Testosterone Replacement - Are You Sure It's Good for You?

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As we've matured our body chemistry has changed. Do men need testosterone replacement therapy? Phoebe discussed some women's issues in a previous episode about hormone replacement for Women. Gentlemen, today it's your turn to get the low down on low Testosterone.
OUTLINE:
I. Reasons:
I. Symptoms/Benefits:
I. Libido, body fat, muscle, mood, energy, bone density, and quality of erections
II. Testosterone's purpose
I. Hypogonadism
II. Less indication for "healthy" men
III. "May" prevent issues as we get older
II. Methods:
I. Pellets - painful, less fat, scars
II. Injections - less painful
I. 2 weeks - big dose, taper off over time, intramuscular
II. 1 week - less highs/lows, easier to remember, traditionally intramuscular
III. Daily - It's a routine, less painful, subcutaneous
III. Testing
I. If you have symptoms
II. Before for baseline
III. After a month or so to see your levels
IV. Annual testing once the dose is sorted out
V. It's complicated…
IV. Side effects
I. Acne, hair growth, sleep apnea
II. Increased risk of Heart attacks, stroke
III. Reduced sperm production
IV. Estrogen,
I. 0.3% converted
II. resulting in breast tissue, and prostate enlargement
III. Testing for estrogen
IV. Estrogen blocker - aromatase inhibitors (some doctors disagree with this approach)
V. Cautions
I. No long term testing - benefits / Risks
II. "For those who have low testosterone levels but no symptoms, treatment isn't recommended. It's also not recommended for those whose levels are low because of aging."
Sources:
https://youtu.be/GNCpG1fkMBA?t=5514
Testosterone calculator
https://www.issam.ch/freetesto.htm
https://www.mayoclinic.org/healthy-lifestyle/sexual-health/in-depth/testosterone-therapy/art-20045728
https://www.webmd.com/men/guide/testosterone-replacement-therapy-is-it-right-for-you

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