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Testosterone’ Role in the Health and Vitality of Men

 An estimated five million men in the US are affected by low

testosterone levels.  Testosterone levels peak around age 25 to 30 then they begin to decline.  Levels can also decline because of environmental toxins especially toxins from plastics and pesticides, drugs, injury, surgery or radiation.  The average rate of decline for testosterone is 1.5% a year.  At this rate a 50 year old man has lost 30% of his testosterone and a man age 80 has lost 75% of his testosterone.  Many doctors look at age related ranges of testosterone and may tell a 60 year old man that he is at normal levels.  While normal for this age these levels may be the cause of a serious decline in health, mood and vigor.  By the time this man reaches 80 he may be running on fumes but still be described as normal.


Increased Life Expectancy


The current life expectancy for men in the US is 74.5 years.  This will allow a man to outlive his ability to produce adequate testosterone by 20-25 years.  Optimum levels should be kept at the levels of a man in his prime between 35-40 years old to maintain a vigorous active life.  When the life expectancy wasn’t so long it wasn’t as much of a health issue.  Men that take control of their health and use anti-aging practices will outlive their optimum production of testosterone by many more years.  Maintaining adequate levels of testosterone plays an important role in a man’s ability to live the second half of his life to the fullest. 


Testosterone Availability

 The body is unable to access 60% of the circulating testosterone because it is permanently bound to a protein.  In younger men about 38% of testosterone is bound to a different protein that can release it for use.  This leaves

only 2% of the circulating testosterone ready for use.  As men age more of the protein that permanently binds testosterone is made making it even more inaccessible.  A true measure of available testosterone is free testosterone levels.  This is measured with saliva testing.


Testosterone Metabolism

 Testosterone follows two different pathways of metabolism.  One pathway converts it to estrogen.  When this happens too often men develop signs of feminization. These signs include, breast enlargement, testicular atrophy, loss of body hair and loss of lean body mass.  The enzyme needed for this conversion is produced by fat cells.  This puts obese men at a higher risk for developing signs of feminization.  Diet, weight loss, exercise and supplementation will slow this pathway that causes feminization.

The other pathway leads to the formation of DHT which is the most important active form of testosterone.  Some scientists postulate that DHT will cause growth of cancer cells in the prostate.  If this were true a lot of 20 year old men would develop prostate cancer.  Actually the highest rate of prostate cancer develops when testosterone and DHT are at their lowest levels in men.  Several studies have found there is not a correlation between testosterone levels and prostate cancer.



Symptoms of Age-Related Testosterone

  •        Decreased vitality
  •         General physical weakness
  •        Decreased muscle mass
  •         Heart disease
  •        Increased body fat
  •         Osteoporosis
  •         Depression, anxiety and irritability
  •         Increased muscle pain
  •         Low motivation
  •         Loss of libido

Benefits of Testosterone Replacement

 An adequate level of testosterone helps the heart to beat

stronger and be more effective.  This is especially true in congestive heart failure.  It will lower cholesterol levels and Lp(a) which is more indicative of pending heart attack.  It can enhance vitality, cognitive function, and decrease anxiety.  Testosterone can support independence by maintaining mobility through greater muscle mass and strength and

by helping prevent falls from faulty balance issues.  Probably the starring role for testosterone is the treatment of erectile dysfunction.  It will increase the libido and the ability to perform.

Bad Rap from Bad Practices

 Testosterone is a steroid hormone like many other hormones that are beneficial even vital to health.  It got its bad name because of athletes that misused it.  They used synthetic hormones at levels far above physiologic levels.  This type of testosterone at these levels has serious side effects.  We advocate the use of bio-identical testosterone which is chemically identical to the hormone your body naturally produces.  We also replace testosterone to the physiologic levels produced naturally close to your prime.

Testosterone Replacement

 Alternative doctors have used testosterone replacement successfully for several decades.  It is important to maintain balance.  There are important health risks when there is too little testosterone and when there is too much.  It is best to use testosterone replacement as part of a comprehensive health plan that includes diet and nutritional supplementation, exercise, regular lab monitoring and follow-ups.

Testosterone Poisoning

 Side effects from excess testosterone include acne, aggression, infertility, thicker blood and sleep apnea.  It is important to supplement only to physiologic levels.  It is also very important to maintain a healthy liver.  The liver processes testosterone for elimination.  If it is not working correctly it can contribute to excess testosterone.

Why consider testosterone replacement?

It is important for many men to be in charge of their life.  When the aging process is allowed to progress unchecked it is rare for men to remain physically, mentally and emotionally strong enough to remain independent clear to the end of life.  Testosterone replacement is just one part of a total anti-aging program that will assist men to be healthy, involved, active and in charge clear through the 80s, 90s or even 100s.