Dhru Purohit Show
Struggling with Low Libido? Your Blood Sugar Could Be to Blame. Top Tips for Boosting Libido with Sex and Metabolic Experts
14 Apr 2025
This episode is brought to you by Levels and Maui Nui. When most people think about metabolic health, they think of weight management and steady energy. But here’s what often gets overlooked: metabolic health also plays a major role in sexual function and fertility. Our hormones depend on a delicate balance—and when blood sugar spikes and crashes, that balance gets thrown off. The result? Not just weight gain, mood swings, and fatigue, but also a higher risk of erectile dysfunction, infertility, reduced sexual pleasure, and more. Today on The Dhru Purohit Show, we’re bringing you a special compilation episode featuring Dhru’s conversations with experts on how sexual health can reflect your overall metabolic health. Dr. Casey Means explains that blood flow, hormones, and psychology are the three pillars of good sexual function. She shares how diet impacts all three through a hormonal cascade, along with effects on nitric oxide and neurotransmitter production. Dr. Rena Malik dives into the importance of a healthy sex life and the common challenges men and women face—from low libido and hormone imbalances to lifestyle factors that get in the way. She breaks down the science behind sexual health, including the roles of diet, exercise, and orgasms, and unpacks the key roadblocks that can prevent us from experiencing a truly fulfilling sex life. Dr. Casey Means is a Stanford-trained physician, Co-founder of the metabolic health company Levels, and author of Good Energy. Her mission is to maximize human potential and reverse the epidemic of preventable chronic disease by empowering individuals with tools that foster a deep understanding of their bodies and support personalized, sustainable dietary and lifestyle choices. Dr. Rena Malik is a board-certified urologist with a talent for dispelling medical misinformation, discussing intimate topics, and evidence-based discussions of taboo topics. Dr. Malik is also a prominent reconstructive urologist treating bladder conditions, sexual dysfunction, pelvic pain, and hormone management. In this episode, Dhru and his guests dive into: Paying attention to your sexual and overall health (1:37) The link between sex drive and metabolic function (5:49) Three key ways metabolic and sexual health are connected (8:41) Habits that restrict blood flow and negatively impact sex drive (14:21) The alarming rate of fertility decline (18:50) How metabolic health affects egg quality, sperm quality, and hormone balance (22:11) The connection between sex, longevity, and a healthy lifespan (33:09) How exercise boosts internal motivation and physical desire for sex (36:14) The effects of a sedentary lifestyle on libido and sexual health (33:11) Top factors interfering with a pleasurable sex life (37:39) Hormonal and menopause-related challenges—and potential solutions (44:14) Hormone therapy and its benefits for women’s libido (49:25) Physical factors that can prevent enjoyment of sex (51:23) Final thoughts (55:14) Also mentioned: Full episode with Dr. Casey Means Full episode with Dr. Rena Malik 3 Ways metabolic health affects sexual function This episode is brought to you by Levels and Maui Nui. Right now, Levels is offering my listeners an additional 2 FREE months of the Levels annual Membership when you use my link: levels.link/DHRU. Make moves on your metabolic health with Levels today. Right now Maui Nui Venison is offering my listeners a limited collection of my favorite cuts and products. Just go to mauinuivenison.com/dhru to secure your access now —but hurry, supply is limited! Learn more about your ad choices. Visit megaphone.fm/adchoices
Full Episode
Hi everyone, Drew Proat here. Today, we're diving into the fascinating science on an often overlooked topic, how your sexual health can serve as an indicator of your metabolic and hormonal health.
You might not immediately think that these things are connected, but the truth is your sexual function, fertility, and even your desire for intimacy can all provide insights into many other areas of your overall health. So in today's compilation episode,
I'm sharing portions of my conversations with Dr. Casey Means all about the ways that metabolic health can impact your sexual health and sexual function. Dr. Means is a Stanford-trained physician, one of the founders of the metabolic health company Levels, and of course, the author of one of my favorite books, Good Energy.
She's also an associate editor of the International Journal of Disease Reversal and Prevention and a lecturer at Stanford University. And in addition to Dr. Means, we also speak with board-certified urologist and prominent reconstructive urologist, Dr. Reena Malik, all about the role that hormone imbalances play in sexual desire, function, and much more.
But first, let's listen into my conversation with Dr. Casey Means. you had shared that if you care about your long-term health, if you care about your being in your optimal health, you want to pay attention to your sexual health. Let's talk about that. I think we got a lot of people who perked up all of a sudden. They're very interested in this topic.
What do you mean by paying attention to our sexual health and how that's connected to our optimal health?
This is a fascinating link that I've been discovering as I've dived deep into the metabolic health world. And what we've really come to realize is that if you care about sexual function, fertility, and even sexual pleasure, then you really need to be thinking about metabolic health and metabolic optimization. The link now is extremely clear and we don't really talk about it.
And it makes sense because metabolism is fundamentally how we produce energy in every cell of our body. And sexual function and fertility are incredibly complex very well-orchestrated events in the body that involve so many things. They involve neurologic factors, vascular factors, psychological factors, and hormonal factors just to get things right when you're thinking about sex or fertility.
All of those elements of the body, all of those cell types that are involved, they all require the cells to make energy properly, which is metabolism. As you know, we are dealing with a metabolic disease epidemic in this country. You've talked about it so many times on your podcast, but 88% of American adults are metabolically dysfunctional. This is unbelievable.
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