#04 TRT Wrecked Me: What Many Wellness Centers are Getting Wrong

Milan tried TRT the way most guys do: walked into a wellness clinic, got injected the same day, and tripled his testosterone. A few months later it took everything he had just to get out of bed. In this episode, Milan shares the full story of his TRT crash with Dr. Rehan, and they break down what actually went wrong: an aggressively dosed aromatase inhibitor, crashed estrogen, and a clinic that couldn't see him for five weeks when it mattered. Dr. Rehan explains why he rarely reaches for TRT first, how enclomiphene works as a gentler alternative that preserves your natural production and fertility, and why aromatase inhibitors are being overprescribed at men's health clinics across the country. Plus: the surprising percentage of erectile dysfunction cases actually caused by low testosterone, the labs you should be checking every three months if you're on TRT, and a patient story that shows just how badly unsupervised testosterone therapy can go. This podcast is for educational purposes only. 0:00 Cold Open 0:23 Intro 1:10 Milan's TRT Story: From Low T to the Crash 8:16 Enclomiphene, Explained 13:14 Wellness Clinics & the Aromatase Inhibitor Problem 17:04 Do You Actually Have Low T? 19:02 How to Do TRT Safely 24:02 A Patient's TRT Horror Story 29:13 Enclomiphene vs. TRT: Milan's Verdict 32:14 Peptides, Testosterone & What's Next Every week, Physician Dr. Rehan Muttalib and XYRx founder Milan Costich on the real science of male longevity: peptides, GLP-1s, training, and recovery. Longevity University YouTube: https://youtube.com/@longevityuniversity Instagram: https://instagram.com/longevityunversity_ TikTok: https://tiktok.com/@longevityuniversity X: https://x.com/longevityupod Facebook: https://www.facebook.com/profile.php?id=6159205029460 Dr. Rehan YouTube: https://www.youtube.com/@AskDrRehan Instagram: https://instagram.com/askDr.Rehan TikTok: https://www.tiktok.com/@askdrrehan X: https://x.com/askdrrehan Facebook: https://www.facebook.com/profile.php?id=61592050294604 Milan Instagram: https://instagram.com/milancostich TikTok: https://tiktok.com/@milancostich X: https://x.com/MilanCostich_ Facebook: https://www.facebook.com/profile.php?id=61591943139077 Support our sponsor (and the Milan and Dr. Rehan's company) XYRx.co XYRx YouTube: https://youtube.com/@XYRxHealth Instagram: https://instagram.com/xyrxhealth TikTok: https://tiktok.com/@xyrxhealth X: https://x.com/xyrxhealth