This podcast episode examines the rapid rise of testosterone replacement therapy (TRT) through emerging men's health clinics and telehealth providers, focusing on individual experiences like that of David Pivovarov, who pursued treatment despite normal testosterone levels. The discussion reveals the marketing strategies that promote unrealistic "optimal" testosterone standards, while highlighting the tangible risks associated with TRT, including unintended side effects and long-term commitments to treatment. Ultimately, the episode serves as a cautionary tale, urging men to thoroughly evaluate the potential drawbacks and to seek informed consent before initiating such therapies.