Are testosterone injections destroying your hair—or your sex drive? In this no-nonsense episode of Hart2Heart, Dr. Mike Hart welcomes back men's health coach Ali Gilbert for a deep dive into testosterone replacement therapy (TRT), estrogen panic, and what’s really driving results in men’s health. They explore the truth about DHT and Finasteride, the emotional and physical effects of HCG, the difference between injections vs. creams, and the most common mistakes men make when trying to optimize hormones. Plus: how your cardio might be more anabolic than you think. Ali also shares her personal journey through breast implant illness and recovery, offering a cautionary tale about intuition, inflammation, and medical gaslighting. Whether you're navigating hormone therapy or just trying to feel better and think clearer, this episode is packed with gold.

Ali Gilbert is a men’s health expert and founder of Silverback Coaching, specializing in concierge fitness and hormone optimization for men. With over two decades of experience, Ali has become known as the "Queen of Men's Health" for her integrative approach to training, TRT education, and lifestyle management. She’s a speaker, educator, and creator of the Silverback Summit—a conference devoted entirely to cutting-edge men’s health practices.

Follow Ali Gilbert:

• Instagram: @thealigilbert
  
  

• Website: Silverback Coaching
  
  

• Silverback Summit: Event Site
  
  

Show Notes:
00:00 Welcome back + introducing Ali Gilbert
01:00 Breast Implant Illness: Ali’s personal story
07:00 Symptoms and recovery from removal
10:00 The thyroid link and post-op results
12:00 Educating partners on TRT
14:45 Estrogen, aggression, and calming effects
16:30 The DHT misunderstanding
20:00 Injectable vs cream testosterone
22:00 Frequency, compliance, and optimal protocols
26:00 The truth about HCG and testicle size
30:00 Estrogen panic and Arimidex overuse
35:00 Why high estrogen symptoms are misunderstood
38:00 Aromatase in fat tissue + insulin resistance
41:00 Androgen receptor sensitivity and testing
44:00 The hype and limits of injectable l-carnitine
47:00 Zone 2 cardio and why it’s anabolic
51:00 How to train for longevity, not ego
55:00 Weak handshakes, posture, and presence
58:00 Flat benching: the shoulder destroyer?
59:00 Final thoughts and Silverback Summit info

Follow Dr. Mike Hart:

• Instagram: @drmikehart
  
  

• Twitter: @drmikehart
  
  

• Facebook: Mike Hart

Thank you for listening!