Testosterone Replacement Therapy: What Tests Do You Need?

Starting Testosterone Replacement Therapy: What Lab Tests Do You Need?

Testosterone replacement therapy (TRT) can be a powerful tool for men looking to boost their testosterone levels. TRT has been associated with improved energy, libido, and overall quality of life. But before you consider TRT, it’s important to understand the tests that are used to measure your testosterone levels and help you decide if TRT is right for you.

Total & Free Testosterone

Total Testosterone measures the amount of protein-bound testosterone in your body. This is the most common testosterone test guys are familiar with. Most ranges vary from 300-1200 ng/dL. This test is usually done in the morning when testosterone levels are at their highest. It’s important to note that this test won’t tell you how much unbound (free) testosterone is available to your body.

Free Testosterone measures the amount of unbound testosterone in your blood. If your Total T is low, it’s likely that your Free T is also low. However, if you’re already on TRT, it’s possible that your Free Testosterone may be high. Excess Free Testosterone can be converted further into estrogen that may cause another whole list of problems in the male body.

Sex Hormone Binding Globulin

Sex hormone binding globulin (SHBG) is a protein that binds to both testosterone and estrogen in the bloodstream, making them inactive. Too little SHBG means that your Free Testosterone may be high. High levels of SHBG can cause lower free testosterone. 

LH & FSH

Luteinizing hormone (LH) and follicle stimulating hormone (FSH) are produced by the pituitary gland. These two hormones work together to regulate the production of sex hormones in both men and women. If either one of these hormones is low or elevated, it may indicate a problem with your pituitary gland. Testing LH/FSH along with other hormone tests can provide more insight into potential causes for Low T symptoms.

Prostate Specific Antigen

Prostate-specific antigen (PSA) is produced by the prostate gland. High levels can be an indication of prostate enlargement, or potentially cancer. This should be checked at least 2 times a year when on TRT.

Other lab tests that may be ordered include complete blood count (CBC), comprehensive metabolic panel (CMP), thyroid stimulating hormone (TSH), Free T4, and cholesterol levels.

Before starting any type of hormone therapy, it’s important to understand what lab tests are needed to get an accurate assessment of your current health status and evaluate if TRT would be beneficial for you. In addition to total testosterone, free testosterone, LH/FSH, and SHBG measurements should all be taken into account when assessing whether or not TRT would be appropriate for you as an individual patient’s needs vary from patient to patient. 

If you have questions about these lab tests or want more information about how they can help diagnose potential underlying causes for low T symptoms then don’t hesitate to ask! We can provide personalized recommendations based on your unique situation so don’t hesitate to reach out today!

How Peptide Therapy Can Help Improve Your Health & Wellbeing

How Peptide Therapy Can Help Improve Your Health & Wellbeing

As a busy man, husband and father, you often juggle many responsibilities that can take a toll on your health and wellbeing. If this sounds familiar to you then peptide therapy could be the answer to helping you get back on the road to feeling energized and ready for whatever life throws at you. Peptide therapy has been gaining in popularity lately due to its ability to relieve symptoms of chronic pains as well as boost overall energy levels. In this blog post we’ll explore what peptide therapy is, how it works, various types of peptides available, and how applying them will improve your mental and physical health.

What Is Peptide Therapy?

Peptide therapy is gaining traction as the go-to men’s health treatment for rejuvenation and exercise recovery. Put simply, peptide therapy is an analog to your own natural production of human growth hormone (HGH) that is produced from the pituitary gland in the brain. As we get older, we begin to have less production of HGH. 

Peptides tell your body to produce hormones, proteins, and enzymes necessary for better functioning. Whether it’s faster muscle growth due to better recovery rates after a gym session or increased energy production from cells in the brain, the advantages of peptide therapy for men’s health are far-reaching, often game-changing, and help you to get back on track with your fitness goals.

How Does Peptide Therapy Work?

Peptide therapy is a prevalent form of men’s health treatment due to its ability to accelerate exercise recovery and improve overall well-being. While it was initially developed to treat chronic illnesses, men have recognized its vital role in men’s health as they age. With peptide therapy becoming increasingly accessible, men all over the world have been seeking out these treatments and reaching an entirely new level of well-being.

By increasing communication between cells, peptides help men unlock new potential and perform at greater levels than ever before. Plus, peptide therapy has been proven to strengthen the immune system and promote healthy tissue regeneration – giving men a new lease on life!

What Types of Peptides are Available?

 Popular peptides include sermorelin, ipamorelin, PT-141, and CJC 1295, each of which offers different benefits. 

Sermorelin is a growth hormone-releasing peptide designed to stimulate the body’s own production of growth hormones. 

Ipamorelin is a peptide that helps regulate hunger and stimulates the release of natural growth hormones in patients. 

PT-141 peptide helps increase libido in both men and women, while CJC 1295 stimulates biological activities related to human growth factors. 

With these peptides available, individuals have access to a variety of options when it comes to improving their overall health and well-being.

What Can Peptides Do for You?

Peptides are an important part of human biology and are involved in many biological processes. The benefits of peptides can be seen in terms of strengthening the immune system, restoring tissue, and fighting aging. Peptides have also been used to regulate metabolic disorders such as obesity, type 2 diabetes, and cardiovascular disease. 

Peptide benefits are further enhanced by their ability to increase collagen, which is needed for skin regeneration. Moreover, they help with muscle building, recovery time after exercise, and energy levels throughout the day, and may also act as anti-aging agents. Ultimately peptides can help you look and feel your best while providing benefits beyond just physical health benefits.

In conclusion, peptide therapy can offer a plethora of benefits when used correctly and in consultation with a qualified healthcare professional. Peptides can be safely used to optimize muscle growth and fat loss, aid in recovery and reduce inflammation, treat other chronic illnesses, treat depression, improve sexual problems, normalize endocrine function, slow the aging process, and much more. As with anything else related to health and well-being, it is best to consult with a certified medical professional before attempting to use peptides or any other kind of supplement. 

Everyone’s body is different, so it’s important that you have all the necessary information before self-administering anything you’re not fully familiar with. With all this said, we hope you now know a bit more about what peptide therapy has to offer. 

What are your thoughts on peptide therapy? Let us know in the comments below!

What Are the Benefits of Testosterone Replacement Therapy?

testosterone replacement therapy
testosterone replacement therapy

What Are the Benefits of Testosterone Replacement Therapy?

“What ARE the Benefits of Testosterone Replacement Therapy?” We get this question a lot from men!

To answer this, we need to realize that testosterone is what makes men, “men.” Without it, we wouldn’t have the typical male Physical characteristics we have: facial and body hair, prominent brow ridge, larger muscles, and deep voices.

Physiologically it also affects the production of red blood cells and increases fertility, libido, and erections. 

Mentally & Emotionally, it aids our cognition and mood.

All of this despite what Director James Cameron says.

Why Do We Sometimes Need Testosterone Replacement Therapy?

Most commonly, as we age, the biological process of producing testosterone becomes less efficient. Around age 30-35, testosterone levels generally drop by 1% each year. As we get older, we begin to experience more signs & symptoms of low testosterone.

Here’s the most typical symptoms:

  • Early afternoon fatigue
  • Reduced sex drive (libido)
  • Reduced muscle mass
  • Loss of body hair
  • Slower beard growth
  • Obesity – especially around the abdomen
  • Poor mood/depression
  • Reduced endurance & physical strength
  • Poor focus
  • Poor work performance

"...men with optimized testosterone levels have a 36% decreased risk of a stroke and 24% decreased risk of a heart attack."

What are the Benefits of Testosterone Therapy?

1. Cardiovascular Health

Testosterone can improve red blood cell production for physical exertion and performance as well as aid in maintaining a strong healthy heart.

A study published by the US Department of Veterans Affairs found that men with optimized testosterone levels have a 36% decreased risk of a stroke and 24% decreased risk of a heart attack.

 

2. More Muscle Mass

This DOESN’T mean jacked or ripped. Men with optimized testosterone levels PLUS regular exercise can experience less fat, increasing lean muscle, strength, and endurance.

 

3. Increased Bone Density

Just like women, our bone density decreases as we age. Low T is one of the leading causes. This leads to an increased risk of fractures and osteoporosis over time.

 

4. Improved Cognition and Memory

Research now shows that lower testosterone levels are associated with an increased risk of developing Alzheimer’s disease. There is also convincing evidence that optimized testosterone levels improve memory, rate of recall, and cognition.

 

5. Increased Libido

A man’s sex drive is tied to testosterone. The higher the level = increased desire. Low testosterone can also affect the ability to achieve and maintain an erection, as well as the quality of the erection.

 

6. Improved Mood and Sense of Well-Being

Low testosterone has been linked to fatigue, irritability, and depression. Improved testosterone levels can help with both anxiety and depression. The best results are achieved by those who participate in regular exercise weekly.

If You're Wondering More about TRT...

Redefined Health Clinic has helped countless men like yourself assess their testosterone levels and achieve an optimal hormonal balance.

Redefined Health clinic is located in Richland, WA, but primarily via Telemedicine. If you want to learn more about TRT or have other questions about our clinic schedule your complimentary consultation online with Redefined Health Clinic.

When Should a Man Get A Prostate Exam?

When Should Men Get Their First Prostate Exam?

As we finish out November, also known as “No-shave November” or “Movember” to increase awareness about men’s health issues, I want to touch on a part of men’s health that is at the forefront of most men’s minds: Prostate Health, Prostate Enlargement, and Prostate Cancer.

So, when should men get their first prostate exam – and do you need to have them at all? Let’s clarify those questions.

Early Screening

At Redefined Health Clinic, we screen and monitor for prostate health before we even see you as a patient. Part of our initial intake questionnaire asks you about your personal and family history of prostate diseases. Is there a family history of prostate cancer? Did a first-degree male relative have prostate cancer? Answering yes to these questions might put you at risk. 

Current recommendations call for Prostate cancer screening at age 50. But if you have an early family history of Prostate Cancer, we will screen even earlier at age 40-45.

What Does Screening Look Like?

The old-school way of thought was that starting at age 50, men would get their prostate checked annually, otherwise known as a digital rectal exam (DRE). A DRE is a rectal exam using a gloved and lubricated finger to examine the prostate internally.

However, we have learned that placing just the slightest amount of pressure on the prostate during the DRE can cause a false positive elevation of the Prostate Specific Antigen (PSA) in a blood test. The PSA is a protein produced by both cancerous and noncancerous tissue in the prostate.

What if Your PSA is High?

High levels of PSA may indicate the presence of prostate cancer. But many other conditions, such as an enlarged or inflamed prostate, constipation, vigorous bicycle riding, motorcycle/motocross riding, long horseback rides, and even intercourse can increase PSA levels. When sending a man to the lab to have his PSA level checked, we ask they refrain from those activities for 3-5 days before their blood test.

If your PSA test comes back high, we may need to do further testing which would include more blood tests, a DRE, and a referral to a urologist.

How Does TRT Affect My Prostate?

Despite internet rumors, Testosterone Replacement Therapy does not cause prostate cancer. However, there are some things that we need to screen for before starting testosterone therapy.

First, our initial blood word includes a baseline PSA level. We want to know what your level is even before starting TRT. We check that level again at least annually, if not twice yearly. If your PSA level begins to increase, we decide together how to handle the testosterone dose.

However, if you already have prostate cancer then TRT can cause already-established prostate cancers to grow more quickly. That’s why we screen for it before starting any TRT.

What is BPH vs Prostate Cancer?

BPH stands for Benign Prostatic Hypertrophy. It just means an enlarged prostate. It is not prostate cancer.

Common symptoms of BPH include frequent urination (especially at night), feeling that you can’t empty the bladder all the way, weak urine stream, or difficulty starting a urine stream. This is a common factor in men as we get older. Simple medications can help reduce the size of the prostate, or you may need a referral to a urologist.

There is no sound evidence connecting BPH to TRT. In fact, there is growing evidence that because men lose testosterone as we age that we may be less susceptible to BPH if we are on weekly low-dose TRT.

5 Things You Didn’t Know About Your Penis​

5 Things You Didn't Know About Your Penis

The great male “love muscle.” We have marveled at what it can do for generations. Relaxed or erect it serves so many functions.  The ability to empty urine from the bladder when full. Or when aroused, it becomes an erect organ meant for intercourse and delivery sperm for fertilization. We joke about it in society. We contemplate it’s uses in the bedroom. For an organ that is needed by both men and women, there’s a lot that some people don’t know. Let’s take a closer look at 5 things you didn’t know about your penis.

It's A Larger Penis that Most Mammals

Compared to all of the other mammals, the human penis is one of the largest when compared in proportion to body size. The largest penis-to-body ratio is a predatory cat in Madagascar.

For humans, the largest erect penis length to body length is in men from the nation of Ecuador. On average a typical male is 5′ 5″ (1.67 meters) in height. Their penis length is 6.93″ (17.67 cm). Compared to Americans, we come in at an average height of 5′ 10″ with an erect penis size of 5.34″ (13.58 cm) in length.

It's Not a Bone

Despite what some people think, humans have no bone in their penis. Further did you know that most other mammals do? The common theory is that as humans shifted from a polygamous to monogamous society, bone filled penises were no longer needed. Penises containing bones stay in the female reproductive tract longer, keeping other penises away.

Without a bone we can still “fracture” a human penis. It’s not easy to do, but it happens when an increased downward force comes down suddenly on a semi-erect or fully erect penis. It will make a snapping sound followed by sudden and intense pain. It then turns black and blue, and typically requires medical intervention. 

Nighttime Wood

Erections occur commonly at night. But why? Because when you are asleep, your body relaxes. The valves that allow blood into the erectile tissue relax allowing blood to flow into the penis after being tightly clamped down when you’re awake. This happens on average 3 times per night mostly in your deep REM sleep and you probably don’t even know it happens, except for that early “morning wood” that we will sometimes recognize.

It's Like A Gun

Ejaculation is a reflex that is 2 stages that once turned on have no ability to shut off. 

The first stage is emission,” which happens during foreplay and arousal. Sperm is pumped to the prostate from the testicles like loading a bullet in the gun’s chamber and is described as a pulsation feeling. 

Next is the “ejaculation phase.” A lot is happening here. The seminal vesicles contract, the bladder neck closes, and the urinary sphincter opens, allowing semen to surge through the penis and out. Pelvic muscles pulsate every 0.9 secs to help force fluid through the penis.

Stress Kills Erections

For a good erection, the body can’t be stressed. Men that are under chronic stress with work, health, family, etc. have a harder time achieving erections. But if achieved and maintained, climax will follow. Afterwards, the erection falls and cannot be regained for some time.

Sure, there are other factors that play into erectile deficiency: high cholesterol, heart disease, diabetes, obesity, but stress is the most common cause.

Do You Really Need ED Medication for Erectile Dysfunction?

erectile dysfunction
erectile dysfunction

Do You Really Need ED Medication for Erectile Dysfunction?

“Can I get ED medication for my erectile dysfunction?” It’s one of the more common requests I get from patients. Unfortunately, that answer isn’t always straightforward.

The typical scenario goes like this: A guy comes to our clinic suffering from erectile dysfunction for a number of years. It’s affecting his sex life with his spouse to the point that he has to explain to his wife that it’s not her, but that it’s him.

His confidence is shaken. Her insecurities grow. Then it becomes a vicious cycle of continued erectile dysfunction causing more and more stress in the relationship.

His solution is to find a men’s health clinic like us to get ED meds like Viagra, Cialis, or Levitra.

But, what he doesn’t realize is that there are a lot of factors that go into causing ED.

Arousal Problems

The problem is the inability to become physically aroused or excited before sexual activity. I’ll often ask a man if he has trouble getting or maintaining an erection. Depending on his answer, that helps steer the direction for the remainder of the visit.

If it’s a problem with getting an erection, there could be problems with depression, anxiety, anti-depressant or anti-anxiety medications, or low testosterone.

Other reasons might include chronic health conditions such as obesity, high blood pressure, high cholesterol, or diabetes.

It’s important to assess for all of these conditions.

Desire Problems

If a guy is lacking sexual desire or interest in sex (we call his low libido), then this might be more of a sign of low testosterone.

Treating a man with ED medications when the problem is low testosterone isn’t really treating the problem. It’s putting a temporary patch on the problem without treating the root cause. This is just one more reason to check testosterone levels with lab work.

Orgasm Problems

A delay or absence of an orgasm/climax is certainly a problem for some men. This will literally take the joy out of sex for men.

Men will feel like they’re able to reach the point of climax, but for one reason or another, they never progress past that point.

Most often the reason is mental/emotional. Whether it be an emotional disconnect with their partner, anti-depressant or anti-anxiety medication side effects, stress, or fatigue. These can all weigh on a man’s confidence and leave him feeling as less of a guy.

If this happens once or twice, it’s usually not a problem. But, if it occurs more and more often, there might be some other underlying factors we need to look at.

Erection or Intercourse Pain

This is certainly all physical. Men that have penile pain with intercourse certainly need to be evaluated:

  • Peyronie’s disease – scar tissue forms inside the penis causing a painful bend when erect. Normally, most men have a slight curve in their erect penis. A slight bend in the penis that does not cause any problems is normal and nothing to worry about. However, if this does cause sex to be painful, you should consult with a urologist.

  • Phimosis – for men with foreskin that is too tight, this might cause pain during intercourse. 

  • Priapism is a long-lasting, painful erection and can cause permanent damage to your penis if it is not treated. Some cases may need hospital treatment to drain the excess blood from the penis. This is most often caused by taking too much ED medication causing a prolonged erection.

So, as you can see, there are plenty of reasons men may have erectile dysfunction that certainly doesn’t always require ED medication.

If you suffer from Erectile Dysfunction, certainly talk to your doctor or schedule a visit with us at Redefined Health Clinic for a thorough workup.

How Can Magnesium Help with Your Men’s Health Needs?

men's health supplements
men's health supplements

How Can Magnesium Help with Your Men's Health Needs?

When it comes to men’s health and supplements, there are a lot of different types we should be using on a daily basis. The problem is that there are a ton of multiple types. Then, over the next several weeks I’ll review several other essential supplements that you should have in your vitamin packs at home.

Today, we’re going to take a closer look at Magnesium, and the types you should have on hand for your men’s health needs.

You’ve probably heard of magnesium citrate, oxide, or chloride. These are all great laxatives to keep on hand should you need them. Ideally, they’re not taken daily. We’re not going to discuss these in depth today. You know what they are and what they do. Just know that the laxative forms of magnesium don’t work effectively for muscle recovery and cramping, anxiety/stress relief, heart health, high blood pressure, etc.

Magnesium Malate or Glycinate

Magnesium glycinate is great for neuropathy, and muscle relaxation to reduce muscle cramping.

Magnesium malate also helps with muscle cramps, fibromyalgia pain, and can aid in improving energy production.

Magnesium Sulfate

Magnesium sulfate is best known as Epsom Salt. You can find BAGS of this at any grocery store or pharmacy. Magnesium Sulfate is best absorbed through the skin while soaking in a warm bath after a workout. It provides muscle relaxation and is excellent for tired, achy muscles, and low back pain. There are also various topical products as well.

Magnesium Taurate

Magnesium taurate is great for men with high blood pressure, heart failure, or other cardiac problems. Our bodies split Magnesium taurate into its two forms: magnesium and taurine. This magnesium helps to relax heart muscle, while taurine aids in energy production. These reduce the overall workload of your heart muscle.

Magnesium L-threonate

Magnesium L-threonate does a fantastic job of reducing stress, improves anxiety, and has even been shown to help with PTSD and seizures. Because of how it crosses the blood-brain barrier, it is more effective in improving overall mental health symptoms.

So there you have it. A simple rundown of many of the magnesium supplements you should have on hand for your men’s health needs. If you have any questions or comments, be sure to drop them down below.

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