Iron Game

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New study finds testosterone replacement therapy does not increase heart risk.




A new study of generally healthy men who used testosterone replacement therapy to normalize testosterone levels has found that taking supplemental testosterone does not increase their risk of experiencing a heart attack or stroke.


Researchers at the Intermountain Medical Center Heart Institute in Salt Lake City studied 1,472 men between the ages of 52 and 63 who had low testosterone levels and no prior history of heart disease. The men were patients at Intermountain Healthcare hospitals.


Researchers found that generally healthy men who received testosterone supplementation to achieve normal levels did not increase their risk of heart attack, stroke, or death.


Results of the study were reported at the 2015 American Heart Association Scientific Session in Orlando on Monday, November 9, 2015.


"Our research examined the potential cardiovascular risks associated with generally healthy men who use testosterone supplements to normalize their levels and found no increase in those risk factors," said J. Brent Muhlestein, MD, co-director of research at the Intermountain Medical Center Heart Institute. "In fact, testosterone therapy in this population was shown to reduce the risk of heart attack, stroke and death, when compared to those men who weren't taking testosterone supplementation."


Earlier this year, the U.S. Food and Drug Administration required manufacturers of all approved testosterone products to add information on the labels to clarify the approved uses of the medications and include information about possible increased risks of heart attacks and strokes in patients taking testosterone.


Testosterone replacement therapy is commonly used in older men to normalize the hormone level and help patients feel better, have more energy and increase muscle mass. But physicians and patients must weigh the benefits and risks of providing patients with testosterone supplementation based on the information provided by the FDA and other research.
According to the FDA, the use of testosterone therapy has increased significantly, from 1.3 million patients in 2009 to 2.3 million patients who had a prescription for testosterone products in 2013.


Previous studies have been conducted on testosterone replacement therapy and its cardiovascular effects in men, with different results. While it is known that low levels of testosterone pose an increased cardiovascular risk, the risks versus benefits of supplementation have not been clearly identified.


During clinical follow-up after one and three years, the men in the Intermountain Medical Center Heart Institute study were categorized by whether or not they received at least 90 days of testosterone supplementation (topical gel or injection) or not. A Cox hazard regression analysis, which adjusted for 17 baseline variables, was performed to determine any association between testosterone supplementation and three-year outcomes of death, non-fatal heart attack and stroke.


"This particular study provides assurances to physicians and patients that using testosterone replacement therapy in a generally healthy population of men over the age of 50 to normalize levels doesn't increase a patient's risk of a heart attack or stroke, and actually shows a reduction in those risks," said Dr. Muhlestein.
Explore further: US regulators probing cardio risks in testosterone products
Provided by: Intermountain Medical Center


generally healthy men who used testosterone replacement therapy to normalize testosterone levels has found that taking supplemental testosterone does not increase their risk of experiencing a heart attack or stroke.




Researchers at the Intermountain Medical Center Heart Institute in Salt Lake City studied 1,472 men between the ages of 52 and 63 who had low testosterone levels and no prior history of heart disease. The men were patients at Intermountain Healthcare hospitals.
Researchers found that generally healthy men who received testosterone supplementation to achieve normal levels did not increase their risk of heart attack, stroke, or death.
Results of the study were reported at the 2015 American Heart Association Scientific Session in Orlando on Monday, November 9, 2015.
 
I posted about this back in 2013.. All these lawsuits.. I knew it was a matter of time before they proved that TRT wasn't in fact the contributor to heart attacks or strokes, but rather negligence from the care takers (i.e. Doctors,endo's) by not keeping up with the care, such as blood work, or merely taking lightly any complaints or symptoms mentioned by the patients..

Doctors should be held accountable.. I don't care what the treatment is, always monitor the patient because the treatment doesn't necessarily mean its bad in general or a failure, it just indicates that its not for them!

Iron-game: I imagine that large pharma had some heavy hitters (lawyers), press for some REAL clinical findings to support the truth all along...I'm glad to see the outcome expresses what we've all been saying all along!

Here's what I posted in regards to pre-finds (per your post)

I'm sure most of us have seen the commercials were individuals have suffered injury/death because of TRT..In these commercials they advise victims to call a lawyer in regards for compensation and damages..Much similar to the lawsuit in regards to Mesothelioma (Asbestos)..

Upon my first reaction after hearing this commercial,I said to myself "Here we go!?".. Now TRT will be disdained even more!

Well.. There's a group back with lawyers to combat this potential problem that could be detrimental to TRT... Here's what thay have to say!

Vision

________________________________________________




This is our latest press release to ask researchers and companies to follow testosterone treatment guidelines as well having guidelines groups update their recommendations to include estradiol testing and management

Negative Studies Shed Light on Poor Management of Men on Testosterone Replacement Therapy

Houston, TX -- (SBWIRE) -- 02/10/2014 -- A study recently published that concluded that testosterone replacement therapy (TRT) can increase the risk of heart attacks in men shed lights on what happens when older men are given TRT without managing blood levels of certain well-known factors that can potentially affect their health. Men volunteering for this study, seeking to regain their vitality, were exposed to higher risks due to negligence and lack of compliance by researchers to current medical guidelines.

It is well known from 30 years of research that testosterone replacement can increase red blood cell (and hematocrit which is the total red cell volume) and estradiol production, two important factors for men's health when present in normal levels. Red blood cells carry oxygen and estradiol maintains healthy bones, cognitive function and sex drive. However, due to genetic, age or other factors some men can have excessive production of both while on TRT. Unfortunately, this study failed to manage hematocrit and estradiol. Furthermore, most men were not retested to have their testosterone blood levels optimized after they started TRT, so many of them may have remained with inadequate testosterone blood levels. Low testosterone blood levels have been shown to increase cardiovascular risks.

Additionally, this latest nonrandomized study states that "No data were available on indications for testosterone prescription, race, laboratory findings, occupational, environmental, or lifestyle factors." To jump to conclusions without knowing some of these factors is purely unethical.

Luckily, not all medical practices in the U.S. are ignoring proper monitoring of men on TRT. Many clinics are managing hematocrit by recommending blood donation or phlebotomies to men with hematocrit over 53 to decrease their red blood cell amounts. They are also recommending treatment with low dose anastrozole, an estrogen blocker, for men with estradiol over 50 pg/mL.

It is alarming that studies of this nature do not follow any of the main four testosterone treatment guidelines in the world. This tableshows a summary of monitoring required by these medical groups showing the required frequency for monitoring men on TRT. These guidelines should also be revised to include estradiol testing.

It is imperative that future studies follow at least the minimum requirements from current guidelines. Are these studies liable for not following minimum guidelines and exposing their volunteers to increased risks?. Institutional review boards (IRB's) who approve these studies need to educate themselves about this problem so that no more studies are allowed that do not properly monitor men on testosterone replacement. Lawsuits from men who claim being exposed to unnecessary risks on TRT are starting spreading around the U.S. which may shed light on how poorly informed physicians and researchers are of the current TRT guidelines.

ExcelMale.com, an education and advocacy online platform focused on men's health, urges guideline groups to revise the current guidelines for testosterone treatment in men to include monitoring and managing estradiol with the same frequency as hematocrit. It also urge to enforce guidelines compliance in all testosterone studies and for the FDA to require testosterone manufacturers to support better education of physicians prescribing their products.

ExcelMale.com also encourages all men currently on testosterone replacement or thinking about starting it to educate themselves by visiting the site and to ensure that guidelines (along with estradiol monitoring) are followed by their physicians. We also warn men about signing any study consent form to volunteer in studies that do not specify the monitoring frequency and side effect management options provided by researchers.

We demand Abbvie (makers of Androgel), Auxilium (makers of Testim), Endo Pharmaceuticals (makers of Fortesta), Lilly (makers of Axiron) to stop this lack of compliance before they lose millions due to negligent practices and studies that do not follow minimum guidelines.

We are looking forward to the day when a research group will perform a well done study that not only gives testosterone to men but also one that retests them periodically to manage dose, high hematocrit and estradiol blood levels. It should not be a difficult task and it is the only responsible thing to do to generate conclusions that men and their providers can trust. As the testosterone replacement market grows rapidly, it is imperative to educate physicians, patients and researchers about minimum standards of care.
 
Vision GREAT information. The commercials for TRT lawsuits are still being ran. It is just perpetuating the myths and rumors about "evil" testosterone. That is what big brother wants, us weak.

Sent from my SAMSUNG-SM-G870A using Tapatalk
 
What levels of Test are considered "Normal" for someone in their late 30s? And which Test is the best to take for TRT?


-- Madman in a Box --
 
Tardis, "normal" is defined byvthe lab doing the test. This makes no sense, but that is how it is. "Normal" is also a huge range. Labcorp defines normal as 300-1200 ng/dl. Quest uses 300 - 1100, I believe.

If you're wondering if you need TRT, my experience is that it's a combination of being symptom driven along with "kow end of normal" or low testosterone level. That means low 400's or less.

That was me when I started on TRT. I was 440 or so and had numerous symptoms to go along with.

As far as "best test" to take for TRT, your doc should do a complete blood workup on you including a full metabolic panel, as well as testing for total serum testosterone, free testosterone, estradiol, hematocrit, hemoglobin, and a bunch of other stuff I know nothing about.

Educate yourself as much as you can. Search Muscle Chemistry for posts and articles on TRT, there have been lots of discussion about this topic here, all of it contains good information. There are other sites with good info as well, but if you find and read everything you can here, you will have a pretty solid knowledge base. Do this BEFORE you go talk to a doc. This way, you'll know if the doc knows his/her shit or not. My experience so far has shown me that MOST doctors don't know SHIT about testosterone and TRT. Most docs whole heartedly believe a number of complete falsehoods on this topic and will tell you cery adamantly that it's the gospel truth. If the doc you're talking to is contradicting what your research here has turned up, go talk to a different doc. I finally found one who gets it, and is helping me manage my TRT.

Good luck, and ask as many questions as you need to. Here and at the doctor's office.
 
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Tardis, "normal" is defined byvthe lab doing the test. This makes no sense, but that is how it is. "Normal" is also a huge range. Labcorp defines normal as 300-1200 ng/dl. Quest uses 300 - 1100, I believe.

If you're wondering if you need TRT, my experience is that it's a combination of being symptom driven along with "kow end of normal" or low testosterone level. That means low 400's or less.

That was me when I started on TRT. I was 440 or so and had numerous symptoms to go along with.

As far as "best test" to take for TRT, your doc should do a complete blood workup on you including a full metabolic panel, as well as testing for total serum testosterone, free testosterone, estradiol, hematocrit, hemoglobin, and a bunch of other stuff I know nothing about.

Educate yourself as much as you can. Search Muscle Chemistry for posts and articles on TRT, there have been lots of discussion about this topic here, all of it contains good information. There are other sites with good info as well, but if you find and read everything you can here, you will have a pretty solid knowledge base. Do this BEFORE you go talk to a doc. This way, you'll know if the doc knows his/her shit or not. My experience so far has shown me that MOST doctors don't know SHIT about testosterone and TRT. Most docs whole heartedly believe a number of complete falsehoods on this topic and will tell you cery adamantly that it's the gospel truth. If the doc you're talking to is contradicting what your research here has turned up, go talk to a different doc. I finally found one who gets it, and is helping me manage my TRT.

Good luck, and ask as many questions as you need to. Here and at the doctor's office.

I couldn't agree with you more.

- - - Updated - - -

What levels of Test are considered "Normal" for someone in their late 30s? And which Test is the best to take for TRT?


-- Madman in a Box --

Welcome to MuscleChemistry.com bro. Your in the right place
 
Vision GREAT information. The commercials for TRT lawsuits are still being ran. It is just perpetuating the myths and rumors about "evil" testosterone. That is what big brother wants, us weak.

Sent from my SAMSUNG-SM-G870A using Tapatalk

Brother, that's the BEST word to use "perpetuating", all the sheep believe what they see or read, hell I seen a unicorn on google last week, must be fricken real!

It's a real damn shame... Yet Drs are passing out these SSRI drugs like candy, and even pain meds, you don't see lawsuit commercials saying "Did Oxycontin make you sell you house, and did you end up sucking dick, if so call us NOW"....More people have died from pain meds compared to test..People who died from TRT just had a genetic predisposition..Take a look at commercials that offer TRT, you see smiling people horseback riding or enjoy water sports... Now if they made one for Oxy, would they be doing the same? maybe so, while they're drooling on themselves nodding the hell out..

It's funny, our drinking water has been proven to posses a slew of antidepressant meds and other drugs (from people pissing,or dumping drugs down the drains), but thats ok, but god forbid a 45 year old man doesnt feel like a MAN, and needs natural hormones..

Sorry for the rant brutha, this topic just really bothers me to no end..I mean how many times does a member join this or other communities seeking help about low T and almost everyone joins in and genuinely helps an other, its almost daily and selflessly, its how we are in this HEALTHY lifestyle and way of life!

It comes down to keeping people on SSRI's or SNRI's, rather they test...test just makes to much damn sense, so take it away!

Rant done, I'm out...

Vision
 
What levels of Test are considered "Normal" for someone in their late 30s? And which Test is the best to take for TRT?


-- Madman in a Box --
First, welcome to MC. Secondly, love the name, been a huge fan for over 30 years. (Before it was cool and mainline)
Third, it is like they've said, it all depends on who you ask.

Sent from my SM-G900V using Tapatalk
 
Brother, that's the BEST word to use "perpetuating", all the sheep believe what they see or read, hell I seen a unicorn on google last week, must be fricken real!

It's a real damn shame... Yet Drs are passing out these SSRI drugs like candy, and even pain meds, you don't see lawsuit commercials saying "Did Oxycontin make you sell you house, and did you end up sucking dick, if so call us NOW"....More people have died from pain meds compared to test..People who died from TRT just had a genetic predisposition..Take a look at commercials that offer TRT, you see smiling people horseback riding or enjoy water sports... Now if they made one for Oxy, would they be doing the same? maybe so, while they're drooling on themselves nodding the hell out..

It's funny, our drinking water has been proven to posses a slew of antidepressant meds and other drugs (from people pissing,or dumping drugs down the drains), but thats ok, but god forbid a 45 year old man doesnt feel like a MAN, and needs natural hormones..

Sorry for the rant brutha, this topic just really bothers me to no end..I mean how many times does a member join this or other communities seeking help about low T and almost everyone joins in and genuinely helps an other, its almost daily and selflessly, its how we are in this HEALTHY lifestyle and way of life!

It comes down to keeping people on SSRI's or SNRI's, rather they test...test just makes to much damn sense, so take it away!

Rant done, I'm out...

Vision

You have hit the nail on the head!
 
I've done cycles before... But 9, years ago was my last one.... I know lots about it. My last free test measurement was in the mid-400s. Though I still feel it's too low.

Part of my feeling though is partially a side effect of my low dose of antidepressant which I'm trying to get off of, finally.


-- Madman in a Box --
 
What men should also know is that a major reason why many of them get treated with hormone replacement therapy for low testosterone in the first place is because a large percentage of men (35+ years of age) are on cholesterol-lowering statin drugs which inhibit the production of cholesterol, the base material for testosterone production, lowering the synthesis and level of testosterone (see Figure 7 of this scholarly article at The Dangers of Cholesterol-lowering Agents like Statins or Weight Loss Supplements: Low Progesterone & Low T). Statin drugs are also linked to Erectile Dysfunction (among many other serious issues) because they feed the production of arterial calcification (see Figure 8 in the article above).



Statins cause tremendous harm but provide very little real benefit.


So, first big corporate medicine seriously harms you with their expensive drugs, then they treat you with other expensive drugs/interventions: what a "wonderful" self-serving scheme!!!
 
What men should also know is that a major reason why many of them get treated with hormone replacement therapy for low testosterone in the first place is because a large percentage of men (35+ years of age) are on cholesterol-lowering statin drugs which inhibit the production of cholesterol, the base material for testosterone production, lowering the synthesis and level of testosterone (see Figure 7 of this scholarly article at The Dangers of Cholesterol-lowering Agents like Statins or Weight Loss Supplements: Low Progesterone & Low T). Statin drugs are also linked to Erectile Dysfunction (among many other serious issues) because they feed the production of arterial calcification (see Figure 8 in the article above).



Statins cause tremendous harm but provide very little real benefit.


So, first big corporate medicine seriously harms you with their expensive drugs, then they treat you with other expensive drugs/interventions: what a "wonderful" self-serving scheme!!!
Good add MaxMuscles, welcome to MuscleChemistry.com
 
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