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-- Hello all the -- -- I'm not demanding.
As we age sometimes our hormones can go a little haywire even in mad its -- admiral Paulus or -- -- Did -- help us deal with it is hormone expert and also our doctor Jennifer land death Jennifer welcome again to the -- out thank you for how to tell everybody what is and the pope's.
And -- positive or what I like to call nano -- Is basically a mailman applies but it happens a lot differently than female -- -- so what it is really is when hormones decline.
And then mail harm on the main male -- -- to stop -- Right so testosterone reaches a peak in men had about H twenty to 2530.
That's when he my -- eliminate -- -- any I hate thinking well yeah in no way I hit that you're -- every.
-- you reach that peak at about age 25 and then under normal circumstances testosterone declines at a rate of about I'm sorry it's bad news.
One to 2% per year poll that I got -- Friday and then.
That's my wife about running on empty OK and so the symptoms said the symptoms of mailman plus.
You know it's really interesting it's a lot of the things like -- and should be -- I'm just getting older but it's fatigue.
And lack of lack of memory and their memory changes he this.
The grumpy old men right becoming more irritable I don't know if your wife tells you that symbol that might be if there you go that might learn sign -- and -- -- man.
On -- -- -- -- that they've lost their edge or their motivation may be just a feeling doing anything anymore they say.
It can be in business they don't feel like they don't feel as motivated to work so hard anymore.
Sir what do you think that a misconception because you don't hear a lot of guys seen all of the sentiment meant not -- and I -- And applause and -- paid taking anything for Harry I mean what I.
Submitted the misconception you know I think there's a bunch of reasons they think you're a guy -- you know and you've taken care of women so what what I saw as an OB GYN.
Taking care of women women are very in tune with their bodies right they come and they can tell you.
Each little thing that happen day by day.
A man tell him.
He doesn't tell you that's the and I think that's why -- they're quiet.
And -- not I don't think -- most men are as in tune with their bodies and as in tune with the changes so I think that's part of.
It let me flip the question that John when I counsel women -- regarding that applause -- her.
The -- we deal with the symptoms of hot flashes but you know -- the that there is a danger because of differences menopausal like of -- at least -- -- bone.
-- -- -- -- -- osteoporosis.
-- at least -- fracture and you can you -- dive from a from hip -- -- so I see the consequences of of correcting at least correcting that is there a danger in us just getting this and -- I'm not doing anything about it.
I am so glad you asked that question I think absolutely yes is the answer unequivocally.
There are tons of studies in -- heart journals circulation.
And other -- journals that show.
That as male testosterone declines there incidence of heart disease goes up.
Testosterone helps keep the -- in check so it helps keep the good cholesterol up the bad cholesterol down.
It helps as far as you know what happens to us -- it -- you British.
They have plenty -- that.
But you know what it does from an inflammation provide active fat increases inflammation when guys lose their testosterone -- fat goes up their muscle goes down.
That means inflammation is going up throughout the body so they've actually shown in studies.
That guys with lower testosterone have an increased risk of alzheimer's disease.
Cardiovascular disease basically every disease that you're looking at -- women.
Show the symptoms when their hormones go down same thing happens for a guy so it's not just how bad you feel it's also a matter of your health.
All right guys Hillary -- is how to we treated at a retreat it.
The good thing as -- two guys with Arnold is pretty simple it's just -- Really need testosterone that's the bottom line most guys aren't most guys that I see if they have any other symptoms they are low in testosterone and I treated with testosterone therapy.
We get question was -- -- time him functions health.
About hormone levels yes I'm glad sure I got emails let's say and they say oh Dr.
Manny my testosterone is 400.
Right what do you think.
And so glad because I was just a wanting to get -- look at as well.
The range that's considered normal for testosterone this huge because you know as well as I do how did they get these ranges they basically take 101000 people who say they feel well.
And they measure their blood levels and they get a bell curve right from the lowest of the highest -- so the range of testosterone from 25211100.
That's huge huge.
And not because they're measuring man from eighteen to eighty right.
So why -- that's my patients to anyone be closer to the guy with eighteen are the guys -- -- I'll -- it has I think right seven.
So what I do is I like to replace disaster into what I would call the optimal range and the optimal range.
Is the top 13 basically of that normal range so I'm looking to try to get guys up into that range of 70211100.
That's the optimal range so for your guy who's fifteen and says -- levels about 400 that's pretty much what I see and I don't.
And what -- you do you use -- who use injections.
Possible side effects I do use multiple different ways and creams and gels are one of the things that's out there and patches those are the ones that are trans journal through the skin.
In my practice personally I don't find those to be quite as successful as I do as the injectable form of testosterone to susteren sit -- Or to susteren pellets actually Aaron knew -- thing that's been approved and those are really effective tip.
So those are the things that I -- to replace testosterone and then as far as side effects you do have to think about side effects.
So some of the things we see is testosterone -- -- so we can convert to other problems one of the hormones that can convert to disaster action.
And I see I checked estrogen levels and every guy because a lot of guys.
Convert the testosterone that they have in their bodies naturally to estrogen before you even give -- any testosterone Mac can be an issue with some -- So weak current leak tests that we look to correct that.
And we look at that if we give guys to susteren therapy other things that they can encounter is high blood volume my high blood red blood cell count.
So the opposite of Anemia basically testosterone.
Causes red blood cells to be formed so you have to watch out for that about prostate cancer that's the one I want with leading up to.
Testosterone does not cause prostate cancer there have been many many reviews of this.
And testosterone has never been shown to increase the risk of a man getting prostate cancer as a matter of fact they did some prospective studies looking at testosterone levels in men.
And looking at them for a number of years the guys with the what was testosterone levels had the highest risk of prostate cancer.
And the more aggressive prostate cancers in the low testosterone group not a high -- faster.
Well you -- 25 year old -- as a prostate cancer and that we know we don't know freedom because of the guys at the highest disaster right.
Well listen this is great information guys you have every piece of information regarding your -- -- so.
Check it out talk to your doctor because I think that you know this is something that is quite important in fix.
Thank you very much like it would not make you thank you thanks -- -- have a health question you can email me Arafat's about the many of fox does not come until next time.
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