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In addition, it is important to get a physicalexam every three to six months to evaluate blood pressure and check for other symptoms or side effects, such as insomnia. Detecting any abnormality early is the best form of prevention. These compounded medications are not approved by the FDA and are therefore not covered by insurance. Yup, a real medical professional who is focused on exactly this subject. Your experience would look a little something like this: When you go to a TRT clinic that separates your consultation from your appointments and takes multiple labs, youre more likely to get an accurate measurement of your hormone levels. Quick spikes are typically accompanied by rapid conversion of testosterone into estradiol, which as you probably know, is a type of estrogen. There are other things that more commonly cause elevated PSA levels, such as infection, benign prostatic hyperplasia (BPH), and inflammation. Obviously, theres no way of predicting conception with any accuracy, so relief for the symptoms of low testosterone may have to be delayed for a significant amount of time, a difficult choice that may not be a practical option for those experiencing severe symptoms. Testosterone replacement therapy is the process of increasing natural testosterone hormone levels with a carefully crafted treatment plan. If your father went bald, then you are 2.5 times more likely to suffer from baldness yourself compared to someone whose father kept his hair. Depressive moods may show improvement after three to six weeks, but the greatest effects are not realized until 18 to 30 weeks of TRT. Theyre suspended in the liquid component of your blood: Plasma. In fact, it seems returning testosterone levels to normal may be good for your heart. Theres a giant flaw in this thinking, pointed out in this article by the Mayo Clinic: The doses are often based on saliva tests. You dont suddenly end up in the desert as you drive out of the mountains the change is gradual, and theres a great deal of overlap. Here are some of the factors which will influence how quickly you respond to treatment: It has been our experience that failure to respond to treatment is very rare (when the person is committed to staying consistent with appointments and recommendations). Another study found that one of the benefits of Testosterone Replacement Therapy was increased muscle mass. Men on Testosterone Replacement Therapy may experience these three benefits: Relief from dysthymia (a low mood or mild depression), mild anxiety, and fatigue can restore vitality and an overall sense of wellbeing in men who have been suffering from chronic low testosterone. Even if those supplements worked as advertised, theres another, potentially worse issue: Hypogonadism (having low testosterone, estrogen, or other hormones) is a medical condition, and it requires medical treatment. Although theyre supposed to be the simple answer to patient compliance issues, testosterone pellet implants have a number of complications, including the following: In other words, they can be a much bigger pain than the tiny prick of testosterone injections. Testosterone injections have long been the go-to method of delivery for the following reasons: With an injection, its relatively easy to increase or decrease your maintenance dose by 10 mg or 20 mg. While prostate changes can occur with TRT, a study published in The Journal of Clinical Endocrinology & Metabolism in June of 2010, which looked closely at the adverse reactions reported in 51 other studies, found there to be no increased risk of the development of prostate cancer, prostate related urinary symptoms, or elevated PSA (prostate specific antigen). Available by prescription from your medical provider, you pick up this medication at your pharmacy and apply it daily to the skin on your shoulders and upper arms after showering. Dependent on the type, these gels can be applied to the armpits, biceps, groin, and other body parts. There can be a lot of confusion when it comes to hormone therapy. They become very sensitive one of the byproducts of testosterone, known as dihydrotestosterone, often abbreviated to DHT. While the testosterone used in both standard prescription medications and compounded creams, gels, and pellets is more biomimetic (behaving like its natural counterpart) than bioidentical, the brain does identify and react to this testosterone the same way it would if you were producing the testosterone naturally. Having an in-depth conversation with your healthcare provider before deciding on TRT is an important first step. A study of 36 men with hypogonadism found that testosterone may help with bone density issues. 888.828.4300info@tctmed.com. The simple answer to the question of Why TRT? is this: Its time to get your life back. A healthy hormone balance keeps your body tuned to produce more muscle and less fat, which can lead to a healthier self-image and higher perception of quality of life. You wouldnt have the guy who installs windows build your entire house. Testosterone Replacement Therapy can possibly worsen existing prostate cancer, but it cannot cause new prostate cancer to grow. It also may reduce bone remodeling (a process by which our bones reform, generally not in ways we want). Depression and listlessness both decreased substantially by week 6 and remained fairly steady thereafter. Any significant increase in hemoglobin may be treated by altering how much testosterone you receive. Seriously, its an easy process thats made easier still by pleasant professionals who know what theyre doing and will make sure youre informed and comfortable. Well, I learned that all of those feelings can be indicative of low testosterone. Cancer is the most often discussed and most exaggerated of all the potential side effects of Testosterone Replacement Therapy. Lets get down to the results. A provider who is not well-informed on all forms of hormone treatment (including testosterone, estrogen, thyroid, and progesterone treatment) and cannot explain the differences wont be able to properly assess what is really right for you. . What measures will you take to reduce them, mitigate them, or eliminate them? A primary reason is due to the many side effects of long-term testosterone replacement therapy, including a controversial increased risk ofheart disease. WebAnd a simple, almost stupid Testosterone Telepathy technique you can use on ANY man to make him worship you like his personal queen (even if he barely pays attention to These are average ranges based on the testing of many individuals. They cant increase your testosterone directly, and the same is true for these OTC testosterone supplements. Walk-ins are welcome, and consultations are free. At best, OTC testosterone boosters will be inert and fail to address your symptoms. If you have clinically diagnosed hypogonadism (Low T), you should expect improvements in your symptoms as hormone levels normalize and become more consistent. She has worked in the hospital setting and collaborated on Alzheimer's research. WebTelepathy is a form of communication which does not use the five general senses. However, to ensure the safety of our patients, we extensively test everyone who comes in to make sure injections are right for them. Get evaluated by an ED expert at a focused, experienced ED practice. Your total testosterone score should not be the goal. Although many patients come to us for help resolving particularly troublesome symptoms, they are often surprised at the many unexpected benefits of Testosterone Replacement Therapy. This isnt something you can safely do yourself with any level of precision. Any significant elevation of PSA levels indicates the need for a thorough examination to determine the cause. With proper monitoring by the healthcare provider, including thorough health history, regular office visits, and frequent lab checks, TRT may be a safe and effective treatment for some people with low testosterone levels. Each of our clients is subject to an extensive medical history review and evaluation prior to TRT even being considered. Answering The Most Important Questions, Questions to Ask Your Testosterone Replacement Therapy Provider. For this reason, it is extremely important that your urinary habits, prostate health and PSA be closely monitored if you are on treatment for Low T. Reported upon by Jody Charnow, a study by Dr. Kevin McVary, of Southern Illinois University School of Medicine showed no significant increase in lower urinary tract symptoms (LUTS) in patients being treated with testosterone when compared to those not on TRT. It is also possible, although slightly less likely, that you will inherit the baldness patterns of your maternal grandfather. Dont trust these delicate matters to just anyone. Even if certain foods can help raise testosterone levels, they can only raise your bodys ability to create its own testosterone. With injections, your levels will elevate and plateau at about 48 hours, and then gradually decline over the coming days. However, many more studies have not demonstrated this cardiac risk. Regular blood tests ensure your therapy can be altered to meet your bodys changing needs. With oral forms of testosterone, including sublingual testosterone, not only do we see a rapid spike in testosterone levels, but we also see them plummet relatively quickly. 2023 Testosterone Centers of Texas. That first treatment was fast, but more importantly: Thats the most surprising part about TRT for me. You also want a provider who understands hormone therapy generally, and not just Testosterone Replacement Therapy. For men in otherwise good health but suffering from low testosterone, the answer is easy: Testosterone Replacement Therapy is a way for men suffering from the symptoms of low testosterone to feel better. What do they do that makes them better than the rest? Hurst,TX76054 By using the term bioidentical, the manufacturers and providers of these treatment options would have you believe that they are offering an organic, non-pharmaceutical option for Testosterone Replacement Therapy, and they state it as if using that form of treatment is the only way to give your body something it recognizes. As we age, our body fat levels naturally go up. When all you are doing is looking for answers, the process can be frustrating. Even women secrete small amounts of Now, there are several different prescription testosterone pills out there, and not all of them have these same terrible side effects. We continue to recommend weekly injections because they better ensure dosing accuracy, which is necessary to get you the results you expect. This form of TRT is definitely not recommended for people with a history of liver problems. There was no link discovered between testosterone levels and prostate cancer development. The problem with many oral testosterone medications is twofold. After all, improving your overall health is our main goal. The simple answer is yes even for men who dont have hormone issues, testosterone (and other hormones) will fluctuate naturally throughout the day. That means fatigue, irritability, and low mood can come and go in frequent peaks and valleys. If youre experiencing symptoms, something is wrong, and we need to figure out what that something is. Even women secrete small amounts of testosterone. The amount of shrinkage that occurs depends primarily on the follicles sensitivity to DHT, rather than the amount of this chemical in the body. Typically, we test one month after therapy is initiated and/or a dosing change is made. Andrology. . Clean the rubber stopper with one alcohol swab. A short-term option for some men would be the use of hCG (human chorionic gonadotropin) for TRT. 469.716.4950. When you receive a dose of supplemental testosterone, your body absorbs, metabolizes, and utilizes the hormone, and this causes levels to fluctuate. It is important for men interested in future fertility not to receive standard testostosterone replacement therapy since this can lead to low or no sperm count and infertility issues. The FDA regulations that do exist to regulate these supplements are at times inadequate and are generally not well enforced. To put that another way, a blood test confirming your suspicions about low testosterone levels can free you from the stress of uncertainty. If you experience an increase in hematocrit values greater than 52.0%, your risk factors for abnormal clotting (such as thrombosis), strokes, hypertension, spleen enlargement, heart failure and other serious conditions increases. Unlike many other medical practices, we respect your time and dont leave you in the waiting room wondering when youll be next all of this sets us apart. This is not something seen when TRT is managed responsibly and safely. Other available treatment options can make this simple concept very challenging. TRT, when given in small doses (100 mg. or less), doesn't have to be administered in the glutes. It used to be believed that an elevated PSA level (above 4.0 ng/mL) could indicate prostate cancer and was reason for recommending a biopsy of the prostate. However, for men who do not want to risk not being able to father a child, banking sperm before starting TRT makes sense. The fact is, testosterone injections, topicals (gels/creams), and pellet implants all utilize an FDA-approved formula that is not bioidentical bioidentical is something of a hormone myth. You have shortnessof breath or difficulty breathing. However, we should still be careful and keep a close eye on your PSA numbers if you have other risk factors. Once you start to fall outside this range, either on the top or the bottom, youre entering abnormal territory. I turn thirty-eight in a week, so Im in the younger category of people receiving TRT (Testosterone Replacement Therapy), but even so, I probably could have started a few years sooner. If you value your liver (and your life), OTC testosterone supplements are something to stay away from. The most important factors in whether you achieve maximal response are your consistency with treatment and how well your care is managed. It can also be given to replace testosterone levels that have fallen as a result of an orchiectomy (removal of one or both testicles). Testosterone helps regulate other physical factors that impact mood and energy levels and protect heart health. In recent years, the use of TRT has increased four-fold in You can also exhibit symptoms if youre technically in the normal range. Natural Testosterone Boosters: How Do They Work? Regular lab tests to check testosterone levels, PSA (marker of prostate health/cancer), hematocrit, and sometimes liver enzymes are also important and should be done routinely while taking TRT. More oxygen can be a good thing, but an overabundance of red blood cells can become counterproductive and even harmful over time. Dont rely on a single set of testosterone test results its often the case that medical providers give patients the wrong test, at the wrong time, and with the wrong interpretation (especially those who dont specialize in or arent familiar with Testosterone Replacement Therapy). This category includes all the methods of delivery that involve absorption through the skin (called transdermal). It will help develop muscle control. Read our, Testosterone for Transgender Men and Transmasculine People. We have consistently found that the benefits of injections far outweigh the risks for the majority of patients. It is convenient to use but may cause gum irritation. Look, I spent eight years in the Marines and have experienced some pretty horrific blood-draws by some pretty inexperienced hands this was NOT one of those. During the early period, when your testosterone levels are well above what the human body might normally produce, theres a substantial increase in risk for side effects, like blood thickening, high estradiol levels, fluid retention, mood swings, and the like. Though often confused with your physical ability to have sex, the term libido refers to your desire to have sex. Though not usually a longstanding effect, any changes in sleep patterns should be monitored. Were entirely up front about any risks, and we are thoroughly prepared to explain exactly how we attempt to reduce the probability of negative side effects not every Low T clinic is so willing, or so prepared. It is important to note that this study only evaluated patients at three-week intervals, so any symptomatic change occurring before that point could not be documented. Testosterone replacement therapy is a common treatment option for men with low testosterone levels and symptoms of hypogonadism. An enzyme in your body breaks down testosterone, and DHT interacts with your hypersensitive follicles. . The answer to those questions will be important in determining your course of treatment. We take that schedule for blood testing and frequent adjustment of your prescribed doses with the utmost seriousness. A medical professional who is helping a patient with low testosterone is returning unnaturally low levels to normal, not artificially raising testosterone beyond what it should be (which is what people who take steroids to unnaturally gain muscle mass are doing). That means consistent monitoring of hormone levels by conducting regularly scheduled lab work. Testosterone replacement therapy (TRT) is likely the next frontier for telemedicine in mens health. Despite the lack of a definitive connection over decades of study, the speculation and claims persist. Although severe ED (erectile dysfunction) is usually caused by problems related to blood flow, suffering from Low T may increase the time needed to develop an erection, which strongly resembles ED. Unfortunately, we see new clients every day whose work-up and/or treatment plan were not appropriate and sometimes do not even satisfy routine, standard-of-care recommendations. The speed with which change occurs matters. When you receive Testosterone Replacement Therapy here at TCT, we start off your treatment by checking various markers in your blood. The same men who experienced a slight gain in lean muscle mass experienced a more significant reduction in body fat. Low testosterone is a fairly common problem, especially in men over 30. Buying into the Low T myths, going for the bogus quick fix or one-size-fits-all solution means wasting time and money for no benefit. The attraction of convenience is understandable, but there are plenty of reasons not to go that route. Detection of a potential problem before it becomes a health concern is the first step to preventing any negative side effects. All things considered, those side effects associated with Testosterone Replacement Therapy are quite manageable. Take the cap off the vial. Testosterone has a suppressive effect on a peptide hormone called pepcidin. This is one of the reasons we only measure testosterone levels in the morning. Thank you, {{form.email}}, for signing up. In fact, we check them so regularly that we can find evidence of an abnormality much sooner than it otherwise may have been detected. If it is discovered WebTestosterone was first used as a clinical drug as early as 1937, but with little understanding of its mechanisms. When considering aggression, it is worth noting that when a mans testosterone level is normal, he is usually appropriately aggressive. PSA Above 4.0 ng/mL Doesnt Automatically Mean Prostate Cancer, The Truth: We Dont Really Understand the Cause of Prostate Cancer, Testosterone, Cholesterol, and Effects on the Heart, Testosterone Replacement Therapy and Fertility, Introducing Testosterone into Your Body May Reduce Fertility, Sperm Count, Choosing Between TRT and Having Children Is a Difficult Decision.