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Written by George N. Touliatos, MD
Testosterone Replacement Therapy (TRT) for Andropause
By George Touliatos, MD
Q: My testosterone is 290ng/dl and I feel horrible, having all the symptoms of low testosterone. However, my doctor doesn’t prescribe me testosterone, just ED drugs. What’s wrong with him anyway?
A: Most doctors (urologists/endocrinologists) are not willing to help men who face andropause. They prefer not to treat men with testosterone under hypogonadic levels. Instead, they prescribe PDE5 inhibitors that only increase the blood flow in cavernous bodies and treat erectile dysfunction in the penis. However, sexual desire and libido are purely a matter of testosterone.
The main androgen is a cerebral hormone that affects behavior. Sex drive is an instinct dealing with limbic system (hippocampus, amygdala). Nevertheless, testosterone is more than having intercourse or lifting weights. It plays major role in metabolic diseases like obesity, diabetes and the metabolic syndrome. By improving body composition (building skeletal muscle, oxidizing adipose tissue), it improves insulin sensitivity and reverses DM II and minimizes MS. But it also improves quality of living by reversing wasting (cachexia), anemia (EPO kick) and osteopenia (BMD). In this way it provides stamina, endurance, neuromuscular conjunction and proper posture.
WATCH EPISODE 160: How Much Primo With a Gram of TEST?
Testosterone fights depression by its reduction to DHT, which is a major anti-depressive androgen. Castrated men with prostate cancer lack self-esteem and cognitive function. They face the so-called foggy mind. Testosterone optimizes the neurotransmitters serotonin (the joy hormone) and dopamine (feeling of rearward).
It’s inevitable for a man to live without testosterone, under hypogonadal status. For those who fear of the potential side effects out of its use, realize that men staying under low testosterone face a plethora of issues, way more critical than the alleged side effects of testosterone replacement therapy (TRT). The skepticism of the medical community is based on the abuse of testosterone from bodybuilders. They consider it as another harmful anabolic. However, the fact is that testosterone is a familiar hormone, non-toxic to the liver or the lipids, unlike the majority of steroids.
Testosterone, under optimization, provides physical and mental health to the adult male who faces the middle-aged crisis and seeks a second puberty. The discrimination between replacing and abuse is what determines the benefits versus the side effects and stigma.
George Touliatos, MD is an author, lecturer, champion competitive bodybuilder and expert in medical prevention regarding PED use in sports. Dr. Touliatos specializes in medical biopathology and is the medical associate of Orthobiotiki.gr and Medihall.gr, Age Management and Preventive Clinics in Athens, Greece. Heis the author of four Greek books on bodybuilding, has extensively developed articles for www.anabolic.org and is the medical associate for the book “Anabolics, 11th Edition” (2017). Dr. Touliatos has been a columnist for the Greek editions of MuscleMag and Muscular Development magazines, and has participated in several seminars across Greece and Cyprus, making numerous TV and radio appearances, doing interviews in print and online. His personal website is https://gtoul.com/
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Testosterone Replacement Therapy (TRT) for Andropause
By George Touliatos, MD
Q: My testosterone is 290ng/dl and I feel horrible, having all the symptoms of low testosterone. However, my doctor doesn’t prescribe me testosterone, just ED drugs. What’s wrong with him anyway?
A: Most doctors (urologists/endocrinologists) are not willing to help men who face andropause. They prefer not to treat men with testosterone under hypogonadic levels. Instead, they prescribe PDE5 inhibitors that only increase the blood flow in cavernous bodies and treat erectile dysfunction in the penis. However, sexual desire and libido are purely a matter of testosterone.
The main androgen is a cerebral hormone that affects behavior. Sex drive is an instinct dealing with limbic system (hippocampus, amygdala). Nevertheless, testosterone is more than having intercourse or lifting weights. It plays major role in metabolic diseases like obesity, diabetes and the metabolic syndrome. By improving body composition (building skeletal muscle, oxidizing adipose tissue), it improves insulin sensitivity and reverses DM II and minimizes MS. But it also improves quality of living by reversing wasting (cachexia), anemia (EPO kick) and osteopenia (BMD). In this way it provides stamina, endurance, neuromuscular conjunction and proper posture.
WATCH EPISODE 160: How Much Primo With a Gram of TEST?
Testosterone fights depression by its reduction to DHT, which is a major anti-depressive androgen. Castrated men with prostate cancer lack self-esteem and cognitive function. They face the so-called foggy mind. Testosterone optimizes the neurotransmitters serotonin (the joy hormone) and dopamine (feeling of rearward).
It’s inevitable for a man to live without testosterone, under hypogonadal status. For those who fear of the potential side effects out of its use, realize that men staying under low testosterone face a plethora of issues, way more critical than the alleged side effects of testosterone replacement therapy (TRT). The skepticism of the medical community is based on the abuse of testosterone from bodybuilders. They consider it as another harmful anabolic. However, the fact is that testosterone is a familiar hormone, non-toxic to the liver or the lipids, unlike the majority of steroids.
Testosterone, under optimization, provides physical and mental health to the adult male who faces the middle-aged crisis and seeks a second puberty. The discrimination between replacing and abuse is what determines the benefits versus the side effects and stigma.
George Touliatos, MD is an author, lecturer, champion competitive bodybuilder and expert in medical prevention regarding PED use in sports. Dr. Touliatos specializes in medical biopathology and is the medical associate of Orthobiotiki.gr and Medihall.gr, Age Management and Preventive Clinics in Athens, Greece. Heis the author of four Greek books on bodybuilding, has extensively developed articles for www.anabolic.org and is the medical associate for the book “Anabolics, 11th Edition” (2017). Dr. Touliatos has been a columnist for the Greek editions of MuscleMag and Muscular Development magazines, and has participated in several seminars across Greece and Cyprus, making numerous TV and radio appearances, doing interviews in print and online. His personal website is https://gtoul.com/
DISCUSS ON OUR FORUMS
SUBSCRIBE TO MD TODAY
GET OFFICIAL MD STUFF
VISIT OUR STORE
ALSO, MAKE SURE TO FOLLOW US ON:
YOUTUBE
Top
Click here to view the article.
