FAQs

Isn’t testosterone like “anabolic steroids”?

No.  “Anabolic steroids” are synthetic cousins of testosterone which were developed in the lab by scientists; building and preserving muscle mass was the primary objective for developing these compounds.

Contrastingly, testosterone is a naturally occurring and vital hormone with several health and vitality benefits; increasing and preserving lean muscle being just one.

Anabolic steroid abusers use these synthetic compounds, as well as testosterone at supraphysiologic doses (up to 20x an anti-aging dose), and suffer several health consequences as a result.

In steep contrast, physician supervised testosterone replacement patients are replenished with bio-identical testosterone to healthy and natural levels.  When done correctly, the vast majority of physician supervised testosterone therapy patients experience ONLY positive changes to their physical and mental health.

What are bio-identical hormones?  

The Endocrine Society defines bio-identical hormones as “compounds that have exactly the same chemical and molecular structure as hormones that are produced in the human body.”  Unfortunately, the testosterone and other hormone products produced by the big pharmaceutical companies, and prescribed by most traditional physicians, are not bio-identical.

Instead, big-pharma alters the hormone to varying degrees; this isn’t done for your benefit.    Natural substances can’t be patented.  However, making a few changes to a natural molecule allows the pharmaceutical to patent it and therefore make huge profits.

Can’t testosterone increase the risk of developing prostate cancer?

No.  Several well designed studies published in reputable journals have proven this notion to be false.  There is no link to higher testosterone levels and increased risk of prostate cancer.  In fact, low levels of testosterone have been linked to aggressive forms of prostate cancer.

However, testosterone replacement therapy is contraindicated in men with ACTIVE prostate cancer.  We screen all patients for prostate cancer prior to and during testosterone therapy.  It can easily be argued that physician supervised testosterone therapy will decrease your risk of dying from prostate cancer due to the vigorous screening and monitoring involved.

I’ve been exercising regularly and eating a healthy diet.  Why can’t I get in shape?

You’re determined to get your life back and you’ve decided to get back in shape.  You sign up with the gym and go diligently almost every day while restricting calories and eating a healthy diet. One month goes by – barely any results.  Two months goes by – barely any results.  Third month – quit.  Sound familiar?  Are you lazy?  No.  You quit because you didn’t notice any results, or at least nowhere near the results you’d hoped for with all that sweat and dieting.  This is what happens to men with lower testosterone.

The aromatase enzyme, which lives in fat, is converting the testosterone to estrogen.  Your belly is literally turning you into a girly man.  Think about that for a second; your belly isn’t only lowering your testosterone, it’s also raising your estrogen.  That isn’t good; at least if you like looking and feeling like a man as well as being healthy.  But, that’s all going to change.  You are about to end that low-t cycle of working out for a bit then quitting after getting no results.  The Testosterone Transformation is going to get you the results you deserve!

My doctor told me my testosterone level is normal.  He won’t treat me even though I suffer from almost all the symptoms of low testosterone.  What should I do?

“In Range” Does Not Mean “Normal”

One of the more frustrating issues you’re likely to face is the problem of most traditionally trained doctors believing that any blood test value that is “in range” is “normal” and therefore “fine”.

Reference ranges comprise 95% of the population. In order to be out of range you need to be either in the bottom 2.5 percentile or top 2.5 percentile. Think about that for a moment. If you were to go to your primary care physician and show him your testosterone level of 310, he would most likely tell you you’re within range and therefore don’t need testosterone therapy. Fact is, you are in the bottom 3 percentile. Are you okay with that? Do you think the doctor, who refused to treat you based on your “normal” lab result, would be satisfied if his own testosterone level were in the bottom 3 percentile?  Of course not.  Yet, too many of those doctors refuse too many patients the treatment that can literally change their lives due to “normal” lab results. It’s extremely unfortunate.

If your serum testosterone level is 300 ng/dl and your estradiol is 42 pg/ml, you may be “in range” for both values, but you aren’t going to feel well nor have anywhere near the athletic and sexual performance that you would have if your testosterone level were 800 ng/dl and your estradiol level were 25 pg/ml.

I asked my doctor about testing and managing my estrogen levels.  He looked at me like I was crazy.  Is estrogen management necessary?

Absolutely.  Unfortunately, the vast majority of traditionally trained physicians have never even heard about managing estrogen in men during testosterone replacement therapy.  We receive very little if any education on testosterone therapy in medical school.  However, I learned about the vital importance of estrogen management during my training with the American Board of Anti-aging and Regenerative Medicine.

Please read my blog post, “More than you ever wanted, but need, to know about estrogen.” It boils down to increasing testosterone will always lead to increased estrogen; elevated estrogen has very similar effects on men as does low testosterone.  Estrogen also blocks testosterone from binding to its receptor.

I believe estrogen management is the most vital component of an effective testosterone treatment protocol.  In fact, if I could only treat a patient with either testosterone or manage their estrogen, I would choose estrogen management in the vast majority of cases.  Lowering estrogen to healthy levels has also been shown to increase a man’s testosterone levels.  Therefore, estrogen management, alone, can optimize estrogen levels while also elevating testosterone.  Testosterone replacement in the absence of estrogen management will increase testosterone; however, it will also elevate estrogen; canceling out most if not all of the benefits of the elevated testosterone.

Most men receiving only testosterone without estrogen management will feel better for a few months.  However, when the estrogen catches up to the elevated testosterone, those men will inevitably feel just as bad as they did prior to initiating therapy.

Won’t testosterone therapy cause my testicles to shrink and lower my sperm count

Not if you receive your testosterone optimization at Pacific Longevity.

When given exogenous testosterone, the testicles decrease or cease testosterone production and the testicles atrophy.  However, our injection protocol includes HCG.   HCG stimulates the testicles to continue testosterone and sperm production.  However, sperm production will likely decrease; but not nearly as much as it would without HCG.  HCG also maintains testicular volume.

Our non-injection protocol will actually increase your sperm count and some men will experience a slight increase in testicular size.  The non-injection protocol is very similar to the Male Infertility protocol we offer.