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Testing Low Testosterone Levels

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Symptoms of low testosterone such as
decreased energy levels and a diminished sex drive may often be caused by
underlying medical conditions. So how do you know if your testosterone levels
are low? How can you get tested for low testosterone?

You’ve probably done your research
and have heard about all the symptoms of low testosterone on Radio or TV
advertisements.  Ads in magazines for symptoms such as erectile
dysfunction and a diminished interest in sex and other conditions like not
having enough energy or perhaps gaining a little extra weight are ubiquitous.
Men with symptoms like having a decrease in muscle mass with increases in body
fat, depression or generally just not feeling like their old selves make it common
for individuals to look for help. The first stop is usually doctor google.
Where the internet can be extremely useful in providing information, the best
choice is to speak to an expert in person. Many of the men’s health clinics
that you find aren’t staffed by medical doctors, rather nurses or physician
assistants. When you call, ask whether or not the provider is a board-certified
physician and what there specialty is. More often than not, you’ll find many of
the physicians went to medical school and specialized in an area of medicine
unrelated to hormone therapy and preventative medicine. Not all doctors are the
same. Think of it in terms of automobiles. Would you want a company that
specializes in radio and speaker installation working on your engine and
replacing your head gaskets? Or would you rather have a specialist fix your
car? Expertise and experience are very important factors to consider in
But just what are some causes of low
testosterone in men? One of the more significant risk factors for low
testosterone is obesity.  Even in men in their 20’s being overweight can
significantly impact their production of testosterone.  A recent study
that was published in the Journal of
clinical endocrinology
investigated testosterone levels in 25 overweight men
that were all under the age of 20.  The study showed that everyone
of them had testosterone levels that were 40 to 50% below normal levels for men
in their age group.  The problem is that it’s difficult for men to lose
weight with low testosterone levels.  They have less energy and motivation
to start the lifestyle changes needed to burn the fat, build the muscle and
increase their metabolism. So they continue to gain weight and their
testosterone levels continue to drop. These men are stuck in between a rock and
a hard place. Is it impossible to overcome? No. But it’s certainly a difficult
place to start for a man who is trying to improve their health. Its no wonder
in the
United States that more than two-thirds (
68.8 percent) of adults are
considered to be overweight or obese. More than one-third (35.7 percent) of adults are
considered to be obese. More than 1 in 20 (6.3 percent) have extreme
obesity and almost 3 in 4 men (74 percent) are considered to
be overweight or obese according to statistics from the National
Institute of Diabetes.  
What symptoms prompt men to seek
help for low testosterone? Often, we have men who come in to our clinic because
they need help and treating erectile dysfunction issues.  During their
consultation and exam, our physician will ask them questions relating to their
energy levels, lifestyle and libido.  After performing a simple A.D.A.M.
test, we typically can see a correlation between their symptoms and low
testosterone levels.  The fortunate news is that its easy to test,
diagnose and treat low T.
Is it normal for men to have lower testosterone
levels as they age? Yes. Inevitably men’s testosterone levels will decrease
naturally with age.  One can expect the testosterone levels to drop by 1
to 2% annually. But that doesn’t mean a 40 year old man with T-levels of 300 to
acquiesce to the fact that it’s probably due to “old age”  One of the
biggest complaints that you see is men feeling tired. 40-year-old man with
fatigue and no energy can’t figure out why they feel the way they do.  Being
tired doesn’t necessarily make you a candidate for TRT but it is one of the
symptoms that the physician may look for.  The Endocrine Society suggest
testing men for low testosterone who presented the following symptoms. If
an otherwise healthy male has low testosterone levels, taking a therapeutic dose
of testosterone will help alleviate these symptoms and make them feel better
and improve their health.
  • ·        
    Diminished libido
  • ·        
    Erectile dysfunction (which doesn’t
    respond to traditional ED medication)
  • ·        
    Low energy levels and fatigue
  • ·        
    Increased recovery time after
    physical exertion
  • ·        
    Weak bones
  • ·        
    Depression and mood swings
  • ·        
    Weight gain
  • ·        
    Increased body fat
  • ·        
    Poor sleep quality at night
  • ·        
    decreased strength/mass of muscles
  • ·        
    decreased body hair
  • ·        
    swelling/tenderness in the breast
  • ·        
    hot flashes
  • ·        
    effects on cholesterol metabolism

So if you do you have some of these
symptoms, what will the doctor do to check for low T? Typically, a blood test
is ordered and a physical exam and in person consultation is required.
 Testosterone levels fluctuate throughout the day so most physicians like
to get the blood drawn in the morning when the levels are the highest (usually
between 6-8am is when a males levels peak) but the difference between a daily
high and low level in a person can change by as much as 25%!  Changes in social
settings and your sleep patterns will potentially influence this however it’s safe
to say that most men follow this general rule in nature. Normal testosterone
levels are between 300 ng/dL on the low-end and 1100 on the high-end.  If
your levels are low according to the bloodwork your physician will be able to
discuss options with you.  Usually free, total and bioavailable
testosterone levels are measured as well as estradiol, PSA and a complete blood
count.  Depending on what the doctor interprets, there may be some follow
up tests to determine a cause and appropriate treatment may be required.
For a patient and the clinic, it’s
important to follow up and monitor the patient’s results because not everyone
responds the same way to treatment. Most patients will begin to notice results
in a just a few weeks and really see tangible changes in a month. Most men
however will tell you the benefits are life-changing.  Patients typically
noticed increased energy and interest in sex right away.  They have an
increased desire and improvement in performance sexually and better overall
mood.  They lose fat and build muscle and have an overall increased level
of confidence and improved quality-of-life.  One patient summed up his
experience which seemed to echo what many men seem to feel. “I wish I started
this sooner…I didn’t even notice how bad I felt until I began TRT…”
NovaGenix Medical Director, Timothy
Sigman MD is a board-certified physician who specializes in internal medicine
with close to 2 decades of experience in hormone replacement therapy. To
schedule a consultation to test, diagnose and treat low T, please call us at
561-277-8260 and visit us on the web at

1 Response

  1. Testosterone is so important for men that any decrease in the level of the primary hormone could have a negative effect. As men age and their testosterone levels go down, they experience issues like gaining fat and losing their libido.
    helpful genfx site

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