What is Testosterone Replacement Therapy?

Testosterone is a male hormone produced by the testicles and is responsible for the correct development of male sexual characteristics. Testosterone is vital for men to maintain muscle bulk, bone density, energy, low body fat, sufficient levels of red blood cells, overall well-being including sexual and reproductive function. We provide testosterone replacement therapy in our Beverly Hills clinic to optimize low testosterone in men. TRT therapy can have a great impact on the way you feel.

There are millions of men who have low testosterone levels without knowing it or recognizing any of the symptoms associated with it. Hormone levels such as testosterone usually peak at age 25 and start decreasing more dramatically at age 40. For men who have symptoms of low testosterone or are experiencing a decline in their testosterone levels, our doctors are well trained to treat and optimize your testosterone levels. Testosterone replacement to optimal age related levels have helped many of our patients feel dramatically better and younger. Testosterone replacement therapy is the optimization of testosterone levels through bioidentical hormone replacement, testosterone injections, testosterone creams, testosterone pellets, supplements, medications and more.

How do I know if my testosterone levels are low?

The only accurate way to detect the condition is to consult with one of our doctors and have our doctors measure the amount of testosterone in your blood. Because testosterone levels can fluctuate during the day, several measurements may need to be taken to detect a deficiency. Our doctors tend to prefer, if possible, to test levels early in the morning because this is when testosterone levels are at their highest. Usually one blood test and review of symptoms is sufficient to diagnose testosterone deficiency or a decrease in optimal testosterone levels.

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Low Testosterone Symptoms

  • Decreased Sex Drive
  • Low Sperm Count
  • Lack of Concentration & Memory
  • Increase Body Fat
  • Erectile Dysfunction
  • Fatigue or Lack of Energy
  • Depression or Irritability
  • Bone Loss
  • Hair Loss
  • Decrease in Muscle Mass & Strength
  • Low Self-Esteem
  • Aches and Pains

Low Testosterone Causes in Men

As men age, the amount of testosterone in their bodies gradually declines. This natural decline starts after age 25-30 and continues on throughout their lives. Other potential causes of testosterone deficiency include:

  • Injury or Infection of the Testicles
  • Genetic Abnormalities
  • Alcoholism
  • Chronic Illness
  • Congenital Conditions like Kallman’s Syndrome
  • Dysfunction of the Pituitary Gland
  • Hemochromatosis
  • Cirrhosis of the Liver
  • Chronic Renal Failure
  • Stress
  • Cancer Treatments – Chemotherapy or Radiation
  • Aids
  • Certain Medications
  • Inflammatory Diseases
  • Obesity

Testosterone Therapy Benefits

There are many benefits of testosterone therapy that include; increased interest in sex and being able to maintain an erection, increased overall well-being, increased longevity, decreased fat mass and increased muscle mass, strengthening of bones, aid in blood sugar control, decrease cardiovascular problems, increased energy and decreased irritability.

Testosterone Therapy Methods

Your doctor will discuss with you the best option for your testosterone therapy. Each type of therapy will provide adequate levels of hormone replacement and each has its own side effects, advantages and disadvantages. There are several treatment options available for testosterone replacement therapy, which include:

  • Gels
  • A prescribed gel applied once a day to the upper arms, shoulders or abdomen and the gel is absorbed directly through the skin.
  • Skin Patch
  • Applied once a day and is worn on the arm, back, abdomen, buttocks or on the scrotum.
  • Mouth Patch
  • Applied twice a day and it sticks to the upper gums above the incisor near the two front teeth. It will continually release testosterone into the blood through the tissues in the mouth.
  • Testosterone Injections
  • Testosterone injections are injected directly into the muscle, usually in the thigh muscle if it is being self-administered.
  • Testosterone Implant
  • Testosterone pellets are implanted in the soft tissues, which are generally administered every two or three weeks.

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What can be expected from Testosterone Treatment?

Because every man is different, each individual will have different results with different treatments. Regardless of the testosterone treatment, he should notice improvement in his sex drive, energy level, strength, and quality of erections. Other improvements may include; bone density, muscle mass and mood.

Testosterone Therapy Dosage

Because of potential risks and side effects of testosterone therapy, your doctor will want to make sure you are safe on testosterone therapy and will want to monitor your testosterone levels in addition to other labs and symptoms. Testosterone therapy dosage is dependent on your total testosterone levels, free testosterone levels, DHEA levels and more. Monitoring and screening may include; checking testosterone levels with periodic blood tests, checking prostate with PSA levels or digital rectal exams, testing blood for changes in your blood chemistry and hemoglobin levels.

Risks of Testosterone Therapy

Testosterone replacement is overall a safe treatment if properly treated and monitored. Our doctors will discuss in detail the benefits and risks of testosterone replacement therapy with you during your consult.

Some may experience a mild side effect associated with the application or injection of testosterone which may include; itching, rash or irritation at the injection site or where the testosterone is applied. Again our doctors will monitor your blood work while you are receiving testosterone therapy. Certain cancers such as prostate cancer can feed on testosterone and therapy must be discontinued if any cancer is found in the body.

Natural Testosterone Therapy

We only utilize bioidentical hormone in our practice which mimic what is naturally found and produced in our bodies.

Natural Testosterone Boosters

There are several supplements and therapies such as Clomid (Clomiphene Citrate) that can increase your testosterone levels without taking endogenous testosterone replacement. Our doctors will also go over these treatment options with you during your consultation.

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Hormone Therapy

Our doctors are highly trained in the diagnosis and treatment of many male hormones that may be deficient or need optimization. Male hormones that our clinic treats include:

  • Testosterone
  • Thyroid
  • Pregnelonone
  • And more

Many men have great, positive outcomes with testosterone replacement therapy and hormone replacement therapy, and you can too! Maintaining a proper testosterone levels and overall hormone levels is important in maintaining your total well-being. Testosterone replacement therapy is a simple process that can restore vitality and dramatically improve the quality of your life.

For more information, please give us a call at 310-299-8959 to set up an appointment with Dr. Nazarian at our Beverly Hills office.

Author: David Nazarian, M.D.

Board Certified in Internal Medicine and Specialist in Concierge Medicine & Executive Health. Dr. Nazarian practices Integrative Medicine with focus on preventative medicine, anti-aging, hormone replacement therapy and IV Vitamin optimizations. Dr. David Nazarian, received his bachelor of sciences from the University of Los Angeles, California in Psychology and Biology. He obtained his Medical Doctorate degree from Sackler School of Medicine. He completed his medical residency at Huntington Memorial Hospital, a University of Southern California affiliate hospital. Once completed, he established a practice in the heart of Beverly Hills. Dr. Nazarian is a Diplomat of the American Board of Internal Medicine. He has received numerous awards and recognition as a top doctor in his field.