Dr. Sean Breen Discusses Importance of Lab Follow Up

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Today I took care of a 73 year old man with severe Vitamin D deficiency.   His primary care doctor told him take 2000 IU of Vitamin D3 every day which he did daily since 2011.    Interestingly when I checked all his hormone levels his Vitamin D3 level came back at 11.3 (<30 is deficient and optimal is >60). Here some points that are extremely important for patients to understand: 1. Not all supplement companies produce quality products.   Unfortunately there is not the strict oversight over supplement companies like there is over pharmacies.   As a result many
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Dr. Sean Breen Joins Suzanne Somers Forever Health Hormone Network

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Suzanne Somers is pleased to announce the addition of Dr. Sean Breen to the Forever Health network of expert bio-identical hormone doctors.   Dr. Breen has a full time preventive medicine practice in Irvine, CA and specializes in treating men and women with bio-identical hormones.   He has completed the highest level of training in the field and will be receiving his board certification in Anti-Aging, Functional and Regenerative Medicine this April.    Dr. Breen specializes in treating women with premenstrual syndrome (PMS), perimenopause, menopause, polycystic ovarian syndrome (PCOS) and sexual dysfunction.  He also treats men of all ages experiencing
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When Should Men Start Using Testosterone? Dr. Sean Breen Explains

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At what age should men start using testosterone replacement therapy?    The first answer I am about to give you is based on the medical literature and not my opinion.   There was a great study in the Journal of Circulation in 2007 that concluded “men who have testosterone levels in the upper quartile of the normal range had a 25-30% reduction in mortality from all causes, including heart disease and cancer.”   (The range for testosterone is approximately 350-1198 for most labs)      In addition there is good medical evidence that men who have higher testosterone levels have
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Testosterone Replacement and Your Sperm Count: What’s the deal?

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Testosterone replacement therapy in theory has a negative effect on sperm counts in reproductive men.   As a result men who still want to have kids have to look for alternative treatments to taking testosterone.    The current regimen for men who want to have kids is to use HCG 500 units daily subcutaneous injection.   Background: Testosterone is produced primarily in the testicles in men.   A hormone called Luteinizing Hormone (LH) produced in the pituitary gland in the brain is what signals the testicles to make testosterone.    The pituitary gland acts like a thermostat.  It senses how
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Testosterone Injections or Creams: Which one is better?

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I am often asked by patients which form of testosterone is best.    “Should I use a cream, gel, pellets or injection?”   The answer is that it depends.  Each has its own advantages and disadvantages.   Let me go through them with so you are better equipped to make that decision with your doctor.  Topical Cream:  Advantage is you can use very high doses vs gels.   In a standard lipoderm cream we can use up to 200mg/gram.    Compare that to androgel which only has 10mg/gram or 20mg/gram.      Creams will also provide very stable levels daily.
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