Do you ever feel like your energy is lower, your sex drive is off, or things just aren’t the same in the bedroom? You are not alone. As many as one in every six men regularly have…
As you age, you’ll see more changes than just wrinkles and gray hairs. Your hormones, especially testosterone, start to shift, which can affect everything from your energy to muscle mass and even your sex drive. It’s natural for…
Portrait of a man workout on fitness machine in gymMen’s health often gets overlooked. Many men push through fatigue, stress, and health issues without seeking help. The reality is that ignoring your well-being can lead to long-term problems.…
Chronic stress raises cortisol, lowering testosterone and impacting energy, muscle growth, and libido. Learn how to manage stress and restore hormonal balance.
Ever wondered why some guys pack on muscle easily while others struggle no matter how hard they train? The answer often comes down to one key hormone - testosterone. Testosterone is the king of male hormones. It drives…
Are you feeling sluggish? Do you think your sex drive is declining? You’re not alone. It’s normal for testosterone levels to decline as you age by about 1%-2% per year after 30. However ongoing research shows that stress,…
Are you familiar with UPNEEQ® eye drops? If not, this quick read is for you. UPNEEQ® is an innovative treatment designed to address droopy eyelids – a medical condition that affects 11.5% of adults in the US. As you…
Feeling tired all the time? lacking motivation? Struggling to lose weight or gain muscle mass? Sleeping poorly? Is your sex drive down? These could be signs of low testosterone, a condition commonly referred to as Low T, which…

Dr. Silbiger, MD is Board Certified in Internal Medicine. He has been practicing as an Internal Medicine Hospitalist in the Charleston area since completing his Residency at the University of South Carolina in 2009. He has led physicians as a Medical Director and Chief of staff and advocates for healthy lifestyle modification and prevention throughout his many roles.
Stanley moved to Charleston from New York City with his wife, Dr. Nadel and their two kids. Prior to opening Totality Medispa with his wife, he worked in various financial roles at JPMorgan Chase, Citigroup, Morgan Stanley, Barclays, and Sequence Financial Specialists.
Dr. Nicole Nadel, DO, is a distinguished and board-certified FACEP (Fellow of the American College of Emergency Physicians). She holds the position of co-founder and Chief Medical Officer (CMO) at Totality Medispa, an esteemed medical spa with two locations in Charleston, SC. Dr. Nadel’s expertise lies in non-surgical aesthetic medicine, and she is renowned for her exceptional skills as a master injector and educator, excelling in achieving remarkably natural results without resorting to surgery.