Bioidentical Hormone Replacement for Men

Are you losing your edge in the Boardroom or Bedroom?


Just because you are over 40, it doesn’t mean you can’t feel like you are 20 again. If you tire more easily; can’t lose weight; exercise but your muscles still feel flabby; lost your motivation; your mood is not like it was when you were young; or you have lost your passion in the bedroom, you may have low or suboptimal testosterone levels.

Many men feel this way on their first visit to Holtorf Medical Group, but they quickly get back to the top of their game.

What’s really happening?

We have a built-in biological clock, but today’s toxic environment full of plastics, pollutants and pesticides, coupled with poor nutrition are speeding it up. Even men in their 30s can start feeling “old,” and hormone depletion is often the root of the problem. For example, during the past few decades, average levels of testosterone, the hormone responsible for your “maleness,” have been declining at a substantially faster rate than aging alone can explain. Testosterone is abundant in young healthy men, and when levels drop below this youthful healthy range, it can result in fatigue, weight gain, inability to gain or keep lean muscle, poor libido and sexual satisfaction, loss of endurance, stamina or motivation and/or poor mood or depression. Because the testosterone levels decline over years, the symptoms are often dismissed as part of aging or due to lack of exercise, poor nutrition or excess weight, missing the underlying common denominator.

Alarming testosterone trends

In the largest study of its kind, researchers in Massachusetts measured testosterone levels in 1532 men ages 45-79, between 1987 and 2004. Their findings, published in The Journal of Clinical Endocrinology and Metabolism, showed that at any given age, average testosterone levels are significantly lower than they were 10 years ago and even lower than 20 years ago. Thus, even if your doctors says that your testosterone level is “normal for your age,” it may still be the cause of your loss of sense-of-well-being and quality of life.

Symptoms of low testosterone can include:

  • Erectile dysfunction
  • Less sex drive
  • Feeling tired
  • Lacking initiative
  • Being less assertive
  • Low energy
  • Gaining weight for no obvious reason
  • Losing muscle or definition
  • Having difficulty building muscle in spite of consistent workouts
  • Feeling mildly depressed
  • Enjoying life less
  • Not performing as well at work or in sports
  • Insulin resistance or diabetes
  • Belly fat
  • Depression
  • Sleep apnea

Benefits of optimum levels

Studies show that optimum levels of testosterone can not only restore energy, drive and sexual health, but also extend life. In one study, published in the Archives of Internal Medicine, men with low testosterone levels were 88 percent more likely to die. In other studies, those with higher levels of the hormone were 60 percent less likely to get heart disease, and had better memory and overall mental function. Even sub-optimal testosterone levels that are still in the so-called “normal range” can be deadly.

Is testosterone replacement the answer?

Why not regain that zest, drive, initiative and self-esteem that you had when you were younger? Not all types of testosterone are the same or created equal. For instance, testosterone cream will mostly convert to estrogen in men who are overweight or have insulin resistance or diabetes, which can reduce its effectiveness and actually make matters worse. You need to find a doctor who understands this and will work with you to figure out which preparation and delivery system that works best for you. If you are on testosterone and your estradiol level is above 30 ng/ml you are not getting optimal benefits and may be doing harm. The high estrogen can elevate sugar levels, increase the risk of heart disease, stroke and heart attack, and cause gynecomastia (man-boobs), weight gain, prostate problems and sleep apnea.

At the Holtorf Medical Group, our doctors are experts in the field of hormone replacement. They will determine the most optimal preparation for YOU to best get you back to way you once felt.

The bigger hormone picture

While testosterone gets a lot of attention in popular media, it is only one part of a bigger picture. Optimization and supplementation with other hormones and nutritional supplements can be extremely beneficial. For instance, thyroid hormone is often low-normal, causing some similar symptoms, especially fatigue and weight gain. You can learn more about thyroid here.

Pregnenolone, DHEA, cortisol, progesterone and growth hormone are other key hormones that affect well-being. For a man to be in top shape, these may all need to be balanced, as well.

Why didn’t my doctor tell me?

Studies show that most doctors, endocrinologists and urologists are not aware of the most recent research on hormone optimization and are still practicing the way they were taught in medical school. Studies show that it will take most doctors and specialists, on average, 17 years to adapt these cutting-edge therapies into their practices even though they are highly supported in the most recent medical literature. Our doctors combine the best of conventional endocrinology and evidence-based integrative medicine to achieve unprecedented results and long-term optimal health.

What do I do now?

The Holtorf Medical group has the most highly trained physicians in this field, and are the doctors that other doctors turn to for treatment, training and help with their most difficult patients. Your health is your most important asset, why not come to the best? Call us today at 310-375-2705.