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TRT mistakesHere are some of the most common TRT mistakes that patients and even doctors make when following a testosterone therapy.

TRT Mistakes #1: Choosing a treatment plan that does not suit your personality or lifestyle

Many TRT doctors only prescribe the testosterone protocol they are comfortable or familiar with, whether it is gel, injection or even pills. However, not all protocols fit every person’s personalities or lifestyles. For instance, if you sweat a lot or do lots of workout, using transdermal patches or creams won’t be as effective as testosterone injection as the testosterone content of transdermal patches won’t be completely absorbed.

Another thing, if you are afraid of needles, testosterone injection will surely be the most uncomfortable situation. Say, you are fine with needles, but what if your doctor does not want to teach you how to inject on your own? Do you have time to drive to his office every week for your injection? Does it fit in with your schedule?

Look for a doctor who knows all TRT protocols and is diligent to ask you about your personality and lifestyle. Otherwise, you might end up discontinuing a TRT protocol because it didn’t suit your lifestyle, your work or your personality.

TRT Mistakes #2: Taking the wrong dose

When you encounter a person who speaks that TRT didn’t work for him, it often has to do with the dosage. You have to understand that testosterone replacement therapy varies from patient to patient. A dosage that could increase a person’s total T to 700 may only bring your up to 400. In addition, a total testosterone level of 700 might be enough for one person, letting him enjoy all the benefits of TRT but for you, it might not be enough.

The dosage and its frequency have to be adjusted from time to time so you make the most you can out of TRT.

TRT Mistakes #3: Cycling testosterone

Maybe because of reading too much bodybuilding magazines, some patients assume that testosterone should be cycled. Cycling is only suitable for users of anabolic steroids whose main goal is to add more muscle mass or enhance performance. However, it is not appropriate for TRT.

Simply put, when you use TRT, your testes take a rest from manufacturing testosterone. If you just stop TRT immediately, you are left with nearly zero testosterone in your body, and at this point, everything goes south. Decreased libido, weight and depression set in. This means that all the benefits you enjoyed with TRT revert. If you decide to stop using testosterone for some reason, work with your doctor to ensure you’re doing it effectively and safely.

TRT Mistakes #4: Wrong Management of Possible Side Effects

Nearly all possible TRT side effects can be managed easily, whether they include hair loss, acne, moodiness or an increase in hematocrit or PSA (prostate-specific antigen). It is important to manage these side effects effectively as it is necessary for the long-term success of your testosterone therapy.

Of course, no one wants to experience these side effects through TRT only to be replaced by another set of side effects. Oftentimes, it is only a question of dosage adjustment or the delivery system but they may sometimes require extra medications.

TRT Mistakes #5: Not living a testosterone-friendly life

Smoking, being overweight, drinking in excess, not having enough sleep, avoiding exercise and taking blood sugar for granted are some of the biggest TRT mistakes that you should avoid. These shouldn’t be part of your lifestyle. Testosterone replacement therapy can create a 180 degree turn in your life. It can make you feel like in your 20s or 30s.

All those bad habits mentioned can greatly deplete your testosterone reserve and no amount of TRT can compensate to offset such kind of lifestyle. It’s best to practice as many healthy habits as possible to make your TRT experience better.

TRT Mistakes #6: Poor compliance

Testosterone therapy requires 100 percent commitment. Like any medication, if you forget to inject or rub cream after a morning shower, it’s not going to give you its expected results. Failing to administer or apply it and it will not work and the long-term outcome will be compromised and unsatisfying.

In addition, poor compliance to TRT has its own inherent consequences. When your T levels keep on fluctuating from highs to lows, you could experience possible swings in your performance, energy and functionality.

There are lots of ways to help you remember your application or injection schedule. You can mark your calendar beforehand, place notes on your fridge or use mobile apps. Find one that will work for you.

TRT Mistakes #7: Choosing the wrong doctor

Today, more and more dentists now provide Botox injections, but that is definitely not part of their training and they are not more qualified, as far as education is concerned, to provide Botox more than a plastic surgeon or a dermatologist. But many dentists see it as a way to augment their income.

On a similar note, many doctors have joined the TRT bandwagon. They do not have the expertise to give testosterone, but they simply do it as a way to increase their income. The problem is, there’s more to TRT than just giving a prescription. Testosterone therapy isn’t just simply elevating your T levels, it is helping your patients find their optimal T levels. 

Further, you need one who is knowledgeable in managing any possible side effects of TRT, including other aspects of the TRT science such as the adjunctive therapies.

Finally, you need one who applies what he prescribes. In this case, a doctor who is under TRT himself, who lives a healthy lifestyle and exercises, has the firsthand knowledge into TRT compared to a conventional doctor who only prescribes TRT on the side.

Consider the possible costs before choosing a doctor as well. Do your own homework in finding the right doctor for you.

TRT Mistakes #8: Overlooking estrogen levels

As mentioned in Number 2, the leading cause for having less stellar results with TRT is wrong dosage. The second most common problem among patients who say TRT didn’t work for them is the failure to keep track of their estrogen levels.

When the body metabolises testosterone, it turns into other chemicals such as DHT (Dihydrotestosterone) and estradiol. Estradiol is a metabolite of estrogen, the major hormone in women. Though men require a certain level of estrogen to maintain vascular health, excessive levels can cause gynecomastia, weight gain, extra body fat and subtle mental changes. Excessive estrogen can also hinder the benefits of TRT.

This problem can be very easy to control, but first, you have to find a capable TRT doctor to recognize and fix it.

Hormone Therapeutics Testosterone Therapy

Being a leading provider of low testosterone therapy solutions, we are always looking for newer ways to improve blood testosterone levels for our patients. We believe on improving testosterone levels with not only different testosterone treatment options that we offer, but also with diet, exercise, and therapeutic methods. Over the years, we have seen that our patients have greatly benefited from our Low-T therapy and treatment solutions, and our network of patients have grown across across all major cities of United States, including: Los Angeles, Houston, Miami, Chicago, Jersey City, and Seattle.

If you or a loved one is dealing with low blood testosterone levels, contact us today to get a free evaluation of your Low-T symptoms and see how our treatment options can help you with your low testosterone.

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9 TRT Mistakes You Should Know

Saleamp Design January 20th, 2017

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testosterone boosting dietA Sample of Testosterone Boosting Diet

Diet plays a huge role in testosterone production. Our organs and glands need specific minerals like zinc and magnesium for the initiation of testosterone production. The Leydig cells require cholesterol to fuel the production of testosterone. Adding testosterone boosting foods like broccoli, cauliflower, and cabbage will also assist in one’s testosterone levels as well as Testosterone : Estrogen ratio by flushing estrogens from the body that lower our testosterone levels.

Increasing fat and cholesterol in-take also helps boost testosterone production. That’s the origin of the Rocky training on raw eggs myth. Loading up on bacon, eggs, nuts and steak certainly has its detractors as does increasing cholesterol consumption but this is all about testosterone boosting diet.

Here’s an example of one man’s journey to boost his testosterone through his own “testosterone boosting diet” that saw a dramatic increase by testosterone optimizing his diet, exercise and sleep (this is not what we are recommending but an example):

Testosterone Boosting Diet Sample Meal Plan

Breakfast:testosterone-boosting-diet-1

Bacon and Eggs . . and more bacon . . and more eggs

Weekdays: Three slices of bacon and three whole eggs. This provided the fats and cholesterol the body needs to make testosterone. Beware nitrates if you eat this much bacon and consider nitrate-free bacon.

Weekends: Mexican Breakfast burritos or pancakes.

Lunch:

The Man Salad

A properly prepared Man Salad packs as many Testosterone boosting foods as he could find:

testosterone boosting dietSpinach/Spring Salad Mix

The salad base using organic greens. Spinach and other leafy green vegetables contain minerals like magnesium and zinc, which have been shown to aid in testosterone production

 

testosterone-boosting-diet-3Meat

Beef provides our bodies with the protein needed to create muscle and the fats and cholesterol to make testosterone. His philosophy was the fattier, the better.

 

testosterone boosting dietNuts

A handful of almonds, Brazil nuts or walnuts. Nuts are fat bombs providing cholesterol for the Leydig cells need for T production.

 

testosterone-boosting-diet-5Avocado/Olives

Avocados and olives provide the good fats needed for healthy testosterone production.

 

 

testosterone boosting dietBroccoli

Broccoli contains high levels of indoles. This compound reduces bad estrogen that hurt testosterone levels.

 

 

testosterone boosting dietOlive Oil

Olive oil helps Leydig cells (which produce testosterone) absorb cholesterol better which assists in testosterone production. More cholesterol absorption = more testosterone.

 

 

testosterone boosting dietBalsamic Vinegar

Mostly for taste and to help keep your insulin in check.

 

 

Testosterone Boosting Diet: Snacks

testosterone-boosting-diet-9

During the day he snacked on testosterone-healthy foods like nuts, pumpkin seeds, and broccoli and occasionally dark chocolate.

An added testosterone benefit to a high fat diet with balanced protein and carbs is can help shed some body fat (this man went from 18% to 12% body fat). Studies show that high fat diets actually contribute to increased body fat loss. And as we discussed earlier, as you lose body fat, your T production ramps up. Remember that this is not a long term solution but one man’s 90 day example.

 

testosterone-boosting-diet-10Dinner

Whatever (in moderation)

He ate what the family was having: chili, chicken and rice, enchiladas, etc. He was not overly worried about carbs but watched his portions.

 

Results

This man doubled his Total Testosterone levels over 120 days but was doing so many healthy things in addition to the testosterone boosting diet. The diet was not unconventional with the exception of the fat and cholesterol intake. He didn’t follow a strict low-carb or Paleo diet. Research is showing that high protein, low carb diets can decrease testosterone levels.

Cholesterol Levels from this approach

His full lipid screening showed the following 90 days on the testosterone boosting diet:

Total Cholesterol: 202 mg/dL (Optimal range: < 200 mg/dL.)

HDL Cholesterol (“Good” Cholesterol): 77 mg/dL (Optimal range: > 60 mg/dL)

LDL Cholesterol (“Bad” Cholesterol): 112 mg/dL (Optimal range: 100-129 mg/dL.)

Triglycerides: 65 mg/dL (< 150 mg/dL is considered normal; < 100 mg/dL is optimal)

By the raw numbers, his overall lipid screening was good despite the high total cholesterol. His results were more interesting when examining the ratios doctors look at for heart disease risk.

Total cholesterol/HDL Ratio: 2.6:1 (Normal < 5:1; Optimal < 3.5:1)

LDL/HDL Ratio: .68:1 (Normal > .3:1; Optimal .4:1.)

Triglycerides/HDL Ratio:

.84:1 (Optimal < 2:1)

Despite gorging on bacon, eggs, whole milk, and steak for four months, he still had healthy cholesterol levels.

Hormone Therapeutics aims to help people looking to improve and optimize their health through natural means or through the guidance of our physicians.

Don’t miss out our free weekly tips and news on Low T, hormone balancing, healthy living, nutrition and a lot more.

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Enhance Your T Levels with this Testosterone Boosting Diet

Saleamp Design November 8th, 2016

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increase-testosteroneA host of human hormone research studies have demonstrated that, in order to improve health and naturally increase testosterone levels, it must go hand-in-hand.

The hard part of sifting through all of that complex research is that it’s often difficult to tell the cart from the horse. Health and Testosterone are so closely linked in men that it’s hard to see when low T causes poor health, or when poor health causes low T.

Do we become healthier when we naturally increase testosterone levels, or by making positive lifestyle changes, do our bodies naturally increase testosterone levels? One thing that is clear, though, is that by taking manageable steps to naturally increase your testosterone, you’re putting yourself into a Win/Win situation. These lifestyle choices are just good health advice, and they also increase your T. We have also seen a scientific study of 83,000 US veterans over a 15 year period assessing the benefits of Testosterone Therapy.

This study showed that US veterans with low testosterone, supplemented under Physician guidance back to normal levels have lower incidence of heart attack, stroke, prostate cancer and mortality.

Top 7 Reasons to Naturally Increase Testosterone Levels

Here are our Top Seven reasons to naturally increase testosterone levels that will undoubtedly make you a much happier and healthier Man (increasing testosterone does help with all of the symptoms and issues caused by Low T):

increase-testosterone3Increase Muscle Mass and Overall Strength

There is no doubt that an increase in testosterone will positively impact your entire muscular system by increasing crucial muscle protein synthesis that contributes directly to muscular growth. An upgrade for your muscular system, at any and every age, will naturally lead to a healthier, more confident and capable you.

 

increase-testosterone4Increase Overall Heart Health

The heart is the single most important muscle in your body. An increase in testosterone will not, by itself, lead to the prevention of cardiovascular disease, but the direct benefits derived from naturally increasing your Testosterone level will lead directly to more sustainable cardiovascular health if your physician monitors and manages the patients red blood cell count and hematocrit levels.

 

increase-testosterone5Decrease Your Body Fat Percentage

Every medical study has proven that men su­ffering from obesity have a consistently lower-than-average testosterone level (and coinciding above-average estrogen levels) and there are clear reasons for this. When our testosterone levels decrease, insulin and glucose regulation decreases accordingly as the body’s natural ability to metabolize fat also declines. Testosterone levels play a crucial role in the body’s insulin and glucose regulation as well as the body’s ability to metabolize fat.

 

increase-testosterone6Fortify Your Skeletal System

As we age, men can suff­er from the debilitating e­ffects of osteoporosis but testosterone is an often overlooked health ingredient that plays a significant factor in overall bone density and strength. Testosterone is a key component in e­ffective bone mineralization and resorption, increasingly important as we age and our bones tend to lose a degree of density.

 

increase-testosterone7Reignite the Libido

The hard fact is that the primary function of testosterone is as a vital reproductive hormone. It returns desire as well as sexual function.

 

 

increase-testosterone8Cognitive Ability

Testosterone helps regulate cortisone, which is a stress hormone, and a­ffects the efficiency of our brain’s neurotransmitters. When men suff­er from decreased testosterone levels they lose some ability to eff­ectively regulate cortisol levels, which can cause neurotransmitters malfunction and lapses in memory.

 

 

increase-testosterone9Delay, Decrease or O­ffset Eff­ects of Alzheimer’s

Alzheimer’s and dementia are most frequent in 65+ men often caused by Andropause. In addition, a healthy testosterone level is a distinct competitive advantage in the game that we call “life”. Feel the way you used to feel and improve your drive, confidence, energy, look, outlook, sexual interest and function while living a healthier life.

 

Hormone Therapeutics Physician Guided Testosterone Replacement Therapy

increase-testosterone10These are all improvements you can achieve through natural means. Natural means will increase testosterone levels, however, they will not always optimize your levels to where you feel the way you used to feel for reasons including hypogonadism, aging, health conditions and more. These are great healthy ways to live your life, however, the expert Hormone and Testosterone physicians at Hormone Therapeutics can put you on a proper Testosterone and Hormone Replacement Therapy program.

Hormone Therapeutics will assess your symptoms and complete medical history. We will schedule your complete blood tests. We will interview you and then develop a program specifically for you. We will give you another blood test at the 6-8 week mark of treatment and also a 24 point self-evaluation of the progress against the symptoms of low testosterone.

After further blood testing and evaluation of your progress we can adjust your treatment as needed. The treatment could include supplemental testosterone, HCG to encourage your system to naturally produce more testosterone, estrogen blockers to manage your Estradiol : Total Testosterone ratio and optimize hormone balance. There are also many other factors and tests we can assess and other treatments we can consider depending on your unique situation.

Always start with a natural approach to optimizing your health. Good clean living, a healthy diet, exercise and sleep patterns will go a long way to giving you the life and health you desire. Our Physicians are here to help you.

OPTIMIZE YOUR HEALTH!

Hormone Therapeutics will help you increase testosterone levels the natural way, working with you and getting you back to feeling how you remember feeling went you felt great! Contact us for a free evaluation. www.hormonetherapeutics.com/contact-us/

Hormone Therapeutics aims to help people looking to improve and optimize their health through natural means or through the guidance of our physicians.

Don’t miss out our free weekly tips and news on Low T, hormone balancing, healthy living, nutrition and a lot more.

 Want more? naturally-increase-your-testosterone-levels-ebook

Sign up today and Get our ebook, ‘Naturally Increase Your Testosterone Levels’ absolutely FREE. 

Top 7 Reasons to Naturally Increase Testosterone Levels

Saleamp Design October 4th, 2016

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Any significant research into TRT will likely also discuss aromatase inhibitor and estrogen management.  You will definitely find this on the ‘Bro-Science’ bodybuilding sites focusing on bulking and supraphysiological dosages of testosterone and other anabolic-androgenic steroids that aromatize to estrogen and estradiol.  

What is an aromatase inhibitor  and what does it do?  

Aromatase is the enzyme complex that converts androgens like testosterone into estradiol in men.  Weight gain and aging increase the risk for testosterone conversion into estradiol.  Estradiol is the “bad estrogen”, responsible for issues including (often) prostate issues, gynocomastia and erectile/libido/hormonal problems. Men find aromotase in their fat cells and as they expand our estradiol will find itself increasing at the same time our testosterone levels dwindle.   

An aromatase inhibitors binds to aromatase, disabling it. 

Why take an aromatase inhibitor?

AIs will reduce Estradiol levels.  Symptoms of high estradiol include gynecomastia (male breast development and enlargement) and edema (fluid retention in the extremities).

Avoid or Reverse Gynecomastia – Estradiol plays a major role in gynocomastia and an AI like Arimidex (anastrozole) – occasionally letrozole is used – is quite effective in managing estradiol levels.  The most important thing is to blood test and measure the estradiol levels and look at is on it’s own and as a % of Total Testosterone levels.   if a man goes over a total testosterone of about 600 ng/dl, he will very likely need an aromatase inhibitor.  The symptoms for elevated estradiol can mimic those for low testosterone, including  mood issues, low libido, erectile dysfunction and other estrogenic side effects.

Did you really want to see a before pic?

Did you really want to see a before pic?

Clinical research has looked into the use of aromatase inhibitors as an option to testosterone replacement in older men, and to delay bone closure in adolescent boys who are short, to allow them to gain more height. 

 

Is Estradiol important?  Role in men of Estradiol:

Since Estradiol is known as a female hormone and elevated levels can cause gynecomastia or edema, many men believe they need to eliminate or suppress it.  This is not true, the body produces estrogens in men because we need it.

Estradiol is important in determining bone mineral density in men. Low levels may lead to bone loss and osteoporosis in elderly men.  Low estradiol levels increase fat and decrease sex drive and erectile function.

We do not know the optimal estreadiol range but do know that low levels are not good.  We also believe taking anastrozole without clinically diagnosed high estradiol levels and symptoms (gynecomastia and edema) can be counterproductive for men on testosterone therapy.  Get your advice from a trained HRT/TRT physician and not someone in the gym or a “Bro-science” website. 

Potential side effects of Aromatase inhibitors

Aromatase deficiency has been linked to increased insulin resistance, which is a precursor to type 2 diabetes. Animal studies have shown that an absence of aromatase in male rats increases insulin resistance as well as body fat, and “fatty liver” develops. When young, healthy men were given an aromatase inhibitor, they developed slightly increased body fat, particularly within the waist (i.e., intra-abdominal fat). This type of fat is associated with the development of metabolic syndrome, which includes insulin resistance.

Patients with low testosterone should be wary of automatically using aromatase inhibitors, due to a number of potential metabolic effects. For the AAS using bodybuilder, aromatase inhibitors can be necessary to combat aromatization from supraphysiologic testosterone and other AAS dosages.  The most important thing is to work under the guidance of a trained HRT/TRT physician and get tested regularly.

 

Aromatase inhibitor benefits and side effects as part of Testosterone Therapy

Saleamp Design September 13th, 2016

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What is testosterone replacement therapy? How does Estrogen effect my testosterone levels or how I feel?  What is Estradiol or E2 and what do I need to know about estradiol monitoring?  Why is it important to monitor estrogen level before getting TRT? What if my estrogen level is elevated, should I still be treated or not? What are the downsides of TRT? Is it dangerous?

These are some of the most common questions most men ask during testosterone replacement therapy. Read below to know more about this treatment.

What is Testosterone Replacement Therapy?

Testosterone Replacement therapy

Testosterone replacement therapy (TRT) is a medical treatment that aims to restore hormone levels back to a normal range without any significant side effects or safety concerns. More importantly, it should alleviate the symptoms associated with the hormone deficiency.

The ultimate goal of TRT is to regain and maintain the highest quality of life, compress major illnesses and reduce disability; and add life to years.

Estradiol Monitoring: Why is it important to monitor estrogen level before getting Testosterone Replacement Therapy?

As a Man’s testosterone level decreases, typically his estrogen levels are increasing.  Testosterone replacement therapy can also lead to elevations in estrogen level in some men who convert a portion of their testosterone supplementation to Estradiol. In some cases, the level could be above the normal range. While TRT is not about jacking up a man’s testosterone, it should also not be about suppressing his Estrogen or Estradiol/E2.

When the estrogen levels increase, a person may develop breast or nipple tenderness (gynecomastia), which may call for the use of aromatase inhibitors (AIs) – a potent estradiol-suppressor that is primarily used as an adjuvant treatment for breast cancer by lowering estrogen and thereby reducing the stimulation of estrogen receptors in such disease. 

Some doctors prefer stopping TRT first when symptoms of high estrogen levels are becoming apparent rather than managing it through AIs.  Many doctors, and Broscience websites, promote the absolute use of aromatase inhibitors during TRT despite the absence of symptoms or signs of increase estrogen or Estradiol. They believe that keeping a relatively low estrogen concentrations can boost the effectiveness of TRT and improve male health.  This approach, however, can cause other problems.

We at Hormone Therapeutics follows medical protocols and believe in treating the symptoms and the blood tests.  The Total Testosterone:Estradiol ratio needs to be kept below 5%.  We believe in monitoring and maintaining this level.

What if my estrogen level is elevated, should I still be treated or not?

Estrogen levels in some men administered with aromatase inhibitors have levels that sink below 40pmol/L, which may pose increased risk on bone health, energy and emotional health.

Perhaps the only study that can compare the use of TRT with and without anastrazole were in men diagnosed with hypogonadism, hyposexuality and epilepsy. The first trial revealed a positive effect on the sexual interest with the addition of testolactone therapy.

On the second trial that involves men reported an increase in libido among men treated with anastrazole and testosterone alone. However, this trial didn’t attain statistical significance because some men from the T-alone group also reported increase in sexual interest despite an increase in their estrogen.

However, these studies must be taken with caution because it isn’t clear how the group compares with the bigger group with low-T. This group were also treated with antiseizure drugs which increases SHBG (Sex hormone-binding globulin) – a glycoprotein that attaches to the two sex hormones, estrogen and androgen.

Therefore, there is no solid evidence to support the claim that the use of aromatase inhibitor in conjunction with TRT provides benefits more than that provided by TRT alone.

Do You Need Help?

Hormone Therapeutics is the leading national company assisting men who want to get their lives back through Hormone Replacement and Testosterone Replacement therapy. Our local physicians are ready to treat you anywhere in the entire country. Hormone Therapeutics is pioneering an easier, cost efficient and more private way for you to work with our clinical advisors and physicians from the privacy of your home or office after your local physical exam confirms you have one of the symptoms of Low T.

Contact us today and our clinical advisors will work with you on a hormone therapy program that may include prescribed hormones, exercise, nutrition and sleep programs to reclaim your vitality.

Estrogen Monitoring – Estradiol Must Be Monitored During Testosterone Replacement Therapy

Saleamp Design March 22nd, 2016

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Sexual desire typically increases with testosterone therapy as sexual dreams and both morning erections and evening erections return and increase in frequency and volume to alleviate erectile dysfunction. For some, testosterone therapy alone do not increase the erection strength or duration of the erections as much as desired. There are additional options for men needing additional help to satisfy their ability to perform with alongside their increased sex drive.

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Erectile Dysfunction Drugs

Saleamp Design March 16th, 2015

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