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       #Post#: 428--------------------------------------------------
       TRT Benefits vs Risks
       By: guest5 Date: June 2, 2019, 4:21 am
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       By Nick Gold
       Did you know that nearly 8% of men who are between 41 and 50
       years old are developing testosterone deficiency?
       According to multiple studies, low testosterone can lead to
       numerous health problems and a significant decrease in life
       quality.
       Testosterone deficiency is also known as hypogonadism. Although
       it can affect numerous men of an elderly age, it can be
       addressed using testosterone replacement therapy (TRT).
       TRT involves administering testosterone into the body in various
       ways such as by injections, creams, gels, pellets, etc. This
       treatment can significantly improve the health of aging men.
       What is Testosterone?
       Testosterone is one of the most important male sex hormones.
       It’s responsible for giving men drive and energy as well as
       sexual desire and confidence. Athletes usually have high levels
       of testosterone and enjoy a better quality of life.
       On the other hand, low levels of testosterone can lead to
       numerous health problems including anxiety and depressions.
       The normal range of testosterone in men is between 300ng/dL and
       1,000ng/dL. This range can vary depending on various factors
       such as age, body mass index, fitness level, sleep quality,
       stress, and other factors.
       Signs of Testosterone Deficiency
       Low testosterone can have a dramatic impact on men’s and women’s
       health and quality of life. For example, here are the most
       popular signs of having low T levels:
       Low sex drive – men with low T are not in the mood for sex, and
       they might have difficulties maintaining an erection
       Hair loss problems – men with testosterone deficiency, tend to
       lose their hairs quickly, even to the point of complete baldness
       Excessive fatigue – feeling tired after a long day at work is
       normal. However, being constantly tired and having difficulties
       perform basic tasks might be a sign of low testosterone levels
       Loss of muscle mass – testosterone plays a vital role in the
       development of muscle mass. When the T levels are low, muscles
       will shrink fast since they need a constant supply of
       testosterone to maintain their size
       Increased fat percentage – another common side effect of low T
       levels consists of gaining weight and having a high body fat
       percentage
       Decreased bone density – testosterone plays an important role
       when it comes to the strength of your bones. Fractures and bone
       problems are common in men who have low testosterone levels
       Mood swings – testosterone is known to influence mental capacity
       and emotions. A lack of this hormone can cause negative
       emotional changes and mood swings
       How TRT Works?
       Testosterone replacement therapy is the go-to treatment for men
       who want to increase the levels of their testosterone.
       This treatment is usually prescribed for men who are 40 years
       old or older. This time is the point in life when drops in
       testosterone levels cause the symptoms.
       It’s important to speak with your doctor about TRT to find out
       its benefits and risks. TRT is not a magic bullet, but it can
       help a lot of men and improve their quality of life.
       TRT involves introducing more testosterone into the body in
       various ways. For example:
       Testosterone injections – usually administered directly into the
       deltoid (shoulder muscle) or quadriceps muscle
       Testosterone gels – these can be applied directly on the skin
       Testosterone pellets – a pellet can be inserted under the skin
       by a medical professional. It will release testosterone into the
       bloodstream slowly
       Testosterone tablets – these are usually applied on the upper
       gum, and they are increasingly popular among men
       Choosing one administration method over the other can have a big
       impact on your progress with TRT. For example, some people don’t
       like injections, and they might prefer going with testosterone
       gels or pellets instead.
       At the same time, testosterone is absorbed differently by the
       body, depending on the administration method. Make sure that you
       discuss your options with your TRT doctor for more details.
       Benefits of TRT
       Testosterone replacement therapy has been proven to be
       successful in treating testosterone deficiency in men for over
       50 years.
       This therapy is highly beneficial when done correctly and
       monitored properly. The list of benefits is long, and they’ll be
       enumerated in greater detail below.
       TRT Can Reduce Vascular and All-Cause Mortality in Men
       It is known that testosterone deficiency can be associated with
       an increased risk of mortality. A testosterone level of less
       than 300 ng/dL is low. Many doctors treat men with low
       testosterone if they show low T symptoms and present with total
       testosterone blood levels under 450 ng/dL.
       Studies show that men who have low serum testosterone levels
       have a higher incidence of all-cause mortality in comparison
       with men who have high serum testosterone levels. In certain
       cases, low testosterone can even predict a higher chance of
       developing cardiovascular disease at some point in the future.
       On top of that, a Veteran Administration study discovered that
       men who were treated for testosterone deficiency using TRT had a
       39% smaller risk of mortality, in comparison with people who
       didn’t undergo TRT.
       This study was based on a group of more than 1000 veterans who
       were older than 40 years and had low testosterone levels. After
       administering TRT to nearly 400 of these men, the mortality was
       nearly 10%. On the other hand, the veterans who didn’t receive
       TRT had a mortality rate of more than 20%.
       A study performed on more than 83,000 veterans revealed a
       similar situation. These men had documented low testosterone
       levels, and some of them were treated using TRT. At the end of
       the study, researchers have discovered that those who received
       TRT had a lower risk of developing myocardial infarction or
       stroke in comparison with those who didn’t receive the
       treatment.
       Another study suggests that low testosterone, free and
       bioavailable testosterone are associated with a higher risk of
       developing cardiovascular disease.
       TRT seems to benefit people who have type 2 diabetes mellitus as
       well. A study performed on 857 men with type 2 diabetes revealed
       shocking results. A group of these men was treated with TRT for
       several years.
       The researchers have found out that the risk of mortality
       decreased significantly for the people who received TRT in
       comparison with the group who didn’t receive TRT. This means
       that TRT can independently reduce the risk of mortality in men
       with type 2 diabetes mellitus.
       These are just a few of the most important studies performed on
       men with testosterone deficiency. When performed correctly, TRT
       can significantly reduce all-cause mortality in men, and that’s
       why it has become so popular in the last years.
       
       TRT Can Increase Insulin Sensitivity and Reduce the Risk of
       Diabetes Type 2
       A study conducted by Per Bjornstrom revealed that TRT could
       increase insulin sensitivity in men who have testosterone
       deficiency. This therapy can also improve blood glucose levels
       in men of all ages.
       Men who have diabetes type 2 can greatly benefit from undergoing
       TRT. This treatment options can reduce the HOMA index which
       improves fasting insulin sensitivity. Another study performed by
       Heufelder revealed that TRT combined with proper diet and a
       well-designed exercise regimen could provide excellent glycemic
       control in men who have low testosterone.
       This study took place over 52 weeks, and it also showed a marked
       improvement in patients who had metabolic syndrome.
       Other studies also suggest that testosterone therapy can
       ameliorate metabolic syndrome, reduce blood pressure, enhance
       insulin sensitivity and reduce inflammation in men of all ages.
       It has been discovered that TRT can increase lean body mass up
       to 4.8 kilograms over one year in men who have low testosterone
       levels. Lean body mass is associated with a higher quality of
       life, improved fitness levels, and better health.
       TRT Can Improve Body Composition
       Body composition stands for fat or lean mass a person has in his
       or her body.
       It is characterized by several indicators such as lean body
       mass, fat mass, etc. A plethora of studies indicates that TRT
       can improve body composition in men who have low testosterone
       levels. This data means increasing the amount of lean body mass
       while reducing the amount of fat mass in the body.
       Another study performed on testosterone-deficient men revealed
       that testosterone treatment could produce a consistent loss of
       weight if it’s administered over a long period.
       This fact might make TRT a good treatment option for obese men.
       It is also known that people who are overweight usually have
       lower testosterone levels than those with normal weight, so TRT
       can both increase testosterone levels while helping to lose
       weight.
       TRT patients who have used this treatment for a long period
       experienced a massive improvement in their BMI numbers as well
       as a drastic reduction in waist circumference.
       A study performed by Saad and other researchers over 8 years
       using TRT revealed massive weight reduction in 411 obese men.
       This improvement was not seen in a different group of obese men
       who didn’t benefit from TRT which confirms the efficiency of TRT
       in weight loss.
       Men with frailty can also benefit from TRT. Studies performed by
       Saad show that people of an elderly age who have sarcopenia or a
       different type of physical decline can experience improved bone
       density, muscle strength and stamina when treated with
       testosterone. TRT also improved their physical function, mood,
       and self-esteem.
       TRT Improves Bone Mineral Density
       With the passing of years, bone density tends to decrease in
       both men and women.
       This makes the skeletal structure more fragile and predisposed
       to fractures and other types of health problems. Osteoporosis is
       a common bone ailment which affects mostly women but sometimes
       men too.
       With that being said, TRT is efficient in improving bone mineral
       density in men of all ages.
       A study performed by Wang and his colleagues revealed that
       testosterone therapy, particularly when administered as gels,
       can be efficient in improving bone density. TRT can improve the
       structural and mechanical properties of the skeletal system,
       making bones less predisposed to damage and more likely to heal
       in the case of damage.
       A study done over 6 years on testosterone-deficient men who also
       had osteoporosis revealed shocking results. 89% of the study
       participants who received TRT experienced significantly improved
       testosterone levels. When tested for osteoporosis again after
       six years, doctors said that they no longer fulfilled the
       criteria for this bone disease.
       TRT Can Improve Anemia
       Anemia is a condition in which the body doesn’t have enough red
       blood cells to transport oxygen to cells and tissues.
       This can be caused by different problems such as a lack of iron
       in the body. Anemia is characterized by excessive fatigue and
       sometimes swelling of the feet and hands.
       People of an elderly age are more predisposed to this health
       condition as they progressively lose their vitality and energy
       with the passing of years. This has been documented by Ferrucci
       in an extensive study on seniors.
       TRT has been shown to significantly improve the symptoms of
       anemia in people who had testosterone deficiency. For example,
       an observational study revealed that the prevalence of anemia
       decreased from nearly 30% to 10% over 54 weeks in men who had
       low testosterone levels.
       This means that TRT can make you less likely to develop anemia
       at some point in the future and deal with its consequences.
       Similarly, another placebo-controlled study revealed that TRT
       could improve the recovery of patients who had anemia, whether
       the causes of this disease were known or unknown.
       This study showed how hemoglobin concentration increased in
       testosterone-deficient patients after administering TRT for
       several months.
       TRT Can Improve Sexual Function
       It is commonly known that people who have low testosterone
       levels experience a lack of sexual desire, poor-quality
       erections, lower sex drive, and less stamina.
       This can be treated with different types of ED pills such as
       Viagra or Cialis. However, TRT can also improve sexual function
       in testosterone-deficient men, especially when it’s administered
       over many years.
       A study performed by Bhasin and his colleagues looked at the
       relationship between testosterone levels and sexual activity in
       young men who had normal testosterone levels. The results were
       recorded before and after treating the study participants with
       TRT. It has been discovered that both sexual activity and
       function increased markedly after administering TRT.
       Another study revealed that men who have low levels of
       bioavailable testosterone are three times more likely to develop
       ED in comparison with men who have normal levels of bioavailable
       testosterone.
       Other placebo-controlled and comprehensive study revealed the
       improvements in sexual function and quality of erection after
       administering TRT in people of elderly age. The study was done
       on 790 men who had low testosterone levels, to begin with.
       After administering TRT, they experienced significant
       improvement in sexual function, sexual desire, and stamina.
       A long-term study done over 8 years revealed that testosterone
       therapy could offer marked improvements on all erectile function
       domains such as intercourse satisfaction, orgasmic function,
       sexual desire, and overall satisfaction levels. These results
       were corroborated with other recent studies performed by
       researchers on people who have low testosterone levels.
       TRT Can Improve Depressive Symptoms and Quality of Life
       The levels of testosterone in your body can significantly
       influence your mood, confidence, and self-esteem.
       It has been discovered that low T levels can seriously hurt
       one’s confidence and lead to emotions such as depression and
       anxiety. This is true in both men and women.
       With that being said, it is normal to assume that TRT can also
       improve energy levels, moods and overall quality of life. There
       are numerous studies which confirm this theory.
       For example, a study done by Wang over 3 years revealed that TRT
       could significantly reduce negative thoughts and moods in people
       who have low testosterone levels. The improvement was gradual
       and experienced by most study participants.
       Another study done on nearly 800 men who were
       testosterone-deficient revealed a 22% reduction when it comes to
       fatigue scores. This study took place over 6 months, and it
       shows how TRT can improve energy levels and overall quality of
       life. The study participants were using testosterone gel 1%
       which is a pretty common method of administering testosterone.
       Other studies performed on nearly 1000 men revealed a drastic
       improvement in positive emotions and moods in people who were
       testosterone deficient, after administering TRT. There are
       numerous other similar studies which reveal the efficiency of
       TRT when it comes to improving the emotional system, cognitive
       function, and mood.
       Potential Risks Of TRT
       Although there are numerous of TRT, no treatment option is
       without risks.
       There are several disadvantages of undergoing TRT and they vary
       from individual to individual. Some people might experience no
       side effects at all while others might go through the full
       spectrum of disadvantages.
       The Risk of Cardiovascular Disease
       One study done by Basaria over a period of 6 months reveals some
       risks of getting cardiovascular disease as a result of TRT. The
       study involved 209 who were 65 years old or older. They had
       frailty issues and were unable to climb a flight of stairs due
       to decreased mobility.
       In the group which received TRT, there were 23 cardiovascular
       events, in comparison with the control group which didn’t
       receive TRT and had just five events in total.
       However, these types of events included abnormal EKG results,
       pedal edemas or something similar. In most cases, these are not
       life-threatening problems, and the researchers considered more
       serious events called major adverse cardiovascular events
       (MACE). In this study, there was only 4 MACE, and they took
       place in the TRT group.
       There was another study performed in 2014 when Finkle et al.
       discovered an increase in myocardial infarction in men who
       received a prescription for testosterone. The increase was up to
       36% in comparison with 12 months before receiving the
       prescription.
       Although more studies are necessary to determine whether TRT can
       pose a serious risk of cardiovascular disease, it’s important to
       speak with your doctor while doing TRT to monitor your health
       status along the way.
       The Risk of Prostate Cancer
       Another common risk that many people assume with TRT is
       represented by prostate cancer.
       It has been believed for decades that TRT injections can cause
       prostate cancer or worsen its effects in patients who already
       have it. There are multiple studies which contradict these
       beliefs.
       For example, a study done in 2351 individuals revealed that TRT
       doesn’t cause prostate cancer. This was a placebo-controlled
       study, and it’s corroborated by other similar studies which
       reveal similar results.
       Another study shows that there is no association between
       exposure to testosterone and high-grade prostate cancer in men
       who already have prostate cancer. The study was done on nearly
       52,000 individuals, and it shows that TRT doesn’t cause an
       advancement in prostate cancer when administered over a long
       period.
       Thanks to the latest studies done on multiple groups of people
       over long periods, it can be seen that testosterone replacement
       therapy doesn’t cause prostate cancer or degradation of prostate
       tissue.
       Other TRT Risks
       There are other side effects and risks associated with poor
       management of TRT.  For a table of the most common ones, see
       this testosterone side effect management table.
       Wrapping It Up
       If you’re thinking about trying TRT, you’re making a good
       decision, but you also need a good doctor to monitor your
       progress.
       Testosterone replacement therapy can significantly improve your
       life, but you need to make sure you’re doing it correctly. Start
       by getting a testosterone test which can be purchased online at
       an affordable price.
       This will give you an idea regarding your testosterone levels
       and whether you have low testosterone or not. Then, talk to a
       TRT doctor and ask plenty of questions to have more peace of
       mind when going this route.
       
       #Post#: 436--------------------------------------------------
       Re: TRT Benefits vs Risks
       By: Bookerman Date: June 2, 2019, 4:36 am
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       TRT is another one of those things that when it first came about
       someone had a preconceived idea of it and the myths have stuck
       ever since.
       I sometimes listen to the - TOT Revolution podcast with Jay
       Campbell, some good info on there.
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