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When we undertake any treatment related to our health, our primary concern is always finding the best treatment available. For the man who suffers from low testosterone, this desire is no different. Unfortunately, as many men can attest, finding a TRT doctor who will treat low testosterone appropriately can often feel like an impossible task. Increasingly, doctors all over the world are becoming more comfortable and more educated on the topic. However, there are still many physicians who view the treatment of low testosterone as unnecessary. In their view, testosterone levels decline as we age; it’s natural, and we should deal with it. Interestingly enough, doctors do not look at other aspects of health in this manner, but testosterone has for years held an odd place in medical culture for numerous reasons we will not delve into today. Right now, we simply want to know how to go about this process, finding the right testosterone replacement therapy (TRT) doctor to meet our needs. Table of Contents Main Questions to Ask a TRT Doctor How long have they been treating patients with low testosterone, and how many are they currently treating? What type of TRT treatment options do you prescribe, injectable, creams, or other options? Do they accept insurance or cash pay only? Do they prescribe HCG along with testosterone, or have it available as an option for treating testicular atrophy or helping to preserve fertility? Blood testing: how often is your doctor going to run lab tests? What are they going to check on the lab report? Do they offer prescriptions for therapeutic phlebotomy for high hematocrit? Do they offer other treatment options, such as erectile dysfunction medications, high blood pressure meds, or other wellness options? One of our most important questions we will need to ask our doctor: do they allow self-injecting at home? TRT Injection protocols: Ask your doctor if prescribing testosterone cypionate or testosterone enanthate, the two most common forms of testosterone prescribed, what their typical injection protocols look like? Does your TRT doctor work with compounding pharmacies or allow you to work with the pharmacy of your choice? Ask your doctor how many times they will require you to come to the office. If it’s more than twice a year, this doctor probably isn’t for you. What’s TRT going to cost me? Find a TRT Doctor here. Main Questions to Ask a TRT Doctor   Once you have found a physician who treats low testosterone through TRT therapy, you’ll find this is merely the first step. The far more important, and sometimes a bit more difficult step is finding a physician that prescribes TRT properly. As the old saying goes, there are many ways to skin a cat, and that’s true with TRT. However, there are also ways to skin the proverbial cat that can be ineffective, problematic, and in some cases, what we might even call disastrous.   Once you’ve found a doctor that will treat TRT, there are several questions you need to ask the physician before moving forward. There is a chance your new physician isn’t going to want to answer some of these questions. Some doctors feel like you’re questioning their wisdom and knowledge and, more or less, want you to sit down, stay quiet, and take what they give you question free. Understand, while your physician does deserve a measure of respect, as all human beings do, he/she also works for you. You’re the one paying the bill. If the physician in question is not willing to answer a few basic questions and discuss things back and forth, you already know it’s time to find someone else.   If your TRT doctor is willing to discuss things before moving forward, here is a good starting point list of questions you’ll want to ask him or her:   How long have they been treating patients with low testosterone, and how many are they currently treating?   The answer to these two questions isn’t necessarily a deal-breaker if they haven’t been doing this for long or haven’t treated too many. What’s most important is that they understand the proper treatment. However, this question may be an early indicator if the numbers are low. Regardless, let’s keep moving forward with our questions.   What type of TRT treatment options do you prescribe, injectable, creams, or other options?   As any experienced doctor, or patient for that matter, will tell you, self-administered injectable testosterone may be the best and most cost-effective way to treat low testosterone. But for men who are not comfortable with injections, testosterone gels/creams may be an option. Other TRT products are pellets, nasal gel, oral, long acting injections, and others.   Do they accept insurance or cash pay only?   If they accept insurance, great, go ahead and take advantage of this if it’s coupled with proper treatment. However, if you find, in your case, you can only receive top of the line treatment on a cash pay basis, you will probably need to veer in that direction should your budget allow it.   Do they prescribe HCG along with testosterone, or have it available as an option for treating testicular atrophy or helping to preserve fertility?   Many men enjoy the added benefits HCG can bring with their overall TRT. Younger patients, in particular, enjoy knowing their ability to conceive will remain greater than without HCG. Unfortunately, many physicians, even those more versed in the basics of testosterone than the average doctor, do not understand the benefits of HCG plus TRT treatment. This could be a red flag, and a new doctor may be in order.   Blood testing: how often is your doctor going to run lab tests? What are they going to check on the lab report?   Beyond the initial test, labs should be run every 6-8 weeks until your levels are stable and in a good range, which may take 3-6 months. A “good range” should be associated with not merely the numbers on paper but how you feel. Make sure to ask your physician if they’ll be checking both total and free testosterone on your lab work. Total testosterone alone is not enough. Make sure you ask your doctor if they will check estradiol levels by ordering the sensitive estradiol test, not the standard estrogen lab report. It is important to mention that the sensitive estradiol test is not available in some countries. The regular estradiol test usually overestimates estradiol by 20% or more due to interferences with inflammation markers. There is still a lot of debate on the need to manage or treat estradiol in men on TRT Your doctor should also be checking hematocrit and red blood cell count. Some physicians like to also check thyroid function since low thyroid (hypothyroidism) can have some of the same symptoms as low testosterone, so bring this up! Keep in mind; if your doctor is open and understanding, they will allow you to order your own labs, which will allow you to ensure you’re getting the exact lab tests you need through avenues such as DiscountedLabs.com   Do they offer prescriptions for therapeutic phlebotomy for high hematocrit?   It’s possible that your blood may become a little too thick with TRT, but it is not an alarming issue if it’s one we correct, and correction is quite simple by going to a blood center and donating blood. If your physician is ordering the correct labs, as discussed above, you will be able to keep an eye on this potential issue and eradicate it easily through phlebotomy if needed.   Do they offer other treatment options, such as erectile dysfunction medications, high blood pressure meds, or other wellness options?   You may or may not need these things, time will tell, but it’s always best if such items are on the table if and when needed.   One of our most important questions we will need to ask our doctor: do they allow self-injecting at home?   If the injection protocol is correct, which will be part of our next question, there is nothing more irritating than going to the doctor every single week, if not multiple times per week. There is no reason your doctor should not allow you to inject yourself at home. If they will not, find a new physician.   TRT Injection protocols: Ask your doctor if prescribing testosterone cypionate or testosterone enanthate, the two most common forms of testosterone prescribed, what their typical injection protocols look like?   If your doctor prescribes injections once every two weeks or more infrequently, ask him or her if you can inject very week or twice per week instead. Some men feel TRT’s effects wearing off by day 12-14 when using every two week injection frequency. Also, if they do not allow you to inject under the skin (subcutaneously) with an insulin syringe instead of older methods of injection, ask him or her why.  New data shows that subcutaneous injections are as effective and deep intramuscular ones, and they are less painful.   Does your TRT doctor work with compounding pharmacies or allow you to work with the pharmacy of your choice?   If your insurance pays for your TRT, then make sure you shop around for the pharmacy that provides the lowest copay if possible.  If you are self-pay (cash basis), compounding pharmacies have lower prices for injectable and transdermal (gel or creams) testosterone products.   A good physician will write your prescription for generic, which will allow you to go to a compound pharmacy and receive the same testosterone you would from a big box brand at a fraction of the price. A good physician probably already has a relationship with a compounding pharmacy, making this all the easier. As an added bonus, you’ll often find the customer service at a compounding pharmacy to be superior to what you’re used to at your local pharmacy.   Ask your doctor how many times they will require you to come to the office. If it’s more than twice a year, this doctor probably isn’t for you.   It’s also important that you know beforehand that the doctor will allow you to see your lab results and that they will be transparent in their discussion with you. If this isn’t the case, go somewhere else.     The final question you’ll need to ask is an important one as each individual’s situation is different:   What’s TRT going to cost me?   How much will the doctor's visit cost, including any follow-up visits? How much will blood work cost, including follow up labs? Finally, how much can I expect to pay monthly for medications, and are there any other fees I need to be aware that may exist?   As you can tell now, preparing yourself for your first TRT doctor visit is important to ensure that you made the right choice and to clearly define expectations and cost.   Visit ExcelMale.com for educational information about TRT treatment options and other men’s health options.   Find a TRT Doctor here.

  If you think you may be a suitable candidate for testosterone replacement therapy, but you're having trouble finding a doctor willing to prescribe it, then you need to read this article. Declining hormones is something everyone will experience as a consequence of aging. For most men, a drop in testosterone known as andropause, won't produce noticeable symptoms until they reach 40 years old. The symptoms of low testosterone can be different in each person and can include, feeling tired more often than not, finding it difficult to burn body fat and build muscle, a loss of interest in sexual activity, having trouble concentrating at work, and finally, poor quality sleep that leaves you feeling unrested. Finding a knowledgeable TRT doctor skilled in prescribing testosterone replacement therapy can be worth its weight in gold because they can personalize a protocol that can help you to manage the symptoms of hormonal decline for a better overall quality of life. Unfortunately, due to the social stigma and media hysteria surrounding testosterone, and anabolic steroids in general, many physicians are reluctant to even discuss this subject with their male patients. With limited options, and not knowing where to turn, many men simply suffer in silence as their health declines. The good news is that there are a growing number of health care providers who are shifting their practice away from sick care and directing it towards wellness management, using tools such as bioidentical replacement hormone therapy. However, even with the power of internet search engines at our disposal, it can still be difficult finding those progressive doctors who are willing to prescribe testosterone to aging male patients. So here are my top tips for finding a good TRT doctor in your local area. Table of Contents Tips for Finding a Good Testosterone Doctor Tip number one Tip number two Tip number three Tips for Finding a Good Testosterone Doctor Tip number one It is to contact local compounding pharmacies. Throughout the 19th century, the majority of medications were the result of compounding by a local pharmacist, which is a precise process of mixing, combining, and altering ingredients to create a medication tailor-made for the individual needs of a patient. Today, most medications are produced by giant pharmaceutical companies and sold through a network of corporate pharmacy chains. Very few independent pharmacists still practice the art and science of compounding medications. But they do exist, and if you can locate a pharmacy in your area that offers compounding, they should be able to provide you with a list of local integrative medicine doctors who practice bioidentical hormone replacement therapy. Tip number two It is to check online bodybuilding and men's health forums. Many of the largest online bodybuilding forums have sections on men's health over 40, with a focus on testosterone replacement therapy. There you can find posts with TRT doctors contact information, as well as doctor reviews and pricing for medical services. One of the best online forums to source this information is excelmale.com. There you'll find excellent resources for men's health, fitness, nutrition, and hormone replacement therapy. Tip number three It is the Life Extension directory of innovative anti-aging doctors. This online directory functions as a search engine, providing worldwide listings of medical professionals who practice anti-aging and integrative medicine using hormones, dietary supplements, and nutritional interventions. Simply select your country, state or province, and a listing of health care practitioners will be displayed with their full contact information. And I'll leave a link to the Life Extension online directory in the description box below. Tip number four It is naturopaths and nurse practitioners. To reduce the burden on health care systems, several states in the United States allow certified naturopaths and nurse practitioners to prescribe bioidentical hormones to patients as part of an integrative wellness program. This is my favorite resource for men in accessing affordable TRT, and it's what I use for my own personal protocol.   Buy a testosterone test on DiscountedLabs.com    

What Are the Symptoms of Low Testosterone (Deficiency)? Hypogonadism is the medical term for a male condition caused by the body not producing sufficient amounts of testosterone. Most people don’t realize that, in addition to sexual desire, testosterone also affects lean body mass, strength, bone density, mental focus, mood, fat loss, and other essential factors in both males and females. Common complaints for men with hypogonadism include lower sexual desire (libido), erectile dysfunction (softer erections or lack of erections), depression, low energy and appetite, changes in body composition (lower lean body mass and higher abdominal fat), lower strength, reductions in body and facial hair, less mental focus, decreased height, and osteoporosis (decrease in bone density). A list shows that normalizing testosterone in people with lower-than-normal levels has dramatic benefits, including increased sexual desire, lean body mass, bone density, strength, mood, motivation, mental focus, and stamina. However, these benefits can be erased if proper monitoring, dose adjustment, and an appropriate choice of testosterone replacement option are not accomplished. Benefits of Normalizing Testosterone Restored sexual desire Improved erectile function Improved mood or sense of wellbeing Increased lean body mass, strength, and stamina Improved bone density Decreased fat mass Determining If You Have Testosterone Deficiency In addition to blood tests and physical examinations, researchers at St. Louis University have also developed a brief screening instrument to aid in diagnosing hypogonadism. Known as the Androgen Deficiency in the Aging Male (ADAM) Questionnaire: Do you have a decrease in sex drive? Do you lack energy? Have you experienced a decrease in strength and endurance? Do you feel shorter? Have you lost height? (Lower bone density can decrease size.) Have you noticed a decreased enjoyment of life? Are you sad and grumpy? Are your erections less strong or gone? Has it been more challenging to maintain your erection throughout sexual intercourse? Are you falling asleep after dinner? Has your work performance deteriorated recently?   Other questions that are usually not asked by doctors but which I’ve found to be important are the following:   Are you relating well to the people around you? • Are you able to pay attention when someone talks to you? • Are you loving your lover or life partner? Are you able to pay attention when someone talks to you? Several of the abovementioned problems can be caused by many other issues unrelated to low testosterone. Depression, anxiety, stress, medications, and sleep disorders can cause nine of those ten symptoms (a decrease in height would be the only item unrelated to bone loss or back surgery). This questionnaire is not a perfect predictor of low testosterone and should not replace tests for testosterone blood levels. The benefit of this questionnaire is that it may encourage some men to seek medical advice.  Then they can get their testosterone checked and have a physical examination to help determine whether they are indeed hypogonadal. Causes of Testosterone Deficiency Hypogonadism is caused when the testicles fail to produce normal levels of testosterone. Testosterone levels are low in one type of hypogonadism, while LH and FSH are elevated. In another, there is not enough secretion of LH and FSH needed to tell the testicles to produce the required testosterone. Some commonly used medications, such as Megace (an appetite stimulant), Nizoral (an anti-fungal agent), Prednisone (an anti-inflammatory corticosteroid), and Tagamet (an antacid), can also lower testosterone production. Illness and aging can cause a decrease in testosterone and an increase in sex hormone-binding globulin (SHBG). Furthermore, high prolactin hormone levels may suggest a pituitary tumor, causing a decline in testosterone production. It is essential that your doctor measure hormones in the HPGA cascade to diagnose what kind of hypogonadism you have. The most common type of hypogonadism presents low testosterone with normal or elevated FSH and LH levels, which indicates that your testicles are not responding to the signals of both LH and FSH. This is what is called primary hypogonadism.   There are several reasons why testosterone levels may be low: SHBG is binding too much free testosterone. This would be especially apparent if a male’s total testosterone level is in the high reference range but his free testosterone (unbound) level is low. As previously mentioned, aging and illness increase SHBG. The pituitary gland, which controls testosterone production through the production of LH, is not secreting enough LH to stimulate the production of testosterone by the testicles. In this case, total testosterone would be low. The hypothalamus is not functioning correctly. LH levels of less than two ng/mL suggest a lesion in this part of the HPGA. The testicles have lost their ability to produce testosterone, despite adequate LH. In this case, the level of LH would be high (greater than ten ng/mL) despite a low testosterone level. Dehydroepiandrosterone (DHEA) levels are abnormally low. DHEA is a hormone produced by the adrenal glands that has many of the same benefits as testosterone. It is also a precursor to testosterone in women. Disease or infection. Street drugs, prescription or over-the-counter medications (more on this later) Lab error. High prolactin levels may indicate the presence of a pituitary tumor that impairs the production of hormones that tell your testicles to produce testosterone (rare condition but worth mentioning!) Defects in genes that affect LH and FSH production. Buy Testosterone Lab Tests on DiscountedLabs.com    

Table of Contents The comprehensive metabolic panel. Liver function tests Kidney function tests BUY THE CMP PANEL HERE Have you ever wondered what the numbers and complicated words on your blood tests mean? In this video, we will talk about the comprehensive metabolic panel, a series of blood tests that assess your body's electrolyte levels and the functioning of vital organs. These organs include the liver, kidneys, and thyroid.  The Comprehensive Metabolic Panel (CMP Blood Test) It is a panel of blood tests serving as an initial broad medical screening tool, including electrolyte levels and functional states of some vital organs. Electrolyte levels. Some examples of electrolytes include sodium, potassium, and chloride. Electrolytes are tightly regulated in your body, and abnormalities in the levels of electrolytes can indicate problems. Liver function tests These tests indicate if your liver is working correctly or if it is inflamed or damaged. The liver filters the blood coming from the digestive tract, detoxifies chemicals, metabolizes drugs, and makes essential proteins. It is vulnerable to the toxic effects of many medications and alcohol. Tests for liver function. These include measuring the levels of total protein and albumin—total protein. The typical range is 6.1 to 8.1 grams per deciliter. Low levels may indicate impaired liver function. Albumin. The normal range is 3.6 to 5.1 grams per deciliter. Low levels may indicate impaired liver function. Tests for liver inflammation or damage. Increased levels of liver enzymes in the blood may indicate that they are being leaked out from damaged liver cells. AST, or aspartate amino transferase. The normal range is 10 to 35 units per liter. ALT, alanine amino transferase. The normal range is 9 to 60 units per liter. Alkaline phosphatase. The normal range is 40 to 115 units per liter.   Kidney function tests These tests tell you if your kidneys are working properly. Kidneys filter the blood to remove waste, control your body's fluid balance, and regulate the balance of electrolytes. They are vulnerable to the toxic effects of many medications. Creatinine serum. The normal range is 0.7 to 1.11 milligrams per deciliter. Creatinine is a breakdown product of creatine, a normal metabolic byproduct. The kidneys remove it from your body so that it can exit through the urine. An increase in blood creatinine indicates kidney disease or damage. BUN, or blood urea nitrogen. The normal range is 7 to 25 milligrams per deciliter. It measures the amount of nitrogen in your blood that comes from the waste product of urea, a breakdown product of proteins. An increase indicates kidney disease or damage. BUN-to-creatinine ratio. This ratio may be used to determine the cause of kidney injury or dehydration. The reference ratio is 8 to 19. GFR, glomerular filtration rate. The desired level is greater than 60 milliliters per minute. A lower rate indicates kidney disease. It is often used to determine kidney failure.   BUY THE CMP PANEL HERE

The glucose tolerance test is one of the best ways to find out if your body is metabolizing blood sugar well. Everything you eat and drink, except water, is eventually transformed into glucose in the body. Glucose is also known as blood sugar level, and it acts as a fuel for the brain. However, having more glucose in the body isn’t necessarily a good thing. The body requires energy to carry out multiple processes and functions. It uses glucose but only needs it in moderate amounts, not too much at once. Problems with blood sugar level appear when there is too much glucose in the bloodstream which facilitates inflammation, infection and the development of diabetes type 2 which is a life-threatening disease. Glucose is processed in the body using insulin which is a hormone secreted by the pancreas. Table of Contents What is insulin? What is insulin resistance? Factors that contribute to insulin resistance Types of diabetes Symptoms of diabetes type 1 and 2 Risk factors for having impaired glucose tolerance or a predisposition to diabetes Glycemic index How is glucose tested? What is a Glucose Tolerance Test (GTT)? How is glucose tested in the lab? What to do after getting the results? How to stabilize and reduce blood sugar levels Tip #1 – Get more fiber into your diet Tip #2 – Take a multivitamin supplement Tip #3 – Eliminate foods which promote inflammation Tip #4 – Find time to relax Tip #5 – Work out more often What to do next? What is insulin? Insulin is a hormone secreted by the pancreas. Its job is to normalize blood sugar levels and reduce the amount of sugar present in the bloodstream. When too much sugar is detected in the blood, the brain sends a signal to the pancreatic cells to start secreting insulin. The insulin hormone “opens up” cells and tissues to absorb glucose (the fuel). This effect makes them function normally and ensure that the blod sugar level is stabilized.   What is insulin resistance? Insulin resistance develops when cells and tissues no longer “open up” to absorb blood sugar. This dysfunction makes people feel relatively lethargic and fatigued. Additionally, since the sugar in the blood is not absorbed, it will simply stay in the bloodstream which is a bad thing. Having too much sugar in the blood can lead to chronic inflammation, fatigue, poor sugar level control and the likelihood of developing type 2 diabetes. Insulin resistance develops over time. This happens as a result of a sedentary lifestyle and unhealthy diet, among other factors.   Factors that contribute to insulin resistance It might take years to develop insulin resistance since this is a gradual process. It is very important to monitor blood sugar levels and prevent insulin resistance which can lead to diabetes type 2 and a poor-quality life. Here are some factors which contribute to insulin resistance: · Not exercising, at least a few times a week – exercise is hands-down one of the best ways to decrease insulin resistance and promote insulin sensitivity which makes cells absorb sugar from the blood · Eating plenty of refined sugars – cookies, candies, chocolate, ice cream are all delicious, but if they are eaten frequently, they significantly increase insulin resistance. Body cells become used to sugar and less susceptible to absorb it from the bloodstream · Being overweight or obese – having too much fat content (particularly in the abdominal area) leads to insulin resistance and a decreased ability to process sugar properly · Acute stress – being under a lot of pressure and having to deal with lots of stress on a daily basis can also lead to the development of insulin resistance. People of an elderly age are more predisposed to develop insulin resistance. However, the quality of the diet and the exercise regimen are primary factors which contribute to insulin resistance. Once cells and tissues become more resistant to insulin, diabetes type 2 can appear. This disease develops slowly over time and requires major lifestyle adjustments to manage it properly.   Types of diabetes There are several types of diabetes, and it is a good idea to learn something about each of them. Diabetes type 1 is also known as juvenile-onset diabetes or insulin-dependent diabetes. People who have this disease produce little to no insulin for reasons not completely understood by science today. Insulin is vital to process sugar into the bloodstream, and if the body doesn’t make it, it has to be injected. This illness can be encountered at all stages of life, but it usually affects children. Patients with type 1 diabetes need to rely on periodic doses of insulin to stay healthy. If insulin is not administered at certain moments, these patients can develop health complications which might result in death. Diabetes type 2 is one of the most common types of diabetes. It is caused particularly by insulin resistance which makes cells “harder” and less predisposed to absorb sugar from the bloodstream. Approximately 90% of all diabetic patients have diabetes type 2. It can appear at any age, and it is usually detected and diagnosed using blood glucose tests. People can live with diabetes, but they need to follow strict dietary guidelines and eat foods with a low glycemic index. Diabetes type 2 can be reversed, but only in rare cases and using special diets for a low period such as the ketogenic diet. At some point in time, if diabetes type 2 condition progresses, patients require oral drugs and additional doses of insulin to survive. This disease can also be managed through a steady fitness regimen and by reducing stress levels.   Symptoms of diabetes type 1 and 2 These medical conditions are not without symptoms, and by paying attention to certain signs the body offers, one can discover the illness earlier on and possibly stop its progress. Here are a few common signs of diabetes type 1 and 2: · Excessive thirst and a dry mouth – the body uses water to dilute excessive sugar in the blood · Excessive fatigue for no real reason – since the sugar doesn’t get into cells and tissues anymore because of insulin resistance, people who have diabetes frequently feel tired and fatigued · Frequent urination – the body tries hard to eliminate excess sugar through urine · Wounds which heal slowly – this happens because diabetes damages nerve endings, making it harder for blood to reach surface wounds and heal them · Blurred vision – similarly, too much sugar can affect nerve endings in the retina which can lead to blurred vision and other eyesight problems People must know that these symptoms should be consistent over time. If one has the symptoms above, he or she should take the glucose test as soon as possible to properly diagnose the health problem.   Risk factors for having impaired glucose tolerance or a predisposition to diabetes There are certain groups of people who are more likely to handle glucose in the bloodstream improperly and develop diabetes type 2 in the future. Here are some of them: · People who have a history of diabetes in the family · People who are older than 50 years are more likely to have impaired glucose tolerance · People who have abnormal cholesterol levels · People who have a lot of fat in the abdominal area as well as visceral fat (fat packed between organs and tissues)   Glycemic index The glycemic index is used to measure how much insulin the body needs to produce to process different types of foods. For example, pure glucose has 100 as a glycemic index (GI) which means that it will generate the highest insulin spike. Broccoli, on the other hand, is a complex carbohydrate with a GI of 15 which is considered to be pretty low. Bananas are somewhere in the middle with a GI of 54. Specialists recommend eating a lot of foods with a low GI because these generate a smaller insulin spike and don’t lead to insulin sensitivity. For example, foods you should eat include: 1. Most types of vegetables and legumes since they have a low GI 2. Brown rice (not white rice since it has a higher GI) 3. Yogurt and whole milk 4. Peanuts, beans, and lentils You should avoid foods like: · Pasta and bread · Baked potatoes · Bagels · Taco shells · Most cookies and candies Monitoring your diet and including more foods with a low glycemic index can reduce the risk of developing insulin resistance.   How is glucose tested? Glucose can be tested very simply using a glucose meter which uses a single drop of blood to determine the amount of sugar in the body. The most common glucose test is performed after a fasting period of 9 to 12 hours by taking a blood sample and running a CMP blood test. The patient refrains from eating food or drinking anything else than water for up to 12 hours . A normal fasting glucose level is less than 100 mg/dL. A glucose level between 100 and 125 mg/dL is considered to be prediabetes. In this case, the patient needs to carefully monitor his or her blood glucose level and try to prevent it from rising. Glucose levels can decrease with diet and exercise. If the glucose level is higher than 125 mg/dL, then the patient has diabetes. This should be confirmed in two separate tests to avoid false diagnosis. The presence of pre-diabetes can also be tested using a special test called a Glucose Tolerance Test for 2 Hours.   What is a Glucose Tolerance Test (GTT)? This test is more thorough, and it can easily discover glucose intolerance, metabolic syndrome, insulin resistance, impaired pancreatic cell function or different other health complications. Its primary role is to determine how the body handles glucose at certain time intervals. Patients begin by eating a balanced meal which includes at least 150 grams of carbohydrate per day for three days before the test. They are not allowed to drink anything but water for these three days, and they should discontinue nonessential medication which might interfere with the test results. Patients shouldn’t eat anything for at least 8 to 14 hours before the test, and they are allowed to drink water only. Similarly, patients shouldn’t do high-intensity physical exercise for at least 12 hours before the test. They are not allowed to smoke or drink coffee either. If water is consumed, it should be plain water, not flavored water.   How is glucose tested in the lab? When the patient arrives at the doctor’s clinic, a simple fasting blood glucose test is performed. This measurement requires taking a small blood sample using a glucose device and find out the blood sugar levels. The glucose meter gently penetrates the skin of a finger to let a drop of blood pop out. The device immediately measures the glucose level in the blood. Many people are scared that they will feel pain when the glucose meter reaches for a blood sample, but they shouldn’t be worried. The process is painless, and it is over in less than one second. The second test involves drinking a sugary beverage which contains 50 or 75 grams of sugar. This quickly increases blood sugar levels and determines an insulin spike. The way the body handles this test is an important indicator of sugar levels in the bloodstream and how the body reacts. It is a more thorough and accurate test which offers better results. The glucose drink should be consumed quickly, and the patient needs to wait for approximately 2 hours before taking the test again. During this time, the patient is allowed to talk, read or listen to music. These are relaxing activities which let the body process sugar optimally. After 2 hours, a blood glucose test is performed again. This time, the sugar levels will be higher which is normal. However, if they are excessively high, this might indicate a predisposition to diabetes or a confirmed diagnosis of diabetes. After drinking the glucose beverage and waiting for 2 hours, normal glucose blood levels should be below 140 mg/dL. Levels between 140 mg/dL and 200 mg/dL indicate impaired glucose tolerance. Levels above 200 mg/dL indicate diabetes.   What to do after getting the results? Changes in lifestyle should be performed according to the test results. For example, if the fasting glucose levels as well as the ones after drinking a sugary beverage fall in the normal category then it means that the patient has a healthy lifestyle and he or she should continue it. If the glucose levels fall in the “impaired glucose tolerance” then the patient needs to make certain lifestyle changes to prevent getting diabetes at some point in the future. Some of these changes include: · Exercising more often · Giving up on sugary foods and drinks or at least reducing their intake – this includes candies, sweets, sodas and alcohol · Reducing stress levels – the patient might want to try yoga, meditation, breathing exercises, taking a vacation, etc If the tested glucose levels indicate diabetes, then the patient needs to work with his or her healthcare provider to find out appropriate treatment options. Certain diets might be prescribed which include foods that have a low glycemic index, so the blood sugar levels don’t rise too often. Certain foods and drinks should be eliminated from diets altogether such as sodas, chocolate, candies, ice cream, and white rice. It is possible to live with diabetes and even reverse it using special diets, but patients need to be disciplined and follow the advice given by the healthcare provider.   How to stabilize and reduce blood sugar levels Getting more exercise and eating healthier foods is a great way to normalize sugar in the bloodstream, but many people are still confused about what does this mean. It's important to take a closer look at the actual habits one can develop to prevent diabetes altogether and normalize sugar levels. Here are some important tips to remember:   Tip #1 – Get more fiber into your diet Fiber is seriously underrated. It basically consists of chunks of food which are not processed by the body, so they are eliminated as a whole. The good thing is that fiber gathers up plenty of toxins and unwanted substances from the gut and takes them out during the excretion process. People who have relatively solid stools (which is a good thing) eat a lot of fiber and enjoy healthier guts and a better lifestyle. Fiber also gives a great sensation of satiety, so one is less likely to overeat if he or she consumes a lot of fiber. Back in the days, humans relied mostly on foods taken from the ground or trees, so their fiber intake would amount to approximately 100 grams per day. Unfortunately, nowadays most people get around 15 grams of fiber per day or less. This is a bad thing because if the body doesn’t have enough fiber, stools become loose and hunger pangs appear throughout the day. Fiber also plays a vital role in metabolizing sugar, and it can be as effective as diabetes medication for certain people. Increasing the fiber intake might make patients give up on diabetes medication altogether. Fiber can be easily found in fruit, vegetables, seeds, whole grains, and complex carbs.   Tip #2 – Take a multivitamin supplement It is nearly impossible to take all the required vitamins and minerals from food only, and that’s why it is highly recommended for anyone to get a multivitamin supplement. Certain nutrient deficiencies such as a lack of vitamin D or a lack of chromium and magnesium can make the sugar levels imbalanced in the bloodstream. These vitamins and minerals are essential for key metabolic processes, and without them, one can become more predisposed to insulin resistance which can lead to diabetes type 2 in the future. Each health conscious person should make a habit of taking more vitamins such as getting a vitamin D supplement. Alpha-linoleic acid, a type of acid similar to omega-3 fatty acids, is also required to maintain normal blood sugar levels and it can be taken as a supplement.   Tip #3 – Eliminate foods which promote inflammation There are certain types of foods which can do more harm than good to the human body. Some of these foods include refined sugars and processed vegetable oils. The bad thing about these foods is that they promote inflammation by activating inflammatory genes. This activation can lead to chronic inflammation in the body which affects cells, tissues and organs. Chronic inflammation also leads to poor insulin sensitivity which translates to insulin resistance and diabetes type 2 at some point in the future. One should try to limit processed oils and refined sugars as much as possible to minimize the chances of having high sugar levels in the bloodstream.   Tip #4 – Find time to relax Stress is an important factor when it comes to insulin resistance. Most people live stressful lives when they have to juggle numerous responsibilities daily, meet deadlines or work under pressure. The human body is not ready to cope with high amounts of stress which basically consists of the hormone cortisol secreted by the adrenal glands in huge quantities. The key to manage stress is to make a habit to relax and take breaks from work every day. For example, one can do breathing exercises, go for a walk in the park, watch a movie, play a game, do yoga and even take a vacation. By reducing stress levels, one doesn't only live a happy and more productive life, but he or she also has fewer chances of developing insulin resistance.   Tip #5 – Work out more often A sedentary lifestyle is one of the worst habits one can have. Lack of exercise drastically increases the likelihood of developing insulin resistance at some point in the future. The human body performs at its best when it engages in physical exercises on a regular basis. This doesn’t mean that one should immediately go to the gym today, but make a conscious effort to move more often throughout the day. For example, taking a 20-minute stroll once in a while can have major positive benefits for health, improving the cardiovascular system and insulin sensitivity. Going for a run is also highly beneficial as well as practicing yoga or engaging in HIIT (high-intensity interval training). The point is to move the body a few minutes each day and slowly build up to a healthy habit of being more fitness-conscious. This can lead to a healthier lifestyle and a healthier mind.   What to do next? The next step is to order the 2H glucose tolerance test today and take action. This test is inexpensive and provides the perfect way to know more about your health with a minimal financial investment.   Buy a GTT test  

What are the common symptoms of gynecomastia? Common symptoms of gynecomastia include breast swelling and tenderness, nipple discharge, and breast enlargement. It is important to note that gynecomastia may occur on one or both sides of the chest and can affect males of all ages, from infants to older adults. What is Gynecomastia and How to Diagnose it   Gynecomastia is a benign enlargement of the male breast resulting from a growth of the glandular tissue of the breast, known as male breast tissue. It is defined clinically by the presence of a rubbery or firm mass extending concentrically from the nipples. At least 30% of males, including older men, will be affected during their life. Since it causes anxiety, psychosocial discomfort, and fear of breast cancer, early diagnostic evaluation of male breast tissue enlargement is important, and patients usually seek medical attention. Evaluation of gynecomastia must include a detailed medical history, clinical examination, specific blood tests, imaging, and tissue sampling. Individual treatment requirements can range from simple reassurance to medical treatment or even surgery. Men who start experiencing this problem complain of pain and tenderness around the nipple area. Gynecomastia was reported to cause an imbalance between estrogen and androgen action or an increased estrogen to androgen ratio, due to increased estrogen production, decreased androgen production or both, which can lead to a decrease in the level of testosterone compared with the level of estrogen. As men get older, they produce less testosterone. Older men also tend to have more body fat, and this can cause more oestrogen to be produced. These changes in hormone levels can lead to excess breast tissue growth. Androgens include testosterone and DHT. High estradiol in the presence of low testosterone and DHT, growth hormone (IGF-1 is a metabolite), and a genetic predisposition to gynecomastia can increase the size of breast tissue in men. Additionally, the lowered testosterone can cause the breast glands to enlarge and the weight gain means fatty tissue accumulates under the breast, leaving the man with a larger quantity of glandular tissue and more fat in the breast. As fat cells are estrogenic, this additional fat can further disrupt the balance between testosterone and estrogen. Gynecomastia Causes Physiological gynecomastia, also known as physiologic gynecomastia, is common in pubertal boys and appears to be associated with increased hormone levels of insulin-like growth factor-1 (IGF-1) and pubertal growth, but not with a shift in the balance between estrogen and testosterone, a new study suggests. Study authors noted that IGF-1 together with estrogen is essential for the growth of breast tissue, and it appears that the effect of growth hormone on breast growth is mediated through IGF-1. "The stimulatory effect of IGF-1 on breast formation was synergized by estradiol, which was also elevated in boys with physiologic gynecomastia in our study. However, serum testosterone was similarly elevated, leaving the estradiol/testosterone ratio unaltered." Prolactin, another anterior pituitary hormone integral to breast development, is not only secreted by the pituitary gland but may also be produced by normal mammary tissue epithelial cells and breast tumors (14, 15). Testosterone converts into estradiol, DHT, and other metabolites. Men with higher amounts of the enzyme aromatase usually have this problem even at lower doses of testosterone. The growth of this glandular tissue is also influenced by a higher fat percentage, older age, excessive alcohol intake, and the use of certain medications. Gynecomastia rarely occurs in men using testosterone replacement since testosterone to estradiol ratios are improved. Estrogen levels that are too high or are out of balance with testosterone levels can cause liver disease and gynecomastia. In several studies on testosterone replacement, only a very small percentage of people receiving testosterone experience growth of breast tissue. In one HIV-specific study conducted by Dr. Judith Rabkin in New York, she reported that out of 150 men enrolled in the study, two men experienced this adverse reaction. Dihydrotestosterone (DHT) is a natural metabolite of testosterone that has antiestrogen activity and cannot be converted into estradiol at the tissue level. Systemic or locally administered DHT has been successfully prescribed for the treatment of patients with idiopathic and estrogen-induced gynecomastia. Gynecomastia is also seen in men with androgen resistance with low testosterone production and DHT, where unfettered estrogen can stimulate subsequent breast development. However, in men with normal androgen receptor activity, estradiol is unable to stimulate breast development. This is thought to be due to an imbalance between the inhibitory and stimulatory effect of these hormones. Gynecomastia may be caused by abnormal hormone changes, any condition that leads to an increase in the ratio of estrogens/androgens such as liver disease, kidney failure, thyroid disease, and some non-breast tumors. Certain health conditions, like hypogonadism, can either cause or be linked with gynecomastia. Click: Buy gynecomastia blood test panel   Gynecomastia Symptoms Gynecomastia is a condition that causes the breast tissue in males to swell and become larger than usual. The primary symptom of gynecomastia is noticeable breast enlargement in men, which can be unilateral or bilateral. Other symptoms include tenderness or pain around the nipple area, swelling or lumps in the breast tissue, and changes in breast shape or texture. In some cases, one of the gynecomastia symptoms may also be the discharge from the nipples. If you experience any of these symptoms, it's essential to consult with a doctor to determine the underlying cause and explore treatment options. Medications and Products That Can Cause Gynecomastia Some medications have been reported in the medical literature to cause gynecomastia due to decreases in testosterone, increases in estradiol, or both. These include: · Antiandrogens.  · HIV medications.  · Anti-anxiety medications. · Tricyclic antidepressants.  · Glucocorticoid steroids. · Antibiotics. · Ulcer medication such as cimetidine . · Cancer treatment (chemotherapy). · Heart medications such as digitalis and calcium channel blockers. · Anabolic steroids · Soy and flaxseed · Exposure to pesticides and byproducts of plastic processing has also been linked to increased estrogen and decreased sperm count in men. If the cases of gynecomastia are drug-induced, gynecomastia symptoms like decreased tenderness and softening of the glandular tissue will usually be apparent within one month after discontinuation of the drug. However, if the cases of gynecomastia have been present for more than one year, it is unlikely to regress substantially, either spontaneously or with medical therapy, because of the presence of fibrosis. In such circumstances, surgical subcutaneous mastectomy, ultrasound-assisted liposuction, and suction-assisted lipectomy, including gynecomastia surgery options like liposuction, are the best options for cosmetic improvement, as described in several case series. If symptoms persist after two years or past 17 years of age, further evaluation is indicated. During the rapid, proliferative phase, manifested clinically as breast pain and tenderness, medical therapy may be attempted. Most studies of drugs -- including testosterone (in patients without hypogonadism), have been uncontrolled and thus difficult to interpret because gynecomastia may resolve spontaneously. The few randomized, double-blind, placebo-controlled trials generally have been limited by small samples and do not disclose the potential side effects. Gynecomastia Treatments: Although not approved for the treatment of gynecomastia, the selective estrogen-receptor modulator tamoxifen, administered orally at a dose of 20 mg daily for up to 3 months, has been shown to be effective in randomized and nonrandomized trials, resulting in partial regression of gynecomastia symptoms in approximately 80% of patients and complete regression in about 60%. Patients in whom tamoxifen is effective usually experience a decrease in pain and tenderness within one month. In a retrospective analysis of a series of patients with idiopathic gynecomastia, 78% of patients treated with tamoxifen had complete resolution of gynecomastia, as compared with only 40% of patients receiving danazol. In case series describing the use of tamoxifen for this condition in more than 225 patients, adverse events were uncommon but can include body aches, low sex drive, and fatigue. In a double-blind study of 282 men randomized to receive 20 mg of tamoxifen once per day with bicalutamide or bicalutamide alone found that after six months, gynecomastia and breast pain were significantly reduced in men who received tamoxifen (88 versus 96 percent in the control group). The aromatase inhibitor anastrozole was not shown to be more effective than placebo in a randomized, double-blind, placebo-controlled trial in boys with pubertal gynecomastia. Although in an uncontrolled study of 10 patients with pubertal gynecomastia, the selective estrogen-receptor modulator raloxifene was shown to result in more than a 50% decrease in the size of the gynecomastia in the majority of the boys, there are insufficient data to recommend its use at this time. Lowering the testosterone dose had not proven helpful for the two patients in Dr. Rabkin's study. The use of antiestrogens, such as tamoxifen 10 mg twice daily, with lower doses of testosterone have been effective. Some physicians prescribe low dose aromatase inhibitors for men with early-onset gynecomastia. Gynecomastia can become permanent if the condition lasts very long although it may reduce in size when the androgen use is discontinued. In rare cases, surgical correction may be necessary in severe cases. For men who experience enlarged breast size, doctors usually check estradiol levels to determine whether too much testosterone is being converted into estrogen. However, physicians usually forget that other hormone metabolites like DHT and IGF-1 may be involved in the development of gynecomastia, so they do not include these tests in the diagnostics panel. In order to properly diagnose gynecomastia, your healthcare provider will take your past health and medicine history and give you a physical exam. A blood test may also be recommended to check hormone levels. In some cases, a biopsy may be performed to examine the breast tissue for cancer cells, especially if there are any breast abnormalities detected during a mammogram. Warning: Bringing estrogen down to very low levels could cause health problems in men in the long run. Hair/skin quality and health, brain function, bone density, lipids, sexual function, and other important factors may be greatly influenced by estrogen. More information about estradiol and gynecomastia. Bibliography: Braunstein, G. D., M.D. (2007). Gynecomastia. The New England Journal of Medicine, 357(12), 1229-123712 Schulster M, Bernie AM, Ramasamy R. The role of estradiol in male reproductive function. Asian J Androl 2016;18:435-4034

What is Vitamin D and Why is it Important? Vitamin D is crucial for our health, particularly for strong bones and muscles. It helps our body absorb calcium and phosphorus from food, which are vital for bone health. Lack of vitamin D can lead to bone diseases like rickets in children, osteomalacia (softening of bones), and osteoporosis (brittle bones) in adults. Researchers are also exploring its role in preventing other health issues like infections, autoimmune diseases, heart disease, and even cancer. On the flip side, too much vitamin D can cause problems like high calcium levels, which might result in kidney stones. How Do We Get Vitamin D? There are two main types of vitamin D: D3 (cholecalciferol) and D2 (ergocalciferol). When exposed to sunlight, our skin produces vitamin D3, and it is also present in some foods and supplements. Vitamin D2 comes from some foods and is available as a high-dose prescription medicine in the U.S. Both forms are converted in the body into active substances that our body can use. Testing for Vitamin D Levels Doctors use a test called "Vitamin D, 25-Hydroxy, LC/MS/MS" to measure vitamin D levels in the body. This test is essential to check if someone has too little or too much vitamin D. It's particularly useful for people who might not get enough vitamin D, like the elderly, those with dark skin, or people living with certain medical conditions. How Does the Test Work? The test uses a technique called liquid chromatography and tandem mass spectrometry (LC/MS/MS). This method is very accurate and can separately measure the levels of vitamin D2 and D3 in the blood. The combined levels of these forms indicate the total vitamin D level in the body. This helps doctors diagnose vitamin D deficiency, monitor how well vitamin D supplements are working, and check for vitamin D toxicity. Who Should Get Tested? People with symptoms that might indicate a vitamin D deficiency, like persistent muscle or bone pain. Those at a higher risk of deficiency, such as older adults, people with limited sun exposure, or those with certain medical conditions. Individuals taking vitamin D supplements. People with unexplained high calcium levels, which could be due to vitamin D toxicity. Interpreting the Test Results Total vitamin D levels less than 20 ng/mL might suggest a deficiency. Levels between 20 and 30 ng/mL could indicate insufficient vitamin D. Over 30 ng/mL is generally considered sufficient, but opinions vary on the upper safe limit. Conclusion Vitamin D is essential for bone health and possibly for preventing other health problems. The Vitamin D, 25-Hydroxy, LC/MS/MS test is a reliable way to measure vitamin D levels and ensure they are within a healthy range. It's particularly important for those at risk of deficiency or who are taking supplements to manage their vitamin D levels carefully. References Ross AC, Manson JE, Abrams SA, et al. J Clin Endocrinol Metab. 2011;96:53-58. Holick MF. N Engl J Med. 2007;357:266-281. Cranney A, Horsley T, O’Donnell S, et al. http://www.ncbi.nlm.nih.gov/books/NBK38416. Vieth R. Am J Clin Nutr. 1999;69:842-856. Watts NB, Bilezikian JP, Camacho PM, et al. Endocr Pract. 2010;16(Suppl 3):1-37. Maunsell Z, Wright DJ, Rainbow SJ. Clin Chem. 2005;51:1683-1690. Glendenning P, Taranto M, Noble JM, et al. Ann Clin Biochem. 2006;43:23-30. Herrmann M, Harwood T, Gaston-Parry O, et al. Steroids. 2010;75:1106-1112.

Understanding the ApoB test is crucial for those interested in health and wellness. This diagnostic tool, often overlooked, provides valuable insights into one's cardiovascular risk profile. The ApoB test measures levels of a specific protein called apolipoprotein B-100, which is integral to lipid metabolism. It also helps identify harmful cholesterol-carrying particles that traditional lipid panel tests may miss. In this blog post, we'll delve deeper into interpreting your ApoB test results and how high ApoB levels relate to cardiovascular risks. We will also discuss lifestyle modifications you can adopt to lower your apoB levels. We aim to empower our readers with knowledge about maintaining a healthy weight for improved cardiac health and provide access to discounted labs for testing purposes. Table of Contents: Understanding the ApoB Test Role of Apolipoprotein B-100 in Lipid Metabolism Association Between ApoB and Bad Cholesterol Why You Need an ApoB Test for Accurate Cardiovascular Risk Assessment How the ApoB Test Differs from Traditional Lipid Panel Tests Why Focusing on Harmful Particles Carrying Cholesterol is Significant Decoding Your Apo-B Test Results The Factors That Affect ApoB Levels How High ApoB Levels Relate to Cardiovascular Risks Lifestyle Modifications to Lower Your ApoB Levels Healthy Eating Habits That Lower ApoB Levels Physical Activities Beneficial for Lowering Your ApoB Level Maintaining a Healthy Weight for Improved Cardiac Health Why is a Healthy Weight Important for Heart Health? What Foods Should You Eat for a Healthy Heart? What Exercises are Good for Heart Health? Accessing the Diagnostic Tool at DiscountedLabs.com Why is the ApoB Test Important? How to Lower Your ApoB Levels Conclusion Why Knowing Your Personal Health Status is Key to Preventing Chronic Illnesses Prevent Chronic Illnesses with These Simple Steps: FAQs in Relation to Apo-B Test What is the ApoB test and why is it important? What is a normal ApoB range? How can I naturally lower my ApoB? Is high ApoB a risk factor for heart disease? Conclusion Understanding the ApoB Test The ApoB test is a vital diagnostic tool that gauges the level of apolipoprotein B-100 in your blood. This protein acts like a taxi service for lipids, but only gives rides to bad cholesterol (LDL). So, if you have high levels of apoB, you may be at a higher risk for heart disease. Role of Apolipoprotein B-100 in Lipid Metabolism Apolipoprotein B-100 is one of many proteins involved in transporting fats around your body. High levels of LDL cholesterol, which is transported by apoB-100, can accumulate on artery walls and increase the danger of heart disease. Association Between ApoB and Bad Cholesterol The relationship between apoB and LDL cholesterol is crucial because each LDL particle contains one molecule of apoB. Therefore, measuring apoB levels can give us insight into how many potentially harmful particles are circulating within our bloodstream. In essence, understanding the workings of the Apo-B test helps you comprehend why maintaining healthy cholesterol levels isn't just about reducing total amounts but also focusing on decreasing 'bad' or LDL cholesterols associated with higher cardiovascular risks. Medical advice or specific health recommendations. Sample Tweet: "Stay on top of your heart health with the Apo-B test. It measures levels of bad cholesterol in your blood, giving insight into potential risks for heart disease. #cholesterol #hearthealth #ApoBtest" Click to Tweet Why You Need an ApoB Test for Accurate Cardiovascular Risk Assessment How the ApoB Test Differs from Traditional Lipid Panel Tests Conventional cholesterol tests measure total cholesterol levels, but they don't give an accurate picture of the number of harmful particles carrying this cholesterol through your bloodstream. The Apo B test fills this gap by focusing on these dangerous particles, known as low-density lipoproteins (LDL). Why Focusing on Harmful Particles Carrying Cholesterol is Significant High levels of LDL, often called 'bad' cholesterol, can put you at a greater risk for cardiovascular diseases such as heart attack or stroke. By measuring apolipoprotein B-100, which only binds to LDL molecules, the Apo B test provides a clearer understanding of your cardiovascular health status. Regular check-ups with DiscountedLabs.com's affordable lab testing services can help you monitor your apoB levels and take proactive steps towards better heart health if necessary. This innovative approach emphasizes prevention over cure - empowering individuals to understand their potential risks associated with high concentrations of bad cholesterol without needing to visit a doctor's office or hospital setting. Medical diagnosis or treatment recommendations. Sample Tweet: Take control of your heart health with the Apo-B test from Discounted Labs. Get accurate risk assessment without a doctor's visit. #HeartHealth #ApoBTest Click to Tweet Decoding Your ApoB Test Results So, you've taken the Apo B test and are eagerly waiting for your results. Once you get them, the values of your Apo B test results will range from 20 to 400 mg/dL depending on factors like diet and exercise. These numbers depend on various factors like your diet and exercise habits. The Factors That Affect ApoB Levels Your lifestyle choices play a significant role in determining your ApoB levels. Unhealthy eating habits or lack of physical activity could potentially increase these levels. On the other hand, adopting healthier routines can help lower them. How High ApoB Levels Relate to Cardiovascular Risks ApoB-100 at a heightened degree has been linked to an augmented chance of heart illness. This is because it's this protein that carries LDL cholesterol - often referred to as 'bad' cholesterol - around your body. If there are too many LDL particles (and thus too much ApoB), they can stick to the walls of your arteries and form plaques, leading to heart diseases like atherosclerosis. In essence, understanding what these numbers mean could be critical for making lifestyle modifications or starting treatments aimed at preventing cardiovascular diseases. So, take care of your heart, and it will take care of you. Here's a tweet that is less than 225 characters: Don't let high ApoB levels increase your risk of heart disease. Learn how lifestyle choices affect this protein and take control of your health with Discounted Labs' affordable Apo-B test. #HeartHealth #ApoBTest #DiscountedLabs Click to Tweet Lifestyle Modifications to Lower Your ApoB Levels Keeping an eye on your biomarkers, like apoB, is crucial, especially if you've made significant lifestyle changes. Adopting healthier eating habits and increasing physical activity levels can have a profound impact on lowering your apoB levels and reducing the risk of heart attack or stroke. Healthy Eating Habits That Lower ApoB Levels A diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can help lower apolipoprotein B (apoB) levels. Soluble fiber-rich foods such as oats, beans, and lentils can help reduce apoB levels by binding to cholesterol in the digestive system and preventing its absorption. Check out this list of foods high in soluble fiber to add to your diet. Physical Activities Beneficial for Lowering Your ApoB Level Incorporating regular exercise into your routine also plays an important role in maintaining optimal apoB levels. Aerobic exercises like walking, running, or cycling not only burn calories but also improve cardiovascular health by reducing LDL (bad) cholesterol while raising HDL (good) cholesterol. Adult should aim for at least 150 minutes of moderate-intensity aerobic activity per week, as recommended by the American Heart Association. Learn more about how exercise affects your cholesterol here. Sample Tweet: Take control of your heart health by adopting healthy eating habits and regular exercise to lower your apoB levels. Learn more about how lifestyle changes can reduce the risk of heart attack or stroke. #healthylifestyle #hearthealth Click to Tweet Maintaining a Healthy Weight for Improved Cardiac Health Maintaining a desirable body weight is essential for proper cardiovascular health, just as much as keeping an eye on biomarkers such as Apo-B. Excess body fat can raise the risk of heart disease by causing elevated levels of bad cholesterol and triglycerides in the blood. A balanced diet and regular exercise are key components of weight management. Consuming foods packed with nutrients like fruits, veggies, lean proteins, whole grains and healthy fats can help keep weight in check while lowering Apo-B levels. On the other hand, physical activities such as walking, jogging, or swimming not only aid in burning calories but also improve overall heart health by lowering blood pressure and cholesterol levels. In some cases where dietary adjustments aren't enough alone to lower Apo-B levels or manage body weight effectively, medications might be necessary. Before starting any new medication regimen, it's essential to consult with a healthcare provider. DiscountedLabs.com offers affordable lab tests, including the Apo B test, which could provide valuable insights into your lipid profile, helping guide lifestyle modifications towards improved cardiac health without needing a doctor's visit. So why wait? Start taking control of your heart health today. Why is a Healthy Weight Important for Heart Health? Excess body weight can lead to a host of health problems, including high blood pressure, diabetes, and sleep apnea, all of which can increase the risk of heart disease. Maintaining a balanced weight can help minimize the potential for heart-related health issues and optimize cardiac wellness. What Foods Should You Eat for a Healthy Heart? Eating a diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can help reduce the risk of heart disease. Foods like salmon, nuts, and avocados are high in healthy fats that can help lower bad cholesterol levels. What Exercises are Good for Heart Health? For optimal heart health, engaging in activities such as walking, jogging, swimming and cycling can be beneficial for strengthening the heart muscle and reducing blood pressure and cholesterol levels. These exercises help strengthen the heart muscle, lower blood pressure, and improve cholesterol levels. Key Takeaway:  Maintaining a healthy weight is crucial for improved cardiac health, and excess body fat can lead to higher levels of bad cholesterol and triglycerides in the blood. A balanced diet consisting of nutrient-dense foods like fruits, vegetables, lean proteins, whole grains, and healthy fats combined with regular exercise such as walking or swimming can help manage weight effectively while reducing Apo-B levels. If necessary, medications may be required but should only be taken after consulting with a healthcare provider. DiscountedLabs.com offers affordable lab tests like the Apo B test that could provide valuable insights into your lipid profile without needing a doctor's visit. Accessing the Diagnostic Tool at DiscountedLabs.com Preventive healthcare is all the rage these days, and knowing your cholesterol levels is a crucial part of it. Luckily, you don't have to visit a doctor's office or hospital to get this information. DiscountedLabs.com offers easy access to important diagnostic tools like the Apo-B test. The process is simple and convenient. Order your test online, visit a local lab for sample collection at your convenience, and receive results quickly - no hidden fees. No hidden fees - what you see on their website is exactly what you pay. This approach not only saves time but also promotes a more proactive stance towards health management. With direct-to-consumer lab testing, individuals can monitor their potential risks related to high concentrations of bad cholesterol (apo-B). It offers people the chance to obtain data about their wellbeing, which they can use to make wise choices regarding changes in lifestyle or treatments if needed. DiscountedLabs' Cholesterol Tests, including the Apo-B test, are available in most cities across the U.S., making it an accessible option for many who wish to take control of their heart health. Why is the Apo-B Test Important? The Apo-B test is a more accurate indicator of heart disease risk than traditional cholesterol tests. The Apo-B test assesses the amount of LDL particles, which are associated with an increased risk for heart disease due to their ability to block arteries. By knowing your Apo-B levels, you can take steps to reduce your risk of heart disease and live a healthier life. How to Lower Your Apo-B Levels If your Apo-B levels are high, there are several lifestyle changes you can make to lower them. These include: Eating a heart-healthy diet Exercising regularly Losing weight if you're overweight or obese Quitting smoking If lifestyle changes aren't enough, your doctor may recommend medication to help lower your Apo-B levels. Conclusion Knowing your Apo-B levels is an important part of preventive healthcare. With DiscountedLabs.com, you can easily access the Apo-B test and take control of your heart health. So what are you waiting for? Order your test today. Key Takeaway:  DiscountedLabs.com offers easy access to the Apo-B test, which is a more accurate indicator of heart disease risk than traditional cholesterol tests. Knowing your Apo-B levels can help you take steps to reduce your risk of heart disease through lifestyle changes or medication if necessary. Why Knowing Your Personal Health Status is Key to Preventing Chronic Illnesses In today's fast-paced world, staying informed about your health is crucial. It's like having a secret weapon against chronic illnesses like heart disease, diabetes, and cancer. By understanding your body's unique needs and potential risks, you can take proactive steps towards maintaining optimal health. Regular screenings are essential for early detection of diseases. The Centers for Disease Control and Prevention (CDC) recommends them to provide valuable insights into your current state of health. They also allow healthcare professionals to recommend necessary lifestyle changes or treatments. For instance, the Apo-B test offered by DiscountedLabs.com provides an accurate assessment of cardiovascular risk by measuring levels of bad cholesterol in the blood. Regular monitoring with this diagnostic tool could potentially save lives by identifying high-risk individuals before they develop serious complications. Prevent Chronic Illnesses with These Simple Steps: Eat a balanced diet rich in fruits, vegetables, and lean proteins Stay active with regular physical activity Avoid tobacco use and limit alcohol consumption Manage stress through mindfulness practices like meditation or yoga Don't wait until it's too late to take charge of your personal health. Get tested today and start preventing chronic illnesses. Tweet: Stay ahead of chronic illnesses with regular health screenings. The Apo-B test from Discounted Labs accurately measures bad cholesterol levels, providing valuable insights into your cardiovascular risk. #healthylifestyle #preventioniskey Click to Tweet FAQs in Relation to Apo-B Test What is the ApoB test and why is it important? The ApoB test measures the amount of a protein that carries bad cholesterol throughout your body, which is crucial for assessing cardiovascular risk. What is a normal ApoB range? Normal levels for an Apo-B test typically fall between 40 to 130 mg/dL, but optimal levels may vary based on individual health factors and should be discussed with a healthcare provider. How can I naturally lower my ApoB? Lowering ApoB naturally involves adopting healthy lifestyle changes such as maintaining a balanced diet, regular exercise, weight management, and avoiding tobacco use. Is high ApoB a risk factor for heart disease? Yes, high levels of ApoB are associated with an increased risk of developing heart disease due to higher amounts of harmful cholesterol-carrying particles circulating in your bloodstream. Conclusion The Apo-B test is a valuable tool for assessing cardiovascular risk, providing more accurate information than traditional lipid panel tests by measuring harmful particles carrying cholesterol. Interpreting your results and making lifestyle modifications can help lower apoB levels and improve cardiac health while maintaining a healthy weight is also important in preventing chronic illness. Understanding the role of apolipoprotein B-100 in lipid metabolism and its association with bad cholesterol can aid in comprehending the significance of this test, as harmful particles carrying cholesterol contribute to cardiovascular risks. Therefore, taking steps towards improving our health by interpreting our Apo-B test results correctly, making necessary lifestyle changes such as adopting healthy eating habits, and engaging in physical activities that lower apoB levels are essential to maintain optimal heart function throughout life.

Embarking on the path of Testosterone Replacement Therapy (TRT) often evokes a blend of enthusiasm and concern among men. The allure of renewed vigor, heightened sexual desire, and robust muscle growth is enticing. However, there are a lot of less well-known aspects that your healthcare provider might not immediately disclose. For instance, were you aware that TRT could affect your fertility or exacerbate your sleep apnea? While TRT heralds a new dawn for many, it doesn’t offer a universal remedy. In light of this, we have meticulously curated a comprehensive list of 18 pivotal aspects that might elude your doctor's attention but are indispensable for you to grasp. Venture further to unearth the profundities of TRT. Low Blood Levels of Testosterone and Associated Risks: < 450 ng/dl (15.3 nmol/l) - Risk of metabolic syndrome Reference: 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 < 400 ng/dl (15.3 nmol/l) - Venous leakage (internal penile damage) risk Reference: Yassin, A. A., & Saad, F. (2017). Testosterone Deficiency and Testosterone Treatment in Older Men. Gerontology, 63(2), 144–156. PubMed < 350 ng/dl (11.9 nmol/l) – All-cause death risk and anemia risk Reference: 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 < 300 ng/dL (10.2 nmol/L) - Lowered libido, weight gain & Diabetes risk increased Reference: 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 < 300 ng/dL (10.2 nmol/L): Quartile risk of fractures (osteoporosis), memory-related issues and depression risk increases Reference: Orwoll, E., Lambert, L. C., Marshall, L. M., Phipps, K., Blank, J., Barrett-Connor, E.,... & Cummings, S. (2006). Testosterone and estradiol are common among older men. The Journal of Clinical Endocrinology & Metabolism, 91(4), 1336-1344. PubMed < 250 ng/dl (8.5 nmol/l): Arterial plaque (arteriosclerosis) & sleep quality affected Reference: Vlachopoulos, C., Ioakeimidis, N., Miner, M., & Aggelis, A. (2014). Testosterone deficiency: a determinant of aortic stiffness in men Atherosclerosis, 233(1), 278-283. PubMed < 235 ng/dl (8.0 nmol/l) hardening of arteries (dialysis patients) Reference: 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 < 200 ng/dl (6.8 nmol/l) morning erections decrease Reference: 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 < 150 ng/dl (5.1 nmol/l) - Increased inflammation (TNF-alpha) Reference: 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 The Unspoken Implications of TRT Your doctor might overlook mentioning certain ramifications when you commence Testosterone Replacement Therapy (TRT): Fertility and TRT Sperm Count Drop: TRT lowers the levels of Luteinizing Hormone (LH) and Follicle Stimulating Hormone (FSH), two hormones that help make sperm. If preserving fertility is a priority, discuss with your healthcare provider incorporating Clomiphene or hCG into your TRT regimen. Hematological Effects Blood Viscosity Increase: TRT can escalate your blood's hematocrit level, thereby increasing its viscosity. Although some practitioners may advise halting TRT, this side effect can be managed adeptly through blood donations or therapeutic phlebotomy. Beware; frequent blood donations might deplete iron levels and induce fatigue. Impact on Natural Testosterone Production Suppression of Endogenous Testosterone: TRT suppresses your body’s natural testosterone synthesis, which may rebound anywhere between a few weeks and six months post-cessation. The Multifaceted Benefits and Varied Efficacy of TRT Muscle Mass, Fat Reduction, and Sexual Health Sex Drive and Physique Enhancement: TRT predominantly augments libido, muscle mass, and fat metabolism in men. However, its effectiveness varies, and meticulous dosage and frequency adjustments along with side effect management are imperative. It’s not a panacea. Administration Techniques Methods of Injection: Contrary to what most people think, testosterone can be injected superficially (IM) or deeply (subcutaneously) into the muscle using a 1/2-inch, 27-29-gauge insulin syringe. Topical Testosterone Efficacy of Gels and Creams: Testosterone gels and creams are efficacious but often under-dosed by physicians. More concentrated compounded products or dosage adjustments based on blood levels can rectify this. Dosage Frequency Optimized Injection Schedules: Shifting from biweekly 200mg injections to weekly 100mg or twice-weekly 50mg dosages can often yield better results. Addressing Concerns and Optimizing TRT Outcomes Sleep Apnea and TRT Sleep Apnea Dynamics: TRT could exacerbate central sleep apnea but might alleviate obstructive sleep apnea over time as weight loss occurs. Erectile Function Erectile Function and Libido: TRT enhances erectile function and libido in a majority of men. Some may benefit from adjunctive low-dose daily Cialis, which also harbors cardiovascular advantages. Self-Monitoring and Telemedicine Monitoring Blood Tests: Companies like DiscountedLabs.com enable self-monitoring of blood tests without a doctor visit. Moreover, telemedicine facilitates access to testosterone doctors nationwide, albeit mostly without insurance coverage. Debunking Misconceptions and Enhancing TRT Knowledge Prostate Health and Cardiovascular Effects Prostate Cancer and Heart Attacks: Contemporary evidence refutes the notion that TRT triggers prostate cancer or heart attacks, though vigilant monitoring is crucial for optimal cardiovascular outcomes. Community Support and Knowledge Sharing Leveraging Online Communities: Engage with seasoned TRT users on platforms like the ExcelMale forum or Testosterone Replacement Discussion Facebook group to broaden your understanding. Comprehensive Testing Holistic Blood Analysis: Ensure your doctor conducts a thorough blood analysis encompassing total and free testosterone, DHT, thyroid function, and prolactin (especially for those with extremely low T levels) to rule out pituitary adenomas. Insurance, Professional Expertise, and Addressing Common Hurdles Insurance and TRT Insurance Coverage: Insurance coverage for TRT products is often restrictive, but utilizing a compounding pharmacy can be a viable alternative. Expertise in TRT Management Urologists Leading the Charge: The burgeoning expertise of urologists in TRT management is notable, with extensive TRT-centric discussions now a staple at urology conferences. Identifying and Addressing Co-morbidities Co-morbid Conditions: Men with co-existing health issues may encounter challenges in reaping TRT benefits, warranting a thorough cardiovascular assessment for those experiencing water retention and hypertension. Estradiol Management Misconceptions About Estradiol: People often get the wrong idea about this hormone, which plays a big part in libido, bone health, and brain function, because it is not given enough attention when it comes to management. Emerging evidence suggests aromatase inhibition might be unnecessary in TRT management. Armed with this extensive knowledge, you’re now better positioned to make informed decisions on your TRT journey. Remember, individualized consultation with healthcare professionals is indispensable for optimizing your TRT experience.