Testosterone is a powerful and impactful hormone produced by the human body. While it’s mainly produced in men by the testicles, women also have a small amount (roughly 10% the amount found in men).
Do you know your Testosterone levels? Get your copy of the Test your Test Quiz! We will let you know if you should schedule an appointment to see if Testosterone Replacement Therapy (TRT) is right for you.
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Testosterone affects men’s physical appearance and sexual development from puberty through adulthood. Once men reach their mid to late 30’s, testosterone production drastically reduces, which can lead to loss of sex drive and more serious health conditions such as obesity and heart disease.
Why do testosterone levels start dropping as we age?
The incidence of men with Low Testosterone or Low T is growing year over year.
Most researchers attribute this increase in Low T to ease of life – for instance, more sitting and working in front of a computer screen, less time doing physical labor. In a study run by posture and sitting too long at work actually increased your cortisol levels which can cause a decrease in testosterone.
According to the American Urological Association, about 2 out of 10 men older than 60 years have Low T.
That ratio increases a bit to 3 out of 10 in men 70 to 80 years of age. There has also been a steady increase in cases of Low T in men from 40-50 over the last decade.
“Testing for Low T should be a regular part of blood work done for men and women at their annual wellness exams. I also recommend testing patients who have symptoms of fatigue, anxiety, depression, sleep apnea, obesity, diabetes and sexual dysfunction.” Says Dr. Kevin Kallal, our Chief Medical Director.
Men’s health has grown 10-fold in popularity over the last 5 years. Health, wellness, and fitness has become pop-culture.
Anti-aging treatments like TRT (Testosterone Replacement Therapy) have become widely accepted and sought after. There is no reason to hide the fact that all men grow older and naturally lose testosterone. Study
The Many Health Benefits of Testosterone
There is a laundry list of common symptoms to watch out for, a few most common signs are:
- Low sex drive (libido)
- Erectile Dysfunction / Decreased spontaneous erections
- Mental fogginess, Depression
- Loss of muscle mass
- Fatigue or lethargy
Why are there so many benefits (what’s in testosterone injections)?
Testosterone where many hats. It is the main hormone to maintain sex drive and sexual function. It also contributes to bone health, regulates fat cells, maintains muscle, and helps in the production of red blood cells!
How does Testosterone Injection Therapy help you Improve Life?
Improves Sex Drive
Testosterone plays a key role in libido (sex drive) in men. Some men experience a decline in sex drive as they grow older. Men with Low Testosterone will experience a drastic decrease in their desire to have sex.
Reverses Erectile Dysfunction
While testosterone is critical for a man’s sex drive, it also helps in achieving and maintaining an erection.
Tangent: For some reason, I also associate ED with Enzyme and those Smilin’ Bob commercials. Notice when he waves how his hand looks like an erection. I digress.
By itself, testosterone does not stimulate an erection, but does initiate receptors in the brain to produce nitric oxide,
which is the molecule that kickstarts the chemical reaction necessary for an erection to occur.
When testosterone levels decrease, a man experiences difficulty achieving an erection prior to sex or having spontaneous erections. There are many other factors that aid in achieving an erection as well, each factor is directly correlated to Low T as well.
- thyroid problems
- high blood pressure
- high cholesterol
- alcohol use
Wakefulness & Motivation
One of the most common symptoms of Low T is decreased energy and fatigue. With TRT you will feel a boost of motivation. In an article posted to Men’s Health,
“It’s very common for men to come in with Low T and one of their primary symptoms is fatigue,” says Dr. Morgentaler (Director Men’s Health Boston)Many men also report an improvement in the “brain fog” that can come along with Low Testosterone, adds Dr. Tamler, Assoc. Prof.”
“While researchers aren’t exactly sure how exactly testosterone plays a role in energy yet, Dr. Morgentaler says one of the thoughts is that it has an effect on your mitochondria, which produce energy within cells. This case isn’t closed on this yet, but the theory is that “testosterone turns them on so they’re more productive in terms of creating the energy that the cells need.”
The doctors wrap up the article suggesting that there may be a connection between androgen (testosterone) receptors and fatigue – if the receptors aren’t getting enough T, then TRT can help increase levels and reset the receptor engine. (Article)
Increases Muscle Mass
Because testosterone plays a role in building muscle, men with Low T might notice a decrease in muscle mass. Studies have shown testosterone replacement therapy affects muscle mass, but not necessarily strength or function.
Muscle mass means dense, healthier muscle tissue, which helps you look better (abs, tone arms, etc) and reduces the risk for pulled muscles. Watch your protein intake as well – Eating enough protein is critical to withhold muscle mass.
Burns Body Fat
Testosterone is key not only in muscle growth, but also in fat burn. Men with Low T may also experience increases in body fat. In particular, they sometimes develop enlarged breast tissue. This effect typically occurs due to a hormone imbalance between testosterone and estrogen within men. TRT can assist in weight loss and weight management. Study, Study
Check out our resource page for tips.
Osteoporosis (thinning of bone mass is an ailment commonly associated with women. However, men with Low T can also experience bone loss. Testosterone helps produce and strengthen bone, so men with Low T (especially in older men) have lower bone volume and are more susceptible to bone fractures. Taking magnesium will help you improve bone health.
Improves Mode & Mental Health
When you have low testosterone, physical processes in the body like mood and mental capacity are affected. Research suggests that men with Low T are more likely to face depression, irritability, or a lack of focus. Stabilizing your hormone levels with testosterone injection treatment will give you a positive outlook on life.Other activities like yoga, meditation, and exercise will make treatments much more effective!
When should I use Low Testosterone Treatments?
First, we will do a quick and painless blood test in the morning between 7am-12pm when your testosterone is stable – food spikes as an example. We will do this twice on consecutive days to validate that the level is correct. Anything below 300 ng/dL (nanograms per deciliter) is a flag for Low T.
A blood test called a serum testosterone test is used to determine your level of circulating testosterone. A range of symptoms can occur if T production drastically drops below normal. Signs of Low T are often subtle.
Is Testosterone Replacement Treatment Safe?
Yes, it is safe…
There is potential for cardiovascular risks, however, studies have shown that the correlation is linked to other issues – most common: hypertension, diabetes, obesity, etc. (Study)
Following our personalized treatment schedule and following our total health program, will insure that you are risk-averse to any potential side-effects.
We require quarterly blood work to make sure you are comfortable with the treatments.
How often should I get testosterone Injections?
Our Physician will set a personalized regimen that fits your schedule. You will typically come in every 14 days.
How much Testosterone should be injected?
Your dose of testosterone will be calculated based on your bloodwork results.As you continue treatment, routine blood tests will ensure the proper dose and monitor for side effects. Most men comment that they feel 28 years old once treatment begins.
How can I make my Testosterone Treatments more effective?
Following our weekly health tips and tricks blog posts in the blog feed for the best results. Proteins, Greens, and Grains is the foundation of soon to be released health and wellness program.
What supplements & Resources do you Recommend for success?
For starters, we recommend Zinc and Magnesium supplements to help improve the results of TRT. Zinc and Magnesium actually promote sustained muscle mass and bone density as well. There is no magic pill, naturally increasing testo takes time, strict dedication, focus, and a little genetic luck.
Why do you think testosterone boosters are so popular?
Everyone is looking for that quick fix when in reality, guys are filling their bodies with questionable chemicals rarely advised for use by the medical field.
Following our health and wellness program + tips found on our bio will boost your treatment results.
Check out resource page for our favorite supplement brands.
What type of Testosterone Treatments are there?
Injections weekly or bi-weekly
Each injection is given in the gluteal muscle and effects are quick onset. Your office visits will take less than 15 minutes.
Another option available through RISE is AVEED (Uh-Veed) testosterone supplement, which is an injection supplement given every 10 weeks.
For men who want to preserve natural T levels and stimulate increased T production, HCG injections with Clomid tablets orally will sometimes give T replacement while hopefully preserving fertility. This will not be able to be guaranteed and we would recommend that hopeful couples would consult an infertility specialist for difficulty with conception.
Pellet therapy offers a quick, long lasting solution to hormone deficiency. Pellets are placed under the skin in a simple, in-office procedure in about 20 minutes. The effects of pellet introduction last for three to five months and are monitored by blood tests. Hormone levels can be adjusted before each procedure to ensure the best results for you.
Topical creams and gels are used as an alternative for patients that prefer a daily routine. The medication is compounded locally and can be applied to the arms or legs. As with pellets, levels are monitored by blood tests and can be easily adjusted based on your symptoms.
This article was reviewed by Kevin Kallal, MD.