Is Lost Muscle Mass a Normal Part of Aging?

Dr. Timothy W. Mackey, D.O. reviewing patient paperwork at his desk in the Jupiter, Florida office

Muscle strength and mass can decline with age, but the timing and extent vary. Sarcopenia is a muscle disorder associated with weakness and reduced physical function, not a predictable percentage of muscle loss at a fixed birthday. Inactivity, inadequate nutrition, illness and other factors may contribute; declining testosterone is not the sole or necessarily chief explanation. Persistent weakness deserves clinical evaluation. Learn about low-testosterone evaluation at NovaGenix.

Sarcopenia and Testosterone

Sarcopenia assessment considers muscle strength, muscle quantity or quality, and physical performance, as described by the European consensus on diagnosis. Low testosterone may coexist with muscle loss, but sarcopenia alone does not establish hypogonadism or a need for TRT. Testosterone treatment requires a separate evaluation of symptoms and repeat hormone measurements. It should not be presented as a routine treatment to reverse age-related muscle loss.

Sarcopenia and Exercise

International sarcopenia guidance strongly recommends resistance-based physical activity. A clinician or physical therapist can tailor a program to ability, balance and health conditions. Start gradually, particularly after inactivity. Aerobic activity can support endurance and overall health, but it does not replace resistance exercise. Improvement varies; no exercise program guarantees complete reversal.

Sarcopenia and Diet

Adequate energy and protein intake supports muscle health. Sarcopenia guidance conditionally recommends a protein-rich diet or supplementation, with individual needs considered. Food choices can include beans, dairy, eggs, fish or other suitable protein sources. Supplements should address an identified need; vitamin D and omega-3 products should not be advertised as established stand-alone treatments that reverse sarcopenia. A clinician or dietitian can help adapt nutrition to medical conditions and appetite.

Common Symptoms of Sarcopenia

Weakness, difficulty rising from a chair or climbing stairs, slower walking and reduced activity warrant evaluation. These problems can have several causes. TRT is not established as the most effective treatment for sarcopenia; exercise, nutrition and assessment of underlying conditions remain important. If symptoms also suggest testosterone deficiency, NovaGenix can discuss hormone testing and whether treatment is appropriate. Contact NovaGenix at 609 N. Hepburn Ave, Suite 106, Jupiter, FL 33458, or call 561-277-8260 for current appointment availability.

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Questions about treatment options?

Speak with NovaGenix about physician-led evaluation, testing, and treatment options in Jupiter, Florida.

Medical disclaimer: This article is for general educational purposes only and is not medical advice, a diagnosis, or a treatment recommendation. Reading it does not create a physician-patient relationship. Always consult a qualified healthcare professional about your individual circumstances, and never delay seeking care because of something you read here. If you are experiencing a medical emergency, call 911. Read our full Medical Disclaimer.

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Blood Work Request Form

This subsequent lab panel is necessary for males undergoing Testosterone Replacement Therapy (TRT) through NovaGenix Health and Wellness. It allows physicians to assess the patient's response to prescribed medications, covering sex hormone levels, thyroid function, adrenal health, hematocrit, and liver and kidney function. The panel includes tests such as:

  • Complete Blood Count
  • Comprehensive Metabolic Panel
  • Testosterone (Free and Total)
  • Estradiol Sensitive
  • Thyroid Stimulating Hormone
  • Prostate Specific Antigen

Each test serves a specific purpose in monitoring overall health and treatment effectiveness. When required, Dr Mackey may require LH and FSH (Luteinizing hormone, follicle stimulating hormone) SHBG (Sex hormone binding globulin) or any other tests which may be important for your health and optimizing your hormones.

The Comprehensive Hormone and Wellness Panel for Women offers a foundational assessment of sex hormones, thyroid function, adrenal health, metabolic activity, and overall well-being. This panel serves as a diagnostic tool for identifying testosterone and estrogen deficiencies, assessing health risks, and detecting potential thyroid issues before considering hormone replacement therapy. Additionally, it includes insights into hematocrit (red blood cell volume), as well as liver and kidney function. The panel encompasses various tests such as:

  • Complete Blood Count (CBC)
  • Complete Metabolic Panel
  • Testosterone (free and total)
  • Estradiol
  • Thyroid Stimulating Hormone (TSH)
  • Progesterone

When indicated, Dr. Mackey may require additional tests such as Follicle Stimulating Hormone (FSH), and IGF-1 and Cortisol.

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609 N Hepburn avenue suite 106. Jupiter, Florida 33458

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