I’m often asked about risks associated with testosterone replacement therapy. Since there have been many confusing and misleading reports lately about the relative benefits vs risks associated with testosterone replacement, I wanted to shed some light on the facts.
At the recent annual meeting of the American Urological Society, it was announced that the reported risks associated with testosterone replacement have been largely exaggerated.
In fact, at a press event at the conference, Tobias Köhler, MD, MPH, of Southern Illinois University, said that testosterone replacement can be effective for “older men,” and in some circumstances even reduces the risk of cardiovascular disease (CV).
Evidence for Testosterone Replacement Presented
At the press conference Dr. Köhler presented several studies that indicated that cardiovascular risks associated with testosterone replacement therapy (TRT), did not significantly increase the risk of cardiovascular disease in men.
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Baylor College of Medicine in Houston, found that men with low testosterone, who were on testosterone replacement therapy (for at least three years) had no significant increased risk of stroke or heart attack. Men with the same low levels, who were not put on testosterone replacement also had no significant increase of cardiovascular disease.
Köhler discussed other studies with similar results, one which followed men over 65 with hypogonadism (low testosterone) for 11 years – and found no significant increased cardiovascular risk.
The evidence presented would seem to fly in the face of the recent requirement by The U.S. Food and Drug Administration to relabel testosterone products, with a warning indicating a “possible increased cardiovascular risk associated with testosterone user.”
Köhler concluded his talk indicating that testosterone supplementation appears to be a safe and effective therapy for elderly men with symptoms of low testosterone.
To date there has been no comment or reaction by the FDA to the Press Conference.
The Benefits of Bioidentical Hormone Replacement
One of the keys for effective hormone optimization is the use of bioidentical hormone replacement, or BHRT.
Any of the risks or side effects that may be associated with testosterone replacement therapy, can be minimized with the use of BHRT.
As the name implies, bioidentical hormones are created by compounding pharmacies to be exact duplicates of the hormones naturally produced by your body. As a result, men taking bioidentical testosterone therapy are infusing their bodies with testosterone that is more easily recognized, absorbed, and used by their bodies.
The synthetic hormones, created by the drug companies, are not as well-tolerated as bioidentical hormones.
In fact, because the drug companies have a vested interest in patenting their product to maintain profitability, the synthetic hormones often have a very unique and unusual molecular structure, which makes them even harder for your body’s hormone receptors to recognize them, and use them properly.
Men who have been treated with bioidentical testosterone replacement therapy experience:
- Increased vitality
- Improved sleep
- Reduction of belly fat and increased muscle mass
- Improved bone density
- Improved cognition
- Improved mood
- Increases in libido and sexual performance
The only way to determine if you are a candidate for testosterone optimization is to see your doctor and have your testosterone levels checked. If you are found to be suffering from low testosterone, also known as Low-T, you may benefit from BHRT.
Have you or anyone you know tried testosterone replacement treatments? What were the results?
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