American Testosterone Clinic for Men


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The Importance of Sex Hormone-Binding Globulin (SHBG) for Healthy Testosterone Levels


Written by Dr. Michael White, Published on April 19th, 2019

testosterone treatments 1 300x200Hormone Balance is the key to maintaining and facilitating optimal wellness. The way that our hormones work is highly complex. When we discuss Testosterone, Estrogen, or Human Growth Hormone Production, this is a short-hand for an entire branch of highly-interconnected processes which lead to the production of a vital hormone. Hormone Replacement Therapy tends to revolve around the replacement of the vital hormone which provides the broadest range of benefits. For example, HGH and Testosterone are both further processed into metabolites which offer the full range of benefits associated with the hormones. The goal of this article is to explain the role of Sex Hormone-Binding Globulin (SHBG) in the function and utilization of Testosterone. How Does the Body Make Testosterone? Sex Hormone Production begins in the hypothalamus — the control center of the brain. The Hypothalamus receives signals from the body to produce Testosterone or Estrogen, and sex hormone precursors are released. Gonadotropin-Releasing Hormone is issued by the Hypothalamus, where it then travels to the Pituitary. The Pituitary Gland responds to this stimulation by releasing Luteinizing Hormone and Follicle-Stimulating Hormone, which then travel to the sex organs, promoting normal function in both men and women. For men, Testosterone Production is … Read more »

Amygdala and it’s Relationship to Testosterone and Fear


Written by Dr. Michael White, Published on April 19th, 2019

shutterstock 554433397 300x200 7345The amygdala is the center of emotional activity in the brain, but recent studies have shown that it's powered by motivation rather than the emotions themselves. This conclusion came from research into the hormone testosterone. Testosterone ramps up amygdala activity when we approach a socially dangerous situation and lessens the activity when these situations are avoided. It was a known fact that the amygdala reaction to images of angry faces was more intense in someone who had received testosterone. This new study shows that this only happens when people approach angry faces and not when they avoid them. Testosterone or Placebo In a double-blind, placebo-controlled study, 54 young, healthy women were given 0.5 mg of testosterone (or a placebo) four hours before a brain scan. This amount is a far lower dose than used for a sex change treatment, or as a supplement for athletes, but it is enough to have a measurable effect on brain activity. Happy or Angry While in the MRI-scanner, the participants were shown photos of happy and angry faces and were asked to give a sign of rejection (avoiding) or approach (moving towards). People usually have less of a problem approaching someone who looks friendly … Read more »

Testosterone DOES NOT Cause Atherosclerosis (Hardening of the Arteries) in Older Men


Written by Dr. Michael White, Published on April 19th, 2019

shutterstock 159397409 300x223 8580Unless you have been imitating Rip Van Winkle for several years, you are aware that Testosterone Replacement Therapy (TRT) has exploded in the last decade. However, there have been very few studies that have examined the long-term effects of taking testosterone on cardiovascular health and other vital functions concerning the health effects on men receiving the treatment. But that has changed. Recently, investigators from Brigham and Women's Hospital (BWH) report the results of Testosterone's Effects on Atherosclerosis Progression in Aging Men (TEAAM) trial in the Journal of the American Medical Association (JAMA). The three-year study finds that testosterone administration had no effect on the progression of hardening of the arteries in older men with low to low-normal testosterone levels and did not significantly improve sexual function or health-related quality of life. Shehzad Basaria, M.B.B.S., MD, from Harvard Medical School in Boston, and colleagues studied the effect of testosterone administration on atherosclerosis progression in older men. Three hundred eight men aged 60 years or older (patients had a mean age of 67.6 years), with low or low-normal testosterone levels, volunteered and were treated with up to 7.5 g of 1 percent testosterone (156 men) or placebo gel packets (152 men) daily … Read more »

Increased Testosterone DOES NOT Cause Prostate Cancer to Spread


Written by Dr. Michael White, Published on April 19th, 2019

pictures of prostate cancer 3 300x186 8211Prostate cancer is the most common tumor in men. The American Cancer Society estimates that 220,800 men will be diagnosed with the disease in 2015. According to standard medical theory, prostate cancer typically turns deadly after tumors stop responding to drugs that block the production of testosterone and its receptors. Therefore, for years, urologists have treated prostate cancer by decimating a man's testosterone levels, a treatment that is formally known as androgen deprivation therapy. Medical school taught that this was “The Holy Grail” of stopping prostate cancer dead in its tracks. Standard treatment for prostate cancer is chemical castration, drugs that cut the body’s production of testosterone and related hormones. The fact that this treatment often resulted in hellish side effects was either ignored or rationalized by the depressing mantra of “at least he's still alive.” So on and on it went. Men were forced to choose between death by the spread of cancer or losing their manhood and all of the horrifying consequences that went with that loss: sexual dysfunction/impotence, hot flashes, joint pain, loss of muscle tone and strength, increased fatigue and a sense of hopeless depression. However, the Times are Changing A new study shows that the … Read more »

Male Sexual Dysfunction and How Can it Be Efficiently Treated?


Written by Dr. Michael White, Published on April 19th, 2019

T wood 300x300Sexual Dysfunction is a complicated matter which impacts the lives of men in different ways. Most people are aware of Testosterone Deficiency and Erectile Dysfunction, but sexual dysfunction manifests itself in many different ways. While the source of sexual frustration is often mechanical, psychological issues can also suppress sexual desire. While Sexual Issues can become problematic at all ages for men, the incidence of Low-T and other sexual conditions in men increases with age. What Are the Common Forms of Sexual Dysfunction in Men? Low Libido Premature Ejaculation Erectile Dysfunction Dulled Sensitivity and Inability to Reach Orgasm What Are the Causes of Sexual Impairment in Males? Physical Sources of Sexual Dysfunction Testosterone is the primary hormone responsible for sexual desire and ability in men. There are many conditions which suppress Testosterone Levels, including the aging process itself. Beginning at approximate age thirty, the body produces diminishing levels of Testosterone, which can eventually lead to sexual issues such as Low Sex Drive and Erectile Dysfunction. Firm erections depend on healthy blood flow. Hypertension and atherosclerosis can prevent adequate blood from reaching the penis, which leads to erectile dysfunction. This is why medications such as Viagra and Cialis work for patients struggling … Read more »

Testosterone Cypionate and Testosterone Enanthate: The Real Facts


Written by Dr. Michael White, Published on April 19th, 2019

hgh prescription medical consultations for hormone therapy 300x200 9837If you are considering giving injectable testosterone a try, you need to know as much as possible before plunging in and taking that first step. Keep reading. This brief article will provide you with the basics: a look at the science as to how testosterone works, the difference between Cypionate and Enanthate, recommended dosages, and potential side effects. WARNING: NOTHING YOU READ HERE WILL SUBSTITUTE FOR THE ADVICE AND SUPERVISION OF YOUR PHYSICIAN OR OTHER PROFESSIONAL HEALTHCARE PROVIDER. NEVER TRY EXPERIMENTING WITH TESTOSTERONE ON YOUR OWN. MAKE SURE YOU ARE CONTINUALLY MONITORED BY BLOOD TESTS WHILE YOU ARE UNDERGOING TESTOSTERONE REPLACEMENT THERAPY (TRT), AND BE AWARE OF THE SYMPTOMS OF SIDE EFFECTS. SOME OF THESE SIDE EFFECTS CAN BE VERY SERIOUS. CAVEAT EMPTOR! Testosterone Esters Much of the testosterone prescribed for testosterone replacement therapy is in the form of testosterone "esters." An ester is merely a name for a chemical compound that forms from a reaction between a carboxylic acid and alcohol. A simple chemical diagram of this result is shown below in Figure A. Figure B shows the chemical structure of free testosterone (chemical formula C19H28O2) as well as two different esters of testosterone (testosterone cypionate and testosterone enanthate). … Read more »

The Relationship Between Testosterone and Cortisol


Written by Dr. Michael White, Published on April 19th, 2019

the human body 300x211The human body is a complex web of interconnected systems. Hormones are responsible for influencing the way that these systems interact with one another. One category of hormones is known as stress hormones. These hormones are designed to put the body in a state of rapid preparedness and are strongly associated with the fight-or-flight response. One of the most potent and ubiquitous stress hormones is known as Cortisol. The Function of Cortisol Testosterone is the primary hormone of male potency, and it has a complicated relationship with Stress Hormones, notably Cortisol. Historically, humans had to deal with much more dangerous and intimidating situations than we currently have to deal with today. Cortisol is released when the body senses an immediate danger to the self. Cortisol is intended to be released in brief bursts, designed to get humans out of a sticky situation with life and limb. In such a case, Testosterone Levels spike at the same time as Cortisol Levels, helping men have the strength and the rapid response rate necessary to get out of trouble. After the threat has passed, Cortisol levels are supposed to fall. Stress in the Modern World Unfortunately, the modern world and the current human … Read more »

A Surprising Side Effect of Methadone Treatment: Suppressed Testosterone


Written by Dr. Michael White, Published on April 19th, 2019

shutterstock 534438643 300x200 9830HAMILTON, ON (Aug. 26, 2014) – If you are using methadone to treat opioid addiction, be aware that your natural levels of testosterone may be lowered, according to a recent study by McMaster University. The good news? If you're a woman, methadone treatment won't affect you. The bad news? If you're a man, chances are much higher that it will. In a paper published in the journal Scientific Reports, the researchers say this must be addressed and may result in changes in addiction treatment. The study found that men treated with methadone, used for opioid addiction treatment, have significantly suppressed testosterone levels of about a quarter of the testosterone of men not using opioids. In women using methadone for the same treatment, testosterone levels were insignificantly impacted, even when menstruating. Low testosterone in men has been associated with reduced quality of life as well as erectile dysfunction, fatigue, mood disturbances and depression, weak muscles, osteoporosis, increased joint pain and other problems. "We expect that treating testosterone deficiency will improve outcomes of methadone treatment for patients, including treatment response and retention," said Dr. Zena Samaan, principal investigator of the study. "Doctors should also ensure they are prescribing the lowest dose of … Read more »

Testosterone Promotes Bone Health and Can Help Treat Osteoporosis


Written by Dr. Michael White, Published on April 19th, 2019

Andropause explained 300x200Testosterone Replacement Therapy provides a wide variety of benefits to aging men suffering from the effects of Andropause. Many of these benefits are well-known, especially those related to body composition, mood, and sexual appetite. There are many obscure benefits to Low-T Treatment, one of which is improved Bone Mineral Density. Dr. Robert Ashley has worked with patients suffering from Low-T and Osteoporosis for years. He explains that research has shown that Bio-Identical Testosterone Therapy for Andropause improves not only sexual desire and libido while increasing energy and helping patients lose weight, but also has positive effects on bone health. Should Men Worry About Osteoporosis? It's widely known that women are at an elevated risk of Osteoporosis compared to men. This is because Testosterone has anabolic effects on the skeletal structure. Testosterone promotes bone recycling, which helps preserve bone mineral density. Specifically, Testosterone encourages Osteoblast activity, which are cells designed to fortify bone with recycled minerals. Just because women are at elevated risk for Osteopenia and Osteoporosis doesn't mean that men are safe, however. Testosterone Deficiency causes an imbalance in the pattern of bone recycling, favoring Osteoclast activity. Osteoclasts are cells designed to break down bone tissue for recycling. Ideally, Osteoblasts … Read more »

Andropause – Wikipedia, the free encyclopedia


Written by Dr. Michael White, Published on April 18th, 2019

Andropause or male menopause, sometimes colloquially called "man-opause," is a name that has been given, in some parts of the English-speaking world, to a set of effects that appears in some aging men, and which have some superficial similarities to menopause effects in women. Andropause may be related to the slow but steady reduction of the production of the hormones testosterone and dehydroepiandrosterone in middle-aged men, and the consequences of that reduction. It is also associated with a decrease in Leydig cells. A steady decline in testosterone levels with age (in both men and women) is well documented. Unlike "menopause," the word "andropause" is currently not recognized by the World Health Organization and its ICD-10 medical classification. While the words are sometimes used interchangeably, hypogonadism is a deficiency state in which the hormone testosterone goes below the normal range for even an aging male. The impact of low levels of testosterone has been previously reported. In 1944, Heller and Myers identified symptoms of what they labeled the "male climacteric" including loss of libido and potency, nervousness, depression, impaired memory, the inability to concentrate, fatigue, insomnia, hot flushes, and sweating. Heller and Myers found that their subjects had lower than usual … Read more »


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