See Dr. Margaret E. Wierman, JAMA Internal Medicine, July 1, 2015.
Friday, February 26, 2016
Just Right Treatment for Male Andropause
As men get older, they are often treated for hypogonadism (low testosterone). This can be beneficial and safe, if initial blood levels are low (200-250 nanograms) and if relative low doses of testosterone topical gels are prescribed. Other measures such treating chronic pain, diabetes, B12 deficiency, hyperlipidemia and hypertension, weight loss, and IV chelation can safely raise this hormone and improve quality of life. However, treatment with injectable testosterone to achieve higher doses can be dangerous. A huge study in the U.S. and England, showed a 26% increase in a composite end point of heart attack, stroke, and unstable angina and a 34% increase in all-cause mortality for patients treated with injectable testosterone.