Got Testosterone?
Treating Low Testosterone Levels and symptoms in
men
Portland Oregon

By Dr. Kathryn Retzler
Ask the average guy what he knows about hormones, bio identical hormones or hormone imbalance
symptoms and he’ll probably say something like “Hormone imbalance, that’s the reason women get all emotional before
their period” or “Hormone imbalance is why women have hot flashes and get crabby when they go through
menopause.” Many men don’t realize the crucial role hormones play in their own bodies or recognize that declining
and low testosterone levels in men cause significant and progressive symptoms of hormone imbalance.
The term “andropause” is referred to as “male menopause” in the mainstream media, and “androgen decline in the
aging male (ADAM)” in the medical community. Symptoms of andropause and low testosterone levels in men usually come on gradually due to the progressive
decline in testosterone, often coupled with an increase in estrogen production. Low testosterone levels are
commonly seen in men over 40, with levels decreasing as early as the 30s. Recent studies suggest the prevalence
of low testosterone in men over 45 years may be as high as 38.7%1, with >50% of men having low testosterone
by age 70.
What does testosterone do?
Testosterone is an “anabolic” hormone, meaning it builds structural tissue such as muscle, bone, and the heart.
Testosterone maintains lean body mass (increased muscle to fat ratio), promotes wound healing, and improves energy
level. Testosterone is perhaps best known for maintaining a robust libido (sex drive) and normal erectile
function.
Heart health and normal blood sugar levesl are influenced by testosterone. Low testosterone is associated with
high insulin levels, and testosterone supplementation has been shown to decrease insulin resistance and help
reverse diabetes. In addition, low testosterone is a risk factor for congestive heart failure and high blood
pressure. Testosterone also improves blood flow to the heart itself by dilating the coronary arteries.
Brain function such as mental sharpness, memory, concentration, and mood is dependent on optimal testosterone
production. Low testosterone is a risk factor for the development of Alzheimer’s disease, which currently afflicts
someone in the U.S. every 71 seconds. Testosterone also influences brain chemicals that help prevent
depression.
Symptoms of testosterone deficiency
The following symptoms are possible with sub-optimal or low testosterone levels in men:
- Accelerated aging
- Decreased muscle mass and strength
- Weight gain
- Low energy
- Poor exercise tolerance or stamina
- Joint stiffness or aching
- Irritability or depression
- Loss of competitive edge
- Decreased memory or poor concentration
- Low libido
- erectile dysfunction
The following conditions have been shown to be associated with sub-optimal or low testosterone levels in
men:
- Diabetes
- Obesity
- Heart disease
- Depression
- Alzheimer’s disease
- Fibromyalgia
- Anemia
- Osteoporosis
Natural ways to raise low testosterone levels
Low Testosterone levels can be enhanced my maintaining a healthy diet high in good-quality protein and low
in simple carbohydrates, and keeping alcohol intake to a minimum. In addition, exercising for 30-45 minutes at
least 4 days per week can enhance testosterone production. Avoiding environmental toxins in plastics and pesticides
may help, as can reducing stress levels. Supplements, such as zinc
and selenium, and herbs, such as saw palmetto and nettles, can improve hormone balance in men. Lastly, since the
aromatase enzyme responsible for converting testosterone into estrogen is found in fat tissue, maintaining a
healthy weight helps optimize testosterone production.
Testing total and free testosterone, as well as estradiol and PSA levels, is crucial after age 40. If levels are
low or suboptimal, supplementation with
bioidentical testosterone (the same molecule produced by the body) is possible through topical creams or
gels, patches, or pellet implants. Testosterone pellet implants are the easiest, most convenient, and most
effective way to raise testosterone to healthy levels.
- Mulligan T, Frick MF, Zuraw QC, et al. Prevalence of hypogonadism in males aged at least 45 years: the HIM
study. Int J Clin Pract. 2006 July 1; 60(7): 762–769.
- Harman SM, Tsitouras PD. Reproductive hormones in aging men I. Measurement of sex steroids, basal
luteinizing hormone and Leydig cell response to human chorionic gonadotropin. J Clin Endocrinol
Metab 1980;51:35-41.
To learn more about the importance of testosterone, symptoms of low testosterone levels, natural ways to improve
production, research on bioidentical testosterone supplementation
including testosterone pellet implants, please visit
Dr. Retzler's clinic website at:
http://www.hormonesynergy.com
Copyright 2010 HormoneSynergy, Inc.
Dr. Kathryn Retzler
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