- 1. PDE5 Inhibitors are just as good as testosterone (HRT).
- 2. Testosterone is poorly understood and likely dangerous.
If you put these #1 and #2 together, the conclusion is obvious: just use drugs! That’s right: Viagra and Cialis are the answer. Don’t believe me? Check out what he and his coauthors wrote:
“In cohort studies, testosterone levels are associated weakly but consistently with muscle mass, strength, physical function, anaemia, BMD and bone quality, visceral adiposity, and with the risk of diabetes mellitus, coronary artery disease, falls, fractures and mortality. However, the clinical benefits and long-term risks of testosterone therapy especially prostate-related and cardiovascular-related adverse events have not been adequately assessed in large, randomized clinical trials involving older men (defined as age >65 years) with androgen deficiency. Therefore, a general policy of testosterone replacement in all older men with age-related decline in testosterone levels is not justified.” 
Now look at how curious his position is. He basically admits that HRT should help men with diabetes and heart disease and should even improve mortality rates. Now in my book, Low Testosterone by the Numbers, I show how testosterone therapy has reversed every condition that Dr. Spitzer lists and some more as well. There is research that it can partially regress diabetes and insulin resistance, unharden arteries, improve osteoporosis, help men lose weight – the list goes on and on. At the clinic where I can my HRT, they have found that they have gotten virtually every type II diabetic man off of his insulin! So how can HRT not be a net positive for most men, considering that most of them are likely struggling with Metabolic Syndrome (prediabetes) or diabetes? HRT clearly helps with almost all of the major killers of us guys.
And, again in my book, I discuss how testosterone helps with many of the huge issues that can make a big difference for us guys on a practical level: decreasing depression, improving venous leakage and boosting libido. Many, many guys on the Peak Testosterone Forum can also tell you how testosterone therapy cleared out their “mental fog”, got rid of crippling fatigue, greatly improved sleep and made them feel human again.
So then why would he conclude that HRT should not generally be given to men with androgen deficiency? Well, he explained his reasoning with the following: