Page 2 - Testosterone Blood Tests

Can Testosterone Make You Tired?  Some men start testosterone replacement therapy (TRT) to address low T and testosterone deficiency and find out their baseline fatigue and low energy get worse. Testosterone and Energy Levels Testosterone controls energy levels in men. When testosterone is within normal range, men feel more energetic and motivated. Testosterone supplementation can also help restore energy in men with low testosterone. Low testosterone can cause fatigue, lethargy, and feeling unwell. Testosterone helps regulate the body’s metabolism, which converts food into energy. Studies have shown that testosterone levels are related to energy levels. Men with low testosterone have lower energy levels; men with normal or high testosterone have higher energy levels. Testosterone replacement therapy also helps improve energy in men with low testosterone. By getting testosterone levels back to normal range, many men feel a big boost in overall energy and vitality. Why does TRT cause fatigue? TRT can cause fatigue in some men for the following reasons: Overstimulation of the body: Increased testosterone can overwork the body and cause fatigue and exhaustion. Insomnia: Some men on testosterone therapy may have difficulty sleeping and get fatigue. Hormonal imbalance: Sudden increase in testosterone can cause imbalance with other hormones in the body and cause fatigue and other symptoms. Side effects of the medication: Testosterone medication can cause side effects like acne, fluid retention, and mood changes, which can also cause fatigue. Testosterone injections, which are a common method of TRT, can cause these side effects. As testosterone levels drop, men may feel more fatigue and lower energy levels, which can be worsened by TRT. Note that testosterone therapy can also help improve energy and reduce fatigue in some men but it’s best to discuss the benefits and risks with a healthcare provider before starting treatment. If no improvement in fatigue is seen after 6 weeks of testosterone replacement, other factors beyond hypogonadism may be present. This article will review a few ways to find out what causes TRT fatigue. Low Testosterone Symptoms Low testosterone can cause many testosterone deficiency symptoms, including: Fatigue and lethargy Low sex drive Erectile dysfunction Loss of muscle mass and strength Increased body fat Decreased bone density Mood changes like depression and anxiety Difficulty concentrating and memory problems If you have any of these symptoms, consult a healthcare professional to find out if low testosterone is the cause. A proper diagnosis will help you explore treatment options, including testosterone replacement therapy, to alleviate these symptoms and improve your life. Thyroid Function and Hormonal Imbalance: The thyroid is a butterfly-shaped endocrine gland located in the lower front of the neck. It produces thyroxine or T4, which is converted to triiodothyronine or T3. T4 production is controlled by thyroid-stimulating hormone or TSH, which is produced by the pituitary. Hypothyroidism, or low thyroid hormone production, can cause sexual dysfunction and depression, fatigue, dry skin and hair, weight gain, and increased sensitivity to cold. Blood tests to measure TSH, T4, and T3 are available and widely used. The American Thyroid Association (thyroid.org) has great info on how to find out if you have hypothyroidism that’s causing your fatigue. Testosterone can decrease thyroxin-binding globulin and total T4 serum levels and increase resin uptake of T3 and T4. Free thyroid hormone levels remain the same and there’s no clinical evidence of thyroid dysfunction. Once thyroid hormone levels are normalized, testosterone tends to increase naturally. Check your thyroid hormones here: Choose Your Test | Discounted Labs   Adrenal Function and Chronic Fatigue: The adrenal glands are located in the abdomen above the kidneys and regulate stress in the human body. When the body is in an emergency situation, the adrenal glands release hormones like adrenaline to enable the body to respond. You may have experienced this reaction called the “fight or flight” response if you were in danger, fear, or shock. Adrenal fatigue is the controversial idea that the adrenal glands can get worn out and cause illness if continuously overstimulated. Proponents of the “adrenal fatigue” theory believe that the adrenal glands may be overworked in some individuals and therefore get “fatigued” and unable to produce enough hormones. When your adrenal glands are exhausted, your cortisol levels drop significantly. Cortisol is your natural stress hormone. Low sex drive and infertility are symptoms of adrenal fatigue. Other symptoms include chronic fatigue, low blood pressure and low blood sugar, dizziness, headaches, anxiety or panic attacks, depression, and other equally debilitating problems. Some doctors may prescribe low doses of corticosteroids if your morning cortisol levels (measured by blood, saliva, or urine tests) are low. But be careful with corticosteroids, as they can increase fat mass and decrease bone density if given in doses higher than what the healthy adrenals would produce. Check your adrenal health. DHEA and Testosterone Levels: The adrenal glands also produce dehydroepiandrosterone (DHEA), the most abundant hormone in the bloodstream. The body uses DHEA as the starting material to produce the sex hormones testosterone and estrogen in men. DHEA supplementation can increase DHEA levels, which in turn can support testosterone production. Studies show it only increases testosterone in women. DHEA production decreases in most people after age 40. In people 70 years old, DHEA levels will be 30% lower than what they were at age 25. Low DHEA levels are associated with many degenerative conditions. Some studies are controversial and inconclusive that people with immune deficiencies and fatigue may benefit from supplementation with this hormone. It’s still available over-the-counter in the US. This may change soon, as a new bill was passed by Congress classifying it as a performance-enhancing steroid (no studies show it has such an effect). One study showed that women with normal DHEA levels can convert it into testosterone as their body needs while men don’t benefit the same way. You need a blood test to know if you have low DHEA-S since most of the DHEA converts into this sulfated form. Common doses for women are 5-30 mg a day, while men benefit from 25-100 mg a day (to bring low DHEA-S to normal). NOTE: Do not use DHEA supplements unless your blood levels of DHEA-S are low. If low, start at a low dose and get your DHEA-S tested again after a month. Men who use DHEA supplements may have problems with higher estrogen levels since DHEA can also convert into estradiol. This can cause gynecomastia and water retention. If you start taking DHEA, get your blood levels checked to make sure they are not above normal. There are many claims about DHEA being an anti-aging and anti-cancer cure but none of these claims have been proven with strong data. To make diagnosis easier, we have created this new Fatigue Panel on DiscountedLabs.com at a discount. Click here: Comprehensive Fatigue Panel Sleep Apnea: Sleep apnea is a sleep disorder in which a person stops breathing or breathes shallowly many times during sleep and therefore doesn’t get enough restful sleep; oxygen levels in the blood drop and the brain starves of oxygen. Besides causing daytime fatigue, it can increase blood pressure and cardiovascular risks. Testosterone replacement therapy has been linked to the worsening of sleep apnea or the development of sleep apnea, especially in men who use higher doses of testosterone or who have other risk factors for sleep apnea (high body weight, thick necks, snoring, alcohol consumption, etc.). Upper-airway narrowing doesn’t seem to be caused by testosterone replacement therapy; it suggests that testosterone replacement contributes to sleep-disordered breathing by central mechanisms rather than by anatomical changes in the airway. Tell your doctor if your spouse or partner complains that you snore loudly at night and feel fatigued. The only way to know for sure if you have sleep apnea is to have your doctor refer you to a sleep lab for a sleep study. If you are diagnosed with sleep apnea, a continuous positive airway pressure (CPAP) machine can be prescribed to help open up your airways with a small air pump while you sleep. Some people love it; some hate wearing a mask while being hooked up to a machine at night. I have seen men regain their quality of life after starting CPAP. It’s covered by insurance, Medicare, and most HMOs. A new option for those who hate CPAP machines with mild to moderate apnea is the use of oral appliances. Worn in the mouth like an orthodontic appliance during sleep, oral appliances keep the soft tissue from collapsing and interrupting normal breathing patterns. The purpose of the oral appliance may be to reposition the lower jaw, tongue, soft palate, and hyoid bone into a certain position; to keep the airway open with stabilization of the tongue and jaw; or to provide artificial muscle tone to prevent collapse and resulting airway blockage. The doctors will fit your oral appliance for comfort by using a mold of your mouth to design your unique fit. Fatigue Management with Testosterone Therapy Testosterone therapy can help manage fatigue in men with low testosterone. Testosterone gel is another way to get testosterone therapy to help manage fatigue. Testosterone therapy can bring many health benefits, including improved cardiovascular health, better blood sugar control and reduced risk of osteoporosis and diabetes. But it’s important to understand the benefits and risks of testosterone therapy and to discuss them with your doctor. Some men will experience a big boost in energy and overall well-being; others will find their fatigue persists or even worsens. This variability is why personalized medical advice and regular monitoring are important to tailor the treatment to your needs. Energy Tips In addition to testosterone therapy, there are several lifestyle changes that can help men regain energy and overall health. These are: Regular Exercise: Strength training and cardio exercises can help build muscle and boost energy. Exercise also helps with better sleep and reduces stress, which can further increase energy. Healthy Diet: Eating a balanced diet rich in protein, healthy fats, and complex carbohydrates can give you energy all day. Lean meats, fish, nuts, seeds, and whole grains are good choices. Sleep: Aim for 7-9 hours of sleep per night to help regulate testosterone and energy. Good sleep hygiene practices like a consistent sleep schedule and a restful environment can make a big difference. Stress Management: Meditation, yoga, or deep breathing exercises can help manage stress, which can help increase energy. Chronic stress can lower testosterone so finding ways to cope is important. Hydration: Drinking plenty of water throughout the day is key to maintaining energy and overall health. Dehydration can cause fatigue and decreased physical performance. Natural Testosterone Boosters While testosterone replacement therapy may be needed for some men, there are also natural testosterone boosters that can increase testosterone. These are: Exercise Regularly: Exercise, especially weightlifting and high-intensity interval training, can increase testosterone. Eat a Healthy Diet: A diet rich in protein, healthy fats, and complex carbohydrates can support testosterone. Get Enough Sleep: Sleep is key to testosterone production so aim for 7-9 hours of sleep per night. Reduce Stress: High stress can lower testosterone so find ways to manage stress through meditation or yoga. Get Enough Vitamin D: D: Vitamin D is important for testosterone production, so make sure you get enough through sun exposure, supplements, or fortified foods. Implementing these lifestyle changes can support your body’s natural testosterone production, and if you’re already on testosterone replacement therapy,. Testosterone Therapy Risks and Considerations Testosterone therapy can be good for men with low testosterone, but there are testosterone side effects and considerations to be aware of: Blood Clots and Stroke: Testosterone therapy can increase the risk of blood clots, which can cause stroke or other cardiovascular events. Cholesterol and Cardiovascular Health: Testosterone therapy can affect cholesterol levels, which can increase heart disease risk. Lipid profiles should be monitored regularly. Fertility and Sperm Production: Testosterone therapy can reduce sperm production. Men who want to have children should talk to their doctor. What to Expect from Testosterone Men on testosterone therapy can expect: Increased Energy and Reduced Fatigue: Many men feel more energetic and less fatigued after starting testosterone therapy. More Muscle and Strength: Testosterone therapy can increase muscle mass and strength for better physical performance and overall health. Better Bone Density: Testosterone therapy can increase bone density, reducing the risk of osteoporosis and fractures. Libido and Sexual Function: Many men experience improved libido and sexual function, which can improve their quality of life. Overall Well-Being: Testosterone therapy can improve mood and overall sense of well-being for better quality of life. But you need to have realistic expectations and understand that testosterone therapy is not a magic pill. It may take several months to see the full effects and regular monitoring and adjustments may be needed to get the best results. Testosterone Monitoring Monitoring testosterone levels is crucial to ensure treatment is working and to minimize side effects. This means working with a healthcare professional to track progress and adjust therapy. Why Blood Tests Blood work is needed to monitor testosterone levels and adjust treatment. These tests can: Confirm Diagnosis: Blood tests can confirm low testosterone levels so testosterone therapy is appropriate. Monitor Results: Testing helps to monitor testosterone therapy and ensure testosterone levels are in range. Identify Side Effects: Blood tests can detect side effects like changes in cholesterol or liver function so treatment can be adjusted. Healthy Ranges: Keeping testosterone levels in a healthy range is key to minimizing risk and maximizing benefits. You need to work with a healthcare professional to determine the best testing schedule and to make sure testosterone levels are being monitored regularly. This proactive approach will get the best results and overall health. Get your own testosterone test here. When to See a Doctor for Fatigue If you have persistent or severe fatigue, you need to see a doctor. Fatigue can be a sign of an underlying medical condition like low testosterone, anemia, or diabetes. A healthcare professional can help figure out what’s causing your fatigue and develop a plan to treat it. If you have any of the following, see a doctor: Fatigue that lasts more than 2 weeks Severe fatigue that affects daily activities Fatigue with other symptoms like weight loss, fever, or night sweats Fatigue that doesn’t go away with rest or sleep A healthcare professional can do a physical exam, take a medical history and order diagnostic tests like blood work to figure out what’s causing your fatigue. Knowing the cause is key to developing a treatment plan and overall health and wellness. References Here are the clickable links with their corresponding titles: Can Testosterone Replacement Therapy Cause Insomnia? TRT and Fatigue: Understanding the Connection and How to Overcome It Testosterone Therapy: Effects and What to Expect Experiencing Extreme Tiredness and Fatigue on TRT? Can Testosterone Therapy Make Me Less Tired? Addressing Fatigue with Testosterone Pellets

How Long to Fast Before a Testosterone Blood Test: Do You Need To? About 5 million American men suffer from low testosterone levels. This is also known as hypogonadism and can have significant effects on your life. Hypogonadism (testosterone deficiency) is diagnosed by running multiple tests. Patients get one or more testosterone tests to measure their levels. But recent studies found out that your testosterone levels can be affected if the tests were done while fasting. In other words, having a meal before a testosterone test can change the results. Read on to find out more about the correlation between testosterone levels and fasting. How to Test for Low Testosterone? What is the correlation between fasting and testosterone? Study 1 - Testosterone went down significantly after an oral glucose load Study 2 - Eating a meal can lower testosterone levels by a lot Key Takeaway for Future Testosterone Testing Protocols About 5 million American men suffer from low testosterone levels. This is also known as hypogonadism and can have significant effects on your life. Hypogonadism (testosterone deficiency) is diagnosed by running multiple tests. Patients get one or more testosterone tests to measure their levels. But recent studies found out that your testosterone levels can be affected if the tests were done while fasting. In other words, having a meal before a testosterone test can change the results. Read on to find out more. What is a Testosterone Test? A testosterone test is a medical test to measure the level of testosterone in your blood. Testosterone is a hormone produced by the adrenal glands and gonads (ovaries in females and testes in males) that is important for the development and maintenance of male reproductive tissues, bone density and muscle mass. In females, testosterone is present in smaller amounts and helps in the growth and development of bones and muscles. Why is a Testosterone Test Performed? A testosterone test is performed to diagnose and monitor various medical conditions related to abnormal testosterone levels. The test can help identify: Testosterone Deficiency (Hypogonadism): In males, low testosterone levels can cause low sex drive, fatigue, and decreased muscle mass. Testosterone Excess (Hyperandrogenism): In females, high testosterone levels can cause excessive hair growth, acne, and irregular menstrual cycles. Polycystic Ovary Syndrome (PCOS): This common endocrine disorder in females is characterized by high testosterone and androgen excess. Adrenal Gland Disorders: Conditions like Cushing’s syndrome can cause abnormal testosterone production. Monitoring Therapy: It’s also used to monitor testosterone levels in individuals undergoing testosterone replacement therapy or androgen deprivation therapy. Preparing for a Testosterone Test To prepare for a testosterone test: Schedule the Test in the Morning: Testosterone levels are highest in the morning, so schedule your test early in the day. Fasting: Don’t eat or drink anything but water for at least 8 hours before the test. Fasting will give you accurate results. Inform Your Doctor: Tell your doctor about any medications or supplements you are taking, as they may affect testosterone levels. Wear Comfortable Clothes: Wear loose and comfortable clothes and avoid tight sleeves that may make it hard to draw blood. Plan Your Visit: You will be at the testing facility for about 30 minutes, but the blood draw will only take a few minutes. By doing these you can get the most accurate testosterone test results. How to Diagnose Low Testosterone? Testosterone levels are highest in the morning for all healthy males. They start to drop after 11 am and continue to drop towards the end of the day. Testosterone tests are done in the morning because that’s when the levels are highest. If a person sees the classic signs of low testosterone, a test might be required to check this out. These signs are low sex drive, poor concentration, fatigue and even depressive symptoms. But multiple tests are needed to confirm if the person is hypogonadal or not. A testosterone levels test measures the amount of testosterone in a blood sample. For example, your doctor might check your FSH and LH levels. These hormones are produced by the pituitary gland and trigger the testosterone and sperm production in the testicles. Depending on the lab, a healthy male should have a testosterone measurement between 350 ng/dl and 1,250 ng/dL. If below 350 ng/dl and you have low testosterone symptoms, you might be considered hypogonadal. Testosterone levels vary depending on the time of day, diet, age, fitness level and other factors. As mentioned earlier, testosterone tests are done in the morning when testosterone is at its peak. Labs and doctors don’t require patients to fast before a testosterone test. But some studies suggest that fasting before a testosterone test can affect the results. What’s the connection between Fasting and Testosterone Levels? In simple terms, fasting means not eating for a certain period of time, usually 8 to 12 hours. This also includes not drinking anything that makes your organs work to process them, like drinks, milk, etc. Many blood tests require patients to fast before drawing a sample. A standard glucose test is a good example of this. If you eat something and then do a glucose test, you might be labeled as diabetic. That’s because your body didn’t get a chance to process the glucose in your blood, and it will show up in the test. Scientists believe that fasting is also important when testing testosterone through blood tests. In short, eating before your test will temporarily lower your testosterone levels. This can lead to a false diagnosis of hypogonadism if your normal T level is around 400-500 ng/dL. Such findings also mean retesting subjects who were initially diagnosed with low testosterone. Let’s look at a few studies and see the correlation between fasting and testosterone tests in more detail. You’ll see how a glucose load or a full meal can affect the total and bioavailable testosterone levels hours after ingestion. Study 1 - Testosterone Decreased Significantly After an Oral Glucose Load This study was done on 74 men. The average age of the participants was around 50, give or take a few years. The study was done in 2012, and it was a standard 75-g oral glucose tolerance test. An oral glucose tolerance test measures how well your body can process glucose in the blood after you drink a sweet drink they give you at the lab. If you process it fast, your glucose tolerance is good. If it takes too long to process, it’s usually associated with diabetes or other health problems. Almost 60% of the men in the study had normal glucose tolerance. More than 10% were newly diagnosed with diabetes, and about 30% had impaired glucose tolerance. Blood was drawn from each participant at the start of the study and at 30, 60, 90, and 120 minutes, respectively. Other hormones and substances were also measured, such as insulin, leptin, sex hormone-binding globulin (SHBG), and total testosterone levels. None of these individuals had low testosterone at the start of the study. But the results were surprising. The study showed that testosterone levels decreased by 25% after glucose ingestion. That’s a big drop considering most of the participants had normal glucose tolerance. To put it into perspective, if an individual starts with an average testosterone level of 500 ng/dl, a 25% decrease would bring him down to 375 ng/dl. That’s close to the bottom of the normal testosterone range. Interestingly, the testosterone suppression was still present after 120 minutes when blood samples were drawn for the last time. 10 of the participants could qualify for hypogonadism at the end of the study as their testosterone levels went below the baseline. This study shows how important it is to test for testosterone in a fasted state. A simple glucose load can lower total testosterone levels and qualify someone for hypogonadism. Study 2 - Eating a Meal Can Decrease Testosterone Levels Let’s look at another study that shows the correlation between testosterone levels and fed or fasting state. This study shows how a 550-calorie meal of protein, fat and carbohydrates can affect testosterone levels. 11 healthy men participated in this study. They were non-smokers, had no medical treatment, and had normal BMI. The average age was 43 years, and they had no significant medical history. In the first part of the study, the participants were given a 550-calorie meal of buttermilk, cheese, ham, orange juice, and other foods. Blood was drawn at various intervals. The study also measured other hormones such as LH, SHBG, and glucose. Free testosterone, the unbound fraction and biologically active, was also measured. The participants finished the meal in about 15 minutes. The foods were varied, as the study designers wanted to mimic a meal that most men would eat on a daily basis. Before the meal, the participants were told to fast for 12 hours. They were also instructed not to have sex or do any strenuous exercise that would affect their testosterone levels. The same procedure was repeated a few weeks later with the same participants. This time they only fasted for 12 hours and didn’t eat after. Blood was drawn in the fasting state, and all other parameters were the same. When the two experiments were compared, the results were striking. In both groups, the initial fasting testosterone levels were the same. LH and SHBG were unchanged. But in the fed group, testosterone levels decreased 15 minutes after meal ingestion. And 30 minutes after the meal. Other hormones and parameters were the same; just total and bioavailable testosterone levels went down. Upon reviewing the results, the experts found out that the decrease in testosterone was 30%. This was true for all participants with no exceptions. This study shows how testing for testosterone in a fasted state is different from testing in a fed state. Takeaway for Future Testosterone Testing Protocols The scientific literature on sexual medicine says that food intake can affect testosterone levels. But the standard testosterone test protocol doesn’t require fasting before the test. The studies above open up a potentially big change in how testosterone tests are done. Also, there was no significant difference in LH, SHBG, and other hormones among the participants. This means the hypothalamic-pituitary-testicular (HPT) axis was not really affected by food or glucose intake, but testosterone production was. It’s believed that insulin, a hormone produced by the pancreas when we eat to process glucose, can temporarily decrease testosterone production at the testicular level. If you think you have low testosterone, order these testosterone tests online at an affordable price and see how your hormones are doing.   References : Testosterone decrease after a mixed meal in healthy men independent of SHBG and gonadotropin levels. Andrologia. Volume 44, Issue 6 December 2012. Pages 405-410. Abrupt decrease in serum testosterone levels after an oral glucose load in men: implications for screening for hypogonadism. Clin Endocrinol (Oxf) 2013 Feb;78(2):291-6. Testosterone Test - Testing.com Testosterone as a Fasting Blood Test? - Grand Rounds in Urology Testosterone blood test – how to prepare for your blood test | healthdirect Is a fasting testosterone level really necessary for the determination of androgen status in men? - PubMed

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Based on reference values like this, you can interpret your results and make appropriate lifestyle adjustments, such as exercising more, eliminating junk food from your diet, etc. It is also very important to not diagnose yourself but speak with your physician to find out more about your health based on your blood test results. Most importantly, you are not alone once you get the results and you should immediately ask for guidance from medical professionals.   What should I know before drawing blood? There are a few vital requirements you have to remember before drawing blood. For example, you shouldn’t eat or drink anything else than water for 9–12 hours before drawing blood. This will put your body in a fasting state, which is ideal for determining baseline hormonal, sugar and vitamin levels. Depending on the test you ordered, sometimes you might be required to stop biotin supplementation for 72 hours before drawing blood. Each blood test might have certain instructions to follow, and these will be communicated to you when you order the test. It is essential to follow these requirements before going to the lab to draw blood because they significantly influence the accuracy of the results.   Are my lab test results confidential? It is normal to be concerned about privacy when it comes to your health. That’s why DiscountedLabs goes the extra mile to protect your sensitive data as well as your blood test results. DiscountedLabs follows privacy and HIPAA policies which guarantee that your information will be safe, confidential, and not shared with anyone unless you authorize this. DiscountedLabs serves all US; expect a few states such as New York, New Jersey, and Rhode Island.   What to do next? The next step is to order your blood tests and learn more about your health. Visit DiscountedLabs, choose your favorite test, and you’ll save lots of time and money in the process!    

The Best Illustrated Testosterone Book Now Available on Amazon Nelson Vergel, a well-known author of men’s health and hormone books, has published his fourth testosterone book, Beyond Testosterone. Nelson Vergel holds a chemical engineering degree and an MBA. After an HIV diagnosis over 33 years ago, he explored therapies to reverse wasting syndrome to save his life and those of his peers, leading him to co-author “Built to Survive: The Clinical Use of Anabolic Steroids for HIV+ Men and Women”,” a book that became the leading wasting treatment guide in the HIV field. He has been a member of several NIH and pharmaceutical advisory groups and FDA review panels. Nelson also founded the Body Positive Wellness Clinic and Program for Wellness Restoration in Houston, providing health education and services to HIV+ people. To expand help to the general population, he wrote “Testosterone: A Man’s Guide” and created ExcelMale.com and DiscountedLabs.com to provide men’s health education and access to affordable blood testing. His latest project aims to improve access to testosterone and hormone replacement treatments around the world by providing the largest physician directory in the world. About the Book: Beyond Testosterone This 427-page illustrated book covers all aspects of testosterone replacement therapy, including the basics of testosterone, testosterone in women, and how to increase testosterone levels naturally. It also covers the diagnosis of low testosterone and the different treatment options available by prescription in the United States and around the world. Moreover, "Beyond Testosterone" goes in-depth on the benefits of testosterone replacement therapy, side-effect management, and the effects of testosterone on the prostate and cardiovascular system. The book also reviews the uses of human chorionic gonadotropin (HCG) and discusses whether estradiol is an enemy or a friend of men. It covers the use of anastrozole and how to prevent and treat gynecomastia, acne, hair loss, water retention, high blood pressure, erectile dysfunction, and low libido. It also explores the clinical use of FDA-approved anabolic steroids for different conditions, like wasting and other diseases. Furthermore, "Beyond Testosterone" provides information on fertility and HPTA recovery after anabolic steroid use or after stopping testosterone treatment. It also covers growth hormone-releasing hormones, DHEA supplementation, thyroid dysfunction diagnosis and treatment, and maintaining good mental health. Additionally, it provides tips on nutrition for muscle gain and fat loss, exercise, and how to monitor TRT lab tests. Lastly, the book includes a section on slack testosterone in Spanish, interviews with different experts, and resources. This book is an excellent resource for men who are considering testosterone replacement therapy or are already on TRT. It is a comprehensive guide that provides information on all aspects of TRT, from diagnosis to treatment to recovery. With "Beyond Testosterone," men can have a better understanding of their options and make informed decisions about their health.    Beyond Testosterone: Book Contents Introduction How to Use This Book Testosterone 101 Testosterone in Women How to Increase Testosterone Naturally Benefits of Testosterone Replacement Diagnosis of Hypogonadism (Low Testosterone) Testosterone Treatment Options Testosterone Side Effect Management Testosterone and the Prostate Testosterone and the Cardiovascular System Human Chorionic Gonadotropin (HCG) Estradiol: The Other Male Hormone Gynecomastia: Not a Simple Diagnosis Dihydrotestosterone: Should We Be Concerned About This Testosterone Metabolite? TRT-Related Acne and Hair Loss TRT-Related Water Retention and High Blood Pressure Erectile Dysfunction/Low Libido Clinical Use of FDA-Approved Anabolic Steroids Fertility and HPTA Recovery Growth Hormone-Releasing Products Thyroid Dysfunction: Diagnosis and Management Mental Health Nutritional Considerations Exercise Considerations Nelson's Tips for TRT Patients How to Monitor TRT Lab Tests La Testosterona: Información en Español Expert Interviews TRT Resources "Beyond Testosterone" is more than a medical guide; it's a tribute to the collective wisdom of the ExcelMale.com community, capturing the essence of community-driven health discussion. Each topic is enhanced with QR codes for updated information and practical tips, making it a dynamic tool for anyone seeking to understand the broader implications of testosterone in health. This book is indispensable for patients exploring testosterone therapy and clinicians aiming to enhance their therapeutic practices. It promises to empower readers with knowledge and inspire them to take charge of their health. Click here to buy: Beyond Testosterone by Nelson Vergel Click here to buy: US: Buy Now Canada: Buy Now UK: Buy Now Australia: Buy Now Spain: Buy Now Germany: Buy Now ALSO AVAILABLE ON THESE DEVICES FIRE TABLETS Fire HD 8 (8th Generation) Fire 7 (9th Generation) Fire HD 10 (9th Generation) Fire HD 8 (10th Generation) Fire HD 10 (11th Generation) Fire HD 10 Plus Fire 7 (12th Generation) Fire HD 8 (12th Generation) Fire HD 8 Plus   FREE KINDLE READING APPS Kindle for Android Phones Kindle for Android Tablets Kindle for iPhone Kindle for iPad Kindle for Mac Kindle for PC Kindle for Web

Table of Contents Symptoms Of Hypogonadism (Low Testosterone) And How To Diagnose Primary and secondary hypogonadism (Low Testosterone) The pituitary gland and problems associated with it Exploring Hyperprolactinemia (High Prolactin) and Its Implications in Low Testosterone Throwing a spotlight on the pituitary and its function Pituitary imaging in the diagnosis of low testosterone Learning about thyroid and its role in low testosterone Conclusions Testosterone replacement therapy is available in many forms and can be beneficial for men who have low testosterone levels. When the body doesn't produce enough testosterone (a condition also known as hypogonadism), men can experience different symptoms such as low sex drive, fatigue, bad mood, and irritability. The body might not produce enough testosterone because of different factors. For example, the pituitary and thyroid glands play an important role in the production of testosterone and if they are not healthy, young men might experience low testosterone levels. It is important to note here that the production of testosterone decreases as men age and this is normal to be so. However, approximately 0.1% of men aged 40-49 years and about 3-5% of men aged 60-79 develop androgen deficiency which can negatively influence their lifestyle. Those who have type 2 diabetes and are obese are at a higher risk of having low blood testosterone. Before taking advantage of testosterone replacement therapy, it is important to assess the health of other organs in the body which are directly related to the production of testosterone such as the pituitary and thyroid. The pituitary gland is a very small organ situated at the base of the skull, weighing just 0.018 oz. It is responsible for releasing the growth hormone as well with the production of testosterone. If a patient is suspected of having low testosterone levels, doctors usually recommend analyzing and treating the pituitary gland as well, before opting for testosterone replacement (TRT) therapy. Similarly, the thyroid is an endocrine gland situated in the neck. It is responsible for the production of numerous hormones which help the body's metabolic processes. It also plays a vital role in the production of testosterone.   Symptoms Of Hypogonadism (Low Testosterone) And How To Diagnose   This type of medical condition can have various symptoms and as mentioned earlier, people who are obese or have type 2 diabetes are more likely to develop hypogonadism. Other risk factors include chronic depression, cancer, a medicine which interferes with testosterone production, chronic illness, and others. People who abuse opiates and glucocorticoids are also at a higher risk of developing hypogonadism over time. Proper testosterone production is strictly correlated with a healthy lifestyle, which involves working out regularly and eating a balanced diet. Smoking and cardiovascular diseases can also put someone at risk of developing low blood testosterone. By improving the testosterone level through replacement therapy or by treating any existing pituitary or thyroid issue, the overall quality of life can be drastically increased. For example, men who have tried testosterone replacement therapy report better sexual satisfaction, better mood, more energy and a general sense of wellbeing. In very rare cases, the testosterone level can be low because of other factors, such as extremely hard physical training. Professional athletes, especially those who compete in combat sports, might have low testosterone levels as a result of fatigue, improper nutrition, lack of rest, etc. it is important to take a look at a patient’s physical condition and training regime to accurately diagnose androgen deficiency. A professional can use special tests to diagnose hypogonadism. It is important to let an experienced healthcare provider assess the testosterone levels to avoid confusion and medical complications. Proper laboratory diagnosis is done early in the morning when testosterone levels are at their peak. Testosterone production follows something called a diurnal rhythm, meaning that the production is higher in the morning and lower at the end of the day. Working night shifts or having poor quality sleep can drastically influence the result of the analysis, so patients should take this into consideration. Similarly, having an acute illness can also render false testosterone diagnosis. It is necessary to perform 2 or more testosterone evaluations to determine if a patient is suffering from hypogonadism or not, since approximately 33% of men have a positive result after one measurement. Evaluating testosterone levels is highly recommended for certain patients, regardless if they experience the hypogonadism symptoms or not. For example, patients with HIV or those who have type 2 diabetes mellitus, osteoporosis or chronic pulmonary disease are also at a higher risk of having low serum testosterone. Once the testosterone levels have been measured and it has been confirmed that the patient might benefit from testosterone replacement therapy, additional endocrinology tests should be performed to determine the nature of the hypogonadism – primary or secondary. Treating hypogonadism accurately is paramount, especially if the patient has certain fertility goals.   Primary and secondary hypogonadism (Low Testosterone)   As mentioned earlier, a low testosterone level in the bloodstream might result from 2 factors. The Leydig cells located in the testes are responsible for producing the majority of testosterone in men. This process takes place using the luteinizing hormone (LH) from the pituitary gland. The LH is also strictly linked to the GnRH which is produced by the hypothalamus. The GnRH is released in a pulsatile manner and a disruption in this process can lead to low testosterone levels over time. To sum it up, men can suffer from primary hypogonadism (the testosterone is not produced in the testes), from secondary hypogonadism (the production of LH or GnRH is disrupted in the pituitary or hypothalamus) or both. If a patient has primary hypogonadism, the LH and FSH levels will be elevated as these hormones are produced by the pituitary and hypothalamus but not properly converted into testosterone. Most specialists recommend karyotype analysis for further investigation. The causes of primary hypogonadism can be multiple and they include HIV, toxins gathered in the body, acquired anorchia, orchitis, and more. On the other hand, if the LH and FSH levels are low, then additional investigations must be done to determine the nature of the secondary hypogonadism. It basically means that the testes are perfectly capable of making testosterone, but they don’t have the primary resource (LH) to do so.   The pituitary gland and problems associated with it   Secondary hypogonadism is a more complicated medical issue and it involves looking at the characteristics of the pituitary gland. There are numerous factors which might cause secondary hypogonadism such as certain types of tumors, untreated sleep apnea, infiltrative diseases, use of certain drugs such as marijuana, opiates, and heroin, etc. Hyperprolactinemia can be a contributing factor in about 5% of secondary hypogonadism. This means that a prolactin adenoma can put pressure on the pituitary gland and cause damage. There are also different types of medications which can affect prolactin secretion, such as metoclopramide and others. In some cases, secondary hypogonadism can be caused by GnRH deficiency which happens as a result of damage to the hypothalamus. This part of the brain can become injured as a result of toxins accumulation, trauma, taking certain types of medication, as well as systemic disease. If a patient is suspected of having secondary hypogonadism, he will receive a full pituitary workup to determine prolactin levels and to see if its secretion is disrupted or not. It is paramount to differentiate between secondary hypogonadism originating in the pituitary and the one originating in the hypothalamus. Men who have fertility goals and want to have children in the near future need a different type of treatment than those who don’t have any fertility goals. There are rare instances when men suffer from a combination of primary and secondary hypogonadism. This might happen as a result of alcohol abuse, sickle cell disease, and more. There are several treatment options available in this case such as spermatogenesis and others.   Exploring Hyperprolactinemia (High Prolactin) and Its Implications in Low Testosterone   It has been discovered that men who suffer from hyperprolactinemia experience a wide variety of symptoms, such as decreased sperm mobility and low libido. These can lead to a low-quality sex life and fertility problems. Even in the presence of relatively normal testosterone levels, hyperprolactinemia can have a significant negative impact on sexual health, leading to erectile dysfunction in worst cases. By normalizing prolactin levels, scientists have discovered that testosterone levels improve and the overall quality of life is enhanced as well. Correct prolactin levels are directly associated with a healthy testosterone metabolism. Therefore, patients who have low serum testosterone should seek treatment for improving prolactin levels first before opting for testosterone replacement therapy. Once it has been discovered that the body responds well to hyperprolactinemia treatment, it might not be necessary to take advantage of testosterone replacement therapy.   Throwing a spotlight on the pituitary and its function   The pituitary gland plays a vital role in the production of testosterone and it should be properly assessed to determine if there are any additional hormonal imbalances present in the body. For example, for men with a testosterone level lower than 150 ng/dL, an evaluation of the anterior pituitary axes is highly recommended. This evaluation can discover other medical conditions, such as hypopituitarism, which might affect proper testosterone production. Testing the pituitary gland should be done early in the morning before 9 am. This is done by drawing blood to measure cortisol levels as well as ACTH. If the patient works night shifts, which might compromise the accuracy of the test, an ACTH stimulant is administered intramuscularly. This test can give insights into the hormonal balance of the patient. For example, if it is suspected that the patient has Cushing syndrome, the doctor might recommend a 1 mg dexamethasone suppression test. If acromegaly is suspected (growth hormone deficiency), then other tests are necessary to determine the exact levels of growth hormone. Such tests are required to determine the full biochemical makeup of the patient in relation to the pituitary gland and hypogonadism. If the results are positive for one or more of those tests, the patient will be redirected to endocrinology for additional measurements.   Pituitary imaging in the diagnosis of low testosterone   Magnetic resonance imaging (MRI) might be used to discover further details about the pituitary gland and this decision is based on multiple tests of the hormone levels. Pituitary imaging is done only when proper clinical management is required and it can be used to discover incidentalomas, which can be 6 mm in diameter or less. These are small bodies that might grow on the pituitary gland and put pressure on it which in turn disrupts the regular flow of hormones required for healthy testosterone production. These incidentalomas are usually found in approximately 20% of autopsies and can also be encountered in up to 10% of the population who is referred to pituitary imaging. The MRI testing of the pituitary should be done on men who have severe secondary hypogonadism (testosterone levels are below 150 ng/dL, persistent hyperprolactinemia, and others). Pituitary imaging isn’t necessary for cases of primary hypogonadism and it is only performed when absolutely necessary.   Learning about thyroid and its role in low testosterone   The thyroid is very important when it comes to testosterone production. In general terms, hypothyroidism has been associated with a decrease in total testosterone levels, while hyperthyroidism might lead to converting too much testosterone into estradiol, which results in impaired sexual function, gynecomastia (enlarged man’s breasts), and other medical conditions. In some cases, hypothyroidism can lead to hyperprolactinemia, but such occurrences are rare. When this happens, improving the thyroid function through certain treatments or medication can stabilize prolactin levels and this, in turn, will normalize testosterone production. Hypothyroidism is also frequently associated with erectile dysfunction. Similarly, hyperthyroidism can also be problematic, as it has been associated with ejaculatory dysfunction, as shown in a study done on over 750 men. More than 50 percent of those who had hyperthyroidism also showed symptoms of reduced sperm mobility and ejaculatory problems. However, when these men received treatment for hyperthyroidism, their fertility and testosterone production improved significantly, which means that testosterone replacement therapy isn't necessarily the go-to treatment for all men suffering from androgen deficiency.   Conclusions   As presented in this article, the human body is very complex, and there might be multiple causes for a low serum testosterone level in the bloodstream on males of all ages. It is important to determine whether the hypogonadism is primary or secondary, as well as perform numerous tests and hormone evaluations to determine the nature of the hypogonadism and to prescribe the correct treatment. In case the pituitary gland is the culprit, MRI tests might be required, though such instances are rare. Certain types of treatments are also recommended if the patient has fertility goals. If none of the other medications and treatments for hypogonadism are accurate, then testosterone replacement therapy might be considered for certain patients. By the way, monitoring serum testosterone, LH, FSH and prolactin is very easy these days thanks to tests that can be bought online at discounted prices. Visit www.discountedlabs.com for more details.

Testosterone Replacement Therapy (TRT) is a common treatment for men with low testosterone levels. While TRT can have numerous benefits, such as increased energy, libido, and muscle mass, it is important to monitor other hormone levels, specifically estradiol and dihydrotestosterone (DHT). While DHT is a metabolite of testosterone, estrogen is a form of estrogen that results from the aromatization of testosterone. Understanding the optimal levels of these hormones on TRT is crucial for achieving the desired effects while minimizing potential side effects. In this article, we will discuss a study conducted on young and older men using different doses of testosterone and its implications for predicting estradiol and DHT levels on TRT. Table of Contents The Study: Testosterone Injections and Estradiol/DHT Levels Results and Findings Estradiol Levels DHT Levels Predictive Model Interpreting the Findings Conclusion The Study: Testosterone Injections and Estradiol/DHT Levels The study in question was conducted by researchers at Boston University School of Medicine and published in the Journal of Clinical Endocrinology & Metabolism in 2010. The aim of the study was to investigate the effects of different doses of testosterone injections on estradiol and DHT levels in young and older men. The participants included 51 young men aged 19 to 35 and 50 older men aged 59 to 75. To conduct the study, the participants were administered a blocker to suppress their natural testosterone production. They were then given weekly injections of different doses of testosterone for a duration of five months. The researchers measured the participants' estradiol and DHT levels throughout the study to assess the impact of testosterone doses on these hormones.     Results and Findings The study revealed several interesting findings regarding estradiol and DHT levels in men on TRT. Here are some key points: Estradiol Levels The study found that estradiol levels increased with increasing doses of testosterone in both young and older men. However, the increase in estradiol was more significant in older men compared to younger men. This suggests that older men may have a higher propensity for aromatization, which is the conversion of testosterone into estradiol. It is important to note that the estradiol levels observed in the study were higher than the reference ranges provided by some laboratories, which are primarily derived from men not on TRT. DHT Levels DHT levels also increased with higher testosterone doses, but the difference between young and older men was not as pronounced as with estradiol. DHT is derived from testosterone through the action of the enzyme 5-alpha reductase. While DHT is often associated with androgenic side effects, such as male pattern baldness and prostate enlargement, its role in TRT is still not fully understood. Predictive Model To help predict estradiol and DHT levels based on testosterone dose, the researchers developed a mathematical model using the data from the study. The model provides equations to estimate estradiol and DHT levels based on total testosterone levels. These equations can be helpful for clinicians and individuals on TRT to better understand and predict their hormone levels. Interpreting the Findings The findings from this study have important implications for individuals on TRT. It is essential to recognize that estradiol levels on TRT may be higher than the reference ranges established for men not on TRT. This is because the reference ranges are typically derived from individuals with lower testosterone levels. It is crucial to consider the individual's specific situation and response to TRT when interpreting estradiol levels. Additionally, the study emphasizes the need for regular monitoring of hormone levels to ensure they are within a safe and optimal range. By measuring estradiol and DHT levels, healthcare providers can make informed decisions regarding dosage adjustments and potential interventions to manage any adverse effects. It is important to remember that individual responses to TRT can vary, and what may be considered an optimal hormone level for one person may not be the same for another. Factors such as age, overall health, and personal preferences should be taken into account when evaluating hormone levels and making treatment decisions. Conclusion Understanding the impact of testosterone replacement therapy on hormone levels, particularly estradiol and DHT, is crucial for optimizing the benefits and minimizing the risks associated with TRT. The study discussed in this article provides valuable insights into the effects of different testosterone doses on estradiol and DHT levels in men. It is essential for individuals on TRT to work closely with healthcare professionals who can monitor hormone levels regularly and guide them in making informed decisions about their treatment. The predictive model developed in the study can serve as a helpful tool in estimating estradiol and DHT levels based on testosterone dose, but individual variations should always be taken into account. By monitoring hormone levels and adjusting treatment accordingly, individuals on TRT can achieve the desired effects while minimizing potential side effects. Regular communication with healthcare providers is key to ensuring the effectiveness and safety of testosterone replacement therapy. Disclaimer: The information in this article is based on the findings of a specific study and should not replace personalized medical advice. Individuals on TRT should consult with qualified healthcare professionals to address their specific needs and concerns.    

Testosterone is more than just a sex hormone. It plays a crucial role in a range of physiological processes, including the development of muscle mass, bone density, and even the modulation of blood sugar levels. While high levels of testosterone can have their own set of complications, this article focuses on the often-underestimated risks associated with low testosterone levels. What is Low Testosterone? Low testosterone is a condition where the body does not produce sufficient amounts of the hormone. The threshold for low testosterone varies, but it is generally considered to be below 300 ng/dL (nanograms per deciliter) for adult men. The condition can lead to various health issues, ranging from metabolic syndrome to increased risk of death from all causes. Understanding the Causes of Low Testosterone:  Testosterone, the primary male sex hormone, plays a crucial role in maintaining a range of bodily functions, from muscle mass and fat distribution to bone density and red blood cell production. While it's common for testosterone levels to decline as men age, significantly low levels can lead to a host of health issues. But what causes low testosterone levels? The reasons are many and can range from genetic conditions to lifestyle choices. Let's break it down. Secondary Causes: Hypothalamic-Pituitary Dysfunction Idiopathic GnRH Deficiency, Kallman Syndrome, and More Sometimes, low testosterone can be due to issues with the pituitary gland or the hypothalamus, parts of the brain that signal the testicles to produce testosterone. Conditions such as Idiopathic GnRH deficiency and Kallman syndrome can disrupt these signals. These conditions are examples of hypogonadotropic hypogonadism (Bhasin et al., 2010). Inflammatory Causes Inflammation of the pituitary gland can also result in low testosterone. This inflammation can be due to a variety of factors, including autoimmune reactions and certain illnesses (Dandona & Rosenberg, 2010). Trauma and Tumors Blunt head trauma or postsurgical complications can affect the pituitary gland, leading to low testosterone. Tumors like pituitary adenomas or craniopharyngiomas can have similar effects (Wu et al., 2010). Vascular Insult Issues with the blood vessels that supply the pituitary, such as pituitary infarct/apoplexy or carotid aneurysm, can also be a culprit. Drug-Induced Causes Certain medications like anabolic steroids, opioids, and drugs that induce hyperprolactinemia can contribute to low testosterone. Always consult your doctor if you are on medication and experiencing symptoms of low testosterone (Bhasin et al., 2010). Systematic Illness and Autoimmune Causes Chronic illnesses such as anorexia nervosa, chronic renal failure, and liver failure can result in low testosterone. Autoimmune conditions that attack the pituitary gland (autoimmune hypophysis) can also be a factor (Dandona & Rosenberg, 2010). Primary Cause: Testicular Dysfunction Chromosomal and Genetic Factors Issues right at the level of the testicles can also be causes. Conditions like Klinefelter's syndrome, XX male gonadal dysgenesis, and defects in androgen biosynthesis are all chromosomal abnormalities that can lead to low testosterone (Wu et al., 2010). Infections and Surgeries Orchitis (inflammation of the testicles due to infections like mumps or HIV) and orchiectomy (surgical removal of the testicle) can directly affect testosterone production. Other Factors Chronic infections like tuberculosis, irradiation, testicular torsion, and certain medications can also be responsible. Lifestyle and Other Factors Factors like obesity, aging, malnutrition, and exposure to toxins such as heavy metals and alcohol can also influence testosterone levels (Dandona & Rosenberg, 2010). Low testosterone can result from a variety of causes, ranging from medical conditions and medications to lifestyle choices. If you're experiencing symptoms, it's crucial to consult a healthcare provider for a comprehensive diagnosis and treatment plan. Risks Associated with Different Levels of Low Testosterone < 450 ng/dl (15.3 nmol/l) - Risk of Metabolic Syndrome Metabolic syndrome is a cluster of conditions that include high blood pressure, elevated blood sugar levels, excess body fat, and abnormal cholesterol levels. Testosterone plays a significant role in regulating these physiological functions. Research by Dhindsa et al. has highlighted the increased risk of metabolic syndrome in men with testosterone levels below 450 ng/dl1. < 400 ng/dl (15.3 nmol/l) - Venous Leakage (Internal Penile Damage) Risk Venous leakage is a condition that can result in erectile dysfunction due to internal penile damage. According to a study by Yassin and Saad, men with testosterone levels below 400 ng/dl are at a higher risk of developing this condition2. < 350 ng/dl (11.9 nmol/l) – All-Cause Death Risk and Anemia Risk Khaw et al. conducted a study that showed men with testosterone levels below 350 ng/dl had an increased risk of death from all causes, as well as a higher risk of developing anemia3. < 300 ng/dL (10.2 nmol/L) - Lowered Libido, Weight Gain & Diabetes Risk Increased A low level of testosterone can also have a detrimental effect on sexual health, including a decrease in libido. Furthermore, it is associated with weight gain and an increased risk of developing diabetes. Traish et al. discussed these risks in their research4. < 300 ng/dL (10.2 nmol/L) - Quartile Risk of Fractures (Osteoporosis), Memory-Related Issues & Depression Risk Increases Testosterone is crucial for bone density. Low levels can increase the risk of fractures, memory-related issues, and even depression. A study by Orwoll et al. emphasized these risks5. < 250 ng/dl (8.5 nmol/l) - Arterial Plaque (Arteriosclerosis) & Sleep Quality Affected Vlachopoulos et al. found that men with testosterone levels below 250 ng/dl had a higher risk of developing arterial plaque, which can lead to arteriosclerosis. Additionally, these men experienced a reduction in sleep quality6. < 235 ng/dl (8.0 nmol/l) - Hardening of Arteries (Dialysis Patients) Carrero et al. identified that low testosterone levels can increase the mortality risk among male dialysis patients by promoting the hardening of arteries7. < 200 ng/dl (6.8 nmol/l) - Morning Erections Decrease A study by O'Connor et al. showed that men with testosterone levels below 200 ng/dl experienced a decrease in morning erections, which is often a sign of erectile dysfunction8. < 150 ng/dl (5.1 nmol/l) - Increased Inflammation (TNF-alpha) Malkin et al. found that extremely low levels of testosterone, under 150 ng/dl, were associated with increased inflammation markers like TNF-alpha9. Conclusion Low levels of testosterone are linked to a wide range of health issues. While testosterone replacement therapy is often recommended for men with low levels, understanding the risks associated with varying degrees of low testosterone is crucial for effective treatment and prevention. Always consult your healthcare provider for diagnosis and treatment.   Buy a Low Cost Total and Free Testosterone Test on DiscountedLabs.com: Testosterone test near me.   Low Testosterone: What Do Different Medical Guideline Groups Say? Understanding the guidelines for diagnosing and treating low testosterone is crucial for both healthcare providers and patients. Different medical organizations have released various guidelines over the years, making it essential to know how each defines low testosterone levels. This article aims to shed light on what various medical guideline groups have to say about low testosterone, focusing on cutoff values and expert opinions. Expert Opinion Before delving into specific guidelines, it's worth noting that expert opinion often plays a significant role in forming these guidelines. Medical professionals and researchers contribute to these guidelines based on clinical experience, existing studies, and ongoing research. Therefore, guidelines are not static but evolve over time, reflecting the current state of medical knowledge. Year of Release and Update Knowing when a particular guideline was released or updated is important as it indicates the currency and relevancy of the information. Here is a brief timeline:   ISSAM: 2005 Endocrine Society: 2006 ISSM: 2008 AUA: 2015 ICSM: 2015, updated in 2018  Cutoff Values of Testosterone for Laboratory Diagnosis One of the most critical aspects of diagnosing low testosterone is determining the cutoff values. Various organizations have different parameters. Here's a summary: Guideline Group Cutoff Values for Total T (TT) Cutoff Values for Free T Year ISSAM TT < 231 ng/dL (8 nmol/L) N/A 2005 Endocrine Society TT: 231-346 ng/dL (8-12 nmol/L) Free T < 52 pg/mL 2006 ISSM TT < 230 ng/dL (8 nmol/L) Free T < 52 pg/mL 2008 AUA TT: 230-350 ng/dL (8-12 nmol/L) Free T < 65 pg/mL 2015 ICSM TT < 300 ng/dL Free T < 5 ng/dL 2018 Definitions and Abbreviations: ISSAM: International Society for the Study of the Aging Male ISSM: International Society for Sexual Medicine ICSM: International Consultation for Sexual Medicine AUA: American Urological Association TT: Total Testosterone Free T: Free Testosterone SHBG: Sex Hormone-Binding Globulin Understanding the various guidelines for diagnosing low testosterone is crucial for appropriate treatment. It's evident that different medical organizations have varying cutoff values, and these may be subject to change as more research becomes available. Always consult your healthcare provider for the most current and personalized advice. By keeping updated on these guidelines, both physicians and patients can make more informed decisions regarding the diagnosis and treatment of low testosterone. Sources: International Society for the Study of the Aging Male (ISSAM), Guidelines, 2005. Endocrine Society, Clinical Guidelines, 2006. International Society for Sexual Medicine (ISSM), Guidelines, 2008. American Urological Association (AUA), Guidelines, 2015. International Consultation for Sexual Medicine (ICSM), Guidelines, 2015, updated in 2018.   Footnotes Dhindsa, S., Miller, M. G., McWhirter, C. L., Mager, D. E., Ghanim, H., Chaudhuri, A., & Dandona, P. (2010). Testosterone concentrations in diabetic and nondiabetic obese men. Diabetes Care, 33(6), 1186-1192. PubMed ↩ Yassin, A. A., & Saad, F. (2017). Testosterone Deficiency and Testosterone Treatment in Older Men. Gerontology, 63(2), 144–156. PubMed ↩ Khaw, K. T., Dowsett, M., Folkerd, E., Bingham, S., Wareham, N., Luben, R., ... & Day, N. (2007). Endogenous testosterone and mortality due to all causes, cardiovascular disease, and cancer in men. Circulation, 116(23), 2694-2701. PubMed ↩ Traish, A. M., Saad, F., & Guay, A. (2009). The dark side of testosterone deficiency: I. Metabolic syndrome and erectile dysfunction. Journal of Andrology, 30(1), 10-22. PubMed ↩ Orwoll, E., Lambert, L. C., Marshall, L. M., Phipps, K., Blank, J., Barrett-Connor, E., ... & Cummings, S. (2006). Testosterone and estradiol among older men. The Journal of Clinical Endocrinology & Metabolism, 91(4), 1336-1344. PubMed ↩ Vlachopoulos, C., Ioakeimidis, N., Miner, M., & Aggelis, A. (2014). Testosterone deficiency: a determinant of aortic stiffness in men. Atherosclerosis, 233(1), 278-283. PubMed ↩ Carrero, J. J., Qureshi, A. R., Parini, P., Arver, S., Lindholm, B., Bárány, P., ... & Stenvinkel, P. (2009). Low serum testosterone increases mortality risk among male dialysis patients. Journal of the American Society of Nephrology, 20(3), 613-620. PubMed ↩ O'Connor, D. B., Lee, D. M., Corona, G., Forti, G., Tajar, A., O'Neill, T. W., ... & EMAS Study Group. (2011). The relationships between sex hormones and sexual function in middle-aged and older European men. The Journal of Clinical Endocrinology & Metabolism, 96(10), E1577-E1587. PubMed ↩ Malkin, C. J., Pugh, P. J., Jones, R. D., Kapoor, D., Channer, K. S., & Jones, T. H. (2004). The effect of testosterone replacement on endogenous inflammatory cytokines and lipid profiles in hypogonadal men. The Journal of Clinical Endocrinology & Metabolism, 89(7), 3313-3318. PubMed ↩

  Thousands of men who want to know their testosterone levels frequently search "testosterone test near me" online. When you have low testosterone, you'll experience some symptoms, such as chronic fatigue, confusion, low sex drive, poor gym performance, and others. Thankfully, it's increasingly affordable and accessible to test your testosterone numbers and see how you stand. Table of Contents How "Testosterone Testing Near Me" Works? Discover Some of the Most Popular Testosterone Tests What Is the Normal Testosterone Range? Check Out These Natural Testosterone Boosters Work Out Regularly Stop Smoking Do Breathing Exercises Get Enough Sleep Order Your Testosterone Test Today! References: If you have one or more of these symptoms, it's highly recommended that you test your testosterone levels immediately. Keep reading to learn more about this subject and how testosterone testing works. How "Testosterone Testing Near Me" Works? The fastest way to check your testosterone levels is by buying a T test online from a reputable vendor and visiting the nearest clinic to draw blood. After you purchase the testosterone test, you will receive an email with a form you should print. When you visit the clinic for sample collection, you take this paper with you. Your blood will be analyzed in special laboratories using the best and most accurate medical technology. This technology is known as LC/MS and stands for liquid chromatography and mass spectrometry. The technology is genuine and offers results quickly. You will receive an email with the results, and you can ask your doctor to help you interpret them. Everything is safe, quick, and confidential. Discover Some of the Most Popular Testosterone Tests You can confidently pick from many testosterone tests and panels, depending on your preferences and needs. For example, some testosterone panels are specially formulated for amateur bodybuilders, experienced bodybuilders, people with low T levels, people already on TRT, etc. Your primary healthcare provider should be able to help you pick the right testosterone panel for your needs. Some panels check other substances as well, not only testosterone. For example, the TRT Monitoring Panel looks at your hematocrit and checks your liver and kidney health and estradiol and testosterone levels. Knowing more about these hormones helps you adjust your TRT protocol for optimal results. Other testosterone panels help you assess your fertility status. They test multiple substances, such as your prolactin, DHT, DHEA levels, and several thyroid hormones. You can also order a TRT Follow-Up Panel that checks most of your system's essential hormones and substances. This panel is required after completing a few weeks of a TRT protocol to ensure optimal health. If you're new to testosterone testing, it's recommended that you go for a simple panel that looks at both your free and total testosterone levels. This type of test is inexpensive, easy to understand, and provides the foundation for subsequent testosterone testing, especially if you decide to start a TRT protocol. What Is the Normal Testosterone Range? As you can probably imagine, men's testosterone levels are much higher than women's. This condition is usually known as hypogonadism if your T level is lower than the normal range. For example, men's normal testosterone range is between 300 ng/dl and 1000 ng/dl of blood. If your T levels are lower than 300 ng/dl of blood, you might be a suitable candidate for testosterone replacement therapy. Normal T levels ensure proper reproduction parameters, stable mood, good cognition, and a general state of well-being. For women, the normal testosterone range is between 15 ng/dl and 70 ng/dl of blood. If a woman has less testosterone than normal, she might experience changes in breast tissue and even encounter fertility problems. Check Out These Natural Testosterone Boosters As mentioned earlier, low T levels make you a good candidate for TRT. You should discuss this with your TRT doctor and find out all the ins and outs of this treatment. At the same time, there are many things you can do to boost your T levels naturally. Here are a few ideas. Work Out Regularly Mild physical activity a few times per week will instantly improve your T levels and make you feel better. For example, you can go to the gym thrice a week, run in your nearest public park, lift weights, or join a self-defense class. All these activities will naturally boost your testosterone, whether you're a person. Stop Smoking Smoking cigars or cigarettes is linked to all sorts of health problems. This bad habit naturally lowers your testosterone production because you're willingly putting a host of toxins and heavy metals in your body. On top of reducing your T levels, regular smoking also ruins your stamina and cardiovascular system and can lead to erectile dysfunction. Do Breathing Exercises Bringing more oxygen into your body can naturally rejuvenate your tissues and restore metabolic processes. Try to breathe deeply a few times daily or practice deep breathing for 15-20 minutes daily. This will automatically improve your endocrine and hormonal health; as a result, your testosterone production will return to normal. Get Enough Sleep Please make sure that you regularly get enough sleep to make sure you have the best testosterone levels. Sleeping at least 7 hours per night should be sufficient for most people. If you routinely sleep less than that because of a hectic lifestyle, try to make up for this "sleep debt" by sleeping 10+ hours whenever you have a free day. If you're constantly sleep-deprived, your hormones will get out of balance. Order Your Testosterone Test Today! Checking testosterone levels is inexpensive these days, and you can get the results back in a few business days. Keep in mind that your testosterone levels can profoundly influence the quality of your life. Your enjoyment will decrease dramatically if you have low T levels and don't do anything about it. Go to DiscountedLabs.com today and order the Testosterone Total and Free Test. You can compare your results against reference values and see what's to be done from there. ================= References: 8 Proven Ways to Increase Testosterone Levels Naturally Testosterone Information | Mount Sinai - New York Testosterone: When and How to Balance Low T        

Key Highlights Testosterone levels naturally decline with age, but there are natural strategies to boost them Strength training and high-intensity workouts can help increase muscle mass and testosterone levels A balanced diet rich in proteins, fats, and carbs, including fatty fish and whole foods, can support testosterone production Minimizing stress levels and regulating cortisol production can help maintain optimal testosterone levels Sufficient vitamin D intake through sun exposure or supplements is important for testosterone levels Getting quality sleep, considering natural testosterone-boosting supplements like Ashwagandha, reducing alcohol intake, maintaining a healthy weight, incorporating healthy fats into the diet, and staying hydrated are additional ways to boost testosterone naturally Introduction Testosterone is a vital hormone that plays a crucial role in both men and women's health. It affects various bodily functions, including sperm production, sex drive, muscle strength, bone growth, and even hair growth. However, testosterone levels naturally decline as we age, which can have a significant impact on our overall health and well-being. In addition to men, women and people assigned female at birth also produce testosterone, making it important for their sex drive, bone and muscle health, energy, and mood. However, beyond puberty, a woman's body mainly converts it to estrogen, making it interesting as a possible remedy for menopause symptoms like depression, bone loss, and sexual problems. While testosterone therapy and marketed testosterone supplements are options, they may come with disadvantages and potential risks. As a result, many individuals are turning to natural strategies, such as proper nutrition and exercise, to boost their testosterone levels. In this blog, we will explore 10 easy ways to naturally boost testosterone levels. These strategies involve simple lifestyle changes, dietary modifications, and incorporating natural supplements that can support testosterone production in the body. By implementing these all-natural ways, men can enhance their physical health, improve their mental well-being, and maintain optimal levels of testosterone, even in the face of low levels of testosterone as they age. How Do You Increase Testosterone Naturally?: 10 Natural Strategies Boosting testosterone levels naturally is possible with simple lifestyle changes and dietary modifications. By incorporating the following strategies into your daily routine, you can support testosterone production and maintain optimal levels: 1. Opt for Strength Training and High-Intensity Workouts Strength training and high-intensity workouts are excellent ways to boost testosterone levels naturally. These types of exercises stimulate muscle growth and increase muscle mass, which can have a positive impact on testosterone production. As you engage in strength training, your body releases testosterone from the adrenal glands to support muscle repair and growth. Aim for regular workouts that focus on compound exercises, such as squats, deadlifts, and bench presses. Incorporating high-intensity interval training (HIIT) into your exercise routine can further enhance testosterone production. By including these types of physical activities in your fitness regimen, you can optimize your testosterone levels and enjoy the benefits of increased muscle mass and strength. Additionally, make sure to prioritize getting enough sleep each night, as this is crucial for maintaining healthy testosterone levels. Your body produces the hormone while you sleep, and your levels are typically highest in the morning. So, aim for 7-9 hours of quality sleep each night to support natural testosterone production. 2. Consume a Balanced Diet Rich in Proteins, Fats, and Carbs A balanced diet plays a crucial role in supporting testosterone production. Including specific nutrients in your diet can have a positive impact on your hormone levels. Here are some dietary recommendations to boost testosterone naturally: Include plenty of protein-rich foods like lean meats, poultry, fish, eggs, and dairy products. Protein is essential for muscle growth and testosterone production. Incorporate healthy fats into your diet from sources like avocados, nuts, seeds, and fatty fish. These fats are necessary for hormone synthesis and testosterone production. Opt for whole foods instead of processed foods. Whole foods provide essential vitamins, minerals, and antioxidants that support overall health and optimal testosterone levels. Include fatty fish such as salmon, mackerel, and sardines in your diet. These fish are rich in omega-3 fatty acids, which have been associated with increased testosterone levels. Avoid excessive consumption of sugary foods and processed snacks, as they can negatively impact testosterone production. By following a balanced diet that includes these recommendations, you can naturally support testosterone production and maintain optimal levels. 3. Minimize Stress Levels and Regulate Cortisol Production Chronic stress can have a detrimental effect on testosterone levels. When the body is under stress, it produces cortisol, a hormone that can inhibit testosterone production. To naturally boost testosterone, it is important to minimize stress levels and regulate cortisol production. Here are some strategies to achieve this: Practice stress-reducing techniques such as meditation, deep breathing exercises, or yoga. These activities can help calm the mind and lower cortisol levels. Engage in regular physical activity, as exercise has been shown to reduce stress and promote overall well-being. Prioritize self-care activities that bring you joy and help you relax. This can include hobbies, spending time with loved ones, or engaging in activities that help you unwind. Get enough restful sleep, as sleep deprivation can increase cortisol levels and negatively impact testosterone production. Consider incorporating adaptogenic herbs, such as ashwagandha, into your daily routine. These herbs have been shown to help the body adapt to stress and regulate cortisol levels. By implementing these stress-reducing strategies, you can support testosterone production and maintain optimal levels for overall health and well-being. 4. Ensure Sufficient Vitamin D Intake Through Sun Exposure or Supplements Vitamin D is a crucial nutrient that supports various bodily functions, including testosterone production. However, many people are deficient in vitamin D, especially during the winter months or in regions with limited sun exposure. To ensure sufficient vitamin D levels and support testosterone production, consider the following: Spend time outdoors in the sunlight. Aim for at least 15 minutes of direct sunlight exposure on your skin each day. If getting enough sun exposure is challenging, consider taking a vitamin D supplement. Consult with your healthcare provider to determine the appropriate dosage for your needs. Incorporate foods that are rich in vitamin D into your diet. Fatty fish, fortified milk, and dairy products are excellent sources of this vital nutrient. By maintaining adequate vitamin D levels, you can support testosterone production and enjoy the benefits of optimal hormonal balance. 5. Get Quality Sleep and Maintain a Healthy Sleep Schedule Getting enough quality sleep is essential for overall health and well-being, including testosterone production. Inadequate sleep can disrupt hormone levels and contribute to low testosterone. To optimize your sleep and support testosterone production, consider the following: Aim for 7-8 hours of sleep per night. Establish a consistent sleep schedule by going to bed and waking up at the same time each day. Create a sleep-friendly environment by keeping your bedroom dark, quiet, and at a comfortable temperature. Avoid stimulating activities, such as using electronic devices or consuming caffeine, close to bedtime. Practice relaxation techniques before bed, such as reading a book, taking a warm bath, or practicing deep breathing exercises. If you struggle with sleep issues, consider speaking with a healthcare professional who can provide guidance and support. By prioritizing quality sleep and maintaining a healthy sleep schedule, you can optimize testosterone production and support overall health and well-being. 6. Consider Natural Testosterone-Boosting Supplements Like Ashwagandha In addition to lifestyle changes and dietary modifications, natural testosterone-boosting supplements can also support optimal hormone levels. One such supplement is Ashwagandha, an adaptogenic herb that has been used in traditional medicine for centuries. Ashwagandha has been shown to have positive effects on testosterone levels and overall male reproductive health, making it a great option for those looking to improve male fertility and address sexual dysfunction. Consider the following when incorporating Ashwagandha or other natural testosterone boosters into your routine: Consult with a healthcare professional before starting any new supplement to ensure it is safe and appropriate for you. Follow the recommended dosage guidelines provided by the supplement manufacturer. Give the supplement time to take effect. It may take several weeks or months to notice the full benefits. Monitor your body's response and adjust dosage or discontinue use if any adverse effects occur. Warning: Most testosterone boosters do not work. 7. Reduce the Intake of Alcohol and Avoid Estrogen-like Compounds Excessive alcohol consumption can negatively impact testosterone levels. Alcohol can increase the conversion of testosterone into estrogen, leading to hormonal imbalances. To support testosterone production, it is important to reduce alcohol intake and avoid estrogen-like compounds. Consider the following: Limit alcohol consumption to moderate levels. The Centers for Disease Control and Prevention (CDC) defines moderate drinking as up to one drink per day for men. Avoid heavy alcohol consumption, as it can significantly impact testosterone levels and overall health. Be mindful of other sources of estrogen-like compounds, such as certain medications or environmental factors. Minimize exposure to these compounds to support testosterone production. By reducing alcohol intake and avoiding estrogen-like compounds, you can optimize testosterone levels and maintain optimal hormonal balance. 8. Maintain a Healthy Weight and Body Fat Percentage Maintaining a healthy weight and body fat percentage is important for overall health and testosterone production. Excess body fat, especially around the abdomen, can contribute to low testosterone levels. To support testosterone production and maintain a healthy weight, consider the following: Engage in regular exercise that includes both cardiovascular activities and strength training. This can help burn excess body fat and promote muscle growth. Follow a balanced diet that includes whole foods, lean proteins, healthy fats, and complex carbohydrates. Avoid excessive calorie consumption and prioritize nutrient-dense foods. Set realistic weight loss goals if necessary. Gradual and sustainable weight loss can have a positive impact on testosterone levels and overall health. By maintaining a healthy weight and body fat percentage, you can support testosterone production and improve your overall well-being. 9. Incorporate Healthy Fats into Your Diet from Avocados, Nuts, and Seeds Including healthy fats in your diet is important for testosterone production and overall health. Healthy fats are crucial for hormone synthesis and play a role in testosterone production. Consider the following when incorporating healthy fats into your diet: Include foods such as avocados, nuts, and seeds, which are excellent sources of healthy fats. Use olive oil or avocado oil for cooking and dressing salads. Avoid unhealthy fats found in processed and fried foods, as they can have a negative impact on testosterone levels. By incorporating healthy fats into your diet, you can support testosterone production and promote optimal hormonal balance. 10. Stay Hydrated and Avoid Excessive Sugar and Processed Foods Staying hydrated and making mindful food choices can support testosterone production and overall health. Consider the following: Drink plenty of water throughout the day to stay hydrated. Proper hydration is important for optimal bodily functions, including hormone synthesis. Limit your intake of sugary foods and beverages, as excessive sugar consumption can negatively impact testosterone levels and overall health. Minimize your consumption of processed foods, which often contain additives and preservatives that can disrupt hormone balance. By staying hydrated and making healthy food choices, you can support testosterone production and maintain optimal hormonal balance. Understanding the Impact of Testosterone on Health Testosterone plays a crucial role in men's health, impacting various bodily functions. It affects sex drive, muscle strength, bone density, and overall well-being. Low testosterone levels, also known as testosterone deficiency, can lead to a range of symptoms, including decreased sex drive, loss of muscle mass, fatigue, and mood changes. Understanding the impact of testosterone on health, including the symptoms of low testosterone, is important for optimizing hormone levels and maintaining overall well-being. The Role of Testosterone in Male Health and Well-being Testosterone is often referred to as the male sex hormone, but its role goes beyond sexual function. It plays a significant role in male health and well-being, including muscle mass, bone density, red blood cell production, mood regulation, and cognitive function. Maintaining optimal testosterone levels is important for overall health, vitality, and quality of life, making it a crucial aspect of men’s health. By understanding the role of testosterone in male health and well-being, men can prioritize strategies to support testosterone production and maintain optimal hormone levels. How Low Testosterone Affects Physical and Mental Health Low testosterone levels can have a significant impact on both physical and mental health. Physically, low testosterone can lead to decreased muscle mass, increased body fat, reduced bone density, and loss of energy. Mentally, low testosterone can contribute to mood swings, irritability, depression, and reduced cognitive function. It is important to address low testosterone levels and any underlying health conditions, such as through testosterone treatment, to maintain optimal physical and mental health. By implementing natural strategies to boost testosterone levels, men can support their overall well-being and vitality. Test, Don't Guess: How to Get a Testosterone Test Without a Doctor's Visit Getting a testosterone test is crucial for understanding your hormone levels. While a doctor's visit is the traditional route for a testosterone test, there are alternative options available. DiscountedLabs.com sells the most affordable testosterone tests available online without a doctor's visit and at labs near you. Conclusion In conclusion, taking care of your testosterone levels naturally can significantly impact your overall health and well-being. By incorporating simple lifestyle changes like regular exercise, a balanced diet, stress management, and adequate sleep, you can optimize your testosterone levels and enhance your physical and mental vitality. Prioritizing your health through these natural strategies not only boosts testosterone but also contributes to your overall quality of life. Remember, small changes can lead to significant improvements in your hormonal balance and vitality. Start implementing these natural strategies today to elevate your testosterone levels and experience the benefits of a healthier lifestyle. Frequently Asked Questions What Are the Signs of Low Testosterone Levels? Signs of low testosterone levels can vary but may include decreased sex drive, erectile dysfunction, fatigue, reduced muscle mass, and mood changes. If you experience any of these symptoms, it is important to consult with a healthcare professional for proper evaluation and treatment. Can certain foods significantly impact testosterone levels? While no single food can significantly boost testosterone levels, a balanced diet that includes protein, healthy fats, and whole foods can support testosterone production. Including specific nutrients, such as zinc and vitamin D, in your diet can also have a positive impact on testosterone levels. How Long Does It Take to See the Effects of Boosting Testosterone Naturally? The effects of boosting testosterone naturally can vary from person to person. It may take several weeks or months to notice significant changes in testosterone levels and associated effects. Consistency with lifestyle changes and dietary modifications is key to long-term success. Are There Any Risks Associated with Natural Testosterone Boosters? Natural testosterone boosters are generally safe to use as directed. However, it is important to consult with a healthcare professional before starting any new supplement. Some natural testosterone boosters may have potential side effects or interact with certain medications. How Often Should I Engage in Strength Training to Boost Testosterone? To boost testosterone levels, aim for regular strength training sessions. Engaging in strength training exercises 2-3 times per week can help stimulate testosterone production and support muscle health. It is important to allow for adequate rest and recovery between workouts. Can Lifestyle Changes Alone Suffice to Correct Low Testosterone? In some cases, making lifestyle changes alone may be sufficient to correct low testosterone levels. By implementing natural strategies such as exercise, balanced nutrition, stress reduction, and adequate sleep, you can support testosterone production and maintain optimal levels. However, individual circumstances may vary, and it is important to consult with a healthcare professional for personalized recommendations. Is There an Ideal Age to Start Focusing on Boosting Testosterone? There is no specific ideal age to start focusing on boosting testosterone. Hormonal health is important at any age, and adopting healthy lifestyle habits can support testosterone production throughout life. However, men may notice age-related declines in testosterone production as they get older, making it even more crucial to prioritize strategies to maintain optimal hormonal balance. How Does Testosterone Influence Mood and Energy Levels? Testosterone plays a role in mood regulation and energy levels. Optimal testosterone levels are associated with improved mood, increased energy, and a sense of well-being. Low testosterone levels may contribute to mood swings, reduced energy, and fatigue. References 8 Science-Backed Ways to Naturally Increase Testosterone Natural Ways to Boost Testosterone 5 All-Natural Ways to Boost Your Testosterone Ways to Naturally Increase Testosterone Lifestyle Strategies to Help Prevent Natural Age-Related Decline in Testosterone How to Increase Testosterone Levels: Natural Ways Best Testosterone Boosters: Top 10 Testosterone Boosting Supplements