The No-Nonsense Guide To Testosterone Replacement Therapy What You Need to Know About Low Testosterone
For men with low testosterone, getting on Testosterone Replacement Therapy accomplishes the following:
- Increased energy levels
- Increased libido and sex drive
- Improved cognitive function
- Improved athletic performance
- Improved sense of well being
- Improved lipid profile
- Increase in lean muscle mass
- Decreased risk of heart disease
- Decreased risk of osteopenia
Dr. John Crisler, the author of the excellent book Testosterone Replacement Therapy-Recipe for Success, believes transdermal delivery systems are superior to injectable formats. His belief is based on years of clinical experience with hundreds of patients. His theory is that transdermal delivery systems produce a serum androgen profile which varies greatly during the day-essentially mimicking the endogenous T production of a young healthy male. Better stated, entropy (randomness) in hormone levels best replicates the feelings of youth. Because they also elevate DHT, the transdermals are better at addressing sexual dysfunction.
Think you’re just getting old?
The bounce in your step has gotten flat. You sit on your butt all the time. You just haven’t been able to shake off that mysterious ache in your lower back. Your mind isn’t quite as sharp as it used to be. Tired and lethargic all the time, with a dwindling sex life, flabbier muscles and an ever expanding waist… especially after toiling long hours at the office, chasing kids around the house in the evenings, and getting bossed around by the wife.
And there’s this quiet, barely audible voice in your head:
“Surely there is more to life than this?”
I’ve been there. I know exactly how it feels. And I’m here to tell you that you may need to get your testosterone checked. Your testosterone may be running low. This causes the very symptoms you are experiencing: fatigue, lethargy, erectile dysfunction, weight gain, loss of muscle mass, and the list goes on.
But that’s not all. It gets even worse:
Low testosterone is a very real and insidious medical condition that, at best, severely stunts your potential. At worst, it ruins lives and increases your risk of heart attack, diabetes, brittle bones, and cancer.
First of all, when you have low testosterone, you are not performing at your fullest potential – professionally, athletically, sexually, and socially. You may be fatigued, have low libido, sleep deprived, and carrying extra fat. In which case, you will benefit from Testosterone Replacement Therapy under supervision by a doctor, as I have in ways listed below:
- Improved sexual function and libido: Not even ONE failed erection since I started Testosterone Replacement Therapy! Talk about second puberty. When women smell testosterone on you, they get lustful with animalistic desire. Most powerful aphrodisiac ever. Result? Toe-curling brain-scrambling sex with women who wouldn’t give you the time of day before.
- Increased energy levels: I feel like I replaced my gunked up V4 with a powerful turbo-diesel engine. Talk about drinking from the fountain of youth and having enough energy to tackle a lion like an angry linebacker! (okay, the lion part is an exaggeration and definitely don’t try this at home…)
- Improved cognitive function: Instead of muddling through brain fog and cobwebs on a daily basis, my mind is refreshingly clear and is as sharp as a freshly sharpened pencil.
- Improved athletic performance: Take running for example. When I had low testosterone, attempting a sub-10 minute mile would nearly kill me. Now I can easily do 8-minute miles, mile after mile, with a running form as smooth as a baby’s butt. Bones are stronger while joints are adequately lubricated.
- Improved lipid profile: In my low testosterone days, my cholesterol was 226 and triglycerides were approaching 250! Six months after beginning Testosterone Replacement Therapy, my cholesterol came down to a healthy 160, while triglycerides dropped like a rock to around 90. The look on my doctor’s face was as if he had just seen the second coming of Jesus.
- Increase in lean muscle mass: When you increase testosterone, your body responds to higher testosterone levels by building and retaining muscle mass just as a man’s body should. This is a double whammy of a benefit because as you increase muscle mass, you also naturally lose fat.
- Improved sense of well being: My depression vanished almost overnight without taking a single antidepressant pill. Of course, when you melt the extra fat off as you gain muscle, get rock-hard erections in the presence of young, nubile, and naked women, and feel like you have enough energy to take on anything in life, you’d naturally feel a higher sense of well being.
For a man to function optimally, his total testosterone levels should be at least 700 ng/dl or higher. If your levels are significantly lower than that (especially below 450) and are experiencing symptoms, you probably are a candidate for Testosterone Replacement Therapy.
Now, let me say this:
You CAN feel young and strong again, and be desired by beautiful women!
But, how? I will show you EXACTLY what to do and how. First,
- Stop wasting money on so-called testosterone boosting supplements that don’t do diddly squat.
- Stop killing yourself with 10 mile morning runs. It won’t get rid of that blubbery flab around your waist.
- Stop listening to doctors who tell you “you’re totally fine, nothing is wrong with you.” That is a big fat load of malarkey!
- Stop spending time in front of that mirror silently berating yourself over those extra pounds.
- Stop with those silly diets. You and I both know they don’t work.
- Stop reading those bodybuilding forums full of contradictory bro-science and confusing bullshit for a quick fix sold in dubious black markets.
- Most importantly, stop wasting your life away thinking you’re just getting old!
Now, you cannot just walk into a doctor’s office, get on testosterone, and be done with it. So many men do Testosterone Replacement Therapy all wrong, making their condition even WORSE than before they started.
Some truly SHOCKING truths about testosterone that your doctor never told you.
1. Erectile Dysfunction Is The First Warning Sign of Heart Disease
Wha—?! Yep, that’s right. Now you might have heard this myth that testosterone increases the risk of heart attacks.
The longer your testosterone remains low, the higher your risk of heart attacks climbs every year.
Let me explain:
Heart disease begins when plaque build-up begins. It starts out slow, just a few little buildups along the arteries. A little plaque here and there is no big deal and won’t impede any blood flow through the biggest arteries.
But, the blood vessels in the penis are tiny compared to the big coronary arteries around the heart. A “little plaque” within those narrow vessels may just be enough to gum up the works while getting it on with a hot date.
While blood flow remains perfectly unimpeded through the rest of the body, blood flow through the tiny and narrow penile capillaries may not be at its optimum even with the smallest bits of plaque build up.
So a “little plaque here and there” may seem like no big deal … UNTIL it starts affecting you in the bedroom.
Testosterone has a profound effect on a man’s lipid profile. Low testosterone increases production of LDL, bad cholesterol, promoting arterial plaque in many men beginning as early as age 20-25.
As if that’s not good enough, here’s another one:
2. Lower Testosterone Levels Increases Risk of Prostate Cancer
Wait a minute?! Doesn’t testosterone cause prostate cancer?
In fact, the lower your testosterone levels are, the higher your risk for prostate cancer actually is.
This has been backed by recent studies that debunk the long-standing testosterone-causes-prostate-cancer myth, which had once been widely believed by the medical community.
As Dr. Yassin puts it, we’ve experienced a major paradigm shift in the last decade that testosterone replacement therapy does not cause or increase the incidence of prostate cancer. Prostate cancers are sensitive to changing concentrations of testosterone when the testosterone levels are very low.
However, once the prostate tumor is saturated with testosterone, adding more testosterone will have little, if any effect, on the tumor growth.
Still, want another one?
3. We Have Lower Testosterone Today Than Our Own Grandfathers
Men today have testosterone levels only one-third of those of our grandfathers living in their prime. What happened?!
Part of the problem is the industrial revolution that began the advent of plastics, environmental toxins, estrogens, phthalates, and hormone-laden meats. The incessant onslaught of endocrine disruptors have been affecting our testosterone levels, and men as a whole have been becoming more effeminate by the year.
The truth is, our grandfathers lived in a different time. They ate foods that are considerably more natural than they are today; not out of plastic containers lined with endocrine disruptors.
The above graph shows that testosterone declined by over 100 points on average in only 15 years! Going back to the pre-industrial revolution era, testosterone levels would be considerably higher than even 25 years ago.
With all the developments in this world during the past 100 years, we are in the midst of a worldwide medical experiment with our male testosterone levels. So far, the results are not looking pretty.
In short, low testosterone is a growing epidemic: 50% of men over age 40 have low testosterone, and that skyrockets to 80% of men over 50! Even worse, most men do not even know they have it. They just accept the symptoms as “getting old” and just live with it.
Stop wasting your life. You CAN feel like a virile 20 year old man again!
Now, at this point, you might have some concerns or hesitations about Testosterone Replacement Therapy. That is understandable and I can’t say I blame you. This is about your health, which is the most important thing on your mind. Here is where I address the most common concerns about Testosterone Replacement Therapy and how to mitigate them:
Top Six Concerns About Testosterone Replacement Therapy
1. What if I want kids? Will I lose fertility while on Testosterone Replacement Therapy?
If done properly, no. It is true that using testosterone alone may reduce sperm count by shutting the HPTA system down.
But there is a simple way around that problem. Adding human chorionic gonadotropin (hCG) to your Testosterone Replacement Therapy regimen will preserve your fertility and keep your sperm count up. It’s best to start it right away alongside with testosterone so you never experience a dip in fertility.
hCG is very safe and natural with virtually no side effects.
2. Does Testosterone Replacement Therapy cause hair loss and make me go bald?
Hair loss is more genetic than anything else. If you are genetically predisposed to hair loss, you will likely lose your hair whether or not you are on Testosterone Replacement Therapy. I understand this isn’t what you wanted to hear.
However, while on Testosterone Replacement Therapy, there are ways to avoid hair loss, or at least slow it down if you are genetically predisposed. Let me explain.
Hair loss is associated with high DHT levels. DHT is a cousin to testosterone, quite similar in chemical structure and holds the same androgen powers. While DHT is great for libido, it, however, contributes to hair loss at high serum levels.
When applying testosterone gels to your skin, testosterone may get converted to DHT via skin cell receptors. Too much of this conversion may lead to high DHT levels, which may not be what you want if you are predisposed to hair loss.
A simple way around this is to not use gels, but rather, injections or other means to deliver testosterone. This way you get around the receptors that convert testosterone into DHT by delivering testosterone directly into the bloodstream. And you get to keep your hair.
3. If I am not a doctor, what makes me qualified to write an article on testosterone if I never took a course in medical school?
Now I understand what you’re thinking. When it comes to health matters, anything is written or said by an “MD” automatically holds more weight than material written by someone who is not a doctor.
Keep in mind that almost every doctor specializes in a very narrow medical topic, or on a very specific organ of the body. Over many years in such specialization in a specific subject, their knowledge of other body parts and functions deteriorate over time, while new medical studies are always coming out refuting previously held medical beliefs.
Specialization aside, there is not much financial interest in the medical community or in pharmaceutical companies to fix hormonal problems in patients. Testosterone itself cannot be patented, so there isn’t much money to be made from giving men testosterone. So, many doctors don’t even bother taking the time to learn how testosterone, or lack of, affects men.
Against this backdrop, take me, suffering from erectile dysfunction and low energy levels within a crumbling marriage. I had a LOT at stake, so I was definitely motivated to learn all I could about testosterone.
I spent five years and thousands of dollars of my own money researching this topic daily.
The education and knowledge I built up over those soul-wrenching years are certainly worth at least four to five years of medical school specializing in only one topic: Low Testosterone in Men.
As I’ve been consulting men in their personal situations, they’ve repeatedly told me that I know more about testosterone than their own doctors!
4. But is Testosterone Replacement Therapy not natural? What can I do to raise my testosterone naturally?
I totally hear you on this one. I mean, I know you love to say, “screw those drug companies and the insurance leeches! I’m going au naturale!”
Here’s the thing. See all those herbal supplements with weird names in health store aisles? These are often made of the SAME stuff that pharmaceutical drugs are made of! Except for those supplements you pop like candy are unregulated and not quality controlled.
On the contrary, testosterone is a natural substance made FOR men and made BY men. Boosting testosterone by adding testosterone is as NATURAL as it gets.
5. How do I know if the problems I have are really due to low testosterone?
You don’t. You need to get tested for low testosterone. And when you do, don’t just accept the results from the doctor over the phone. Make sure you get a copy of all your test results.
This way, you can compare your total testosterone level with the following percentile table by age group:
6. How low is too low?
Pay attention to the median, or 50th percentile in your age range. If you are below the 50th percentile, you most likely are experiencing at least one symptom associated with low testosterone. You may also have an elevated risk of heart disease or prostate cancer with testosterone levels below the 50th percentile.
For example, if your testosterone came back in the 400s – still within “normal” range – you’d be at the 25th percentile or even lower.
Think about that for a minute.
Personally, I would not want to be living out the rest of my life as a sub-25th percentile man, and neither should you!
When you boost your testosterone levels, what percentile should you aim for?
There are many different schools of thought on that question. To reduce heart disease risk, your testosterone should be above 550 ng/dl according to Life Extension Foundation. Men with testosterone levels over 550 reduce their risk of cardiovascular events by 30%.
For general well being, increased energy levels, a healthy sex drive, and a higher quality of life, I personally aim for the 75-90th percentiles. Some men want to push towards 1000, or over the 95th percentile, while others do well at around the 75th percentile.
Either way, due to heart disease and prostate cancer risks associated with low testosterone, maintaining testosterone levels below the 50th percentile is like playing Russian Roulette on your long-term health…