Category Archives for Libido

Middle-aged man, outside, with shirt off looking into the camera doing pushups against a wall)

Testosterone Therapy: Cenegenics vs. Low-T Clinics

The greatest wealth is health.

Virgil

Low testosterone is a widespread concern among many middle-aged men, though issues with hormone imbalances can develop earlier in life, too. As a man ages, his testosterone levels begin to decline. While this important hormone peaks in early adulthood, it starts to drop by roughly 1% per year by the age of 30 or 40. In some cases, men can also have severely low testosterone levels, caused by hypogonadism. [1]

While a gradual decline in testosterone is natural over time, the conditions associated with low testosterone should not simply be written off as natural aspects of aging. Testosterone plays essential roles in a number of key bodily functions. For instance, it helps to maintain fat distribution, bone density, muscle mass and strength, facial and bodily hair, and red blood cell production. It also supports healthy sexual function, and contributes to sex drive and sperm production. [2] Thus, testosterone is far more than just a sex hormone, and it’s critical for supporting overall health in men.

Low testosterone can therefore result in a host of physical and mental symptoms. If you’ve noticed changes in sexual function or other symptoms which you believe could be related to declining testosterone, you may be exploring your treatment options. While testosterone therapy is a safe and effective treatment for many men, it demands the professional care and continual oversight from medical experts. As such, not just any approach to testosterone therapy will do. To help you reach an informed decision as you research your options, find out what sets Cenegenics apart from low-T clinics below. 

What Is Testosterone Therapy?


picture of molecular compound for testosterone on a blue background

Testosterone therapy is a widely used treatment to address low testosterone levels in men. Clinically deficient levels of testosterone appear in:

  • 20% of men over 60
  • 30% of men over 70
  • 50% of men over 80 [3]

Symptoms of Testosterone Deficiency

As men age, the testicles produce less testosterone, and the increase of the sex hormone binding globulin takes place. Together, these factors decrease bioavailable testosterone, which can have a negative effect on a man’s overall wellbeing. For instance, the symptoms of low testosterone can be seen across a number of key areas, such as:

  • Physical: The physical symptoms of low testosterone include declining muscle and bone mass, fatigue, and increased body fat. Decrease in beard and body hair growth, development of breast tissue, and infertility may also occur.
  • Mental: Men with low testosterone may experience cognitive decline including concentration challenges, reduced self-confidence, and depression.
  • Sexual: A decrease in testosterone can lead to reduced libido, fewer spontaneous erections, and difficulty maintaining an erection. [4]

In some cases, men exhibiting these symptoms may be good candidates for testosterone therapy. This treatment is available in a number of forms, including gels, patches, and injections.

While there have been some rumors about potential risks associated with testosterone therapy, the treatment is safe and effective when used in appropriate candidates and as part of a comprehensive health optimization program. For instance, although rumors initially said otherwise, research in the Mayo Clinic Proceedings indicates that evidence does not support an increased risk of cardiovascular events or prostate cancer with testosterone therapy. [5]

Benefits of Testosterone Therapy

When a need for testosterone replacement has been clinically indicated, the benefits of this treatment can span far and wide. For example, testosterone therapy can go beyond addressing the symptoms of low testosterone by increasing:

Testosterone therapy can actually deliver benefits such as cardioprotective effects. [6] Moreover, hormone therapy has actually been shown to decrease mortality in men with low levels of testosterone. [7] And, even men with lower levels of testosterone who still fall into medically-defined “normal” ranges may still benefit from hormone therapy if they display symptoms of low testosterone. [8]

Yet, as with any type of medical treatment, it’s critical to seek out medical expertise to ensure you’re receiving the highest quality of care.

What Are Low-T Clinics?


Vial of a yellowish substance with a syringe sticking into the top of the vial

The development of low-testosterone clinics, or low-T clinics, has become rampant in recent years. You’re likely to find hundreds of options to choose from if you’re simply seeking testosterone replacement, which is the principal solution offered by these centers. Many men are drawn to the promises set forth by these clinics, such as quick results.

The trouble is that effectively treating the symptoms associated with low testosterone (and doing so safely) demands a complete approach to overall health and wellness. Nonetheless, the primary focus of these clinics is testosterone replacement. For patients, however, overlooking the other aspects of health that could be contributing to symptoms can cause them to lose out on key areas of opportunity to truly feel their best.  

Cenegenics Is Vastly Different than Low-T Clinics


Picture of DEXA scan and bone density test results

Cenegenics is a leader in wellness optimization and preventive care and goes far beyond testosterone therapy alone. We help people feel their best with proven solutions and a patient-centric approach in which individualized care is given and modified as outcomes are reached and goals evolve. Find out how we’re different from low-T clinics here.

An All-Encompassing Approach to Testosterone Therapy


A man with a shirt off and a VO2 Max mask on while he exercises

Unlike low-T clinics which focus exclusively on testosterone therapy, Cenegenics treats the entire patient. Our programs start with an Elite Health Evaluation, which allows our physicians to look for any indicators of underlying health conditions that could be contributing to symptoms like:

Because cardiovascular disease is the leading cause of death in the U.S., our Elite Health Evaluation is especially focused on identifying patients’ cardiovascular risk. In addition to physical exams and health history screening, our patients undergo carotid artery ultrasounds, ECGs, and advanced blood testing, if needed. [9]

While optimizing hormone levels is critical to helping men with low levels feel their best, it’s only one piece of the puzzle. For example, exercise is essential reducing the risk of serious disease, including type 2 diabetes, many types of cancer, and stroke, among others. [10] Cenegenics focuses on addressing not only the symptoms of low testosterone, but also improving health across the realms of sleep, cognition, weight management, libido, and energy levels.

Beyond simply bringing our patients within “normal” ranges, we give them the tools needed to support a lifetime of feeling their best, through tactics such as disease prevention and targeting optimal health levels. Thus, in concert with hormone therapy administered when clinically indicated.

Cenegenics offers nutrition, exercise, and sleep prescriptions that can produce the highest quality of results for patients. As a result, patients may experience not only improved sex drive, muscle mass, and other byproducts of hormone optimization, but also results such as long-term weight management, improved sleep, and better cognition. After all, without strong overall wellness, testosterone therapy is of little value.

Superior Expertise in Testosterone Therapy and More


A group of executives standing looking toward the camera smiling. There are 3 men and 2 women, all dressed professionally

In many low-T clinics, physician assistants or nurse practitioners act as patients’ primary caregivers. While these professionals certainly have their place in medical practice, testosterone therapy demands expertise from physicians who are trained in health optimization and hormone therapy.

A one-size-fits-all approach simply won’t work for treating hormone imbalances. Instead, physicians must analyze the in-depth lab reports and make treatment decisions based on factors such as the patient’s sex hormone panel. In many low-T clinics, this takes place once – at the start of the patient’s treatment.

At Cenegenics, our physicians continuously review panels to look at how the hormones are affecting inflammatory markers, kidney and liver function, and lipid and carbohydrate metabolism. This is essential, since hormone therapy can have widespread effects across the body’s systems. By monitoring results closely, our physicians ensure any necessary adjustments to treatments are made long before they pose any risk to patient health.

Patient Convenience and Optimal Care


A middle-aged man outside jogging with arms raised and smiling as if celebrating

In addition to our comprehensive approach and our clinical team’s unwavering attention to detail, patients can also enjoy a number of convenient features when choosing Cenegenics. For example, we never outsource services such as lab work, diagnostic testing, clinical support, pharmacy items, or nutraceuticals. This means your entire wellness program is managed internally through Cenegenics.

As a result, you won’t have to wait at lab offices or visit multiple facilities for diagnostics. You’ll also receive ongoing support from our onsite staff, call center, and remote health coaches. Our team comprises phlebotomists, exercise physiologists, and nutrition experts, as well as physicians who have completed specialized age management training. Cenegenics patients have access to care from all of these experts to ensure a well-rounded approach to their health.

To support a better patient experience, you’ll also receive customized, efficaciously-dosed pharmacy items directly to your door, when needed. We never use poor potency, low-quality retail materials, as we believe the quality of treatment corresponds directly with the quality of results.

All Testosterone Therapy is Not Equal - In Conclusion 


Two middle-aged men, one in a pink shirt and one in a light blue shirt, on bicycles smiling, looking into the camera

Testosterone therapy is a viable solution for many men who have low levels, but it’s only one component in optimizing your quality of life and achieving disease prevention. When it comes to something as important as your health, “quick and easy” is never the way to go. Instead, to feel better both now and years into the future, you must seek out expertise and a comprehensive approach that allows you to improve across every possible facet of health. And, you won’t find those benefits at any typical low-T clinic.

If you’re interested in finding out how Cenegenics can help you achieve hormone optimization along with countless other wellness outcomes, contact your nearest location to schedule a consultation. 

Next Steps: Learn How Testosterone Therapy May Be Right For You

FREE Consultation

Our world class physicians create a personalized plan to help you feel 10+ years younger. You'll be more energetic, lose weight, sleep better, have more libido, and think more clearly. Click below to schedule a free consultation with one of our physicians. It's quick + easy. 

About the Author

Raymond Ishman, M.D.
President of Cenegenics Philadelphia 

Dr. Ishman focused on a career in emergency medicine, eventually becoming board certified. After nearly 20 years in the emergency room, Dr. Ishman shifted his focus back to primary care and preventive medicine. His goals are to keep patients well and prevent disease, rather than trying to deal with full-blown medical problems that could be prevented. In other words, keeping patients out of the emergency room.

Key Resources

This guide was produced with contributions from the following key resources: 

The Cenegenics Education and Research Foundation  

The Textbook of Age Management Medicine Volume 1: Mastering Healthy Aging Nutrition, Exercise and Hormone Replacement Therapy

Click to purchase

The Cenegenics Education and Research Foundation  

The Textbook of Age Management Medicine Volume 2: Mastering Healthy Aging Nutrition, Exercise and Hormone Replacement Therapy

Click to purchase

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

Dr. Jeffrey Park Leake is a Partner and Director of Education at Cenegenics Elite Health specializing in age management and wellness. Having trained hundreds of physicians worldwide, Dr. Leake is also the Director of Education for the Clinical Strategies for Healthy Aging course at AMM Educational Foundation.

Todd David Greenberg, M.D., CSCS

Dr. Todd Greenberg is a practicing physician with a broad range of expertise, including wellness, exercise, sports injuries, and MRI of sports injuries. He is a Radiology Clinical Associate Professor at the University of Washington.

References

[1] Testoesterone therapy: Potential benefits and risks as you age, Mayo Clinic Staff. Retrieved from: https://www.mayoclinic.org/healthy-lifestyle/sexual-health/in-depth/testosterone-therapy/art-20045728

[2] mayoclinic.com; see above.

[3] Risks of Testosterone replacement therapy in men; Osterber, E. Charles, Bernie, Aaron M., and Ramasamy, Ranjith.  Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3897047/

[4] Testosterone therapy: Potential benefits and risks as you age. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/sexual-health/in-depth/testosterone-therapy/art-20045728.

[5] ncbi.nlm.nih.gov; see above.

[6] ncbi.nlm.nih.gov; see above.

[7] Long-Term Testosterone Therapy Improves Cardiometabolic Function and Reduces Risk of Cardiovascular Disease in Men with Hypogonadism: A Real-Life Observational Registry Study Setting Comparing Treated & Untreated (Control) Groups;  US National Library of Medicine.  Retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/28421834

[8] ncbi.nlm.nih.gov; see above.

[9] Cardiovascular Diseases, Retrieved from: https://www.webmd.com/heart-disease/guide/diseases-cardiovascular#1

[10] Exercise: 7 benefits of regular physical activity. Retrieved from: https://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/exercise/art-20048389

Physician taking notes as he consults a male patient in a doctor’s office

Testosterone Replacement Therapy | How Is the Prostate Affected?

We must be vigilant, even of each other,

but mostly of ourselves

Viet Thanh Nguyen

Find out below how this treatment affects the prostate, and how Cenegenics takes precautions to ensure your utmost safety. We wanted to thank everybody that posted questions on our social media regarding prostate cancer and testosterone therapy. Exploring the potential risk behind medical treatments is part of being an informed and vigilant patient, and a key criterion for leading a life of optimized wellness.

Yet, there tends to be a lot of misinformation that circulates when it comes to prostate health and testosterone replacement therapy. To put your mind at ease about any risk, we’re here to set the record straight. Find out below how this treatment affects the prostate, and how Cenegenics takes precautions to ensure your utmost safety.

Testosterone Replacement Therapy | What Is It?


Syringe pulling testosterone from prescription vial

Testosterone is a male sex hormone produced in the testes. It helps to maintain the production of sperm as well as a man’s sex drive, along with facial and body hair. Yet, it also plays an important role on a cellular level: testosterone aids in red blood cell production and also helps to promote healthy muscle and bone mass.

By their middle ages, men’s testosterone production begins to slow. Many men experience symptoms of low testosterone, which could include:

As a result, many men turn to testosterone replacement therapy to address these symptoms and to promote better long-term health.

With this understanding of the testosterone replacement therapy in mind, let’s move on to briefly discuss prostate function. 

What is a Prostate?


Illustration of normal male prostate

In men, the prostate is a small gland roughly the size of a walnut. It is located between the bladder and the penis, just in front of the rectum. Oftentimes, we hear very little about the prostate until something goes wrong with it. Prostatitis, or inflammation of the prostate, for example, is sometimes caused by infection but can usually be treated with antibiotics. Additionally, prostate cancer is the most common form of cancer in men outside of skin cancer, though few men die of the condition.

Yet, aside from the potential issues that may develop with the gland, it plays an important role in men’s reproductive health. The prostate secretes fluid to nourish and protect the sperm, which it squeezes into the urethra during the ejaculation. This fluid is a component that combines with sperm to make up semen.

With that said, early studies about testosterone replacement therapy raised questions about the potential link between prostate cancer and TRT. This has led many men to avoid what could be a life-changing treatment. Yet, for most populations and with the right clinical oversight, testosterone therapy does not increase the risk of prostate cancer — find out why below.

How is the Prostate Affected by Testosterone Replacement Therapy?


Some studies have suggested that testosterone therapy could contribute to prostate enlargement, or what’s known as benign prostatic hyperplasia (BPH). Yet, this effect is most notable in patients who are markedly hypogonadal, or significantly deficient in testosterone. In patients with normal testosterone (eugonadal) levels, the effect becomes statistically insignificant. Moreover, the use of testosterone therapy does not show any statistically significant worsening of flow rates, post void residual volumes, or other symptoms affecting prostate health as measured by the International Prostate Symptom Score. [1]

The Myth of Prostate Cancer Risk

Initial reports that testosterone levels were directly associated with prostate cancer were misunderstood and largely based on a single case report. Research in the 1940s performed by Charles Brenton Huggins and Clarence Hodges suggested that lowering testosterone caused prostate cancer to stop growing. Further reports in the 1990s supported the belief that prostate cancer is caused by increased total testosterone levels. The erroneous conclusion drawn by the general medical community based on these studies was that high testosterone levels lead to prostate cancer. [2]

Yet, upon taking a closer look, other researchers identified another factor in the mix. When patients with prostate cancer underwent androgen suppression followed by testosterone, the cancer progressed rapidly. Patients who did not receive androgen suppression (and were thus not made severely hypogonadal) did not see a progression of their cancers when administered testosterone. This finding suggests that prostate cancer survivors who have not received androgen suppression may be eligible for testosterone replacement therapy. [3]

Further research was done at a cellular level. It showed that testosterone supplementation increases testosterone in the prostate gland of hypogonadal men, but in eugonadal men, there is no statistical increase in total testosterone within the prostate gland. Additional markers for prostatic disease, including prostate-specific antigen (PSA), prostatic volume, androgen-related genes, and genes associated with prostatic proliferation, were also studied. They were not significantly elevated beyond expected levels for eugonadal patients. [4]

Studies Show Low Testosterone May Increase Risk

There is strong evidence that prostate cancer is less likely to occur in men with levels of testosterone comparable to young eugonadal men, and that lower testosterone levels are at risk for prostate cancer (and prostate cancer with more aggressive features). In a large study of men in Norway, Sweden, and Finland, men with the highest total testosterone levels (in the fifth quintile) showed an overall risk of 0.80 for being diagnosed with prostate cancer — a 20% reduced risk compared to the lowest quintile. [5]

Ultimately, nearly half a million men have been studied in investigations, with no association shown between increased testosterone and increased prostate cancer. Instead of elevated testosterone, low total testosterone is associated with increased prostate disease in general, including cancer. [6]

Moreover, baseline testosterone levels are not predictive of prostate cancer. These facts strongly argue against increased total testosterone levels playing any causative role in prostate cancer. In fact, the estimated prevalence of prostate cancer in patients treated with testosterone therapy was reported to be 1.1% across aggregate studies, or less than the general population statistic of 1.7% prevalence as of 2013. [7]

In other words, evidence shows that the risk of prostate cancer in a patient undergoing testosterone therapy is equal to or less than that for the general population. The only patients who may be at risk for a recurrence of prostate cancer are those who have already had it and been treated with androgen deprivation. Coincidentally, this is the exact condition that occurred in the original study responsible for raising the generalized, misdirected fear of prostate cancer risk in testosterone therapy patients.

How Cenegenics Monitors Prostate Health


Mature man standing on boat

Now, nearly 80 years following the publication of the original study, medical experts are far more informed about testosterone therapy as it relates to prostate health. Ultimately, the therapy is considered safe for prostate health under the conditions described above—but with one more caveat. It must be monitored closely by trained physicians, such as Cenegenics’ age management physicians.

At the start of each patient experience, Cenegenics performs comprehensive screenings to tap into many different measures of health. This comprehensive assessment is not only useful but necessary for determining whether you’re a candidate for HRT, or if there are other medical factors at play which must be addressed. From dietary gaps and nutrient deficiencies to previously undiagnosed allergies, our clinical team looks at all of the potential barriers to wellness optimization.

Moreover, as a team of ethical and responsible physicians, we perform ongoing monitoring to identify and mitigate risk proactively. If needed, we course-correct as treatment takes place instead of waiting until any adverse symptoms manifest. While routine monitoring is the cornerstone of effective HRT, the majority of low-T clinics do not offer this practice. While these clinics may perform lab work when subjective symptoms arise, Cenegenics is proactive in measuring the impact of bioidentical hormones on prostate, kidney, and liver health, as well as other biomarkers. We also perform all of our phlebotomy activities in-house to minimize the risk of errors and oversights, and to ensure all of your lab work, pharmacy items, and prescriptions are handled exclusively by our panel of specialists.

Patients should be wary of any “low-T clinics” that simply prescribe testosterone without monitoring. While testosterone is indeed a very important component when it comes to male health, it is only one piece of the puzzle. Not only is testosterone replacement therapy without clinical monitoring dangerous, but it also fails to recognize the other critical aspects of wellness optimization that shape long-term health.

At Cenegenics, we guide our patients into an improved lifestyle, maximizing health potential to enjoy a more vibrant, rewarding life. While we understand that symptoms associated with low testosterone may be one of the primary reasons why patients seek us out, our physicians also understand that a “one size fits all” modality is ineffective for successful treatment. Instead, the complex interplay among nutrition, exercise, sleep, and genetic factors, among others, must all be considered and accounted for when developing a robust and effective wellness optimization plan.

If you’re interested in seeing what an individualized wellness optimization program from Cenegenics could do for you, contact your nearest location today.

Next Steps to Receiving Individualized Prostate Health Plan

FREE Consultation

Our world class physicians create a personalized plan to help you feel 10+ years younger. You'll be more energetic, lose weight, sleep better, have more libido, and think more clearly. Click below to schedule a free consultation with one of our physicians. It's quick + easy. 

About the Contributor

Rudy Inaba 
Global Director of Nutrition & Exercise

Rudy Inaba is Cenegenics’ Global Director of Nutrition & Exercise. He is a recognized fitness and sports nutrition consultant with nearly 15 years of experience in clinical exercise physiology and lifestyle management. After pursuing his Master of Science in Clinical Exercise Physiology at the University of Nevada Las Vegas, Rudy joined Cenegenics where he leads 20 clinical locations nationwide in their advancements in kinesiology, nutritional biochemistry, and their analyses of industry research & market trending.

Key Resources

This guide was produced with contributions from the following key resources: 

The Cenegenics Education and Research Foundation  

The Textbook of Age Management Medicine Volume 1: Mastering Healthy Aging Nutrition, Exercise and Hormone Replacement Therapy

Click to purchase

The Cenegenics Education and Research Foundation  

The Textbook of Age Management Medicine Volume 2: Mastering Healthy Aging Nutrition, Exercise and Hormone Replacement Therapy

Click to purchase

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

Dr. Jeffrey Park Leake is a Partner and Director of Education at Cenegenics Elite Health specializing in age management and wellness. Having trained hundreds of physicians worldwide, Dr. Leake is also the Director of Education for the Clinical Strategies for Healthy Aging course at AMM Educational Foundation.

Todd David Greenberg, M.D., CSCS

Dr. Todd Greenberg is a practicing physician with a broad range of expertise, including wellness, exercise, sports injuries, and MRI of sports injuries. He is a Radiology Clinical Associate Professor at the University of Washington.

References

[1] Leake, Jeffery Park, M.D., CPT, and Greenberg, Todd David, M.D., CSCS. Textbook of Age Management Medicine: Volume 2. Leake-Greenberg Ventures, LLC, 2015.

[2] Leake, Jeffery Park, M.D., CPT, and Greenberg, Todd David, M.D., CSCS; see above.

[3] Leake, Jeffery Park, M.D., CPT, and Greenberg, Todd David, M.D., CSCS; see above.

[4] Leake, Jeffery Park, M.D., CPT, and Greenberg, Todd David, M.D., CSCS; see above.

[5] Leake, Jeffery Park, M.D., CPT, and Greenberg, Todd David, M.D., CSCS; see above.

[6] Leake, Jeffery Park, M.D., CPT, and Greenberg, Todd David, M.D., CSCS; see above.

[7] Leake, Jeffery Park, M.D., CPT, and Greenberg, Todd David, M.D., CSCS; see above.

mature man with arms crossed standing on city sidewalk

A Comprehensive Guide to Prostate Health

A man too busy to take care of his health is like a mechanic

too busy to take care of his tools.

Spanish proverb

In the world of men’s health, the prostate tends to get a bad reputation. After all, it isn’t until something goes wrong that we tend to start paying attention to this area of the body. Yet, the prostate plays a crucial role in reproduction, and while serious conditions like prostate cancer may be caused in part by factors beyond a man’s control, there are many factors within his control that can boost prostate health at every age. In honor of Men’s Health Month this June, explore some need-to-know facts about prostate health with the following guide.

What is a Prostate?

The prostate is a small gland roughly the size of a walnut or golf ball. Its role is to produce the milky, thick component of semen. This nutrient-rich fluid helps to transport sperm during ejaculation, which is why prostate health is an essential aspect of men’s reproductive health.

The gland is located behind the bladder and in front of the rectum. It is also located near the upper area of the urethra, which transports urine from the bladder out of the body. Thus, when something goes wrong with the prostate, urination, sexual function, or both may be affected. 

The Importance of Optimal Prostate Function

Doctor discussing the importance of optimal prostate function with patient with visual assistance of prostate diagram on computer

By nature, the prostate gland tends to grow with age, making men more vulnerable to urinary and sexual health issues as they approach their middle ages and beyond. Optimal prostate function allows for both normal passing of urine as well as ejaculation. During ejaculation, the prostate contracts, inserting its fluid into the urethra. Sperm travels through the vas deferens, which carry sperm from the testes to the seminal vesicles. The seminal vesicles, which are attached to the prostate, add extra fluid to the semen before it is ejaculated.

Prostatic fluid makes up roughly 30% of semen and supports the lifespan and mobility of sperm. It is rich in zinc, citric acid, and enzymes, and its overall alkalinity protects sperm from the acidity of the vagina. Specific male hormones including dihydrotestosterone (DHT) and testosterone are required for proper prostate function. [1] When prostate issues arise, men may experience loss of sex drive, painful ejaculation, and other sexual issues.

Additionally, age-related prostate issues including urinary symptoms may appear as early as the 30s and 40s in some men. [2] Beyond enlargement caused by aging, however, there are other conditions which could affect prostate function. For instance, a tumor or infection could cause prostate enlargement. In the coming section, we’ll take a closer look at some of the conditions which can affect the prostate.

Conditions That Affect the Prostate

mature man discussing improving prostate health with urologist in doctor’s office

There are three main conditions which can affect the prostate, most of which are quite common. Here’s a closer look at each.

Prostate Cancer

Prostate cancer is the development of cancerous cells, including tumors, within the prostate. It is the second-most common form of cancer in American men, trailing only skin cancer. Roughly 1 in 9 men will be diagnosed with prostate cancer during his life, with 60% of cases occurring in men above the age of 65. While it can be serious, most men diagnosed with prostate cancer do not die from the condition. In fact, nearly 3 million U.S. men are still alive today after surviving the disease. [3]

During its earliest stages, prostate cancer may not exhibit any signs or symptoms. It’s for this reason that regular visits with your doctor are so critical. Through both in-office exams and advanced diagnostics, prostate cancer can be identified earlier than ever before.

With that said, more than half of all U.S. men have some form of cancer in the prostate by the age of 80, and in some cases, the disease may never become a serious threat. In these instances, the approach of “watchful waiting” may be used, which involves close monitoring and treating the cancer only if and when it’s needed. Prostate cancer tends to grow very slowly, and cell changes may not develop for decades. [4]  

By the time symptoms appear, however, cancer treatment is likely needed. Difficulty urinating, frequent urges to urinate, blood in the urine or semen, weak or interrupted urine stream, and persistent pain in the pelvis, hips, or back may be signs of prostate cancer. Depending on its stage, prostate cancer may be treated through surgery, radiation, or hormone therapy, among other treatments. 

Benign Prostatic Hyperplasia

As mentioned above, the prostate may enlarge with age. The medical term for this condition is benign prostatic hyperplasia, or BPH. Roughly 75% of men over the age of 60 experience BPH to some degree. [5] Although having BPH does not increase a man’s risk for developing prostate cancer, its symptoms can closely mimic the disease. For instance, the enlargement of the gland can cause difficulty urinating, interrupted urine flow, and the urge to pass urine frequently.

As a man ages, the prostate can grow significantly, potentially increasing from the size of a walnut to a lemon by the age of 60. While there is currently no cure for BPH, it can be managed through medication, surgery, and lifestyle changes. [6]

Prostatitis

Another noncancerous condition of the prostate is prostatitis, or inflammation of the gland. The condition can be caused from a bacterial infection and impacts at least 50% of men at some stage of their lives. It does not increase the risk for developing prostate cancer, but again, may trigger similar symptoms.

Painful ejaculation, loss of sex drive, rectal pressure, pain in the groin or lower belly, difficulty urinating, and lower body aches are all potential symptoms of prostatitis. In other cases, it may never produce symptoms but may be picked up on tests such as a prostate specific antigen (PSA) test. Treatments may include antibiotics, lifestyle adjustments, or other therapies. [7]

While prostate conditions may not always be preventable, there are measures you can take to boost prostate function and overall health, which we’ll discuss in the next section.

How to Improve Prostate Health

mature man jogging in city

Whether you’ve been diagnosed with a prostate condition or you’re simply seeking ways to improve prostate health, there are many lifestyle changes you can adopt to boost prostate wellness. Here are a few key tactics to bear in mind.

Follow a Healthy Diet

The verdict is still out on whether specific foods can improve prostate function, so experts instead recommend following overall healthy eating patterns. This includes eating plenty of vegetables and fruit, especially those with deep or bright colors. Healthy fats such as nuts, avocadoes, and olive oil should be prioritized, while saturated fats should be enjoyed in moderation.

Avoid trans fats, found in fried and packaged foods, altogether. In fact, processed foods should be avoided or minimized to support overall health and reduced disease risk. Good sources of protein include fish, eggs, and skinless poultry. Starchy products like bread, pasta, and cereals should also be minimized. At the very least, be sure to choose whole-grain or whole wheat varieties over white, heavily processed options. [8]

Exercise Regularly

Beyond eating well, men should also make regular physical activity a priority for prostate health. In Harvard Medical School’s Health Professionals Follow-Up Study, researchers observed an inverse relationship between exercise and BPH. Men who regularly performed even low-intensity activities, including taking regular walks, experienced better prostate health.

The study also indicated a link between reduced likelihood of erectile dysfunction and regular exercise. Specifically, men who worked out for an hour and a half to three hours each week were 20% less likely to develop erectile dysfunction compared to sedentary men. Finally, men with chronic prostatitis noticed an improvement in symptoms when practicing aerobic exercise after previously leading sedentary lifestyles. [9]

Importance of Prostate Health – In Conclusion

Ultimately, improving prostate health aligns closely with the tactics needed to boost overall wellness at every age, which is precisely where Cenegenics excels. As experts in wellness optimization, our clinical team provides patients with the tools they need to feel their best both now and years into the future.

With advanced clinical testing, our highly-trained health optimization professionals can spot signs or risk of disease far earlier than most other traditional practices would. If you’re interested in seeing how Cenegenics can help you defy your age and achieve and maintain the healthiest possible version of yourself, contact your nearest location today.

Next Steps to Improving Prostate Health

FREE Consultation

Our world class physicians create a personalized plan to help you feel 10+ years younger. You'll be more energetic, lose weight, sleep better, have more libido, and think more clearly. Click below to schedule a free consultation with one of our physicians. It's quick + easy. 

Key Resources

This guide was produced with contributions from the following key resources: 

The Cenegenics Education and Research Foundation  

The Textbook of Age Management Medicine Volume 1: Mastering Healthy Aging Nutrition, Exercise and Hormone Replacement Therapy

Click to purchase

The Cenegenics Education and Research Foundation  

The Textbook of Age Management Medicine Volume 2: Mastering Healthy Aging Nutrition, Exercise and Hormone Replacement Therapy

Click to purchase

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

Dr. Jeffrey Park Leake is a Partner and Director of Education at Cenegenics Elite Health specializing in age management and wellness. Having trained hundreds of physicians worldwide, Dr. Leake is also the Director of Education for the Clinical Strategies for Healthy Aging course at AMM Educational Foundation.

Todd David Greenberg, M.D., CSCS

Dr. Todd Greenberg is a practicing physician with a broad range of expertise, including wellness, exercise, sports injuries, and MRI of sports injuries. He is a Radiology Clinical Associate Professor at the University of Washington.

References

[1] Murrell, Daniel, MD. “What is the prostate gland?” Medical News Today. Retrieved from URL: https://www.medicalnewstoday.com/articles/319859.php

[2] National Cancer Institute. “Understanding Prostate Changes: A Health Guide for Men.” Retrieved from URL: https://www.cancer.gov/types/prostate/understanding-prostate-changes

[3] American Cancer Society. “Key Statistics for Prostate Cancer,” 8 Jan. 2019. Retrieved from URL: https://www.cancer.org/cancer/prostate-cancer/about/key-statistics.html

[4] National Cancer Institute; see above.

[5] Harvard Health Publishing. “Prostate Health & Disease.” Retrieved from URL: https://www.health.harvard.edu/topics/prostate-health-and-disease

[6] National Cancer Institute; see above.

[7] National Cancer Institute; see above.

[8] Harvard Health Publishing. “10 diet & exercise tips for prostate health.” Retrieved from URL: https://www.health.harvard.edu/mens-health/10-diet-and-exercise-tips-for-prostate-health

[9] Harvard Health Publishing. “10 diet & exercise tips for prostate health;” see above.

Mature couple touching noses while smiling intimately at each other

Is Shockwave Therapy a Viable Erectile Dysfunction Treatment?

The real man smiles in trouble, gather strength from distress,

and grows brave by reflection

Thomas Paine

Erectile dysfunction is one of the most challenging conditions experienced by men in their middle ages and up. Those who suffer from it know that its symptoms are not isolated to the physical domain, but can impact mental health and relationships as well. While treatments for the symptoms of erectile dysfunction have been available for years, they have been limited and are not always effective for all patients. 

As the frontrunner in age management medicine, Cenegenics is proud to be among the first to offer advanced forms of medicine for the frustrating conditions that tend to accompany the aging process. Erectile dysfunction in particular is a common concern among our patient population, which is why our clinicians continue to stay at the forefront of medical advancements for treating this common yet challenging issue. We are, therefore, proud to announce that the newest form of treatment available for erectile dysfunction, shockwave therapy, is now available through Cenegenics. Discover below what makes this revolutionary therapy so powerful as an erectile dysfunction treatment and whether you could be an ideal candidate.

What Is Shockwave Therapy?


Doctor putting on white glove while male patient lays on medical table

While commonly referred to simply as “shockwave therapy,” the full name for this cutting-edge treatment is low-intensity extracorporeal shockwave therapy (LI-ESWT). This non-surgical and non-invasive treatment uses powerful but short energy waves to stimulate healing for chronic conditions, many of which have failed to respond to other therapies or treatments. The therapy is performed by issuing focused electromagnetic pulses to stimulate a repair process, prompting the formation of healthy blood vessels and the delivery of key nutrients to the affected area.

Since its development in the 1990s, various forms of shockwave therapy have been used to treat musculoskeletal conditions such as calcific tendonitis and plantar fasciitis. The technology now used in shockwave therapy derived from the initial discovery of sound waves’ ability to breakdown kidney stones. In years since, it has been revealed to be particularly useful in treating conditions which are otherwise difficult to treat. For example, treatments for chronic plantar fasciitis, or inflammation of the tissue that connects the heel to the toes, can be especially problematic. Surgical interventions pose the risk of serious complications, including infection. [1] Shockwave therapy, on the other hand, has yielded successful results in various studies, with few complications reported. [2]

In general, shockwave therapy is becoming a widely preferred method of treatment for stubborn injuries and musculoskeletal conditions. The purpose of the treatment is to trigger the body’s own natural healing response, instead of simply masking symptoms. As a noninvasive and drug-free alternative to many traditional forms of treatment, it holds promise for a broad range of injuries and chronic conditions including issues caused by:

  • Sports
  • Overuse
  • Strain
  • Tendonitis

Beyond sports injuries and chronic pain, however, shockwave therapy has also recently emerged as a feasible erectile dysfunction treatment option.

Shockwave Therapy as an Erectile Dysfunction Treatment


Medical technician using shockwave therapy system on patient’s knee

While commonly used to treat orthopedic conditions in the back, heel, shoulder, knee, and elbow, new evidence shows that the therapy can also benefit erectile dysfunction. Affecting up to half the population of men between the ages of 40 and 70, erectile dysfunction has been a common condition for which, historically, there have been limited treatment options. [3] Yet, further statistics show that although erectile dysfunction does correlate with age, it can impact men earlier in life, too. Although it is a common challenge faced by older adults, with 70% of men affected by age 70, a recent study published in The Journal of Sexual Medicine found that 25% of men seeking help for the condition are under the age of 40.

Erections are produced during sexual stimulation when blood fills spongy tissue in the penis. A broad range of medical conditions can disrupt this blood flow, including:

  • Normal aging
  • Vascular disease
  • Smoking
  • Diabetes
  • Excess body fat
  • Among Others

These issues develop over time, so it’s no surprise that men across most age groups are affected.

The difference between shockwave therapy and alternate treatments is that this method addresses the root cause of erectile dysfunction – the blocked blood flow – through the process described below.

How It Works

Shockwave therapy for erectile dysfunction is performed by passing low-intensity sound waves through erectile tissue, which addresses plaque in the blood vessels and stimulates the development of new, healthy blood vessels. Called neovascularization, this process helps to improve blood flow to the penis which is crucial to getting and maintaining an erection. A healthy blood flow is what gives the penis firmness, and a man with blood flow issues may therefore have weaker erections or struggle to produce one at all.

Shockwave treatment for erectile dysfunction is different from alternate treatments in that its goal is to restore the normal mechanism of erection to produce natural erections. Sound waves are delivered at specific frequencies to produce a mechanical force to the underlying deep tissues, breaking up vascular plaque and helping new blood vessels and nerve tissue to form. These pulsating acoustic waves ultimately rejuvenate the spongy erectile tissue in the penis to allow the blood spaces to open. New blood vessels grow, blood flow and sensitivity increase, and erections become stronger, bigger, and have increased duration.

To administer the treatment, a trained technician applies a probe coated in a specially-formulated gel to targeted areas. Treatment sessions are usually completed within 20 minutes or less. The process is generally pain-free, though a tingling sensation may occur. The non-invasive procedure is typically completed in a series of 6-12 treatments.

Benefits 

Mature woman in silk robe laughing as smiling mature man touches her shoulder while in bed

While treatments such as medications have been available to men with erectile dysfunction for decades, until now, the scope of treatment has been limited to generating an erection at the appropriate time. Many of these treatments aren’t widely preferred among patients as they can be painful, expensive, and inconvenient. Moreover, producing an erection at the time needed with pills, vacuum pumps, or painful injections into the penis can inhibit feelings of sexual desire. Being that they are used on an as-needed basis, they may also only work for one sexual encounter at a time. Furthermore, none of these methods treat or reverse the underlying pathophysiology of erectile dysfunction – inadequate blood flow into the erectile tissue of the penis – so using these pumps, pills, and injections allows the underlying problem to worsen as normal aging takes place. Thus, men who rely on these treatments gradually see them fail over time.

Shockwave therapy, on the other hand, addresses the root cause of erectile dysfunction by enhancing blood flow, allowing men to have erections on their own. According to research published in Therapeutic Advances in Urology, this revolutionary treatment “possesses unprecedented qualities that can rehabilitate erectile tissue.” The treatment is projected to be a new standard of care for erectile dysfunction patients and is hailed for its ability to restore erectile function without additional medication. It is also deemed feasible, tolerable, and without any adverse or unwanted effects. [4] Thus, for men who have struggled with this frustrating condition, shockwave therapy is an obvious course of treatment to consider.

Are There Any Side Effects? 

As mentioned above, the side effects of shockwave therapy when used as an erectile dysfunction treatment are minimal. Any discomfort experienced during the actual therapy session itself usually manifests as a slight vibration, prickling, or tingling sensation. In general, the treatments have been well tolerated by patients, and results have been impressive. [5]

Not only can you resume your normal, everyday activities immediately following therapy without any restrictions, but you can also have sex the same day of treatments. Most men experience positive results post-treatment, and some may experience a spontaneous erection within 24 hours. Of course, as with all forms of treatment, results vary based on a patient’s underlying medical condition and age. Since erectile dysfunction is a gradual process occurring over a period of years, it would seem beneficial for younger men who are having mild, early erectile dysfunction to begin treatment earlier rather than later. It’s possible that while the treatment may be effective as a standalone solution for many cases of erectile dysfunction, those with more severe symptoms may benefit from using supplemental treatments in addition to shockwave therapy.

For this reason, the Cenegenics team offers an exclusive, state-of-the-art procedure that can be coupled with shockwave therapy for male sexual dysfunction: platelet-rich plasma (PRP), which is explained in greater detail below.

The Cenegenics Difference


Cenegenics age management specialists bring a unique perspective to the treatment of erectile dysfunction. Not only do our clinicians offer powerful solutions, such as shockwave therapy, to combat the root cause of the condition, but they also take an all-encompassing approach to effectively address the contributing factors which can have further implications on overall health and longevity, such as:

Our team delivers patient-centered treatment plans to fit the unique needs of each individual based on exhaustive clinical testing, thereby alleviating not only the most outwardly noticeable symptoms and conditions, but also facilitating better vitality now and into the future.

One of the ways we excel in our approach is by offering the broadest scope of treatments, ensuring each patient has access to the solutions that will best fit their individual needs. For erectile dysfunction, we also offer PRP, which can be added to shockwave treatment for even more powerful results. PRP is a concentrate of whole blood, derived from the patient themselves. The blood is treated by lab technicians to contain more concentrated growth factors. It is used to encourage a brisk healing response in many medical applications including orthopedics, dermatology, and dentistry. Using the patient’s own blood minimizes the risk of side effects, such as allergic reactions or skin sensitivity.

What is Shockwave Therapy – In Conclusion


If you’re interested in learning more about shockwave therapy, PRP, how you can improve your health through middle age and beyond, or all of the above, Cenegenics is your premier choice for age management and the specific conditions experienced throughout the phases of adulthood. Our experts have helped patients with concerns just like yours feel their best for decades. Whether you’ve struggled with erectile dysfunction or you’re simply seeking ways to lead a healthier life while keeping disease at bay, our team can help. Contact your nearest Cenegenics location to learn how we can optimize your quality of life today.  

Next Steps in Scheduling Your Shockwave Therapy Treatment

FREE Consultation

Our world class physicians create a personalized plan to help you feel 10+ years younger. You'll be more energetic, lose weight, sleep better, have more libido, and think more clearly. Click below to schedule a free consultation with one of our physicians. It's quick + easy. 

About the Contributor

Rudy Inaba 
Global Director of Nutrition & Exercise

Rudy Inaba is Cenegenics’ Global Director of Nutrition & Exercise. He is a recognized fitness and sports nutrition consultant with nearly 15 years of experience in clinical exercise physiology and lifestyle management. After pursuing his Master of Science in Clinical Exercise Physiology at the University of Nevada Las Vegas, Rudy joined Cenegenics where he leads 20 clinical locations nationwide in their advancements in kinesiology, nutritional biochemistry, and their analyses of industry research & market trending.

Key Resources

This guide was produced with contributions from the following key resources: 

The Cenegenics Education and Research Foundation  

The Textbook of Age Management Medicine Volume 1: Mastering Healthy Aging Nutrition, Exercise and Hormone Replacement Therapy

Click to purchase

The Cenegenics Education and Research Foundation  

The Textbook of Age Management Medicine Volume 2: Mastering Healthy Aging Nutrition, Exercise and Hormone Replacement Therapy

Click to purchase

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

Dr. Jeffrey Park Leake is a Partner and Director of Education at Cenegenics Elite Health specializing in age management and wellness. Having trained hundreds of physicians worldwide, Dr. Leake is also the Director of Education for the Clinical Strategies for Healthy Aging course at AMM Educational Foundation.

Todd David Greenberg, M.D., CSCS

Dr. Todd Greenberg is a practicing physician with a broad range of expertise, including wellness, exercise, sports injuries, and MRI of sports injuries. He is a Radiology Clinical Associate Professor at the University of Washington.

References

[1]Cluett, Jonathan, MD. “Shock Wave Therapy for Tendonitis and Plantar Fasciitis.” Verywell health. 09 Dec. 2018. Retrieved from URL: https://www.verywellhealth.com/shock-wave-therapy-for-plantar-fasciitis-2549421

[2] Jiale Sun, et al. “Extracorporeal shock wave therapy is effective in treating chronic planta fasciitis: A meta-analysis of RCTs.” Medicine. Apr. 2017. Retrieved from URL: https://journals.lww.com/md-journal/fulltext/2017/04140/Extracorporeal_shock_wave_therapy_is_effective_in.44.aspx

[3] Lakin, MD, and Wood, Hadley, MD. “Erectile Dysfunction.” Cleveland Clinic. June 2018. Retrieved from URL: http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/endocrinology/erectile-dysfunction/

[4] Ilan Gruenwald, et al. “Shockwave treatment of erectile dysfunction.” Therapeutic Advances in Urology. Apr. 2013. Retrieved from URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3607492/

[5]  “What is shockwave therapy and how might it help men with erectile dysfunction?” International Society for Sexual Medicine. Retrieved from URL: https://www.issm.info/sexual-health-qa/what-is-shockwave-therapy-and-how-might-it-help-men-with-erectile-dysfuncti/

Mature man wearing wooden glasses smiling while sitting in clean home

What is Andropause? And How Is It Affecting You?

I'm at the point where food has taken

the place of sex in my life.

Rodney Dangerfield

As we age, the hormones in our body undergo changes. While the decrease in hormone levels experienced by women in their middle ages, known as menopause, has been a well-known characteristic of aging for many years, men’s age-related hormone changes have only been studied in depth within recent decades. The purpose of this research has been to answer the question: Do men, too, experience menopause?

While the condition isn’t exactly akin to menopause, men do indeed experience a development of symptoms resulting from a decrease in the male hormone testosterone. This condition is referred to as andropause, a set of symptoms directly related to decreases in testosterone levels that occur with age. It affects up to 30% of men in their 50s and becomes more prevalent with age.[1]

We’ve compiled this guide to help you better understand andropause and make informed decisions about your health. Discover some information about the condition including its symptoms, how it’s diagnosed, and available treatments below.

What Causes Andropause?


While changing hormone levels are a natural part of aging, when symptoms begin to interfere with an individual’s quality of life, it becomes necessary to look into suboptimal testosterone. Diagnosed low testosterone can have a strong or heightened influence on age-related symptoms. Indeed, age is a major influencing factor in testosterone levels, but weight is also correlated with testosterone deficiency rates. For each decade of life, the prevalence of testosterone deficiency increases by 17% after the third decade, but an increase of body mass index of 4-5 is also associated with an increased prevalence of 17% every decade. Thus, although testosterone does decline naturally with age, poor nutrition and exercise can also exacerbate or spur symptoms of andropause.

With that said, testosterone deficiencies are by no means rare. While the reported prevalence of testosterone deficiency varies significantly, ranging from 2.1% to 39% of men aged 40 and older, the Hypogonadism in Males (HIM) Study suggests as many as 13.8 million men aged 45 and older in the U.S. alone could be biochemically testosterone deficient.

Yet, if low testosterone, and thus andropause, are such widespread issues, why aren’t more men receiving treatment? Both this and the wide range in reported prevalence can be attributed to the fact that there is a lack of consensus on what, specifically, defines testosterone deficiency. For this reason, it’s important to understand the ways in which andropause can be diagnosed.

How is Andropause Diagnosed?


Mature man getting blood drawn by woman in lab coat

One of the primary challenges in measuring testosterone is that the ways in which the body uses the hormone are complex. While a man can have levels of total testosterone that are clinically defined as being “normal,” only some of that is available for use by the body, or “free” testosterone. Men experiencing andropause tend to have lower levels of free testosterone, and the tissues in the body stimulated by testosterone receive lower amounts. This can lead to a variety of physical and mental symptoms.

The questions surrounding how best to measure testosterone are further complicated by the fact that hormone levels can vary based on a number of factors, including:

  • Fasting state
  • Sleep
  • Time of day

Simply put, measuring testosterone alone does not truly reflect the clinical effect of the entire androgen system. For this reason, age management specialists use both total and free testosterone measurements alongside several other hormone-related blood tests and clinical assessments to diagnose andropause. While clinical criteria are less specific, they are of equal or greater priority in making an accurate diagnosis.

To perform a clinical assessment, physicians discuss with their patients the symptoms that accompany testosterone deficiency in three domains: physical, sexual, and emotional.

What Are the Symptoms of Andropause?


Diagram demonstrating physician differences and similarities between andropause and menopause

The symptoms of declining testosterone levels can vary significantly from one person to the next. While each individual may experience them differently, the most common symptoms of andropause include:

  • Decreased motivation and mood
  • Decreased mental sharpness and acuity
  • Low energy
  • Loss of muscular strength and muscle mass
  • Mild to moderate erectile dysfunction

Other common symptoms of andropause can be grouped into the following domains: physical, sexual, and emotional.

Physical

The most common symptoms of andropause within the physical domain are:

  • Decreased muscle strength
  • Decreased bone mineral density
  • Increased body fat
  • Fatigue
  • Hot flashes
  • Loss of muscle tissue
  • Decreased insulin sensitivity
  • Anemia

Sexual

Commonly reported sexual symptoms of andropause include:

  • Reduced libido
  • Difficulty getting or keeping an erection
  • Reduced intensity of orgasm
  • Small or shrinking testes
  • Loss of pubic or underarm hair

Emotional

In the emotional realm, the most common symptoms experienced are:

  • Decreased energy
  • Depressive mood
  • Ornery disposition
  • Decreased motivation
  • Overall decreased sense of wellbeing
  • Difficulty concentrating
  • Sleep disturbance

Unfortunately, despite its host of unpleasant symptoms, andropause goes untreated far too often. There is a widespread notion that because sex hormone deficiency is a natural part of aging, no correction is required. Yet, this challenging set of symptoms can impact men in their social, professional, and personal lives, eventually taking their toll and leading to an overall decline in physical and mental health.

Moreover, if the physical, sexual, and emotional symptoms aren’t compelling reasons enough to seek treatment, consider this: testosterone deficiency leads to:

  • A shorter lifespan
  • A lower quality of life
  • Potentially, increased costs due to frailty and disability

It is therefore recommended that any man who suspects he could be experiencing the symptoms of andropause seek the professional opinion of an experienced age management specialist. There are many treatments available for testosterone deficiency, which brings us to our next section.

How is Andropause Treated?


Mature man speaking to younger female physicians about andropause test results

Factors such as age and general health status must always be accounted for when treating andropause. With that said, hormone replacement therapy has been shown to benefit young, elderly, healthy, and unhealthy men. Oftentimes, the most significant improvements are seen in the sexual domain.

When coupled with sound nutrition and exercise, however, hormone replacement therapy becomes a powerful treatment with benefits transcending into the physical and emotional domain, too. Improved muscle strength, physical function, lean body mass, and mood are just some of the positive changes that targeted treatment can achieve.

It’s important to emphasize, however, that treatments must always be based on an individual needs analysis. Age management specialists will discuss a number of treatment strategies regarding the use of bioidentical hormones, but these must be carefully considered by both the physician and the patient. Moreover, individualized dietary changes and exercise plans should be provided if the goal is to improve overall vitality, not just improvements in the sexual domain.

What is Andropause? In Conclusion


Because the symptoms of andropause are unique to each patient, and each patient likewise has their own individual set of preexisting health factors to consider, it’s critical for men to work with experienced age management professionals when seeking treatment for low testosterone. More importantly, comprehensive monitoring must be performed to ensure the patient’s progress is aligning with treatment goals and that biomarkers are within appropriate values.

Cenegenics age management specialists take an all-encompassing approach to treating andropause. Our team dynamically shifts nutrition and exercise goals and efforts, as needed, based on how patients respond and adapt and continuously monitor the impact of bioidentical hormones through comprehensive lab work. Our physicians are experts in the distinct needs of adults approaching their middle ages and beyond and are committed to helping them achieve a better quality of life and future, in which the symptoms of andropause and other age-related conditions are avoided or minimized.

If you’re interested in exploring andropause treatments, contact your nearest Cenegenics location today.

Next Steps in Treating Andropause

FREE Consultation

Our world class physicians create a personalized plan to help you feel 10+ years younger. You'll be more energetic, lose weight, sleep better, have more libido, and think more clearly. Click below to schedule a free consultation with one of our physicians. It's quick + easy. 

About the Contributor

Rudy Inaba 
Global Director of Nutrition & Exercise

Rudy Inaba is Cenegenics’ Global Director of Nutrition & Exercise. He is a recognized fitness and sports nutrition consultant with nearly 15 years of experience in clinical exercise physiology and lifestyle management. After pursuing his Master of Science in Clinical Exercise Physiology at the University of Nevada Las Vegas, Rudy joined Cenegenics where he leads 20 clinical locations nationwide in their advancements in kinesiology, nutritional biochemistry, and their analyses of industry research & market trending.

Key Resources

This guide was produced with contributions from the following key resources: 

The Cenegenics Education and Research Foundation  

The Textbook of Age Management Medicine Volume 1: Mastering Healthy Aging Nutrition, Exercise and Hormone Replacement Therapy

Click to purchase

The Cenegenics Education and Research Foundation  

The Textbook of Age Management Medicine Volume 2: Mastering Healthy Aging Nutrition, Exercise and Hormone Replacement Therapy

Click to purchase

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

Dr. Jeffrey Park Leake is a Partner and Director of Education at Cenegenics Elite Health specializing in age management and wellness. Having trained hundreds of physicians worldwide, Dr. Leake is also the Director of Education for the Clinical Strategies for Healthy Aging course at AMM Educational Foundation.

Todd David Greenberg, M.D., CSCS

Dr. Todd Greenberg is a practicing physician with a broad range of expertise, including wellness, exercise, sports injuries, and MRI of sports injuries. He is a Radiology Clinical Associate Professor at the University of Washington.

References

[1] “Andropause.” MediResource. Retrieved from URL: https://medbroadcast.com/condition/getcondition/andropause

Mature couple clinking wine glasses and smiling at each other while wearing silk robes

What Really Causes Erectile Dysfunction?

I think what makes us sick also causes erectile dysfunction, hypertension, diabetes, cardiovascular disease.

Mark Hyman, M.D.

Erectile dysfunction is a common condition impacting more than 12 million men in the U.S. alone. [1] In fact, it is the most common sexual issue men report to their doctors. Despite its prevalence, however, it continues to be a topic many men resist addressing with their physicians.

Discussions surrounding sexual health can be uncomfortable, but they’re worth having. Left untreated, erectile dysfunction can impact relationships and mental health, causing compounding stress across multiple areas of your life. With that said, there’s another – and even more important – reason to report the condition to your doctor.

Like many other physical anomalies, erectile dysfunction can be an early warning sign of a more serious illness. In fact, physical factors are suspected to underlie up to 90% of cases in men older than 50. [2]

Atherosclerosis – a condition in which the arteries become blocked or hardened – is one example, while the condition can also point to heart disease, as well as high blood pressure caused by type II diabetes.[3] 

Sexual health is therefore often more closely related to heart health than many patients realize, and investigating the underlying cause for erectile dysfunction could even hold life-saving possibilities in some men.

Thus, patients who are experiencing this frustrating symptom should address it sooner rather than later and with an experienced physician who specializes in age management and conditions experienced by older adults. Because the vast majority of its sufferers fall within the ages of 50 to 69 years old, age management specialists are best equipped with the right resources, knowledge, and experience to address erectile dysfunction.

Traditional Erectile Dysfunction Treatments

In traditional medicine, erectile dysfunction is treated with: 

  • Vacuum constriction device (VCD)
  • Penile prosthesis or implant
  • Vascular reconstruction surgery
  • Medication: Cialis, Levitra, Staxyn, Viagra, etc.

As the world’s leader in age management medicine, Cenegenics is here to help men experiencing erectile dysfunction and its related symptoms. Our physicians take an all-encompassing approach to optimizing wellness and decreasing disease risk as well as enhancing lives in the areas of nutrition, exercise, and hormone regulation.

With a broad range of customizable solutions, we not only restore quality of life by addressing conditions such as erectile dysfunction, but also improve vitality to help you feel even better than before. Here, we take a closer look into this important men’s health topic with a brief guide on what erectile dysfunction entails and how our program can help.  

Erectile Dysfunction: A Brief Overview


Erectile dysfunction, also referred to as impotence, is clinically defined as the inability to get and keep an erection firm enough for sex. [4] Like decreased libido, it is a common sexual complaint associated with testosterone deficiency.

Yet, it is more complex than libido. Erectile dysfunction can be a multifactorial diagnosis for causes spanning not only sexual and emotional domains, but also involving a subset of vascular and neurological physical domain considerations. We’ll explore possible causes of erectile dysfunction in greater depth in an upcoming section.

Erectile dysfunction is typically self-diagnosable, but demands clinical input in order to determine the underlying cause and establish an effective treatment plan. Although it can be identified exclusively by the inability to get and keep a firm erection, it can also produce additional symptoms.

Symptoms of Erectile Dysfunction


Frustrated mature male sitting in dark rooms with arms crossed, staring at the floor

The most obvious symptom of erectile dysfunction is the persistent inability to keep a firm erection. Difficulty getting an erection and reduced sexual desire may also accompany the condition. To develop a better understanding of the possible physical barriers to healthy erections, let’s take a moment and revisit some basic principles in how erections work.

Erections: A Quick Anatomy Recap

When a man is sexually aroused, nerves release chemicals which in turn stimulate blood flow to the penis. The blood then enters two erection chambers located in the penis, which are made up of spongy tissue. This tissue, called the corpus cavernosum, relaxes and traps blood to produce an erection. After orgasm, the tissue then contracts to release blood back into circulation, causing the erection to come down. [5]

While factors like stress and temperature can influence erections, a persistent inability to keep a firm erection to engage in intercourse should be addressed. With that said, the impact of erectile dysfunction can extend beyond the physical realm, too. Its implications can also transcend into relationships as well as mental and emotional wellness.

Unfortunately, while impaired sexual performance can lead to guilt, low self-esteem, fear of sexual failure, and stress, these factors can also exacerbate erectile dysfunction. Thus, the symptoms of the condition often take on a cyclical effect, in which the connection between physical and emotional factors intensifies and the condition overall worsens. It is for this reason – and the potential indicator of an underlying disease – that the root cause of erectile dysfunction must be identified, which brings us to our next section.

Possible Causes of Erectile Dysfunction


Overweight mature male in suit smoking a cigar in empty room

With so many potential factors contributing to erectile dysfunction, only a trained physician can diagnose and treat the root cause. In many cases, treating health-related factors and behaviors is enough to address the condition.

At Cenegenics, each patient undergoes extensive lab work so that clinicians have a robust range of biomarkers to assess which can shed light on undiagnosed or underlying medical conditions. These can also reveal risk factors for chronic diseases such as diabetes, a common culprit behind erectile dysfunction.

Here are a few of the most common physical and psychological factors that can cause erectile dysfunction. Keep in mind that, because there are many possible influences on sexual health and performance, this list may not be entirely exhaustive:

  • Smoking
  • Excessive alcohol consumption
  • Sedentary lifestyle
  • Being overweight
  • Use of illegal drugs
  • Certain medications, including:
    • Blood pressure medications
    • Antidepressants
    • Sedatives
    • Appetite suppressants
    • Ulcer medications
    • Antiandrogens
  • Anxiety
  • Depression
  • Certain diseases and conditions, including:
    • Type 2 diabetes
    • Heart and blood vessel disease
    • Peyronie’s disease
    • Multiple sclerosis
    • High blood pressure
    • Atherosclerosis
    • Chronic kidney disease
    • Injuries/surgical complications sustained in the pelvic region or spinal cord

It’s worth noting that the degree to which these conditions can influence a man’s ability to get and maintain an erection can vary significantly. For instance, men with diabetes are two to three times more likely to experience erectile dysfunction than those without. [6] On the other hand, just 10% of cases are attributed to psychological factors, while the vast majority are found to be caused by physical influences. 

At this point, you may be wondering why testosterone deficiency wasn’t listed above. After all, aren’t hormones and sexual health closely related? Indeed, erectile dysfunction and hypogonadism – the reduction or absence of hormone secretion by the gonads – are often linked; find out more about this relationship below.

What About Testosterone?


Blood vial sitting on low testosterone test results page outlining the causes of low testosterone

In addition to the possible causes cited in the previous section, testosterone deficiency can also be a direct cause of erectile dysfunction. In fact, investigation into testosterone deficiency and testosterone therapy is generally a good starting point for any patient experiencing the symptom, as testosterone deficiency has been associated with a decline in erectile function, and testosterone is inversely correlated with increasing severity of erectile dysfunction. [7]

If a patient is found to have low testosterone, hormone therapy can improve both libido and erectile dysfunction symptomology. In fact, testosterone therapy has been shown to cause improvements in the areas of morning erections, erectile function, sexual motivation and satisfaction, sexual thoughts, and total erections.

Patients with erectile dysfunction of vascular etiology could see more robust responses than those with physical contributions to the condition, but again, because the majority of cases are physical, a patient’s candidacy for hormone replacement therapy should be explored where appropriate.

Nonetheless, the efficacy of testosterone therapy, in the absence of sound nutrition and exercise, is likely to be limited. Thus, addressing erectile dysfunction to achieve the best possible results requires more than just a “simple fix;” in many cases, research-based and clinically-proven lifestyle optimization tactics are needed. The problem lies in the fact that many patients are unsure of where to start. This is precisely where the Cenegenics age management program excels.

How to Treat Erectile Dysfunction with Cenegenics


Mature male in red shirt smiling up at smiling doctor who has his hand on the man’s shoulder

The fact that erectile dysfunction can be caused by a complex interplay of factors, including nutrition and exercise, is further complicated by the fact that each person may be affected by these influencers differently. Thus, what may work for some may not work for others. It is for this reason that a comprehensive approach must be taken to pinpoint possible underlying causes and effectively address the breadth of factors that could be contributing to erectile dysfunction.

Cenegenics Approach to Treating ED

Cenegenics uses a non-invasive approach to treat erectile dysfunction through use of the following: 

  • Improved nutrition
  • Personalized exercise programming
  • Hormone replacement therapy
  • Lifestyle Alterations 

Cenegenics empowers its patients to achieve optimal wellness across five key areas: enhanced libido, weight management, improved cognition, better sleep, and boosted energy. These pillars comprise the foundation of the program but provide only a glimpse into how far-reaching it truly is.

 Because our clinical team specializes in age management, our physicians are well-versed in the barriers to sexual health with which men, through their middle ages and beyond, are faced. This means that you’ll receive targeted treatment plans to address both the symptom itself as well as any other conditions that could be contributing to it. Discover below how to treat erectile dysfunction with a few of the precise ways our programs help you restore your sexual health.  

Combating Erectile Dysfunction through Diet

Mature woman eating man cut cucumber as they make a fresh salad in their kitchen

When we think of the role nutrition plays on our wellness, oftentimes factors like weight and heart health come to mind. Yet, nutrition can influence virtually every function the body performs – including your ability to get and maintain an erection. While there are known dietary agents that can impede sexual function (including alcohol), there are also nutrients that can play a part in improving erections.

According to research, men who consumed primarily nutrient-rich foods like fruit, vegetables, fish, and whole grains while limiting consumption of red and processed meats and refined carbohydrates were less likely to experience erectile dysfunction. Thus, what you put on your plate could play a role in your sexual health. [8]

Moreover, excess fat impacts many of the hormones that can contribute to erectile dysfunction. For instance, a man with a 42-inch waist is 50% more likely to experience erectile dysfunction than someone with a 32-inch waist. Likewise, obesity increases the risk of both vascular disease and diabetes, two important causes of the condition. Thus, in men with poor diets, addressing nutrition could be one of the best tools available in pursuit of alleviating erectile dysfunction. 

Unfortunately, nutrition simply isn’t the first priority for many men with busy lifestyles. The modern American diet focuses largely on convenient, palatable options instead of providing the body with the fuel it needs to perform well. The nutrition team at Cenegenics is made up of age-management professionals who will work closely with you to develop nutritionally sound yet realistic eating patterns to help you improve wellness across a number of key areas.

Not only could this lead to beneficial changes in the area of sexual health, but with long-term compliance, it will also lead to better weight management and decreased risk of chronic illness.

Exercising to Improve Erectile Function

Mature man preparing to lift weighted barbell

​​​Like nutrition, physical activity (or lack thereof) is also tied to sexual health. Exercise is often considered to be the most largely under-prescribed yet most powerful form of all-natural, free medicine we have available to help us reduce our risk of disease. It can also help us feel better, too. Consider this: men who exercise at least three hours each week have a 30% lower risk for erectile dysfunction compared to those who get very little to no exercise. [9]

However, exercise is also similar to nutrition in the fact that it is only effective with the patient’s compliance. Thus, the more likely you are to stick with an exercise program, the more likely you are to witness its widespread results.

While some research suggests that certain targeted exercises, including pelvic floor exercises, could improve erectile function, in many cases, a broader attempt at improving physical fitness should be made to sustain noticeable results. [10]

Regular exercise is good for the circulatory system which, as described above, plays a major role in enabling healthy erections. Moreover, both improved nutrition and increased physical activity can help to address many of the possible causative agents behind erectile dysfunction including keeping weight under control, increasing testosterone, and driving self-confidence.

 Finding the right exercise program to fit your unique lifestyle and preferences can be daunting. Plus, a common complaint among many adult males is lack of time for a robust physical fitness regimen. Cenegenics recognizes these obstacles and helps you overcome them with the development of individualized plans that can improve cardiovascular health with as little time investment as possible. Our expert-led, prescribed routines are also based largely on patient preferences to facilitate sustained compliance.

Hormone Replacement Therapy

Cenegenics physicians only prescribe hormone replacement therapy when clinically indicated by your blood work, hormone replacement therapy may be necessary to address testosterone deficiency or andropause

In addition to helping you address any gaps in nutrition and embark on a physical fitness journey, Cenegenics clinicians may also recommend hormone replacement therapy (HRT), if it’s deemed necessary based on lab results. Keep in mind, however, that we do not use a “one size fits all” modality to improve testosterone levels.

In fact, our approach to patient care comes from multiple sources including age management physicians, nutrition and exercise physiologists, phlebotomists, and nutraceutical experts. We assess the entire picture of patient health by taking into consideration key factors such as carbohydrate metabolism to observe the ways in which bioidentical hormones are impacting critical bodily functions.

Moreover, each patient’s biomarkers are closely and continuously monitored. Our physicians are proactive in measuring the impact of hormones on prostate, kidney, and liver health, as well as other biomarkers, and they are well-versed in their understanding of how hormones directly affect carbohydrate and lipid metabolism.

This means that treatment is always fit to the precise needs of the individual, and improvement of sexual health or symptoms like erectile dysfunction will never be pursued at the expense of your overall health. Additionally, all aspects of HRT, including diagnostics, clinical support, and pharmacy items, are provided in-house and managed internally – both for your convenience and to ensure accuracy and effectiveness of treatment.

It’s also important to note that Cenegenics is unique in its approach to HRT in that we help patients overcome all of the challenges that could be contributing to erectile dysfunction. In addition to improved libido and erectile function, our program also facilitates weight loss, mental acuity, better sleep, improved energy, and decreased disease risk.

These factors are what continue to drive patients to Cenegenics as the premier choice not only for effectively addressing age-related conditions like erectile dysfunction, but for better health and vitality overall.

Combat Erectile Dysfunction with Cenegenics – In Conclusion


Erectile dysfunction affects over 12 million men in the United States. ED is a multifactorial diagnoses, as the cause of erectile dysfunction can span over various factors including lack of exercise (sedentary lifestyle), anxiety, depression, smoking, excessive alcohol consumption, certain medications and chronic diseases.

Cenegenics physicians empower patients to achieve optimal wellness, including increasing sexual libido and desire, through nutrition, exercise, and hormone replacement therapy when clinically indicated. Excessive fat can decrease levels of testosterone, which may cause erectile dysfunction and low sex drive. Individualized nutrition and exercise plans help patients lose weight, increase libido, and increase self-confidence. 

Next Steps on How to Treat Erectile Dysfunction with Cenegenics

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About the Contributor

Rudy Inaba 
Global Director of Nutrition & Exercise

Rudy Inaba is Cenegenics’ Global Director of Nutrition & Exercise. He is a recognized fitness and sports nutrition consultant with nearly 15 years of experience in clinical exercise physiology and lifestyle management. After pursuing his Master of Science in Clinical Exercise Physiology at the University of Nevada Las Vegas, Rudy joined Cenegenics where he leads 20 clinical locations nationwide in their advancements in kinesiology, nutritional biochemistry, and their analyses of industry research & market trending.

Key Resources

This guide was produced with contributions from the following key resources: 

The Cenegenics Education and Research Foundation  

The Textbook of Age Management Medicine Volume 1: Mastering Healthy Aging Nutrition, Exercise and Hormone Replacement Therapy

Click to purchase

The Cenegenics Education and Research Foundation  

The Textbook of Age Management Medicine Volume 2: Mastering Healthy Aging Nutrition, Exercise and Hormone Replacement Therapy

Click to purchase

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

Dr. Jeffrey Park Leake is a Partner and Director of Education at Cenegenics Elite Health specializing in age management and wellness. Having trained hundreds of physicians worldwide, Dr. Leake is also the Director of Education for the Clinical Strategies for Healthy Aging course at AMM Educational Foundation.

Todd David Greenberg, M.D., CSCS

Dr. Todd Greenberg is a practicing physician with a broad range of expertise, including wellness, exercise, sports injuries, and MRI of sports injuries. He is a Radiology Clinical Associate Professor at the University of Washington.

References

[1] Rew, Karl. T, MD, and Heidelbaugh, Joel J., MD. “Erectile Dysfunction.” American Family Physician. 15 Nov. 2016. Retrieved from URL: https://www.aafp.org/afp/2016/1115/p820.html

[2] Constance G. Bacon, ScD et al. “Sexual Function in Men Older than 50 Years of Age: Results from the Health Professionals Follow-up Study.” Annals of Internal Medicine. 05 Aug. 2003. Retrieved from URL: http://annals.org/aim/fullarticle/716599/sexual-function-men-older-than-50-years-age-results-from

[3] “What is Erectile Dysfunction?” Urology Care Foundation. June 2018. Retrieved from URL: https://www.urologyhealth.org/urologic-conditions/erectile-dysfunction

[4] “Erectile dysfunction.” Mayo Clinic. Retrieved from URL: https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776

[5] Urology Care Foundation, see above.

[6] “Symptoms & Causes of Erectile Dysfunction.” National Institute of Diabetes and Digestive and Kidney Diseases. July 2017. Retrieved from URL: https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes

[7] M. Blute et al. “Erectile dysfunction and testosterone deficiency.” Frontiers of Hormone Research. 2009. Retrieved from URL: https://www.ncbi.nlm.nih.gov/pubmed/19011292

[8] H.A. Feldman et al. “Impotence and its medical and psychological correlates: results of the Massachusetts Male Aging Study.” Journal of Urology. Jan. 1994. Retrieved from URL: https://www.ncbi.nlm.nih.gov/pubmed/8254833

[9] Constance G. Bacon, ScD et al, see above.

[10] Mark Grace Dorey et al. “Pelvic floor exercises for erectile dysfunction.” Sexual Medicine. 05 Apr. 2005. Retrieved from URL: https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1464-410X.2005.05690.x

One in five men experience low sex drive and decreased libido, Learn how to increase sex drive on the Cenegenics program

How A Poor Diet Causes Low Libido

Low libido presents challenges within the medical community. Because it is suspected to be largely under-reported, determining the prevalence of this condition has proven to be a near-impossible feat for researchers. By some estimates, one in five men experiences low sex drive, but because many are hesitant to approach the subject with their physicians, actual figures could be much higher [1].

Adding to this challenge is the fact that there is no set standard for what constitutes a “normal” sex drive. Libido can wane and wax throughout the stages of one’s life and is even subject to factors we encounter daily. Stress, medical conditions, medications, hormonal changes, fatigue, and relationship issues are just a few of the most noteworthy influencers of libido. Thus, diagnosing and treating the underlying cause for the condition requires a comprehensive approach.

Causes of Low Libido

Influences on Low Libido

Common causes of low sexual desire and low libido include:

  • Stress
  • Medical Conditions
  • Medications
  • Anxiety
  • Depression
  • Substance Abuse
  • Hormonal Changes
  • Fatigue
  • Relationship Issues
  • Underactive Thyroid
  • Diabetes
  • Cardiovascular Disease

One thing is certain, however: the prevalence of low libido shows an increase with age which, in part, reflects the normal aging process. In other words, declining sexual desire can be expected, to some degree, in older adults. With that being said, there are psychological, sociological, and even medical factors which can contribute to low libido. Anxiety, depression, and substance abuse are common causes of low sexual desire, but there are also medical comorbidities associated with the condition. These include underactive thyroid, diabetes, and cardiovascular disease, to name a few [2].

The host of potential culprits behind decreased libido can be overwhelming to patients. If there are so many possible influencers, where does one begin when seeking out an effective solution? For Cenegenics age management specialists, it starts with taking an all-encompassing look at the individual’s physical condition. In addition to accurately diagnosing and treating any health issues, the clinicians also optimize the patient’s wellness across the major key areas of hormone regulation, physical fitness, nutrition, and stress management. In doing so, they provide the best possible odds of restoring sex drive, whether its diminishment has been caused by age-related factors, suboptimal health, or a combination of the two.

If you are among the 20% or more of the population experiencing low libido, discover the ways Cenegenics can help below.

How to Improve Low Sex Drive through the Cenegenics Program

How to Improve Sex Drive

Cenegenics helps increase libido and sex drive with: 

  • Hormone Optimization
  • Exercise
  • Nutrition
  • Nutraceuticals
  • Stress Management

How to Increase Libido and Sex Drive with Hormone Optimization

Some men experience low libido and sex drive due to testosterone deficiency, Cenegenics program can help you learn how to increase sex drive by exploring underlying cause of low libido

Are sex drive and testosterone connected? This is one of the first questions physicians typically encounter when addressing declining sexual desire in their patients. Indeed, while the two are related, they are not one in the same.

Testosterone is a vital hormone which supports a healthy sex drive. It declines naturally with age and begins to progressively drop from the 40s onward. While testosterone can be linked to low libido, testosterone deficiency is its own recognized medical condition which is characterized by below-normal levels of the hormone. It is suspected that the condition could affect roughly one in three men over the age of 45, but its symptoms such as fatigue, weight gain, and low libido are often mistaken for signs of normal aging [3].

In clinical terms, the prevalence of testosterone deficiency is approximately 39%, though the rate can vary depending on specific diagnostic criteria. While its prevalence increases with age, it is also influenced by the level of awareness of both care providers and patients regarding common signs and symptoms. Although the normal ranges of testosterone are known to vary slightly among labs, the generally accepted ranges are 250-1100 ng/dl for total testosterone and 35-224 pg/ml for free testosterone.

If it is determined based on test findings that a patient has a testosterone deficiency, the Cenegenics physicians can recommend a tailored hormone replacement therapy program to optimize hormone production. While testosterone therapy can improve wellness and quality of life across a range of areas, including physical strength, energy, and weight regulation, the symptoms in the sexual domain, such as libido and erectile dysfunction, show the most clear and consistent benefit. In fact, more than 650 participants across 17 different studies showed that patients with testosterone less than 350 ng/dl will benefit from testosterone therapy in both libido and erectile dysfunction symptomology, with the greatest improvements experienced in the areas of morning and total erections, overall erectile function, and sexual motivation.

Cenegenics physicians are committed to taking the safest and most effective approach to treating hormone deficiencies. Not only does our clinical team manage total testosterone, but they also manage its impact on free testosterone, dihydrotestosterone (DHT), and estradiol. To do so, we collect baseline lab values on patients at specific intervals, thereby ensuring physicians have a complete understanding of how hormones are directly affecting carbohydrate and lipid metabolism, bioinflammatory markers, kidney and liver function, and prostate health. Our physicians are proactive in measuring the impact of hormones on these biomarkers and will dynamically shift goals and efforts, as needed, as patients respond and adapt over time.

Of course, while testosterone is often the first factor that comes to mind in addressing declining sexual desire, it is not the only influencer. Physical fitness can play a powerful role in libido – we will delve into this relationship in the next section.

Exercise & Libido: What Is the Connection?

Some men experience low libido and sex drive due to testosterone deficiency, Cenegenics program can help you learn how to increase sex drive by exploring underlying cause of low libido

In the medical world, exercise is often hailed as “the greatest pill ever.” With the ability to reduce inflammation, improve coordination and balance, and reduce the risk of serious diseases, it is among the most powerful methods adults have for boosting their health across their entire lifespan. And, while it is perhaps the least used therapy against chronic disease and ailments of age, it is one of the most effective and thoroughly studied solutions.

It should therefore come as no surprise that one of the potential benefits of regular exercise is increased sexual desire. Exercise increases energy and optimizes cardiovascular health to improve erectile quality. The link between erectile health and cardiovascular wellness is so strong that physicians have now begun to consider erectile dysfunction as a potential warning sign of heart disease or other circulatory problems. While there are many possible culprits behind interrupted blood flow to the penis, one potential cause is cholesterol-filled plaque buildup within the arteries. Thus, for some men, lifestyle changes such as losing weight and exercising can improve erectile function and, subsequently, sexual desire [4].

Beyond addressing physical influencers, exercise can also impact some of the emotional factors contributing to suboptimal sexual desire. Losing weight, strengthening the muscles, and improving overall fitness levels can have significant improvements on a person’s mental health. Specifically, boosted self-image and confidence can positively affect physical interest in sexual activity.

Nonetheless, it is important to note the fine line that exists between maintaining optimal physical fitness and exercising too much. A 2017 study published in Medicine & Science in Sports & Exercise examines the relationship between male libido and endurance training. While study participants in mid-range training intensities had greater odds of normal to high libido states, those with the highest training intensity experienced lower states. Training duration also affected libido, with participants of shorter and mid-range sessions experiencing higher sex drive than those with the greatest duration. Thus, too much exercise can actually negatively affect libido [5].

When exploring the best fitness program to optimize not only your sex drive but also your overall health, choosing among the various approaches can be overwhelming. With so many factors to consider, including duration, intensity, and exercise type, many individuals simply guess at the best type of training and are left disappointed when they fail to notice results. Cenegenics physicians, on the other hand, take a proven approach. They provide tailored exercise recommendations based on each patient’s unique needs, with the goal of optimizing results in the shortest amount of time possible. High intensity interval training is a preferred training method within the program, as it does not require a significant time investment but yields favorable outcomes.

As you may have suspected, exercise and diet often go hand-in-hand when it comes to addressing most areas of health. Libido is no exception, which is why we explore the impact of nutrition on sexual health in the following two sections.

How to Increase Libido and Improve Sex Drive through Nutrition

Cooking healthy meals instead of eating processed foods may support sexual desire instead of decreasing your libido, Cenegenics physicians teach you which foods to avoid to help you understand how to increase sex drive

Diet optimization has profound impacts on the body. Nutrition affects energy levels, weight, and countless functions the body must perform to maintain optimal health. One often overlooked aspect of wellness in the sexual realm is diet.

Unfortunately, we are facing a global epidemic in which eating has become an activity driven by factors like pleasure and convenience. We no longer eat to provide our body with the nutrients it needs to operate well and avoid diseases; instead, packaged and processed foods are often chosen because they are quick, easy, and satisfying. These foods, which are predominant in Western diets, have little nutritional value and can contribute to factors such as poor insulin sensitivity, a leading precursor for conditions that impact sexual health, including cardiovascular disease and inflammation.

Cenegenics physicians prescribe a way of eating that supports sexual desire instead of diminishing it. One shared priority across all tailored dietary programs is optimization of insulin sensitivity. Insulin, the hormone responsible for controlling blood sugar levels, is produced in the pancreas and moves sugar from the blood into the body’s storage reserves. When cells become resistant to insulin as a result of poor diet, they are no longer able to use insulin effectively. This allows blood sugar levels to spike at abnormally high levels, and spurs a vicious cycle in which the pancreas creates more insulin to reduce blood sugar levels. Eventually, this can deplete the pancreas of insulin-producing cells, a trend commonly seen in individuals with type 2 diabetes. Unsurprisingly, low libido affects people with diabetes more than those without [6]. Lack of interest in sex and sexual dissatisfaction are also reported by people with cardiovascular disease – a condition in which insulin resistance is a common symptom [7].

Thus, while eating healthy will not necessarily directly increase sexual desire, it can certainly address many of the culprits behind low libido. Dietary approaches recommended by Cenegenics nutrition specialists prioritize the consumption of a healthy blend of macronutrients, including options such as low-carbohydrate/high-protein diets. These eating plans help patients address the cardiovascular stressors that inhibit blood flow while also controlling issues such as insulin sensitivity and inflammation.

Like exercise, improved diet can also lead to weight loss or regulation, which can further contribute to the emotional influencers behind low libido. Following a healthier approach to eating can help patients improve their self-image and confidence, which may also boost physical interest in sexual activity.

One final aspect of diet, in which Cenegenics physicians may advise patients to address in order to support sexual desire, is alcohol consumption. Not only can alcohol consumption impede cognitive function, it can also diminish libido. Alcohol causes the blood vessels to dilate, influencing the way the blood flows to and from the penis. It also contributes to dehydration, which impacts sexual performance and arousal [8].

The American Heart Association advises a daily allowance of one to two drinks per day for men, and while moderate alcohol consumption may produce benefits such as improved cardiovascular risk factor profile and reduce mortality, it is also linked to increased cancer risk. Additionally, moderate alcohol consumption can also lead to episodic binge drinking. Any health benefits achieved through alcohol can also be attained through nutrition and exercise alone.

Nonetheless, if you fall into the majority of Americans for whom drinking alcohol is a daily or weekly activity, you can rest assured that moderate consumption should not take a significant toll on your sex drive. For the top 30% of Americans who drink regularly, one drink per evening is the average rate of consumption [9]. While Cenegenics physicians advise the reduction of alcohol intake, modifying consumption with meals may be advised, depending on the patient’s goals, lifestyle, and specific needs analysis.

Despite limiting alcohol consumption and eating well, many modern diets still leave nutritional gaps which could affect libido. In the next segment, we will discuss how Cenegenics’ nutraceuticals can be used to address deficiencies for improved sex drive.

How to Increase Libido with Nutraceuticals

Cenegenics physicians only prescribe nutraceuticals and supplementation when necessary, Nutraceuticals are sometimes needed to increase libido and sex drive, Cenegenics physicians monitor patients who are taking nutraceuticals

Cenegenics physicians prescribe nutraceuticals for patients with identified needs for specific supplements. While nutraceuticals can improve overall health, certain micronutrients can also support optimal sex drive, too.

For instance, natural adaptogens such as maca root, ashwagandha root, and similar herbs may naturally enhance the desire for sex. Mushroom-based supplements, such as those from red reishi mushrooms, also have anti-inflammatory and anti-bacterial properties which can aid in stress management and immunity to help address loss of libido. Zinc, too, supports natural testosterone levels and can contribute to enhanced sex drive [10]. While foods high in lycopene, a powerful nutrient with antioxidant properties, can improve virility by maintaining prostate gland health, it can also be taken in supplement form. Finally, the omega 3 essential fatty acid is a building block of sex hormones, and taking it regularly can raise dopamine levels to trigger arousal.

When it comes to nutraceuticals, it is important to remember that doses should always be overseen by a physician. Moreover, supplements are not subject to nearly as strict regulation as pharmaceuticals. Purity and potency are either up to the consumer to research or the manufacturer to offer, and because many patients do not report supplements with their regular medications, drug interactions could pose a serious risk. The quality of the source is also critical. Our clinicians prescribe nutraceuticals which are significantly different from generic, retail-grade supplements. Our patients receive custom pharmacy items and efficaciously-dosed, pharmaceutically-tested clinical nutraceuticals.

A final but important component of optimizing libido is effective stress management. We will discuss this topic briefly in the following section.

Stress & Libido: A Critical Connection

Chronic stress can negatively impact your sex drive and decrease libido, ask your Cenegenics physician how to increase sex drive with stress management

Interestingly, while stress can impact your sex life, it can also be alleviated by having sex. Unfortunately, however, there is no simple fix for the chronic stress which impacts physical health in far-reaching ways, including lowering sexual desire. While some stress is normal and even healthy, the prolonged, chronic stress many individuals face can have adverse effects on health. Chronic stress produces cortisol, a hormone which can suppress sex hormones when elevated for long periods of time [11].

While there is no single way to address stress in all individuals, Cenegenics physicians excel in addressing the far-reaching impacts of stress. Our stress mitigation plans are all-encompassing to address all of the areas of your well-being which stress can affect. Targeted treatments are employed to achieve lasting improvements in sleep quality and duration, cognition, and energy levels, which can help patients approach life’s many challenges with a mindset that is free of stress and anxiety.

How to Increase Libido and Sex Drive: Is Cenegenics Right for You?

Cenegenics physicians can help you learn how to increase libido, The Cenegenics Elite Health program takes a comprehensive approach to help increase your sex drive and libido

While there are many potential causes behind low sex drive, Cenegenics clinicians perform robust testing at the start of each patient’s age management program to uncover any causative agents quickly and efficiently. In some cases, the cause of low libido could be easily identifiable, as is the case with low testosterone. In others, treating a broad range of health factors with proven solutions may be necessary for optimizing overall health for improved sexual desire.

Regardless of the specific factors influencing your libido, Cenegenics is the leading source for achieving lasting, noticeable improvements in sexual health. Libido is a key pillar in our comprehensive age management program, and by optimizing the additional areas of health, our clinicians can help you restore your desire and satisfaction once again.

Next Steps to Understanding How to Increase Sex Drive

Key Resources

This guide was produced with contributions from the following key resources: 

The Cenegenics Education and Research Foundation  

The Textbook of Age Management Medicine Volume 1: Mastering Healthy Aging Nutrition, Exercise and Hormone Replacement Therapy

Click to purchase

The Cenegenics Education and Research Foundation  

The Textbook of Age Management Medicine Volume 2: Mastering Healthy Aging Nutrition, Exercise and Hormone Replacement Therapy

Click to purchase

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

Dr. Jeffrey Park Leake is a Partner and Director of Education at Cenegenics Elite Health specializing in age management and wellness. Having trained hundreds of physicians worldwide, Dr. Leake is also the Director of Education for the Clinical Strategies for Healthy Aging course at AMM Educational Foundation.

Todd David Greenberg, M.D., CSCS

Dr. Todd Greenberg is a practicing physician with a broad range of expertise, including wellness, exercise, sports injuries, and MRI of sports injuries. He is a Radiology Clinical Associate Professor at the University of Washington.

References

[1] DeNoon, Daniel J. “When a Man’s Sex Drive Is Too Low.” WebMD. 21 May 2009. Retrieved from URL: https://www.webmd.com/sex-relationships/features/when-a-mans-sex-drive-is-too-low#1

[2] Mestrovic, Tomislav, MD, PhD. “Low Libido.” News Medical. 23 Aug. 2018. Retrieved from URL: https://www.news-medical.net/health/Low-Libido.aspx

[3] Allerhand, Rhalou. “Low libido: the facts about low male sex drive.” Netdoctor. 31 Jul. 2018. Retrieved from URL: https://www.netdoctor.co.uk/conditions/sexual-health/a2251/lack-of-sex-drive-in-men-lack-of-libido/

[4] Skerrett, Patrick J. “Erectile dysfunction often a warning sign of heart disease.” Harvard Health Publishing. 24 Oct. 2011. Retrieved from URL: https://www.health.harvard.edu/blog/erectile-dysfunction-often-a-warning-sign-of-heart-disease-201110243648

[5] Anthony C. Hackney et al. “Endurance Exercise Training and Male Sexual Libido.” Medicine & Science in Sports & Exercise. Feb. 2017. Retrieved from URL: https://www.researchgate.net/publication/313740861_Endurance_Exercise_Training_and_Male_Sexual_Libido

[6] Neithercott, Tracey. “Sex and Diabetes: What You Wanted to Know.” Diabetes Forecast. November 2012. Retrieved from URL: http://www.diabetesforecast.org/2012/nov/sex-and-diabetes-what-you-wanted-to-know.html

[7] Elisabete Rodrigues Nascimento et al. “Sexual dysfunction and cardiovascular diseases: a systematic review of prevalence.” Clinics. Nov. 2013. Retrieved from URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3812559/

[8] Borelli, Lizette. “Alcohol And Sex.” Medical Daily. 15 Oct. 2015. Retrieved from URL: https://www.medicaldaily.com/alcohol-and-sex-what-whiskey-penis-and-how-does-it-affect-male-libido-357278

[9] Ingraham, Christopher. “Think you drink a lot? This chart will tell you.” Washington Post. 25 Sept. 2014. Retrieved from URL: https://www.washingtonpost.com/news/wonk/wp/2014/09/25/think-you-drink-a-lot-this-chart-will-tell-you/?utm_term=.ce66309d2bd3

[10] “6 Benefits of Zinc for Men’s Health.” Prostate.net. 09 Nov. 2015. Retrieved from URL: https://prostate.net/articles/benefits-of-zinc-for-mens-health

[11] Scott, Elizabeth, MS. “How Stress Can Cause a Low Libido.” Verywell Mind. 19 Oct. 2017. Retrieved from URL: https://www.verywellmind.com/how-stress-can-lead-to-low-libido-3145029

Cenegenics alternatives are often in the form of a low-T center, A low-T center focuses on low testosterone but does not focus on the causation of low-T symptoms

Traditional Low-T Centers May Be Causing You To Miss Out On Weight Loss

Article at a Glance

  • A low-T center focuses on low testosterone and bringing it within normal range. Sufficient monitoring is necessary to minimize side effects and risk, which is often lacking in most low-t centers.
  • Cenegenics all-encompassing approach is superior to a low-T clinic. Age management physicians focus on treating the hormone imbalance and the symptoms, but also investigate the root cause of the imbalance.
  • Cenegenics focuses on boosting energy, losing weight, enhancing libido, improving mental acuity, and achieving better sleep.

A Google search for “Cenegenics alternatives” yields roughly 35,600 results, and it is no surprise why. The world of age management medicine has exploded since the inception of our physician-founded program in 1997. From Ehormones to HealthGAINS, Andrologix to Royal Medical Centers, many hormone therapy services have emerged in response to the growing number of adults seeking out solutions for low hormone levels. Yet, as more and more individuals continue to prioritize their health through their middle ages and beyond, many continue to ask: How do Cenegenics alternatives compare to the original age management program?

As with many trailblazers, Cenegenics is superior in a number of ways. We are considered the “Gold Standard” in the industry, and beyond offering the best services for hormone treatment , our program extends far beyond hormone replacement therapy (HRT) and age management alone. If you are exploring your options for achieving optimal health and are wondering whether you might be able to attain the same results from a Cenegenics alternative, take the time to read through the following guide. From our comprehensive age management solutions that address all facets of adult wellness to our team of industry-leading specialists, we have cultivated a program for which, simply put, there is no viable alternative.

Going Beyond the Scope of a Low-T Center: Cenegenics Age Management


While there are indeed plenty of low-testosterone clinics to choose from, none compares to the robust age management solutions available through Cenegenics. Yet, many patients considering an alternative to Cenegenics might wonder whether such a comprehensive age management program is necessary. After all, if many of the issues associated with aging can be traced to hormonal changes, isn’t HRT enough? Not quite.

It is important to note that while hormone regulation is a critical element in a robust wellness program, for many adults, it is only one piece of the puzzle. Changing hormones can produce widespread effects, from impacting sleep duration and quality to posing ongoing weight challenges. Thus, while treating hormone imbalances themselves is a logical starting point for patients suffering from estrogen and testosterone deficiencies, a better approach is to treat not only the imbalance itself, but also the many frustrating symptoms it may produce, in concurrence.

physicians at a low-T center only focus on your testosterone levels, Cenegenics physicians focus on the root cause of your low testosterone, Cenegenics alternatives cannot compare to the all-encompassing Cenegenics Elite Health program

The Cenegenics difference lies in our commitment to helping you overcome all of the challenges associated with aging. We address health in the areas of sleep, cognition, weight management, libido, and energy levels, providing well-rounded yet individualized treatment to achieve real results. Our team excels in enhancing health across these five pillars through evidence-based, physician-developed strategies. Moreover, our approach is proactive: instead of waiting for the signs of serious age-related diseases to appear, we mitigate risk factors and facilitate optimal health. Our focus is not to simply bring patients within the “normal” ranges found in traditional medicine. In many cases, these readings are not actually healthy at all, and are based on the overall U.S. adult population which encompasses the 32% of people who are obese. We therefore target accurate representations of optimal health, going far beyond age management medicine.

For example, we adhere to the highest standards in heart disease prevention with the understanding that 1 in 4 fatalities are caused by heart events. [1] More alarmingly, 50% of people who experience a heart event were classified as “low risk” by the measures employed in traditional medicine. [2] We use carotid artery testing to detect risk of heart attack or stroke by measuring the thickness of artery walls. In addition to this and other forms of sophisticated heart health testing which are not used in traditional medicine, we perform an abundance of additional exhaustive testing and diagnostics, including 86 comprehensive labs. This allows our physicians to drill down and identify core conditions causing health issues such as low energy or inability to lose weight. Even expert physicians who are highly trained in optimal health cannot properly diagnose a patient without this extensive testing, which also includes neurocognitive testing, VO2 max, DEXA scans, and more to precisely measure all biologic and physiologic biomarkers, as well as physical performance and mental acuity.

Additionally, it must be noted that age-related factors such as hormonal decline are not the only issues responsible for causing sub-optimal health. Exercise and sleep, for example, are cornerstones for reducing the risk of age-related problems including:

  • Obesity
  • Frailty
  • Dementia
  • Heart disease
  • Cancer
  • Osteoporosis

With the addition of hormone regulation, the effectiveness of nutrition, exercise, and sleep prescriptions can produce tangible results for motivated patients. Cenegenics patients therefore experience the benefits of hormonal health along with many more. Burning fat and building muscle, optimizing cognitive function, achieving quality sleep, and improving both physical and sexual energy are just a few of the lasting advantages of program participation. Ultimately, patients who choose Cenegenics understand that hormone replacement is of little value without establishing good overall health.

Clinics that offer hormone replacement therapy alone give patients only a small glimpse into their overall health. Yet, Cenegenics clinicians understand how each hormone has a specific job, but overlaps the others to create a synergistic environment for improved wellness.

Our team also realizes that hormone imbalances can encroach on job performance– especially in a 21st century business landscape where poor lifestyle choices, diminished endocrine system, and ongoing career-related stress can collide. Because hormones perceptively alter sexual, physical, and cognitive functions, which often lead to psychological complications, our team takes a sophisticated approach to wellness optimization instead of narrowly addressing a single parameter of age management. In doing so, we guide our patients into an improved lifestyle, maximizing health potential to enjoy a more youthful way of life with the following benefits:

Improved Energy

Cenegenics addresses the addition of exercise to a person’s regimen as research suggests that obesity is strongly linked to low testosterone, Cenegenics alternatives do not address exercise as their main focus is low testosterone and not the root causes of the issue

By the age of 70, roughly 30% of muscle mass individuals had at the age of 20 is gone [4]. This often contributes to decreased strength, fatigue, and energy depletion. Our age management doctors specialize in determining whether lifestyle changes alone are enough to address declining energy levels associated with aging, or whether a more aggressive approach is needed to target an underlying cause of the symptom.

Better Sleep

A low-T center does not focus on sleep, Cenegenics focuses on patients getting better sleep as poor sleep quality can attribute to hormonal changes, Cenegenics alternatives may not address sleep issues such as sleep apnea or disordered breathing as a cause of low testosterone

Untreated sleep disorders increase the risk of death from any cause in older adults [5]. More than a third of Americans are poorly rested for more days out of the week than not, and nearly half the population (46%) is unable to achieve the recommended seven to eight hours of sleep every night [6].

While poor sleep is in certain cases attributed to hormonal changes, there are many other potential culprits. Specifically, there is a proven interplay between sleep and inflammation, especially in the cardiovascular system. Sleep-disordered breathing and obstructive sleep apnea, in particular, can be attributed to sleep issues for at least 24% of the population. By addressing sleep disorders, in addition to any contributing factors, Cenegenics physicians make the greatest possible improvement on both long- and short-term health in their patients.

Mental Acuity

It is in irrefutable fact that the mind changes with age. Yet, neural and cognitive functions are complex, and age-related changes to brain structure and function are not the same in all individuals. Moreover, age alone isn’t the only factor impacting focus, memory, and other cognitive functions. Lifestyle factors such as exercise, sleep, diet, alcohol consumption, and even caffeine intake can all influence brain health. Understanding the ways in which these factors affect the mind demands an extensive look into an individual’s current measures of health, medical history, and lifestyle. Through approaches such as nutraceuticals and prescriptive lifestyle adjustments, Cenegenics clinicians advise tailored preventive treatment programs to help patients minimize age-related cognitive decline.

Weight Loss

Cenegenics focuses on weight loss for obese patients as it can be a large contributor of low T, Cenegenics alternatives do not often focus on weight loss as part of their treatment plan of low T

Metabolic rate drops by 2% or more per decade after the age of 25 [7], making weight loss and weight regulation more challenging with age. However, it is important to understand that aging, and the fluctuations in hormone levels that go with it, cannot be solely blamed for the obesity epidemic. It is instead eating patterns that contribute to obesity, which is directly linked to morbidity from heart disease, cancer, diabetes, and high blood pressure [7]. Thus, any indication that a single hormone supplement will accomplish weight loss in itself is a falsehood, as there is no way to achieve sustainable weight loss without compliance to a healthy eating program.

Cenegenics physicians take into consideration the lifestyle factors, preferences, and nutritional needs of their patients to design a detailed dietary plan. In doing so, they help their patients make the transition towards mindful, healthy eating habits that will last, instead of dieting. The results are not only reductions in body fat, but also decreased risk of life-threatening conditions such as cardiovascular disease.

Increased Libido

A declining sex drive can take a toll on overall wellbeing, as well as the quality of a relationship. Low sexual interest can stem from a multitude of factors, including fatigue. Like weight management and sleep, addressing variances in libido necessitates a patient-centric approach. Our physicians therefore perform a comprehensive analysis into overall physical and mental health to determine the best course of action for each patient.

Cenegenics alternatives focus on increasing testosterone in order to increase libido, Cenegenics focuses on additional factors like weight management and sleep as low libido may stem from a multitude of factors

Overall, the comprehensive approach taken by Cenegenics is vastly different from those of most low-T clinics, many of which promise results with a few simple steps. True health optimization requires compliance with a demanding and comprehensive program. Low-testosterone clinics, conversely, advertise services such as medications shipped to you after a brief analysis. Unfortunately, these quick and easy approaches may overlook some significant indicators of health – which could have serious consequences.

How Cenegenics Differs from a Low-T Center: Unwavering Attention to Detail


Cenegenics clinical team take an all-encompassing approach compared to Cenegenics alternatives, The Cenegenics team ranges from phlebotomists to physicians in order to give the highest quality of patient care

Cenegenics’ comprehensive approach to health encompasses patient care from multiple sources, including wellness optimization physicians, exercise physiologists, phlebotomists, and nutrition & nutraceutical experts. They also look at the entire picture of patient health by taking into consideration key factors such as carbohydrate metabolism to observe the ways in which bioidentical hormones are impacting critical bodily functions.

Individualized Treatment

One important difference among Cenegenics and its competitors is our commitment to prioritizing the individual needs analysis. Our care providers treat each patient based on the specific nuances and combined circumstances impacting their health. While we understand that symptoms associated with low hormone levels may be one of the primary reasons why patients seek us out, our physicians also understand that a “one size fits all” modality is ineffective for treating these conditions. Instead, the complex interplay among nutrition, exercise, sleep, and genetic factors, among others, must all be considered and accounted for when developing a robust and effective health optimization plan.

To administer such a plan, Cenegenics collects in-depth, comprehensive lab values on patients at specific intervals. Contrast this with low-T centers, many of which boast a simple and easy three-step process. After the patient contacts the center, physicians from these low-cost options typically only perform a review of the patient’s sex hormone panel before prescribing medications. Yet, this significantly limits the physician’s understanding of how hormones are directly affecting carbohydrate and lipid metabolism, inflammatory markers, and kidney and liver function. More alarmingly, they may fail to address the treatment’s potential influence on prostate health. While low-T centers may perform lab work when subjective symptoms arise, Cenegenics is proactive in measuring the impact of bioidentical hormone use on prostate, kidney, and liver health, as well as other bio