The Strategic Use of Pregnenolone, Aromatase Inhibitors & Tesamorelin with Testosterone w/Dr. Rob Kominiarek

The Jay Campbell Podcast

09-01-2018 • 1 hr 4 mins

We spend very little time on male reproductive health, and a lot of men are in dire need of it. What are some of the factors that physicians should be tracking? How are the side effects of short term memory loss and anxiety on testosterone mitigated? What is the first thing that needs to be done in the case of a patient suffering from a metabolic emergency? On this episode, we are joined by author and physician, Dr. Rob Kominiarek to discuss insights in testosterone and health.

You have to use Aromatase Inhibitors very strategically to solve issues. -Dr. Rob Kominiarek


  • Complications from fractures of the spine kill more people than heart attacks, strokes, and cancers combined.
  • The doctors that put you on an Aromatase Inhibitor straight out of the gate don’t know what they’re doing.
  • Insulin and growth hormone compete for the same receptors and insulin.

At the start of the show we talked about why there’s no one-size fits all approach to optimization, and how to deal with patients who experience anxiety and panic attacks. Next, we talked about what so many doctors get wrong when it comes to Aromatase Inhibitors and why men need estrogen.

We also discussed:

  • How to get insulin levels in check with testosterone
  • The importance of doing Dexa Scans
  • Why almost every diabetic medication is a peptide

There is no single recipe for testosterone optimization. An individualized approach has to be taken. That’s why it’s critical for a patient to get labs to determine what they need. Some physicians put patients on Aromatase Inhibitors right away, and this is a mistake. A lot of the side effects and problems we see on testosterone can be solved by adjusting dosage, not bringing AIs into the mix.

Guest Bio-
Dr. Rob is a bestselling author and physician with an expertise in Interventional Age Management Medicine and BioIdentical Hormone Optimization. Interventional Medicine focuses on optimizing your health and enhancing your quality of life while simultaneously reducing the risk of heart disease, stroke, diabetes, cancer, bone fractures, dementia, and other disorders of aging. Go to or find him on LinkedIn