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Thread: Testosterone for the aging male; current evidence and recommended practice

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    MD staff Daibhí O'Buadain's Avatar
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    Default Testosterone for the aging male; current evidence and recommended practice

    http://www.pubmedcentral.nih.gov/art...rtype=abstract

    Clin Interv Aging. 2008 March; 3(1): 25–44.
    Published online 2008 March.

    PMCID: PMC2544367
    Copyright © 2008 Dove Medical Press Limited. All rights reserved

    Testosterone for the aging male; current evidence and recommended practice

    Roger D Stanworth and T Hugh Jones
    Centre of Diabetes and Endocrinology, Barnsley Hospital NHS Foundation Trust, Barnsley, South Yorkshire, United Kingdom
    Academic Unit of Diabetes, Endocrinology and Metabolism, University of Sheffield, Sheffield, South Yorkshire, United Kingdom

    Abstract

    An international consensus document was recently published and provides guidance on the diagnosis, treatment and monitoring of late-onset hypogonadism (LOH) in men. The diagnosis of LOH requires biochemical and clinical components.

    Controversy in defining the clinical syndrome continues due to the high prevalence of hypogonadal symptoms in the aging male population and the non-specific nature of these symptoms. Further controversy surrounds setting a lower limit of normal testosterone, the limitations of the commonly available total testosterone result in assessing some patients and the unavailability of reliable measures of bioavailable or free testosterone for general clinical use.

    As with any clinical intervention testosterone treatment should be judged on a balance of risk versus benefit. The traditional benefits of testosterone on sexual function, mood, strength and quality of life remain the primary goals of treatment but possible beneficial effects on other parameters such as bone density, obesity, insulin resistance and angina are emerging and will be reviewed.

    Potential concerns regarding the effects of testosterone on prostate disease, aggression and polycythaemia will also be addressed. The options available for treatment have increased in recent years with the availability of a number of testosterone preparations which can reliably produce physiological serum concentrations.

    Full text at:

    http://www.pubmedcentral.nih.gov/art...?artid=2544367

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    Thanks for that.

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    MD staff Daibhí O'Buadain's Avatar
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    Quote Originally Posted by BOUNCER DAVE View Post
    Thanks for that.
    You're welcome.
    Last edited by Daibhí O'Buadain; June 6th, 2009 at 04:39 PM.

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    Been trying to convince my dad to get a test script from his doc. for awhile.

    Gonna have him take a look at this. Thanks bro.

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    Dedicated Noob MaxQ003's Avatar
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    Appreciate the reference. The article is focused mainly on hypogonadism in aging males and current modes of treatment. But hypogonadism can strike at almost any age in adulthood. 20 years ago I was diagnosed with it. I was 39. I received test injections for several months, but found the ups and downs intolerable. Then tried wearing a patch for several months, and that didn't sit well with me either. After about a year, I gave up on these treatments. But for whatever reasons, the problem seemed to correct itself....About 6 months after I stopped treatment, I was fine. The whole experience is still a mystery to me.

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    Am 51 as of August 12. MD says that my test levels are 600 out of a possible 800. Should I insist on prescription?? Thanks ahead of time!

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    Moderator heavyiron's Avatar
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    Quote Originally Posted by aiki ins View Post
    Am 51 as of August 12. MD says that my test levels are 600 out of a possible 800. Should I insist on prescription?? Thanks ahead of time!
    This is an acceptable level for your age however some labs set the reference range as high as 1,000ng/dl so you may have had a decline in T levels over the years.
    All posts are for entertainment and may contain fiction. Consult a doctor before using any medication.


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    Red face

    Thats pretty much what I was told. Is there a downside if I insist on rx? I train 5 days a week would like to be the best I can be? Suggestions?? What would you all do? Sorry, kind of a newbie to this stuff.

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    Quote Originally Posted by aiki ins View Post
    Thats pretty much what I was told. Is there a downside if I insist on rx? I train 5 days a week would like to be the best I can be? Suggestions?? What would you all do? Sorry, kind of a newbie to this stuff.
    Well if all your labs came back normal and you want to hit the gas then I would reccomend 500mg test cypionate per week for 10 weeks.
    All posts are for entertainment and may contain fiction. Consult a doctor before using any medication.


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    All labs good aside from slow thyroid, on synthriod now, and correct. Going for annual physical in September. Bloodwork soon, will request another test panel and ask for 10 week per your suggestion. Thanks brother

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    Moderator heavyiron's Avatar
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    Quote Originally Posted by aiki ins View Post
    All labs good aside from slow thyroid, on synthriod now, and correct. Going for annual physical in September. Bloodwork soon, will request another test panel and ask for 10 week per your suggestion. Thanks brother
    No problem, read this info on first cycles when you get a chance;

    [ame="http://forums.musculardevelopment.com/showthread.php?t=40101"]First Cycle - Muscular Development Forums[/ame]
    All posts are for entertainment and may contain fiction. Consult a doctor before using any medication.


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    Well, I have been back and forth and doing research on test.

    Unfortunatly traditional Mds refuse to get me back where I was in my 30s and they insist that 600 is appropriate for my age. 51 By the way.

    I spoke with a physician who runs a youth clinic where I live. He is telling me he will get my count back up to 1000. He will continue monitoring me throughout the year to make certain that my labs are correct. The problem is that none of this, aside from blood work is covered by medical insurance. The initial evaluation cost is about 250.00 plus the cost of meds. About the same next year to keep track of me.

    Thoughts???

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    Quote Originally Posted by aiki ins View Post
    Well, I have been back and forth and doing research on test.

    Unfortunatly traditional Mds refuse to get me back where I was in my 30s and they insist that 600 is appropriate for my age. 51 By the way.

    I spoke with a physician who runs a youth clinic where I live. He is telling me he will get my count back up to 1000. He will continue monitoring me throughout the year to make certain that my labs are correct. The problem is that none of this, aside from blood work is covered by medical insurance. The initial evaluation cost is about 250.00 plus the cost of meds. About the same next year to keep track of me.

    Thoughts???
    Shop around or PM me.
    All posts are for entertainment and may contain fiction. Consult a doctor before using any medication.


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    MD staff Daibhí O'Buadain's Avatar
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