Do This Before You Take Testosterone Replacement Therapy (TRT)!
By Rena Malik, M.D. · published · 13:17 · 334K views when we checked · Clinician: Rena Malik, MD
The video belongs to Rena Malik, M.D. and plays on YouTube's privacy-enhanced player. Watch on YouTube.
What this video covers
This is a 13 minute video from Rena Malik, M.D., published on her own channel on 2024-04-22. Her description presents her as a urologist and pelvic surgeon. She says the video is meant to explain what a person may want to understand and try before starting testosterone replacement therapy (TRT), including alternatives, so that some viewers may not need TRT at all. The description also labels the video as educational and not medical advice.
The chapters show how it is organized. It opens with an introduction, then a short section on symptoms of low testosterone and a brief section on TRT itself. The rest is split into four topics: diet and exercise, which gets the most time at a little over three minutes, then sleep quality, stress, and varicoceles. It closes with a bottom line chapter. The description links a published review of alternatives to testosterone therapy, so the video may draw on it, but the metadata does not say how.
The description carries a fair amount of promotion. It points to a pre-order for her book, a free live masterclass, a paid membership, appointment booking, and an Amazon storefront and discount code page that it says include affiliate links. Captions were not available, so this summary reflects only the title, description and chapter list. It does not cover what is said in each section, and it gives no figures or conclusions from the video.
Our summary, written from the video's title, description and chapters (description and chapters), checked 2026-10-31. It reports what the creator presents; it is not medical advice, and the creator's experience may not match yours.
Chapters
- 2:05The diet and exercise chapter is the longest, at a little over three minutes.
- 5:26A chapter on sleep quality follows, listed as one of the factors to consider before TRT.
- 7:43A chapter on stress comes next in the sequence of alternatives.
- 10:24Varicoceles get their own chapter, so the video also touches on a physical condition of the testicular veins.
- 12:10The final chapter is a bottom line wrap-up.
What it costs today
- FDA-approved products only
- LegitScript seal ID shown
- All 50 states
Which programs let you message a clinician
From each program's own page, read 2026-10-31. "Not found" means we found no statement either way.
| Program | Message a clinician | Cost | From | Visit |
|---|---|---|---|---|
| Rugiet | YesYou can message your doctor anytime in the portal, and unlimited follow-ups with your doctor are included in the price.source, 2026-10-31 | Included | $99/mo | Visit |
| Henry Meds | YesYou and your provider exchange messages in a secure patient portal, and ongoing care is part of the plan price.source, 2026-10-31 | Included | $129/mo | Visit |
| Brightmeds | YesA licensed doctor is one message away for your whole treatment, at no extra cost.source, 2026-10-31 | Included | $191/mo | Visit |
| Rex MD | YesFollow-ups are free once treatment starts; you message your assigned provider through the member portal any time.source, 2026-10-31 | Included | $18/mo | Visit |
| Hims | YesYou can message a provider with questions at any time, for free.source, 2026-10-31 | Included | $22/mo | Visit |
| Maximus | YesEvery protocol includes 24/7 messaging with your care team at no additional cost.source, 2026-10-31 | Included | $24.99/mo | Visit |
| MangoRx | YesUnlimited access to licensed providers for any concerns, with ongoing provider support listed in the monthly plan; the page does not name the channel.source, 2026-10-31 | Included | $59/mo | Visit |
| PeterMD | YesUnlimited free consultations and 24/7 access to your medical team; the page says access and consults, not messaging by name.source, 2026-10-31 | Included | See review | Visit |
| Hone Health | YesUnlimited messaging with your care team, plus a clinician meeting every 3 months, as part of the membership.source, 2026-10-31 | Included in the paid Hone membership | See review | Visit |
| Male Excel | YesThe Medical Membership required for HRT gives unlimited access to medical providers for health questions.source, 2026-10-31 | Part of the required Medical Membership (price not stated on the page) | See review | Visit |
| Taurus Meds | Not foundThe site says it offers online access to licensed clinicians who adjust dosages, but never says you can message one. | Not stated | See review | Visit |
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