Testosterone Replacement Therapy for Men

Today’s topic bioidentical hormone replacement therapy for men. This is a hot topic. With us, we have hormone expert Dr. Breen.

Now before we get into today’s topic, who is a typical patient that comes to you, by the way, men and women, who come to you?

Sure, so the guy I’m about to describe, I see patients like this every single day. Let me give you a typical example of three guys that I’ve treated in the last couple of months that I’ve helped. I had a guy; he’s a friend of mine, who served in the Marine Corps, he was of creamery for 20 years. He calls me up out of the blue because he read one of my blogs about testosterone, and he says “Doc, I read your blog, I’m suffering from low libido, I have erectile dysfunction, and I need help.” I said, “how are often you having sex with your wife?”. He says “Doc, it’s bad.” I said, “What’s bad?”. He said, “Maybe once a month.” I said, “well, how are your energy levels?”. He said, “My energy levels are terrible.” He is 44 years old; he’s been married for 18 years. Keep in mind; he has career Marine; he’s always worked out his entire life, he’s used to being in shape, he’s used to being a hard charger, he is working in corporate America.

He calls me because he goes to his doctor and asks him to check his testosterone level because he realized he has all the symptoms of testosterone decline. His doctor checks his levels, and his levels are 3.50. Now the ranges are 3.48 to 1200, so the doctor says “your levels are within the normal range and you don’t need testosterone, testosterone is not your problem.” so he calls me, says “Doc, is there anything you can do for me, I feel like I need testosterone.” That guy flies out to see me, I put him on my program, and within a month he’s feeling amazing. What does that mean? He is now having sex with his wife again regularly, and he’s got, two kids. His workouts are incredible, his strength and endurance at the gym are improved. He comes home, and he has more energy for his wife and kids. That’s a very common story of what happened.

So your clinical experience, that kind of stories happen all the time?

Yes. It’s not just testosterone; we look at all hormone levels, it’s not all just about testosterone. You know, guys go to their doctor and they say “well I just need testosterone.” He happened to be on testosterone, I put them on DHA, which is a precursor hormone, he actually needed some thyroid, so he’s on testosterone, he’s on DHA, he’s on some thyroid. He was deficient in vitamin D, so we gave him vitamin D. we knew he had some nutrient deficiencies because we test him. So there are other things, other than just testosterone, which made him feel amazing. But testosterone is the feel good hormone. It’s what drives our libido, increases our strength.

Can it be dangerous, though? Testosterone speed up cancer growth, on and on, depending on what article you read.

No, absolutely not. Testosterone is not dangerous. In fact, the medical literature says the opposite: having a low testosterone is dangerous, having a low testosterone is associated with increased risk of diabetes, high blood pressure, triglycerides, decrease strength and endurance, decreased functioning. And actually the literature says the opposite about cancer. The journal Circulation a great study in 2007. They looked at 50,000 guys. Now the journal Circulation is one of the most respected cardiovascular journals in the world. What they found is this: they looked at 50,000 guys, who had testosterone levels in the upper quartile of the normal range. So greater than 1000 had a 25-30% reduction in overall mortality, that includes cancer, that includes heart disease.

So typical patient I had, let me give an example, I had a  guy, who is 57 years old, he was an executive, he ran his company. He came in actually with his wife because their sex drive had fizzled, they didn’t have the energy levels that they used to, and they wanted help. Now she happened to go through menopause, so she had vaginal dryness, she had a declining libido, sex wasn’t as enjoyable, it was a little bit more painful for her. He noticed that his erections weren’t as firm, his libido wasn’t there, so they weren’t having sex as often as they wanted to. They also wanted to sail more; they wanted to hike more. And more importantly, what they said to me with this and this is what I think we’ll hit home with a lot of people reading this: they had a daughter, who’s getting ready to have their first grandchild. Now their first grandchild is going to be born in three months. They said to me “we want to do everything we can to look and feel the best, and live the longest and healthy life possible, what can you do for me?”. She got on hormones, so we put her on bioidentical hormones, we fix his testosterone, he needed thyroid, he needed DHEA, he needed vitamin D, just like most of my patients do. And within a month again they felt amazing, they’re having sex again, her vaginal dryness is gone, they’re hiking. His body composition lost eight pounds of fat and put on ten pounds of mussels; we gained two pounds. He’s working out; he’s never felt better in his life. That’s very typical in my practice.