A New Look At Testosterone Therapy In [location_name]

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Testosterone replacement therapy (TRT) has experienced a significant rise in popularity over the last decade in Weston. Countless older men have embraced TRT to restore hormone levels, aiming to refuel their energy and reignite their sexual desire.

TRT remains a controversial subject due to uncertain benefits and potential health risks. Years ago, studies indicated a possible connection between TRT and a higher risk of cardiovascular disease, raising safety concerns.

According to Dr. Frances Hayes, a reproductive endocrinologist with Harvard-affiliated Massachusetts General Hospital, 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

Latest scientific findings have validated this position. A study reported at the 2015 American Heart Association Scientific Sessions involved 1,472 men aged 52 to 63 with low testosterone and no history of heart disease.

The investigation found that TRT did not heighten the risk of heart attack, stroke, or death in healthy men.

Research in the August 2015 Mayo Clinic Proceedings revealed no link 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.

TRT’s connection with other health matters presents a diverse outlook. Despite previous associations between TRT and heightened prostate cancer risk, a study detailed in the December 2015 Journal of Urology indicated that exposure to TRT for five years did not increase the likelihood of aggressive prostate cancer.

With limited follow-up in many studies, the long-term risks of TRT remain a mystery. Yet, it’s crucial not to discount TRT altogether. It could still be a suitable option for certain individuals.

Who Is a Candidate For TRT In [location_name]?

TRT prescription eligibility in Weston hinges on meeting two conditions: low testosterone levels (below 600 nanograms per deciliter (ng/dL)) and experiencing multiple symptoms (refer to page 7). According to Dr. Hayes, “While low levels can occur without symptoms, if critical symptoms like fatigue and sexual dysfunction aren’t evident, starting TRT isn’t advisable given current uncertainties regarding its long-term safety.”

Measuring testosterone levels often includes a standard blood test. Since these levels can fluctuate daily and are affected by medication and diet, multiple tests are needed. Dr. Hayes points out, “In about 30% of cases with an initial low testosterone test, subsequent tests indicate normal levels.”

Despite low testosterone levels and experiencing several symptoms, testosterone replacement therapy (TRT) isn’t always the first choice. Dr. Hayes notes, “Understanding the underlying cause of declining levels enables us to tackle it and naturally raise 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 assess any additional factors that may impact levels, like medication or medical conditions,” advises Dr. Hayes. In such instances, your doctor might address the underlying condition or adjust your medication or dosage to avoid impacting testosterone levels.

It’s important for men to realize the constraints of TRT, as it’s commonly portrayed as a wonder drug. “Its effects are usually not as impressive as many might hope,” Dr. Hayes remarks.

For example, sexual health and vitality are commonly lauded benefits of TRT. A study outlined in the Feb. 18, 2016 issue of The New England Journal of Medicine investigated the impacts of TRT on 790 men aged 65 and older. Those undergoing TRT for one year, in contrast to those receiving a placebo, noted enhancements in sexual function, including activity, desire, and erectile function. However, the group experienced only a slight mood improvement and saw no alterations in walking speed, which was used to assess TRT’s effect on vitality.

Using TRT

TRT is commonly delivered via gel application or injection. The gel is applied daily, with a dose similar to a ketchup packet, spread over the upper arms, shoulders, or thighs. Injections are administered into the buttocks biweekly.

Each method has distinct pros. Gels ensure consistent levels of testosterone. “However, it’s important to avoid close skin contact for a few hours, especially with women, as testosterone could cause acne or hair growth,” Dr. Hayes notes.

Post-injection, testosterone levels surge for a few days before gradually decreasing, resulting in a roller-coaster effect with mood and energy level changes.

Most men in Weston start to feel better within four to six weeks, but muscle mass changes might take three to six months.

TRT may not always be required for life. “If the issue that led to your low testosterone levels resolves, you should try discontinuing treatment and be re-evaluated by your doctor,” says Dr. Hayes.