Concerns about low testosterone levels in men prompt a range of considerations, with experts emphasizing essential steps before resorting to testosterone supplementation. Dr. Ronald Tamler, an endocrinologist and clinical director of the Mount Sinai Diabetes Center, provides crucial insights into the process.
Measuring Testosterone Levels – The fundamental step is a morning blood test between 8 and 10 am, a time when testosterone levels are at their peak. Dr. Tamler stresses the importance of conducting the test twice on different days to ensure accurate results, highlighting the hormone’s natural fluctuations throughout the day.
Common Reasons for Low Testosterone – Dr. Tamler identifies obesity as a prevalent cause of low testosterone. Fat tissue, particularly around the abdomen, can convert testosterone into estradiol, the female hormone. This dual impact results in reduced testosterone levels and disrupts signals to the brain that stimulate its production.
Weight Loss Impact – A study conducted by Dr. Tamler reveals a noteworthy correlation between weight loss and increased testosterone levels. Obese men undergoing weight loss surgery and shedding approximately 40 pounds experienced a doubling of testosterone levels within a year.
Addressing Underlying Issues – Low testosterone levels can be attributed to various factors, including diabetes and sleep apnea. Dr. Tamler recommends addressing these underlying health concerns before considering hormone therapy, demonstrating a holistic approach to men’s well-being.
Supplementation Considerations – For individuals with confirmed low testosterone levels and no underlying health issues, supplement doses must be carefully adjusted. This precaution aims to prevent the overproduction of red blood cells, a side effect that can lead to potentially fatal blood clots.
Risks of Testosterone Therapy- Dr. Tamler underscores the need for regular evaluations for individuals on testosterone therapy. Monitoring red blood cell production, blood pressure, and estradiol levels every six months is crucial. Excessive red blood cell circulation poses risks, affecting blood flow and potentially leading to heart attacks and strokes.
Navigating concerns about low testosterone involves a systematic approach, starting with accurate measurements and addressing underlying health issues. Dr. Tamler’s insights shed light on the importance of understanding the complexities involved in testosterone supplementation and the necessity of vigilant monitoring for those on therapy. This comprehensive strategy ensures a balanced and informed approach to men’s health and well-being.
