On today's show, we have a naturopathic physician, acupuncturist, and functional medicine practitioner specializing in integrative urology, men’s health, and nutrigenomics, Dr. Ralph Esposito. His precise and personalized style utilizes a systems biology and precision medicine approach to medicine.   In addition to advising as a peer reviewer for medical journals, he has authored several medical textbook chapters. He has designed education modules for health professionals specifically on urological conditions, male and female hormone dysfunction, hypogonadism, exercise, men’s health, and sexual dysfunction.   Dr. Esposito has trained under Dr. Peter D’Adamo, the originator of Opus23®, at the Center of Excellence in Generative Medicine at the University of Bridgeport, and NYU Integrative and Functional Urology Center. He holds a position as an adjunct professor at New York University, where he lectures on integrative medicine. Currently, Dr. Esposito serves as a medical consultant and research analyst.   In this episode, Dr. Esposito opens the show by diving deep into his background. Then, he reveals what may be causing low testosterone levels in men and common ways to test for the issues. Dr. Esposito describes ways in which men can raise their testosterone levels, including exercise, sleep, and nutrition. Stay tuned as Dr. Esposito names the best exercises to boost testosterone – plus, he gives his take on time restrictive eating and ways to tell if you are overdoing it. . Free Fasting Webinar: http://www.benazadiwebinar.com . Keto Kamp Kits: http://www.ketokampkit.com . [00:20] About Dr. Ralph Esposito Esposito watched as his father became medically disabled and heavily medicated. The threat of a family history of chronic disease was a major contributing factor to why he chose to pursue naturopathic medicine when conventional medicine alone was not working. Ralph credits Dr. Geo Espinosa for his mentorship and for allowing him to work with him at the NYU integrative and functional urology center for almost seven years. Esposito continued his work with Dr. Espinosa in research, writing, and education modules. This experience led him to his current position as a medical consultant and research analyst for medical practice in New York.   [03:45] The Culprits of Low Testosterone Levels in Men Is the brain sending a message to the testes to make testosterone? If they get the message, are they making the testosterone? What is the body doing with the testosterone afterward? Once you figure out these answers, then you can figure out the underlying cause. Sleep deprivation and chronic stressors can contribute to low testosterone. A lot of athletes can have issues in the testes and the brain after years of trauma. It’s not so black and white what could be causing the issue.   [07:40] Testing Male Hormones Ralph will test for various male hormones – including the thyroid hormone. Without the thyroid hormone, you will not be able to produce testosterone. Physicians are misreading labs because they do not understand statistics. How are your hormone levels changing over time? Heavy metals can impair libido. Dr. Ralph’s patients will come to them with heavy metals and complaints about a lack of libido.   [12:00] Using Drugs to Test Testosterone Drugs are the last option. Clomiphene is an estrogen modulator – it blocks the estrogen receptors in the brain. If their testosterone does not go up, there is an issue in the testes.   [15:30] High Estrogen and Low Testosterone    High estrogen and low testosterone are signs of metabolic dysfunction. Environmental toxins can cause this. In the past week, Dr. Ralph has read four articles about how the environment is disrupting our health. The most common reason for high estrogen is high insulin levels.   [17:40] Boosting Testosterone You have to start with the foundations: Exercise Sleep Nutrition Putting ice on your testes will not increase the levels. You could potentially damage them