Steroid Pathways 01:22:09 Fadogia Agrestis & Testosterone 01:26:32 Optimize Growth Hormone & IGF-1: Diet, Fasting, Supplements & Exercise 01:31:52 Optimize Thyroid Hormone: Iodine & Goitrogens 01:33:56 Peptides: Growth Hormone, Tesamorelin, Ibutamoren & Gut Microbiome 01:42:06 Testosterone Therapy 01:47:03 Prescriptions & Hormones: Human Choriogonadotropin (HCG), Clomiphene 01:52:56 Testosterone Therapy + HCG, Fertility & Temperature 01:55:30 Hormone Health Q&A: Marijuana, Nicotine, Cycling, Pelvic Floor, Alcohol, Fat 02:06:08 Prostate Health & Tadalafil, Prostate Specific Antigen (PSA) 02:09:56 Hair Loss & DHT; Turmeric & Curcuminoids 02:18:13 BPAs, Phthalates & Hormone Health 02:21:55 Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Social Media, Momentous, Neural Network Newsletter The Huberman Lab podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.

Andrew HubermanhostDr. Kyle Gillettguest
Dec 11, 20222h 24mWatch on YouTube ↗

At a glance

WHAT IT’S REALLY ABOUT

Lifelong Male Hormone Optimization: Behaviors, Supplements, and Risks Explained

  1. Dr. Andrew Huberman and hormone optimization specialist Dr. Kyle Gillett discuss how males can optimize hormones—especially testosterone, DHT, estrogen, growth hormone, thyroid, and prolactin—across all life stages from infancy through old age.
  2. They cover foundational behaviors (sleep, nutrition, exercise, stress and social factors), when and how to use blood work, and a detailed hierarchy of interventions: lifestyle first, then diet, then supplements, then (if needed) prescription drugs and hormones.
  3. The conversation critically examines trends like early TRT, peptide use, Clomid, and aromatase inhibitors, stressing risks to fertility, cardiovascular health, mental health, and long-term endocrine function.
  4. They also dive into sensitive but crucial topics such as porn and masturbation, hair-loss drugs, environmental toxins, and how libido, mood, and energy should be evaluated subjectively alongside lab values.

IDEAS WORTH REMEMBERING

5 ideas

Start blood work early and track it regularly to establish your personal baseline.

Dr. Gillett recommends getting comprehensive labs during late puberty (Tanner stages 4–5) with parental involvement if under 18, and then approximately every six months from age 18 onward. Key markers include total testosterone, SHBG and/or free testosterone, DHT, estradiol, thyroid panel, lipids, IGF‑1, and prolactin. Having data from youth allows you to compare future changes to your own baseline rather than to broad population reference ranges.

Avoid childhood and teen “dirty bulking” and excessive body fat to protect adult height and long-term hormones.

Purposely overeating to gain both muscle and fat during youth increases leptin, which can trigger earlier puberty via hypothalamic activation. Early, rapid puberty can prematurely close growth plates and reduce adult height, while also increasing the number of fat cells for life. Adolescence is a powerful “free injection” window—use it to build lean mass, bone density, and healthy habits, not excessive fat.

Use a strict hierarchy of interventions: behaviors → diet → supplements → prescriptions/hormones.

Both guests emphasize that sleep, movement, sunlight, social connection, and stress management are non‑negotiable foundations. Optimized diet (adequate protein, essential fatty acids, fiber, vitamin D, iodine, and micronutrients) comes next. Only then should you consider supplements like creatine, L‑carnitine, Tongkat ali, and Fadogia; and only after that, and with a qualified physician, consider prescription tools such as tadalafil, hCG, or TRT.

Exercise intensely, but not excessively—chronic overtraining plus caloric deficit will crush free testosterone.

Vigorous workouts longer than ~60 minutes, done regularly (especially in a caloric deficit or on low‑carb diets), elevate cortisol, increase SHBG, depress free androgens/estrogens, and blunt growth hormone/IGF‑1 signaling. A sustainable pattern is: 3–4 sessions/week of truly vigorous training (resistance or HIIT) and 3–4 sessions/week of lower‑intensity movement (walking, easy cardio or lighter lifting), while finishing workouts with some energy left rather than in total exhaustion.

Be very cautious with TRT, SERMs, and peptides—benefit is limited and risks are broad and systemic.

Dr. Gillett notes there are very few legitimate reasons for men in their 20s—and relatively few in their 30s—to start TRT if their endogenous hormones are in range. Even “physiologic” doses (e.g., ~100–120 mg/week of testosterone cypionate) can affect fertility, lipids, hematocrit, prostate, skin, mood, and cardiac structure. Clomiphene and other SERMs act on multiple estrogen receptor subtypes throughout the body and frequently cause side effects. Growth‑hormone–releasing peptides often overshoot physiologic ranges and carry metabolic and contamination risks, especially when sourced outside of regulated pharmacies.

WORDS WORTH SAVING

5 quotes

Puberty is almost like a free injection of testosterone, metabolism, and drive into your life.

Dr. Kyle Gillett

I see supplements and medications as very similar… they’re just tools to reach an end goal.

Dr. Kyle Gillett

Frequent—certainly daily or more than once a day—masturbation would be very detrimental from a hormonal component, not even taking into account the neural wiring.

Dr. Kyle Gillett

Consistency is key here. Eighty or ninety percent of the benefit over many, many months is far better than a hundred percent but only half the time.

Dr. Kyle Gillett

There are very few legitimate reasons for men in their twenties to start testosterone therapy if their endogenous hormones are in range.

Dr. Kyle Gillett

Puberty, growth, and lifelong hormone development in malesFoundational lifestyle pillars for hormone optimization (sleep, diet, exercise, stress, social connection, purpose)Blood work: what to test, when to start, and how oftenSupplement strategies for testosterone, DHT, and thyroid supportRisks and uses of TRT, hCG, SERMs, and peptidesSexual health: libido, ED, porn, masturbation, and dopamine dynamicsHair loss, DHT modulation, and environmental/endocrine disruptors (BPA, phthalates, alcohol, cannabis, nicotine)

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