The Men's Center

03/16/2026

THEY EITHER DON'T KNOW OR DON'T CARE. WHICH IS WORSE?

The data for radial acoustic wave therapy is abysmal. It's clear that it doesn't work. Clinics who push it are trying to piggyback off the data for focused shockwave therapy, which is much more promising.

So why would a clinic even have radial acoustic wave therapy? Because the machine is a fraction of the price of a focused shockwave therapy machine.

The data for PRP is more mixed, but heavily leaning towards it being just an expensive placebo.

it probably would not surprise you to learn that both of these procedures generate high profit margins for these clinics.

The health and wellness/men's health industry is a billion-dollar+ industry. And although the elimination of the stale insurance-driven scope allows for refreshing outside the box strategies, cash-pay has also introduced ample new opportunities to prioritize profits over the right thing.

Just be careful out there. Or come and see us. We will give you the straight scoop and always put your best interest first.

03/14/2026

Prostate cancer has been a huge part of my urology practice for 20+ years and remains near and dear to me. At The Men's Center I keep active in the field through our prostate cancer support group and prostate cancer coaching.

Strategies for diagnosis and management of prostate cancer are evolving very quickly and exciting advances are being made. It is so important to keep up with the latest developments or else get left in the dust.

I just finished attending the MUSC prostate cancer conference all day today. It was a great meeting.

I have so much admiration for the urology department at MUSC. Former chairman Dr Thom Keane, interim chairman Dr. Steve Savage, and now current chairman Dr Eric Wallen have put together a group of exceptionally well-trained and talented urologic surgeons and cancer doctors. I have been in the Charleston medical community for 20 years and this is the strongest urology department MUSC has ever had IMO.

If you or a loved one has prostate cancer, you cannot go wrong by staying in Charleston and putting your trust in the group of docs at MUSC.

Big props to Dr Wallen and the department he has assembled!



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03/14/2026

He said it. We really DO care. You're not just a number at The Men's Center. Come see us, guys. We're the experts. ➡️ TESTOSTERONE OPTIMIZATION • ERECTILE DYSFUNCTION • SEXUAL DYSFUNCTION •
VASECTOMIES • PROSTATE ISSUES • PROSTATE CANCER • MEDICAL WEIGHT MANAGEMENT • FUNCTIONAL STRENGTH • MEN'S HEALTH & LONGEVITY ➡️ 843-625-4273

03/13/2026

I am not sure that there is any topic in healthcare with more misinformation, skepticism and distrust than lipid management! In truth it is a very nuanced topic, and the guidelines are always evolving to the point that they become outside the scope of many healthcare providers. Unquestionably the latest guidelines are not even in the same solar system as the scope of the knowledge of the "influencers" (I cannot stand that word and what it implies) that many people are putting their trust in.
The data regarding risk of elevated LDL cholesterol, for instance, includes over 200 individual studies, with over 2 million participants followed over 20 million person-years. That is a lot of data. It appears that the correlation between LDL cholesterol and ASCVD is not just correlative, it is causal.
To be clear there is no intervention with zero risk, statins included. But sometimes it's important to also consider the risk of not taking a medication for dyslipidemia - that risk being a potential heart attack, stroke or even sudden death. Your best strategy is to discuss this with a doctor who is familiar with the literature, and willing to have a discussion and make a shared decision based upon your own priorities and predilections.
Stay tuned for my next video where I'm going to talk a little bit more about interpretation of the labs on your lipid profile and how we can further risk stratify you if necessary.

03/12/2026

I really love what I do. I love being able to help guys live long, happy, productive lives. Oh and I also love helping guys be able to have more s*x. There's that.

I saw a patient today, a really nice guy who we have been following for s*xual dysfunction and hormonal health. He said something that really made me feel good, something we actually hear quite a bit. He said "I feel like a different person. I wish I would have known that there was a men's health clinic with a urologist three years ago when I started this journey", as he had bounced around the other area clinics and just never felt like he trusted what he was hearing.

Over three years ago, I started The Men's Center because I knew that there was a better way to help men stay healthy and achieve their goals, and there was clearly a need for a urologist - a men's health specialist - in the men's health space. I am so glad I made the move and I get reminded of this every day when I talk to dudes like this one.




*xualhealthawareness

03/10/2026

Parents?

OK consider yourself the pituitary gland of your household and your kids are the thyroid.

You want them to clean their room properly.

There are three scenarios.

The first one is that you ask them once and they respond appropriately and clean their room properly. This is like having a normal TSH.

The second one is that you have to actually ask them several times and at one point even raise your voice, your daughter cries and plays with Legos for a while, but they eventually clean their room properly. This would be like having an elevated TSH and a normal T4. It doesn't indicate that there needs to be immediate intervention., but there certainly needs to be close follow up.

The third one is when no matter how many times you tell them, they never clean their room. This would be like having a high TSH and a low T4, and intervention is necessary.

As an aside, I don't even pretend to be the pituitary of my household. That's my wife.

03/07/2026

03/07/2026

The crazy world of peptides just got crazier and what is going to happen to this market is somewhat unclear. But it's definitely not going away.

But I am really glad to see these research peptide companies under pressure because they are a completely unregulated source and introduce unnecessary and potentially dangerous variables into an already murky field.

Because if you order your peptides off the Internet you are taking three risks.

1) there's no guarantee you are actually getting the active peptide
2) there's no guarantee you're not getting dangerous contaminants
3) and even if number 1 and number 2 were not a threat, there is no getting around the fact that the majority of the peptides made by these research peptide companies have never been through any meaningful human clinical trials for efficacy or safety

OK, so even if the research peptide companies go away, we are still left with number 3. Peptides will require a prescription. This means that a medical doctor or some other provider will have to be involved in the process.

The onus will now be on doctors to act with integrity, honesty, and put the patient first. I definitely don't think we should shut down the conversation regarding peptides and I do think there is no doubt that good to be found within this class of therapies.

But we need to avoid promises that cannot be supported by real human clinical trials. I personally feel like it's our responsibility to present the potential benefit and the potential risk in the context of the proposed mechanism of action and the available data and help patients to make their own decisions in an informed manner.

The peptide world is definitely an intriguing therapeutic modality and may allow us to help people be healthier and avoid chronic diseases in unique ways. However, there is still a lot to learn and the field is in need of some meaningful clinical trials. I am excited to see how it all develops now that peptides are back out in the daylight.

03/06/2026

The comprehensive metabolic panel, sometimes called the general chemistry, is the real workhorse of blood test. It gives us a very broad overview of the function of multiple organ systems and is a very nice screening test that has led to diagnosis of a number of health problems that could easily have been missed by omitting this test.

if you have further questions about this or any other blood test, come and see us at The Men's Center, Charleston's men's health authority.

03/05/2026

I have expressed before how important I think it is to do a comprehensive set of labs on any man who is worried about his testosterone levels - because there are a lot of other health problems, some quite serious, that can masquerade as low testosterone. Of course it is also important to take a thorough history and perform a physical exam.

I also think it's really helpful to take the time with patients to explain exactly what we are looking for and what we can rule out with each blood test. I have found that patients really appreciate that and it can really put their minds at ease.

Stay tuned for my next video in this series which will explain all of the important components of a comprehensive metabolic panel.

03/05/2026

Why does this seem so absurd for everything else yet has become accepted in healthcare?

03/03/2026

Peptides!
The very word unites the gym bros and the "bio-hackers" and the longevity seekers just as much as it annoys the dogmatic conventional healthcare world. I personally think the truth is in the middle somewhere and that each peptide should be evaluated based upon its own potential merit and available data as well as the priorities and risk aversion of the patient. I don't think that peptides should be blanket celebrated or blanket denigrated.

Peptides are a multi-billion dollar industry which adds a whole layer of opportunism and financial conflict of interest which unfortunately does not add to the credibility of an alternative healthcare strategy that may have some real basis. I hope we can get more clarity with real human clinical trials.

Above all, for anybody considering peptides please seek the guidance of somebody with enough of a scientific background to be able to do more than parrot social media and longevity clinic websites. I always put yourself in a position to make truly informed decisions about your health.

Lots of changes are afoot and it's going to be very interesting to see where things land.

More to come on the crazy world of peptides.