What is a guy to do when he starts feeling his age? What if hes less energetic, less playful, less romantically inclined than he used to be? Should he accept it all as an inevitable part of life or should he fight back?
If you watch television at all, you cannot miss the onslaught of ads directed at male baby boomers who wonder where all their mojo has gone. Could it be low testosterone, low T, as the abbreviation goes? If so, the advertisers assert that hormone therapy, or more specifically testosterone replacement therapy, can do the trick.
Sales of prescription hormones have more than doubled since 2008, reaching $1.6 billion last year, not including supplements purchased over the counter, according to IMS Health, Inc., a company that analyzes healthcare-related data.
Men are bombarded by these advertising campaigns, urging them to ask their doctor about low testosterone, says Dr. Spyros Mezitis, an endocrinologist at Lenox Hill Hospital in New York City, in an interview on the subject with WebMD. A fat burning overview can help you produce a clear summarize of what you need to focus on to achieve your fat loss goal if you're a starter; or serve as a reminder for the ones who are at an intermediate or more advance stage of their weightloss strategy. Applying are seven steps that can serve as suggestions for your personal weight loss plan. The first thing that one must understand is that losing weight and losing fat is not the same thing. Many weight loss applications have misled people into wondering that it is the same, but most diets and weight loss programs only work by causing a person's body to reduce more muscle tissue and water than actual body fat, more help please visit The Fat Loss Factor. So they come complaining about feeling fatigued, weak, depressed and without sex drive, which are all common symptoms of a drop in testosterone.
Testosterone levels can be determined by a simple blood test. A normal testosterone range is between 300 and 1,200 nanograms per deciliter (ng/dL) of blood. Less than 300 is considered low T.
In Dr. Mezitis estimation, about a quarter to a third of the patients he tests have levels below normal. But in most cases, the symptoms have other causes. While lower levels are to be expected with aging, he says, lower than normal scores can have a number of different reasons, including diabetes, high blood pressure and coronary artery disease.
Testosterone is a hormone responsible for a mans libido, sperm production, and also for muscle and bone strength. A gradual decline in testosterone usually begins after the age of 30. Other health problems in addition to natural aging may accelerate the process.
Treatment for low T. comes in multiple forms, including injections, patches, pellets, tablets and gels.
Ideally, the goal would be to keep testosterone at levels consistent with those of a 25-year-old male. But hoping for that kind of rejuvenation may be a stretch.
A new study found that older men who used testosterone gels saw small improvements in their muscle-to-fat-ratio, but not too many noticeable benefits to their physical wellbeing in terms of energy, flexibility and endurance.
Based on these findings, it is not altogether clear what testosterone therapy can do in addition to physical exercise, said Dr. Kerry Hildreth of the University of Colorado School of Medicine in Aurora, the lead author of the study in an interview with Reuters. The therapy may be widely used in people where it really may not be appropriate or may not provide the benefits that people think its going to, she added.
There are also concerns over side effects. Skin irritations such as acne and rashes as well as premature balding and breast development have been reported in cases of prolonged use of testosterone boosters. There are also risks of liver damage.
Besides the physiological effects, there can be a psychological impact as well. Mood swings, irritability and aggressive behavior have been noticed.
To maintain physical vigor at an advanced age, regular exercise, especially strength and endurance training, may still be the best way to go. As the study mentioned above showed, testosterone therapy brought few if any advantages beyond what could be achieved by exercising alone. In addition, I would advocate a healthy diet and stress management, both issues that grow in importance with aging.
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Timi Gustafson R.D. is a registered dietitian, newspaper columnist, blogger and author of the book The Healthy Diner How to Eat Right and Still Have Fun, which is available on her blog and at amazon.com. For more articles on nutrition, health and lifestyle, visit her blog, Food and Health with Timi Gustafson R.D. (www.timigustafson.com).
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