Mike O’Hearn speaks with Dr. Rand McClain to stress the importance of distinguishing TRT from anabolic steroids… and the damage caused by conflating the two

In the latest episode of The Mike O’Hearn Show, host Mike O’Hearn delves into the world of testosterone and hormone replacement therapy (TRT and HRT) with Dr. Rand McClain, a renowned expert in alternative and progressive medical treatments. Dr. McClain, whose focus is in regenerative and sports medicine, has dedicated over three decades to redefining optimal health through innovative approaches. Most notably, Dr. McClain stresses the problem with making TRT taboo by referring to it as the same as anabolic steroids.

Dr. Rand McClain is a doctor in regenerative & sports medicine – and his journey to becoming a leader in alternative medicine has been an unconventional one. From being an early senior account manager at Deloitte to a professional kickboxer in Argentina, his diverse experiences shaped his unconventional approach to healthcare. His patients, including A-list celebrities and world-class athletes, seek his expertise in bioidentical hormone replacement therapy (BHRT), hyperbaric oxygen therapy, cryotherapy, platelet-rich plasma, and stem cell therapies.

Dr. Rand McClain’s expertise in TRT and HRT started when he started experiencing low testosterone himself in his early 30s. The medical community had very little to offer him in terms of medication and relief – which kickstarted his journey towards becoming a doctor and leading the push in TRT and HRT research.

As TRT and HRT continue to grow in popularity, Mike O’Hearn and Dr. Rand McClain dig deep in explaining these concepts, how far they have come, and how much more it needs to go. Let’s dive in.


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The Evolution of Hormone Replacement Therapy

During the podcast, Mike O’Hearn prompts Dr. Rand to share the origins and background of his expertise in hormone replacement therapy. Dr. Rand emphasizes that, at currently 61 years old, HRT and TRT weren’t accepted in his youth as they are today. Recalling lectures from doctors warning against substances like testosterone due to potential infertility and health risks, Dr. Rand knew something was off with his testosterone levels.

Dr. McClain knew that something was wrong with his health and his body. But at the time, lower natural testosterone was often not something that was treated. But Dr. McClain wanted a solution.

Despite facing resistance, Dr. Rand pursued TRT until he found a doctor willing to discuss the benefits candidly. Even today, he notes that many doctors dismiss lowered testosterone as a natural part of aging, emphasizing the need to challenge conventional beliefs about aging and proactively address hormonal imbalances.

The TRT Journey: From Med School to a Medical Focus

Dr. Rand McClain’s obsession with TRT led him to med school, where he realized the limited education on hormones provided. Dr. McClain notes that from his recollection – there was barely any time spent learning about hormones. Perhaps even only 20 minutes in one class throughout his entire medical education. Despite the minimal coverage during his medical education, Dr. Rand continued researching and made TRT and HRT his medical focus.

He shares his belief that the medical field often overlooks the diagnosis of low natural testosterone, or hypogonadism, and speculates on the reasons behind this neglect. Including:

The Gender Bias in Testosterone Treatment:

Dr. Rand McClain highlights the challenges women face in receiving testosterone treatment, as the medical field historically considered it exclusive to men. While awareness is growing, he emphasizes the need for continued progress in recognizing and addressing testosterone deficiencies in women.

Breaking the Taboo: TRT as Legitimate Treatment

Mike O’Hearn raises the question of why TRT is often considered taboo when it’s similar to prescribing medication for other health issues. Dr. Rand McClain asserts that low natural testosterone is a valid diagnosis, known as hypogonadism, with established primary and secondary treatments. Despite this, many doctors overlook or dismiss TRT, and Dr. McClain speculates on parallels with the neglect of certain treatments due to societal fears.

Overcoming Stereotypes and Fears

Dr. Rand McClain draws parallels between the neglect of TRT and the hesitation to explore the therapeutic potential of substances like psychedelics. He suggests that societal fears, combined with the historical association of testosterone and steroids with recreational abuse, contribute to the reluctance to embrace TRT as a legitimate medical treatment.

But as we are seeing now, we have come full circle in the scientific and medical embracing of psychedelics for those with mental health issues and PTSD. It may have taken 50 years, but these methods are finally breaking medical ground. It might not be long before medical conversations around testosterone and other hormone therapies see the same acceptance.


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Optimism for the Future of TRT & HRT

Despite the challenges, Dr. Rand McClain remains optimistic about the future of TRT. He observes the proliferation of hormone replacement therapy clinics nationwide, increased research studies, and a growing acceptance of TRT as a movement gaining rapid momentum. Dr. McClain expresses confidence that society is on a trajectory towards recognizing the legitimate benefits of TRT and HRT.

Wrap Up

As The Mike O’Hearn Show sheds light on the evolving landscape of testosterone and hormone replacement therapy, Dr. Rand McClain provides valuable insights into the challenges, misconceptions, and optimistic future prospects of TRT. The podcast serves as a platform to challenge societal norms, encourage education, and promote a more nuanced understanding of hormonal health. With ongoing research and shifting perspectives, the conversation around TRT is poised to break free from taboos and contribute to a more comprehensive approach to overall well-being.

You can watch the full episode above. And don’t forget to check. back every week for new episodes only on the Generation Iron Fitness Network or wherever podcasts are downloaded.

Derek Dufour
Derek Dufour has been managing all digital operations on the Generation Iron Network for over six years. He currently manages a team of editors, writers, and designers to provide up-to-date content across the GI Network.