About Dr Don MacGeachyBioidentical hormone replacement therapy, ohrmone known as bioidentical hormone therapy or natural hormone therapy, is make term referring to the use of hormones that are identical, on a molecular level, with endogenous hormones in hormone replacement therapy. With a more natural approach to hormone therapy the medical industry has focused attention on bioidentical hormones, that is hormones that are identical in molecular structure to the hormones we all make in our bodies. These bioidentical hormones are made from a plant chemical extracted from yams and soy. When taking a blood test the total estradiol reflects the stanozolol barriga inchada estradiol that has been taken as well as male hormone doctor gold coast estradiol your body makes. This hormonal treatment process is not replacement but a therapy that optimizes hold levels for well-being, anti-ageing and energy.
Hormone Clinic - About Dr Don MacGeachy - Hormone Clinic
Testosterone is not just a sex hormone. Every cell in the body has a receptor for testosterone. It is vital in the production of protein and therefore in the formation of muscle. It has a key role in the manufacture of bone. It improves the oxygen uptake of cells, helps control blood sugar, helps regulate cholesterol levels and helps maintain a powerful immune system.
The male form of menopause is called andropause and is caused by a slow decline in testosterone production by the testicles and adrenal glands. Unlike the female menopause, which is caused by a sudden decrease in hormone levels, the male andropause occurs much more gradually over a 20 year period and therefore may be less obvious. Peak testosterone levels in men occur in the late teens. After that there is a gradual decline. Andropause typically begins in men in their early forties or fifties.
That figure is a lot higher if levels are compared to optimal levels that occurred during youth. A few men are lucky enough to maintain youthful levels right into old age and the result is usually health and vitality. Athough Testosterone Replacement Therapy TRT is an invaluable tool for aging men, everything should be done to try and delay the decline in testosterone levels to delay the need for TRT. It is associated with an increase in the incidence of heart attacks, strokes and brain ageing.
So how do you know if you would benefit form testosterone replacement? First of all, check to see if you have any of the above symptoms. If you do, then ask your doctor to check your testosterone levels. The big question is how should that be done and is the result interpreted correctly? There are 3 ways to measure testosterone levels- blood, saliva and a 24 hour testosterone level. After years of experience with testosterone replacement therapy TRT I am convinced that the 24 hour urine measurement is by far and away the safest and most accurate technique.
As well as choosing the best way of measuring testosterone, the result also needs to be interpreted correctly. You get a blood test done and the free testosterone i. The lab reports that the normal range for a year old man is units fictionary figures used for sake of explanation. So your doctor may say you are in the normal range and testosterone deficiency is not causing your symptoms.
There are several problems with that interpretation:. The take home message? Anti-aging medicine is about living with the vitality that comes with having hormone levels at the upper end of the youthful range. Testosterone can be kept at normal levels with bioidentical testosterone to help prevent these symptoms and diseases. Many men diagnosed with depression and taking antidepressants do better with bioidentical testosterone replacement instead.
There is no medical evidence that testosterone replacement causes heart problems. There are more testosterone receptors in the heart than any other muscle in the body.
In fact, testosterone dilates the arteries of the heart and in men with angina has been shown to improve symptoms and increase exercise tolerance. Just have a look at how many of the positive benefits listed above are heart related. Men suffering heart attacks have been shown to have low levels of testosterone and high levels of oestrogen yes, men have oestrogen as well.
There is also an association between men with high levels of testosterone and low levels of heart disease. In my opinion, any man with heart disease should have his testosterone levels checked and if low, restored to youthful levels. Why use drugs to treat the problem when addressing the underlying problem of hormonal balance is an option? After skin cancer, prostate cancer is the most common cancer in men. There is no evidence that either prostate cancer or benign prostatic hypertrophy increases with testosterone replacement therapy.
Obviously, young men with high levels of testosterone do not get prostate cancer. Prostate enlargement and cancer are in fact associated with declining testosterone levels.
In one study, men with low testosterone levels were given testosterone replacement. At 6 months, the researchers found the men had a marked decrease in prostate size, PSA levels and lower urinary tract symptoms. A study published in the November edition of the journal Circulation showed a dramatic reduction in mortality, heart disease and cancer with maintaining high levels of testosterone:.
A study published in the October edition of the journal Circulation reported much higher survival rates in men suffering from chronic heart failure who had high levels of DHEA , growth hormone and testosterone: Low testosterone levels are known to be associated with low HDL good cholesterol levels and a study published in the May edition of the journal Coronary Artery Disease reported that men under the age of 45 with moderately reduced levels of free testosterone below In the experience of physicians treating men with testosterone replacement for a long time, their records show rates of prostate cancer and benign prostatic hypertrophy far below similar men not having replacement.
As with breast cancer, prostate cancer is not caused by normal levels of hormones, its growth is accelerated by low levels of imbalanced hormones. Active prostate cancer which has spread outside the prostate is a contraindication to testosterone replacement because dramatically reducing testosterone levels is used in treating prostate cancer. Testosterone is required for prostate health.
You kill off the whole garden except for a few of the hardiest weeds which eventually grow back stronger than ever and take over the whole garden. Androgen blockade in prostate cancer provides a temporary remission lasting one or two years. Untreated sleep apnoea is also a contraindication because testosterone can make the condition worse. Male breast cancer is the final contraindication.
Testosterone replacement either comes as synthetic testosterone or bioidentical testosterone. Bioidentical testosterone is manufactured from the Mexican wild yam and is exactly the same as the testosterone produced by our bodies. I only advocate the use of bioidentical testosterone. I can see no reason for anybody to be on synthetic hormones of any kind.
Oral synthetic testosterone has been associated with possible liver damage. I therefore only advocate the use of bioidentical testosterone. If you have started on testosterone replacement and you feel worse or there is no effect it will almost certainly be because your oestrogen levels have also risen.
Testosterone is converted into oestrogen in fat cells by the enzyme aromatase. As testosterone levels decline with age, oestrogen levels rise.
This is because the aging liver is less efficient at metabolising oestrogen, and body fat can accumulate body fat converts testosterone to oestrogen. Consequences of high oestrogen include:. If oestrogen levels increase, ways to minimise the conversion of testosterone into oestrogen and consequently increase free testosterone levels at the same time include:.
As well as oestrogen, there is one other hormone that testosterone is converted into that men on testosterone replacement should understand.
DHT is particularly involved in:. Dihydrotestosterone levels must be monitored during TRT. Rising DHT levels are associated with the problems listed above. However lowering DHT levels too far can result in an increased risk of an aggressive form of prostate cancer. Rising DHT can be lowered by zinc, essential fatty acids alpha and gamma linolenic acid , an extract from the saw palmetto berry and the drug finasteride. Zinc and the essential fatty acids should always be tried first to avoid lowering DHT too much.
If levels are still high, saw palmetto can be added. Saw palmetto has never been associated with erection problems. It seems to be able to normalise DHT levels, not just reduce them indiscriminately. Saw palmetto has the double benefit of also reducing oestrogen levels which is probably why in one study, saw palmetto was twice as effective at reducing symptoms of BPH than finasteride. Regular blood tests for prostate specific antigen PSA and 6 monthly digital rectal examinations are mandatory.
Some people believe that andropause like menopause is natural and should be embraced. I prefer to maintain my health and vitality for as long as possible. Additional approaches to male sexual health can be seen at: No, there are 4 ways testosterone levels can be boosted. Decreasing the conversion of testosterone to oestrogen and dihydrotestosterone if too much is being converted.
This is discussed above. Administering human chorionic gonadotrophin HCG. HCG is a natural hormone which is very similar to lutenising hormone LH which the brain secretes to boost testicular production of testosterone. HCG is used because it is easier to manufacture than LH.
If testosterone deficiency is due to the brain not stimulating the testicles enough, administration of HCG by subcutaneous injection will raise levels within a month. It is very safe and essentially painless. Clinical experience suggests that men on testosterone using small doses of HCG as well have the greatest improvements in symptoms and increase in vitality.
By stimulating the testicles it also prevents any testicular atrophy shrinkage that might occur with testosterone replacement alone. Those having weekly testosterone cypionate injections should have IU on the 2 days before the injection. Testosterone can be administered by injection, lozenges troches , patches, gels, creams or pellets implanted in the buttocks. Creams and gels are extremely well absorbed, give smooth levels and the dose can be modified easily.
They should be applied twice a day. Injections are the most common technique. They are usually given once every weeks. They give very high levels in the short term followed by a long period of subtherapeutic levels. While levels are high, a lot gets converted to oestrogen.