2018 saw a plethora of reports on testosterone replacement therapy, health risks, studies, trials, and types of TRT. Here at HGH doctor, our hormone replacement physicians keep up on the latest research to ensure we provide the best quality care to our clients. Part of our focus is passing new information and studies forward to you here on our website.

The results of one study on middle-aged and older men focused on the best type of treatment for fat-free mass (FFM) and muscle strength response. Men participating in the study received either intramuscular testosterone injections, transdermal TRT, or a placebo.

Although all forms of testosterone therapy showed positive improvements in FFM, total body strength, and lower and upper extremity strength, the changes seen were 3 to 5 times greater in the men who received testosterone injections rather than transdermal TRT. [1]

Testosterone therapy studies such as this one help our doctors choose the appropriate treatment for each person.

The Testosterone Therapy Trials in elderly men consisted of seven coordinated trials looking at the following areas:

We will report on these, as well as other trials and studies in this article.

Testosterone studies shed light on the benefits and safety of using testosterone replacement therapy.

For years, doctors steered men with or at greater risk of developing prostate cancer away from TRT. Even if a male had all the signs of low testosterone, many doctors believed that treatment with testosterone therapy would increase prostate cancer dangers. Luckily, there has been much research done in this area, showing the safety and benefits of TRT following prostate cancer treatment. Also, men who suffer from prostate enlargement or prostate cancer risks can also safely use testosterone therapy.

In the most recent testosterone replacement therapy studies, mounting evidence points to the safety of testosterone without reducing the risk of prostate cancer.

In a pooled analysis of 18 testosterone replacement therapy recent studies on 3,886 men diagnosed with prostate cancer, and 6,439 in the control group, there was no association between testosterone levels, DHT, and prostate cancer. [2, 3]

In a 2017 report, the Registry of Hypogonadism in Men reported that there was no increase in the odds of developing prostate cancer with the use of TRT. [4]

A 2013 study of men who underwent prostatectomy for prostate cancer found no increased risk of prostate cancer following testosterone therapy. [5]

In 2015, a study of men who underwent radiation therapy for prostate cancer followed up by testosterone therapy showed only a minor increase in serum PSA and a low rate of biochemical recurrence. [6]

Based on the current research, testosterone replacement therapy shows positive benefits for improving quality of life and well-being in men treated for prostate cancer.

With a multitude of testosterone replacement therapy studies reversing the prior concerns about cardiovascular risk, many men can improve their quality of life with TRT to treat the symptoms of hypogonadism.

Testosterone supports heart health through the production of red blood cells needed for circulation. Additionally, testosterone improves nitric oxide production crucial for proper insulin function and blood flow.

Nitric oxide is crucial to heart health and is made by the endothelium the lining of the blood vessels. Testosterone helps to lower LDL cholesterol to reduce the plaque clogging the arteries.

In 2017, a look at testosterone and the heart showed that low levels of testosterone might increase risk factors for metabolic syndrome, coronary artery disease (CAD), and type 2 diabetes. Testosterone replacement therapy helps to improve myocardial ischemia in males diagnosed with CAD. TRT also increases exercise capacity in men with congestive heart failure (CHF). Testosterone aids in weight loss and improving serum glucose levels and insulin resistance. This study reports that TRT reduces the risk of mortality in testosterone deficient men. [8]

Testosterone has many benefits for heart health, improving circulation, and reducing the risk of cardiovascular disease.

The study duration of one year consisted of receiving either testosterone gel or a placebo. Three different questionnaires every three months assessed sexual function. Results of the study showed that TRT had significant improvements for 10 out of 12 measures of sexual activity. [9, 10]

Testosterone replacement therapy studies for men with urinary symptoms such as urinary frequency, weak stream, urgency, straining to void, and other issues have found that benign prostatic hyperplasia (BPH) can impact urinary health. Prostate enlargement often occurs as men age, along with a decline in testosterone levels. Urinary issues can impact not only quality of life, but also overall health. Treatment with testosterone therapy has been shown to decrease nocturia (nighttime voiding) and improve urinary symptoms. [11]

A 2017 study of more than 650 men showed that testosterone therapy reduces weak urinary stream, nighttime waking to urinate, incomplete emptying of the bladder, and frequent urination. Additional benefits were found in erectile functions and quality of life. [12]

Testosterone has benefits for improved sexual functions as well as urinary health.

Reviewing testosterone replacement therapy studies allows our doctors to incorporate the latest research into patient treatment protocols. Low testosterone is frequently associated with the following medical conditions:

In the Physical Function Trial for men with hypogonadism, the focus was on walking distance as a measurement of testosterone benefits. TRT increased the fraction of distance walked, and the absolute increase in distance walked in 6 minutes.[13]

The Vitality Trial measured only the Functional Assessment of Chronic Illness Therapy fatigue scale, and while the results were not significant, the overall findings from the entire testosterone trials whose positive improvements on vitality, mood, and depression symptoms. However, a 2018 report found that testosterone replacement therapy reduces depressive symptoms except in individuals with major depressive disorder.[14]

The results of the Anemia Trials from these studies on testosterone therapy were extremely positive. In both men with explained and unexplained anemia, there was a considerable increase in hemoglobin concentration. The increase was associated with a significant change in the impression of vitality and general health in these men.

The Bone Trial purpose was to determine if TRT in older men could increase volumetric bone mineral density (vBMD) and bone strength. The outcome showed a total increase in vBMD of the trabecular bone in the spine as well as the whole bone vBMD. Hip strength also improved with TRT. Treatment with testosterone therapy could result in reduced risk of bone fractures for older men.

A surprising outcome of the Testosterone Therapy Trials is that there was not much in the way of cognitive benefits. However, other studies offer different findings. A double-blind, placebo-controlled study found modest improvement in global cognition.[15]

Testosterone replacement therapy can benefit physical ability, red blood cell production, and bone density.

Based on the many testosterone replacement therapy studies available for review today, we believe that the safe and supervised use of TRT can offer many benefits for middle-aged and older men. The key factor here is the need to engage in proper diagnostic testing for low testosterone and remain under doctor-supervision while receiving testosterone therapy.

To date, there is less research on testosterone therapy for women with Low T. A 2014 review of 20 randomized, placebo-controlled trials shows positive benefits for sexual response, sexual desire, frequency of activity, and overall satisfaction and orgasm. The majority of research does not show a connection between testosterone and breast cancer, making TRT a possible menopausal treatment for women who cannot use estrogen therapy. [16]

A 2015 report discusses the possible cardiovascular effects of testosterone for women, as well as enhancements for cognitive performance and musculoskeletal health in postmenopausal women. [17]

Regarding future testosterone therapy studies, 2019 should also be a promising year. HGH Doctor looks forward to keeping you informed of the latest research. At this time, we believe testosterone therapy to be extremely safe for men and women following proper diagnostic procedures.

For more information on testosterone replacement therapy, please contact our hormone clinic for a free and confidential consultation.

Research has shown testosterone replacement therapy to be extremely safe and highly effective for treating symptoms of Low T.

Read this article:
Testosterone Replacement Therapy Studies 2019

Testosterone deficiency introduction

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, memory, bone growth, 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.

What causes testosterone deficiency?

As a man ages, the amount of testosterone in his body gradually declines. This natural decline starts after age 30 and continues throughout life. Other causes of lowered testosterone levels include:

The significance of age-related testosterone decline is controversial and poorly understood.

What changes occur in the body due to testosterone deficiency?

How do I find out if I have a testosterone deficiency?

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 since this is when testosterone levels are at their highest.

How is testosterone deficiency treated?

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 may be right for you.

Who shouldn't take testosterone replacement therapy?

Men who have prostate cancer or breast cancer should not take testosterone replacement therapy. All men considering testosterone replacement therapy should undergo a thorough prostate cancer screening prior to starting this therapy with a rectal exam and PSA test.

What are the side effects of testosterone replacement therapy?

In general, hormone replacement therapy is safe. Possible side effects include:

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.

Latest Sexual Health News

References

Get-Back-On-Track.com.

The Hormone Foundation.

Edited by John M. Baird, MD, FACS on January 01, 2007

'Portions of this page The Cleveland Clinic 2000-2004

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Testosterone Replacement Therapy: Get Facts on Side Effects

Testosterone replacement therapy can sound a little like the fountain of youth. Replace lost levels of the hormone, travel back in time to your younger years?

As guys age, their levels of testosterone tend to decline. And thats a big problem: Testosterone binds to proteins throughout your body and brain called androgen receptors, which help control and regulate a whole range of different bodily functions, explains Ronald Tamler, M.D., Ph.D., associate professor of medicine at the Icahn School of Medicine at Mount Sinai.

If theres not enough testosterone to go around, those androgen receptors all over your body and brain stay silent, leading to symptoms like low libido, weak erections and orgasms, inability to build muscle mass, low energy, or just feeling a little blue. A condition called hypogonadism low testosteronedevelops when your body cant produce enough of it.

Related: 8 Sneaky Signs Your Testosterone Is Too Low

Thats where testosterone replacement therapya treatment that raises your low testosterone levelscomes in. Testosterone can be supplemented in the form of an injection, a gel, a suction cup on your gums, and even a deodorant. It comes down to personal preference and what your insurance covers, says Dr. Tamler.

Now, testosterone therapy is just for guys whose levels are actually low, usually under 300 nanograms per deciliter (ng/dl) on a blood test. If youre in the normal range, T-therapy isnt on the tableand wouldnt do you good anyway, he says.

If you are prescribed testosterone therapy, youll likely start to see some changes, big and small, pleasant and not-so-pleasant. You may not see them all, and they may not all appear right away, but here are 9 benefits and drawbacks of testosterone therapy you should watch for.

When youre low on testosterone, you might notice your sex drive begin to dip. Androgen receptors are located in the parts of your brain that influence sexual desire, so if you dont have enough T to activate them, you may notice a drop in wanting to get it on, says Abraham Morgentaler, M.D., the director of Men's Health Boston and author of Why Men Fake It: The Truth About Men and Sexand Testosterone for Life.

When you replace your lost testosterone, that can activate those androgen receptors in the part of your brain that controls desire. In fact, regaining a healthy sex drive is one of the biggest benefits of testosterone replacement therapy, says Dr. Morgentaler.

In addition to upping libido, T-therapy can possibly make your erections more satisfying, too. You need to have testosterone to work on the receptors in the penis to help it trap blood to keep it [erect], says Dr. Tamler. Receptors help steer that process, and if you dont have enough T then the process is impaired.

This isnt the only piece of the puzzle, thougherections also rely on healthy nerves and blood flow. So that means that testosterone therapy by itself isnt a cure for erectile dysfunction itself.

Related: 5 Ways Happy Couples Deal When Their Sex Drives Diverge

"Muscles are extremely responsive to testosteroneone of the most reliable things we see [when someone starts testosterone replacement therapy] is an increase in muscle mass," says Dr. Morgentaler.

This is because androgen receptors are found in muscle tissue, so testosterone activates them to stimulate growth. Of course, to make the most of this benefit, youll need to be doing your part by strength training as well.

In addition to an increase in lean muscle mass, some men report fat loss as well. While testosterone doesnt directly incite fat loss itself, part of it may be thanks to the uptick in muscle massthe more muscle you have, the higher your basal metabolic rate (or BMR) will be, which means your body will burn more calories at rest. (Want to max out the process even more? Try The 21-Day Metashred from Men's Health, the at-home workout plan that will help you build lean muscle and burn fat at the same time.)

Jed Kaminetsky, M.D., a clinical assistant professor in the department of urology at NYU Langone Medical Center also notes that this may be partially because testosterone improves overall motivation to get up and sweat it out, so if you're motivated to put in the work again, you'll see results.

Related: 7 Reasons You're Not Building As Much Muscle As You Could

"It's very common for men to come in with low T and one of their primary symptoms is fatigue," says Dr. Morgentaler. "And when we treat them, a lot of men will say that their energy has improved." Many men also report an improvement in the "brain fog" that can come along with low testosterone, adds Dr. Tamler.

While researchers aren't exactly sure how exactly testosterone plays a role in energy yet, Dr. Morgentaler says one of the thoughts is that it has an effect on your mitochondria, which produce energy within cells. This case isnt closed on this yet, but the theory is that "testosterone turns them on so they're more productive in terms of creating the energy that the cells need."

Dr. Tamler also notes that it may be tied back to androgen receptors as well. "If they don't get sufficient input, that can cause fatigue," he says. So bringing testosterone levels back up can help reverse this.

Related: The 8 Best Foods to Keep You Energized All Day Long

Similar to its effects on energy, experts don't have a definitive answer to why testosterone impacts mood so deeplyafter all, "the brain is a complicated thing," says Dr. Tamlerbut they do see it as a potential life-changing benefit.

"In some ways, the impact on mood is one of the most profound benefits of T that we see," says Dr. Morgentaler. "Not everybody has that, but when we see it, it's remarkable. In my practice, patients will say, 'Oh, my mood's OK, maybe I just feel a little bit tired or blah.' And they come back and they say things like, 'I wake up in the morning and I'm optimistic about my day. I haven't felt that way in years.'"

In fact, a 2012 study published in The Aging Male found that after 12 months of testosterone therapy, the percentages of guys with moderately severe to severe depression symptoms decreased from 17 percent to 2 percent.

And more recent research also backs that up: "The largest randomized control trial for T was just completed a year ago, called the T Trials, and it showed that men who received T had a greater improvement in mood than men who received placebo," notes Dr. Morgentaler.

Related: 7 Surprising Symptoms Of Depression In Men That Prove It's Not All About Sadness

This is one of the most common side effects of testosterone replacement theory.

Normally, when your pituitary gland senses that there's not enough testosterone in the bloodstream, it sends down a hormone called luteinizing hormone (LH) to signal your testicles to start producing more testosterone, and a hormone called follicle stimulating hormone (FSH) to signal sperm production.

Related: Why Your Balls Might Feel Like a Bag Of Worms

When you take outside testosterone, the pituitary gland gets the memo that there's enough T in your bloodstream, so it stops sending these signals. This essentially puts the testicles to sleep (read: little or no sperm and testosterone production), says Dr. Kaminetsky.

"Most of the size of the testicle is dedicated to making sperm, so when you're making less sperm, the testicles get smaller," says Dr. Morgentaler. This also means it can hamper fertility, acting like birth control, so if you're planning on having kids, testosterone replacement therapy isn't an option.

6 Things Every Man Should Know About His Penis:

And production doesn't always go back to normal afterwards, either says Dr. Kaminetsky. A 2017 study in Fertility & Sterility found that increasing age and longer length of T-therapy was linked to less chances of normal sperm recovery. (Here are 7things you do every day that might be messing with your sperm.)

Some people notice a little swelling in their feet and ankles because testosterone can encourages your body to hold onto excess fluid, says Dr. Morgentaler.

This isn't a big deal for most people, he says, and its more common to see it if you're taking a non-daily treatment like an injection, where you're getting a higher dose of T in one sitting. You may notice a pound or two of difference on the scale, but it should melt away after a few days.

Related: Tom Brady Drinks 25 Glasses Of Water a Day. Should You Drink That Much, Too?

Going on testosterone replacement therapy may change your skin typefor better or for worse, says Dr. Morgentaler.

Like other hormones, testosterone can increase oil production, which isn't necessarily a bad thing. It's important for healthy skin, so you may actually end up with a better complexion. However, too much oily buildup can lead to breakouts.

Thankfully, this isn't that common, says Dr. Morgentaler, and it's typically seen in men who have a history of acne. (If you shudder at the reminder of your teenage skin, this might be a more likely side effect.)

Similar to the fluid retention, this is mainly seen with treatments like injections, when you're getting a higher dose all at once.

Related: 5 Reasons You Still Get Acne As a Grown-Ass Man

In all menwhether youre taking T or notsome testosterone is converted into the hormone estradiol, a form of estrogen. And in men who have more breast tissue by nature, the T they're taking that's naturally converted into estradiol could stimulate this breast tissue to grow.

This is called gynecomastia, says Dr. Morgentaler, and it's relatively uncommonhe says he doesn't even see one case a year.

If this does happen, though, your doctor will likely stop treatment for a month or two to allow your breast tissue to go back to normal, and then start you back up with T along with a drug that blocks the conversion of testosterone to estradiol.

Related: How to Get Rid Of Man Boobs

Testosterone replacement therapy has traditionally come along with serious warning labels that your risk for heart attack, stroke, and prostate cancer could rise, but this is still very controversialand recent evidence has begun to debunk some of these fears.

In the case of heart attacks and strokes, the concern is that testosterone thickens blood because it binds to androgen receptors that stimulate bone marrow to produce more red blood cells. Thicker blood is linked to a greater risk of heart attack and stroke.

But there isn't strong evidence to connect these cardiac events to testosterone itself, and some more recent studies actually suggest that normal testosterone levels might actually protect against these risks, says Dr. Morgentaler.

One mechanism at play here could be that reduced body fat is linked to overall better health, and testosterone replacement therapy can encourage this, says Dr. Morgentaler. More research is needed, he says, and to be safe your doctor will monitor your red blood cell count throughout your treatment.

As far as prostate cancer goes, this is fuzzy, too. Because there are androgen receptors in the prostate, testosterone can make it grow. So if you already have an enlarged prostate that makes it difficult to urinate, testosterone could exacerbate the issue, says Dr. Tamler.

Related: Should You Get the PSA Test to Screen For Prostate Cancer?

If you have existing prostate cancer, theoretically, testosterone could make it grow in the same way, says Dr. Kaminetsky. However, there isn't evidence to suggest that T actually causes prostate cancer.

Read more here:
Testosterone Therapy Effects: What to Expect After ...

the numbers of people suffering from testosterone deficiency are on a constant rise. also, testosterone deficiency is at an all-time high, the cause of the problem is unavoidable a modern lifestyle. there are several causes of testosterone deficiency, but all of them manifest in form of hypogonadism or reduced performance of the testes. the most commonly prescribed treatment for people who have no hopes of recovering from the condition is testosterone replacement therapy or hormone replacement therapy.

often, the patients find it stressful to decide whether to go for the testosterone replacement therapy or not. the main reason for this is that testosterone replacement therapy is a lifetime treatment. once started the patient has to continue it for rest of their life. also, the administration of exogenous testosterone further suppresses the natural production of testosterone. also, there are chances of fertility being diminished, this is a major concern for patients who wish to have children.

but, often the benefits of the testosterone replacement therapy outweigh the discomforts it causes.

testosterone replacement therapy does not aim to cure the problem of reduced testicular function. instead it aims to solve the symptoms by administration of synthetic testosterone.

testosterone is the male sex hormone, testosterone is what defines secondary sexual characteristics in men, in short testosterone makes us men.testosterone deficiency in males negatively affects all aspects of life, the quality of life is greatly reduced due to low testosterone levels. testosterone is a very active hormone in all parts of the human body, thus testosterone deficiency has a devastating effect on our body. testosterone deficiency also creates further conditions and complications that make the life miserable. let us understand what happens when the body is not producing enough testosterone.

secondary hypogonadism is generally treated by addressing the root cause of the problem, for example, many times hypogonadism is caused due to estrogen dominance due to high aromatase activity in the fat tissue. in such case, losing the fat mass, especially the abdominal fat will help resolve the problem and bring testosterone production back to normal. but this does not always happen, once the HPGA is disturbed, seldom does it fully recover. the testosterone production never comes back to the original high level. in such cases, hormone replacement therapy or testosterone replacement therapy is prescribed by the physicians.

primary hypogonadism currently has no cure and the only treatment available is testosterone replacement therapy or hormone replacement therapy.

there are various causes of low testosterone, and there are various treatments to address those root causes of low testosterone. but unfortunately, the testosterone deficiency problem is not resolved even after such treatments. the reason is that the system that produces testosterone is very delicate, and our physical capacity to produce testosterone falls with every year of our age.

doctors do recommend other forms of therapies that aim to jump-start the testosterone production by restoring the HPGA, there are various therapies, but the results of these therapies vary a lot from case to case and there are very less long-term success stories resulting from these therapies, the reason is that everyones body responds differently to these therapies. following are alternative therapies recommended by doctors as they find fit based on patients analysis

these therapies are not the standard protocol for treatment of low testosterone. they are a hit or miss in most cases. doctors do recommend these therapies because, even when they are a hit or miss they have some potential to mostly cure the problems that cause testosterone deficiency, the success rates increase if the patient puts in dedication and supplements these therapies with major lifestyle changes. but, unfortunately, most people do not respond successfully to these therapies. this brings us to the testosterone replacement therapy, yes it has its own sets of drawbacks, but testosterone replacement therapy is a standard therapy to treat low testosterone across the world because the benefits outweigh the drawbacks of the testosterone therapy.

this is the single most noticed benefit experienced by people undergoing testosterone replacement therapy. good and positive mood, clarity in thinking, and overall improved cognition are experienced by patients undergoing testosterone replacement therapy. concentration is also improved, this results in better focus and increased productivity at work. TRT also improves verbal memory means you can speak more fluidly as words line up in your brain for the thoughts you need to communicate. this effect has a profound effect upon confidence. better speech abilities translate indirectly to higher self-confidence.

testosterone has a direct effect on both muscle and fat, optimal testosterone results in increased muscle mass and decreased fat. this result is not only aesthetically pleasing but it also has long-term health benefits. the increase in muscle mass means you become stronger, also a higher amount of muscle mass means a higher metabolic rate. this increased metabolic rate means your body is spending more calories for the maintenance, because of this your body gets to store less fat, or even if it stores the fat it is quickly used up.

a healthy level of testosterone is required to maintain healthy bones. TRT helps bones absorb more minerals making them strong. on testosterone replacement therapy you are less likely to get avoidable fractures.

testosterone replacement therapy results in increased response to sexual arousal and sexual activities. testosterone is also responsible for increase performance and certain physiological sexual capabilities. it should also be noted that there is only a limit to performance improvement from testosterone. a healthy person will have no positive benefit from testosterone administration. low libido is often the cause of depression in many men suffering from sexual dysfunction due to low testosterone or secondary hypogonadism, Testosterone replacement therapy resolves this problem.

More:
Benefits of Testosterone Replacement Therapy or TRT ...

The Alternatives To Testosterone Replacement Therapy, What Are They?Discover What They Are Here; And Why You May Want To Consider Them

With average male testosterone levels decreasing, a number of men are looking at testosterone replacement therapy as a way to address this.

While there are benefits, there are also negatives that come with TRT therapy & that is why Ive created this article looking at the alternatives to testosterone replacement therapy.

So as stated there are some negatives that come with testosterone replacement therapy.

Hence why people should consider looking at alternatives, so lets take a look at what some of the draw backs are:

The following conditions can also potentially be made worse with TRT therapy:

As you can see there are a number of potential negative TRT Therapy side effects.

Not everyone will suffer from all the above or even any of it; but the potential side effects combined with the high costs mean you should probably be considering alternatives first.

Check out this article on TRT Therapy Side Effects to get a full picture of the potential issues.

So weve spoken about why you may want to look at alternatives to testosterone replacement therapy.

Lets take a look at what other options there are to increase your T levels:

Now Im not saying that each of the above is a direct replacement for testosterone replacement therapy.

Combined they will definitely help you boost testosterone production, Im going to cover each of the above in a bit more detail now.

Your diet is one of the major contributors to your testosterone production.

There are plenty of foods promoted as healthy which lower testosterone production.

There are also a wide number of foods that have been demonized over the past couple of decades, which have since been proven to be healthy and be foods that boost testosterone production.

As we all need to eat, your diet is one of the easiest ways to boost testosterone levels.

I advise to check out the following two articles so you know what to remove & what to consider adding to your diet to boost testosterone levels:

Fasting is a great way to boost testosterone production, one study showed that intermittent fasting can boost testosterone by as much as 180%!

It takes a lot of energy for your body to process food/ calories, when this isnt happening your body is able to regenerate itself.

This is a process call autophagy, autophagy taking place is great for your wider health including being a natural testosterone booster.

Eating frequently or grazing on the other hand has the opposite effect.

As your body is using a lot of energy to process foods, it isnt able to carry out autophagy.

A direct result of this is, your testosterone production and wider health to suffering.

Ill be creating a post in the near future in regard to fasting and testosterone production.

Keep an eye out for that, in the short term I suggest you have a quick read of this study.

It looked at the effects that fasting had on the testosterone levels of obese & non obese men.

Being over weight is another cause of reduced testosterone production, having higher body fat leads to reduced testosterone production.

What makes it even more interesting is the more T you produce the leaner your body will be, so it is an unusual loop.

I will be creating a more in depth article looking at the relationship between testosterone & body fat so keep an eye out for that.

For now, keep it in the back of your head that losing excess body fat is a natural testosterone booster.

There are a number of key vitamins & minerals that control testosterone production & will help you increase production.

The key ones are as follows:

All of these can be gained through diet and in some cases you will need to gain them through supplementation.

If you suspect you may be low on any key vitamins or minerals, that impact testosterone or your health as a whole.

I suggest you check out check out my article below on a service from Medichecks UK, where they test vitamin levels for you.

In broad speaking terms exercise can be split in to two different categories, weight lifting & cardio.

Weight lifting as a whole helps to increase testosterone production, there are certain things you can do for a greater T increase.

These include lifting heavier weights & increasing your rest period between sets but this is covered in greater in this article below:

Cardio is where it gets slightly more interesting. Stereotypical steady state cardio, like jogging, cycling, aerobics etc. can lower T production.

As you are constantly moving, the body is under constant stress, this leads to cortisol release which inhibits testosterone production.

The best type of cardio for testosterone production is HIIT (high intensity interval training).

This involves working at the maximum for a short period, followed by a period of rest (ideally 3* the exercise period).

For example sprinting on the spot for 10 seconds, followed by 30 seconds of rest.

This type of cardio doesnt lower T as the rest periods mean your body isnt put under stress.

So no cortisol is released & no inhibiting of testosterone production takes place.

Getting 7 9 hours of quality sleep per night is an easy to achieve natural testosterone booster.

Once your sleep volume dips below 5 hours your testosterone production is severely lowered.

Getting suitable rest doesnt just mean getting enough sleep though, check out this article to find out more about ensuring you get enough rest to boost testosterone production.

The body being stressed leads to cortisol release & cortisol restricts testosterone production.

So keeping your stress levels down is a great natural testosterone booster, there are multiple ways this can be achieved.

Ive published a couple of different articles on how reducing stress is one of the best ways to increase testosterone naturally

If you are looking for in depth methods of stress reduction though, Id suggest you check out this site on ways to reduce your stress & remember with less stress comes a natural testosterone booster!

Plastics & a number of products you use daily contain chemicals that disrupt hormone balance including lowering testosterone production.

A number of these chemicals cause other health issues, there are too many products to name that cause issues.

This article on Chemicals That Lower Testosterone Where Are They Found is a starting point, for you to learn what to avoid and substitute.

In regard to plastics I suggest you take look at another article I wrote looking at alternative products to plastics that wont lower testosterone.

Check it out below!

In regard to other products that contain these chemicals, they include things like non-stick cooking items, air fresheners, commercial cleaning products & weed killer to name a few.

Ive created some articles looking at under thisThings That Lower Testosterone Category, so check them out.

I hope you have found this article on alternatives to testosterone replacement therapy useful.

There is no denying that TRT is a highly effective way to boost testosterone production.

However the cost and the side effects in my opinion make it the very last thing that you should try.

While the above methods, may not be a like for like comparison with TRT in terms of how much they boost testosterone production.

They certainly can increase your levels enough that you no longer suffer from low T.

In most scenarios, they should lead to you having high enough testosterone to see the health benefits associated with higher T.

I would advise to use as many of these alternatives to testosterone replacement therapy in unison as you can.

The more you use, the greater the natural testosterone booster you will see!

If you decide that TRT is the route you need to go down, you will need a reputable organisation. In the UK I can recommend an organisation called Optimale.

They offer testosterone testing and replacement therapies and have plenty of happy customers who have seen fantastic results.

You can get a 10% discount on all product orders using my of discount code of War10 at the checkout.

If you do decide that you are going to go ahead with TRT Therapy or are already taking part in TRT or anabolic steroids course.

Then the testosterone testing and blood testing company that I use, Medichecks provide a TRT health check test.

This is an in depth health check for men on testosterone replacement therapy.

It includes a measure of your full blood count, kidney, liver, thyroid function, cholesterol, hormones and PSA numbers, functioning and levels.

This is everything you need to know to make sure that your TRT is working efficiently and safely!

Keep an eye out for my future articles where I will be covering each of the above in far greater detail.

If you have any questions in regards to alternatives to testosterone replacement therapy just drop me a comment and Ill get back to you!

Please share this article with anyone you think may find it interesting.

You can also follow me on my social media for more tips on alternatives to testosterone replacement therapy & all thing testosterone related.

Follow this link:
8 Effective Alternatives To Testosterone Replacement Therapy

Testosterone replacement therapy is just what it says, explains Harris M. Nagler, a urologist and the chairman of the Department of Urology at Mount Sinai Beth Israel, in New York. It gives patients testosterone, not to get them to super-physiological levels, but to get their levels of testosterone within the normal range.

Only men who have symptoms of low testosterone and whose blood test confirms testosterone deficiency are candidates for testosterone replacement therapy (TRT), says Peter Stahl, a urologist and the director of male reproductive and sexual medicine at Columbia University Medical Center, in New York. Men who have been diagnosed with low testosterone and are experiencing symptoms such as low libido, fatigue, muscle loss and weakness, and sleep problems may consider TRT to help improve these symptoms.

TRT comes in a variety of forms, including injections, transdermal patches or gels, and subdermal pellets, each of which carries its own set of risks and benefits. While TRT can help improve symptoms of low testosterone, it can potentially cause a number of side effects, including increased red blood cell counts, irritability, and acne. Men with low testosterone should talk with their doctor and weigh the potential risks and benefits of therapy before deciding whether TRT may be right for them.

Read more here:
What Is Testosterone Replacement Therapy? | Everyday Health

How is low testosterone treated?

Low testosterone is treated with testosterone replacement therapy, which can be given in several different ways:

(Oral testosterone is not approved for use in the United States.)

Potential benefits of testosterone replacement therapy may include:

The side effects of testosterone replacement therapy include:

Laboratory abnormalities that can occur with testosterone replacement include:

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

Guidelines suggest discussing the potential risk vs. benefit of evaluating prostate cancer risk and prostate monitoring. The doctor and patient will decide together regarding prostate cancer monitoring. For patients who choose monitoring, clinicians should assess prostate cancer risk before starting testosterone treatment, and 3 to 12 months after starting testosterone:

Testosterone replacement therapy may cause the prostate to grow. If a man has early prostate cancer, there is concern that testosterone may stimulate the cancer's growth. Therefore, men who have prostate cancer should not take testosterone replacement therapy. It is important for all men considering testosterone replacement therapy to undergo prostate screening before starting this therapy.

Other men who should not take testosterone replacement therapy include those who have:

Last reviewed by a Cleveland Clinic medical professional on 04/10/2018.

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Low Testosterone (Male Hypogonadism) Management and ...

When you are diagnosed with low testosterone, it is likely that you have a range of symptoms that you are keen to leave behind. These symptoms may include low energy, low sex drive, and even depression. Then, when you start testosterone therapy, you probably hope that these symptoms will quickly disappear. Its important to understand, however, that it can take some time for you to notice the benefits of the treatment.

Testosterone replacement therapy can take several months to fully resolve symptoms, but you might start to feel certain benefits much sooner. The following effects are some that you can expect to see within a few weeks of beginning therapy. As you read, however, it is also important to remember that every body is different. That means there is no exact time frame that applies to everyone. Ultimately, consult your doctor if you are concerned that TRT is taking too long.

Studies show that men who receive testosterone replacement start to notice their sex drive rising after just three weeks. This is often the first sign that the TRT is starting to work. Stick with it and you should soon see improvements in many other aspects of your life.

Its reasonable to expect your overall quality of life to start feeling better after three or four weeks. You should notice a reduction in depression after three to six weeks, although it might take several months to fully recover.

For men who have diabetes, or pre-diabetes, testosterone replacement therapy may bring dramatic and rapid improvements. After just a few days, your insulin sensitivity could measurably improve. However, full blood sugar control takes longer (often between three and twelve months). Continue taking your diabetes medications even if you feel better, and visit your doctor regularly to find out whether you need to adjust your dose.

Although the first testosterone therapy effects appear quickly, you need to keep up with the course of treatment for an extended period of time to reap the full benefits.

Your sex life should improve over time as you receive testosterone replacement therapy. Although most men notice increased interest in sex after just a few weeks, it could take as much as six months for your erections to improve firmness.

Taking TRT for several months can change the way your body looks. After three or four months, you should notice an increase in lean body mass. You might also notice that you have a little less fat. These changes occur because testosterone makes the body prioritize building muscle over putting down fat stores. If you regularly work out in the gym, you might notice your muscles getting stronger so you can lift heavier weights.

Perhaps the slowest-acting benefit of TRT is its effect on your bones. Studies show that men taking testosterone have measurably stronger bones after six months on the therapy. However, it can take three years or more for bones to fully strengthen on TRT.

Every man has a unique reaction to testosterone replacement therapy. The amount of time it takes to notice certain benefits depends on your current testosterone levels, the cause of your low testosterone, and other biological factors.

The most important thing to remember is that you need to be patient. Its normal to want to feel better as quickly as possible, but TRT takes time to work. Keep taking testosterone and stick to the dose recommended by your doctor.

If you have been on testosterone replacement therapy for several weeks or months and you are not noticing improvements, see your doctor for advice. Your doctor might need to change the dose or the method of delivery to ensure you get the full benefits of TRT.

Never stop your treatment without talking to a doctor first, even if you do not feel any effects. It is very important to always have medical supervision when stopping, starting, or changing your dose of hormone therapy.

The team of experts at Elite Healthcare Center can help you reap the benefits of testosterone replacement therapy. Schedule an appointment today to learn more about the benefits TRT can offer for you and how soon you can expect to start feeling them.

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How Long Does It Take to Feel the Benefits of Testosterone ...

Testosterone Replacement Therapy at CJA Balance Improve Your Testosterone Levels

Testosterone Replacement Therapy is a form of hormone replacement therapy for men with low levels of testosterone.

At CJA Balance we can replace lost testosterone with a synthetic testosterone designed to boost your testosterone levels to a natural and healthy range.

Some men are born with low testosterone, while others may see their levels decrease much faster due to their genetic disposition, unhealthy lifestyle habits, stress and ageing.

The results from TRT vary from person to person with many men reporting positive and life-changing improvements after taking Testosterone Replacement Therapy.

Some people try to increase their testosterone levels naturally by making improvements to their lifestyle, including losing weight, increasing cardio, reducing stress levels and lifting weights. While we should always welcome such positive changes to our lifestyle, there is no evidence these will improve your testosterone levels.

The only way to know for sure if your testosterone levels are healthy is to have a blood test. CJA Balance offers discreet blood test kits which can be administered in the privacy of your own home. Find out more about testosterone blood tests here.

Testosterone Replacement Therapy in the UK is available at CJA Balance as a gel or injection.

Testosterone gel: The gel is applied topically to either the arms, shoulders or abdomen for 2 to 5 hours where the testosterone seeps through the skin. You should not touch another person until the gel is fully absorbed as this can be transferred to them.

Testosterone injections: This is the most common way to take testosterone. TRT is injected into the shoulder, leg or glute muscle on average once every 8-10 weeks. We offer TRT injections using Nebido Sustanon Cypionante and Enanthate.

Most of the side effects to taking TRT will be managed by your CJA Balance doctor who will monitor you and prescribe the appropriate combination of medications.

Two of the most widely talked about concerns is whether TRT is linked to an increased risk of a heart attack or stroke.There is little evidence to suggest this and recent studies suggest that TRT can actually increase life span and general health.

A 2017 study in the Journal of the American Medical Association looked at over 44,000 men suffering with androgen deficiency and showed a 33% lower risk of cardiovascular events in men who used TRT compared to those who did not.

The World Journal of Mens Health also reported the results of a study into TRT, saying the study found that TRT was not linked with any increased risk for Myocardia Infarction (where the supply of blood to the heart is blocked). It stated: In contrast, men at greater risk for heart problems who underwent TRT actually had a lower rate of heart attacks than similar men who did not receive this treatment.

Sadly, old and discredited studies continue to influence some doctors and patients so please get in touch with CJA Balance so we can assess whether Testosterone Replacement Therapy is right for you.

The level of oestrogen in your body will rise when you take TRT and too much oestrogen in the body can cause various side effects. These will, of course, be carefully monitored and controlled by the CJA Balance doctors who can prescribe medication to block oestrogen production. This will ensure your levels are just right to avoid side effects.

Side effects if TRT is poorly managed could include man boobs, swelling, moodiness, water retention, poor libido, poor erection, anxiety.

Read our blog which looks at the myths & truths surrounding low testosterone and TRT.

If youve reached a point in your life where you lead a healthy lifestyle, are ageing normally and exercise regularly, but you display the symptoms of low testosterone levels, then we would recommend that you have a blood test to assess your testosterone levels.

You might also want to take the ADAM test which is a strong indicator as to whether your testosterone levels are low. Take the ADAM questionaiire here. For information about our at-home testosterone blood test, please follow this link.

The highly experienced team of doctors at CJA Balance provide Testosterone Replacement Therapy in the UK and offer safe and effective treatment for men suffering low testosterone levels.

If you have any questions or issues, we always have someone on call who will respond quickly and efficiently to offer help and support in re-balancing your hormones.

CJA Balance is regulated by the Care Quality Commission, as required by law in the UK. We are here to support you throughout your TRT experience.

All doctor advice and support after the initial consultation is included in the monthly cost. Please start the process by completing your testosterone quiz or ordering your initial hormone blood test.

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Testosterone Replacement Therapy (TRT) in the UK

Testosterone Replacement Therapy (TRT) How can it help?

Testosterone replacement therapy is a safe and effective treatment to combat symptoms of testosterone deficiency and restorea mans hormonal health. The Centre for Mens Health has been the leading UK clinic in testosterone replacement therapy for 30 years.

The Centre has been pioneering the use of testosterone replacement therapy (TRT) at our clinics in London and Manchester. In this time our specialist doctors have helped thousands regain their health, vitality, and return to a fulfilling sex lifewith hormone replacement therapy for men.

Many structures in your body require the hormone testosterone to function. When testosterone is not available to them, either by low levels or lack of free molecules, then the effects of testosterone deficiency syndrome may be felt. Testosterone Deficiency Syndrome (also known as TDS, Andropause, or male menopause) results in symptomsincluding decreased sex drive (libido), erection problems, fatigue, depression, weight gain, poor concentration, short term memory loss and irritability (Carruthers, 2016).

Alongside having a revived sex drive, renewed energy, and stamina, after receiving testosterone replacement therapyour patients often reportfeeling younger, stronger, happier, and less irritable.Treatment has helped muscle aches disappear, memory improve, and many report increased energy and assertiveness.

The treatment made such a difference to me it was like turning the clock back 20 years or being re-born. I got my life back. Dan

I have a greater desire for living, my circulation has improved, I sleep better and consequently I am less irritable at home. I have also lost a lot of midriff fat and I have more muscle. I dont get as many colds and when I do they arent as severe. I feel so much healthier. David (Read Davids testicular atrophy story in full)

Chat now to see how we can help

Testosterone is a key hormone in men. It is vital to the development and maintenance of male sexual characteristics and function. Normal active testosterone levels help to maintain sex drive and fertility in healthy men. Research is showing it even helps maintain psychological health.

The testosterone hormone is increasingly being recognised as important to a wide range of health related areas. This includes contributing to maintaining healthy and active energy levels and preventing bone breakdown.

Research at our testosterone replacement therapy clinics indicates that 20% of men (2 million) across the UK over the age of 50 suffer from testosterone deficiency syndrome. However, only 1% have been diagnosed and are being treated.

At the Centre, our team of doctors make use of the full range of information available to them from a review of symptoms, medical history, physical examination and blood test results to reach a conclusion on whether the patient is likely to be suffering from testosterone deficiency syndrome or whether some or all of the symptoms may be due to other causes. Some of the key symptoms reported by patients suffering from testosterone deficiency syndrome, such as fatigue, can also be the result of diseases such as diabetes. It is important to exclude these before any diagnosis of testosterone deficiency syndrome is made and patients can proceed with testosterone replacement therapy or other forms of treatment.

Patients attending the Centre for Mens Health have a very thorough blood test before their first visit. This enables the medical specialist seeing them to review not only the status of the patients sex hormones, such as testosterone but also the complex range of factors regulating their action, together with tests of blood fat, liver, kidney, and prostate function, and red and white blood cell counts.

At the appointment, a full assessment or work-up of each patient is carried out. During the hour-long appointment, as well as discussing in detail the blood test results, the doctor also reviews the patients symptoms, medical history and current health status and concerns. He also carries out a physical examination, including a check on the prostate.

A key part of this information gathering process is a review of the results of a detailed questionnaire completed by the patient. The Ageing Males Symptoms (AMS) questionnaire covers three areas physical and somatic, psychological and sexual function. The information from this internationally validated questionnaire is used by the doctor in establishing a measure of the severity of symptoms, as an element in the assessment of whether the patient has testosterone deficiency syndrome and to see whether he might benefit from male hormone treatment including testosterone replacement therapy.The questionnaire is availablehereif you would like to assess your symptoms. Do remember, however, that the questionnaire results require careful medical assessment alongside other key information before any diagnosis can be made.

Please Note: During the Coronavirus lockdown, special arrangements are in place for both initial blood tests and consultations for new patients. These are detailed below.

If, following a blood test, other investigations and information gathering the doctor considers that the patient may be suffering from testosterone deficiency syndrome he will discuss the benefits and potential risks of testosterone replacement therapy (TRT) or other testosterone treatment with him. If treatment is indicated and the patient wishes to proceed, a trial period of TRT or testosterone stimulation therapy will be initiated.

TRT is usually given by testosterone gel, cream or long acting injections for the first two to six months. Testosterone replacement therapy (TRT) has been shown to be highly effective in relieving the symptoms of testosterone deficiency in particular in restoring energy, health and sex drive.

TRT is often needed long-term and can safely be continued in these forms if good symptom relief is maintained or changed to other types if needed.

Testosterone treatment including testosterone replacement therapy has been in use in the UK and other countries for over half a century and has a remarkably good safety record over that time, as confirmed by the detailed studies at this centre. However, every effort is made to exclude pre-existing prostatic cancer, by clinical examination, and a sensitive blood test, the Prostate Specific Antigen (PSA) in advance of any course of testosterone replacement therapy.

To ensure the safety and effectiveness of treatment, it is essential that the results of treatment are carefully monitored. Both to establish the diagnosis and to monitor the treatment carefully, blood tests and laboratory measurements are required at regular intervals. Following the initial consultation and diagnosis, detailed clinical examinations need to be carried out at 3-6 month intervals.

Testosterone replacement therapy at the Centre comes in many forms. Usually its given by testosterone gel orinjections. However, we provide a range of medications and treatment modalities to suit all lifestyles.

For the first two to six months wenormally recommend a testosterone gel which is easy to apply. This method can safely be continued for as long as you are happy with the daily applications. In the longterm, some patients prefer the ease of long acting injections which are given six to 10 weeks apart.

To ensure the safety and effectiveness of the treatment, our specialist doctors monitor our patients carefully on an ongoing basis during their testosterone replacement therapy. Therapy can be carefully tracked via our on-site pathology lab and blood testing services. We discuss alternative treatment methods during regular follow up appointments and changing to alternative treatment types is straightforward.

Testosterone Deficiency Syndrome goes by many other names. These terms are used to describe a medical condition where a low or insufficiently active level of testosterone has led to symptoms or signs. Common terms for this include male menopause, andropause, hypogonadism, low testosterone/Low T, and Testosterone Deficiency Syndrome. All of these refer to the same underlying medical issue.

The Centre generally uses the term Testosterone Deficiency Syndrome (TDS)/Testosterone Deficiency, as we believe this most accurately describes the condition and its cause.

Our male hormone specialists have spent 30 years developing a successful treatment model including testosterone replacement therapy for our patients. Thismakesour clinic one of the longest established UK healthcare providers of testosterone replacementand hormone therapy for men. Our regular clinics in London (Harley Street) and Manchester (Deansgate) provide a swift, confidential solution for men struggling with the symptoms of low testosterone.

We make sure our patients have the time they need to fully discuss the health problems they are facing and to work with our doctors to find the right treatment solution.

Diagnoses are based on a comprehensive blood test, review of symptoms, medical history and physical examination. For those patients who go on to treatment, either with testosterone replacement therapy or other options, careful and regular monitoring is carried out. These tests enable us to optimise treatment and monitor safety parameters.

The clinics founder, Professor Malcolm Carruthers, has been a pioneer in developing hormone treatment for men andTRT in the UK and remains one of the worlds foremost experts in testosterone replacement therapy. Our specialist medical team Mr Mark Feneley,Dr Clive Morrison, and Dr Anand Patel have many years of expertise in helping men overcome the effects of low testosterone.

Book a call with an expert

During the current Coronavirus lockdown, special arrangements are in place for both blood testing and consultations at the Centre. For prospective new patients there are now two options:

Male Hormone Mini Check Blood Test + Short Initial Remote/Video Consultation (20 minutes) 245

This includes a fingerprick blood test (with the sample being taken by the patient at home using a kit mailed out to them) measuring total testosterone, oestradiol, SHBG, albumin and calculated free testosterone. During this consultation, the doctor will explain the results of this test and discuss on an outline basis whether TRT may be suitable for the patient.

Male Hormone Check Blood Test + Half Hour Remote/Video Consultation 345

This includes a more detailed fingerprick blood test, with additional markers: LH, FSH, prolactin, free androgen index and DHEA sulphate. During the initial consultation, the doctor will discuss the results of the test and have more time to explore the potential suitability and options for TRT with the patient.

This second type of appointment is intended for those patients looking to continue to TRT, where suitable, as soon as government guidelines allow. Patients will need to undertake a full blood test and further half hour consultation including physical examination by a doctor, when lockdown restrictions allow this to take place, before testosterone treatment can be prescribed. Please note: Our doctors can only prescribe for new patients after a physical examination.

The characteristic symptoms of Testosterone Deficiency Syndrome are decreased sex drive, erection problems, loss of energy, depression, weight gain, brain fogs, memory loss, irritability and night sweats. Read more about the symptoms of TRT here

Testosterone deficiency results from failure or disruption of the bodys normal process of production or uptake of the hormone. This can be due to any or a combination of:

You can get testosterone replacement therapy in the UK. The Centre for Mens Health has TRT clinics in London and Manchester and has been operating for over 25 years. During that time the Centre has helped thousands of men regain their health, vitality and wellbeing.

You can get TRT on the NHS, but only on a restricted basis. Eligibility is mainly determined using a relatively low and inflexible blood level cut off for testosterone. Men whose blood results fall above this, even if symptomatic, are unlikely to be given treatment. This means that many men who could benefit from TRT, based on a more detailed review of their testosterone levels and symptoms, are potentially missing out. The Centre for Mens Health can offer treatment for these men.

Testosterone treatment cost in the UK will vary according to the type of prescription, from around 70 a month for Testogel (testosterone in gel form) to 160 for Nebido (testosterone undecanoate), an injection lasting up to three months, or around 53 a month. In addition you will need to have blood tests and appointments with a doctor to ensure your treatment is effective and safe. The Centre for Mens Health has provided TRT for more than 25 years and will be happy to find the treatment that is right for you.

A team of doctors make use of the full range of information available to them from a review of symptoms, medical history, physical examination and blood test results to reach a conclusion on whether the patient is likely to be suffering from testosterone deficiency syndrome. A physical examination is also carried out, including a check on the prostate. Read more about testosterone deficiency diagnosis here

Testosterone Replacement Therapy (TRT) is usually given by testosterone gel, cream or long acting injections. For the first two to six months it is usually given as a gel or injection. It is often needed long-term and can safely be continued in these forms if good symptom relief is maintained. Read more about how testosterone deficiency is treated at the centre here

With a track record of over 50 years, Testosterone replacement therapy has been shown to be a safe treatment. Before treatment, patients must be screened for pre-existing prostate cancer with both a clinical examination and a blood test to check their levels of PSA (prostate-specific antigen). The Centre for Mens Health has provided safe and effective TRT for over 25 years.

Testosterone replacement therapy is totally different from steroid abuse the illegal and uncontrolled use of various forms of testosterone, mainly by men under 30 with already normal hormone levels, to boost muscle growth and strength, often with serious negative health consequences. TRT is carefully monitored treatment, prescribed by doctors, aimed at men almost exclusively over the age of 40 who show severe symptoms of Testosterone Deficiency Syndrome. The Centre for Mens health can help men in this situation.

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Testosterone Replacement Therapy - Centre for Men's Health