Benefits of testosterone replacement therapy
I recently recorded a podcast episode where Dr. Michael Moeller and I spoke about testosterone replacement. Click the link to listen. I recommend reading on and finishing this blog and then listening to the podcast.
What is testosterone replacement therapy?
Testosterone is the hormone that turns boys into men. It deepens the voice, adds confidence, adds muscle, allows for facial hair growth, creates sex drive and the characteristics of a man. But that’s not all. Testosterone is a hormone critical for heart health, prevention of heart attacks and strokes, optimization of your immune system, and essential in decreasing inflammation linked to many common diseases including cancer and neurodegenerative diseases like Alzheimer’s.
Why this is an issue
There has been a steady decline every year in testosterone levels in the American male population and the large laboratories are adjusting their ranges accordingly. In 2010 there was a meeting of the minds between the CDC, Endocrine society, and their influencers. They decided to lower the testosterone standard for men. (J Clin Endocrinol Metab 95: 4542– 4548, 2010). DID YOU JUST READ THAT, like WHAT?!!!??? (My translation: “men’s testosterone keeps dropping, we don’t know why, and since we want this new level of low to be normal, and to decrease our need to have insurance cover for testosterone therapy, and to make the new man be effeminate, we’ll just lower the standards”.) This is insanity and you must read on.
Testosterone levels have been consistently dropping in males and this is due to a large number of factors; 1) Poor nutrition (high carb, low protein, low essential fatty acids, processed food, preserved and boxed foods, and LACKING in greens, vegetables, nuts, seeds, and fats in addition to lean meats). 2) declining quality and quantity (hrs) of sleep over the past decades. 3) Worsening toxicity and exposure to things that mimic estrogens that have strong estrogenic (fat storage, anti-testosterone) such as phthalates, bisphenol (BPA, BPD, BPS, etc… all those plastic bottles you drink from). 4) Other toxins in the everyday environment laden in products such as fabric softener sheets, perfume and strong scents (e.g. new car smell), petroleum products like gasoline and diesel vapors and fumes, plastic containers that hold things such as water or drinks, and so many other products with the end byproduct of reducing testosterone. (I’ll cover more about each of the environmental factors in a future post). 5) Micronutrient deficiencies in things such as omega-3 fatty acids, zinc, magnesium, selenium, and other vitamins and minerals. 6) Imbalances in relationship (e.g. allowing your woman to rule your life and wear the pants instead of having a great relationship where the man provides for his family). 7) Lack of physically demanding work (hand-on work, building, chopping, carrying, throwing, construction, etc). 8) Lack of hobbies that make you realize your masculinity (e.g. bow-hunting, boxing, jiu-jitzu, football, wrestling, etc). 9) Medications 10) Other unknown causes.
Who could benefit?
When I help guys get on testosterone, they all benefit. The things that bring men into my office seeking testing for low testosterone are manifold. You may have one, or you may have multiple. There is no judgement. I can help you, fix you. Symptoms that correlated with low testosterone are; low motivation, decreased stamina, hard work with negligible gains in the gym, poor recovery, poor sleep, low libido, decreased sexual desire, decreased erectile strength, reduced need to shave, loss of interest, anemia, fatigue, and or lack of energy. See my low testosterone questionnaire by clicking the link below. This is what prospective clients fill out to start the qualification for testosterone treatment.
I see men recover from their symptoms; increase stamina, maximize endurance and reduce fatigue-ability, increase energy and performance in life, work, play and in the bedroom, maximize gains in the gym, speed up recovery, optimized feelings of well-being, increased libido and sexual desire, and increased erectile strength. While these benefits are being seen, there is a beneficial actions with vascular health and mood. This all occurs within a matter of weeks. Think how great you felt when you were a young man, that’s because of testosterone.
Testosterone replacement therapy is safe in men who are hypogonadal (have low testosterone) and are brought to physiological levels. Think about being brought back to you felt like in your 20s. Think how great your felt. That’s good and safe. Contraindications include active prostate cancer, breast cancer, and untreated obstructive sleep apnea. That being said, it is not only very safe to treat men who have low testosterone, but it is essential to restore them to vigor and health. Testosterone is essential to protect a man’s heart, brain, and body. Contrary to popular belief, low testosterone levels are very unsafe. Most of the prostate cancer that occurs occurs in men with low testosterone.
Testosterone and cancer
Myth: Testosterone causes prostate cancer. This is false. If a man has active prostate cancer it could be like blowing more oxygen on the fire. Testosterone has never been shown to cause cancer.
There are a few methods of administration. The gold standard is injection for accuracy and results. I typically recommend twice a week to avoid lows, as the half life is 7 days. Once weekly also can work well for some men. I typically avoid gels, creams and oral forms of testosterone due to different metabolic pathways of the testosterone and inaccuracy of results and difficulty with quantifying testosterone in the male. The injection is preferred by men I work with due to efficacy and the results they get and by me due to the efficacy and ease of quantifying and measuring dosing and responsiveness to dosing.
With testosterone use, there is negative feedback to the pituitary gland gland in the brain which results in decreased output of luteinizing hormone (LH) and follicle stimulating hormone (FSH). This will result in a decrease in sperm production if not treated simultaneously with human chorionic gonadotropin (HCG). If a man is worried about his fertility and is younger, it is beneficial to consider using medications such as enclomiphene when fertility is desired.
Once a man starts on testosterone treatment, it is beneficial that they stay optimal and continue treatment.
What does treatment look like?
Treatment with LifeDoc’s approach to solving hypogonadism is a program where we provide you, all-inclusive, the lab work, testosterone, supplies and doctors visits necessary to treat low testosterone. You can connect with the doctor via video for many of your visits and things will be facilitated smoothly, start to finish.
How do I get started?
LifeDoc serves you by connecting you with what is needed for health. Testosterone replacement therapy (TRT) is an incredible modality that is available to you with doctor guidance and support to keep you safe and healthy. Call 480-331-1785 let us know you want to talk testosterone.