Hormones are chemical messengers that are secreted by glands and circulate throughout the body to send signals between cells. They regulate many vital processes including metabolism, growth and development, sexual function, reproduction, mood, and more. Some key hormones in men include testosterone, estrogen, DHEA, thyroid hormone, growth hormone, cortisol, insulin, and leptin.
Testosterone is the primary male sex hormone. It plays a role in maintaining muscle mass, bone density, red blood cell production, fat distribution, sperm production, libido, energy levels, and more. Estrogen is thought of as the primary female hormone, but men also need small amounts for bone and cardiovascular health.
Some common signs and symptoms of low testosterone in men may include:
Thyroid hormone deficiency can cause fatigue, weight gain, dry skin, sensitivity to cold, constipation, muscle weakness, elevated cholesterol, impaired memory, depression, and more.
Growth hormone deficiency in adults may lead to increased body fat, decreased muscle mass and bone density, poor energy levels, high cholesterol, anxiety and depression.
If you suspect a hormone imbalance, it's important to get the right lab tests done. At our Vitality Hormone Clinic in Staten Island, we recommend checking the following key hormones:
This thorough hormone panel will help uncover any deficiencies or imbalances. If low testosterone is detected, we'll also check luteinizing hormone (LH) and follicle stimulating hormone (FSH) to determine if the origin is in the testes (primary hypogonadism) or pituitary gland (secondary hypogonadism).
Research shows testosterone therapy can significantly improve energy levels, mood, motivation, and cognitive abilities in hypogonadal men. Many men report feeling "reborn" with more zest for life. Testosterone plays a key role in energy production, focus, and keeping the mind sharp.
By stimulating muscle protein synthesis, testosterone promotes gains in lean muscle mass and strength - especially when combined with strength training. TRT can help counteract age-related declines in muscle and bone mass (sarcopenia and osteoporosis) to maintain an active and independent lifestyle.
In addition to building muscle, testosterone is involved in mobilizing and burning body fat - an effect that tends to decrease with age. TRT can help restore a more youthful body composition with decreased fat mass and healthier fat distribution (less belly fat). Testosterone also boosts resting metabolic rate.
Many hypogonadal men experience lack of libido, erectile dysfunction, and reduced sexual performance. By restoring testosterone levels, TRT can significantly improve libido, erection quality, orgasm intensity, and overall sexual satisfaction. Healthy testosterone levels are crucial for male sexual function.
Through its effects on bone-building cells, testosterone promotes increased bone mineral density and strength. TRT has been shown to reduce risk of fracture and osteoporosis in deficient men. Maintaining bone mass helps prevent frailty and debilitating fractures with aging.
Topical testosterone gels and creams are commonly prescribed TRT options. When applied once daily to the shoulders, upper arms or thighs, the testosterone is absorbed through the skin into the bloodstream. Dose can be easily adjusted based on lab testing. Skin reactions are occasionally reported.
Many men opt for weekly or biweekly injections of testosterone cypionate or enanthate to maintain stable hormone levels. While injections can seem intimidating at first, most men find them quick, convenient and painless when done properly. Potential side effects include site reactions and fluctuations in mood or energy.
Testosterone pellets implanted under the skin every 3-6 months provide steady-state hormone delivery. This avoids the peaks and valleys of gels/injections. Pellet insertion and removal involves a minor in-office procedure. Unpredictable pellet absorption and extrusion may occur. Frequent lab monitoring is key.
While oral testosterone is convenient, it has low bioavailability and can be hard on the liver. Undecanoate capsules taken with dietary fat twice per day can stabilize blood levels. 17-alkylated oral testosterone derivatives are outdated and no longer recommended due to liver toxicity risks.
For men who prefer to avoid injections, compounded testosterone creams or gels can be formulated in higher strengths to minimize application surface area. However, skin reactions may occur more frequently. Quality compounded medications from a reputable pharmacy are essential for efficacy and safety.
To maximize improvements in muscle mass, body composition, and metabolic parameters, men on testosterone therapy should engage in regular exercise - especially strength training. Weight lifting, bodyweight exercises, and even high intensity interval training can all help boost lean mass gains and fat loss from TRT.
A healthy diet supports testosterone production and promotes favorable body composition changes. Men should aim for a balance of lean proteins, produce, whole grains, healthy fats and minimize sweets, processed carbs and saturated fats. Getting adequate calories to fuel muscle growth is key while avoiding excessive weight gain.
Chronic stress raises cortisol which can negatively impact testosterone. Prioritizing stress management through yoga, meditation, therapy, or other relaxation techniques is advised. Getting at least 7-8 hours of quality sleep per night supports healthy testosterone levels and body composition.
Heavy alcohol consumption and tobacco smoking have been linked to decreased testosterone levels. Moderation is key. Men on TRT should limit alcohol intake to 1-2 drinks per day and avoid smoking to ensure maximum treatment benefits. Quitting smoking and limiting drinking is always sound health advice.
Adhering to proper monitoring and follow-up care is vital for success on testosterone therapy. We suggest rechecking labs 4-6 weeks after treatment initiation or dose change, then every 6 months thereafter. Following up regularly with your healthcare provider allows for personalized dosage adjustments and discussion of any side effects.
Our clinic founder Dr. Johnson has over 15 years experience specializing in hormonal therapies for men's health and aging. Our providers stay current on the latest medical research and treatment approaches. You can trust our expertise in optimizing testosterone therapy and related hormones for your unique needs.
We realize every man responds differently to testosterone replacement. At Vitality Hormone Clinic, we take time to listen to your symptoms, expectations, and preferences to tailor the ideal TRT protocol - whether gels, injections, pellets or otherwise. You'll also receive lifestyle recommendations to optimize improvements.
Our providers make themselves available for questions and follow up during your testosterone therapy journey. We offer convenient telehealth visits and coordinate with your primary provider. Through regular lab testing and monitoring, we ensure your treatment is working effectively and safely.
Our modern, welcoming clinic provides a comfortable setting for your TRT consultations and procedures. We offer flexible hours including evenings and weekends for your convenience. Our onsite blood draw lab allows for fast, accurate testosterone level monitoring. Come experience the Vitality Hormone Clinic difference!
We participate with most major insurance carriers and Medicare to make testosterone therapy accessible and affordable. Specific coverage varies, so we suggest contacting your plan. Cash pricing and financing options are also available. Our team happily assists with paperwork and billing questions. Health and wellness should be affordable.
In conclusion, Vitality Hormone Clinic offers cutting-edge testosterone and hormone replacement therapies tailored specifically for your needs. Our experienced providers design customized treatment plans using the latest medical research while focusing on your symptoms, preferences and ongoing monitoring. Contact us today to learn how we can help you reclaim your vitality and get back to living life to the fullest!
