The Men's Center

11/02/2025

SWIPE LEFT FOR EXAMPLES!
So why does such a ridiculous boondoggle of codes even exist?

Spoiler, it's not to make patient care better and it's not to make doctors more efficient. Like much of the other administrative box clicking that doctors do, these codes exist for two reasons.

The first reason is so that insurance companies know exactly what we are doing and why. We have to successfully match the diagnosis code with the proper treatment code. This is sufficiently complex such that we mess up on occasion, which gives insurance companies the justification to decline payment. That's where the team of office staff necessary to deal with insurance companies comes in.

The second reason codes exist is so that data can be gathered about patient diagnoses and treatments. This data is very valuable to the likes of pharmaceutical companies, insurance companies, etc. and as often mined and sold.

If you read through a corporate medicine doctor's notes it is sometimes difficult to know exactly what the patient complaint was or what the plan is, but instead you will see several pages of codes that exist for the purpose of getting adequstely reimbursed.

It's so refreshing at The Men's Center since we have 86'd the middlemen. Instead of codes in our notes we actually have a narrative that explains exactly what the patient's complaints are and what we are doing about it. I have not entered a code in a note in three years. It is glorious.

Furthermore, the fact that we don't spend over half of our time doing administrative tasks to satisfy insurance companies and Medicare, we are actually able to focus time on taking care of patients. This is why we don't have 10 minute visits and this is why we are available to answer phones and return emails.

And because there are no confusing bills that come two or three weeks after an encounter, patients get total price transparency, which gives them the power to actually act as consumers to make good informed healthcare decisions.
The doctor-patient relationship, brought back from the dead. We love it.

10/31/2025

Sleep is just so important for longevity. But a lot of us, myself included, have not made it enough of a priority.

I have struggled with getting enough sleep and with sleep quality, and have found these supplements helpful.

Ashwagandha is another name for Indian ginseng or winter cherry. It is a small evergreen shrub native to India. It is often referred to as an "adaptogen" due to its possible benefit of decreasing cortisol and combating the effects of stress. There's also some limited evidence that it may improve s*xual health and fertility. Randomized, controlled trials and meta-analysis have suggested that Ashwagandha can improve sleep quality as well as total sleep time compared to placebo. Short-term side effects appear to be minimal and are primarily related to gastrointestinal side effects. Long-term safety studies are scant. It is not recommended during pregnancy.

Although high-quality randomized, controlled trials looking at magnesium for sleep are limited, correlation has definitely been reported between magnesium supplementation and sleep quality. The potential benefit of magnesium for sleep may be related to increasing GABA (a neurotransmitter that promotes relaxation) and supporting melatonin production. Magnesium is available in multiple forms but the potential advantage of magnesium-L-threonate is related to enhanced brain bioavailability. This supplement may also help improve cognitive function. Side effects of magnesium can include diarrhea.

Phosphatidylserine is a phospholipid that exists at high levels in brain cell membranes. It has been demonstrated in some studies to improve sleep disturbances related to chronic stress and may work by reducing cortisol levels. Evidence suggests that it may also improve memory and cognitive function although the studies are limited. It can be found in foods such as fish and sunflower. It is generally felt to be safe.

Please be sure to discuss any supplements that you take with your doctor prior to starting. We would be happy to discuss other strategies for sleep. Come on by and see us.

10/31/2025

10/29/2025

Yes I know it seems like a lot but you can do it! Longevity isn't just about living to be 100 it's about being able to do the things that you enjoy doing well into the second half of life. I don't care if it's pickle ball or cooking or crossword puzzles or having s*x. Or all of the above. Set yourself up to continue to be able to do the things that bring you joy. Changes you make now will improve your chances of having true healthspan. It's never too early and it's never too late.

Baby steps and watch the snowball start rolling in the right direction!

10/28/2025

COME SEE US. We know men's health & we know it WELL:

TESTOSTERONE OPTIMIZATION
ERECTILE DYSFUNCTION
SEXUAL DYSFUNCTION
PROSTATE ISSUES
PROSTATE CANCER
MEDICAL WEIGHT MANAGEMENT
FUNCTIONAL STRENGTH
MEN’S HEALTH & LONGEVITY
VASECTOMIES

10/25/2025

The consequences of obesity are broad and profound. An unhealthy body weight leads to a variety of chronic illnesses, and in many cases weight loss is the one intervention that can affect the most body systems and pay massive dividends well into the second half of life.

I am all about lifestyle approaches as first line. But let's face it, it's not easy and some guys just cannot get there without help. For those men, well monitored treatment with a GLP-1 agonist can be a tremendous investment in the future.

Tirzepatide (Mounjaro/Zepbound) and semaglutide (Ozempic/Wegovy) are two of the best known of these. They are called GLP-1 agonists because they bind to the human GLP-1 receptor, causing reduced hunger and increased GI transit time, ultimately causing a relative caloric deficit. They were initially designed to treat type 2 diabetes and are very effective in doing so. They are now used very commonly for weight loss. These drugs are not only effective for weight loss but have also been found to profoundly decrease risk of major cardiovascular events, and are also being studied for their anti-addiction and anti-inflammatory properties.

There is currently a lot of attention being paid to the concept of long-term "micro dosing" with these medications as a strategy to reduce inflammation and stave off chronic diseases. I certainly think it's too early to make definitive recommendations regarding this strategy but it'll be very interesting to see where the data takes us.

Come and see us if you have any questions!

10/23/2025

If you're not feeling like yourself or struggling with symptoms consistent with low testosterone, let us help you figure it out. If testosterone therapy is appropriate for you, we can help you through the process with unmatched expertise. We are the only men's health clinic in the area staffed by a board-certified urologist and a well trained, all male staff. The difference between us and the others will be immediately obvious to you.

Give yourself every chance. See the experts.

10/18/2025

Not even an argument. Not sure I was talking to top brass.

If you want an honest, evidence-informed conversation about your options from a real men's health doctor, give us a call.

Dr. Denny Kubinski, Board-Certified Urologist
www.the-mens-center.com
843–625 – HARD

10/17/2025

Man we're PROUD and HONORED! Voted 𝗕𝗲𝘀𝘁 𝗠𝗲𝗻'𝘀 𝗖𝗹𝗶𝗻𝗶𝗰 𝘈𝘕𝘋 𝗕𝗲𝘀𝘁 𝗨𝗿𝗼𝗹𝗼𝗴𝗶𝘀𝘁 in 𝗠𝘁. 𝗣𝗹𝗲𝗮𝘀𝗮𝗻𝘁 𝗠𝗮𝗴𝗮𝘇𝗶𝗻𝗲'𝘀 𝘽𝙚𝙨𝙩 𝙤𝙛... AND voted 𝗕𝗲𝘀𝘁 𝗠𝗲𝗻'𝘀 𝗖𝗹𝗶𝗻𝗶𝗰 in 𝗣𝗼𝘀𝘁 & 𝗖𝗼𝘂𝗿𝗶𝗲𝗿'𝘀 𝘾𝙝𝙖𝙧𝙡𝙚𝙨𝙩𝙤𝙣'𝙨 𝘾𝙝𝙤𝙞𝙘𝙚 - WOW! Thank you very much for this truly unique honor. We are fired up to keep helping Lowcountry men feel, look, and perform their best in 2025 and beyond! 🏆 🏆 🏆 843-625-4273

10/15/2025

Our Accufit patients have been VERY happy with their results. 💪🏼 Increasing functional strength while enhancing muscle definition? Win win. The gains speak for themselves.

Accufit can treat 6 body areas: abs/core, triceps/biceps, glutes, hamstrings, quads, & calves.

I believe very much in the importance of strength as we know that a strong body is associated with both longevity & quality of life. Functional strength, which is basically the strength you need to perform your daily activities & hobbies, is really the focus over just having big biceps & looking good at the beach. Although this is important to people as well of course.

I am really excited to have this device at The Men's Center to help our patients stay healthy and active as they age, help people heal from injury, and be the very best versions of themselves.

Accufit can be done as 4 sessions over 4 weeks or 2x/week over 2 weeks. 💪🏼 843-625-4373

10/10/2025

I am back at Mission hospital in Asheville covering the urology service for the weekend. This is always sobering. This is a very large, high-acuity hospital that is full to the gills every time I am here. In fact it is offering overflowing.

The hospital is full of people with chronic diseases. from uncontrolled diabetes to cardiovascular disease to cancer to dementia. The truth very few people are here for an acute problem and almost all of them are here to manage symptoms and complications related to an existing chronic disease. Unfortunately, this is where most of our time, efforts, and expenditures are focused in healthcare.

For many reasons -too complicated to write about here - too few of those resources go towards preventing these diseases. And the saddest part is that in many cases they are largely preventable.

Equally sobering is the fact for many of these people, although modern medicine will allow us to prolong their lives, enough damage has been done that improving their quality of life and healthspan is like trying to sprint against a wind storm.

I don't have to tell y'all how many things are wrong with healthcare.

But we should start by changing the name to sickcare.
And then we should focus our efforts towards prevention of chronic diseases. We can do it and in fact we really have no choice. But it will take a concerted effort.