Wednesday, April 2, 2008

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Testosterone replacement therapy

A more immediate way of increasing testosterone levels is through testosterone replacement therapy (TRT), where testosterone is put into the body by a doctor. Testosterone replacement comes in various forms. Taking testosterone orally is one option, although the problem with taking natural testosterone orally is that it is often broken down by the liver, and so relatively little is released into the body. Synthetic testosterones may be able to pass through the liver without being broken down, but this has been strongly linked to liver disease.

Injections into the muscle tissue are a further option, although the practicalities of regular injections with a one-and-a-half inch needle put many people off. More common is the application of a transdermal gel.

Traditionally, doctors have limited TRT for men with extremely low levels of testosterone. TRT was not usually used to compensate the “normal” decline in testosterone during aging, and even today, some doctors are nervous about the effects of too much testosterone, which can increase the risk of heart disease.

Many men using TRT for andropause symptoms can’t believe the difference it makes – they feel younger, more energetic, happier and enjoy sex more. A large industry has developed that promises eternal youth through testosterone replacement – yet the dangers are real.

TRT is not something to be considered lightly. Medical supervision by trained professionals is a must. An administration of too much testosterone may occur if the right tests are not carried out thoroughly. Anti-aging medicine doctors can measure the levels of free and bound testosterone in your body, and compare it to younger men and other men your age. The doctor can also explain the benefits and dangers of various therapies to help you make your own decision.

TRT can take between one and six weeks to take effect, but the results can be astounding, as patients often receive a re-inspired zest for life that gives them more energy to do what they want to do.

Tags: Andropause and testosterone by Doctor Nick
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How men can combat falling testosterone levels and andropause

One of the reasons that testosterone decreases with age is an imbalance between estrogen and testosterone levels. Normally, the body converts testosterone into estrogen through a process called aromatization. As the body ages, it generates excess estrogen which can result in male breast development or fat deposits in the belly.

Obesity is another major problem that triggers a problematic cycle of lower testosterone levels, causing decreased physical activity and weight gain. Furthermore, as muscle mass diminishes, a person can become slightly shorter, and thus fat to muscle ratio is altered again for the worse.

There are many ways in which men can attempt to overcome diminishing testosterone levels. The enzyme that is responsible for converting testosterone to estrogen is contained in fat cells. Less fat cells means more bioavailable testosterone, and the only way to reduce excess body fat is to lower insulin levels in the body, which can come through a good diet.

Anaerobic exercise is also an important aspect of maintaining the body’s optimal functionality. Weight training is an excellent means of increasing testosterone levels, as the building of muscle mass is a joint effort between testosterone and growth hormone. With efficient weight training using short (one minute) rests between repetitions, the levels of both hormone increase.

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