Writing · Category
TRT and Men’s Health
Testosterone replacement therapy, men’s hormones, and mental health. Side effects, monitoring, fertility, and TRT management from a psychiatrist in North Carolina.
TRT and Antidepressants: What Actually Interacts and What to Watch
TRT and antidepressants get prescribed to the same men all the time, and the interaction checkers say there’s nothing to report: no drug-drug interaction on file. The checkers are answering a narrow question, whether one drug changes the…
Testosterone Augmentation for Depression: When It’s a Real Option, and When It Isn’t
Published: May 2026 | By: Dr. Baghel | Category: Adult Psychiatry When a man comes in still depressed after one or two antidepressant trials, low testosterone is one of the things worth checking. Most of these men have…
Balancing Hormones and Mental Health: A Psychiatrist’s Guide for Men
Published: 5/10/2026| By: Dr. Baghel | Category: TRT & Men’s Health Metabolic factors matter too, as in the connection between weight loss and depression. Peptides marketed for “cortisol optimization” rarely have the human evidence to back the claim;…
FDA Testosterone Idiopathic Hypogonadism: What the April 2026 Step Means for Men With Low Libido
Published: April 2026 | By: Dr. Baghel On April 16, 2026, the U.S. Food and Drug Administration announced it is encouraging holders of approved testosterone replacement therapy (TRT) products to pursue a new indication: treatment of low libido…
TRT in Wilmington NC: Telehealth Testosterone Therapy With Psychiatric Oversight
Testosterone replacement therapy (TRT) in Wilmington is available through several paths: primary care, men’s health clinics, and telehealth providers. Each has tradeoffs. This page is for men looking for TRT Wilmington NC care that includes psychiatric oversight, clean…
Low Testosterone and Depression: Why These Conditions Keep Getting Misdiagnosed
Low testosterone and depression share nearly identical symptom profiles. Fatigue, low motivation, irritability, poor concentration, disrupted sleep, decreased libido. Both conditions produce these symptoms, and the overlap is close enough that one is routinely mistaken for the other.…
Gynecomastia on TRT in North Carolina
Published: March 20, 2026 | By: Dr. Baghel | Category: TRT & Men’s Health Gynecomastia on TRT: Why It Happens and How to Treat It Gynecomastia is the development of breast tissue in men. It happens when the…
TRT and Fertility
By Dr. Shantanu Baghel, Board-Certified Psychiatrist | Baghel Psychiatry | March 2026 TRT and Fertility North Carolina: What Men Need to Know About Sperm Count, Testicular Atrophy, and Family Planning TRT fertility is one of the most common…
TRT vs Steroids: Where the Line Is and Why Your Mental Health Depends on It
TRT vs Steroids: What Men in North Carolina Need to Know By Dr. Shantanu Baghel, DO — Board-Certified Psychiatrist (Adult & Forensic, ABPN) | Fellowship-Trained, University of Rochester * 3/3/2026 In North Carolina, where conversations about men’s mental…
Who Benefits Most from TRT?
Who benefits most from TRT in North Carolina? Many men wonder whether testosterone replacement therapy (TRT) is right for them. Men with clear symptoms of low testosterone plus confirmed low blood levels on repeat morning testing may be…