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6. How do you monitor prostate issues and screening for men on HRT? Or do you let other physicians handle that?
Prostrate health is important to evaluate when male patients seek BHRT. If a man has been diagnosed with prostate cancer in the last 5 years, he is not a candidate for testosterone replacement. The PSA level is obtained on the initial blood test, and monitored every 6 months, along with patient symptoms. If the PSA is high, the patient is referred to a urologist for evaluation. It is a common misconception that testosterone replacement causes prostate cancer. IT DOES NOT. The latest studies, as well as the work of Dr Morgantaler demonstrate no correlation between testosterone and cancer. Intersetingly, some studies show testosterone replacement may be a future treatment for prostrate CA.
7. How does your office go beyond simple subscribing of PDE5 Inhibitor for Erectile Dysfunction? Do you have any other treatment strategies for men who are experiencing a loss of erectile strength?
My experience with men who suffer with various degrees of ED is that the problem is usually hormonal. Testosterone, DHEA, thyroid hormone, Growth hormone as well as Vitamin D deficiencies have all been documented in the literature as having a direct effect on libido, desire, and erectile function. Elevated levels of Insulin, estradiol, DHT, cortsol as well can negatively impact erectile function.
In most men, when these hormones are optimized, and estrogen and DHT are kept at normal levels, erectile strength improves dramatically. Therefore PDES inhibitors are not needed in most cases. BHRT also increase the man’s desire for sexual relation, which the PDES inhibitors do not. In cases of advanced diabetes and other vascular diseases, drugs like Viagra may be needed. In addition, to the conventional delivery methods we offer troche’s which have higher and quicker rate of absorption as the delivery is via the buccal (cheek) mucosa.
Often patients do need supplements as well do help address issues associated with decreased Nitric Oxide. I have found that L-Arginine as well as alpha-lipoic acid as well as other anti-oxidants are very useful.
8. Are there aspects of your practice or treatment strategies that you’d like to share that feel may make your practice “stand out from the crowd?”
There are several reasons why my practice “stands out from the crowd”. Firstly, we offer an online registration form to initiate your consult. This process prevents any delays in initiating treatment and allows me to focus on the comprehensive issues. It is imperative that at the time of your initial consult, blood work is reviewed. A customized prescription for blood work is emailed to the patient. I don’t have to ask the patient to present a second time in two weeks to review the labs. Our patients often are excited to leave the office after the initial consult with a solution as well as treatment plan.
Secondly, I think our practice stands out because of the one on one time and compassion our staff provides to our patients. Standard medical care has failed most patients. Most doctors are not empathetic to these issues nor do they understand the intricate and delicate balance that hormones, nutrition and exercise play. When patients complain that they don’t feel vital or lost their vigor, they are told that they are depressed, stressed out, and anxious. They are told that it’s part of aging and offered anti-depressant drugs. This is quite a typical response of conventional medicine. Patients are amazed how they feel when their hormone levels start to rise. They are so thankful that their youth and vitality have been restored. I also personally do make sure that if they have a partner, that perhaps they should be treated together to enjoy the benefits of hormone optimization. Many of the side effects related to hormonal optimization includes normalization of blood sugar, body composition and weight loss.
9. Can you give a brief description of your medical certifications and licensing?
I am a Licensed Medical Doctor in the State of NJ. I have been practicing medicine for 20 years. I am presently a Fellow of the A4M and preparing to take my Boards in Anti-aging Medicine, Regenerative as well as Functional Medicine.
10. Can you please list any contact information for men interested in reaching your office?
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