Longevity Medicine

Moderate Evidence

Hormone Optimization

Testosterone, thyroid, growth hormone, and estrogen optimization for healthspan.

23 articles · 199 min total
01

Berberine for PCOS: Clinical Evidence, Dosage Protocol, and Integrative Management

How berberine addresses insulin resistance, androgen excess, and anovulation in PCOS — clinical evidence, dosing, and what to combine it with.

Berberine for PCOS: Clinical Evidence, Dosage Protocol, and Integrative Management
02

Ibutamoren (MK-677): A Physician's Guide to the Oral Growth Hormone Secretagogue

Dr. Douwes breaks down MK-677 (ibutamoren): mechanism, dosing, clinical evidence, longevity benefits, and how it compares to injectable GH peptides.

Ibutamoren (MK-677): A Physician's Guide to the Oral Growth Hormone Secretagogue
03

Sarcopenia Prevention: A Physician's Guide to Preserving Muscle Mass After 40

Evidence-based strategies for sarcopenia prevention — from resistance training and protein dosing to peptide protocols and hormonal optimization for healthy aging.

Sarcopenia Prevention: A Physician's Guide to Preserving Muscle Mass After 40
04

Pregnenolone: The Neurosteroid That Powers Memory, Mood, and Stress Resilience

Pregnenolone is the master precursor to all steroid hormones. Learn how declining levels affect cognition, stress response, and how to supplement safely under clinical guidance.

Pregnenolone: The Neurosteroid That Powers Memory, Mood, and Stress Resilience
05

Myo-Inositol & D-Chiro-Inositol: A Physician's Evidence-Based Guide

Dr. Douwes reviews myo-inositol and D-chiro-inositol for PCOS, insulin resistance, egg quality, and anxiety — with dosing, ratios, and clinical evidence.

Myo-Inositol & D-Chiro-Inositol: A Physician's Evidence-Based Guide
06

Tongkat Ali: A Physician's Evidence-Based Guide to Dosage, Benefits, and Safety

Dr. Douwes reviews tongkat ali (Eurycoma longifolia) for testosterone, cortisol, and fatigue—covering clinical evidence, optimal dosing, and who actually benefits.

Tongkat Ali: A Physician's Evidence-Based Guide to Dosage, Benefits, and Safety
07

AOD 9604 Peptide: The hGH Fragment for Fat Loss and Tissue Repair

AOD 9604 is a modified fragment of human growth hormone that targets fat metabolism without raising IGF-1. A physician's guide to dosing, evidence, and safety.

AOD 9604 Peptide: The hGH Fragment for Fat Loss and Tissue Repair
08

Sermorelin vs CJC-1295: Which Growth Hormone Peptide Is Right for You?

Sermorelin and CJC-1295 both stimulate growth hormone release, but differ in half-life, pulsatility, and clinical use. A physician's comparison of both peptides.

Sermorelin vs CJC-1295: Which Growth Hormone Peptide Is Right for You?
09

Zinc Supplement Guide: Immune Function, Testosterone & Wound Healing

A physician's evidence-based guide to zinc supplementation — covering dosing, forms, immune support, testosterone, wound healing, and who actually needs it.

Zinc Supplement Guide: Immune Function, Testosterone & Wound Healing
10

DHEA Supplementation: Evidence-Based Guide to Anti-Aging and Hormone Health

DHEA declines 80% by age 70. Physician-reviewed guide covering dosing, benefits for cognition, immunity, and bone density, and who should consider it.

DHEA Supplementation: Evidence-Based Guide to Anti-Aging and Hormone Health
11

Boron: The Overlooked Mineral for Testosterone, Bone Density, and Inflammation

Dr. Julian Douwes reviews why boron belongs in a serious longevity stack — from free testosterone elevation and bone protection to vitamin D activation and CRP reduction.

Boron: The Overlooked Mineral for Testosterone, Bone Density, and Inflammation
12

Sermorelin Peptide: A Physician's Guide to Growth Hormone Optimization

Dr. Julian Douwes reviews sermorelin dosing, clinical uses, how it compares to CJC-1295 and ipamorelin, and what patients realistically gain from GH peptide therapy. For a direct comparison of sermorelin against CJC-1295 — including half-life, pulsatility differences, and which patients benefit most from each — see [Sermorelin vs CJC-1295: Which Growth Hormone Peptide Is Right for You?](/blog/peptides-sermorelin-vs-cjc-1295).

Sermorelin Peptide: A Physician's Guide to Growth Hormone Optimization
13

Ipamorelin: A Physician's Guide to Dosage, Benefits, and Clinical Use

Ipamorelin selectively amplifies GH pulses without raising cortisol or prolactin. Physician guide to dosing, stacking with CJC-1295, and candidacy.

Ipamorelin: A Physician's Guide to Dosage, Benefits, and Clinical Use
14

Shilajit: Fulvic Acid, Mitochondrial Energy, and Testosterone Support

A physician's clinical guide to shilajit — how fulvic acid drives mitochondrial energy, supports testosterone, and offers neuroprotective effects. Dosing, forms, and safety.

Shilajit: Fulvic Acid, Mitochondrial Energy, and Testosterone Support
15

Peptide Therapy for Women: What the Clinical Evidence Actually Shows

A physician's evidence-based guide to peptide therapy for women — covering hormonal interactions, key peptides, dosing considerations, and who is a suitable candidate.

Peptide Therapy for Women: What the Clinical Evidence Actually Shows
16

Peptides for Muscle Growth: What the Evidence Actually Supports

Evidence-based review of peptides for muscle growth. GH secretagogues, BPC-157 for recovery, safety risks, and what works based on clinical experience.

Peptides for Muscle Growth: What the Evidence Actually Supports
17

CJC-1295/Ipamorelin vs Tesamorelin: Growth Hormone Secretagogues Compared

A physician's comparison of CJC-1295/Ipamorelin and tesamorelin — mechanisms, evidence, body composition effects, and which GH secretagogue suits which patient.

CJC-1295/Ipamorelin vs Tesamorelin: Growth Hormone Secretagogues Compared
18

CJC-1295/Ipamorelin Dosage: Growth Hormone Protocol

Evidence-based CJC-1295/Ipamorelin dosing guide by Dr. Julian Douwes. Nightly subcutaneous protocols, DAC vs no-DAC, cycling, and growth hormone optimization.

CJC-1295/Ipamorelin Dosage: Growth Hormone Protocol
19

Hormone Optimization for Women

Estrogen, progesterone, thyroid, and DHEA in aging women. Evidence-based approach to female hormonal health across perimenopause and beyond.

Hormone Optimization for Women
20

Hormone Optimization for Men

Testosterone, DHEA, thyroid, and growth hormone in aging men. Evidence-based approach to male hormonal health and longevity.

Hormone Optimization for Men
21

The Complete Thyroid Panel: What to Test and Why

TSH alone is not enough. A complete thyroid panel includes free T3, free T4, reverse T3, TPO and TG antibodies. How to interpret results and screen for Hashimoto's.

The Complete Thyroid Panel: What to Test and Why
22

Hormone Panels: What to Test and When

Which hormones to test, when to test them, and how to interpret results using optimal ranges rather than just reference ranges.

Hormone Panels: What to Test and When
23

Testosterone After 40: What Every Man Should Know

Evidence-based guide to testosterone optimization after 40. Testing, natural decline, the optimization ladder from lifestyle to TRT, risks, benefits, and monitoring — from a physician who treats it daily.

Testosterone After 40: What Every Man Should Know
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