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Important Note:   Bio  hormone replacement therapy is for recognized medical conditions.   Therapy is not prescribed for those seeking increase athletic performance, competitive or not. Therapy will only be prescribed to those after the appropriate lab testing, coupled with a history and physical that ascertains a medical condition exists. Acceptable conditions include androgen deficiency, and menopausal / peri- menopausal conditions.  Those patients under current therapy with a different provider will be required to have records faxed directly to us for review prior to being considered as a new patient

 

Testosterone Replacement Therapy

Testosterone Deficiency in Women

11.15.13-Testosterone Replacement Therapy aka TRT is getting more and more press as pharmaceutical companies promote this new therapy in menís health.  Along with this press coverage are individual practitioners and practices advertising on radio and in local newspapers with promise to screen and treat for an initial visit of $99.  Well truth be told, the diagnosis of testosterone deficiency is far more complex than $99.  They may be able to screen just your testosterone levels for $99, but if you end up meeting criteria for testosterone deficiency then a more complex and thorough evaluation is necessary.  Therefore, $99 is very misleading.  Do you want to trust your healthcare to misleading information?  Furthermore, treatment actually involves management.  Management of treatment includes proper lab testing to assure that potential side effects donít occur.  This is the responsible way to go about TRT.  Do you want to trust your treatment to incomplete management?  Or do you want someone with experience and comprehensives? It is your choice.  

Male patients don't usually recognize the symptoms of testosterone deficiency until it effects their erections.  They often ignore the preliminary health related problems that occur as a result of age related declining testosterone levels.  "But I can still perform in bed Doc!"   "I can't be testosterone deficient".   Many a male patient has taken offense to my recommendation that we test their hormone levels.  They respond like I just accused them of wearing thong underwear. This is all too common the response, and a sad one at that.  Are you a professional that relies on a sharp mind for your job, yet yours is failing you?  Or maybe you are hard physical worker that relies on your stamina to keep the pay checks coming in, yet your abilities are failing you. 

Symptoms of Testosterone Deficiency (Androgen Deficiency)

  • Loss of energy

  • Brain Fog

  • Decrease mental quickness

  • Diminished libido

  • Decrease orgasmic intensity

  • Loss of strength

  • Loss of muscle flexibility

  • Prolonged recovery from exercise

  • Loss of cardiac protection

  • High cholesterol

  • High LDL Cholesterol

  • Weight gain

  • Fat increase especially mid abdominal

  • Loss of endurance

  • Depression

  • Fear

  • Anxiety

  • Sleep disturbances 

  • Difficulty converting fat to lean muscle mass with increased exercise

  • Osteoporosis

 

TRT

With an ever growing epidemic of Diabetes and Metabolic syndrome, patients think that losing sight of their knees underneath their growing abdominal fat fold is a normal part of aging.  Well it isn't!  It is the result of poor nutrition, increased visceral fat, and declining hormone systems. Testosterone is an important part of homeostasis, also known as "Physiological Balance"  Interestingly enough, testosterone is important for both men and women.  As is obvious, it is a very important hormone in the male body. While the sex organs have testosterone receptors, the heart muscle has a very high density of testosterone receptors.  So while decreased libido may be commonly recognized as a sign of testosterone deficiency, many other physiological processes are also effected, and much sooner in the deficiency state than that of sex drive. 

Testosterone levels begin to decline at 30 years of age, and the typical male's testosterone declines by approximately 10% per decade.   This age related decline is a variable utilized by laboratories to calculate free testosterone levels.  What does this mean?  This means when a patient's physician orders a testosterone level, the lab provides a "free testosterone" level. This level is based on a calculation that utilizes age related decline as a "normal" factor.   What isn't recognized, is that the levels a patient had as 20-30 year old man should be considered optimal for that individual.  Not a calculation that takes into account all the other deficient males at that age level.  Health was optimal at 30 years of age. 

Testosterone is a hormone that is carried in the blood stream by a protein known as Sex Hormone Binding Globulin (SHBG).   If patient  doesn't suffer from malnutrition, this protein binds testosterone.  However, at cellular levels, it is the free unbound testosterone that engages testosterone receptors.  Therefore, if a persons SHBG levels are elevated, and their total testosterone levels are normal to low, the amount of available free testosterone able to engage the receptors may be negligible.

What does this mean?  This means to get an accurate picture of "free testosterone" levels, the SHBG levels must be tested. Most physicians don't do this, and most insurance companies don't encourage it. 

An even scarier occurrence:  As a man gains more body fat, this fat harbors an enzyme called aromatase.  Aromatase is an enzyme that converts testosterone into estrogen. So as we gain mid abdominal fat and as we age, we slowly increase our estrogen levels, thus becoming a woman. It is the aromatase that enhances the vicious cycle of mid abdominal fat.  Unfortunately this mid abdominal fat, also called visceral fat, secretes a hormone called Leptin.  Leptin is a hormone that communicates with the hypothalamus in the brain and is engaged in satiety signally, or the feeling that we are "full" after a meal.  When our body over secrets Leptin, we develop Leptin resistance.  Akin to insulin resistance, the two of these syndromes throw us into the spiral of weight gain, health problems, and diabetes. 

More on Testosterone replacement in the Greater Seattle Tacoma area

 

 

 


 

 

 

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Copyright © 20015 Dr. Scott Fox

Information on this site is meant for patients of Dr. Fox only

* These statements have not been evaluated by the FDA. 

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Important Note:   Bio  hormone replacement therapy is for recognized medical conditions.   Therapy is not prescribed for those seeking increase athletic performance, competitive or not. Therapy will only be prescribed to those after the appropriate lab testing, coupled with a history and physical that ascertains a medical condition exists. Acceptable conditions include androgen deficiency, and menopausal / peri- menopausal conditions.  Those patients under current therapy with a different provider will be required to have records faxed directly to us for review prior to being considered as a new patient

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