Rational Wellness Podcast Episode 023: Men’s Sexual Health with Dr. Karlis Ullis

Dr. Karlis Ullis joins Dr. Ben Weitz for a discussion of Men’s Sexual Health. I mentioned that male testosterone levels have been dropping for the last 20 years about 17%. I asked Dr. Ullis why he thinks this is and he answered that there are a number of reasons, including obesity. Men with obesity, esp. visceral adiposity, fat around the middle, about 40% have low testosterone. Poor diet and lifestyle and exposure to endocrine disrupting substances are other important reasons for low testosterone.  Dr. Ullis described primary, secondary, and functional low testosterone. Primary caused by a failure of the testes to produce testosterone either due to damage to the testes from injury or infection or cancer or genetics. Secondary are due to disruptions in the hypothalamic/pituitary/gonadal axis. Lack of sleep or opiate use can shut down testosterone production. 

Endocrine disruptors are affecting testosterone levels. Most of these endocrine disruptors are estrogenic and virtually none of these are androgenic. You need to avoid plastic water bottles and cans lined with BPA and conventional cleaning products with endocrine disruptors. Liver detoxification programs can be beneficial in getting rid of some of these toxins.

Dr. Ullis discussed aromatization of testosterone and certain nutritional products can reduce aromatization including vitamin D, zinc, curcumin, resveratrol, magnesium, and inositol.

Dr. Ullis can be reached through his website  http://www.drkarlisullis.com/Karlis_Ullis,_M.D./Welcome.html

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