Low Testosterone (Low T) Can Affect Men of All Ages

Low testosterone is more than just feeling tired 24/7; men often experience muscle losserectile dysfunction (ED)difficulty concentratingweight gain, and much more. And as men get older, testosterone levels naturally decrease, so it’s not unlikely for many men to experience the side effects of Low T. However, there’s absolutely no reason why you should continue living life feeling diminished and worn out.

Symptoms of Low T In Omaha

  • Can’t Concentrate
  • Loss of Strength / Muscle Mass
  • Low Libido
  • Weight Gain
  • Erectile Dysfunction
  • Depression / Mood Swings
  • Sleep Difficulties
  • Muscle Aches / Joint Pain
  • Low Energy / Fatigue

Types of Testosterone Replacement Therapy

There are several types of testosterone replacement therapy in Omaha, but 88MED provides two highly effective options: injections and transdermal pellets.

Testosterone Injections

Testosterone can also be injected directly into your muscles or implanted into the soft tissues. This allows your body to absorb the testosterone into the bloodstream by means of a slow-release method. Many clients see the best benefits with injections.

Testosterone Pellets

With the subcutaneous pellets/implants from BioTE Medical, the absorption is not time released. Once the implants are placed under the skin, small blood vessels called capillaries surround them. The testosterone is then absorbed by these capillaries. There will be a slight delay in reaching physiologic levels compared to injections and transdermal forms as the body develops these new blood vessels surrounding the pellets. However, once the peak level is obtained a steady state remains for several months.


Who Should Get Treated?

In a man that has a total testosterone below 300 there is no controversy as to whether or not his level is considered “low” or whether or not he should be treated. But what about the symptomatic 48 year old that has a level of 550 that may have had a level of 850 when he was in his twenties? Should he start replacement therapy? Or, should he wait until his level drops below the magic lower limit of “normal” of 300? Testosterone Deficiency (Low T) is a clinical diagnosis based off of symptoms and there is no universally accepted lab level that makes the diagnosis. It is a syndrome that is not clearly understood by all primary care providers. It is up to the patient to make an educated decision and seek out a physician well versed in the current literature that can explain the benefits and potential risks involved with testosterone replacement therapy.

How Will Testosterone Therapy Help?

The medical literature supports replacing testosterone levels to optimal physiologic levels (upper end of the normal range). It has been shown to increase energy, improve sleep, increase lean muscle mass, decrease body fat, increase libido and increase an overall sense of well-being. All of which improve a man’s quality of life. The health benefits associated with optimized testosterone levels include: decreased risk of cardiovascular disease, strokes, Alzheimer’s disease, diabetes and osteoporosis.

Does Testosterone Replacement Therapy Cause Prostate Cancer?

The common myth that is perpetuated in the lay press and sometimes even in the medical community is that testosterone causes prostate cancer. This stems from a study of two patients in the 1940’s by Dr. Charles Huggins. The findings of his study have been debunked several times over and I would encourage the reader to look up “destroying the myth about testosterone replacement and prostate cancer” in a search engine and find the article written by Abraham Morgentaler, MD. It is rather informative and goes beyond the scope of this section.

Suffice it to say, at physiologic replacement levels/optimal levels which is the range we strive for at 88MED, there is no evidence of an increased risk of prostate cancer. In fact, it has been shown that at low levels (below 300) is when a man is at an increased risk of prostate cancer. Although testosterone does not cause prostate cancer it has the potential to cause an undetected prostate cancer to grow to a limited extent. We screen all of our male patients with a total Prostate Specific Antigen (PSA) and in those that are elevated we check a percent free PSA test to determine if they need to see his urologist for a potential prostate cancer workup. We monitor these levels annually as well.

Does Testosterone Replacement Therapy Cause Heart Attacks?

There are those that also link testosterone replacement with an increased risk of cardiovascular disease. Some of this stems from the fact that men have a much higher level of testosterone than women and men also have higher incidence of heart disease. The ill-informed may then draw the conclusion that elevated testosterone causes heart disease. It is important to stress that an association between two things does not prove causation. The medical research actually shows the opposite effect and the incidence of heart disease is higher in men with low testosterone compared to men with high testosterone. In fact, testosterone has been shown to be a vasodilator and there are studies showing it can relieve the symptoms of angina when given intravenously. Testosterone replacement has also been shown to decrease total cholesterol and increase the good cholesterol known as HDL.

How Does Testosterone Replacement Therapy Affect Estrogen Levels?

Testosterone can get converted/aromatized to estradiol (estrogen) and this conversion rate varies for each individual. Some men require an estrogen blocking medication to keep this level in the optimal range. Estradiol is important for the health of man’s brain, bones, skin and vascular system. Estradiol also has beneficial effects on the cholesterol levels as it increases HDL and decreases LDL. Too much estradiol can cause worsening moods, swollen and sore nipples, breast development (gynecomastia) and over stimulation of the prostate. If the estrogen is blocked unnecessarily and the level is too low, one can experience joint pain and less commonly one can experience irritability and aggressiveness known to some as “roid rage”. Because of this we also follow your estradiol (estrogen) levels and keep you in the optimal range.

How Do I Get Started With Testosterone Replacement Therapy?

The initial step is checking your blood levels of total testosterone, free testosterone, prostate specific antigen, and estradiol (estrogen) to see if you are indeed a good candidate. If you are a candidate and choose to go ahead with the procedure, your dose is individualized based on age, body weight, activity level as well as your baseline blood levels. Four weeks following the procedure, we verify the dosing by rechecking your serum levels.


Military & First Responder Discount

88MED offers monthly memberships to help clients receive as much value and convenience as possible from our services. To show our appreciation for all veterans, active duty personnel and first responders, we’re offering a deep discount.

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