Please discuss everything with your doctor first.
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Is there any good news in all of this? Yes, the same "double whammy" that lowers our T/E ratio can also raise it. As an example, let's look at an eye-opening Cialis study. Of course, Cialis is the 36-hour PDE5 inhibitor that has put so many middle-aged and beyond guys back in the game. And getting back into the game has a profound effect for most much guys: it boosts their testosterone to estrogen ratio by 24% on average according to one study. [1]
The reason? Cialis gives guys who are struggling confidence and that all-important Nitric Oxide boost that leads to more sex. And more sex boosts testosterone and a host of other changes. What is interesting is that in the above study, testosterone only increased 5.5% on average but estrogen lowered by about 15%. And the net boost in the T/E ratio exceed the sum of those two by a few percentage points as well.
Now this is a remarkable change if you think about it. The "concentration" of testosterone and estrogen - estradiol is what really counts - changed by 24% from just one lifestyle change. Imagine what could happen as you pile on some of the other Testosterone Increasing Techniques and Estrogen Lowering Strategies that I have mentioned on the web site. There is no reason that you cannot dramatically improve your ratio of testosterone to estradiol (unless you happen to be training for the Olympics with a professional trainer).
If you think I am exagerrating, then consider another study of guys with fertility problems. These were relatively young guys within a decade on either side of the average age of 39. They split them up into two groups: those with a BMI > 25 and those with a BMI less than 25. The difference in testosterone-to-estrogen ratios was signficantly different: 12 versus 17. That is a 42% difference!
Does this make sense that body fat would make such a significant difference in the T/E ratio? Remember that the more fat, the more aromatase and the more aromatase the more estrogen and the more estrogen, the less testosterone. Excess body weight is correlated with both lowered testosterone and increased estrogen. In other words, being overweight will hit both sides of the fraction negatively.
By the way, this may explain why weight lifting has been associated with increased long term testosterone levels. Weight will increase muscle mass and "muscle burns fat". Adding muscle, however you do it, will actually change your metabolism for the better so that the same calories go farther.
The point is that, generally through the very natural strategies that I list on this site, you will very likely be able to make a very substantial change to your testosterone/estrogen ratio and, as a consequence, feel a hundred times better and lower your risk for many diseases and conditions.
CAUTION: Most guys probably do not know that caffeine increases both cortisol AND testosterone. Unfortunately, it does not raise testosterone enough proportionately thus lowering the overall testosterone-to-estrogen ratio. [3]
REFERENCES:
1) The Journal of Sexual Medicine, Jul 2006, 3(4):716-722, "Testosterone:Estradiol Ratio Changes Associated with Long-Term Tadalafil Administration: A Pilot Study"
2) Systems Biology in Reproductive Medicine, 2006, 52(2):97-102, "EFFECT OF BODY WEIGHT ON TESTOSTERONE/ESTRADIOL RATIO IN OLIGOZOOSPERMIC PATIENTS"3) Int J Sport Nutr Exerc Metab, 2008 Apr, 18(2):131-41, "Dose effect of caffeine on testosterone and cortisol responses to resistance exercise"
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