A New Look At Testosterone Therapy In [location_name]

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Over the past decade, Murrieta, CA has seen a significant rise in the popularity of testosterone replacement therapy (TRT). Many older men are turning to TRT to restore their hormone levels and improve both their energy and sexual vitality.

Despite its increasing popularity, testosterone replacement therapy (TRT) is still controversial due to its uncertain benefits and potential health risks. Historical concerns have been raised about its safety, particularly with studies suggesting a possible link to an increased risk of cardiovascular disease.

Dr. Frances Hayes, a reproductive endocrinologist at the Harvard-affiliated Massachusetts General Hospital, observes that some studies had limitations in their scope.

“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

This perspective is further supported by recent research. At the 2015 American Heart Association Scientific Sessions, findings were presented from a study of 1,472 men aged 52 to 63, all with low testosterone levels and no history of heart disease.

The study showed that men in good health undergoing TRT did not have an elevated risk of heart attack, stroke, or mortality.

In the August 2015 issue of Mayo Clinic Proceedings, a study reported that TRT did not show an association with venous blood clots among a group of 30,000 men. “Right now, the jury is still out about TRT’s influence on cardiovascular disease,” says Dr. Hayes.

TRT’s impact on other health issues is quite varied. Although there has been a historical link to increased prostate cancer risk, research featured in the December 2015 Journal of Urology showed no correlation between long-term TRT and a higher risk of aggressive prostate cancer.

Uncertainties about the long-term risks of TRT continue because many studies have limited follow-up. Still, this does not imply that TRT should be avoided entirely. It can be a suitable therapy for certain groups of men.

Who Is a Candidate For TRT In Murrieta, CA?

For a TRT prescription in Murrieta, CA, individuals must fulfill two criteria: testosterone levels below 600 nanograms per deciliter (ng/dL) and showing several symptoms (refer to page 7). Dr. Hayes explains, “While it’s possible to have low levels without symptoms, if you lack key symptoms, particularly fatigue and sexual dysfunction, it’s not advisable to start TRT due to current uncertainties surrounding its long-term safety.”

Testosterone levels are usually assessed through a standard blood test. Since levels can fluctuate daily because of factors such as medication and diet, several tests are often necessary. Dr. Hayes mentions, “In 30% of instances where the first testosterone test indicates low levels, subsequent tests show normal levels.”

Low testosterone levels and several symptoms do not guarantee that testosterone replacement therapy (TRT) will be the initial approach.”Identifying the underlying cause of declining levels allows us to address it and naturally boost low levels,” states Dr. Hayes.

Weight gain, a frequent contributor to decreasing testosterone levels, should be considered. “Weight exerts a more substantial influence on testosterone levels than aging. As weight increases, testosterone levels decrease,” she explains. A five-point increase on the BMI scale, such as transitioning from 30 to 35, has an effect on testosterone levels similar to aging an extra 10 years.

“Your doctor should also assess any additional factors that could impact levels, such as medication or medical conditions,” advises Dr. Hayes. In such cases, addressing the root cause or modifying your medication or dosage to prevent impacting testosterone levels might be necessary.

Men should understand that TRT is often perceived as a quick-fix, but it has its limitations. “Its results are often less remarkable than many men envision,” notes Dr. Hayes.

The benefits of TRT often include improved sexual health and vitality. A study featured in the February 18, 2016 issue of The New England Journal of Medicine evaluated the effects of TRT on 790 men aged 65 and older. TRT recipients showed enhancements in sexual function—activity, desire, and erectile function—after one year, in contrast to the placebo group. However, mood improvements were minor, and walking speed, a key measure of vitality, showed no change.

Using TRT

TRT is often administered via gel or injections. With the gel, you apply a daily dose about the size of a ketchup packet to areas such as your upper arms, shoulders, or thighs. Injections are usually given biweekly into the buttocks.

Both methods have their own advantages, with gels usually ensuring more consistent testosterone levels. “However, you must avoid close skin contact for a few hours, especially with women, as the testosterone can cause acne or hair growth,” advises Dr. Hayes.

Testosterone levels may rise sharply for several days after injections, then decrease gradually. This fluctuation can lead to mood and energy levels experiencing a roller-coaster effect.

In Murrieta, CA, most men tend to see improvements in symptoms within four to six weeks, while more gradual changes, such as increased muscle mass, can take three to six months.

Additionally, TRT might not need to be administered indefinitely. “If the cause of your low testosterone levels resolves, you should try stopping treatment and get re-evaluated by your doctor,” says Dr. Hayes.