TESTOSTERONE REPLACEMENT THERAPY IN MIAMI
Testosterone replacement therapy or also known as TRT in men has repeatedly been shown today to be safe and extremely effective at treating a variety of symptoms. Scientific evidence has debunked the myth that testosterone causes prostate cancer or heart disease. On the contrary, there is overwhelming scientific evidence that testosterone replacement therapy protects against a number of diseases and conditions. Some of these include diabetes, depression, obesity, mitochondrial dysfunction, metabolic diseases, cell senescence, heart disease, and neurological disorders like Alzheimer’s and dementia.
You should be aware that as of today there are over 80 peer-reviewed articles from institutions such as The Mayo Clinic, the New England Journal of Medicine, the Journal of American Medical Association (JAMA), Pubmed, The Journal of Clinical Endocrinology & Metabolism, and The National Center for Biotechnology Information (NCBI) which show that testosterone deficiency is a global public health concern, a safe medication to take, and how it could actually, in most cases, prevent cardiovascular diseases, metabolic disorders, mitochondrial dysfunction, senescent cells, and neurological complications.
RESULTS AFTER TESTOSTERONE REPLACEMENT THERAPY
With our personalized testosterone therapy treatments, our male patients report an improvement in any or all of these areas over time.
TESTING FOR LOW TESTOSTERONE AND WHAT YOU SHOULD KNOW
Before we break down the reasons behind getting complete blood work, let’s start with the three things that define aging and how they relate to the following information. The three things that define aging, in our humble opinion are memory, vision, and physical movement. Hormone replacement therapy or low testosterone treatment is hands down the best way to maintain the proper optimal function of these aging factors. This is the most essential tool you can use to age gracefully.
However, hormone replacement therapy should never be considered without a complete understanding of how all the body’s hormones interact with each other. If one hormone is altered or deficient in your body, it will affect the actions of all of the other hormones and it may cause a negative “cascade effect” if not prescribed properly. The hormonal response of an individual is as unique as their fingerprints, and how one responds to hormone therapy is related to the condition of one’s health, bio-individuality, genetic profile, stress level, nutritional supplementation, lifestyle, and what you eat.
UNDERSTANDING HOW TO TEST FOR LOW TESTOSTERONE
We hope that you could agree that one size does not fit all, and why it’s so crucial that we customize each treatment for each patient with a proper complete blood work analysis. So, before starting you on a hormonal replacement/optimization treatment or if you are already on therapy, and your doctor is not ordering all of the blood test panels we look for, we would ask you to consider his overall expertise in the field of regenerative and hormone replacement/optimization therapy.
Once you read what each hormone’s roles are in your body, you will understand why complete blood work like ours is absolutely invaluable to your well-being. Our blood work is by far the most comprehensive blood test you can order. We are sincerely watching out for our patient’s best interests at all times.
FREQUENTLY ASKED QUESTIONS
TESTOSTERONE INJECTIONS VERSUS TOPICAL CREAMS & GELS
One of our HRT doctors will determine the proper route of testosterone administration. We do this taking into account the patient’s preference of administration. For instance, our physicians find that injectable or non-methylated rapid dissolve testosterone tablets are the most efficient and effective way to increase testosterone levels. Transdermal creams/gels have been shown to increase testosterone levels, but are not as effective and could be transmitted to your loved ones.
TESTOSTERONE INJECTIONS VERSUS PELLET THERAPY
In regard to testosterone pellets, they can be painful, cause scar tissue, and they can sometimes malfunction. There cannot be buyer’s remorse with pellets because the testosterone dosage cannot be adjusted once implanted. All of our treatments are personalized based on the patient’s bio-individuality. Bio-individuality means “there’s no one-size-fits-all” hormone therapy protocol. Each person is a unique individual with highly individualized hormonal requirements.
A patient’s differences in pharmacokinetics like anatomy, metabolism, body composition, and cell structure all influence how your body will respond to testosterone pellets. Meaning two individuals in the same weight and height class can have completely different responses to the same testosterone dose. So when a pellet is surgically administered there is no way to control how the patient will respond to the dose. That is why going the injectable or rapid dissolve tablet route is always the best option because we can always quickly adjust and address the dosage if there is an altered patient response to the medication. About 40% of our patients have used pellets and were ultimately unsatisfied with the results.
ARE TESTICULAR STIMULANTS IMPORTANT TO ADMINISTER WHILE ON TESTOSTERONE REPLACEMENT THERAPY
We recommend using a gonadotropin-releasing hormone agent while on testosterone replacement/optimization therapy or as a post-cycle treatment. This assists in avoiding adverse effects of unopposed exogenous testosterone therapy. If a gonadotropin-releasing hormone agent is not used while on therapy, you’re likely to suffer from withdrawal symptoms. As a result, the testicles shrink and the semen count drops. During testosterone replacement/optimization therapy our patients have observed an increase in testicular function and size within the first three weeks.
SHOULD I BE TAKING AN ESTROGEN INHIBITOR DURING MY TRT TREATMENT
NO! Aromatize inhibitors are harsh chemicals designed for women cancer patients. They have been shown in multiple clinical studies to cause issues with bone mineral density and HDL cholesterol. Both of which can be harmful to male health when negatively affected. When AI’s are scripted, there must be an indicated clinical need for the patient as measured by side effects, symptoms, and elevated readings of Estrogen via blood work.
There are no specific threshold or estrogen measurement levels where a man is ‘too high’ or ‘too low.’ It has to be based on side effects or symptoms. Usually, when men are below 10 on their estrogen readings, you’ll find there’s usually sexual dysfunction, brain fogginess, and joint pain. This should be avoided, and why indiscriminate prescribing of AI’s should be avoided at all costs.
Also, when AI’s are indicated, the minimum effective dosage principle should always be followed with the ultimate goal of removing the patient from the AI once the balance between testosterone and estrogen is achieved. This is measured by feeling good and the absence of side effects. In addition, AI’s are only considered when natural estrogen blocking alternatives have been shown not to work on the patient. Then and only then, should you consider using an AI.
WHAT IS MALE HYPOGONADISM
Male hypogonadism is a condition in which the body doesn’t produce enough of the hormone that plays a key role in masculine growth and development during puberty (testosterone) or enough sperm or both. You can be born with male hypogonadism, or it can develop later in life, often from environmental factors like endocrine-disrupting chemicals, electrical magnetic fields, injury, or infections. We can address this once labs have been drawn and determined by one of our specialized hormone physicians.