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Category : Testosterone Physicians

Men’s Health Chicago: Testosterone Replacement: Schaumburg …

Do you remember when your practitioner actually knew your face and remembered your name? WE DO!

At Mens Health Chicago, we are not your typical Internal medicine/adult primary care office. Since we designed our practice with a focus on mens health, we knew we had to provide our community and patients with a facility and team that was able to follow through instead of simply referring out and forgetting. At MHC we practice what we call Head coach medicine, meaning that our practitioners will stick with you from the beginning to the end and help call the plays instead of just handing you off and forgetting about you. We now offer in-house joint manipulation, and physical therapy along with other modalities to treat musculoskeletal injuries; this way your practitioner can constantly assess your progress and modify treatment plans real time; most offices refer out to a physical therapy facility and do not see the patient again until after the treatment is completed often resulting in excessive or sometimes insufficient treatment.


Our patients tell us that one of the things they love about our office is the personal attention and follow-up we provide. Even if we do have to refer you out to a specialist, we will ensure that we stay in the loop and help you understand the often confusing process of healthcare. The primary goal is the prevention and early detection of disease. With an experienced staff of medical professionals who specialize in internal medicine, Mens Health Chicago treats a range of illnesses and disease in all patients, with a focus on mens health and wellness.

Mens Health Chicago has four convenient locations in the loop downtown Chicago, Schaumburg, Naperville, and Barrington Illinois, that provide a friendly and relaxed environment designed to make patients feel as comfortable as possible. The team at Mens Health Chicago works with each patient individually to provide the most comprehensive care possible to manage, treat, and prevent illness, allowing patients to lead happy and healthy lives.

Among the many conditions the health care providers at Mens Health Chicago treat are:

As internists, the medical professionals at Mens Health Chicago understand how a mans body works as a whole, and they can identify and treat illnesses and diseases through a broad approach. By understanding how each component of the human body works together, Mens Health Chicago provides effective and lasting medical treatments- we strive to treat the cause of your condition, not just chase/suppress the symptoms.

To take charge of your health, call one of the three offices or book an appointment online.

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Men’s Health Chicago: Testosterone Replacement: Schaumburg …

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Testosterone Replacement – Medical Solution Center

What causes low testosterone?

Producing less testosterone in the body is often a natural byproduct of aging in men over 50. For those with low testosterone who are younger, hypogonadism is the most likely culprit. Testosterone production is a job of the testicles, so its also possible that injury may impair the creation of new testosterone.

Since testosterone is the chemical behind a mans sex drive, reduced drive is often the first noticeable symptom. However, low testosterone levels are linked to several other conditions affecting a mans health. While its not yet certain that low testosterone causes these conditions, there is a statistical relationship between low testosterone and the presence of:

Testosterone replacement therapy (TRT) is the most common treatment for low testosterone. Medical Solution Center not only does the lab work to diagnose low testosterone at their office, but they also offer testosterone supplements and injections.

Yes, there are several potential side effects, including:

Many of these side effects are temporary. They may end and even reverse when testosterone supplements end.

TRT therapy comes in many forms, including:

Oral testosterone isnt used for long-term replacement therapy, due to negative impact on liver health.

With topical testosterone products, care must be taken so that women or children dont come in contact with the gel. Such contact could create serious side effects in a woman or child, such as abnormal hair growth or premature puberty.

Generally, women wont benefit from testosterone, and there are no FDA-approved testosterone supplements for women. However, hormone replacement therapy (HRT) using estrogen, a female hormone, is one of the most effective treatments for many of the symptoms accompanying menopause. In some cases, adding testosterone to estrogen therapy improves overall effects of hormone supplements. This is particularly the case for women whose ovaries have been removed. Supplements for women are available at Medical Solution Center.

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Testosterone Replacement – Medical Solution Center

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Guide to Effective Testosterone Replacement Therapy Low T …

Testosterone replacement therapy has gained greater interest as a legitimate medical procedure as of late, due to it’s newly discovered benefits, both on physical health and increased quality of life.

The effects of testosterone can vary greatly; from increased energy and well-being, to greater muscle mass and sex drive, even improved cholesterol and cardiovascular profiles.

The administration of testosterone treatment is not as straight forward as many have been lead to believe. The male endocrine system requires a delicate balance to effectively manage side effects.

One needs to be aware, not only of testosterone but it’s interaction with estrogen and LH (luteinizing hormone) as well, to operate at peak performance.

Following the above best practices will help accentuate the positives of treatment while minimizing testosterone’s side effects.

Unfortunately most of the hormone’s demonization has been spurred on by ignorance and false claims from not so well meaning political groups and associated sports governing bodies.

However, the side effects of testosterone many men experience, generally comes from the mismanagement of it’s main metabolites; namely estradiol and DHT (dihydrotestosterone).

Androgel, Testim, and their associated compounded testosterone gels and creams have lately become an increasingly popular method to treat andropause.

However they come with both their supporters and detractors. Some championing their positives; ease of use (a doctor isn’t needed for administration), and short half-life which more closely mimics the body’s natural production.

Others harp on their unreliable results (absorbtion problems in some), patient compliance (may be sticky, stinky, with a worry of transferance to women and children), and expense (may be up to 4 to 5 times higher than other preparations).

Testosterone injections are currently the most reliable, efficient, and inexpensive method to administer replacement therapy.

Although as you can imagine, poking yourself with a needle isn’t exactly a positive selling point when trying to market to a large audience.

HCG injections are a common adjunct to testosterone replacement therapy among males. When combined with testosterone and estrogen control (aromatase inhibitor) as described in the testosterone trifecta plan, it can help maintain long term fertility and hormonal balance.

Testosterone pellets are marketed mainly under the brand name Testopel. I’m not much of a fan, as they’ve basically become a dated and inefficient means to increase testosterone levels.

However they have their fair share of supporters due to their infrequenct administration periods (up to 6 months) and may be inserted as a quick procedure by your physician.

Many men aren’t aware of a little known side effect, occuring in a small minority of men, after completing a vasectomy. The problem is that some men may experience an odd autoimmune side effect, which often can result in hypogonadism.

Your body’s immune system literally mistakes your gonads/testicles as foreign material and sets off to destroy the “offending” tissue.

If you’ve had the procedure and wondering why you’ve been feeling off or are considering a vasectomy in the future, it’s best you be aware of all the pros and cons before deciding on future treatment.

A place to ask questions on the finer points of testosterone replacement therapy.

From what kind of needle to use, whether to cycle your doses, to new and exciting developments in andropause research.

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Guide to Effective Testosterone Replacement Therapy Low T …

Recommendation and review posted by Alexandra Lee Anderson

Men’s T-Clinic: Testosterone Replacement: Dallas & Houston, TX

The founders of Mens T-Clinic, withseven convenient Texas locations Dallas, Frisco, The Colony, Houston, Cypress, Pearland, and Pasadena understand firsthand how devastating low testosterone can be. Founded by men afflicted with hypogonadism (commonly known as low testosterone, or Low T), the clinic has developed a thorough testosterone replacement therapy program for fast and effective relief. The founders established the Men’s T-Clinic with three objectives in mind:

The Mens T-Clinic team understands the debilitating effects Low T can have on everyday life. For years, these men went untreated or were misdiagnosed and treated for symptoms instead of the underlying cause. After trying several different treatments and doctors, each found best results with regular therapy.

The outcomes for these men have been nothing short of phenomenal. All have seen an increase in physical and mental drive, better moods, increased libido, and a decrease in belly fat. Men’s T-Clinic set out on a mission to improve men’s health by establishing conveniently located clinics with no appointment necessary to provide therapy.

They offer multiple treatment options to suit the patient, not the drug companies. Treatment can range from injection therapy to pharmaceutical gels and creams. You can begin on your first visit, and therapy is covered by most insurance plans.

The motto at Mens T-Clinic is “Get back to being you.”

Dr. Salvatore Campo directs the treatment plans at Men’s T-Clinic. Dr. Campo has more than two decades of treating hypogonadism for men of all ages. If you suspect that you suffer from hypogonadism and want relief, call one of the Mens T-Clinics convenient locations or schedule an appointment online today.

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Men’s T-Clinic: Testosterone Replacement: Dallas & Houston, TX

Recommendation and review posted by Alexandra Lee Anderson

Natural Alternatives to Testosterone Replacement Therapy …

Testosterone, touted as the manly hormone, is the most powerful androgen. Androgens are a group of steroid hormones whose name fittingly is derived from the Greek word for man-maker.

Testosterone is well-known for its role in muscle growth, male pattern hair growth, and plays a role in erection and sexual performance. It is also necessary for maintaining optimal bone density, a healthy pain response, regular sleep patterns, optimal energy levels, and red blood cell production. While the effects testosterone has on male behavior are not completely understood, it plays a role in energy levels, aggressiveness, and is necessary for sex drive.

As men age, testosterone levels typically decline. Low T is the term used when testosterone levels are low. While some experts believe that testosterone levels naturally decrease at a rate of 1 percent a year after age 40, there is recent research indicating that the decline in testosterone may be the result (not the cause) of deteriorating general health.

Some signs of Low T include decreased libido, shrinking testicles, reduced facial hair, osteoporosis, weight gain, hot flashes/night sweats, sleep issues, infertility, fatigue/decreased energy, muscle loss, depression, poor memory/lack of focus, and anemia.

It is evident that testosterone benefits the body in a plethora of ways and is necessary for optimal functioning. (While we are focusing on mens health, testosterone is an important hormone for womens health as well!) Luckily, there exist a vast variety of ways to increase testosterone levels in the body. There are both natural means as well as pharmaceutical testosterone therapy. Learning about these different testosterone-boosting methods will help you make an informed choice for yourself or your loved ones.

Chances are you have seen commercials by the pharmaceutical industry promoting the use of testosterone replacement therapies, urging men to ask their doctors if they have possible signs of testosterone deficiency. FDA regulations allow for this pharmaceutical marketing (the US is one of only four nations that allows direct-to-consumer advertising).

According to Dr. Michael OLeary, a urologist at Harvard, Virtually everybody asks about this now because the direct-to-consumer marketing is so aggressive. Tons of men who would never have asked me about it before started to do so when they saw ads that say, Do you feel tired? Dr. OLeary states that being tired is low on his list when it comes to prescribing testosterone replacement therapy. If a client has significant low T symptoms, Dr. OLeary always performs a lab test- even then, most of the men who come to him have normal testosterone levels.

When men do have testosterone levels below the normal range, they usually end up on long-term testosterone replacement therapy. Dr. Carl Pallais, an endocrinologist at Harvard, agrees with Dr. OLeary in that the marketing of testosterone therapy has put men in the position of being informed of the benefits of testosterone therapy, without sufficient knowledge of its potential risks. He believes that men need to be more mindful of the long-term consequences. According to Dr. OLeary, the body stops making testosterone while on treatment, making it hard to stop taking it. Along with other experts, he airs on the side of caution, weary that the risks of testosterone replacement therapy add up over time.

According to Dr. OLeary, Men can often feel a big difference when they stop therapy because their bodys testosterone production has not yet recovered. This wouldnt matter so much if we were sure that long-term hormone therapy is safe. He refers to the treatment as a testosterone trap: men often feel better when they start treatment, but then there are side effects (dependency being a major one).

While most men feel better at the start of treatment, there are some who experience immediate side-effects, including acne, sleep apnea, breast swelling/tenderness, and swelling in the lower extremities. While on treatment, doctors monitor red blood cell counts, as increased counts could contribute to the risk of blood clots.

Unfortunately, the long-term effects of testosterone replacement are vague, as there has yet to be a large, definitive trail for testosterone therapy. The current research shows that men on testosterone treatment long-term have heightened risks of cardiovascular issues, including heart attacks, strokes, and death from heart disease. According to Dr. Pallais, the cardiac side effects are more immediate in older men.

While the evidence is mixed, and more research is needed for clarification, some experts worry that testosterone therapy could stimulate the growth of prostate cancer cells. Many experts believe that testosterone therapy should only be used by men with hypogonadism (except those with a history of breast or prostate cancer) or those enrolled in highly monitored clinical trials. Hypogonadism is a medical condition in which the testes stop producing and releasing adequate amounts of sex steroids (testosterone) and sperm. Hypogonadism can be congenital or acquired. It is most commonly acquired in late adulthood, presenting with co-morbidities including metabolic syndrome, obesity, and type 2 diabetes. Many physicians agree that low testosterone is often a sign of overall poor healththere are a handful of small studies displaying that lifestyle interventions can improve testosterone levels.

One expert in functional medicine, brings to light that other forms of hormone treatment have a history of dangerous side effects. For example, estrogen therapy has been linked to increased risk for breast cancer, and other synthetic hormone treatments have been shown to lower HDL cholesterol and increase the risk of stroke. With this in mind, this doctor recommends avoiding synthetic hormone treatment if possible.

The cost of testosterone replacement therapy will vary, depending upon your health insurance coverage. If you have insurance, there is typically a monthly co-pay ranging from $30-100 dollars. If paying out of pocket, you may pay upwards of 600 dollars per month, taking into account the blood tests and doctor visits needed to monitor your testosterone levels.

One doctor recommends intermittent fasting as a top lifestyle change for increasing natural testosterone. Intermittent fasting is a practice in which one eats all of their food within a smaller timeframe- leaving at least 12 hours between your last and first meal of the day. This gives the body a chance to digest, rest and balance. In fact, it has been shown that this practice can increase testosterone by up to 200 and even 400 percent. A study at the University of Virginia Medical School revealed that human growth hormone also increased, which is a hormone associated with increased T levels.

Lifting weights and working out are great ways to naturally increase testosterone production. In particular, HIIT (High-Intensity Interval Training) has been proven helpful in weight loss.

De-stress.Chronic stress means excess cortisol (the stress hormone). The bodys response to cortisol is initially to increase testosterone production, yet the body cannot keep up. A 2010 study published in the journal, Hormones and Behavior, revealed that testosterone levels bottom out after the initial increasein fact, testosterone levels become lower than they were prior to the cortisol spike.

Vitamin D3 is an important nutrient that boosts testosterone levels. Studies have shown that it can increase testosterone in men up to 30 percent. Spending 20-30 minutes in the sun is a great way to obtain vitamin D.

Decrease your sugar intake.Excess sugar intake puts you at risk for the co-morbidities associated with low T. When your sugar intake is increased, your body needs to produce more insulin to balance your blood sugar. Excess insulin overtime leads to insulin resistance, a condition in which your bodys cells no longer respond to insulin- this causes type II diabetes. People with type II diabetes are twice as likely to develop low T. Limiting your sugar levels can help your body to naturally balance your hormones.

Get your ZZZs.One doctor sites a study in which getting enough sleep (an average of 7 hours) and at the right time (sleeping between 10 pm to 2 am) is considered the most effective way to naturally raise testosterone levels. Our bodys circadian rhythms play a key role in overall hormonal balance. Getting enough sleep is also important for balanced weight maintenance.

Tongkat Ali is also referred to as Malaysian Ginseng. It is an ancient herb with traditional use as an anti-aging remedy. In modern times it is used as an adaptogen and is well-regarded for its ability to improve libido, energy, athletic performance and weight loss. In fact, it may be one of the most effective herbs for increasing free testosterone levels in the body!

Nettle Root Extracthas long been appreciated as a nourishing tonic it is touted as being high in minerals. The nettle root is particularly indicated for male hormone and prostate health. Studies show that nettle root can inhibit sex-binding globules from binding to testosterone, resulting in higher levels of free testosterone in the body. Nettle root has also been shown to support overall urinary tract and prostate health. It both nourishes and tones the male reproductive tract. Nettle root also has anti-inflammatory effects and has been shown to decrease swelling of the prostatewhich can result in enhanced sexual satisfaction.

Pine Pollen is known for supporting male health and has been used in TCM for thousands of years. Pine Pollen is known for containing phyto-androgens (including testosterone), which is fitting as it is the male spore of the pine tree after all! Experts believe that the structure of these phyto-androgens allows them to work similarly to the bodys own hormones in an adaptogenic way. As a hormonal balancer, pine pollen can also support liver health and detoxification. It is also high in phytonutrients and antioxidants!

Ashwagandha is considered an adaptogen and has long been appreciated as a hormonal balancing herb in Ayurveda. It has been shown to reduce cortisol levels in the body and increases blood flow to the sexual organs. Taking this herb in a spagyric form also means that there are more minerals than a typical Ashwagandha tincture, due to the enhanced processing technique.

Black Maca has long been used as a remedy for sexual dysfunction and infertility. It is not a surprise that it is often used as an aphrodisiac. Maca is a tuber, which is filled with phytonutrients, including zinc and other important micronutrients. It can help build bone density, muscle, and is also touted for increasing energy. The powder is tasty too! It can easily be added to smoothies.

As you can see, when it comes to testosterone there are a plethora of lifestyle, dietary and herbal supports. Working with your body naturally can help increase your testosterone without being subject to a long list of side-effects. Your testosterone levels are important to your health and wellbeing. The way in which you choose to increase your testosterone levels has an impact on your overall health and wellbeing as well, so take the time to make the choice that is right for you.


Corona, Giovanni, et al. Advances in Pediatrics. Aug. 2017. Retrieved from:

Gilbert, Brandon. Mens Sexual Health: The Power of Nettle Root. Retrieved from:

Hackett, Geoffrey. Advances in Pediatrics. Apr. 2016. Retrieved from:

Is Testosterone Therapy Safe? Take a Breath before You Take the Plunge. Retrieved from:

Testosterone Replacement: A Cautionary Tale Harvard Health. Retrieved from:

Older Age Does Not Cause Testosterone Levels to Decline in Healthy Men. ScienceDaily.2011 June 07. Retrieved from:

Talbott, Shawn M, et al. Advances in Pediatrics. 2013. Retrieved from:

Erin Henry

The complexity and connection in nature inspire Erins study of herbalism. She is fascinated by the healing capacity of the body. Spending good time in the woods and her garden brings her joy. You can read more about her journey with herbalism at:

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Natural Alternatives to Testosterone Replacement Therapy …

Recommendation and review posted by Alexandra Lee Anderson

Natural Testosterone Pellets | Testosterone Replacement …

BioTE Medical offers natural testosterone pellets for men and women. Learn more about our products and then Find a Provider to get started today.

Testosterone is a hormone naturally found inside both men and women that is responsible for many different critical body processes. Testosterone is produced in the testes and ovaries. Deficiency occurs as the body ages but suffering from the side effects of this is no longer unavoidable.

BioTE Medical provides bio-identical hormone replacement therapy in the form of pellets. Other forms of testosterone are tablets taken by mouth, tablets placed in the cheek and left to dissolve, muscle injections, patches applied to skin or as a gel. The forms of testosterone that do not release a consistent dosing may provide patients with inconsistent treatment or in the case of patches, short term consistent treatment. Pellets are the only form of testosterone replacement therapy that provides consistent dosing over a period of up to six months. This simple solution to testosterone supplementation has provided lifechanging results for BioTE Medical patients.

BHRT, or bio-identical hormone replacement therapy, uses hormones that most closely represent the ones found in the human body. The term bio-identical refers to how the hormones used in BHRT have a similar molecular structure to the ones found naturally. BHRT uses hormones from plant based sources rather than the animal based sources found in synthetic hormones.

Testosterone pellets are powdered testosterone fused together into a pellet using stearic acid and no chemical binders. The compound pharmacies used provide high-quality pellets, with ingredients that are tested. This testing process gives pharmacists, doctors and patients confidence that only the best pellets are being administered to our patients.

Testosterone pellets are intended to treat a wide range of reproductive, emotional and nonreproductive conditions. Some of these include low energy, chronic exhaustion, sexual dysfunction, mood swings, irritability and many others. How can I get started with testosterone pellet therapy? Do you suffer from any of the conditions listed above? Get started with testosterone pellet therapy by finding your local BioTE Medical provider on our Find a Provider page.

BioTE Medical only offers bio-identical hormone replacement therapy in the form of subcutaneous pellets and with over million insertions performed in the companys history, we have seen many lives changed with optimized hormones. If any of the hormone imbalance symptoms mentioned above ring a bell for you, or remind you of someone you love, BioTE Medical encourages you to use our Find a Provider tool or to nominate your provider to begin your journey to wellness today.

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Natural Testosterone Pellets | Testosterone Replacement …

Recommendation and review posted by Alexandra Lee Anderson

Testosterone Replacement Therapy | Phoenix | Scottsdale

Testosterone Replacement Therapy | Phoenix | Scottsdale

Testosterone is a steroid hormone naturally made by the body. Testosterone helps maintain reproductive tissues, stimulate sperm production, stimulate and maintain sexual function, increase muscle mass, and maintain bone strength. The proper amount of testosterone in your body is vital to your overall sense of well-being. Too little testosterone can lead to several health and wellness issues while a balanced hormone level can help you rediscover youthful vitality.

Do you have the following symptoms?

Testosterone Replacement Therapy

If you answered yes to at least 3 items above, you may be suffering from low testosterone. An easy blood test and confirm the testosterone levels in your body. If you do suffer from low testosterone Camelback Health Care provides treatment to increase your testosterone level and help you feel years younger. To schedule a consultation contact us at (602)368-5861.

This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your family please contact Camelback Health Care. Camelback Health Care is a family medical practice providing pro-active health care for the entire family, allergy testing and treatment, cosmetic skin and laser services, medically managed weight loss, and bio-identical hormone replacement therapy. Conveniently located on Camelback Road, Camelback Health Care is easily accessible from Phoenix, Paradise Valley, Scottsdale, and Tempe.

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Testosterone Replacement Therapy | Phoenix | Scottsdale

Recommendation and review posted by Alexandra Lee Anderson

Testosterone Replacement Therapy Cost –

Low T Treatment, also known as Testosterone replacement therapy or TRT, has become a much more common treatment for both men and women in recent years.

Because of this, options for treatment of Low T have also grown, but what can one expect testosterone replacement therapy to cost?

Most of the testosterone replacement therapy cost is covered by insurance, and affordable cash plans are also available.

Your choices are numerous, and Low T clinics and centers seem to be everywhere.

However, not all treatments and clinics are created equal. When we say that we are Setting the Standard, we are stating that we are committed to giving you the highest quality of care.

This goes beyond the standard testosterone replacement therapy cost beyond the mere dollar amount. The value of that is substantial, and it is something you will see once you meet with our dedicated providers.

At Testosterone Centers of Texas we will always work hard to provide superior service that places solid patient care atop a long list of priorities that keep our standards high.

With TCT, you receive personalized care that improves your quality of life without sacrificing your overall healthand you receive all of this in an efficient and streamlined manner.

We believe that men and women who suffer from the symptoms of Low T should expect a high level of care and expertise alongside affordability of treatment.

Consultations for prospective patients are free!

You can call or come by at any time to speak with one of our knowledgeable providers about your symptoms and whether or not TRT might be right for youjust click here to set up a free consultation.

To make sure that men and women who need treatment can get treatmentand not avoid contacting us because of a potentially high testosterone replacement therapy cost we do accept insurance, and we also have an affordable cash plan.

If you expect testosterone replacement therapy to cost a lot, you might be in for a surprise.

For insured patients, your benefits can be verified before your first visit and your pricing will be dependent upon your individual plan.

For those patients paying out-of-pocket, we offer an initialevaluation of total and free testosterone for just $25.

If you decide that the testosterone replacement therapy cost is outweighed by all the benefits of feeling like yourself again, and you want to proceed with treatment, the cost of the initial evaluation is applied to the month-to-month cash fee of $299/month, and this pricing covers visits, injections, and in-house labs.

Contact us today to schedule your free consultation!

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Testosterone Replacement Therapy Cost –

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What you should know about testosterone replacement therapy

Bryant Stamford, Special to Courier Journal Published 6:49 a.m. ET May 17, 2018 | Updated 6:50 a.m. ET May 17, 2018

A study suggests that exercise can reduce the risk of heart damage for middle-aged adults and seniors. According to the study, even those who are obese will benefit from physical activity. Wochit

Senior man working in a greenhouse(Photo: Alistair Berg, Getty Images)

Millions of middle age and older men feel themselves slowing down and they wonder, is it simply age or is it something more, like a low testosterone level? If your testosterone is low, is testosterone replacement therapythe answer?

This seems like a simple question. Unfortunately, its not. The diagnosis process is challenging, plus there is the issue of safety. Yes, TRT can downplay symptoms, but at the same time can it be harmful? Lets take a look.

Testosterone is responsible for governing many important functions in the male body. Production typically peaks in early adulthood, then declines at the rate of about 1 percent per year from about age 35. As testosterone production in the testicles declines, muscle and bone mass are lost and body fat increases around the midsection. Red blood cell production may decline, along with a drop in libidoand sperm production, plus erectile dysfunction. When testosterone drops substantially, there can be disruption of sleep and increased lethargy throughout the day, depressed moods, lack of motivation, poor concentration and loss of memory.

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These symptoms become more obvious as testosterone levels go lower and lower. This raises the question: Is it time for TRT? That depends. How many symptoms do you have (very few men will have all of them)? Beyond that, how severe are the symptoms and how persistent? Next, how low is your testosterone level?

Testing for testosterone levels in the blood and using results for a diagnosis is not as straightforward as it might seem. Results can vary for a number of reasons, and its best to conduct tests on more than one day. But its more complicated than that because testosterone circulates in the bloodstream in three forms.

First is free testosterone that is readily available for use by the body. Second is testosterone loosely bound to albumin (a protein in the blood) which can be used but is not as immediately available as free testosterone. And third, most of the testosterone is bound tightly to another protein, sex hormone binding globulin (SHBG). Testosterone bound to SHBG is not available, but it is important because it regulates the amount of free testosterone in the blood.

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Doctors use two tests. One is for total testosterone, and the other is for free testosterone. Total testosterone includes all testosterone (free testosterone as well as all the testosterone bound to the two proteins in the blood, albumin and SHBG). As to which test is more useful and reliable, some experts believe free testosterone is the better indicator of clinical status. Unfortunately, this is not true for all patients. Also, some experts contend that free testosterone results can vary too much from day to day.

Another problem is, you can have symptoms of low testosterone even though your free and total testosterone levels are in the normal range. Whats more, although symptoms become more likely with decreasing levels of testosterone, according to the Endocrine Society of the United States, there is no clear-cut testosterone threshold that can be reliably applied to all patients.

Obviously, getting an accurate diagnosis and deciding whether or not TRT is right for you is complicated. For that reason, experts urge working with an experienced physician who fully understands the complexities associated the issues and with testosterone tests. I have found that seeing a urologist is a good way to go. Since folks always ask me, let me put in a plug for my urologist, Dr. Greg Steinbock. Hes really on top of things, plus hes a good listener and communicator.

Overall, its very important that your doctor sees the big picture, because its possible that symptoms are caused by something other than low testosterone levels. For example, obesity and being sedentary may be the root cause of lack of energy, a low libido and other symptoms.

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There is no one right approach to obtaining an accurate diagnosis and subsequent treatment, but some experts suggest assessing the impact of a trial dose of TRT for three to six months. In other words, the patient is closely monitored while taking a low dose of testosterone to see if it alleviates symptoms. One problem with this is the potential for a placebo effect, feeling better because you know you are being treated, but this usually doesnt last long.

The bottom line is, unlike prescribing medications for high blood pressure or high cholesterol, your doctor may be hesitant to have you quickly jump on board and start TRT. Instead, smart money says take a cautious approach and cover all the bases before proceeding.

Next week I will discuss potential health risks and benefits associated with TRT, and alternative treatments for low testosterone levels.

Reach Bryant Stamford, a professor of kinesiology and integrative physiology at Hanover College, at

Body Shop: For two readers, our health columnist may have had a life-changing impact

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What you should know about testosterone replacement therapy

Recommendation and review posted by Alexandra Lee Anderson

Testosterone Injections: Are They Right for You?

Testosterone is a male steroid hormone that does a lot more for men than just promote a healthy sex drive. The hormone affects several other factors in your health, including body fat, muscle mass, bone density, red blood cell count, and mood.

Normal testosterone levels are between 300 and 1,000 ng/dL. If a blood test shows that your levels are far below the norm, your doctor may suggest testosterone injections. These are a form treatment called testosterone replacement therapy.

Testosterone injections are most often given by your doctor. The injection site is typically in the gluteal muscles in the buttocks. However, your doctor may allow you to self-administer the injections. In that case, the injection site would be in your thigh muscles.

Men naturally start losing some of their testosterone when they hit their 30s or 40s. A more rapid decline in testosterone levels may indicate a problem called low testosterone (low T). Common symptoms of low T include:

Some men may also have changes in the size of their penis and testicles. Others may have breast swelling.

Some men may want to diagnose themselves with low T. The problem with self-diagnosis is that many of the symptoms of low T are normal parts of aging, so using them for diagnosis isnt reliable. A doctor-ordered testosterone level test is the only way to find out if your testosterone levels are too low.

When you see your doctor, they will take a thorough health history and do a physical exam. In addition to a blood test to measure your testosterone levels, youll also likely have a test that measures your red blood cell count. Testosterone injections can increase your red blood cell count, so this test is done to make sure you arent at risk of a dangerous increase in these cells.

If your exam and tests reveal that you have low T, your doctor may suggest testosterone injections.

The purpose of testosterone injections is to help regulate male hormone levels to help address problems related to low T. For men with low T, the benefits of these injections can include:

Men generally have less body fat than women. This is partly related to testosterone, which regulates fat distribution and muscle maintenance in your body. With low T, youll likely notice an increase in body fat, especially around your midsection.

Your hormones also help regulate muscle growth. So, with low T, you may feel like youre losing muscle size or strength. However, this only occurs if your low T is prolonged and severe.

Testosterone shots can help regulate fat distribution, but you shouldnt expect significant weight changes from hormone therapy alone. As for muscle maintenance, testosterone therapy has been found to help increase muscle mass, but not strength.

Low sperm count is a common side effect of low T. This problem can make it difficult if you and your partner are trying to get pregnant. However, if low T is to blame for problems with conception, dont count on testosterone injections to help. Testosterone therapy can itself lead to reduced sperm counts, especially at high doses.

According to, the cost of 1 mL (200 mg/mL) of Depo-Testosterone is about $30. The same amount of testosterone cypionate, the generic version of that drug, runs about $12$26. The Depo-Testosterone label states that shots should be given every two to four weeks. Considering that dosage varies by patient, the cost could run anywhere from less than $24 per month to more than $120 per month.

These estimates only cover the drug itself, and not all possible costs of treatment. For instance, if you receive the injections from your doctor, theres a cost for the office visits. This is in addition to the cost of office visits for monitoring, as your doctor will likely monitor your condition carefully to check for side effects and to make sure the injections are working properly. If you give yourself the injections, you may also need to buy needles and syringes.

Testosterone therapy doesnt cure the cause of low T, it just raises testosterone levels up to a normal range. Therefore, injections could be a lifelong treatment if you continue to need them.

Some insurance companies cover portions of the costs, but youll want to check your coverage in advance. If you have questions about the costs, talk to your doctor.

Testosterone shots can help many men with low T. Still, this doesnt mean that these powerful injections are safe for all men. Be sure to tell your doctor about all health conditions you have before starting testosterone therapy.

You will likely need extra monitoring from your doctor if you have heart disease, sleep apnea, or a high red blood cell count. And you should not use testosterone injections at all if you have breast cancer or prostate cancer.

Testosterone shots may also increase your risk of certain health problems, such as:

Testosterone injections can be helpful, but only if you actually have low T. If youre wondering if these injections might be right for you, talk to your doctor. They can test you for low T. If they diagnose you, you can discuss whether these injections would be a good choice for you.

If you dont end up having low T but still feel like your hormone levels might be off, keep in mind that good nutrition, regular exercise, and avoiding smoking could help you feel better. If those dont help, be sure to talk to your doctor.

Testosterone Injections: Are They Right for You?

Recommendation and review posted by Alexandra Lee Anderson