This is a letter we have just received from the wife of a new client who thinks that we are Atlanta’s best hormone replacement program. Hope you enjoy!! My husband and I met in college through mutual friends. We were both very athletic and active, which is what drew me to him initially. We married two short years after meeting and began a family shortly after. I really felt like I had everything I’d ever wanted. About 5 years later I noticed that a month or two would go by without a single intimate event, but when I brought it up John dismissed it citing stress as the main contributor. Even more concerning was the changes I noticed in John’s* personality, he no longer wanted to be active with me and was beginning to put on weight. I knew he was stressed out from his job so I tried not to make it worse by pressing the issue, however everything coupled with his indifference to it all began a drive a wedge between us. I just missed the man I married. One day I was having lunch with an old college girlfriend of mine and I began to confide in her the issues John and I were having and she immediately recommended that we go to your place that had helped her husband resolve his low testosterone issues. She vouched that you guys were indeed Atlanta’s best hormone replacement program. John doesn’t have low t I thought to myself, but then again I guess we really didn’t know, had he been checked recently? As she began to go down the list of symptoms, I felt as though she reading a synopsis of my life for the last 2 years, I couldn’t believe how well it described John’s characteristics as of late. It was the first time in a long time that I had new hope for our marriage. So naturally, I rushed home, tidied up a bit and began to prepare one of his favorite meals in order to set the tone for a very important discussion. I wanted to make […]
http://www.harvardprostateknowledge.org/a-harvard-expert-shares-his-thoughts-on-testosterone-replacement-therapy Testosterone’s impact on brain, bone, and muscle Cherrier MM, Asthana MD, Plymate S, et al. Testosterone Supplementation Improves Spatial and Verbal Memory in Healthy Older Men. Neurology 2001;57:80–88. PMID: 11445632. Isidori AM, Giannetta E, Greco EA, et al. Effects of Testosterone on Body Composition, Bone Metabolism and Serum Lipid Profile in Middle-aged Men: A Meta-analysis. Clinical Endocrinology2005;63:280–93. PMID:16117815. Liu PY, Swerdloff RS, Veldhuis JD. Clinical Review 171: The Rationale, Efficacy and Safety of Androgen Therapy in Older Men: Future Research and Current Practice Recommendations.Journal of Clinical Endocrinology and Metabolism 2004; 89:4789–96. PMID: 15472164. Moffat SD, Zonderman AB, Metter EJ, et al. Longitudinal Assessment of Serum Free Testosterone Concentration Predicts Memory Performance and Cognitive Status in Elderly Men.Journal of Clinical Endocrinology and Metabolism 2002;87:5001–7. PMID: 12414864. Wang C, Cunningham G, Dobs A, et al. Long-term Testosterone Gel (AndroGel) Treatment Maintains Beneficial Effects on Sexual Function and Mood, Lean and Fat Mass, and Bone Mineral Density in Hypogonadal Men. Journal of Clinical Endocrinology and Metabolism2004;89:2085–98. PMID: 15126525.
At Low T Nation, we get asked all the time about which platform to deliver testosterone in a Low T program is the best. The most available and common testosterone replacement platforms are creams, pellets, injections, and patches. The best answer depends a lot on the person’s situation, but without any additional determining criteria, we at Low T Nation, prefer the injection based platform for a few reasons. The primary reason is that we know exactly how much testosterone a patient is getting in their system. All of the other systems have a bit of room for error in understanding exact dosing. The pellets have a time released mechanism that distributes the testosterone over months. The creams can have evaporation and absorption issues to contend with. The patches also become increasingly hard to tell exactly how much has been absorbed and how much is still in the patch. There are also other issues. Creams have two additional drawbacks. First being that there are known contact dangers. It is very easy to pass the testosterone (even if the cream has been absorbed) to another person, hopefully not a wife or child. The creams are also completely bio-available which means they have to be applied every day and on top of that, if you miss a day or two, you will feel down in the dumps again. We don’t like the daily use and potential for normalizing back to pre-plan testosterone levels. The pellets tend to raise a patients testosterone levels to a level that is above the intended range far too often. This usually ends up causing issues with estrogen and DHT conversion at too high of a rate as compared to other delivery methods. The testosterone release also shows up like a bell curve with the pellets releasing quickly while the pellets are fairly new, then slowing dramatically as they age. The other issue with pellets is that the patient is usually either feeling better each day because of the increase or worse each day because of the falling levels of testosterone. This therapy method for Low T is still a viable option […]
The testosterone replacement medications at Low T Nation are never a one size fits all prescription. We evaluate each patient individually and treat that patient based on his individual physiology, health history, lifestyle and goals. An example of a standard program consists of: 100MG-200MG of Testosterone per week. Usually cypionate delivered via IM injection. 500 units of HCG divided into 2 shots per week An estrogen blocker if required. Usually every 3.5-7 days. Many men do not need this component of the therapy. Clomid is added to the prescription if the patient is currently family planning This plan is a generic example of a a basic starting point. After about 2 months, the patient will come back in and have his lab work and symptom relief evaluated again to determine how well he is base lining with the initial prescription. Explanation of the drugs utilized by our practitioners Testosterone Cypionate is great vehicle to deliver the hormone because of it’s long-lasting half life. The half life is about 7-8 days which suits our weekly injection schedule perfectly. We only utilize bio-identical hormones from only the best compounding pharmacies with the highest accredidations. This testosterone will have a man optimized in less than 7-8 weeks. Human Chorionic Gonadotropin (HCG) with Testosterone Replacement, is absolutely mandatory for all of our patients. It maintains and optimizes testicular health and the output of testosterone. If a patient is using a protocol which does not utilize HCG, that patient most likely is suffering from testicular atrophy and shrinkage and quite possible will suffer long lasting damage to his overall testosterone production capabilities. HCG prevents any testicular degradation, optimizes a man’s natural production and therefore reduces the amount of the exogenous prescription required to keep him at an optimal level. Estrogen blockers are sometimes given to patients when their estradiol levels get out of hand. We do not give this to most patients because estrogen is very cardio-protective in men. We only use the estrogen blockers when a patient has a surplus and we then try to carefully and slowly dial it back so as not to bottom out the man’s […]
One of the most frustrating aspects of Testosterone Replacement we hear from our Atlanta patients is that they’ve been tested by their doctor and the results said that they were “low-normal”. This is extremely disappointing to the patient because they don’t usually ask for the test unless they are suffering from Low-T symptoms and they need relief. Most of the laboratory ranges for Testosterone are somewhere between 350-1100. The problem with the “low-normal” finding is that it takes the individualism out of the patient care and it says that you’re low-normal for the entire population of men that the lab range (350-1100) is trying to represent. The range is that wide because many healthy and fit men walk around the 400’s in the prime of their lives, while others walk around at over 1000. There is no way to look at a man and guess what his level should be at. If a man’s bloodwork comes back with a Testosterone score of 375, it is indeed in the range, but it doesn’t account for the fact that he may be a individual who previously had a testosterone score of 800 in his prime. This means that the patient in question is at about 45% of the testosterone he needs. Do you see the issue here? Quality patient management in the testosterone replacement discipline cannot be performed from labwork alone. In fact, at Low T Nation in Atlanta, we utilize a system of symptomatic qualifiers, lab results, and lifestyle factors to appropriately prescribe patients the right amount of testosterone for THEM. Not for the entire range of all men who score extremely differently from one another. We also employ a “start low, go slow” approach as well to make sure that a man that should be at 500 doesn’t end up at 1000 like in most other plans.
Men, one of the most important things to keep in mind when on a testosterone replacement therapy is remaining compliant at all time. These programs are designed to optimize your body in ways that keep other systems and hormones in check as well. When a patient falls out of compliance with HCG or Testosterone, other hormones and systems are affected as well. This yo-yoing of multiple hormonal systems in the body can wreak havoc on a man’s state of mind and emotional well-being. Also, HCG compliance is absolutely crucial in optimizing overall testosterone levels as well as optimizing testicular health. Patients who do not take their HCG routinely can experience testicular atrophy and shrinkage as well as lower testosterone levels across the duration of their therapy. This actually negates the entire purpose of being on the therapy in the first place. So men, in closing, please do all you can to ensure that you are consistent with all of your prescriptions from Low T Nation. A prescription calendar, appointments in your phone’s calendar or even apps like MediSafe Medication Reminder (APPLE, ANDROID) will help you you more compliant, therefore healthier and happier!
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Check out our Atlanta Low T Therapy commercial. If you’re a man in the Atlanta area and you’re suffering from any of the symptoms of Low-T, please don’t hesitate to call us today. We have free consultations and will get you back to your old self again as soon as possible in a safe and affordable manner.