A New Look At Testosterone Therapy In [location_name]
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Over the last decade, testosterone replacement therapy (TRT) has gained widespread acceptance in Huntsville. Millions of older men have pursued TRT to normalize hormone levels, seeking renewed energy and a revitalized sex drive.
TRT remains a contentious issue because of uncertain benefits and potential health risks. Years ago, safety concerns were highlighted when studies suggested a possible association between TRT and increased cardiovascular disease risk.
Reproductive endocrinologist Dr. Frances Hayes, affiliated with Harvard’s Massachusetts General Hospital, mentions that some of these studies had limitations.
“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
New studies have supported this perspective. A study presented at the 2015 American Heart Association Scientific Sessions involved 1,472 men aged 52 to 63 with low testosterone levels and no history of heart disease.
Research indicated that TRT did not heighten the risk of heart attack, stroke, or death in healthy men.
Additionally, research in the August 2015 Mayo Clinic Proceedings revealed no association between TRT and blood clots in veins among 30,000 men. “Right now, the jury is still out about TRT’s influence on cardiovascular disease,” says Dr. Hayes.
The relationship between TRT and other health problems is multifaceted. Although TRT has been associated with a heightened incidence of prostate cancer in the past, a study printed in the December 2015 Journal of Urology concluded that exposure to TRT for a period of five years did not elevate the risk of aggressive prostate cancer.
TRT’s long-term risks remain a puzzle, given the limited follow-up in numerous studies. Nonetheless, this shouldn’t deter individuals from exploring TRT as an option. It could still be appropriate for certain individuals.
Who Is a Candidate For TRT In [location_name]?
TRT prescription in Huntsville necessitates meeting two prerequisites: low testosterone levels (below 600 nanograms per deciliter (ng/dL)) and experiencing various symptoms (refer to page 7). Dr. Hayes emphasizes, “While it’s conceivable to have low levels without symptoms, if crucial symptoms like fatigue and sexual dysfunction aren’t present, initiating TRT isn’t advisable due to current uncertainties surrounding its long-term safety.”
Testosterone levels are often determined through a standard blood test. Since these levels can fluctuate daily and are affected by medication and diet, multiple tests are required. Dr. Hayes notes, “In roughly 30% of cases with an initial low testosterone test result, subsequent tests demonstrate normal levels.”
Low testosterone levels and various symptoms don’t necessarily warrant immediate testosterone replacement therapy (TRT). Dr. Hayes suggests, “By pinpointing the reason for declining levels, we can often address it and naturally elevate low levels.”
Consider weight gain, for example, often the main contributor to declining levels. “Weight exerts a more significant influence on testosterone levels than aging. With increased weight, testosterone levels tend to decrease,” she points out. A five-point rise on the body mass index (BMI) scale, like progressing from 30 to 35, is equivalent to adding 10 years to your age concerning testosterone levels.
“Your doctor should also consider any additional factors that could affect levels, like medication or medical conditions,” recommends Dr. Hayes. In such cases, your doctor might manage the root cause or adjust your medication or dosage to avoid impacting testosterone levels.
It’s essential for men to understand the boundaries of TRT, as it’s often seen as a wonder cure. “Its impact is generally not as impressive as men expect,” Dr. Hayes clarifies.
As an example, sexual health and vitality are frequently highlighted as benefits of TRT. A study in the Feb. 18, 2016 issue of The New England Journal of Medicine explored the impact of TRT on 790 men aged 65 and older. Those administered TRT for a year, as opposed to those on a placebo, noticed enhancements in sexual function, including activity, desire, and erectile function. Nevertheless, the group experienced only a marginal improvement in mood and observed no alterations in walking speed, a measure of TRT’s effect on vitality.
Using TRT
TRT is typically given through gel application or injection. The gel is applied daily, with a dose the size of a ketchup packet, spread over the upper arms, shoulders, or thighs. Injections are administered into the buttocks every two weeks.
Both methods have their benefits. Gels result in more stable testosterone levels. “But be careful to avoid close skin contact for a few hours, particularly with women, as testosterone can cause acne or hair growth,” advises Dr. Hayes.
Testosterone injections can cause levels to peak for a few days and then slowly decrease, creating a roller-coaster effect with mood and energy level fluctuations.
Most men in Huntsville notice improvement within four to six weeks, but muscle mass increases might take three to six months.
TRT doesn’t have to be a lifelong treatment. “If the reason for your low testosterone levels is resolved, you should have a trial off the treatment and be re-evaluated by your doctor,” says Dr. Hayes.