You'll have to handle that one...
I dont see anything I'm not handling?? I posted a problem and then posted about a solution I've found via the main site, but asking on the forum hasnt helped yet, maybe that will chane
I did ask a question in reply 10 about heart attacks ,in the post right before you said I had to handle it on my own
this what I came up with to send to my dad
any thoughts to add in would be appreciated
I don't agree with (your MD) saying TRT increases incidence of heart attacks.
I am talking about injections, not about cremes.
we must first agree you arent a normal level. Total testosterone of 293ng/dl is not a healthy number and with that number being low end,(scale being 240-950ng/dl)
If that scale was a grade in school, (where 71pts=10%)
an A would be from 950-879
at 293/ you are failing in the lowest 10%
If high testosterone is bad for you, then low testosterone is not good(otherwise it would be called normal) so bad things are already happening.
-->Recent population studies have shown that low serum testosterone levels are associated with both CV and all-cause mortality. A retrospective study of male veterans showed that low testosterone was associated with increased mortality.29 A prospective study of 794 men, aged 50–91 years, looked at the relationship of testosterone with all-cause mortality over two decades.30 Men with total testosterone levels in the lowest quartile (<241 ng per 100 ml) were 40% more likely to die than men with higher androgen levels, independent of age, adiposity, lipids, adipokines and lifestyle. In cause-specific analyses, low testosterone predicted increased risk of mortality due to CV and respiratory disease.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2834340/
So while ellena is saying normalizing testosterone lead to more heart attacks, I say now and say later(with a different study) that having low testosterone causes Heart attacks risks. besides the other bad things it does to you.
Symptoms of lowT
fatigue, depression, osteoporosis, anemia, hardening of the arteries, etc
Having a low Total testosterone is a warning sign to check estradiol(E2) levels, one of the male estrogen. The T/E ratio is a great indicator for how much the testosterone is actually affecting a person.
Estradiol of 30-40, where it should be, would give a poor T/E ratio. A guy wants 30-40 ratio
so to get that number, you would need an E2 of about 8
These are the facts, you have low Testosterone, no fault here, you are just getting older. So what are the pros/cons to being on hormone replacement therapy(I mean cypionate with Arimidex not a cream like androgel, which may not even be absorbed, etc)
I have a book.
Testosterone for Life:http://www.amazon.com/Testosterone-Life-Recharge-Vitality-Overall/dp/0071494804/ref=sr_1_1?ie=UTF8&qid=1404188447&sr=8-1&keywords=Morgentaler
by Morgentaler, MD
who address that and the PSA issues/ heart issues and other myths/presumptions about being on HRT
I have found some articles he's written
PSA issue herehttp://www.lef.org/magazine/mag2008/dec2008_Destroying-the-Myth-about-Testosterone-Replacement-Prostate-Cancer_01.htm
He wrote this webpage alsohttp://www.harvardprostateknowledge.org/a-harvard-expert-shares-his-thoughts-on-testosterone-replacement-therapy
I think that the importance of testosterone for cardiovascular health is going to be increasingly recognized. In the past, because men die of heart attacks more often than women and men have more testosterone, the fear has been that testosterone causes heart problems. But every single study of whether testosterone is bad for the heart has been negative, and what people haven’t pointed out in most of those negative studies is that there may be a beneficial effect.
I've been pushing you to eat rhubarb/rocket because of high nitrates, testosterone actually affects nitric oxide./
When I push you to eat high nitrates veggies, spinach/broccooli(both on the low-nitrate side) to arugula/beets/rhubarb, which are on the high side because high nitrates help make nitrix oxide. as talked about in this study
look at Table 3 and table 5 which show why you should eat celery/rocket/spinach, but also rhubarb(not in the list)http://ajcn.nutrition.org/content/90/1/1.full.pdf
Then there is this study:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2834340/pdf/ijir200925a.pdf
Welcoming low testosterone as a cardiovascular risk factor
Looking at figure 2 we see that low testostrone has many complications
and while you have diabetes/insulin resistance
and it says:
this review shows that ample evidence has accumulated through epidemiological studies and small clinical trials showing that low androgen levels are associated with numerous CV risk factors and mortality (Figure 2). In addition to traditional CV risk factors, novel risk factors are also inversely related to testosterone levels. Indeed, a recent study showed that low testosterone levels increase oxidative stress in men and testosterone replacement reverses this pathology
Recall, increased oxidatve stress means more free radicals.
I can only point out what the science says, I know guys who are on TRT, both young and older, and normalizing your testostrone will help you live a better life and lose a few pounds at the same time.