Category Archives: Testosterone Replacement Therapy

Testosterone Replacement Therapy Articles and Information

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Ensuring The Safety of Testosterone Replacement Therapy for Men

Posted by Dr. Michael White, Updated on September 11th, 2019

Young doctor writing on a notepad 300x200Late last year, an article was published by the Journal of the American Medical Association that suggested Testosterone Restoration was associated with an increased risk of stroke, heart attack, and general mortality in males suffering from Low-T. Mainly as a result of this study, the FDA now requires that all Testosterone Therapy Manufacturers clearly note these potential risks associated with therapy on every dose of Testosterone Treatment. There's no reason to have issues with the FDA in this case because that's a reasonable step to take, but the study which precipitated this change in Testosterone labeling was highly flawed, and an example of media entities taking surveys in a vacuum and treating them as the definitive word on a particular treatment. We might want to be skeptical or "trust but verify" by looking at other studies, because according to some studies, 1/3rd of men who suffer from heart attacks have low testosterone levels. JAMA Testosterone Study Flawed In reality, this Testosterone Study is highly flawed, at least when considered as a potential indictment against Low-T Treatment for men suffering from Testosterone Deficiency and Andropause. There's even the risk that this study could lead patients who could seriously benefit from this … Read more »

Testosterone Replacement Therapy Might Be Legal, but It’s Still Cheating in Professional Sports

Posted by Dr. Michael White, Updated on January 24th, 2020

TRT is legal 200x300To "T" or Not to "T" that is the Question for Professional Athletes Doctor-prescribed Testosterone injections, gels and creams are in the limelight these days, as everyone is talking about HRT (hormone replacement therapy) the hot topic today, and how it helps adult men overcome naturally induced, age-related hormone deficiency. Testosterone replacement therapy (TRT) has taken on a life of its own in the heated dialogue regarding its legality for medical treatment. But there is also concern about the legality of performance-enhancing drugs (PEDs) being used as an advantage by mixed martial artists who step in the arena to fight it out for victory. Mixed Martial Arts Took Professional Sports Like A Storm MMA was hardly known one to two generations ago, and then it came out of the horizon like a wild sand storm or snowy blizzard out of nowhere and it is one of the most popular sports in the world. I remember when I was traveling the world a decade ago, and would see MMA on high mounted TV sets at bars in countries where they didn't even speak a word of English. I giggled at how obsessed people were at watching American WWE professional wrestling, no … Read more »

The Dangerous Hyperbole Surrounding Testosterone Replacement Therapy

Posted by Dr. Michael White, Published on July 16th, 2019

Hulk HioganProfessional athlete steroid abuse can be a deadly game of one-upmanship: "my muscles are bigger, stronger and leaner than your muscles?" Diehard professional wrestling fans recall back to the 1980s when the loud and glittering success of ludicrously shredded athletes like Hulk Hogan, Road Warriors and other flamboyant acts convinced everyone, especially the producers and promoters that ripped physiques and over swollen pumped muscles were the hallmark to fame, fortune and brand recognition. As Jonathan Snowden so eloquently stated it: "What followed were a ridiculous menagerie of overly muscled human action figures, wrestlers like Hercules Hernandez, who rewrote the book on human anatomy." Results from professional athletes over abusing steroids far above and beyond what normal TRT doctors would prescribe ordinary patients, was ultimately tragic, and led to such well-known pros dying middle-aged. Many of the acts from the 1980s and 1990s are dead. As Jonathan Snowden astutely put it: Swollen hearts were an unfortunate byproduct of those swollen muscles. Wrestlers from that generation started dropping like flies. Most of our heroes, the wrestlers from that era we grew up on, like Rick Rude, Hawk and Curt Hennig, are dead and gone. No one who was a wrestling fan can … Read more »

Can men have hot flashes?

Posted by Dr. Michael White, Published on July 6th, 2019

testosterone replacement therapyDEAR DOCTOR K: I'm a 75-year-old man who recently underwent prostate cancer surgery. I've begun to have what I think are hot flashes. I'm baffled because I felt hot flashes were a female problem. Could I have male hot flashes? DEAR READER: In short, the answer is yes. As with hot flashes in women, sex hormones are to blame. Women get hot flashes at menopause when their estrogen levels drop. In men, the problem is testosterone, a type of hormone called androgen. More specifically, declining testosterone levels can lead to hot flashes in men. In women, estrogen levels drop dramatically after age 50. But for men, declining testosterone levels start as early as age 30 and slowly fall throughout a man's life. By age 70, more than half of men are testosterone-deficient. This deficiency is responsible for menopause-like symptoms in some men, and these can include hot flashes. It's difficult to predict which men will have these symptoms, though. Some men with what appear to be low levels of testosterone don't have symptoms, although many men with low testosterone levels have hot flashes. And some men with what appear to be normal levels do have hot flashes. So the correlation … Read more »

Behavioral and Health Changes Decrease Levels of Testosterone

Posted by Dr. Michael White, Updated on September 9th, 2019

testosterone medical therapy clinics 300x195Australian scientists recently studied testosterone and its progression in males from young to old age and discovered that a gradual decline in testosterone levels is caused by both men's lifestyles as well as aging. The findings were presented at the Endocrine Society's 94th annual meeting that took place recently in Houston. The Endocrine Society focuses on the research of hormones and the practice of endocrinology. Many older men are known to have diminished levels of the sex hormone testosterone. Even though the cause is debated, some population-based studies have found that changes in testosterone levels are similar among men of the same age over time. It is common knowledge that declining testosterone levels are an inevitable part of the aging process. However, there may be more to this condition than mere aging. Study co-author Dr. Gary Wittert, professor of medicine at the University of Adelaide in Australia, stated that the choices men make also plays a more significant role in lowered testosterone levels than previously thought. Testosterone changes are also explained by smoking behavior and changes in health status, particularly obesity and depression. The study was supported by the National Health and Medical Research Council of Australia. The researchers measured … Read more »

Testosterone Creams for Low Testosterone Treatment and Andropause

Posted by Dr. Michael White, Updated on September 9th, 2019

Testosterone Creams for Low Testosterone Treatment and Andropause Testosterone Creams are just one of the many effective forms of Testosterone Replacement Therapy available for the treatment of Andropause, and Low T. It is one of the most popular ways to administer this medication. Testosterone Creams are topical medications that are applied to the skin and absorbed directly into the body. A fancy term for the delivery of testosterone using cream via the skin is transdermal. There are a number of Testosterone cream and gel brands available, including Testim, Fortesta, Axiron, and Androgel. Each of these products have their own level of potency. Testosterone Gels and Cream Like all forms of Bio-Identical Testosterone Therapy, the goal of Testosterone Creams and Gels is to restore normal and healthy Testosterone Levels for men whose bodies no longer produce enough of the vital hormone. And moreover, this transdermal method of replenishing testosterone in men and women is smoother and more steady, versus the weekly or bi-weekly injection protocol that is most commonly prescribed by endrocrinologists. Low-T Creams are administered once-daily, and provide a day's worth of Testosterone. They are quickly absorbed into the skin in a matter of minutes. Just wake up, take a … Read more »

Safety of Testosterone Replacement Therapy | The Medical …

Posted by Dr. Michael White, Updated on October 25th, 2018

Safety of Testosterone Replacement Therapy EMAIL THIS ARTICLE Safety of Testosterone Replacement Therapy Published: March 14, 2016 Three coordinated double-blind, placebo-controlled clinical trials have evaluated the efficacy of one year of testosterone replacement therapy in improving sexual function,... March 14, 2016 (Issue: 1490) Revised 5/2/16: Footnote 7 has been added to Table 1 Three coordinated double-blind, placebo-controlled clinical trials have evaluated the efficacy of one year of testosterone replacement therapy in improving sexual function, physical function, and vitality in a total of 790 men 65 years old with moderately low serum testosterone concentrations and symptoms suggesting hypoandrogenism. Sexual function improved modestly, and there appeared to be marginal benefits in some areas of physical function and vitality as well. The trials were not designed to evaluate the safety of testosterone replacement therapy.1 ADVERSE EFFECTS Testosterone administration has been associated with development of acne, gynecomastia, peripheral edema, and polycythemia. Injections of testosterone undecanoate rarely have caused pulmonary oil microembolism (POME) and anaphylactic reactions. The main concern with testosterone replacement therapy, however, has been the possibility that it could increase the risk of prostate cancer and cardiovascular disease. Prostate Cancer Testosterone replacement therapy has been associated with increases in serum prostate-specific antigen (PSA) … Read more »

Testosterone Replacement Therapy Resources – Fabulously …

Posted by Dr. Michael White, Updated on October 25th, 2018 along with Danger and Playare two of the best sources on the web discussinghow to optimizeyour testosterone level. There are numerous posts, articles and podcasts covering nearly every TRT issue imaginable. I am a 15 year TRT patient and have improved my health, fitness and mindset from every definable angle. I published theThe Definitive Testosterone Replacement Therapy Manual:How to Optimize Your Testosterone for Lifelong Health and Happiness Anauthoritative TRT research guide written for EVERY MAN (both patient and doctor alike). It dissects the topic of hormone replacement, overviews the current and relevant TRT data and dispels all the myths perpetuated by the media. It IS the bridge between science and reality. For more information on how the book can transform your own life, visit Please join Nelson Vergeland I for our monthly webcastwhere we discussmens health research topics with various celebrity guests. Please search through all of this information before seeking consultation. TRT WEBSITES Nelson Vergels Excel Male Website is a great start. Nelson is a pioneer in the world of TRT research and development and he has been instrumental in helping thousands of men seek and attain help with progressive TRT-dispensing physicians for more than two decades. … Read more »

Testosterone Replacement Therapy –

Posted by Dr. Michael White, Updated on January 5th, 2018

New Data on Efficacy and Cardiovascular Safety One of the most controversial questions in cardiovascular pharmacology is whether testosterone replacement therapy is safe for the cardiovascular system, especially in elderly men. There is little debate that as men age, their testosterone levels fall and low testosterone levels have an association with more atherosclerosis, coronary artery disease, and heart failure. A key debated question is whether the administration of exogenous testosterone to increase testosterone levels back to normal alters the incidence of adverse cardiovascular events. In recent papers in the Journal of the American Heart Association,1,2Journal of the American College of Cardiology,3 and Sexual Medicine Reviews,4 my colleagues and I have reviewed the numerous studies on this subject. This literature presents some of the most controversial group of papers that I have reviewed, with some studies suggesting that testosterone use is associated with an increase in adverse cardiac events including major adverse cardiac events (cardiovascular death, myocardial infarction, stroke), whereas others suggest just the opposite. The problem is that many of these studies are observational, the testosterone preparations vary, not all studies have followed up the testosterone levels once therapy is started, some studies included soft end points to describe the … Read more »

Prostate cancer: Testosterone therapy ‘does not increase aggressive …

Posted by Dr. Michael White, Updated on October 25th, 2018

Men prescribed testosterone replacement therapy to restore their male sex hormones to normal levels should not be afraid that the treatment will raise their risk of prostate cancer. This was the main conclusion of a study that analyzed nationwide registry data on over a quarter of a million - mostly white - men residing in Sweden. The research, led by New York University (NYU) Langone Medical Center, New York, NY, features at the American Urological Association annual meeting in San Diego, CA, May 6-10, 2016. In fact, the researchers found not only that men prescribed testosterone replacement therapy (TRT) for longer than a year showed no overall increase in risk of developing prostate cancer, but that if anything, their risk for aggressive disease was 50 percent lower than equivalent men not prescribed TRT. The motive for the study was to try and settle a debate about the link between TRT and prostate cancer risk, say the researchers. They note that experts suggest an aging "boomer" generation, and heavy marketing by the drug industry has fueled a rapid rise in use of TRT in the last 10 years, despite little being known about the long-term risks of the therapy. They say … Read more »

Testosterone Replacement Therapy | Low Testosterone | Low T

Posted by Dr. Michael White, Updated on December 1st, 2016

TESTOSTERONE is said to be the androgen hormone that makes a man, A MAN. Though women produce testosterone too in smaller doses, between 1/7th and 1/10th the amount. We all have it in other words and we need it to function properly. However, as we age, our bodies ability to produce Testosterone declines year by year, and that decline differs between people, but is more or less an average of a couple of percentage points every year. Now, more than ever, men aged 30 and over are being diagnosed with Low Testosterone, also known as low t, but physicians properly diagnose it as hypogonadism. Low T is so commonplace, you almost cant go a single day without seeing a print advertisement or television commercial for Low T, Hypogonadism or Low Testosterone. And there are many products to treat this medical condition. The most effective delivery method for Testosterone Replacement Therapy (or TRT) is Testosterone injections, followed by cream, gel or pellets. Testosterone Replacement Therapy typically requires weekly Testosterone injections and ancillary medications, where necessary, but depending on the esters of the testosterone product more than once a week is necessary. With cream or gel, you apply it daily, with some … Read more »

Low Testosterone, Low T, E.D. |

Posted by Dr. Michael White, Updated on October 25th, 2018

According to the Cleveland Clinic Men's Health Advisor,by age forty a man's ability to produce testosterone begins to decline leading to a deficiency that can result in low sex drive and decreased sexual function, loss of lean muscle mass, chronic fatigue, impaired concentration, depression and sadness, irritability, loss of bone mass, and an increase in fat mass that can increase the risk for heart disease and diabetes. By age fifty, testosterone levels can be less than half of what they were when we were twenty. Whats worse, when testosterone declines, antagonistic hormones such as estrogen increase, which can lead to a cascade of undesirable symptoms. This decline, traditionally regarded as a natural part of the aging process, is now universally recognized as Low T - a highly treatable condition. As many as 10 million American men may be affected by Low T, and as the baby-boomer generation continues to age, this number is expected to rise significantly. Fortunately, there is a proven solution; Testosterone Replacement Therapy, or TRT. Testosterone therapy has been used with great success for the past 70 years, but has only recently gained widespread acceptance. Testosterone not only controls your sex drive and erectile function; it also … Read more »

Low Testosterone Treatments – Testosterone Replacement Therapy

Posted by Dr. Michael White, Updated on January 5th, 2018

The most common treatment for low testosterone (also called male hypogonadism) is testosterone replacement therapy. This should address the symptoms associated with low testosterone, such as low sex drive and poor erections. It should be noted that if you have another condition causing low testosterone (such as a pituitary tumor), then your doctor will treat that, too. Also, if fertility is a concern, you should talk to your doctor about your options. This article, however, focuses on treating just the low levels of testosterone. Testosterone Replacement Therapy Options You have several options for replacing testosterone. Please talk to your doctor about all your options, and he or she will help you choose the method that works best for your lifestyle and budget. To replace testosterone, you can use: Risks of Testosterone Replacement Therapy Testosterone replacement therapy isnt right for everyone: men who have had or who may have breast or prostate cancer should not use testosterone replacement therapy. As with any medication, talk to your doctor about any concerns you have while youre on testosterone replacement therapy. You should especially mention if you have trouble breathing (particularly when sleeping) or if you have frequent/persistent erections. Long-term use brings risks, particularly … Read more »

Testosterone Therapy Side Effects – DrugWatch

Posted by Dr. Michael White, Updated on October 25th, 2018

Testosterone therapy helps men with Low T, but comes with the risk of serious side effects like heart attack, stroke and blood clots. Did you suffer heart problems or blood clots after taking testosterone? Record numbers of men are turning to testosterone replacement therapy to increase energy levels, muscle mass and sex drive. Drug companies that manufacture testosterone replacement drugs like AndroGel heavily market their products promising a better quality of life for men, and it isnt uncommon for several television ads to air during football games and shows that target men. The reality is that testosterone therapy can cause a number of health complications that might not be worth the benefits. Also, men arent the only ones affected by the drugs. Women, children and even pets can be adversely affected. Some men are even filing lawsuits against the makers of testosterone products, claiming the manufacturers hid the dangers of their products. Several studies documented several possible risks for men taking testosterone-enhancing drugs. These drugs are linked to several heart problems, including heart attacks. One of the most recent studies, published on January 29, 2014, in the PLoS One journal, found that men older than 65 and younger men with … Read more »

Side Effects of Testosterone Replacement Therapy (TRT)

Posted by Dr. Michael White, Updated on October 25th, 2018

Poison is in everything, and no thing is without poison. The dosage makes it either a poison or a remedy. Paracelsus As with any medical intervention, the benefits of Low T therapy must be weighed against the potential risk of adverse reactions or side effects of testosterone replacement therapy. Just as Paracelsus says in the quote above, whether testosterone replacement creates a poisonous or beneficial environment is largely dependent upon how the medication is delivered and dosed. Those who abuse testosterone and other androgens may experience significant and even life threatening side effects. Somewhat similarly, if treatment of Low T is mismanaged or not carefully monitored, patients will experience a higher rate and increased severity of adverse reactions or possibly a complete lack of meaningful results. For the most part, this discussion will deal with the side effects of testosterone replacement therapy (TRT) in general, but some attention will be given to particular differences in the variety of methods utilized for treatment of Low T. You can also watch the video below to hear from one of our founding partners, Augie Galindo, PA-C about the side effects of testosterone replacement therapy. Some side effects seen with TRT are the direct … Read more »

Testosterone Replacement Therapy: Myths and Facts

Posted by Dr. Michael White, Updated on October 25th, 2018

If you've been diagnosed with an abnormally low T, testosterone replacement therapy (TRT) offers a lot of benefits. But there are risks, too. Here's what you need to know before you start TRT. Our Cheatin Hearts Why cant you just be faithful? Any man who has ever been on the receiving end of that question, whether dodging crockery or wiping away his wifes tears, knows that some women really want an answer. Do men who cheat really outnumber their female counterparts? Is infidelity in marriage more natural to men than women? And do some husbands think that monogamy is a board game? Read the Our Cheatin Hearts article > > If you have an abnormally low T, boosting your testosterone levels with TRT can help bring your energy levels back to normal. It can also restore your sex drive. You may notice a drop in body fat and a buildup of muscle mass after TRT. Yes. TRT has side effects, which may include: Guidelines from the Endocrine Society say you should not have TRT if you have prostate cancer or breast cancer. But some studies suggest that men who have been successfully treated for prostate cancer may be candidates for … Read more »

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