Archive for the ‘Testosterone deficiency’ Category

February 13, 2017

HCG And Testosterone: Double Bang For Your Sex Drive Buck

If you find that your sex drive is in the tank, you have difficulty with erections, that Viagra, Levitra, and Cialis which once worked, are no longer effective, then you may be suffering from low T or low testosterone.  The diagnosis is easily made from a blood test.

If you are like most men, you will find that your manhood and confidence level comes from the area between your belly button and your knees, i.e., your “package”.  It is there in the testicles which are are responsible for making testosterone, the male hormone associated with so many functions including sexual activity, energy level, muscle mass, and even your mood.

Not only does testosterone control so many of these functions, so does hCG or human chorionic gonadotropin.  hCG stimulates the gland at the base of the brain, the pituitary gland to produce more LH or luteinizing hormone (LH) to encourage the testicles to release more testosterone. hCG can be injected and administered to stimulate the right dose of healthy testosterone production.

The benefits of hCG for men include boosting healthy levels of testosterone that’s needed for every biological process to ensure optimal health. Correcting low testosterone levels by using hCG for men can bring on many benefits for men which include:

  • Increase red blood cells
  • Support the cardiovascular system
  • Increases flow of blood and oxygen
  • Healthy body hair growth
  • Weight loss, reduction of fat mass
  • Increased energy levels, endurance, and performance
  • Increase in lean muscle mass and muscle strength
  • Reduced risks of obesity
  • Improved oxidation in the groin area
  • Increase in libido
  • Improved penile growth due to oxidation
  • Proper stimulation to continue boosted sexual desire
  • Proper stimulation to improve endurance and sexual performance
  • Reduced risks of erectile or other sexual dysfunctions
  • Increase in bone density
  • Reduced risks of arthritis-related conditions

 Although hCG is both safe and effective for females and males to use, there are possible side effects that you should be aware of. These include:

  • light-headedness
  • nausea
  • headaches
  • mild fatigue
  • irritation at injection site

More serious side effects are rare and are normally associated with incorrect use of hCG but can include:

  • Swelling of breast tissue in males
  • Depression, irritability and other mood changes
  • Swelling of feet or ankles
  • Early onset of puberty in young boys

Bottom Line: It is crucial to discuss treatment with your doctor to determine if the benefits of using hCG therapy outweigh the possible side effects you may experience and to ensure correct dosing and application of the hCG.

Arimidex For Treating Low Testosterone Levels

February 13, 2017

I have seen on several occasions men who have low testosterone levels who are on hormone replacement therapy and yet fail to improve their libido, energy level, or their erections.

One explanation is that some of the testosterone is converted to estrogen which is the female hormone.  If men fail to respond to testosterone replacement therapy for low testosterone, then it is important to check the estrogen level (estradiol) and if this is elevated then the man will need to add an estrogen lowering medication, commonly Arimidex (anastrozole). It’s from the class of medications called aromatase inhibitors, which essentially block the conversion of testosterone to estrogen.

It helps by forcing testosterone output to remain high while keeping estrogen levels low.  The dosage is 0.25mg every third day.

Bottom Line: anastrozole therapy, given over 12 months, significantly increased serum testosterone and modestly reduced E2 levels in men 60 years of age and older with mild-to-moderate hypogonadism. Aromatase inhibitors intervention resulted in the restoration of testosterone levels into the mid-normal range with improvement of the symptoms of low testosterone.

 

 

There’s More To Testosterone Replacement Than Meets the Eye

February 9, 2017

Today, it is very common for middle aged men to have symptoms of low testosterone.  Many times these men will complain of decreased libido and decrease in their erections.  The treatment is hormone replacement therapy.  In addition to improving your libido, there are other advantages to hormone replacement therapy.  This blog will discuss the other benefits of testosterone replacement therapy.

Breast Formation. Male breast formation, also known as gynecomastia, is a source of anxiety for most men when they start to sprout. Men can form breasts during infancy, adolescence, old age, or anywhere in between. It all start with lowered testosterone and increased estrogen levels. Male breasts can be reduced or removed through gynecomastia surgery, but in other cases a simple adjustment of body sex hormone levels may be enough to provide the change desired.

Bone Density. Men start to lose bone mass as testosterone levels go south.  The same thing happens to women (though by a different mechanism), and typically starts to be noticed during old age. However, the groundwork for bone strength  starts in young adulthood, when your body starts to store calcium that will last for the rest of your life. If you don’t have sufficient testosterone, you can’t form bones that are strong enough to last until you die. Get tested for testosterone now to learn about how your health will be as you age.

Libido and Sexual Development. Testosterone has an enormous impact on secondary sex characteristics like body hair, but it’s absolutely central to sexual desire and performance. If you are having trouble with sexual intimacy, you may need to get checked for testosterone. Many men have seen improvement that changes their lives for the better after getting testosterone replacement therapy, without ever having to resort to pills for erections like Viagra, Levitra, Cialis.

Red Blood Cell Formation. Red blood cells are necessary for oxygen transportation in the body.  Testosterone increases the red blood cell production.  However, it is important to check the red blood cell count every 4-6 months if you are using testosterone replacement therapy as too high a level of red blood cells can be harmful.  Therefore, it is imperative to have a testosterone level, a PSA test (a screening test for prostate cancer), and a red blood cell count on a regular basis if you are using testosterone replacement options.

Bottom Line:  If you are middle age and complain of lethargy, weakness, loss of muscle mass, and alternation of your moods, then you may have testosterone deficiency.  The diagnosis is easily made with a simple blood test.  Treatment consists of injections, topical gels, patches and even small rice-sized pellets inserted under the skin.  For more information speak to your doctor.

Boosting T Levels Without Medication

February 3, 2017

Testosterone is the male hormone produced in the testicles that is responsible for sex drive, energy, muscle and bone mass.  Testosterone decreases slowly in the late 20s and becomes symptomatic in men around middle age.  This blog will discuss natural ways of preserving and increasing your testosterone levels.

Get Moving: Drop 10, 15, or more pounds

Overweight men are likely to have less testosterone, which means less energy and increased susceptibility to depression.  If you shed pounds, you can cause your T levels to surge.

No Zinc In the Sink

Research has shown that supplementing your diet with zinc can improve testosterone levels. According to the National Institutes of Health, 45 per cent of us aren’t getting enough of the stuff.  Protein-rich foods like meat and fish are packed full of zinc, along with raw cheese, beans and natural yoghurt.

Sweet Nothings

In addition to causing you to pile on the pounds, sugar can also wreak havoc on testosterone production. Regular intake of the sweet stuff can cause insulin to spike, which is a factor leading to low levels of testosterone.

To counteract the effect, simply limit your sugar intake – the overall health benefits far outweigh a quick dopamine hit from a soft drink.

Take D and See

Vitamin D is a steroid hormone, which means it boosts your sperm count, , libido and  testosterone.  You can increase your vitamin D by being exposed to sunshine.  Since I don’t condone exposure to sun as it causes skin cancers, then vitamin D supplementation is in order, 1000 IU\day.  This is available in most nutrition and drug stores.

Stress Less

Kicking back is easier said than done, but a reduction in stress will work wonders for your testosterone production. Cortisol (the stuff your body makes when you get hot under the collar) actually blocks testosterone. Chronic stress has actually been shown to stop testosterone production, which translates to bad moods, fatigue and decreased libido.

Exercise and weight loss are beneficial in reducing stress levels so this is another reason to getting moving!

Fat and Fit

Eat ‘good’ fats of the monounsaturated variety. You can find a high dose of these fats in foods like olive oil, almonds, avocados and grass-fed meats.

Going From ZZZZZ to T

Men who got a full eight hours sleep had 60 per cent more testosterone than their sleep-deprived counterparts.  I recommend stop looking at screens, i.e., computer and TV screens at least an hour before bedtime as screen watching affects melatonin which if decreased can make it difficult to have a good nights sleep.

It’s Quicker Without Liquor

We all know that alcohol consumption is bad for us – but it’s bad for your Johnson. Not only does too much booze lower growth hormone levels and increase cortisol, it will reduce your testosterone levels for up to 24-hours.  I recommend 1-2 glasses of alcohol a day and definitely avoid binging.

Bottom Line:  Testosterone is a necessary ingredient for your sex drive, your energy level, and overall body metabolism.  The hormone also affects our moods and psychological well-being.  I have provided you some suggestions for boosting this very important hormone.

Depression, Anti-Depressants, and Low Testosterone Levels

February 2, 2017

Hormone deficiency is common in many middle age and older men.  It is of interest that many men using anti-depressants also are found to have low testosterone levels.

Many people that take antidepressants, specifically SSRI’s (selective-serotonin reuptake inhibitors), find out that they have low testosterone.  We are not certain about the mechanism of action of SSRI’s and low T levels but the effect is certainly prevalent.

Many men with depression tend to have lower than average sex drives. It is the depression that is thought to lead to disinterest in pleasurable activities like sex. Men may be so depressed and have a decreased libido, that they don’t feel like having sex.

If your testosterone level were to be lowered, the natural result would be a reduced sex drive. This reduced sex drive could be linked to depression – therefore testosterone could play a role.

Individuals with lower than average levels of testosterone could be experiencing depressive symptoms as a result of their low T. Studies have found that among men with abnormally low levels of T, testosterone therapy helped reduce symptoms of depression.

It is well documented that antidepressants can affect hormones. Therefore some hypothesize that hormonal changes can influence our sex drive. It is not known whether antidepressants are the culprit behind lowering levels of testosterone. Many men that have taken SSRI’s believe that the drugs they took lowered their testosterone.

On average, men tend to naturally experience lower levels of testosterone by the time they reach age 50. By age 60 it is estimated that 1 in 5 men have problems with their testosterone. In cases where men experienced a reduction in their level of testosterone and simultaneously became depressed, increasing testosterone levels can be therapeutic.

In older men, testosterone therapy may prove to yield antidepressant effects. Most medical research demonstrates that testosterone can have positive effects on mood. It seems as though testosterone treatment tends to be most beneficial for men who are experiencing depression as a result of testosterone decline.

Bottom Line:  Many middle age men have been placed on SSRI’s for depression.  This can result in a decrease in the testosterone level.  If you are experiencing a decrease in your libido, have decreased energy, and loss of muscle mass, you may have low T levels.  The diagnosis is easily made with a blood test and treatment consists of testosterone replacement therapy.

January 21, 2017

Non-Medical Solutions to Raising Your T Level

I am often asked what can a man do to raise his testosterone level without taking testosterone replacement therapy.  Here are a few suggestions that may be helpful.

  1. Exercise and lift weights

If you want to increase your testosterone levels, you will need to increase your exercise frequency. Regular exercise will not only help you by preventing different lifestyle related health problems, but it will also help you by boosting your testosterone levels. Men who regularly exercise have a higher testosterone levels. Even elderly men will also have higher testosterone levels if they regularly exercise.

  1. Reduce stress and cortisol levels

If you are suffering from long-term stress, it can increase the levels of cortisol hormone. If your cortisol levels are high, testosterone levels will decrease.

That’s why, you need to reduce stress as much as possible and which will also decrease the cortisol levels in your body. Regular exercise, whole foods, good sleep, balanced lifestyle and laughter can help you to reduce stress and also improve your overall health.

  1. Get more Vitamin D

Vitamin D offers several health benefits and it boosts testosterone naturally. If you consume just 3,000 IU of vitamin D3 per day, it can increase testosterone levels in the body by 25%.

You can get more vitamin D by increasing your exposure to sunlight regularly. You can also take a daily supplement of 3,000 IU of a vitamin D3 supplement.

4. Get Enough Sleep.

A lack of sleep affects a variety of hormones and chemicals in your body. This, in turn, can have a harmful impact on your testosterone.

The time honored goal is try for 7 to 8 hours per night.

5. Keep a Healthy Weight.

Obesity can have a deleterious effect on your testosterone levels.  Exercise and diet can improve your testosterone and also is good for your heart to avoid obesity. 

6. Review Your Medications.

Some medicines can cause a drop in your testosterone level. These include: pain medications, steroids (prednisone), anabolic steroids such as those used by athletes and body builders, and anti-depressants. 

7. Deep 6 the Supplements.

You may be bombarded with unsolicited snail mail and E –mail offering testosterone boosting supplements such as DHEA.  Let the truth be told, you are wasting your money as these supplements will not boost your testosterone.   

Bottom Line: Although these suggestions may be helpful, they are just a step in the right direction.  For more information about testosterone replacement therapy, speak to your physician.

 

 

It’s Time To Talk About Testosterone

November 25, 2016

Testosterone (T) is a hormone produced in the testicles of men (and in the ovaries of women to a much smaller amount than in men.  Testosterone is often referred to as the male sex hormone.  It is normal for the testosterone level to decrease in men after age 30 at a rate of 1-3% a year but men don’t develop symptoms until late 40 or early 50.  During puberty, testosterone helps young boys develop male physical features like body and facial hair, i.e., a beard, and muscle strength.  Testosterone is also needed to help with the development of sperm.

Low T is defined as a decrease in the blood level of the hormone, usually less than 300ng\dl plus symptoms including decrease in libido or sex drive, lethargy, changes in mood, loss of muscle mass and decreased energy levels.

The diagnosis of low T requires a medical history of symptoms, a physical exam and a blood test that confirms a decrease in the hormone level.

Testosterone replacement is possible using injections of testosterone, topical gels, a nasal spray of testosterone, and insertion of testosterone pellets (Testopel).  The side effects of testosterone replacement include an increase in red blood cells, acne, reduction in size of the testicles, and infertility.  It is therefore important to discuss with your doctor if you are still planning to have a family as you should not use testosterone replacement therapy.

Caution:Don’t take testosterone if you don’t have medical reasons for doing so

Don’t’ take testosterone if your trying to achieve a pregnancy

If you use testosterone replacement, then get a routine check-up and blood tests at least every six months

Bottom Line: Millions of American men suffer from low T.  If you have symptoms and a blood test that confirms low testosterone, then you may be a candidate for testosterone replacement therapy.

Latest News on Testosterone-NBC Nightly News on 2\17\16

February 17, 2016

Testosterone gel can help some men get back a little of their loving feelings, and helps them feel better in general, according to a new study published today by the National Institute of Health.

It’s the first study in years to show any benefit for testosterone therapy. This was the first time that a trial demonstrated that testosterone treatment of men over 65 who have low testosterone would benefit them in any way.  The trial showed that testosterone treatment of these men improved their sexual function, their mood, and reduced depressive symptoms—and perhaps also improved walking.

The FDA does not approve the use of testosterone to treat the effects of aging. But it’s already a $2 billion industry, with millions of men buying gel, pills or getting injections.

Experts stress that the results, published in the New England Journal of Medicine, only apply to men over 65 who have medically diagnosed low testosterone. The trial consisted of 800 men.

A few men had heart attacks or were diagnosed with prostate cancer during the study, but the rate were the same in men who got real hormone and in those who got placebo cream.

Men in the testosterone group were more likely than those in the placebo group to report that their sexual desire had improved since the beginning of the trial. Men who received testosterone reported better sexual function, including activity, desire, and erectile function, than those who received placebo. Although the effect sizes were low to moderate, men in the testosterone group were more likely than those in the placebo group to report that their sexual desire had improved.

Testosterone was also associated with small but significant benefits with respect to mood and depressive symptoms. Men in the testosterone group were also more likely than those in the placebo group to report that their energy was better.

As men age, their bodies make less testosterone. It’s not as sudden as when women lose estrogen, but the effects can be similar – loss of energy, sexual desire, depression and bone loss.

Bottom Line: Testosterone is the male hormone responsible for sex drive, erections, bone strength, muscle mass, and even mood.  The hormone decreases starting in men in their 20’s and usually become symptomatic in the late 40s and 50s.  The diagnosis is easily made with a simple blood test and treatment is easily accomplished with injections, topical gels, or pellets inserted underneath the skin.  For more information speak to your doctor.

Testosterone and the Prostate Gland-Hormone Replacement Is Safe For Your Prostate Gland

January 28, 2016

I am also asked if using testosterone, injections, topical gels, or pellets, will worsen urinary symptoms in men suffering from testosterone deficiency.

Millions of Americans suffer from testosterone deficiency.  They have symptoms of loss of energy, erectile dysfunction, loss of libido, loss of muscle mass, and emotional mood swings.  The diagnosis is easily made with a testosterone blood test.

A recent review finds no evidence that testosterone replacement therapy causes or worsens urinary tract symptoms or increase the size of the prostate gland.

Although the Endocrine Society and other associations have suggested severe urinary symptoms as a contraindication to TRT treatment, investigators found little evidence to support it worsening urinary symptoms in men using testosterone replacement therapy.

The investigators discovered that men with mild urinary sympmtoms experienced either no change or an improvement in their symptoms following TRT.

Remarkably, the study explained that the therapy may actually improve voiding symptoms.

Bottom Line:  Testosterone replacement therapy is safe in men with urinary symptoms and will not worsen those symptoms but may actually improve their symptoms.

Source

Kathrins M, Doersch K, Nimeh T, Canto A, Niederberger C, and Seftel A. The Relationship Between Testosterone Replacement Therapy and Lower Urinary Tract Symptoms: A Systematic Review. Urology S0090-4295(15)01053-3. doi:10.1016/j.urology.2015.11.006.

Testosterone, Depression, and SSRI’s or Anti-Depressants-What’s the Connection?

December 21, 2015

Many people that take antidepressants, specifically SSRI’s (selective-serotonin reuptake inhibitors), find out that they have abnormally low testosterone. So what does this all mean? Did the initial low testosterone lead the individual to become depressed and go on an antidepressant? Or did the treatment with an antidepressant actually slowly reduce the individual’s natural ability to produce testosterone?

It really is a “chicken vs. egg” type argument in regards to whether low T caused depression or an antidepressant caused low T. Unfortunately there is no clear-cut scientific answer as to whether the antidepressant you took caused your testosterone to be lowered.

With that said, new research comes out all the time finding new things about antidepressants (SSRI’s) – they really aren’t well understood. Many antidepressants medications are now linked to development of diabetes, birth defects, etc. Although there are no formal studies to link antidepressants with low testosterone, many people taking these drugs are convinced that they are the root cause.

It could have been that the lower testosterone was what caused the person to feel depressed in the first place. The low T could have also merely been a coincidence among those who are depressed – after all, having low T is a pretty common issue.

Antidepressants and Testosterone: Many people taking antidepressants experience low testosterone. Similarly, many people with low testosterone are taking antidepressants. These two factors could also occur independently. In other words a person may develop low testosterone while on an antidepressant without the antidepressant being the cause. 



Depression and Testosterone: Many people may be experiencing depression as a result of low testosterone. Similarly many people may be experiencing low testosterone as a result of depression. Additionally, these two factors could be totally unrelated and independent of each other. In other words the depression could have nothing to do with low T and vice versa.
Depression and sex drive – Many people with depression tend to have lower than average sex drives. It is the depression that is thought to lead to disinterest in pleasurable activities like sex. People may be in such a depressed, low level of arousal, that they don’t feel like having sex. Therefore in this case, it could be that the depression and not testosterone is causing reduced sexual interest.
Testosterone and sex drive – It is well known that healthy testosterone levels are linked with a healthy sex drive. Men that have low T tend to have less fuel for sex, erectile dysfunction, and other performance issues. If your testosterone level were to be lowered, the natural result would be a reduced sex drive. This reduced sex drive could be linked to depression – therefore testosterone could play a role.
Low testosterone causing depression? – Individuals with lower than average levels of testosterone could be experiencing depressive symptoms as a result of their low T. Studies have found that among men with abnormally low levels of T, testosterone therapy helped reduce symptoms of depression. For this reason it is important to rule out all causes of depression (including low T) before you get on an antidepressant.
Antidepressants and low testosterone – It is well documented that antidepressants can affect hormones. Therefore some hypothesize that hormonal changes can influence our sex drive. It is not known whether antidepressants are the culprit behind lowering levels of testosterone. Many people that have taken SSRI’s believe that the drugs they took lowered their testosterone.
Bottom Line: There is no question that there is a relationship between testosterone and depression. I cannot say for certain that low testosterone is a result of the use of SSRIs. However, if you are taking SSRIs and you are experience a low sex drive or libido, it is very easy to ask your doctor to obtain a blood testosterone test. If it is low, treatment is easily accomplished with either testosterone injections, topical gels or pellets.