Ageless Forever Anti-Aging News Blog

Multiple beneficial effects of testosterone replacement therapy in men with testosterone deficiency

Alleged concerns regarding risk of cardiovascular disease with testosterone replacement therapy (TRT) have been promulgated recently. However, a large and growing number of intervention studies show to the contrary that TRT reduces cardiovascular risk factors and confers multiple beneficial health effects. Thus, fears promoted by some recent flawed studies need to be critically re-evaluated. 
 
This article gives an overview of studies that have investigated health effects and safety of TRT.[1] As outlined here, the position that testosterone deficiency (TD) should be regarded as a risk factor for cardiovascular disease is supported by a rapidly expanding body of evidence.[2-4]
 
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How Is Testosterone Deficiency "Low-T" Diagnosed? - Things you need to know before going to your doctor

Testosterone deficiency, popularly known as "low T", has entered the center stage in both the lay and medical communities. However, how is testosterone deficiency (a.k.a. hypogonadism) diagnosed? What is the testosterone level threshold below which you can say you have low T? What are the references ranges for healthy men? 
 
Here you will find out what the medical guidelines say, what critical information they are ignoring, what you should point out to your doctor if he/she doesn't think you have low T...
 
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What's the relation between IGF-1 and Cancer?

In a previous post I outlined the U-shaped relationship between IGF-1 and all-cause mortality.

"Association of IGF-1 (Insulin-Like Growth Factor-1) with Mortality, Cardiovascular Disease, and Cancer"

A growing body of research shows that IGF-1 has a U-shaped relationship with other health outcomes as well, including cancer. This may come as a surprise, as IGF-1 is well-known to increase cancer risk...
 
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Association of IGF-1 (Insulin-Like Growth Factor-1) with Mortality, Cardiovascular Disease, and Cancer

IGF-1 (insulin-like growth factor-1) is a peptide hormone, produced predominantly by the liver in response to pituitary GH (growth hormone).[1] IGF-1 is involved in a wide variety of physiological processes. In adults, IGF-1 has metabolic and anabolic effects, and it mediates many of the effects of GH.[2-4]
 
GH and IGF-1 levels are reduced with normal aging, a phenomenon called somatopause.[5-7] It has been suggested that somatopause is an age-related GH deficiency state.[5] Somatopause has been considered to contribute to physiological deterioration seen with aging, like reduced muscle mass, reduced exercise tolerance, decreased strength, osteoporosis, increased fat mass, elevated cardiovascular risk, impaired quality of life, cognitive/memory decline and reduced immunity.[7-12] These changes are similar to those seen in classic (non-aging related) GH deficiency (GHD).[13, 14]
 
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Testosterone and Prostate Cancer - Bye Androgen Hypothesis, Welcome Saturation Model

 

A long-held belief is that testosterone stimulates development of prostate cancer and/or accelerates its growth. This fear is the most common reason for doctors' reluctance to prescribe testosterone replacement therapy, even in hypogonadal men [1, 2] , which unnecessarily deprives many hypogonadal men of clinical benefits.
 
This summary gives an overview of an in-depth review of current literature regarding the relationship of testosterone levels and prostate cancer, and the effect of testosterone replacement therapy on prostate cancer progression and recurrence.[3] Key studies which have refuted the old belief that testosterone has harmful effects on the prostate are presented, along the new testosterone-prostate paradigm known as the saturation model.
 
Surprisingly, new research provocatively suggests that it is not high testosterone levels that are problematic for prostate cancer, but to the contrary that it is low serum T that is associated with worrisome cancer features and outcomes...and new experimental research has uncovered mechanisms that explain how low testosterone levels may be detrimental for prostate health, and support the new view that testosterone therapy actually may have beneficial effects with regard to prostate cancer...
 
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Walnuts Improve Semen Quality in Men Consuming a Western-Style Unhealthy Diet

It is well-documented that maternal food habits and essential nutrient intakes have an important impact on reproductive outcomes.[1, 2] However, there is less information available on the importance of nutrition for paternal reproductive fitness. Evidence is particularly limited for men who habitually
Consume a Western-style unhealthy diet which is lacking in many essential nutrients and omega-3 fatty acids, which are needed for healthy sperm and fertility.[3-13] Omega-3 fatty acids are especially important for proper sperm morphology and function.[5, 6, 8, 9]
 
Raw unprocessed walnuts are a rich source of essential nutrients and provide an array of health promoting phytochemicals, including carotenoids, phenolic acids, phytosterols and polyphenolic compounds such as flavonoids, proanthocyanidins (PAC) and stilbenes.[14-18] Therefore, a study specifically investigated if in young men (age 21-35 yr old) habitually eating unhealthy, adding 75 g of whole-shelled walnuts per day would have an impact on semen quality...[19]
 
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TRT and Fertility – how to get the best of both worlds - Clomid and HCG - part 2

In part 1 - "TRT and Fertility – how to get the best of both worlds" - I covered issues related to the effect of TRT (Testosterone Replacement Therapy) on male fertility. Here I will outline options for men to increase endogenous testosterone production by non-TRT means, and ways to speed up spermatogenesis for those who chose to go the TRT route...
 
The same strategies apply to increasing endogenous testosterone production and speeding up its recovery after supplementation, as illustrated in the figure:
 
 
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TRT and Fertility – how to get the best of both worlds - part 1

The prevalence of testosterone deficiency (aka hypogonadism or Late Onset Hypogonadism), defined as total testosterone (TT) at or below 300 ng/dl is close to 40% in men aged 45 years and older presenting to primary care offices in the US.[1] Year 2006 is was estimated that more than 13.8 million men over 45 years of age visiting a primary care doctor in the United States have symptomatic androgen deficiency.[1] 
 
A large international web survey using the Aging Males' Symptoms (AMS) questionnaire showed the prevalence of symptomatic testosterone deficiency to be 80% in men aged 16–89 (mean 52 years).[2] It is notable that in the survey 40% of respondent were at younger ages when ‘Late Onset Hypogonadism’ is generally not believed to be occurring.[2] The surprisingly high prevalence of raised scores indicating testosterone deficiency in the younger age groups may be due to the increasing prevalence of conditions in these age groups known to reduce testosterone levels, such as obesity [3-7] and chronic work stress. [8-10] Stress induced cortisol elevation, by increasing SHBG, lowers the free active fraction of testosterone and thereby reduces its action.[11] 
 
This large and rising prevalence of testosterone deficiency is gaining recognition among doctors and patients alike. However, while testosterone replacement therapy (TRT) confers great benefits to men with sup-optimal testosterone levels, it also comes with some side-effects which are especially relevant for men who wish to have a family...Many testosterone users and even clinicians [12] are unaware that exogenous testosterone suppresses the hypothalamic-pituitary-gonadal (HPG) axis and may result in infertility...however, in most cases, TRT induced infertility is reversible. If paternity is of interest to you, read on...
 
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Fish oil supplementation - benefits for young healthy adults

Fish oil is well known for protecting against development and progression of cardiovascular disease in high risk individuals, mostly middle-age and older.[1-4] A notable recent study shows that fish oil supplementation also confers health benefits in young healthy adults.[5]

Young healthy males, aged 21-24 years, were given a fish oil supplement providing 2 g EPA and 1 g DHA per day for 3 months. It was found that the fish oil supplementation significantly reduced fasting blood triglycerides (i.e. blood fats) by a whopping 38% (from 86 mg/dL to 54 mg/dL) and also improved the total cholesterol/HDL ratio, by reducing it from 3.25 to 3.05.

Relevance of blood triglycerides and the total cholesterol/HDL ratio for cardiovascular disease

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Dr. Pierce's Medical Organization Affiliations

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