Vladimir Kotlov, MD
XY Files Podcast
Evidence-based men's health from Veedma, hosted by urologist Vladimir Kotlov, MD. We cover testosterone, sexual health, and longevity, grounded in clinical guidelines, not bro-science. Most low testosterone is reversible, so the focus is finding the cause and restoring your own testosterone before resorting to TRT.If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast.
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Épisodes
Episode 18: Long term TRT management: What to expect 28.08.2026 21:17
Learn what long-term TRT management involves, including prognosis, monitoring, and who may need lifelong treatment. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep18.
Episode 17: When does TRT start working? Timeline and labs 20.08.2026 20:50
TRT and Enclomiphene can improve symptoms over weeks to months, with follow-up labs confirming response and safety. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep17.
Episode 16: TRT formulations: Injections vs gel and dosing 13.08.2026 21:23
This episode compares testosterone replacement options, dosing, and the tradeoffs between injections and gels. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep16.
Episode 15: Alternatives to TRT that preserve fertility 30.07.2026 21:08
Enclomiphene offers a fertility-preserving alternative to TRT for men with secondary or functional hypogonadism. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep15.
Episode 14: Functional vs organic hypogonadism: Key differences 23.07.2026 21:13
Learn how functional hypogonadism differs from organic hypogonadism and why the distinction matters. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep14.
Episode 13: Conditions that mimic low testosterone symptoms 16.07.2026 19:45
Low testosterone symptoms are often caused by thyroid disease, sleep apnea, depression, or diabetes. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep13.
Episode 12: Low testosterone and depression: Other linked risks 09.07.2026 23:51
This episode examines how confirmed low testosterone can affect mood, bone, muscle, and cardiovascular health. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep12.
Episode 11: Obesity and low testosterone: What's the link? 02.07.2026 19:17
Obesity and low testosterone often drive each other, so symptoms and hormone testing are essential. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep11.
Episode 10: Normal testosterone levels but symptoms? What to check 25.06.2026 22:15
A normal testosterone result does not rule out hypogonadism, especially without morning free T, LH, and FSH. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep10.
Episode 9: Low testosterone test: What labs to order, when to test 18.06.2026 20:45
Learn which morning fasting labs to order to diagnose low testosterone, including LH, FSH, and free testosterone. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep9.
Episode 8: Low testosterone symptoms by age: Signs by decade 11.06.2026 20:14
This episode explains how low testosterone symptoms vary by decade and why diagnosis requires both symptoms and labs. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep8.
Episode 7: What are the main low testosterone symptoms? 05.06.2026 18:59
The most specific low testosterone symptoms are reduced libido, erectile dysfunction, and loss of morning erections. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep7.
Episode 6: Medications that lower testosterone in men 28.05.2026 19:28
This episode explains how medications and lifestyle factors can suppress testosterone and cause hypogonadism. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep6.
Episode 5: HPG axis explained: How testosterone is produced 21.05.2026 19:29
This episode explains the HPG axis and how LH and FSH control testosterone production and treatment decisions. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep5.
Episode 4: Primary hypogonadism vs secondary hypogonadism 07.05.2026 18:13
Primary and secondary hypogonadism are distinguished by LH and FSH patterns, guiding treatment and fertility decisions. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep4.
Episode 3: Low testosterone prevalence: Is it rising in young men? 23.04.2026 19:26
This episode explores why low testosterone appears to be rising in young men and whether the trend is real. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep3.
Episode 2: Low testosterone by age: What's normal in men? 16.04.2026 18:45
Testosterone declines modestly with age; symptoms and repeat morning labs matter more than age alone. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep2.
Episode 1: What is low testosterone? Symptoms and lab cutoffs 11.04.2026 19:36
This episode explains how low testosterone is diagnosed by symptoms plus morning lab cutoffs, not one number. If you've been experiencing low energy, poor sleep, declining performance, or unwanted body changes and that sounds like you, upload your labs to VEEDMA for free, or order labs through our special offer at https://veedma.com/s/podcast/ep1.
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