Buck Joffrey MD speaks to Justin Houman MD who is a urologist regarding the idea of aggressive testosterone treatment to decrease the risk of metabolic syndrome and therefore multiple other disease processes that are downstream. Other topics disgust include erectile dysfunction, early treatment with ED meds and the correlation with Alzheimer’s disease. Show Notes: 1:27 Is it true that the testosterone in men in general has gone down? 02:43 Common symptoms of love testosterone 05:15 Normal level of testosterone 07:19 Testosterone and metabolic syndrome 12:49 Testosterone replacement therapy and cancer 16:03 Downside of testosterone replacement therapy 19:18 Different options to supplement testosterone 29:03 What’s on the horizon? 32:50 ED and cardiovascular diseases 38:35 Should all 40+ men be on daily Cialis? 40:43 Penile pump