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What is Testosterone?

If you’re a man in your 40’s, it’s highly likely that you’ve though about testosterone and whether or not you should get yourself tested. This is largely due to the fact that men lose between 1 and 2% of their overall T levels annually starting in their mid to late 20’s. Typical testosterone levels in men will vary based on age and even the lab used to test their blood. By the time one hits 40 years old, they may start to notice a decline in several areas of their life. Things like mood, motivation, energy, muscle size and strength and sex drive are all influenced by this hormone and slowly but surely this decrease in testosterone will take its toll. So exactly, what is testosterone? What are normal testosterone levels for a man? Testosterone is a crucial male sex hormone that plays a vital role in various bodily functions, including:

• Muscle growth and strength: Testosterone fuels the development of lean muscle mass and contributes to increased strength and power.

• Bone health: It helps maintain bone density and reduces the risk of osteoporosis.

• Red blood cell production: Testosterone stimulates the production of red blood cells, which carry oxygen throughout the body.  

• Sex drive and fertility: It plays a key role in libido, sperm production, and erectile function.

• Mood and cognitive function: Testosterone has been linked to improved mood, motivation, and cognitive function.

What is Testosterone Replacement Therapy (TRT)?

‍A very popular option for men nowadays is TRT or Testosterone Replacement Therapy.  It’s a medical treatment used to replace low levels of testosterone in men via prescription medications. Low testosterone, also known as hypogonadism, can occur due to various factors, including aging, certain medical conditions, and some medications. A typical TRT patient will schedule an appointment with a healthcare provider who treats low T, get a blood test to check their levels, have a consultation and when indicated, start therapy.

Testosterone Gels: A Convenient Delivery Method

‍There are several popular delivery methods of testosterone, The 2 most popular are injections and gels/creams. Testosterone gels are a popular form of TRT for patients who want to raise their testosterone levels without having to receive weekly injections. These gels are applied directly to the skin, typically on the shoulders, upper arms, or abdomen either once or twice daily. The testosterone is then absorbed through the skin and enters the bloodstream where it gets transported to throughout the body for use.

Benefits of Testosterone Gels:

Convenience: Gels are easy to apply and can be discreetly used at home or when traveling.
Flexibility: They offer flexibility in dosing and application schedules as the strength of the testosterone and amount used can easily be adjusted, unlike pellets for example.
Minimal systemic side effects: Compared to injections, gels generally have fewer systemic side effects as they usually provide more measured and lower overall increases in testosterone levels.
Here are some common brands and forms of testosterone gels and creams on the market that may be prescribed. Additionally many compounding pharmacies can prepare testosterone creams/gels that vary in strength and can be adjusted to meet an indiviuals specific needs/prescription.

• AndroGel: Available in 1% and 1.62% strengths. Applied to the shoulders and upper arms.

• Testim: 1% strength gel applied to the shoulders and upper arms.

• Fortesta: 1% strength gel applied to the shoulders and upper arms.

• Vogelxo: 1% strength gel available in tubes, packets, and a pump. Applied to the shoulders and upper arms.

The appropriate dosage and strength of testosterone gel will vary depending on the individual and their specific needs. Testosterone therapy should always be under the supervision of a healthcare professional who can look out for any possible side effects. Potential side effects include skin irritation, acne, and changes in mood or behavior and can be addressed by the doctor if they occur. Additionally, testosterone gels can interact with other medications, so it's important to inform your doctor and pharmacist about all medications you are taking to make sure that there are no contraindications.

This information is not exhaustive, and new products may be available. It's essential to consult with a healthcare provider or pharmacist for the most up-to-date information on available testosterone products and their appropriate use.

Important Considerations When Taking Testosterone Gels:

Skin irritation: Some men may experience skin irritation at the application site. If this occurs, call your provider and speak to them about options such as switching products or changing your dose.
Accidental transfer: The gel can transfer to others through skin-to-skin contact. Though rare, it’s a concern that one needs to be aware of.
Pregnancy risks: Pregnant women should avoid contact with the gel and treated skin. Men taking T Gels need to be aware of this and be careful to avoid transferring the medication to their pregnant partner.
Monitoring: Regular blood tests are necessary to monitor testosterone levels and adjust dosage as needed. Most physicians require follow up blood work a few times a year. If you think you may be experienced some side effects from the therapy, you can always call your provider and request to get your blood work done to see if you may need to adjust your dose.

Always Consult a Healthcare Professional Before Starting TRT

If you are considering TRT with testosterone gels, it's crucial to consult with a qualified healthcare professional. There are countless stories about men starting testosterone therapy on their own. This is both illegal and dangerous as the guidance of a professional will mitigate the potential for unwanted side effects and monitoring can even detect potential life-threatening conditions, such as prostate cancer, that can be exacerbated from TRT. An experienced provider can:

Diagnose low testosterone: Conduct necessary blood tests to confirm a testosterone deficiency. Usually, a physician will check free and total testosterone as well as other biomarkers.

Determine the appropriate dosage: Prescribe the correct dosage based on your individual needs. Your age and goals as well as your actual hormone levels will determine the amount prescribed and follow up blood work will help a physician make any needed adjustments.

Monitor your progress: Track your testosterone levels and assess your response to treatment. Its not a bad idea to get tested every few years to have a record of your hormones to provide your doctor a detailed record of your medical history as it pertains to your hormones.
Discuss potential risks and side effects: Explain the potential

benefits and risks of TRT and address any concerns you may have. A qualified physician will inform you of both the pros and the cons that could occur with any medical treatment.

Disclaimer:
This blog post is for informational purposes only and should not be considered medical advice. Always consult with a healthcare professional for any health concerns or before starting any new treatment.  

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