Testosterone Replacement Therapy

Testosterone Replacement Therapy improves the quality of life and health of men who have symptoms and lab results of low testosterone. Prevention of almost all age-related diseases can be improved with testosterone, diseases such as heart attack, stroke, osteoporosis, fractures, diabetes, erectile dysfunction, chronic pain, obesity, dementia, depression, and COPD. Improvement in cholesterol, triglycerides, anemia, blood pressure, BMI, weight, penis size, sexual potency, memory and test taking ability have been proven in clinical studies. Almost all the symptoms and diseases that come with growing old can improve with testosterone therapy. Almost every symptom of growing old is a sign of low testosterone; flabby belly, decreased muscle tone, older-looking, dry thin skin, wrinkles and depressed attitude.

Testosterone therapy should be administered intramuscular, transdermal or by pellets never taken oral. Testosterone cypionate or propionate is most bioidentical to the body, other synthetics or more anabolic and dangerous. Testosterone shots should be every 7-14 days with smallest dose to relieve symptoms of low T and elevate blood tests to the above average range. Testosterone creams and gels are daily usage and should be applied to hairless areas of the body that won’t rub against others. Pellets are placed with a minor procedure that includes local anesthesia with Lidocaine, very small incision and insertion of a trochar into the muscle fascia to drop the prescribed amount of testosterone pellets that last 4-5 months.
Ways to optimize testosterone therapy is to eat a diet high in protein; lean meat, fish, eggs, protein shakes. Avoid refined carbohydrates such as flour, sugar, white rice therefore no bread (whole wheat included), bagel, cookies, tortilla, donuts, crackers, noodles, pasta, and most cereals. No sugar; pop, sweets and candy. No milk, good aged cheese ok. Further avoid alcohol, smoking, and drugs.

Testosterone can convert to estrogen by the aromatase enzyme in the fat tissue. To avoid this conversion the patient should follow the dietary recommendations especially refined carbohydrates and alcohol. Persons that too much testosterone for anabolic reasons take estrogen blocking drugs like Tamoxifen or Novadex which is used in breast cancer prevention. The use of these drugs is discouraged and proper testosterone dosing is best, but if the patient is obese and has a risk for estrogen production I recommend Chrysin a natural estrogen blocking supplement. Symptoms of excessive estrogen production include tender nipples and frequent urinating throughout the night.

Testosterone is a drug with the potential for abuse and should be managed by a physician that is well read on the subject. Most doctors are not completely knowledgeable with testosterone therapy, they relay on their drug rep to educate them.  Board Certified Anti-Aging and Regenerative Medicine Physicians are the most qualified to guide your therapy, don’t settle for less.