Men / Testosterone




Testosterone in Men

Benefits:

  • Maintains muscle mass, improves strength and physical performance.

  • Improves libido and erectile function.

  • Improves mood.

  • Increases bone mineral density.

  • Improves symptoms of coronary artery disease (angina).

  • Decreases total cholesterol and LDL.

Possible Side Effects and Risks:

  • Decreases HDL.

  • Increases clotting factors.

  • Increases Hemoglobin production.

  • Increases risk of heart attack and death in men over 65.

  • Increased PSA and prostate volume.

  • May decrease testicular size and decrease sperm production.

Studies to date have not demonstrated a link between testosterone replacement therapy and prostate cancer.


Contraindications for Testosterone Therapy:

  • Breast or prostate cancer

  • Palpable prostate nodule or swelling

  • PSA greater than 4 or greater than 3 in men at high risk for prostate cancer

  • such as African-Americans or men with first-degree relatives with prostate cancer

  • Hematocrit greater than 50%

  • Untreated severe obstructive sleep apnea

  • Severe lower urinary tract symptoms

  • Increase risk for heart disease in men over age 65

  • Uncontrolled or poorly controlled heart failure.

DHEA

DHEA, the most abundant hormone in the body, is a steroid hormone produced naturally in the adrenal glands, testicles, and brain. Clinical studies have shown that DHEA (dehydroepiandrosterone) has a profound effect on the immune system, sex drive, metabolism, and emotional stability. Its effects on the ·immune system, via the modulation of stress hormones and its use as a powerful antioxidant, demonstrate potent age-resisting capabilities. Other health related benefits include the ability to alter cognitive decline, to help the body cope with stress, and to exert a healthy influence over. The heart via cholesterol modulation.


Benefits:

  • Improves insulin sensitivity

  • Improves body composition by reducing abdominal fat and weight.

  • Improves blood flow

  • Improves cellular immunity

  • Improves bone metabolism, may improve osteoporosis in older men and women

  • Improves sexual function including libido and erectile dysfunction in men

  • Improves physical strength in frailty

  • Reduces inflammation

  • Provides neuroprotection (protects brain cells)

  • Improves cognitive function, and memory enhancement

  • Improves symptoms of depression

  • Decreases the effects of aging on skin

  • Decreases the severity of lupus and may help chronic fatigue syndrome

  • Modulates endothelial function.

Possible Side Effects and Risks:

  • Side effects have only been described when high doses of DHEA have been used i.e. greater than 200mgs/day, raising DHEAS level$ to beyond physiological levels.

  • In women: acne, male pattern hair loss or growth, menstrual irregularities, headaches, insomnia

  • In men: more prominent breasts (gynecomastia), breast tenderness, increased blood pressure, testicular wasting, or increased aggressiveness.

  • May lower HDL (good cholesterol)

  • There is theoretical concern that long-term use or use of amounts that cause higher than normal physiological DHEA levels might increase the risk of prostate cancer, breast cancer, or other hormone-sensitive cancers.

  • In diabetes, blood sugars need to be closely monitored

Contraindications for DHEA Therapy

  • Breast cancer, uterine cancer, ovarian cancer, endometriosis, and uterine fibroids or prostate cancer.

  • Liver disease




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