A New Look At Testosterone Therapy In [location_name]

Get Started Now

Testosterone replacement therapy (TRT) has grown immensely popular over the past decade in Green Hills. Millions of older men have pursued TRT to balance hormone levels, with the goal of boosting their energy and rekindling their sex drive.

TRT remains controversial because of uncertain benefits and potential health risks. Years ago, safety concerns were raised when research indicated a possible connection between TRT and an increased risk of cardiovascular disease.

Dr. Frances Hayes, affiliated with Harvard’s Massachusetts General Hospital, mentions that some studies were limited.

“For instance, in one study, TRT doses were much higher than what would usually be prescribed, and the subjects tended to be more frail, with other health problems,” she says. “Other studies showed no evidence of increased risk.”

THE LATEST FINDINGS

Recent findings have supported this view. A study presented at the 2015 American Heart Association Scientific Sessions included 1,472 men aged 52 to 63 with low testosterone and no history of heart disease.

It was concluded that healthy men receiving TRT did not have an increased risk of heart attack, stroke, or death.

Moreover, a study in the August 2015 Mayo Clinic Proceedings found no connection between TRT and venous blood clots among 30,000 men. “Right now, the jury is still out about TRT’s influence on cardiovascular disease,” says Dr. Hayes.

TRT’s interaction with other health concerns creates a varied scenario. Despite prior links between TRT and heightened prostate cancer risk, a study in the December 2015 Journal of Urology revealed that exposure to TRT over five years wasn’t associated with a higher risk of aggressive prostate cancer. This discovery challenges the traditional perception of TRT’s influence on prostate health, prompting a deeper exploration of its long-term effects.

Despite the limited follow-up in numerous studies, the long-term risks of TRT remain elusive. Nevertheless, it’s important not to dismiss TRT entirely. It might be a viable choice for certain men.

Who Is a Candidate For TRT In [location_name]?

To receive a prescription for TRT in Green Hills, you must meet two criteria: low testosterone levels (less than 600 nanograms per deciliter (ng/dL)) and the presence of several symptoms (see page 7). Dr. Hayes explains, “Although it’s possible to have low levels without symptoms, if key symptoms such as fatigue and sexual dysfunction are absent, starting TRT isn’t recommended due to ongoing uncertainties about its long-term safety.”

Measuring testosterone levels often involves a standard blood test. Due to their susceptibility to daily fluctuations and influences from medication and diet, multiple tests are necessary. Dr. Hayes explains, “About 30% of cases where the initial testosterone test indicates low levels show normal levels upon retesting.”

Low testosterone levels and several symptoms don’t necessarily mandate testosterone replacement therapy (TRT) right away. Dr. Hayes explains, “By pinpointing the source of declining levels, we can often address it and naturally elevate low levels.”

Take weight gain, for instance, which is often the leading factor behind declining levels. “Weight has a more substantial effect on testosterone levels than aging. As weight increases, testosterone levels decrease,” she explains. A five-point increase on the body mass index (BMI) scale, such as moving from 30 to 35, is comparable to adding 10 years to your age regarding testosterone levels.

“Your doctor should also examine any other factors that might influence levels, such as medication or medical conditions,” suggests Dr. Hayes. In these situations, your doctor may address the underlying issue or modify your medication or dosage to prevent affecting testosterone levels.

It’s crucial for men to recognize the limitations of TRT, as it’s often perceived as a wonder cure. “Its effects are generally not as transformative as many believe,” says Dr. Hayes.

Consider sexual health and vitality, for instance, often praised advantages of TRT. In a study detailed in the Feb. 18, 2016 issue of The New England Journal of Medicine, researchers assessed TRT’s effects on 790 men aged 65 and above. Those subjected to TRT for one year, compared to those given a placebo, reported improvements in sexual function, encompassing activity, desire, and erectile function. However, the group experienced only a slight mood uplift and observed no changes in walking speed, a marker of TRT’s effect on vitality.

Using TRT

TRT is typically administered through gel application or injection. The gel is applied daily, with a dose the size of a ketchup packet, spread over both upper arms, shoulders, or thighs. Injections are generally given into the buttocks every two weeks.

Both methods come with their perks. Gels ensure more stable testosterone levels. “But it’s crucial to avoid close skin contact for a few hours, particularly with women, since testosterone might cause acne or hair growth,” warns Dr. Hayes.

With injections, testosterone levels can peak for several days before gradually declining, creating a roller-coaster effect where mood and energy levels initially rise and then fall.

Improvement in symptoms for the majority of men in Green Hills is often noticed within four to six weeks, while muscle mass increases may need three to six months.

TRT might not be a lifelong requirement. “If the reason for your low testosterone levels is resolved, you should try discontinuing treatment and get re-evaluated by your doctor,” says Dr. Hayes.