Writing
Clinical writing on psychiatry, hormones, and metabolism.
Plain, evidence-grounded explanations of the questions patients bring to the practice, written by the physician who treats them.
How Testosterone, GH, IGF-1, and Estrogen Work Together in Men
A Plain-English Map of the “Anabolic Team” Behind Muscle, Mood, and Recovery Testosterone, GH, IGF-1, and estrogen in men form a coordinated anabolic team that supports muscle mass, bone density, fat distribution, mood, and recovery. Many men across…
High Hematocrit on TRT: Why it Matters for Your Brain and Heart
What High Hematocrit Means on TRT and When It Becomes a Problem Published: Feb 18, 2026 | By: Dr. Baghel | Category: TRT & Men’s Hormone Health If you are on testosterone replacement therapy (TRT) in North Carolina and…
TRT and Heart Health: Blood Pressure, Cholesterol, and Mood
Published: Oct 8, 2025 | By: Dr. Baghel | Category: TRT Safety, Side Effects & Monitoring If you are a man in North Carolina considering testosterone replacement therapy (TRT), there is a good chance your first worry is your…
Testosterone, Mood Swings, and Anger: Low T vs High T
The question comes up in clinic more than almost any other: does testosterone make you angry? The short answer is that testosterone within normal physiologic ranges does not reliably cause anger in most men. The longer answer, the…
TRT Side Effects and Risks: What to Watch for and How Responsible Monitoring Works
Published: Jan 7, 2026 | By: Dr. Baghel | Category: Medication Management When considering testosterone replacement therapy (TRT), understanding potential side effects and risks is essential to making an informed decision. TRT can be life-changing for men with confirmed hypogonadism. Like…
How Adult Men Are Evaluated for Low Testosterone Before Treatment
Published: Nov 25, 2025 | By: Dr. Baghel | Category: Medication Management Many adult men reach a point where energy, strength, and mood are not what they used to be. It can be hard to know whether this is…
Testosterone Replacement Therapy in North Carolina: A Complete Guide for Men
Published: Nov 11, 2025 | Updated: July 16, 2026 | By: Dr. Baghel | Category: TRT and Men’s Health Testosterone replacement therapy has changed significantly in recent years. Updated FDA guidelines in February 2025 removed previous cardiovascular warnings and confirmed…