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
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
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.
If you reach the age of 80 there is a 50% chance that you will have dementia or Alzheimer’s disease. That number is staggering and can be significantly reduced if patients had a road map on what they can do to reduce their odds. The purpose of this blog is not to bore you with details or physiology but to give you the basic steps you need to take. 1. Optimize Hormone levels: Estradiol (estrogen): there are hundreds of published medical studies linking estradiol levels to memory and cognitive decline. One of them most important studies
Many times patients ask me what the best supplements to take everyday for the heart. Specifically I want to address the top 4 supplements (with a few extras) that have proven benefit to patients with any cardiovascular disease (i.e high blood pressure, prior heart attack). All of these supplements can be found on my online store and are pharmaceutical grade (meaning they have been tested for purity and standardized) 1. Coenzyme Q10: the dose is anywhere from 100-360mg per day. Coenzyme Q10 helps the cells regenerate ATP (adenosine triphosphate) which is the main form of energy that
