Posts Tagged ‘testosterone’

Non-Medical Solutions to Raising Your Low T Level

March 23, 2017

I am often asked by patients 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 are helpful, they are just a step in the right direction.  For more information about testosterone replacement therapy, speak to your physician.

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.

Treatment Options for Men With Prostate Cancer-Side Effects You Need to Know

January 22, 2017

Prostate Cancer is the most common cancer in middle aged and older men.  It is the second most common cause following lung cancer of death from cancer in men.

This article will discuss the most common treatment options for prostate cancer and what are the side effects of these treatments.

For younger men with localized disease, surgical removal of the prostate gland either with an open 6-8-inch incision or through a robotic prostatectomy-5 small pencil-sized holes in the lower abdomen that removes the entire prostate gland.

Temporary or even permanent erectile dysfunction (impotence) occurs in many of the men who undergo surgery.  Urinary incontinence, inability to control the flow of urine, occurs in 3-30% of men who have their prostate gland surgically removed.

For older men or for men who have prostate cancer beyond the prostate gland, radiation therapy is treatment option.   The side effects include temporary fatigue, diarrhea or other bowel problems, urgency of urination, and impotence (ED).

For men with spread of prostate cancer beyond the prostate into the bones or lymph nodes, then hormonal therapy is often recommended.  Hormone therapy is used in men with advanced, high-grade prostate cancer. Hormone therapy is also used in men who cancer has recurred after being treated with radiation therapy or surgery.  This is usually determined with an elevation of the PSA level.  Prostate cancer is very sensitive to testosterone, the male hormone produced in the testicles, and removal of testosterone reduces the cancer and helps control the disease but does not cure the problem.

The side effects of hormonal therapy include reduced libido, hot flashes, softening of bones or osteoporosis which leads to bone fractures, impotence, loss of muscle mass, fatigue, weight gain, and increased risk of heart disease and diabetes.

Chemotherapy is indicated for men who do not respond to removing the testosterone produced by the testicles.  Chemotherapy leads to hair loss, nausea\vomiting, diarrhea, fatigue, muscle pain, and weight loss.

Proton therapy is a similar to external radiation that targets difficult to reach tumors and is designed to allow higher doses of radiation to be delivered to the prostate with fewer side effects.

Bottom Line:  Over the past few years there have been numerous options available for the management of localized prostate cancer and even prostate cancer that has spread beyond the prostate gland.  New Orleans has several doctors who are national and even global experts in managing prostate cancer.  For more information, contact your doctor.

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.

Erectile Dysfunction and the Other “Bones” That Are Important

September 4, 2016

I would like men to think of erectile dysfunction as a harbinger of other chronic diseases like heart disease, diabetes, kidney failure, high blood pressure, elevated cholesterol levels and also bone disease or osteoporosis.

A recent study from Taiwan 4,460 men aged 40 years and older diagnosed with erectile dysfunction from 1996 to 2010 with 17,480 randomly selected age-matched patients without ED.  The research found that osteoporosis developed in nearly 6% with ED and 3.65% in men without ED.  Men who had ED had a 3 times more likelihood of developing osteoporosis when compared with men who did not have ED.

Osteoporosis is a metabolic bone disease in which the bones become brittle and porous escalating the rate of bone loss and increasing the chance of a fracture of the hips and spine.

The researchers think that the men with ED had a lower level of testosterone which is necessary for bone strength and development.  Another explanation offered by the authors is that chronic, low grade inflammation can damage the lining of the blood vessels and perhaps lead to a decrease in the blood supply to the penis which is necessary for an erection to occur.  The same inflammation can also cause the bones to fail in calcium rebuilding of bone and thus lead to osteoporosis.

Finally, there is the theory that there is alternation of the vitamin D with decreased levels in men with ED.  With less vitamin D there is a risk of alternations in the lining of the blood vessels especially those that supply the penis and lead to ED.  Decrease in vitamin D also alters bone metabolism and may result in osteoporosis.

Bottom Line: Men with ED should be check for the co-morbid conditions such as heart disease, diabetes, high blood pressure, hormone deficiency and also have tests to be certain that men do not have osteoporosis.