Exposing the Myths About Testosterone Replacement Therapy

If a man develops metastatic prostate cancer one of the first lines of therapy philadelphia for him will be to knock out all his testosterone. Once this patient’s testosterone levels are reduced to near zero levels he will go into at least a temporary remission from his prostate cancer. If very low levels of testosterone are temporarily curative of prostate cancer then surely it follows that very high levels are causative.

Where did this figment of the medical imagination come from then you may well ask? Search the medical literature as you may, I promise you that you will not come up with one single peer review paper that supports the notion that boosting a man’s testosterone levels increases his chances for developing prostate cancer or any other cancer for that matter.

Today, many people, including surprisingly most practising doctors, still cling on to the old dogma that Testosterone Replacement Therapy (TRT) for older men is dangerous and leads to an increased incidence of prostate cancer. They do this despite the fact that there is not a single shred of evidence to support this folktale and there never was.

Prostate cancer is predominately a disease of older men with declining testosterone levels. How then can you argue that testosterone replacement therapy might be conducive to prostate cancer?

No, sorry, that is not just common sense and it most certainly is not scientific. Corollaries are often used in religious debate and mathematical theory.

Let us then put the final nail in the coffin of this pishogue about testosterone causing cancer. A recently conducted study into the safety of testosterone replacement therapy, carried out by M.R. Feneley and M. Carruthers at The Institute of Urology and Nephrology University College, London and you don’t get much grander than that; concluded thus:

Laboratory assays can support the diagnosis of androgen deficiency in men, they should not be used to exclude it.

While I’m at it then, let me just dispel another medical myth, popular among doctors about TRT. Doctors still cling to the fallacy that, in order to decide which men should be considered for TRT, it is necessarily to first of all take blood for hormonal level assay.

The incidence of prostate cancer in this group of men (1,500) treated with testosterone over many years was equivalent to that expected in the general population.

Here are just a few disadvantages in the over reliance of hormonal assay in deciding who may or may not benefit from TRT:

– Testosterone levels vary from hour to hour during the day and from laboratory to laboratory.
– These tests are expensive and add significantly to the overall cost of TRT.
– Knowing the man’s age you already know that his T levels will be depressed so you learn little or nothing from blood tests.
– Testosterone levels can not exclude the presence of testosterone deficiency syndrome.

Testosterone Deficiency Syndrome is not about grumpy old men with flagging libido and erectile dysfunction. It is a far more serious condition than just that. It has been described as universally the most under diagnosed and under treated disease in older men.

Search the medical literature as you may, I promise you that you will not come up with one single peer review paper that supports the notion that boosting a man’s testosterone levels increases his chances for developing prostate cancer or any other cancer for that matter. If a man develops metastatic prostate cancer one of the first lines of therapy for him will be to knock out all his testosterone. If very low levels of testosterone are temporarily curative of prostate cancer then surely it follows that very high levels are causative. Prostate cancer is predominately a disease of older men with declining testosterone levels. Testosterone Deficiency Syndrome is not about grumpy old men with flagging libido and erectile dysfunction.

– Reduced incidence of Type 2 diabetes.
– Reduction of all risk factors associated with the Metabolic Syndrome.
– Increased muscle mass and strength.
– Reduced incidence of coronary artery disease and senile dementia.
– Decreased visceral fat.
– Increased libido and reduction of erectile dysfunction.

In my practise today I have long abandoned reliance on drawing blood for T levels. This is my accurate and very inexpensive tool to determine if a man is suffering from a lack of testosterone or not.

 

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