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Category : Low T

Homeless with HIV: A place to heal becomes a matter of life or death – OregonLive

This is the second part of a two-part series about the rise in HIV among homeless people. The first part examines how the public and private health systems must adapt after being caught unprepared to deal with the challenges of this outbreak.

James Macht sat in emergency rooms five or six times over the summer, wasting away. Lanky on his best day, the 6-feet-2 man continued to drop weight until he hit 115 pounds, suffering from poor nutrition and uncontrollable diarrhea caused by his HIV.

Then on Aug. 14, OHSU Hospital finally admitted him with a fungal infection on his arm, bronchitis and norovirus, which he suspects he picked up sleeping in Portlands crowded homeless shelters.

Machts T-cell count, an indicator of how strong the immune system is, was in the single digits. A healthy count is 400 or higher.

Macht is among the thousands of homeless people nationwide who make up a recent spike of HIV cases. The Portland area is one of the hardest hit by this new front of HIV transmissions, surging among intravenous drug users and their sexual partners. In Multnomah County, 71 people were diagnosed with HIV this year, nearly doubling the number reported in that population in 2016 and 2017 combined.

The outbreak is increasingly difficult to contain because of people like Macht, who languish while trying to find the stable housing they need to help them effectively treat their HIV.

In the Portland area, social workers and health care providers are rushing to adapt to the challenges of finding homeless people and helping them get on medication. Its a race against time to prevent the virus from spreading -- and to keep those infected alive.

But they find, for homeless patients like Macht, it can be impossible to take a daily pill when each day is a trial to survive.

Thats what haunted Macht during his three months at OHSU, as he slowly gained weight until he reached 150 pounds. He knew decades of untreated HIV had ravaged his immune system to the point that a lack of good food and proper hygiene, and exposure to the Pacific Northwests wet winter would likely lead back to the ER or worse.

But his options looked grim: he could enter a nursing home at the age of 41, hold out hope for a permanent home to come through, or be discharged back to the street.

I know I cant stay here forever, he said as he tried to balance his fifth cup of coffee for the day with shaky hands. I dont know what to do when I walk out of the hospital, man. Im not going to make it through another winter out there.

HIV led to the street

Macht contracted HIV from an ex-girlfriend who used intravenous drugs.

At the time, he didnt know she had HIV hes not even sure she did. By the time hed tracked her down after his diagnosis, she was already dead.

Macht, who says he has never done intravenous drugs, was confused when he started to feel tired all the time. Hed sleep 10 hours straight only to wake up exhausted again. He constantly came down with respiratory and other infections. Thinking it was something minor, he kept his job as a traveling salesman and was in Texas by the time of his fourth hospital visit for mysterious symptoms, which he later learned was a rare type of pneumonia.

His virus had torn into his body for so long that the white blood cells the virus targets T-cells -- had dropped hundreds of points below a healthy average. Macht asked his doctor what this pneumonia meant for him, but he said the doctor clapped him on the shoulder and said, Dont worry about it. You have AIDS. Then walked out.

At first, he just lay in bed for hours paralyzed with despair. He was told he had seven years left. At most. Still, he resumed his job, hoping he could at least keep busy. He was knocking on doors in Portland selling cleaning solutions when he again became too sick to work.

Macht checked into the hospital and by the time he was released a month later, hed lost his job because he couldnt keep up with the schedule. He returned to a motel until his money ran out and then ended up on Portlands streets.

There, Macht became one of a growing number of homeless people on the West Coast who then find that HIV becomes yet another barrier to access stable housing and in turn, whose lack of stable housing tends to make them sicker.

Portland, like most places, doesnt provide a special path to homeless services for people with HIV. Federal studies have found that the number of homeless people with HIV rose from more than 7% to 9% between 2015 and 2017, the first three years of a five-year plan for health agencies across the country sought to reduce it to 5%. The percentage continues to grow. Thats alarming because data also shows that people who dont have homes are less likely to see a doctor regularly and even less likely to achieve good health if they are in treatment.

But no matter how sick and immobile Macht and people in his position become, they have to produce the same paperwork, show up to the same offices and stand in the same lines as everyone else who needs a place to live.

James Macht meets with Mary Tegger, a physician's assistant at the Multnomah County HIV Clinic in downtown Portland. November 12, 2019 Beth Nakamura/Staff

Hard to stay healthy

AIDS used to be a death sentence. But as the decades have passed, medication has become so effective that the line between HIV and AIDS is largely a measure of temporary severity. Someone with a T-cell count below 200 is considered to have AIDS.

People who are on regular medication, though, dont stay that low for long. And if they do, they can still be healthier with a low T-cell count than someone with a higher T-cell count who is untreated.

HIV medication today is also simpler than ever. The standard is similar to birth control one pill a day at a similar time. And it can deliver such a high efficacy rate that someone can render their virus undetectable because there is so little virus in their bloodstream.

Thats a huge improvement in quality of life for people who feel that their HIV status isolates them from friendships or romantic relationships.

Like many people living on the street, however, Macht will never be able to manage his HIV like that.

Hopelessness or defiance has led him to resist treatment at times, which gave the virus an opportunity to take hold. Even when he has tried to take his medication consistently, it was been stolen while he stayed in shelters by people who thought the bottles held opiates or other pills that could produce a high.

Before landing in the hospital most recently, Macht said his medication had been stolen four times in a few months. That can make it impossible to stay on track, as most insurance plans will only pay to replace stolen medications about three times.

James Macht woke up feeling alone in the world, he said. The Portland resident, who has AIDS, says he's had an on again, off again relationship with his most recent girlfriend. November 5, 2019 Beth Nakamura/Staff

Treatment hard without housing

Macht is treated at the publicly funded Multnomah County HIV Clinic in Northwest Portland. The clinic is one of several that receives federal dollars to be innovative and meet more than just patients medical needs.

About 20% of the clinics 1,400 patients are homeless or, like Macht, are in and out of housing, said social worker and grant manager Emily Borke.

When an insurance company threatens to cut off Macht for losing his medications too many times, the county pharmacy will still refill the prescription perhaps in one or two-week doses instead of a full month so that if it is stolen again, there is less to lose. They can also put medications in bubble packs, which help some people better keep track of their pills, rather than rummaging through a backpack with their lifes belongings searching for the amber pill bottle.

But those solutions havent worked for Macht.

Those breaks in his prescription routine are dangerous, giving his virus an opening to beef up its defenses to the medication. Once the one-pill-a-day regimen stops working, treatment becomes more complicated. Multiple pills must be taken simultaneously, which means more pill bottles to be lost or stolen. Or, in the frantic cycle of packing and unpacking your stuff to shuttle between lines for the clinic, shelter and meals, two of the same pill could be taken at once instead of the required two different pills.

The more complicated the medication regimen, the more side effects. One of the most dire for people living on the street or in shelters is nausea and diarrhea. Without access to close and clean toilets and showers, the side effects can be embarrassing and inconvenient.

Thats where Macht has found himself. Lingering gastrointestinal problems make it almost impossible to put on enough weight to deal with his other impediments that make navigating a social service system even harder than the paperwork: Legs impaired by neuropathy, five teeth left to eat with, eyesight so poor its hard for him to read.

The countys HIV Clinic provides some relief. He has a case manager who picks him up in a taxi and rides with him to buy new pants or other errands. The clinic also hired a full-time housing specialist two years ago to help patients find shelter and then, permanent housing as soon as possible. She also tries to relieve the burden of a housing system that requires Macht to leave the hospital once a week to visit an office so he doesnt lose his spot on housing waitlists.

The clinics medical staff also spend a lot of time talking about patients priorities, which sometimes are not medical. They trouble shoot mental health issues, which also can get in the way of taking medication.

Still, for Macht, the lifestyle is so brutal on his immune system that when his health inevitably takes a turn for the worst, the clinic refers him to the emergency room.

On his way from his appointment at Multnomah County's HIV Clinic, James, left, ran into a friend. James, right, was too weak to climb the stairs to find a seat after hopping on the MAX train a few stops to his apartment.

Macht said he often feels stereotyped by ER staff who find out he doesnt have an address or know that a Bud Clark Commons address means he is homeless. He said he was turned away after brief exams several times in the last few months even as he dropped weight and infections took hold.

His primary care provider, Mary Tegger at the HIV Clinic, said hes probably right. Its endlessly frustrating for her to send her clients to hospitals to be admitted only to have them come back to her office the next week no better.

Some of Teggers patients are capable of keeping their HIV under control. But for those who are too scattered or sick, or too deep into addiction or depression to take medication, she said, they end up in a private health care system that stigmatizes homelessness and drug use or lacks resources to admit HIV patients.

Tegger said that Macht is a textbook case of why the HIV Clinic prioritizes housing and other social services for its clients. His T-cell count was in the double digits when he entered OHSU Hospital and would likely plummet back once he was discharged if he returned to a mat on the floor of a shelter.

His nutritional status is so poor, his immune system is so poor, so something like that could be the end for him because his body has so little to fight with, Tegger said.

Get housed or die

Macht left the hospital in mid-October. He spent four nights in a mens shelter and then moved into The Biltmore Hotel, a building managed by the homeless services nonprofit Central City Concern.

Normally a little grumpy, Macht was buoyant the day he moved in. A permanent home made him optimistic about the future. First, hed get glasses. Then new dentures. And then maybe, he said, hed sign up for college classes. He was looking forward to the future for once.

But just a week later, he began losing weight again. He left the hospital at nearly 150 pounds, but the constant shuffle to find three healthy meals a day had worn him down. He was back to 127 and dropping.

He told his doctor he was taking his multiple medications each day, but she knows that he has not always done so in the past.

Mostly, Macht is lonely. He tells people he meets that his HIV status makes him feel like a red jelly bean in a bag of blue ones. And as long as he is still able to infect other people, he feels too much guilt and shame to form new romantic relationships.

That stress didnt go away just because he found housing. He turned 42 last week, and knows going back to the street would make staying healthy impossible.

I dont care how good your diet is, how much you work out, Macht said, sitting on his bed in an otherwise empty apartment after the first night he slept there. Its going to get you. You got to take your medicine. Its like turning that hourglass with the sand. How big do you want yours to be? Small one, you run out of time fast.

You either get housed and take your medications, or you die.

James Macht leaves his apartment in downtown Portland to head to Sisters of the Road for a bite to eat. His building's elevator was not working that morning, making the three flights a challenge given his mobility issues. November 5, 2019 Beth Nakamura/Staff

-- Molly Harbarger | 503-294-5923 | @MollyHarbarger

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Homeless with HIV: A place to heal becomes a matter of life or death - OregonLive

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Low T Therapy After Prostate CA Surgery Appears Safe – MedPage Today

NASHVILLE -- Testosterone replacement remains controversial in men who have been treated for prostate cancer, but new data from New York's Memorial Sloan Kettering Cancer Center (MSKCC) reported here may provide some reassurance that "low T" treatments at least are safe in this population.

Among 1,563 men treated for high-risk prostate cancer at MSKCC and followed for up to 15 years, cancer recurrence rates were similar in men with low testosterone levels who took androgen replacement therapy to those in men with untreated low T and men with normal testosterone levels, reported Helen Bernie, DO, of Indiana University Health in Indianapolis.

And in a related study that included men with Gleason 6 and 7 prostate cancers, treated with radical prostatectomy, testosterone replacement begun 9 months after surgery showed no evidence of harm in ongoing follow-up (mean treatment duration of just over 3 years thus far), according to MSKCC's Carolyn Salter, MD.

Both studies were presented at the Sexual Medicine Society of North America's annual meeting.

"We believe that we have shown that testosterone therapy is not dangerous in these men, which has obvious clinical implications," said Salter, who added that -- given the absence of long-term safety data on testosterone treatment in prostate cancer patients -- larger and longer multicenter studies are still needed.

Bernie, who participated in the recurrence-rate study as a fellow at MSKCC, explained that it involved patients who underwent radical prostatectomy with high-risk prostate cancer, defined as Gleason 6/7 with unfavorable pathology, with positive surgical margins, lymph node involvement, and seminal vesicle involvement. Men with Gleason scores of 8 or higher with any pathology status were also eligible for recruitment. Biochemical recurrence was defined as a PSA level of 0.1 ng/mL.

Men were considered to have low testosterone if they had two or more morning blood test readings of less than 300 ng/dL.

In all, 1,119 (72%) men experienced biochemical recurrence at some point in 15-year follow-up, including 67% in the normal testosterone group, 80% in the untreated low T group, and 41% of men in the group with low T treated with replacement therapy.

After covariate adjustment, neither low T itself nor testosterone replacement therapy were associated with biochemical recurrence.

"These data suggest that patients with high-risk prostate cancer with low testosterone who were treated with testosterone therapy had no higher rates of biochemical recurrence," Bernie said.

Salter's study followed 360 men who have been prescribed testosterone therapy in the months following radical prostatectomy. To be considered for therapy, men had to have organ-confined disease and undetectable PSA post surgery. Men who opted for treatment had their testosterone doses titrated to achieve a serum level of 500-600 ng/dL, and PSA was checked every 6 months.

The men continue to be followed, and Salter noted that the mean time on testosterone therapy at last follow-up was 38 months. A single patient had a PSA recurrence, roughly 2.5 years after surgery.

Responding to an audience question after the presentations, MSKCC urologic surgeon John P. Mulhall, MD -- who helped establish the center's testosterone replacement therapy program more than a decade ago -- acknowledged that the treatment's long-term safety hasn't been completely established.

"We don't have enough data, but what we do have is a negotiated decision with our patients," Mulhall said. "We document in their chart that they have been made aware of the absence of long-term safety data, and that they accept that."

The researchers in both studies reported no funding source nor relevant disclosures.


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The Truth About Low Testosterone Levels, According to Experts –

Feeling tapped out. Foggy. Just not all that into sex. Gotta be your testosterone, ads would have you believe. And were believing it, too, with the number of T-supplement users tripling from the early 2000s through 2016.

Dont get us wrong: Testosterone is one critical hormone. Babies first encounter it in utero, when it triggers the differentiation of boys from girls. In puberty, it contributes to your bone growth and muscle mass, and continues to affect functions including your red-blood-cell production and mood stability.

But the message those ads are sending plays right into the economic and social anxieties men are facing. Its like when anti-anxiety meds such as Valium first came onto the scene, says urologist and MH advisor Elizabeth Kavaler, M.D. All these middle-aged women were addicted to Valium, because that was the solution to everything. Testosterone has become the new answer for a life of quiet desperation. More and more of us are feeling the exhaustion of uneasiness. We are being asked to do more with less. Were just trying to get through the day alive. Men think, Well, if I just get a little testosterone, Im going to feel great! Dr. Kavaler says. And thats not the case.

Theres so much information out there about Tmuch of it speculation and lorethat leads us to jump to conclusions about it. Men put all kinds of psychological weight on their testosterone numbera low one makes you think youre somehow less manly; a high one means youre basically LeBron Jamesand thats where we get things wrong. Theres little evidence for those stereotypes. Low doesnt automatically imply youre weak or retiring; high doesnt guarantee you muscles, aggressiveness, or MVP athletic performance.

A low number might not even be a low number for very long. It might just indicate that you havent been treating yourself very well. As long as your T is in the normal range, theres nothing about a high number thats better than a low one, or vice versa.

In the name of science and good journalism, I got my testosterone tested twice while writing this story. It put my assumptions up against a pretty big test, too (more on that later).

What do you really know about this famous hormone? Here, we break down the best and latest information to give you the clearest picture yet of what T means for you. And whether, maybe, you should be taking testosterone after all.

As many as 5 million men in the U.S. (generally older men) do actually have low levels of the hormone. To know if your testosterone is low, first see if you have any symptoms, which include: erectile problems, lack of energy (never feeling rested, no matter what you do; having a paunch; an AWOL libido (not just not wanting to have sex on a Thursday night after a crushing week, but lack of the kind of base-level sex drive wherein you get turned on by the sexy person you spot on the street, explains Tobias Kohler, M.D., of the Mayo Clinic).

With testosterone, as with life, normal is nuanced. And fraught (but shouldnt be). To get an accurate reading, you should have at least two tests, since testosterone is constantly in flux. It peaks in the morning, so if youre young and on a typical sleeping schedule, aim to be tested by 10:00 a.m. If youre over 50, it doesnt matter as much.

Be aware that your level can be affected by certain social factors and health habits. In the new book Testosterone: An Unauthorized Biography, scientists Rebecca M. Jordan-Young and Katrina Karkazis point out that T levels even respond to social factors like feedback. For instance, rugby players who watched video of good game plays and got positive feedback had up to a 50 percent increase in T compared with guys who were shown their mistakes and received critical assessments.

Resistance training can also give you a short-term boost in testosterone. Cardio doesnt elevate T levels as much in normal-weight men, says Jesse Mills, M.D., the director of the Mens Clinic at UCLA. But heres the thing: Jordan-Young and Karkazis dug through the research to find that T levels alone dont deserve the credit when it comes to an athletes performance. And cutting sleep short and taking multivitamins with biotin can push testosterone levels down (skip the vitamins for three days before testing).

So get your tests on days that are typical for you. And when you get your number, dont read too much into it. A T level of 264 to 916 nanograms per deciliter of blood is generally considered normal. If you are close to 264 and you feel fine, then youre no less healthy than a guy whose level is 700 and also feels fine. (Theres an exception to that, though: If your T level is below 300 and you have low-T symptoms, then docs would consider you in a low-T category)

Not reading into it is harder than it sounds. I got my first test at the tail end of a busy week. Id slept less than five hours the night before, then scrambled to the phlebotomist in a daze. My number: 287. Thats in the normal range, but just barely. I have no symptoms of low T, but it was hard to shake the feeling that there was something wrong with me, even though I know that normal is normal, no matter where it is in that range. Eleven days later, I was tested again. My number was 429. Why such a dramatic change? It might be because Id slept better and cut out my multivitamins.

Irrational or not, I felt like more of a man. The whole experience was a microcosm of our relationship with T. We act like its destiny, but its just biologyeasily misunderstood and more varied than we think.

The single best thing you can do to improve your level is be healthier. Avoid stress, get more sleep, and lose weightan enzyme in fat tissue converts testosterone to estrogen. Thats one reason flab can lower your T. Its also why overweight guys can develop man boobs, and why bodybuilders who juice can also develop man boobsthey dont have much fat, but theyve jacked their T levels so high that theres a lot of it available to be turned into estrogen. Thinking of T strictly as the male sex hormone oversimplifies the complex hormonal interactions that make our bodies work. Which is also why, if you can avoid it, you dont want to go with the needle-in-the-butt routine to raise your T.

But that might not work. If your level is low enough to warrant more aggressive treatment, your doctor can prescribe a drug that causes your pituitary to tell your gonads to make more testosterone. The typical choice is clomiphene citrate (Clomid), a common fertility drug for women. Using it doesnt exempt you from needing to get healthy, though, as it doesnt diminish the risk of losing T to bad sleep and a beer belly.

Then theres always testosterone-replacement therapy, which should be your last resort. (When you give your body T, it stops making its own, and theres no guarantee it can start again.) If, though, you and your doctor decide its the way to go, youve got options. You can try a testosterone replacement gel, a topical thats easy to use but can rub off on your partner or kids. There are pills, which are even easier to use than the gel and can deliver higher levels. Theres subcutaneous pellets, or rice-sized inserts that live directly under your skin. And then theres that needle in the butt, which can provide a major boost but is generally only used by docs who specialize in testosterone therapies.

Whatever you choose, be glad that weve moved past the early days of replacement therapies, like one in the 1920s that involved transplanting goat testicles into patients. Believe it or not, it didnt work, and it also didnt make anyone feel like more of a man.

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Is That Rash a Sign Your Treatment Isn’t Working? –

There are a wide variety of skin conditions that can occur in people living with HIV. It could be something as simple as a reaction to one of your meds, but it could also be a sign of a weakened or nonfunctioning immune system also known as immunosuppression. You should talk to your doctor right away about any significant skin changes or skin issues, as it could be a sign your medication isnt working properly. Here are the seven most common skin issues associated with HIV:

Molluscum contagiosum: A highly contagious viral skin infection that causes pink or flesh-colored bumps on the skin.

Herpes viruses: An outbreak of sores around the genital area or the mouth.

Kaposi sarcoma: A type of cancer that causes dark brown, purple, or red lesions on the skin, which often occurs in people with very low T cell counts.

Oral hairy leukoplakia: A viral infection that affects the mouth and can cause thick white lesions on the tongue that appear hairy.

Thrush: Also called oral candidiasis, thrush is a fungal infection that causes a thick white layer to form on the tongue or inner cheeks.

Photodermatitis: A condition in which the skin reacts to sun exposure by turning darker (much more so than a normal tan) and is most common in people of color. (Note: This is a common medication side effect and is not typically a sign of immunosuppression.)

Prurigo nodularis: Outbreaks of itchy, crusted lumps on the skin most common in those with extremely weakened immune systems as well as people of color living with HIV.

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Low T Specialist – Dallas, TX & Frisco, TX: Men’s T-Clinic …

What causes Low T?

Men may notice the effects of lower testosterone production after age 30. Additionally, Low T can be the result of primary testicular failure or a problem that originates in the testicles. Another cause of Low T happens in the pituitary gland the part of the brain that signals the testicles to produce testosterone. Low T can also occur as the result of an injury or infection.

Other factors that contribute to Low T may include:

Low T can present a variety of symptoms. Some of them mirror the symptoms of other medical problems as well, so its important not to ignore them. Seek treatment from a mens health care specialist if you have any of the following for more than a few days at a time.

The regulation and production of testosterone is the responsibility of the hypothalamus and pituitary gland. The body balances hormone levels when its functioning properly. For men with Low T, the body is either not signaling production effectively or it is not able to produce effective levels once it is given the signal to do so.

With testosterone injections, the hypothalamus and pituitary gland respond by signaling the testes to decrease natural production. Men who discontinue therapy revert back to their pre-therapy baseline testosterone levels. If those levels have been diagnosed as being inadequate, stopping the injections means you return to experiencing the symptoms you had before beginning treatment.

The only way to monitor your testosterone level effectively and identify potential issues is with multiple blood tests. This helps your doctor identify the proper dose specifically for you. No one likes to give blood, but the trained staff members at Mens T-Clinic make the process as painless as possible.

Testosterone production levels can vary, and a single blood test is just a snapshot of your bodys current production. Multiple factors can determine your level at any given time. For example, increases in the cortisol hormone (which increases with stress) have been known to lower testosterone.

Testosterone levels from 350 ng/mL to 1000 ng/mL are considered normal, but you could be in the low to normal range and experience symptoms.

Your doctor diagnoses hypogonadism by considering symptoms and testosterone levels. If you are borderline and have symptoms, you may qualify for therapy. Call or schedule an appointment online to learn about your options.

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Low Testosterone Therapy (TRT) and Treatment from Low T Center

Testosterone is a natural hormone responsible for the normal growth and development of the male sex organs and for maintenance of other sexual characteristics. In men, testosterone is produced in the testes (the reproductive glands that also produce sperm) and regulated by the hypothalamus and pituitary gland. With low levels of testosterone, men can experience a decrease in energy and libido, increase in body fat, and emotional changes.

A decrease in testosterone levels is to be expected as men age. Other factors can also contribute to low T, including chronic health issues such as diabetes or obesity, medications such as corticosteroids or trauma. Our comprehensive health assessment tests for low testosteronelevels as well as a multitude of other related issues and can be treated with customized, testosterone replacement therapy healthcare plans.

Its hard to pin down an exact number for exactly how common testosterone deficiency is among men. The condition becomes drastically more common as men age, and its estimated that as many as 40% of older men have low testosterone.

Many men, especially younger men, are nervous to seek treatment for low testosterone. While symptoms differ from person to person, men with low testosterone also experience a decrease in sex drive,erectile dysfunction, and heart disease. Waiting to seek help can lead to the late detection and worsening of these progressive conditions.

Low testosterone can result in a lack of energy. If you find that youre feeling sleepy for much of the day, even after youve had a good night of rest, theres a high chance that a hormonal imbalance is to blame. Many patients find that their energy levels soar after they begin testosterone therapy.

Testosterone encourages muscle growth. When men do not have enough testosterone, it can inhibit muscle growth. Muscle tissue burns calories at a higher rate than fat tissue. When men have low testosterone, it can result in fat gain, and for mostmen, that gain happens around the belly and hips. Sometimes, the imbalance of testosterone and estrogen can cause men to hold onto more body fat than they would otherwise.

Studies have shown that men who take testosterone tend to experience an increase in memory. Testosterone affects many physical processes in the body, and focus, clarity, and memory are no exception. Life issues caused by low testosterone- such as sexual and relationship issues- can also play a role in the struggle to focus.

While most men experience a decrease in sex drive as they age, low testosterone causes a steeper drop-off than what is normal for most men. Low testosterone can cause a variety of health issues (such as hair loss and erectile dysfunction) that may also inhibit sexual desire.

Low testosterone can result in a number of mood changes. Hormonal imbalances are often to blame for depression, anxiety, and other mood issues. Fatigue caused by low testosterone can also add to these issues.

Since testosterone is key for building muscle in the body, low testosterone can cause loss of muscle mass. This loss of mass can also add to fat gain, as previously mentioned.

Some men begin to lose hair as they age, andlow testosterone can also play a role, especially if the balding occurs suddenly.

See All Symptoms

By knowing your testosterone numbers, our medical professionals can provide quality treatment for low T and other underlying conditions. Your path to vitality happens with four steps:

By treating the symptoms of low testosterone, patients feel energized, stronger, and less irritable; enjoy more productive sleep and a renewed sense of self; find it easier to concentrate and remember; and experience an increase in libido.

Because Low T Center takes a holistic approach to mens healthcare, our medical professionals can proactively address other conditions youre currently experiencing or could experience later on, includingsleep apneaorallergies.These conditions may also affect testosterone levels.

Our providers get to know you on a personal level and gather important health data often to assess progress with greater efficiency.

At Low T Center, we focus on treating your symptoms of low testosterone levels, so you can rediscover the best version of yourself.

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Low Testosterone Therapy (TRT) and Treatment from Low T Center

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Low T Center – Men’s Health Clinic – Testosterone Replacement

Men's Clinic - What's Offered?

With little to no energy, you just cant function at times, and you certainly dont want to eat right or exercise. The lethargy could be caused by any number of health conditions such as obstructive sleep apnea, low testosterone levels, severe allergies, or even low thyroid.When men suffer from any of these conditions, poor lifestyle choices are made, especially when it comes to diet and exercise which can lead to more serious health problems down the road such as hypertension, high cholesterol, and diabetes. Lets gain control of your health issues before the conditions worsen.

The good news is you dont have to feel sluggish. Our mens health clinic staff at the Low T Center nearest you can quickly and easily determine what type of help is needed. We listen and learn about you, your symptoms, and your health goals. The combination of that knowledge along with a thorough analysis of your lab results will be used to prescribe a healthcare plan tailored to you.

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Low T Center - Men's Health Clinic - Testosterone Replacement

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5 Best Testosterone Supplements For Men Over 50

Testosterone supplements are far and away the most popular type of supplement in the industry as of late. Many of them are clinically tested and proven to be effective.

The problem is that there are hundreds of testosterone boosters out there, and most guys have a hard time weeding through the duds to get to that miracle supplement. If you don't choose the right one, you could end up wasting your money and experiencing unwanted side effects.

In addition, there are several testosterone boosters out there that are designed for younger men who are looking to use testosterone boosting as a bodybuilding aid.

Men over the age of 50 should avoid supplements that are directed towards younger bodybuilders because they often do not contain the ingredients that are most beneficial to aging men.

We have done the research and weeded out the duds and the supplements that are strictly designed for bodybuilders, and discovered the 5 best testosterone supplements for men over 50.

The biggest reason testosterone supplements are so widely used today is because almost all men end up suffering from low testosterone levels at some point in their lives.

Generally, testosterone levels tend to gradually decrease when men reach their thirties. This decline in testosterone tends to get progressively worse over time, causing some serious problems.

Symptoms of Low Testosterone (Low T) include

If you suffer from one or more of these symptoms, you more than likely have Low Testosterone to some extent and could benefit significantly from an effective testosterone supplement.

Men over 50 are the most likely to suffer from these issues. The main reason men seek natural testosterone supplements, is because they want to avoid testosterone replacement therapy.

Hormone replacement therapy generally costs several hundreds of dollars per month and can actually pose some detriments to ones health. It is an unnatural way to go about correcting the problem.

Testosterone supplementation is an all-natural, risk-free, inexpensive, and usually effective way to correct the symptoms of Low T.

TestoTEK is in our opinion, the best testosterone boosting supplement on the market. And while it is very close to the other well-respected products in the top 5, it beats them out for a number of reasons.

Every test0-booster supplement is a little unique but there are a handful of ingredients that should be in every booster. And they should be represented in high potencies so that they have a genuine impact on the body. Some companies merely want the ingredient listed on the label and include them in such low potencies that they have minimal results.

TestoTEK has all the core ingredients and they are in big-time potencies. D aspartic acid, vitamin D3 and zinc are probably the most important testosterone ingredients in existence. Much clinical research has shown these to be unquestionably the most important. TestoTEK has as much or more of these three ingredients than any other supplement we have reviewed.

Furthermore, TestoTEKis tied with Prime Malewith the most ingredients in their formula, twelve, and these cover a broad spectrum of mens health. And lastly, TestoTEKcosts less than both Prime Male and TestoFuel and with their coupon code, is also less expensive than Testogen.

The product has no real weakness it is more potent, has more ingredients and is less money than the other top 5.

Testogen is anastoundingly effective testosterone booster that strives to make improvements in multiple areas in which men with low testosterone struggle. The manufacturer refers to the product as a testosterone triple action formula, and it truly is.

Strengthen, stimulate, sharpen. Those are the goals as stated on the bottle, referring to increased muscle production, stimulation of boosted testosterone levels, and improved performance both in the gym and in bed.

The ingredients back the claims of the manufacturer with clinical studies, significant potencies and the absence of the dreaded proprietary blend so you know how much of each ingredient you are ingesting.

The nutrition label tells you everything you need to know. It was a difficult decision to rank this product #1 because it is so close to Prime Male and TestoFuel, andis a huge accomplishment considering how competitive the testosterone supplement industry is.

The primary reason this product is so popular is because of the whopping 2,000 milligrams of D-aspartic acid. D-aspartic acid is perhaps the most popular testosterone-boosting ingredient (or at least in the top 3) and can be found in the vast majority of effective testosterone supplements.

However, it is usually found in much smaller amounts. A standard amount is about 1,000 milligrams, but you will see that the top 5 all contain about 1,500 milligrams or more. (Monster T contains 3,500 milligrams per serving but is missing other ingredients.)Testogen contains the highest amount of D-aspartic acid that we have seen except for Monster T.

A huge amount of D-aspartic acid isnt the only thing keeping this supplement ranked elite. Testogen has much more to offer, including proven ingredients such as tribulus terrestris, ginseng extract, zinc, and more. To learn more about what each individual ingredient does and how they work to boost your testosterone levels, be sure to check out the full review.

Click Here to Read the Full Testogen Review

Prime Male is a highly effective testosterone supplement that is designed specifically for aging men. It is a carefully formulated supplement youve been looking for that can catapult your libido into overdrive, improve bedroom performance, spike energy levels to where they were in your 20s, harden your body with quality muscle mass, melt unnecessary body fat, and more. The high quality scientifically backed ingredients are the secret to this powerful testosterone booster.

Before you buy a testosterone booster, or any supplement, you want to make sure the ingredients are clinically proven. When you do, you reduce the risk of purchasing a worthless, ineffective product.

The clinical studies often include any side effects reported. The key is to find the ingredients that are backed by science and have no major side effects reported.

Prime Male is one of our bestchoices for men over 50 because it contains exactly this type of ingredients. Each ingredient is linked to several clinical studies for their ability to naturally, effectively and safely boost the bodys testosterone production.

You also want to make sure that theres enough of the ingredient in the product. Though difficult, try and avoid proprietary blends whenever you can. A proprietary blend is essentially a blend of ingredients of which the amounts are undisclosed.

You are able to see what ingredients the blend contains but not the amount of each ingredient. Manufacturers claim that they use a proprietary blend in order to protect their formulas, but really they use it so they can include small amounts of key ingredients in order to save money.

Prime Male uses no proprietary blend format on their label. In fact, it contains just less than 3,000 milligrams of overall nutrition per serving. That is an astounding amount of nutrients for one supplement to contain, and the individual amounts of each ingredient are disclosed on the label.

When choosing a testosterone booster supplement, last but not least, determine if the ingredients are synergistic with each other? In order for a product to do its job, the ingredients must be able to work well together. (And if you dont want to do this type of research, thats what were here for.)

The ingredients of this supplement were carefully chosen based on their synergistic properties.

All of these facts are part of what makes this the #2testosterone supplement on the market, but one final piece is what ranks this supplement among the best testosterone supplements for men over 50 specifically.

The finishing touch is the inclusion of 300 milligrams of mucana pruriens. This ingredient is vitally important to men over 50 because of its ability to boost libido.

Mucana pruriens is an ingredient that you wont find in many supplements designed for younger bodybuilders because its not necessarily beneficial to them, but it plays a very special role for aging men with Low T.

Learn More:

American Testosterone Clinics of the United States:

Recommendation and review posted by Alexandra Lee Anderson

What does a low T cell count mean? –

Q:What does it mean to have a low T cell count and low liver count?

A:A lymphocyte is a type of white blood cell present in the blood. White blood cells help protect the body against diseases and fight infections. When the general defense systems of the body have been penetrated by dangerous invading microorganisms, lymphocytes help provide a specific response to attack the invading organisms. There are several kinds of lymphocytes (although they all look alike under the microscope), each with different functions to perform. Lymphocytes, like other blood cells, develop in the bone marrow and arise from immature cells called stem cells. In early childhood, some lymphocytes then migrate to the thymus, an organ in the top of the chest, where they mature to become T cells. Others remain in the bone marrow and mature there to become B cells. Both B cells and T cells also take up residence in lymph nodes, the spleen and other tissues where they encounter antigens; continue to divide by mitosis and mature into fully functional cells. These lymphocytes play an important role in recognising and destroying infecting organisms such as bacteria and viruses. In normal conditions, most of the lymphocytes circulating in the body are T cells. Their role is to recognise and destroy abnormal body cells (for example, cells that have been infected by a virus). There are several subsets of T-lymphocytes inflammatory T cells that recruit macrophages and neutrophils to the site of infection or other tissue damage; T-suppressor/cytotoxic cells (CTLs) possess that kill virus-infected and, perhaps, tumor cells and also inhibit B-cell development; helper T cells that help immature B cells develop into mature B cells and enhance the production of antibodies by B cells. B-lymphocytes are responsible for making antibodies as they recognise foreign cells and material (for example, bacteria that have invaded the body). When these cells come into contact with a foreign protein (for example, on the surface of bacteria), they produce antibodies, which then stick to the surface of the foreign cell and cause its destruction.If the number of T-lymphocytes is reduced, that is referred to as low T-cell count. There is no term in medicine like low liver cell count.

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What does a low T cell count mean? -

Recommendation and review posted by Alexandra Lee Anderson

Low T Symptoms | Low Testosterone | Signs of Low T

Simply put, testosterone is the most important male sex hormone. It is secreted by the testicles and adrenal glands and is directly responsible for sperm production and sex drive. Testosterone also plays a role in developing secondary sexual characteristics that men experience through puberty while also contributing to the muscle mass, strength, bone density, and maturation. Testosterone naturally decreases as men age, but when it dips too low it can result in other issues. Fortunately, there is an easy way to combat low testosterone symptoms, and that's through the quality hormone replacement pelleting procedures that BioTE offers. We are dedicated to helping our male patients deal with hormone deficiency.

In addition to the weak bones and increased risks of cardiovascular issues, low testosterone greatly affects your quality of life. If you've ever wondered what causes low-T, it's essentially broken down into two categories: primary hypogonadism and secondary hypogonadism. Primary hypogonadism occurs when the testicles are injured and have not descended, or if one suffers from Klinefelter syndrome. Secondary hypogonadism is from pituitary disorders, medications, type 2 diabetes, and aging. Some of the symptoms of low-T in men include depression, a decreased sex drive, and feeling weak. All of those low-T symptoms can change the way you live your life, and you shouldn't have to settle. BioTE can help you take your life back.

Here are some symptoms of low-T in men:

If you've experienced any of these symptoms and are concerned about low testosterone, the medical professionals at BioTE are ready to help.

You don't have to accept living with low testosterone. If you are experiencing symptoms of low-T, it's important to find a doctor that can help you improve. We at BioTE have created a way to assist you. Pellet therapy is an easy way to correct male hormone deficiency and has been proven to reduce other unseen risks of low hormones.

If you have any questions about pellet therapy or are wondering what BioTE can do for your low testosterone symptoms, please contact one of the many professionals at BioTE. We are here to help you take your life back from low testosterone.

See more here:
Low T Symptoms | Low Testosterone | Signs of Low T

Recommendation and review posted by Alexandra Lee Anderson

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