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Testosterone Replacement Therapy in Men | myVMC

Posted: October 28, 2017 at 9:49 pm

Introduction to testosterone replacement therapy

Testosterone replacement therapy is a treatment in which additional testosterone is added to a mans body (e.g. by injecting medicines that contain testosterone), to increase the concentration of testosterone in his body. It is used to treat hypogonadism, a condition characterised by low levels of testosterone in the blood and clinical symptoms of testosterone deficiency (e.g. lack of body hair, excessive breast growth). Hypogonadism occurs when a mans testes do not produce enough testosterone, either because the testes are not working properly, or because the hypothalamus or pituitary glandin the brain are not working properly. The hypothalamus and pituitary glands produce hormones that stimulate testosterone production in the testes.

The aim of testosterone replacement therapy is to increase blood testosterone concentrations to normal levels. In doing so, it can also restore the mans sex drive and expression of male sex characteristics (e.g. deep voice, body hair).

Testosterone is one of the oldest marketed drugs and has been used in testosterone replacement therapy since the 1930s.

Testosterone replacement therapy is used to treat men who have received a definitive diagnosis of hypogonadism. In order to be diagnosed with hypogonadism, a man musthave both low blood concentrations of testosterone and clinical symptoms of deficiency (e.g. lack of body hair, breast growth). As most of the causes that underlie testosterone deficiency (e.g. testicular dysfunction) are untreatable, most men who commence testosterone replacement therapy must be treated for the rest of their lives. In men with reversible or age-related causes of testosterone deficiency, testosterone replacement therapy is not used.

Ageing men (> 40 years of age)

As men age, their testosterone levels naturally decrease in a process sometimes called andropause or male menopause. This can lead to clinical symptoms of testosterone deficiency and/or low blood testosterone levels. There is no evidence that testosterone replacement therapy is beneficial for these men.

For older men, treatments that address the conditions causing or worsening testosterone deficiency (e.g.obesity, diabetes, chronic illness) may be effective.

Chronic or transient illness or recent trauma

Testosterone replacement therapy is rarely beneficial where hypogonadism is caused by illness (e.g. diabetes) or trauma (e.g. injury to the testicles). In these cases, the illness or trauma causing testosterone deficiency should be treated.

Prostate or breast cancer

Testosterone replacement therapy is not used to treat men with breast or prostate cancer, because there is a hypothetical risk that treatment may stimulate the growth of these cancers.

Competitive athletes

Use of testosterone replacement therapy may lead to disqualification for professional athletes.

Others

Testosterone replacement therapy is not used to treat men with the following conditions:

Testosterone replacement therapy is not used totreat infertility, erectile dysfunction or non-specific symptoms.

Certain conditions require special consideration before testosterone replacement therapy is used. Tell your doctor if you have:

The goal of testosterone replacement therapy is to restore blood testosterone to normal levels. When used to treat men with hypogonadism, it may also result in other benefits, including:

Improvements in blood testosterone levels and libido generally occur within the first week of treatment, and other benefits usually occur within two months.

It is important to note that testosterone replacement therapy typically induces a strong placebo effect in the initial stages of therapy. This means that many men who are treated with testosterone notice an improvement (e.g. bettersex drive), not because of the testosterone-containing medication has improved their testosterone concentrations, but because of the psychological effect of taking it. In short, some men think testosterone therapy is working and then feel better, even though the treatment does not work. This may lead to confusion and dissatisfaction as the placebo effect of treatment diminishes.

Most adult men begin receiving replacement testosterone at a dose sufficient for restoring blood testosterone to normal levels in men aged < 40 years. In boys who have not yet reached puberty and elderly men, lower doses are usually used at the beginning to avoid excessive increases in libido or energy, which may be dangerous. Once treatment has started, the doctor will monitor the mans blood testosterone levels and symptoms, and may need to adjust the dose depending on how these change.

Testosterone can be administered in various ways, depending on the person. Most men will first receive treatment in the form of testosterone injections every two weeks. Men who cannot receive injections (e.g. those with bleeding disorders) will receive different modes of testosterone treatment. The doctor may also change the type of testosterone administered if the man is dissatisfied with thecurrenttreatment. A doctor will try to prescribe a type of testosterone therapy that suits the patient in terms of cost, response and convenience, and individuals should talk to their doctor if they have concerns about any aspects of treatment.

Injectable testosterone

Injectable testosterone is the standard and most cost-effective treatment option. It can be used in all men except those with bleeding disorders. The injection is an oil-based solution containing testosterone. It is administered by intramuscular injection. Once injected, the solution gradually releases testosterone into the bloodstream.

The standard starting dose is one injection containing 200250 mg of testosterone every 23 weeks. The dose may be reduced to as little as 100 mg in very young or old men. The quantity and frequency of the dose will be adjusted by the doctor, according to the response to treatment. Men who do not achieve adequate increases in blood testosterone may have the dose increased, while those who gain too much blood testosterone may have the dose reduced.

Testosterone injections which are administered every two weeks are known as short-acting injectable testosterones(e.g. Sustanon). While they are effective in increasing blood testosterone levels and often improve symptoms (e.g.libido, mood, energy), testosterone levels and symptoms tend to fluctuate between injections. Men using these injections may experience very high peaks intestosterone levels and a resulting increase in libido and energy in the period immediately following the injection, followed by a period of much lower blood testosterone. Long-acting injections of testosterone (e.g. Reandron), which are administered every 3 months, provide an alternative for men who experience the peaktrough effect.

Long-acting testosterone injections provide testosterone replacement for 1014 weeks.They areadministered by injection deep into the gluteal muscle. The testosterone is released gradually into the bloodstream.

For more information on long-acting testosterone injections, see testosterone undecanoate (Reandron).

Transdermal testosterone patches

Testosterone patches that adhere to the skin may also be suitable for long-term testosterone replacement therapy. However, the patches contain substances that increase the absorption of testosterone, and these cause skin irritation in up to 50% of men who use them. Some 10% of men stop using testosterone patches because of skin irritation.Men may also discontinue use because they find the patches cosmetically displeasing. They may find other transdermal methodsof administrationmore appropriate (e.g. gels, creams).

Most men require a single patch containing 5 mg of testosterone daily. The patch can be applied to the abdomen, upper arm or thigh, and should be left in place for 24 hours after application, when a new patch should be applied.

For more information on testosterone patchess, seetestosterone (Androderm).

Oral testosterone

Oral testosterone therapy (e.g. Andriol Testocaps) uses testosterone undecanoate, the only natural form of testosterone that can be absorbed when taken orally. It may be more expensive and less effective than other modes of testosterone replacement, and is therefore usually used by men who cannot use other forms of testosterone. Oral therapy may also be used to treat older men who are starting therapy, as treatment can be stopped quickly if they are diagnosed with prostate cancer.

The starting dose varies and may be as low as 40 mg daily, although men typically require 160240 mg a day, taken in 24 doses. The doctor will adjust the dose, depending on the response to treatment. Oral testosterone should be taken with food, as this increases the amount of testosterone absorbed by the body.

Testosterone implants

Testsosterone implants contain 800 mg of testosterone (usually in the form of four 200 mg pellets). They are implanted into the buttocks or abdomen, and provide testosterone replacement for around six months. Implants are replaced periodically, once symptoms of testosterone deficiency recur. Inserting the testosterone pellets is a minor surgical procedure, requiring local anaesthetic; this is the major limitation of this method of treatment. However, men using this form of testosterone replacement are usually satisfied with the method, and are more likely to continue being treated than men using other modes of testosterone replacement.

Testosterone implants are not safe for use by older men, who have an increased risk of prostate cancer. If prostate cancer is diagnosed, testosterone replacement must be stopped immediately, which cannot be done if an implant is being used. Implants are also unsuitable for young men with bleeding disorders. Another form of testosterone replacement must be used first, so that a doctor can be sure they will not have any negative reaction to testosterone, before starting this long-term mode of treatment.

For more information on testosterone implants, see testosterone(Testosterone Implants).

Testosterone gel

Testosterone gels (e.g. Testogel)contain 1% testosteronethat is absorbed through the skin. The gel is applied to the skin on the abdomen, shoulder or arm on a daily basis. The standard dose is 5 g (50 mg testosterone), although the dose may be increased to as much as 10 g daily in some men, while others will respond adequately to 2.5 g daily.

Care must be taken to ensure the gel does not come into contact with the skin of individuals other than the man being treated (e.g. sexual partners, children) for at least six hours following application, as this may cause testosterone to be transferred to the contacts skin and absorbed by their body. Absorbing testosterone may be dangerous for children and women, especially pregnant women.

For more information on testosterone gel, see testosterone (Testogel).

Testosterone cream

Andromen forte (testosterone) is a cream containing 5% testosterone. It is ideally applied to the skin of the scrotum on a daily basis. The cream can be applied to the skin of the torso, back, chest, arms and legs, although a higher dose might be required if these sites are used, as less testosterone is absorbed compared to if the cream is applied to the scrotum. The usual starting dose is 1 g of cream (5 mg testosterone), but a doctor may adjust the dose depending on how the man responds to the treatment.

As the causes of testosterone deficiency are typically irreversible, testosterone replacement therapy is usually lifelong. Men who use testosterone replacement therapywill be monitored throughout their treatment to assess their response.

To assess the mans response to treatment, levels of testosterone in his blood are usually measured three months after the start of treatment. Levels of luteinising hormone (LH) may also be measured three to six months after treatment starts, as low levels of LH indicate that the treatment is effective.

If blood tests show that testosterone replacement therapy has failed to adequately increase concentrations of testosterone in the mans blood, hypogonadism may not be the cause of the symptoms. In these cases, testosterone replacement therapy will be stopped and the doctor will start treating other conditions that may contribute to testosterone deficiency.

A doctor will monitor changes to symptoms of testosterone deficiency and side effects of the treatment. This monitoring usually occurs three and six months after treatment commences and annually thereafter. A doctor will typically examine a man for signs of:

Tests that will usually be conducted periodically include:

Testosterone replacement therapy may sometimes be combined with treatment using PDE-5 inhibitors, a medication used to treat erectile dysfunction, for men with both hypogonadism and erectile dysfunction. It should be noted, however, that testosterone deficiency is rarely associated with erectile dysfunction.

Effective testosterone therapy has numerous immediate and long term benefits. These include:

Physical

Sexual

Psychological

The side effects associated with testosterone replacement therapy are rare and vary depending on the age of the man being treated, his life circumstances and health condition. They include:

Testosterone replacement therapy increases the risk of some health conditions, including:

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Testosterone Replacement Therapy in Men | myVMC

Testosterone Replacement Therapy – Men’s Health

Posted: October 28, 2017 at 9:49 pm

What is Testosterone?Testosterone is the hormone produced by the testicles. It is responsible for the proper development of male sexual characteristics. It helps promote the circulation of blood, and is responsible for the maintenance of muscle bulk. Without an adequate testosterone level there can be important psychological affects such as loss of libido, reduced brain and intellectual activity and mood changes.What causes the Andropause? As all men age there is a gradual decline in the level of testosterone. This natural decline starts after 30 and continues throughout life. By the age of 40, testosterone levels drop by 1% every year. Many men however can experience a lack of testosterone production sufficient to result in significant symptoms. This will apply to approximately 50% of men by age 55. Damaged testicles or disease will affect testosterone production as will long-term stress, smoking and excessive alcohol consumption. In 60% of cases no cause can be identified and hereditary factors are implicated. Are there any health issues associated with the Andropause? Low levels of testosterone may result in an increase in tummy and chest fat, a decline in the amount of muscle in the body and decline in strength. Low levels can also lead to Brittle bones, (osteoporosis) which may lead to hip and spinal fractures. In addition the bone marrow is less active and produces less haemoglobin and red blood cells to transport oxygen around the body.

A consultation is required and blood tests will be necessary. The blood tests include an examination for prostate cancer, as this is a contraindication to testosterone treatment. Any suspicion of prostate cancer may require further investigations. The aim of therapy is to return the blood testosterone level in the bloodstream to the normal range for the man's age. This is achieved by using bio-identical testosterone cream that is rubbed onto the skin daily.

IF YOU THINK YOU MIGHT HAVE LOW TESTOSTERONE, check out our quick online self assessment test.

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Testosterone Replacement Therapy - Men's Health

Understanding Weight Loss: How to Lose 20 Pounds by …

Posted: October 22, 2017 at 10:48 pm

Walking is a great way to lose 20 pounds for many reasons, and knowing how to do it effectively will help you reach your goal weight in no time. Walking is enjoyable for most people, easy on your joints, and one of the safest forms of exercise. Many people find they can stick to a walking program long term which is essential for weight maintenance. The key to losing 20 pounds by walking is to set appropriate goals and understand the fundamentals of weight loss.

How Long Will it Take Me to Lose 20 Pounds?

At a weight loss rate of -1 pound per week, it will likely take you at least 20 weeks to lose 20 pounds. Losing weight at this pace is safe and will help you keep the weight off long term. To accomplish a weight loss of - 1 pound per week, try to burn an extra 250-500 calories per day by walking. If you find you're not burning this many calories by walking alone, simply reduce your calorie intake through diet in addition to walking.

How Often Should I Walk?

If you're a beginner, start by walking 3 days per week for at least 15-20 minutes. Gradually increase the frequency and duration of your walks until you are walking 30-60 minutes per day, most days of the week. To help keep your walks enjoyable try alternate walking indoors with walking outdoors, watching television during your walks (using a treadmill), or listening to music or a book on tape with headphones. For most people it's not walking they dislike, but becoming bored during the walk. Work walking into your regular routine and make it a priority.

How Many Calories Can I Burn By Walking?

The number of calories per minute you can burn by walking is determined by your body weight and walking pace. If you walk at a pace of 4 miles per hour (a common pace) you can burn the following amount of calories per minute: 120 lb. person = 4.7 calories; 140 lb. person = 5.5 calories; 160 lb. person = 6.3 calories; 180 lb. person = 7.1 calories; 200 lb. person = 7.8 calories; and 220 lb. person = 8.6 calories. If you plan to lose 20 pounds by walking alone, try to burn at least 250 extra calories during your walk per day. For example, if you weigh 160 pounds you'd have to walk at least 40 minutes per day at a pace of 4 miles per hour to lose pound per week. If you're unsure of your pace, try walking on a treadmill to give you a better idea.

How Can I Lose Weight and Stay Toned?

Walking alone will definitely help you lose weight, however adding resistance exercise to your routine will help keep you tight and toned during your weight loss. Try walking with arm or ankle weights some days or interval train a few days per week (alternate power walking with moderately paced walks). On the days you don't walk, try lifting weights, Pilates or strength band training to stay toned while losing 20 pounds.

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Understanding Weight Loss: How to Lose 20 Pounds by ...

Weight Loss | Cancer.Net

Posted: October 22, 2017 at 2:50 am

Weight loss is common among people with cancer. It is often the first noticeable sign of the disease.

As many as 40% of people report unexplained weight loss when first diagnosed with cancer. And up to 80% of people with advanced cancer experience weight loss and cachexia. Cachexia is also called wasting. Wasting is the combination of weight loss and muscle loss.

Other symptoms often accompany weight loss and wasting:

People experiencing cachexia often have difficulties coping with the physical demands of treatment. Additionally, they may experience more intense symptoms.

Weight loss often begins with appetite loss. This may result from the following side effects of cancer or treatment:

Talk with your health care team about any symptoms you experience. In particular, mention new symptoms or a change in symptoms.

Treatment to relieve symptoms and side effects is an important part of cancer care. This approach is called supportive or palliative care. It helps meet the patients physical, emotional, and social needs

Controlling cancer-related weight loss is important for your comfort and well-being. These suggestions may help:

Increase the amount of food you eat. Ask your health care team how much food you need.

Eat light meals and avoid protein-rich foods before cancer treatment. This may prevent developing a dislike of these foods if nausea or vomiting occurs.

Keep a record of what, when, and how much you eat. Include how you feel during and afterwards. For example, do you have nausea? Feel full quickly? Notice changes in how you taste the food? Share this information with your health care team. It will help with decisions about changing your diet.

Consider consulting a registered dietician or nutritionist. These professionals provide nutrition counseling. They help people maintain a healthy weight and get important nutrients such as protein, vitamins, and minerals. Ask your health care team for a referral. Or find a dietitian through the Academy of Nutrition and Dietetics.

Sometimes, doctors recommend specific medications to address weight loss. Options include:

Megestrol acetate (Megace). This is a progesterone hormone. It can improve appetite, weight gain, and sense of well-being.

Steroid medications. These can increase appetite and improve sense of well-being. They also help with nausea, weakness, or pain. Doctors often recommend steroids for short-term use. Long-term use of steroids may cause serious side effects.

Metoclopramide (Reglan) can prevent feeling full before eating enough food.

Pancreatic enzyme (lipase) replacement helps the body absorb fat.

Dronabinol (Marinol), a cannabinoid made in the laboratory, may stimulate appetite.

Other medications are being studied to help people with cancer improve their appetite and gain weight.

Sometimes, doctors recommend receiving nutrients through an intravenous (IV) tube instead of eating and drinking. Typically, the goal is short-term nutritional support during recovery. A nurse inserts an IV into the vein. The nutrients go through the IV directly into the body.

Nutrient therapy may help patients having difficulty chewing or swallowing. These problems are more common for people diagnosed with head and neck or esophageal cancers.

Side EffectsNutrition Recommendations During and After Cancer Treatment

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Weight Loss | Cancer.Net

HGH Injections – Information and Dosages

Posted: October 15, 2017 at 10:49 pm

The medical term for the human growth hormone (HGH) made naturally by the body is Somatotropin. The HGH used for injection is synthetic (recombinant) and the generic term is Somatropin.

HGH For Injection is one of the most expensive drugs with a cost that usually ranges between $800 and $3,000 per month, with high quality U.S. brands such as Eli Lily and Genentech costing more than brands obtained from China and other countries.

Some brands come in vials that contain a powder which must be reconstituted with bacteriostatic water prior to use. The vial must then be refrigerated and remains stable for only a short time after reconstitution.

There are now also convenient and easy to use dosage pens that are already mixed and some do not require refrigeration.

A prescription is always required.

Human growth hormone is not an anabolic steroid but has similar effects. Anabolic steroids are synthetic substances that do not exist in nature. HGH is made naturally by the pituitary gland in the body.

The injections are popular among athletes and bodybuilders trying to build muscle and strength the easy way because it cannot be detected in urine tests. Some now abuse HGH as they abused anabolic steroids.

The safety of hormone replacement therapy with synthetic Somatropin continues to be a concern regarding cancer risks since some other forms of synthetic hormones have caused an increase in the risk of cancer.

HGH injections can also cause serious side effects such as acromegaly, fluid retention, enlarged breasts in males, painful joints, carpal tunnel syndrome, and liver damage.

Also, when a physician prescribes the injections the patient should understand that this will cause their pituitary gland to no longer release its own growth hormone and so they may need HGH injections for life.

The amount of HGH used by Dr. Daniel Rudman in his 1990 clinical study, 16.5 IU (international units) divided into 3 doses per week, is now considered too much due to the side effects seen. The latest studies suggest that benefits can be obtained while lowering the risk of side effects by giving smaller, more frequent doses.

Lower doses such as 4-8 IU per week are prescribed and are divided into 2 doses per day for 5 or 6 days a week. Patients are taught to give themselves a subcutaneous injection upon arising in the morning and at bedtime. No injections are taken 1 or 2 days a week.

The proper dose should be prescribed individually depending on the age and condition of the patient. Qualified physicians begin with low doses such as 0.5 IU per day and slowly increase the patient's dosage in 0.5 IU monthly increments as needed based on their IGF-1 blood level.

It should be noted that usually the older the patient the more sensitive they are, so older patients may require a smaller dose than younger patients. Some authorities believe that dosages of over 2 IU per day will cause side effects.

Despite what those selling the injections may claim, you don't have to take injections to receive the benefits of human growth hormone if your pituitary gland is not damaged.

Leading physicians recommend taking non-injectable HGH products to increase human growth hormone naturally and safely and the injections should only be used as a last resort. (See books written about human growth hormone). Please see this site for the product I take.

By Lisa Wells, RN

More Information About HGH Injections

HGH Injection Dosages

Reconstituting Vials of HGH

HGH Injections FAQ's

Are Injections the Only Effective Human Growth Hormone Therapy?

Buying HGH Injections on the Internet

If You Wish To Take Human Growth Hormone Injections

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HGH Injections - Information and Dosages

Safe Diets and Healthful Weight Loss – healthline.com

Posted: October 15, 2017 at 10:49 pm

According to the NationalInstitute of Health, in the United States, 35 percent of adults are obeseand 17 percent of children are affected by obesity. Obesitydescribes someone whose body weight, or more accurately body fat, is greaterthan what is considered healthy for a given height. Looking at body mass index (BMI)can help you estimate if youre at a healthy or unhealthy weight.

If you want to lose weight, then diet and exercise are key. Thefirst step is correcting your energy balance, or calories in versus caloriesout. Eating less and exercising more will result in weight loss. Exercise canbe as simple as walking 30 minutes a day, or may include a more intensetraining regimen.

Here are some beginner guidelines to keep in mind:

Keep reading to learn more about healthy diet and weightloss tools.

While some diets that promise fast weight loss may soundpromising, they are often unhealthy and involve strict rules that are hard tofollow. Some popular fad diets to avoid include the cabbage diet, thegrapefruit diet,and the MasterCleanse diet. Losing weight too quickly (more than three pounds a week) canalso increase your risk for gallstones.

But how can you tell the difference between a fad diet and asafe one? Signs of a fad diet include:

Following a diet with these guidelines can result in weightcycling, also known as yo-yo dieting. Repeatedly losing and gaining weight canactually increase your risk for cardiovascular diseases,even if youre not overweight.

A safe diet will focus on realistic expectations and balance.A safe diet will talk about portion size, eating more vegetables and other highvolume foods to feel full, and adding exerciseto your daily routine.

A few examples of healthy diets are:

Its also important to include foods that you enjoy eating -thats the secret to sticking with a diet.

Luckily, we live in an age where helpful hints for weightloss are all around us. Its important to remember that a healthy diet andexercise program are lifelong changes. Some steps you can take to incorporate ahealthy lifestyle include:

Various medications are only effective when paired with ahealthy diet and exercise. Make sure to contact your doctor to see if these areright for you.

While you can use your BMI to provide a general idea ofwhether youre over or underweight, relying on this measurement is not accuratefor specific groups of people. Athletes, for example, may be consideredoverweight by their BMI classification, but their weight is not due to fat.Therefore, theyre at a healthy weight. Other groups, such as older adults, mayhave a normal BMI, but still be considered overweight because theyve lost leanbody mass and fat makes up most of their weight. Calculating body fat requirescalipers or equipment for accuracy, but you can get an idea using this calculator.

Burning fewer calories than you eat is the most basicexplanation for weight gain. Its important to make sure that you are watchingboth your calorie intake as well as your dedication to burning off thosecalories. Not exercising regularly can also affect weight management.

Other factors of weight gain include:

Age: As we getolder, our metabolisms slow down and we burn calories at a slower rate.

Genes: Your genesand family history also play an important role in weight gain. Youre alsolikely to develop the same eating habits as your family.

Medical conditions:Pre-existing health conditions, such as an underactivethyroid, also make it harder to keep your weight down.

Lifestyle factors: Lackof sleep, certain medications, smoking, and stress contribute to weight gain.

The most common complications that develop due to obesityinclude:

Obesity also increases your risk for:

The good news is that starting a healthy journey towards aweight loss can start any day. The best way to ensure a safe weight lossjourney is to stay as informed about the process.

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7 Diet Tips That Really Work – webmd.com

Posted: October 14, 2017 at 5:53 pm

Whether you're looking to lose a few pounds - or have 30, 40 or more pounds to shed - a few creative weight loss tips can make it easier. To help you stick with your diet and meet your weight loss goals, WebMD asked several nutrition and fitness experts to share their secrets of success. The 7 diet tips that follow can help you get on the fast track to safe weight loss, no matter what kind of diet you're on.

Weight Loss Tip #1: Count on more than willpower alone.

It's easy to blame diet failures on a lack of willpower, says Lisa Sanders, MD, a Yale University primary care clinician-educator. But willpower isn't meant to be the only tool you use. It's more like a safety net for when life spins out of control.

Basing your weight loss efforts only on willpower can actually work against your diet goals, says Martha Beck, PhD, life coach and author of The Four Day Win: End Your Diet War and Achieve Thinner Peace. For instance, research shows that trying not to think about something - like that frosted chocolate brownie - can actually make you focus more intensely on it. When you're rested, relaxed, and enjoying life, Beck says, you can suppress unwanted thoughts and feelings fairly easily. But when you're stressed, annoyed, or pressed for time, resisting temptations is much harder. So rather than relying on willpower to get you through, set a goal to develop a conscious awareness of what you eat without obsessing about it.

Weight Loss Tip #2: Set yourself up for success.

Here are two ways you can set yourself up to succeed. First, says Andrea N. Giancoli, MPH, RD, eliminate any food that doesn't support your weight loss goals. Giancoli is a spokesperson for the American Dietetic Association (ADA). She says it'll be much easier to resist temptation if unhealthy choices aren't around. Purge your pantry of any foods that list "partially hydrogenated oils" as an ingredient. Toss out sodas or other drinks made with sugar or high-fructose corn syrup. And, especially if you prefer bottled water to tap, keep a supply on hand. It's easier to grab on the go.

Then give your diet some help by making it easy to exercise. Gregory Florez is founder and CEO of FitAdvisor.com, a top-rated fitness training service. He says two things you can do to avoid becoming a couch potato is to clear off the clutter hanging on your treadmill and then pull other fitness gear out into the open where you can see it.

Weight Loss Tip #3: Set up a support network.

Studies show that social support is crucial - especially for women, says health psychologist Bess Marcus, PhD, professor of psychiatry and human behavior at Brown University Medical School in Providence, Rhode Island. You can help yourself by finding at least one person who believes in you and your ability to succeed at your weight loss goals. "Line up a friend to walk with you, watch your kids so you can work out, or even just call to check in on how you're doing," says Marcus.

If you want to be social and in good shape, make a date with a friend for twice-weekly workouts. If exercise includes social time, you're more likely to look forward to lacing up your sneakers. Sports medicine researchers at Indiana University found that working out with a partner is the best predictor of exercise satisfaction, and a partner can help you stick with your routine. For even more motivation, sign up for a team sport like soccer, volleyball, or Ultimate Frisbee. Then you'll have a crowd of people depending on you.

Weight Loss Tip #4: Set realistic goals.

If you've been inactive for months (or even years), don't immediately plan to work out every day. "Appraise your life," Marcus says, "and then make some strategic changes that you can realistically achieve." And don't be afraid to start small, especially with weight loss goals.

Beck recommends setting goals that are so easy they're almost laughable. Take your list of daily goals, she says, such as "Eat 5 servings of veggies a day" or "Snack only once between meals," and cut each one in half. Aim for 2.5 servings of vegetables. Cut down your snacks to 2 per day.

Still seem too hard? Then cut those goals in half again. Make your goals so incredibly easy that you're sure you can't fail to meet them, Beck says. Then you'll be motivated to continue. Next, set dates to increase your goals, adding that extra serving of veggies or 10 more minutes to your workout until you reach your maximum potential.

Weight Loss Tip #5: Police your portions.

If you're like most women, a "serving" is the portion size you're used to seeing on your plate. Clearly, bigger portions have more calories. And calories are what it all comes down to when it comes to losing or maintaining weight, says Lisa R. Young, PhD, RD, author of The Portion Teller Plan.

Some foods are more calorie-dense than others: 1 cup of raw broccoli contains 31 calories, so a double serving of 2 cups gives you only 62 calories. But 1 cup of premium ice cream can easily hit you with 300 calories or more. A larger, double serving can mean a whopping 600 calories. If you take in more calories than your body needs, the extra calories are stored as fat, Young tells WebMD. To tally portion size correctly, keep a measuring cup handy for a quick reality-check.

Weight Loss Tip #6: Picture your future self.

Have you thought of where your weight loss plan is taking you? Let your mind explore your future self, says Steven Gurgevich, PhD, director of the Mind-Body Clinic at the University of Arizona College of Medicine in Tucson and co-author of The Self-Hypnosis Diet.

Picture yourself the way you hope to be six months or a year from now - how you look, how you feel, and who you spend your time with. Imagine yourself creating your life the way you'd like it to be. Next, invent one or two affirmations that state your intention to be fit and healthy. For example, "I am whole, healthy and strong," or "I am satisfied with just one piece of chocolate." Creating a mindset that makes it easier to stick to your weight loss plan is just as important as how much time you spend on the treadmill.

Weight Loss Tip #7: Be ready to work.

"We're deeply conditioned to do what we've already done," says life coach M. J. Ryan, author of This Year I Will . . . How To Finally Change a Habit, Keep a Resolution, or Make a Dream Come True. If, for the past two years, you've come home from work, grabbed a soda, and crashed on the couch with take-out, you're strongly conditioned to do that again tonight and tomorrow night, too. Change isn't impossible, but it does take work.

"To develop new habits, you have to make new neural pathways," Ryan tells WebMD. So create weight loss reminders to help jolt your mind out of old habits and into new ones. Try posting a note on your fridge, reminding you to eat fruits and veggies or drink more water. Or post notes on your bathroom or bedroom mirror with upbeat messages like "Remember to breathe!" or "Hey, beautiful!"

Before you know it, you'll be smiling back at the face - and body - in the mirror.

SOURCES: Wallace, J.P. J Sports Med Phys Fitness, September 1995; vol35: pp 206-213. Lisa Sanders, MD, Yale University primary careclinician-educator; author of The Perfect Fit Diet. Martha Beck, PhD,life coach; author of The Four Day Win. Gregory Florez, founder and CEOof FitAdvisor.com; spokesperson for the American Council on Exercise (ACE).Andrea N. Giancoli, MPH, RD, spokesperson for the American Dietetic Association(ADA). Bess Marcus, PhD, professor of psychiatry and human behavior, BrownUniversity Medical School, Providence, Rhode Island. American Institute forCancer Research (AICR); survey on portion size, released February 22, 2006.LisaR. Young, PhD, RD; author of The Portion Teller Plan. Steven Gurgevich,PhD, health psychologist; director of the Mind-Body Clinic, Program inIntegrative Medicine, University of Arizona College of Medicine, Tucson,Arizona; co-author of The Self-Hypnosis Diet. M.J. Ryan, life coach,speaker; author of This Year I Will . . . How To Finally Change a Habit,Keep a Resolution, or Make a Dream Come True.

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7 Diet Tips That Really Work - webmd.com

How to Use Diet Pills Safely: 12 Steps (with Pictures …

Posted: October 12, 2017 at 11:56 pm

Expert Reviewed

Three Parts:Understanding Diet Pill LabelsManaging Weight with Diet PillsSupporting Weight Loss with LifestyleCommunity Q&A

There are a variety of dieting products and programs advertised to consumers, including juice diets, cleanses, or diet pills to help induce weight loss. Although most weight-loss pills are considered over-the-counter drugs, there are some concerns to keep in mind when you are taking them. Many of these programs are not evaluated by the FDA for effectiveness or for safety.[1] Being as well informed as possible and also taking the road of caution can help you manage your weight while taking diet pills.

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Research the supplement online. Before purchasing any weight loss pill over the counter, spend some time researching that supplement online. Find reliable sources of information that can provide you with the benefits, disadvantages and any possible side effects or dangers of the supplement you're interested in.

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I cannot stop eating, what I can do?

wikiHow Contributor

It depends. If you eat just for fun or are emotional eating, you might have an eating disorder. You should consider asking your doctor and they might be able to help.

I'm a 20-year-old woman. How many calories should I be eating per day to lose weight?

wikiHow Contributor

Normally, a 20-year-old woman should eat between 2,000 and 2,400. But to lose weight, it is between 1,500 and 1,800.

Is it dangerous or fatal to take 2 pills at once?

wikiHow Contributor

I've lost 10 pounds in 5-6 days with diet pills. I only take one a day and that's a lot to lose in that time. You shouldn't need to take two at one time.

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How to Use Diet Pills Safely: 12 Steps (with Pictures ...

How to Lose Weight Quickly and Safely (for Teen Girls)

Posted: October 12, 2017 at 11:56 pm

Expert Reviewed

Four Parts:Changing Your DietMaintaining BalanceExercisingSleeping WellCommunity Q&A

Most teens feel self-conscious about their bodies, especially if you can afford to shed a few pounds. The secret to losing weight quickly and safely is not really a secret: eat fewer calories than you burn each day and do consistent exercise, even if it's just a brisk walk. These aren't hard things to do on their own, but they are hard to do consistently. Whenever you get discouraged, remember that millions of people just like you have been in this position. Stay in it for the long haul and you'll eventually lose the weight you want to.

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Eat plenty of plant-based foods. This might include fruits, vegetables, beans, legumes, and grains. Base your diet around staples like rice, oatmeal, couscous, quinoa, yellow potatoes, and sweet potatoes. It may sound bizarre to be consuming white rice and potatoes, but these foods do not make you fat. Look at the traditional Chinese diet, where they regularly consume these starches yet remain one of the slimmest cultures in the world. Eat until you are satisfied, but not until you are stuffed. Do not restrict or starve yourself.

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Keep a glass of water beside your bed. It is common to wake up due to thirst. The body needs the water's energy to burn even more fat!

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Sleep straight and take deep breaths. Sleeping on either sides of the body makes it hard for blood to run around which also helps in weight loss. When you are lying straight on the bed before sleeping, take deep, long breaths and hold them for as long as you can. Breathe slow and easy. This should act as a command for the body to help you fall asleep and start flushing down fats.

Categories: Youth Diets and Nutrition | Losing Weight

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Testosterone Replacement Therapy – webmd.com

Posted: October 12, 2017 at 11:55 pm

Testosterone is a hormone produced by the testicles and is responsible for the proper development of male sexual characteristics. Testosterone is also important for maintaining muscle bulk, adequate levels of red blood cells, bone growth, a sense of well-being, and sexual function.

Inadequate production of testosterone is not a common cause of erectile dysfunction; however, when ED does occur due to decreased testosterone production, testosterone replacement therapy may improve the problem.

As a man ages, the amount of testosterone in his body naturally gradually declines. This decline starts after age 30 and continues throughout life. Some causes of low testosterone levels are due to:

Without adequate testosterone, a man may lose his sex drive, experience erectile dysfunction, feel depressed, have a decreased sense of well-being, and have difficulty concentrating.

Low testosterone can cause the following physical changes:

The only accurate way to detect the condition is to have your doctor measure the amount of testosterone in your blood. Because testosterone levels fluctuate throughout the day, several measurements will need to be taken to detect a deficiency. Doctors prefer, if possible, to test levels early in the morning, when testosterone levels are highest.

Note: Testosterone should only be used by men who have clinical signs and symptoms AND medically documented low testosterone levels.

Testosterone deficiency can be treated by:

Each of these options provides adequate levels of hormone replacement; however, they all have different advantages and disadvantages. Talk to your doctor to see which approach is right for you.

Men who have prostate cancer or breast cancer should not take testosterone replacement therapy. Nor should men who have severe urinary tract problems, untreated severe sleep apnea or uncontrolled heart failure. All men considering testosterone replacement therapy should undergo a thorough prostate cancer screening -- a rectal exam and PSA test -- prior to starting this therapy.

In general, testosterone replacement therapy is safe. It is associated with some side effects, including:

Laboratory abnormalities that can occur with hormone replacement include:

If you are taking hormone replacement therapy, regular follow-up appointments with your doctor are important.

Like any other medication, directions for administering testosterone should be followed exactly as your doctor orders. If you are unsure or have any questions about testosterone replacement therapy, ask your doctor.

SOURCE:

Get-Back-On-Track.com.

The Hormone Foundation.

News release, FDA.

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Testosterone Replacement Therapy - webmd.com


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