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Jeffry Life, M.D., Ph.D.

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The Truth About Low Testosterone -- And What To Do About It

Posted: 07/08/11 08:36 AM ET

Study after study has shown how traditional medicine continues to get the facts wrong on supplementing testosterone for men with naturally low levels of the hormone. It is discouraged by most of the medical community who believe it is "unnatural" and puts men at risk for disease.

Why is taking care of your health "unnatural"? If you had a broken arm, would you go have it set, or would you leave it dangling to "naturally" repair by itself? The most recent scientific studies prove that men who don't treat their testosterone deficiency are the ones at risk for a very naturally occurring disease: death.

A few weeks ago I was invited to appear on the CBS "Sunday Morning" news program, and I was followed by a doctor who did not support testosterone replacement therapy for men. He cited the only study that exists that takes issue with testosterone replacement therapy, which was published in 2010 in the prestigious New England Journal of Medicine. Yet he forgot to mention the details of this study -- and why it is irrelevant for most men.

The study agrees that testosterone supplementation has been shown to increase muscle mass and strength in healthy older men. The goal of the study was to determine whether this same therapy could yield similar benefits for those who were already infirm. The study was performed on -- and designed for -- men in an assisted living community who had high rates of heart disease, obesity, diabetes and hypertension, and substantial limitations in mobility.

The study concluded that the small size of the trial (only 209 participants of which only 104 received testosterone gel) and the uniqueness of their existing illnesses should prevent any broad conclusions about the safety of testosterone therapy for other populations of men. For this elderly and sick group of men, the study did find that there was a slight increase in the number of adverse cardiac events within the test group.

And what happens if your testosterone is low? The study pointed out that there have been other disease studies that have shown that low testosterone levels are an independent risk factor for death from cardiovascular and other causes. In fact, at the end of my book, "The Life Plan," I list more than 50 independent studies that have been published over the past 10 years that support the importance of hormone replacement therapy for men who have low levels of testosterone.

You can naturally increase your own testosterone through diet, nutritional supplements and exercise. But when these options are not enough, I believe that natural hormone supplementation is the only way for men to stay healthy as they age.

So what should you watch out for? The first signs of declining levels of testosterone are: diminished energy levels, increased irritability, decline in mood, decline in cognitive performance and loss of early morning erections.

At this point many of you might be thinking, "well Dr. Life, those are just the signs of aging." But they aren't. I believe that you don't have to get sick as you get older. And you certainly don't have to live with a declining sex life. While decreased libido and erectile quality are often the symptoms most frequently connected with falling testosterone levels, they are actually some of the last to occur, which means that by the time you're worrying about your libido, the rest of your health has already suffered.

Men with "low t" have a 33 percent greater death risk over their next 18 years of life compared with men that have higher levels of testosterone. Low testosterone also puts men at risk for debilitating conditions caused by osteoporosis, such as hip fractures. In addition to declining bone density, "low t" is linked with muscle loss.

Testosterone replacement therapy has been linked with a host of health benefits. It has been connected with the reduction of coronary artery disease (CAD) and hypertension risks, as well as with improving cardiac function in patients with preexisting heart disease. Some older men treated with testosterone have shown decreases in total cholesterol and the "bad" LDL levels. Testosterone is associated with keeping your thinking sharp, lowering dementia risk and decreasing symptoms of depression, anxiety and panic disorders. It sounded good to me eight years ago, and I still think it's the way to go for guys who can benefit from it.

Five years after winning the 1998 Body-for-LIFE contest, I was beginning to gain body fat and lose strength -- even though I was still eating clean and exercising vigorously. Then I was introduced to the Cenegenics Medical Institute and realized that my testosterone levels were at the bottom of the normal reference range. My age management physician started me on testosterone therapy and I've never looked back.

Within two months, I began feeling a remarkable change: more strength, better muscle mass, improved sexual function, higher energy levels, reduced cholesterol, good blood sugar control, clearer thinking and a renewed zest for life. I know that there's no way I could accomplish all that I do today at 72 without correcting my hormone deficiencies, eating healthy and exercising right.

Now you might be thinking, "Dr. Life, you do look great, but I don't need to be so buff; I just want to be healthy." And my answer to you is simple: testosterone is NOT the reason I am so fit. I exercise religiously and follow a very clean -- almost vegan -- heart-healthy diet. But I can tell you that without correcting my deficiency, I wouldn't have the energy to exercise as much as I do.

You might want to find out if you have "low t" like I did. I must also emphasize that only a skilled, experienced physician who monitors blood testosterone levels and performs digital rectal exams along with PSA tests to screen for prostate cancer, should administer your testosterone therapy. In my mind, these few tests are well worth feeling better and protecting my health.

So discuss your current health status with your doctor and bring him or her into the 21st century. And if they still have questions about testosterone therapy, have them call me.


Jeffry Life, M.D., Ph.D., has a thriving age management medicine practice in Las Vegas, Nevada. His book, "The Life Plan," published by Atria Books, a division of Simon and Schuster, is available wherever books are sold. For more information, visit his website at www.drlife.com or follow him on Facebook and Twitter.

 
Study after study has shown how traditional medicine continues to get the facts wrong on supplementing testosterone for men with naturally low levels of the hormone. It is discouraged by most of the m...
Study after study has shown how traditional medicine continues to get the facts wrong on supplementing testosterone for men with naturally low levels of the hormone. It is discouraged by most of the m...
 
 
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06:51 AM on 07/24/2011
I know that without testosterone replacement I would not be here today.

At the age of just 40 I was a walking corpse, had already had one heart attack and was getting weaker, less able to look after myself, take exercise or even care about going on.

One blood test, after two or more years of tentative diagnoses of everything from possible diabetes, thyroid problems, chronic depression etc, showed that I had the testosterone levels of a man in his 80s or 90s.

Without the TRT that I now have to take for the rest of my life, I'd not have survived another heart attack. I'd certainly not be getting fitter and stronger every day or be able to feel and share the love of my supportive, wonderful family.

Guys, if you have the symptoms of low T, get it checked out.

Everyone, if you have a brother, husband, son, father or even just a colleague who you care for and who might be at risk, nag them to get the test done, It's just one simple blood test and it could save their life.
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01:20 PM on 07/13/2011
I don't disagree with the idea of Testosterone replacement therapy and am considering it myself.
But what gives me pause is how badly the Estrogen replacement therapy has gone for women which was widely used and caused much damage- cancer, brittle bones, etc.
Obviously, Estrogen is completely different from T, as women are different, but....... it gives me pause.
02:19 AM on 07/10/2011
Age is not the only reason a man may need testosterone replacement. There is a large group of men using it due to low levels caused by Testicular Cancer. Take it from someone who went from having normal levels to extremely low levels. It makes a huge difference in your daily life. The mental fog, tiredness and sleep issues are all real and seriously cause issues in your day to day life.
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onefineseamstres
02:33 PM on 07/09/2011
They write this article like it is something new. It's not. Hormone replacement pills and patches for men have been around for many yrs. i know... my hubby had replacement patches at least 25 yrs ago
02:42 PM on 07/09/2011
Indeed, it is nothing new. The issue is that men in general, don't embrace things that will make a difference in their health and well-being. Women are generally far more pro-active about WELLNESS. And of course, that's what we're talking about here. Staying well and not declining into a state of dis-ease.

The pills aren't good - why put that through your system when it needs to be in the BLOOD, not in the stomach. So patches are creams are the way to go.
12:55 PM on 07/09/2011
Look how old this guy looks at 72. That should tell you hormone therapy doesn't make you anymore youthful or stronger. Susan Summers pitches hormone therapy too women but doesn't allow any close up shots without an air brush or glossing over. This is humbug. People have seen how harmful steroids can be. Yet against their better sense they believe this guys hog wash about keeping you younger and fit with Hormone therapy? He's making a bundle and how by showing you how to manage your age???

"Jeffry Life, M.D., Ph.D. has a thriving age-management medicine practice located in Las Vegas, Nevad ..."

Look at him, does he look like he's managed his ageing very well??? I did actually meet a man who was seventy but looked like he wasn't a day over forty. I wish I'd had asked him how he managed that? But he just has a heart by pass, so I guess it didn't have anything to do with his diet. Maybe its just in the genes!!!
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OrwellianOne
01:26 PM on 07/09/2011
I think you need to google Dr. Life in images and tell me hormone therapy doesn't make one youthful or stronger, you have NO idea what you're talking about.

And testosterone most absolutely, irrefutably makes one stronger. They do so by increasing protein synthesis. You can't sit there and say you THINK testosterone doesn't make one stronger because it does, it's a fact, your opinion means absolutely nothing, because it's a FACT.
02:32 PM on 07/09/2011
Again, thank you! I'm always excited to see someone who makes some sense on these boards. The masses are very quick to attack any fresh thinking or anything that truly addresses the base problems of illness. They just want that quick-fix drug that will make the SYMPTOMS go away. But hey, if it weren't for these types, the entire medical system would collapse and doctors might actually have to be more than butchers and drug pushers. They might actually have to learn about healing and wellness. Wow!!! Wouldn't that be a fascinating concept.

Dr. Life is clearly open to new thinking. Most dr's are content to just up the billing, push the drugs, cut out healthy organs and continue to collect the 'speaking fees' and 'junkets' and other perks that come with being drug pushers for Big Pharm.
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onefineseamstres
02:37 PM on 07/09/2011
It's not to make you look youthful or young... It definately can make you stronger... increase muscle density. When mens hormones are way too low, it causes muscle loss, over all weakness, tiredness... sleep issues.... The patch helps to replace hormones which in time will help the body to rebuild muscle mass, add to strength so that they arn't so tired that they feel like they can't move. It does take time to build up in your system... One thing that happened to my husband was that he had to lessen the hours he had that patch on.... instead of 24 hrs a day.... He took it off after about 18 hrs... With 24.... it was too much and he experienced waves of nausea....much like morning sickness... it was worse in the afternoons and especially by 7 8 9 p.m
02:49 PM on 07/09/2011
And you have a new fan too. I'm always happy to follow intelligent people who are informed about their bodies.
02:59 PM on 07/09/2011
Hello? Refreshing common sense, onefineseamstres! If one wants to 'fix' the face, then you're into plastic surgery world. It's all about strength, stamina and health. It's not about 'looks'.
12:50 PM on 07/09/2011
I think that you can keep your T-levels high with proper diet and exercise. I am age 46, and my T-levels are about the same as a young athlete in his early 20's. It's from weight-training, cardio, and a superb diet. I think that once you start taking testosterone, there is no turning back because your body shuts down its normal production. There also might be some other health risks, However, I can't blame an old guy who is 70, 80, 90 years old for taking T though. But if you are younger than 60, I would think twice.
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onefineseamstres
02:42 PM on 07/09/2011
They don't just hand this stuff out... You can't get it Unless your body has already shut down normaql production. OR at least dr. that prescribes it isn't supposed to give it out like that. Normally a GP will not dispense it...Also... IF you T is low... you need to KNOW WHY. Look for a reason... It's often more than just aging.. when you are midlife or 40's etc... Tumors in the Putitory gland can cause low T... Certain enzyme issues can affect it.... AND you need to be treated by a Endrochronologist...(sorry sp) they know about the hormone systems of the body... Low T may incidate issues with other body hormone systems...
02:51 PM on 07/09/2011
GPs will probably not dispense anyway. They don't really study this stuff. They read what the drug companies give them to read, which is really just studies BY the drug companies to promote their own products. Usually specialists and endocrinologists are the best ones to see about this issue. The hormone system works synergetically with the rest of the body, so if something is out of whack, everything is out of whack.
06:54 AM on 07/24/2011
Eddie, good for you, Diet and exercise is massively important but if you had suffered from low T you'd know that your energy levels are so low, your own feeling of self worth can be so damaged that you'd probably not even bother to get out of a burning chair if you had to.

Research the possible heath risks (and yes, there are some) and then weigh them up against the risk for somebody who has a clinical cause for low T *not* being treated.
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eyeforeye42
Do the right thing for the right reason
12:23 PM on 07/09/2011
There are jails full of men with too high a testosterone level. It was most likely one of the chief reasons they are incarcerated. T is a goldilocks drug - too high or too low isn't good
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Leon Engelun
11:52 AM on 07/09/2011
well - I don't want to have low "T". Gimme some of that stuff. Maybe I can be a threat till I am 95. wooohooo.
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OrwellianOne
11:43 AM on 07/09/2011
There's an incredibly odd stigma attached to testosterone, the propaganda machine in this country has made sure of that.

A 14 year old girl can go to her pharmacy and get estrogenic steroids and play with her hormones, but god forbid a grown man is able to do the same.
arb24529
Micro Bio? sounds like an abbreviated tweet
11:31 AM on 07/09/2011
This doctor will get sued. NOW has been pushing for low T for over 2 decades.
10:52 AM on 07/09/2011
A Ball player named Canseco who wrote a book exposing the use of Steroids by himself and other Major League ball players, eventually got off steroids only to find his body would no longer manufacture Testosterone. It stoped producing Testosterone because Canseco was using Steroids and to keep the Testosterone levels down or at a more natural level his body stopped manufacturing it. The result was he can no longer manufacture his own Testosterone. Now you might be wondering is testosterone shots and steroids the same thing? They are pretty much the same thing. Steroids give testosterone in pill form and testosterone shots are in liquid. All of the same affects go along with taking either of those. So maybe you should look for natural ways to increase your own Testosterone levels by stimulating the organs that manufacture it rather then artificially increasing your levels. Anyway before you start taking supplements ask a Doctor. Susan Summers offers basically the same thing this guy does, only its hormone treatment for women yet I noticed a lot of her recent pictures are air brushed or very glossy. I don't know if that's to cover up her wrinkles or what. But people have been selling medicines that claim to make you younger for millenniums. The fountain of youth has been pursued down through the ages with no one getting any younger. Can this man who wants to sell you Testosterone be trusted? Or is he working for the Pharmaceutical Company's?
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OrwellianOne
12:07 PM on 07/09/2011
What do you mean testosterone and steroids are "pretty much the same thing?" Testosterone IS a steroid.

If one goes on testosterone replacement therapy it's for life, as heavy continued use can permanently damage the testes ability to produce testosterone.
01:48 PM on 07/09/2011
If Testosterone is a steroid, and I say there pretty much the same thing, doesn't that make them the same thing??? And didn't I say using them could destroy the bodies ablity to produce testosterone. Are you here to echo what everyone says????
10:51 AM on 07/09/2011
Age 72 is late to start hormone therapy. Testosterone declines in men between the ages of 50 and 60. I'd be interested in knowing at what age he actually started hormone therapy.
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OrwellianOne
12:15 PM on 07/09/2011
Actually, testosterone really starts declining after age 30.
02:19 PM on 07/09/2011
Thank you, Orwellian One. A bit of actual FACT is always good on these threads. When men get to their 50's or before, they are always 'tired'. Everything hurts. They feel crappy and depressed. Why? Because the hormones that PROTECT them have steadily disappeared. Women lose most of their hormones over, maybe a 2 year period and their bodies go into shock (i.e.menopause.) Men? It's gradual and the main complaint is they feel tired.

To supplement is a personal choice. No one makes anyone do anything healthwise. So if you want to feel tired, run-down, and have no physical stamina and no sexual desire, then hey - no one makes you do any hormone supplementation. Enjoy your decline.
02:39 PM on 07/09/2011
I lost a post, so I hope this isn't a duplicate. My husband has been on NBHRT for three years and he's never felt better. It's a cyclical program and also changes with seasons. He says he feels better now than he did when he was 20 (and he's 60 now). He's more active. His blood chemistry is perfect. His blood pressure is perfect. His cholesterol numbers are perfect. He sleeps well every night. No prostate issues. His sex drive is amazing and his thinking is remarkably clear and sharp. His outlook on life is amazing. Why? Because his hormones are protecting him.
12:42 PM on 07/09/2011
Why cause he looks so old? That should tell you right there Testosterone doesn't make you anymore younger or more virile. Hormone therapy is expensive. Why because the doctor sees a way to get rich quick. Look up Susan Summers hormone program for women on line, if you want to see how expensive it is. If you go to Mexico I'm sure you can find a lot cheaper Hormone therapy that works just as good but its not going to make you anymore younger or stronger. If you want energy----eat right and exercise your body. You'll feel a lot more youthful and healthy. Steroids may give you a temporary boost, but there's lots of evidence they harm the body. There's no short cut to feeling stronger, outside of working out and eating right. Save your money and buy exercise equipment and eat a leaner high energy diet which will naturally increase your Testosterone levels first before you try this mans----thriving practice---and get long term medical bills for Cancer, hormone imbalances, depression etc.
02:27 PM on 07/09/2011
There are many of us who are eternally grateful to Suzanne Somers' thinking outside the box. THIS IS MY CHOICE. I've been on NATURAL bio-identical HRT for three years and have never felt better. My blood pressure and cholesterol numbers are perfect now. I am thankful for any professional who looks at new, fresh research and doesn't strictly do the bidding of Big Pharm, who brought us the flawed NIH study, based on the chemically altered horse urine hormones. Also Big Pharm wouldn't know a natural cycle if it bit them on their big, fat, money-hungry butts.

I'd rather spend my money on being HEALTHY than to spend it on a health system that is all about lining the pockets of Big Pharm and doctors who know nothing about WELLNESS, just illness. And if you think NBHRT is expensive, then maybe you've not looked at the cost of all those cholesterol meds, blood pressure meds, insomnia meds, depression meds and all the other meds that you'll need if your hormones are gone.

Of course, eating right is mandatory. No chemicals, no fast food, no processed crap, no red meat, no milk or dairy, no wheat, high fiber, fresh veggies and fruits and organic - that's the way to go. But if your body doesn't process food correctly, no amount of exercise and healthy eating will change things.
OverseasVet
Stationed not deployed
02:05 AM on 07/09/2011
It looks like this MD is suggesting testosterone supplementation for normal testosterone levels. What is being advocated here then is doping.Worse yet it is based on anecdote and one study which did not have enough strength to draw a conclusion. This is the stereotypical HP health article.
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OrwellianOne
11:42 AM on 07/09/2011
Did you miss the part about "low testosterone"?
02:28 PM on 07/09/2011
You have a new fan!