Page 21234..10..»

Category : Low T

Low-Testosterone (Low-T) – Controversy Over … – AARP

But is low T from aging really a disease in need of medication? Critics of the campaign say many men have been convinced to take a potentially risky drug for a condition they don’t have. Steven Woloshin, a professor of medicine at the Dartmouth Institute for Health Policy and Clinical Practice, dubs low T “the mother of all disease mongering.”

On the other hand, proponents say testosterone replacement can help older men improve their quality of life. “The true outrage is that social forces and hysteria have combined to deprive men of a useful treatment without regard for medical science,” Abraham Morgentaler, a Harvard urologist, wrote recently in the Journal of Sexual Medicine.

Experts agree on at least one thing: After age 30, every man’s testosterone drops about 1 percent a year, according to Ranjith Ramasamy, a urologist at Baylor College of Medicine in Houston. Being overweight or obese, as well as having type 2 diabetes, may drag your levels down even lower.

But what is a healthy T level for an older man? Doctors can’t agree. Many laboratories use wildly varying reference numbers based on the average testosterone levels of young men, anywhere from 300 to 900 nanograms per deciliter.

Meanwhile, some symptom lists virtually guarantee that any middle-aged man will self-diagnose low T. Several websites that promote testosterone replacement feature a 10-question self-quiz. Answer yes to just three you’re grumpy now and then, you don’t have the strength you used to have, and you sometimes fall asleep after dinner and you could have low T. “These complaints may have nothing to do with testosterone,” says Woloshin.

T therapy was originally developed for men whose bodies can’t produce enough testosterone, often because of injury to the testicles, cancer or genetic defects. But now, critics say, aggressive marketing has convinced many men to take the hormone in hopes of feeling and looking younger. That exposes otherwise healthy bodies to serious side effects.

“When you take testosterone, your body shuts down its own production,” says John La Puma, M.D., director of a clinic in Santa Barbara, Calif., that focuses on men’s health. As a result, the testicles may shrink and you could require supplementation indefinitely. That means long-term considerations like expense, inconvenience and, worst of all, possible catastrophic health issues.

A study published last year in the Journal of the American Medical Association reported a 30 percent jump in the risk of stroke, heart attack and death among men undergoing testosterone therapy. The FDA is investigating whether warnings should be issued.

There is one piece of useful information that no advertiser will offer: “A lot of men don’t need testosterone replacement to feel and look better,” says La Puma. “All they need to do is eat a healthier diet and be a little more active.” When obese men shed an average of 17 pounds, a recent study found, their testosterone levels climbed 15 percent. Indeed, a healthy diet, quality sleep and regular exercise can help any man build muscle, improve libido and raise energy levels. No prescription required.

Peter Jaret writes on health and medical issues for national publications.

Read the original:
Low-Testosterone (Low-T) – Controversy Over … – AARP

Recommendation and review posted by Alexandra Lee Anderson

Low testosterone symptoms | Effects of low testosterone

Effects of Low Testosterone

Low testosterone symptoms and their side effects can occur when the body does not produce enough testosterone. Levels lower than what is considered normal by the medical community, are referred to as low testosterone. Normal levels of testosterone range from about 300 to 900 nanograms per deciliter. Many Low Testosterone Symptoms are often the result of a health or sexual issue, and can also be caused by other medical problems or conditions. Men tend to have naturally high levels of Testosterone that control the functions of sexual activity and also assists with muscle and bone density. This is why a low level of Testosterone can cause many sexual complications and impact a mans overall health. Low testosterone symptoms can be mild or severe, but they will usually not get better if left untreated. Make an appointment to see one of our doctors today!

Even men who fall under the normal T level deal with erectile dysfunction. Men with any of the following symptoms can benefit from an expert evaluation.

While there are many different low testosterone symptoms. The symptoms of low testosteronegenerally follow certain things. The following list contains many of the more common side effects of low testosterone.

What Causes Low Testosterone?

It is natural to produce lower levels of testosterone as the age of a man increases. The body produces less testosterone as it ages. At times, low testosterone symptoms are not severe enough to cause menproblems, but at other times the issues caused by lower testosterone levels impact the daily sexual functioning of a man severely.

How are the symptoms of low testosterone in men diagnosed?

A simple blood test can identify and diagnose Low Testosterone levels that often cause a mans low t symptoms.

Low testosterone treatment options

Treatment options include low testosterone therapy or other hormone therapies and/or replacement. Physicians at American Male Medical work with each individual patient to identify and treat Low Testosterone when it is affecting your sexual health and overall vitality.

Testosterone Replacement Therapy

Testosterone replacement therapy can vary and can be in the form of tablets that dissolve under your lip, gels, patches, or injections. Each option has its own benefits, drawbacks, and side effects.

Injections: Some testosterone injections are given in the form of Depo-Testosterone and Delatestryl. The benefits of injectable testosterone are that it can be taken every other week or every two weeks. However, with injectable, the testosterone level may be hard to maintain equilibrium in the body as it may be too high when first injected and too low prior to the next injection.

Gels: AndroGel and Testim are two testosterone gels that allow a smooth therapy process and have shown to be effective in controlling testosterone levels. The testosterone gels are applied on the arms or shoulders at the same time every day. On the other hand, gels seem to be more costly and may irritate the skin or eyes.

Replacement Patch: Androderm is a transdermal patch applied every night and left on for 24 hours. The best places to apply the patch are areas of the skin with the least hair. Make sure you choose a different spot every night. Skin irritation is the only disadvantage to the Androderm patch.

Tablet: The tablet is placed under the upper lip against the gum and must be replaced every 12 hours. Eating and drinking are possible while the tablet is under the lip. Some drawbacks include bitter taste, gum irritation, and toothache.

Each testosterone replacement option has its own advantages and disadvantage, but long-term side-effects are likely with all testosterone replacement treatments:

Read the rest here:
Low testosterone symptoms | Effects of low testosterone

Recommendation and review posted by Alexandra Lee Anderson

Low Testosterone (Low T) Treatments –

What Is Testosterone?

Testosterone is a hormone that is necessary for proper muscular development and masculinity. Testosterone is made in the testes (testicles). Women also have testosterone, but in much smaller amounts than in men. If testosterone levels are below normal, a doctor may prescribe one of several types of treatments. However, there is debate about who needs to be treated.

Testosterone levels decrease as men age. Sometimes this lower level of testosterone is termed “andropause” or “male menopause.” Symptoms of male menopause may not be caused by low testosterone, but additional research is needed. Many men do not show any symptoms of decreasing levels of testosterone.

Although osteoporosis (brittle bone disease) is usually thought of as occurring mainly in women, the disease in men is commonly caused by low testosterone. Low testosterone levels can cause bones to thin, weaken, and become more likely to fracture.

Low testosterone doesn’t always interfere with sex, but it is possible. Some men with low testosterone may experience a drop in libido while others lose interest in sex completely. Low testosterone levels can make sex more difficult because it may be tougher to get or keep an erection. Low testosterone might not be the sole cause of low libido; stress, sleep deprivation, depression, and chronic medical illnesses can also alter a man’s sex drive.

Some of the changes that may occur with low testosterone are nonspecific symptoms such as easy irritability, mood changes, poor concentration, and feeling fatigued or having less energy. However, these symptoms may be caused by a condition other than low testosterone.

One of the many functions of testosterone is to help produce sperm. When testosterone levels are low, the “sperm count” can also be low. If the sperm count is very low, the man may not be able to father a child.

Although increased age is the most common cause of decreased testosterone levels in men, there can be other causes. Other common causes include:

You might need to be tested for low testosterone if you have erectile dysfunction (ED), a very low sex drive, low sperm count, loss of body hair, decrease of muscle mass, and osteoporosis. Conditions other than low testosterone could be the underlying cause of one’s symptoms. A doctor will want to rule out other conditions before diagnosing and treating low testosterone.

Tests for testosterone levels are done by sampling the blood early in the morning when levels of testosterone are highest. Your doctor may want to run a second test a few days later to check for consistency in testosterone levels measured. Normal testosterone levels range from about 300 to 1000 nanograms per deciliter (ng/dL), although some labs consider 200 ng/dL the cutoff for low testosterone. Your doctor will help interpret the tests for you.

If you are diagnosed with low testosterone, your primary care doctor may suggest you see a specialist such as an urologist or an endocrinologist. Not everyone with low testosterone will need or qualify for treatment. These specialists will help guide your treatment and design an approach to your low testosterone problem that is best for you.

Low testosterone treatment is designed to boost testosterone levels. Studies suggest this increase in testosterone can strengthen muscles, protect bones, and improve sex drive. Testosterone replacement therapy is only recommended for men who have blood levels that show low testosterone. Such treatments can have different effects from one man to another so it is difficult to predict the treatment outcomes for any one individual.

Testosterone injections are the least expensive form of testosterone treatment, but they can be painful. The shots are given about every 7 to 22 days and the body slowly absorbs the testosterone into the bloodstream. Injections can be given into the muscles or implanted as pellets. Testosterone levels can increase and then fall between shots.

Gel or patch treatments for low testosterone are placed directly on the skin. The hormone seeps out of the patch or gel and goes through the skin, and is slowly absorbed into the blood. Gels and patches are applied every day, and as a result, the level of testosterone remains fairly steady. A drawback to these treatments is they sometimes can cause itching, skin irritation, and blisters. In addition, women or children should not come in contact with skin that has been treated with a gel for 2 hours to avoid absorbing any testosterone.

Buccal patches are placed on the gums above the incisors (teeth) about every 12 hours and slowly release testosterone. They are not effective if swallowed. Buccal patches may cause a bitter taste, irritation to mouth tissues and gums, and may cause headaches. Fortunately, these side effects lessen over time. The patient can eat, drink, and kiss others while using buccal patches because they are not directly exposed to testosterone.

Although testosterone therapy has been tried in many individuals, the risks and benefits of this treatment over many years is still not known because such studies are still underway. Testosterone should not be given to men with untreated prostate cancer, untreated sleep apnea, or untreated breast cancer. In some men, testosterone therapy may need to be stopped if the risks outweigh the benefits.



2005-2017 WebMD, LLC. All rights reserved.

Read the original here:
Low Testosterone (Low T) Treatments –

Recommendation and review posted by Alexandra Lee Anderson

Erectile Dysfunction/Low T Men’s Health Georgia

Peyronies disease is an acquired inflammatory condition of the penis where a plaque (scar) develops under the skin of the penis leading to curvature, painful erections, and erectile dysfunction. The plaque consists of scar tissue that forms within the wall of the tissue called the tunica albuginea that surrounds the corpus cavernosum, which is the structure that fills with blood to create erections. When the plaque is large enough, it causes curvature of the penis that may be painful and may prevent intercourse. Also, the plaque may cause erections to be less rigid or difficult to maintain. Peyronies disease is common and may run in families, with an estimated 1% of all men having some degree of Peyronies disease.

The exact cause of Peyronies disease is unknown, but it is likely that a genetic predisposition to abnormal scar tissue formation is an underlying cause. In some men, Peyronies disease is caused by trauma to the penis, for example, sudden and painful bending during intercourse.. Peyronies disease can be associated with abnormal scar tissue formation in the plantar fascia of the foot (Ledderhoses disease), the eardrum (tympanosclerosis), or the palm of the hand (Dupuytrens contracture). Low testosterone, or hypogonadism, is also commonly seen in men with Peyronies disease, which may predispose to poor wound healing and inflammation.

Peyronies disease often begins with the sudden onset of curvature to the erect penis, which may be initially painful. Peyronies disease may present with the new onset of erectile dysfunction. You or your doctor may notice an abnormal hardening or calcification of the tissue below the skin along the shaft of your penis. The plaque commonly occurs on the upper side of the penis near the base, but can also form on the bottom or side of the penis. In some men, the plaque occurs around the entire penis. The condition is usually asymptomatic in the flaccid state.

During erection, there may be:

Ultrasound can be used to evaluate the size of the plaque, the degree of penile curvature and severity of associated erectile dysfunction. To perform this ultrasound study, medicine is injected into the penis to produce an erection (see attached). A painless ultrasound probe is used to determine the plaque volume, degree of curvature, arterial blood flow into the penis, and the ability of the veins to keep this blood from exiting the penis. This information is used to develop an individualized treatment plan.

A combination of oral medications and/or penile injections may improve the symptoms Peyronies Disease. A vacuum erection device (VED) may be beneficial to improve penile length or aid with erections if venous leak erectile dysfunction is detected on ultrasound. For a small percentage of men, the curvature can improve over time with or without treatment.

Oral Medications:

The following medications may alleviate some symptoms or slow the progression of Peyronies disease:

Penile Injections:

Injections of medication directly into the penile plaque are an option that may benefit some men. Traditional intralesional injection therapies include verapamil and interferon. Xiaflex, an intralesional injection therapy made from collagenase clostridium histolyticum, offers certain men a potential decrease in curvature and symptoms with a simple office procedure. Xiaflex is an option for men with stable Peyronies disease, intact erectile function, and a curvature between 30 and 90 degrees. Xiaflex consists of a series of one to four 2-day injection cycles in combination with modeling therapy (bending) by the clinician.

Surgical Repair:

Surgical treatment is typically reserved for men with a severe penile curvature or erectile dysfunction that prevents intercourse. The main goal of surgery is to straighten the penis enough to restore satisfactory sexual function.

Surgical procedures for men with severe curvature but preserved erection function may include:

Penile Prosthesis:

For men with Peyronies disease and erectile dysfunction not responsive to conservative treatment options, implantation of a penile prosthesis is the best option. A penile prosthesis completely cures the disorder by restoring sexual function, a straight penis, and ones confidence. Performed through a small hidden penoscrotal incision, a penile implant is invisible in your body while producing a completely natural erection and sexual experience. Sensation, orgasm, ejaculation, and urination are unaffected. The prosthesis has the highest success rate of all the treatments for Peyronies disease and erectile dysfunction, and over 90% of men and their partners have reported satisfaction after the procedure. There are two main types of penile prosthesis: inflatable and malleable. An inflatable penile prosthesis consists of 3 components that allows for a normal flaccid state, and then inflation through a scrotal pump produces a rigid state. A malleable penile prosthesis exists in a permanent semirigid state that bends downwards for dressing and bends upwards for sexual activity.


Peyronies Disease Management Dot Plication Surgical Management

Circumferential Peyronies Plaque Excision with Semirigid Penile Implant

Peyronies Disease

Read the original:
Erectile Dysfunction/Low T Men’s Health Georgia

Recommendation and review posted by Alexandra Lee Anderson

Low T – Testosterone Replacement Therapy – Ehormones

Low T is short for low testosterone a condition that affects most men as they age. Testosterone levels typically decline after the age of 30 and become more prevalent and symptomatic in men 40 and over. Low T causes older men to lose muscle, energy and motivation. It can affect a persons mood, making them irritable and more prone to depression often call grumpy old man syndrome. Low T is also a leading cause of sexual dysfunction in aging men, including a drop in libido and ability to get and maintain erections. Men also lose HGH, Human Growth Hormone, as they age and this to can be treated if necessary with Testosterone Replacement Therapy (or TRT).

Testosterone Replacement Therapy for men is becoming more and more common as men are increasingly aware of the potential benefits. Testosterone Replacement Therapy can help men improve their mental clarity and focus. Additional benefits include increased muscle mass, libido, and motivation, while decreasing central body fat. Symptoms of low testosterone and/or low HGH levels are common among men over the age of 30. EHormonesMD will develop an individualized and comprehensive treatment protocol to help you achieve the maximum benefits of Testosterone Replacement Therapy.

For men with decreased libido or those who have problems with erectile dysfunction, also known as impotence, Testosterone Replacement Therapy can be significantly beneficial. While many men as young as 30 require Testosterone Replacement Therapy to restore Testosterone levels, HRT is particularly beneficial for men over the age of 40, when testosterone levels may have reached a significant decline. YourEHormonesMDdoctor will be able to determine whether Testosterone Replacement Therapy can help you fight the issues of waning libido and/or erectile dysfunction, and remove the need for ED medications.

Low levels of testosterone can lead to decrease in muscle mass, an increase in body fat and result in a decrease of bone mass over time. Several men experience the inability to achieve results from their work outs, which is usually a direct result of having low testosterone levels. Testosterone Replacement can help to counteract these physical changes and, in fact, clinical studies have shown that Men can see a 10% to 15% increase in muscle mass and protein synthesis in as little as 2 to 3 months. While many physical changes are normal for men as they age, testosterone treatment can offer significant benefits for men when combined with a healthy diet and regular exercise routine.

While it might not sound obvious at first, Testosterone Replacement Therapy for men can actually help with some emotional problems that men experience as they age. Low Testosterone levels have shown to reduce self-confidence and motivation, which can have a negative impact on personal relationships and work results.. Feelings of sadness and depression, as well as the inability to concentrate on important tasks or remember important pieces of information are also common with decreased testosterone levels.

Be sure to contact one of our manyEHormonesMD locationsthroughout the US to take that first step at regaining your youth. Simply call or email us to schedule an appointment.

See the rest here:
Low T – Testosterone Replacement Therapy – Ehormones

Recommendation and review posted by Alexandra Lee Anderson

Buckeye PMR Low T – Do You Have Low Testosterone?!

Nationwide Leaders in Testosterone TherapyLow-cost testosterone replacement options

So what is Testosterone Replacement Therapy? If youre an aging man, chances are youve lost quite a bit of energy, experienced a drop in sexual potency or erectile dysfunction, put on a few extra pounds, and now you have to work even harder in the gym to maintain your natural weight. Theres a reason forthat and for most men it starts with a T. Were talking about the male hormone Testosterone.

By the time you hit 30, yourbody is already significantly behind in testosterone production. You see, by your mid-twenties, your testosterone levels begin to decline by about 1-2% a year. And, by 40, youve lost nearly half of your necessary growth hormones resulting in a common but often misunderstood condition called Andropause, Low T or Hypogonadism; precisely what we treat with various Testosterone Replacement Therapy options.

Men often mistake symptoms of andropause for a midlife crisis. Youve put on weight; your sexual desire has decreased and even worse, your sexual performance is suffering. To make yourself feel better, you may want to buy a flashy sports car, but in reality, the most likely solution to your problem is Testosterone Replacement Therapy.

Your testosterone levels have dropped resulting in increased body fat, depression, muscle loss, hair loss, and fatigue. These are not just symptoms of getting older. In fact, men as young as their twenties to thirties can experience low testosterone (Low T) symptoms. Before you seek medical treatment for depression and spend years on prescription medications, consider having your testosterone levels checked at Buckeye PMR.

Low testosterone is a serious condition that should not be ignored. In addition to the unpleasant symptoms we mentioned above, lower than normal testosterone levels have been clinically associated with an increased risk of heart disease, diabetes, and death.

Testosterone replacement therapy aids in circulation and improves blood vessel function, so its important to have enough of it to ensure healthy blood flow. There are a number of testosterone receptors in the heart, so a healthy testosterone level helps it function properly.

The additional testosterone that results from hormone replacement therapy also reduces the amount of certain unhealthy chemicals in the blood, including cholesterol, and improves a patients lipid profile, a beneficial cardiovascular effect.

Finally, the weight loss and improved physique that many men experience with hormone replacement therapy help to reduce the risk of heart disease and restore heart health.

Excerpt from:
Buckeye PMR Low T – Do You Have Low Testosterone?!

Recommendation and review posted by Alexandra Lee Anderson

Low Testosterone Treatment in St. Louis | Low T Revolution

Join TheLow T RevolutionToday10,000+ Satisfied Low T Patients in St. Louis

Hormone replacement therapy (HRT) for low testosterone (low t) may be a smart choice for you if you areexperiencing any of these symptoms:

These are often symptoms of low testosterone, also known as low t, and can be effectively treated naturally through hormone replacement.Typically, testosteronelevels are brought back to levels that are average for a 25-year-oldmale. When this happens, men feel more energetic, have a higher sex drive and bettersexual functioning, and, over time, develop a more youthful physique with less body fatand more muscle. These changes can be further enhanced by nutrition and exercise.

Low testosterone treatmentfor men has been studied extensively and has been found tobe a safe and effective way of improving quality of life in men with low testosteronelevels. The protocol followed by Low T Revolution is not guess work. You will be seen by a qualified physician and your visit will be very informative and efficient. We are a private conciergemedical practice with 20+ years of experience in this industry your care is our top priority.

Read the original:
Low Testosterone Treatment in St. Louis | Low T Revolution

Recommendation and review posted by Alexandra Lee Anderson

Center for Men | Tulsa Men’s Clinic | Tulsa Low T

Center for Men | Tulsa Men’s Clinic | Tulsa Low T

The symptoms of low testosterone may include fatigue, weight gain, reduced sex drive, decreased motivation and more.

Learn about the symptoms

Dealing with the symptoms of low testosterone can be frustrating. Have you ever wondered what causes it?

Learn about the causes

Studies show that if not managed properly, low testosterone may increase risk for diabetes and cardiovascular disease.

Learn about the risks

The CFM mission is to provide an improved quality of life for men suffering from symptoms of low testosterone.

Understand the statistics. Reduce the risk.

25 Percent Twenty five percent of men suffer from symptoms of low testosterone?

30 Minutes Thirty minutes is all it takes to find out what your testosterone levels are.

40 Percent Forty percent of men with high blood pressure also have low-t levels.

Get tested today. Its quick, easy, and painless!

Start Here

Originally posted here:
Center for Men | Tulsa Men’s Clinic | Tulsa Low T

Recommendation and review posted by Alexandra Lee Anderson

Low T Medical Clinic and Low Testosterone Therapy

Low Sex Drive? Hair Loss? Fatigue or Muscle Mass Loss?

You may suspect youre suffering from low testosterone.. Have you been researching treatment options? Do you want to connect with fellow low T patients?Low T Medical Clinic is exactly what you have been looking for!We have created an all-inclusive website that will help you with everything from diagnosing your condition to replenishing your hormone levels to connecting with other guys who have been through the same situation.

One of our main goals is to provide accurate, research-based information to men who are suffering from low testosterone. We educate men about the various symptoms of low testosterone. Well help you determine if these major life changes youre experience are based on fluctuating hormone levels.

We also hope to make you aware of the severity of your condition by highlighting the various health risks assoc. with low testosterone. Well also encourage you to find the best treatment option for your condition.

Another one of our priorities is to connect low T patients from across the globe with our online community and forum. No man should suffer in silence. Connect with other men who have low testosterone. Share your thoughts, experiences, fears, and concerns. Seek advice and suggestions from other low T patients and experienced medical professionals.

Not only does Low T Medical Clinic act as a top-notch resource center and online community, we also want to help you find the treatment option best suited to your condition. Well help you find local low T doctors who can provide a diagnosis and treatment plan.

If you have been suffering from low testosterone, it is time to take advantage of all Low T Medical Clinic has to offer.

Read the rest here:
Low T Medical Clinic and Low Testosterone Therapy

Recommendation and review posted by Alexandra Lee Anderson

Older men with ‘low T’ can improve their sex lives with testosterone therapy, study says – Men’s Fitness

We hate to say it, but low testosterone levels can have a slew of negative effects for older guys.

But even now there’s a scientific tug-of-war over testosterone-replacement therapy. Sure, it sounds greatwhat guy doesn’t want more of the “masculine hormone”?but risks of testosterone therapy can include the growth of pre-existing cancerous cells, testicular shrinkage, infertility, even heart attack or stroke, as one of our writers discovered.

The positives are just as extreme. Aside from increased strength and motivation, men can enjoy greater urinary health, better sexual function, and a higher quality of life, according to new research from Boston University Medical Center.

In the study, published in the Journal of Urology, researchersenrolled roughly 650 men in their 50s and 60s. Some of the men had unexplained testosterone deficiencies, while others suffered from genetic hypogonadism (when gonads fail to produce testosterone). About 360 men received testosterone therapy for eight years (the remaining didn’t).

What’s more, the men who underwent testosterone therapy enjoyed a significant bump in their urinary and sexual function (lower instance of erectile dysfunction, higher sex drive), as well as better quality of life (sunnier mood, higher confidence).

Another interesting detail: Two men in the treatment group died from causes unrelated to cardiovascular failure, while 21 in the non-treatment group died (19 deaths were cardiovascular-related). Those mortality rates suggested that testosterone therapy isn’t necessarily linked to a greater instance of heart attack or stroke, the researchers suggested.

“It is thought that testosterone treatment in men may increase prostate size and worsen lower urinary tract symptoms,” study author Abdulmaged Traish, Ph.D., said in a press release. Researchers discovered somemenhad larger prostates post-testosterone therapy, but they experienced fewer instances of frequent urination, incomplete bladder emptying, and waking at night to urinate.

“[Testosterone therapy] is well-tolerated with progressive and sustained improvement in urinary and sexual function, and overall improvement in quality of life,” Traish added.

Something to think about if your testosterone takes a hit one day and you want to fight manopause head-on.

Read more here:
Older men with ‘low T’ can improve their sex lives with testosterone therapy, study says – Men’s Fitness

Recommendation and review posted by Alexandra Lee Anderson