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A Tricky Topic

Dr. Khashayar Farzam Author Interview

The Doctor’s Perspective unpacks the science of testosterone, performance-enhancing drugs, and men’s health, separating fact from fiction while offering practical, evidence-based insights into optimizing wellness. Why was this an important book for you to write?

I think writing this book gave me an opportunity to provide a physician’s viewpoint on these topics that combines real-world clinical experience with evidence-based reviews. Many times, interpreting the literature helps us provide guidance on what to do next. But often times the real-world clinical experience is what really can help someone make decisions, especially when there is a lot of subjectivity involved.

Another important point is that anabolic steroids and performance-enhancing drugs are truly a topic of their own and are essentially not really covered in medical textbooks or online medical platforms. There is simply a complete lack of familiarity with these topics in the medical world. My book helped bridge that gap and provides a useful reference to other physicians.

I provide expert guidance to other physicians on a daily basis on the eConsult platform in Ontario and this really helps build on that.

What was the biggest misconception about testosterone that you wanted to clear up in this book?

I would say that knowing it’s a tricky topic without black-and-white answers. Every person is different and we should really personalize the approach on when or when not to use it.

In your research, what was the most surprising fact you discovered about TRT or PEDs?

Over the years I’ve discovered two very interesting facts.

One is that I’m surprised by the level of side effects some patients see even at low doses whereas others use incredibly high doses yet never experience any side effects and maintain fully normal blood work. The variability is very interesting.

Second, many PEDs have such novel and unique side effects that need to be picked up on early to prevent long-term harm.

How do you think social media and fitness influencers have shaped public perception of testosterone and supplements?

By far the biggest perception is that the term “TRT” has become simply another term for low-dose testosterone use. I think it’s important to distinguish these two topics. TRT is by definition the replacement of low testosterone. That is completely different than supplementation of low-dose testosterone for someone who has normal levels. Social media has definitely been the driving factor in this.

Author Links: GoodReads | Website | Instagram | Amazon

The Doctor’s Perspective: A Look at Testosterone, Wellness and Performance explores the intricate relationship between hormones, metabolic health, and performance, offering an evidence-based analysis of these often-misunderstood topics. Written by a physician, this book delves into the science behind testosterone replacement therapy (TRT), anabolic steroids, and performance-enhancing drugs (PEDs), separating medical facts from myths and misinformation. It addresses critical men’s health issues such as hypogonadism, cardiac and prostate health, obesity, and the psychological effects of hormonal imbalances. The book also examines emerging compounds like selective androgen receptor modulators (SARMs), peptides and nootropics, evaluating their benefits and risks. From the history of testosterone’s discovery to its modern medical applications, the author provides a thorough review of therapies and their implications. Each chapter integrates an evidence-based approach with practical insights, offering readers a balanced perspective on these controversial topics. With discussions on nutrition, supplements, and the ethical dimensions of drug use in sports, it serves as a comprehensive guide for healthcare professionals, fitness enthusiasts, and individuals seeking clarity in the evolving landscape of wellness. Ultimately, this book aims to empower readers with the knowledge to make informed decisions about their health, bridging the gap between clinical expertise and everyday concerns. The Doctor’s Perspective is a must-read for anyone navigating the complexities of hormones, health, and human potential.