Category Archives for Libido

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/

What is andropause?, Andropause is a gradual drop in testosterone as you age that can result in a number of symptoms, Symptoms of andropause can include physical and sexual symptoms

What is Andropause? And How Is It Affecting You?

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?


Andropause needs more than a simple blood test to diagnose, age management specialists use blood tests and clinical assessments to help diagnose andropause

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?


Andropause is often referred to as male menopause, symptoms of andropause can often be linked into three domains

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?


Cenegenics helps treat andropause with hormone replacement therapy, HRT can be paired with nutrition and exercise to help optimize benefits for treating andropause

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

Key Resources

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

Rudy Inaba

Director of Nutrition & Exercise, AMMEF Nutrition & Exercise Instructor

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

More than 12 million men in the United States suffer from erectile dysfunction, Cenegenics can help explain how to treat erectile dysfunction with exercise and nutrition

What Really Causes Erectile Dysfunction?

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


Erectile dysfunction can impact mental health and relationships, symptoms of erectile dysfunction can include the persistent inability to get and keep an erection firm enough for sex

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


Erectile dysfunction can be influenced by multiple factors including smoking and being overweight, Anxiety and depression are possible causes of erectile dysfunction

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?


Low testosterone is one of the possible causes of erectile dysfunction, Testosterone deficiency can cause ED if left untreated

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


Cenegenics physicians can help diagnose the complex interplay of factors contributing to your erectile dysfunction to help treat it, Cenegenics physicians are well-versed in the barriers to sexual health, learn how to treat erectile dysfunction with the Cenegenics Elite Health Program

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

Excess fat impacts hormone levels which can contribute to erectile dysfunction, Certain dietary agents including alcohol can impede upon sexual function, Cenegenics can help you learn how to treat erectile dysfunction through proper nutrition

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

Sedentary lifestyle can play a part in erectile dysfunction, Exercise can lower risk of ED by 30 percent, Exercise can address a causative agent behind erectile dysfunction including weight control and increased testosterone

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

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 biomarkers.

By processing this information and regularly observing patients and patients’ biomarkers, our clinical team dynamically shifts and adjusts nutrition, exercise, and supplement goals and efforts, as needed, as patients respond and adapt over time. This allows us to make recommendations based on the individual’s needs analysis and prescribe only what will impact their biomarkers.

The Biomarkers of Aging

Only trained age management specialists can perform a comprehensive analysis of an individual’s biomarkers of age and provide individualized treatment based on these factors. Unlike our chronological age, the biomarkers of aging tell a different story. Made up of parameters such as muscle strength, cardiovascular performance, bone density, immunology, and mental acuity, they give age management specialists the most comprehensive overview of wellness when combined. Using this information, Cenegenics clinicians are able to develop customized exercise, nutrition, and supplementation programs – in addition to bioidentical hormone treatment fitting the precise needs of the individual.

Industry-Leading Specialists


age management medical practice, Cenegenics physicians differ from low-t center centers

Many low-cost clinics operate under one physician, while Cenegenics boasts 20 centers across the country supported by Cenegenics Partners, Center Physicians and Fellows trained in Age Management Medicine by the AMM Education Foundation. As our Partner and Director of Education for the Clinical Strategies for Healthy Aging course, Dr. Jeffrey Park Leake also co-wrote the Textbook of Age Management Medicine, available on Amazon. We pioneered the world’s largest age management practice, and with a focus on preventive care, have helped more than 35,000 patients worldwide dramatically improve their health and vitality. With optimal health as our primary focus, we bridge the gap between medicine and scientifically-based prevention, going far beyond addressing hormonal imbalances and achieving maintenance, not just repair.

We also hold our physicians against the highest set of standards to ensure the utmost quality of care for our patients. These specialists are highly trained in Cenegenics clinical tactics to aging, and only 1% of trainees meet the requirements needed to become a Cenegenics Physician Partner. Our physicians collaborate on complex patient health issues and are continually receiving clinical updates as proven, evidence-based science evolves to ensure each patient’s program remains cutting-edge and effective. Patients can therefore remain confident in the fact that health issues which arise can be detected early for preventive treatment, and that continuous monitoring will ensure their individualized Program is consistently updated to reflect emerging science and evolving goals.

The value of having a full team of health optimization specialists oversee your needs and progress through the program is beyond measure: it ensures every aspect of your health is being enriched to its fullest potential. Additionally, with a complete panel of specialists, we do not outsource:

  • lab services
  • diagnostic testing
  • clinical support
  • pharmacy items
  • nutraceuticals

This means all of the components of your wellness program will be overseen by Cenegenics and managed internally. Instead of waiting in a lab office, you will receive prompt and professional service through our phlebotomy network. Instead of going to multiple locations for testing, diagnostics are performed onsite for your convenience. We also have employed, onsite support staff, versus call center or remote health coaches. Finally, our patients receive custom pharmacy items, and efficaciously dosed, pharmaceutically tested, nutraceuticals with patented raw materials – instead of low-cost, generic retail supplements. In other words, Cenegenics believes that the quality of what goes into the body directly influences the quality of health outcomes.

A Better Patient Experience Over Cenegenics Alternatives


Cenegenics patients often have a better overall patient experience as compared to a low-T center, Cenegenics unwavering attention to detail helps patients combat low testosterone and its symptoms

While the attention to detail within Cenegenics program versus its alternatives is perhaps the most noteworthy difference, one final factor to bear in mind is the patient experience. While there is nothing wrong with seeking treatment elsewhere, lower-cost alternatives typically require more effort on the patient end. As a concierge, proactive medical service, the Cenegenics team takes significant measures to ensure compliance with a demanding, comprehensive program to potentiate real results and manage age-related disease risk. Through timely follow-ups, patient-focused care from day one, and an unwavering commitment to your precise wellness needs, our team ensures a positive experience in your journey towards optimal health.

Why a Low-T Center Is Not an Alternative to Cenegenics


A search for “Cenegenics alternatives” yields thousands of results, ranging from Ehormones to HealthGAINS, Andrologix to Royal Medical Centers, and it is no surprise why. The world of age management medicine has exploded since the inception of our physician-founded program in 1997. Many hormone therapy services have emerged in response to the growing number of adults seeking out solutions for low hormone levels, promising a low-cost few step solution. However none compare to the original Age Management Medical Practice, Cenegenics.

Cenegenics focuses on attention to detail, taking significant measures to ensure compliance with a demanding, comprehensive program to potentiate real results and manage age-related diseases. The accessibility to the Cenegenics clinical team – physician, nutrition expert, exercise physiologist and phlebotomist, allows timely follow-up in patient focused care to guarantee you are receiving an individualized plan designed specifically to accommodate your needs; Cenegenics is not a “one-size-fits-all” program.

Next Steps to Prioritizing Your Health with Cenegenics


Register for your complimentary phone consultation.

We hope the information above assisted you in your research process.

Key Resources


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

[1] Centers for Disease Control and Prevention. “Heart Disease Facts”. Retrieved from https://www.cdc.gov/heartdisease/facts.htm

[2] From Vulnerable Plaque to Vulnerable Patient—Part III: Executive Summary of the Screening for Heart Attack Prevention and Education (SHAPE) Task Force Report. The American Journal of Cardiology. 2006.

[3] Boston, Gabriella. “Basal metabolic rate changes as you age.” Washington Post. 05 March 2013.

[4] Dennis, Helen. “Successful Aging: Causes of energy loss in older adults.” Los Angeles Daily News. 29 June 2015.

[5] Paudel et al. “Rest/Activity Rhythms and Mortality Rates in Older Men: MrOS Sleep Study.” Chronobiology International. 06 Apr. 2010.

[6] Sleep and tiredness survey. YouGov. 02 June 2015. https://today.yougov.com/topics/lifestyle/articles-reports/2015/06/02/sleep-and-dreams

[7] Stanford Health Care. Retrieved from URL: https://stanfordhealthcare.org/medical-conditions/healthy-living/obesity.html

Additional Information For Cenegenics Age Management Program 


What is Cenegenics?

What is Age Management Medicine?

What Does Cenegenics Cost?

Cenegenics Elite Health Program: Why You Should Consider Age Management Your Next Investment

Anti-Aging vs. Age Management

Weight Loss on the Cenegenics Age Management Program

Defy Your Age™ with Cenegenics

What is Testosterone Replacement Therapy (TRT)?

Symptoms of stress can range from anxiety to inability to focus, Chronic stress puts individuals at higher risk for cardiac episodes including heart attack and stroke

This Is How Your Body Is Reacting To Stress:

Stress impacts nearly every single system in the body. It can weaken the immune system, impede functionality in the digestive and reproductive systems, increase risk of cardiovascular disease, and accelerate aging.[1]

Optimal health is important to work performance, however – especially for professionals in high-power roles with many taxing responsibilities. When stress begins to affect cognitive function, including judgment, concentration, memory, as well as physical and emotional well-being, it becomes essential to address its impacts promptly. 

A healthy adaptational response to stress occurs over a short time frame. For minimal to no effects on long-term health, stress responses should be initiated quickly, maintained for a brief amount of time, and then turned off. On the other hand, problems arise when individuals experience an over-response to stress, or the stress response fails to shut off. A healthy response to stress is characterized by the following three steps:

  • The brain mediates the stressor, signaling the adrenal medulla to release adrenaline.
  • The hypothalamus, a region of the forebrain which coordinates the nervous system, works with the pituitary gland to trigger the slower maintenance response, signaling to the adrenal system to release hormones including cortisol.
  • Nerves react to the trigger, producing behavioral responses such as heightened awareness, focused attention, and reduced pain perception.

These actions controlled by the hypothalamic-pituitary-adrenal axis and sympathetic nervous system contribute to the body’s internal balance, or homeostasis, to optimize energy production and use. Because these systems influence other functions in the body; prolonged responses can have a damaging effect on health. [2]

Symptoms of stress can be both immediate and long-term. While there are many long-term consequences of chronic stress that should be considered to understand its full impact, for now, we will focus on short-term symptoms associated with the condition, categorized by type.

Physical Symptoms of Stress


The physical symptoms of stress can be experienced almost immediately upon exposure to stressors. Stress slows some bodily functions, such as the immune and digestive systems, while hastening others. For instance, blood pressure and pulse rate increase, and rapid breathing occurs.

Other physical effects of stress can include sweating, back or chest pain, muscle cramps or spasms, headache, nervous twitches, and upset stomach. Low energy, dry mouth, difficulty swallowing, ringing in the ear, and cold or sweaty hands and feet are also physical symptoms of stress. In cases of extreme stress, fainting can also occur.[3]

Cognitive Symptoms of Stress


Acute stress can be advantageous and allow individuals to be hyper alter and make quick decisions, Chronic stress can lead to difficulty concentrating and memory problems

Acute stress can heighten awareness, allowing individuals to become hyperalert to their surroundings . This can be advantageous in certain professional circumstances – allowing for sharp and quick decision-making, for example. Yet, chronic stress actually has the opposite effect. With constant worrying, anxiety, and racing thoughts, individuals may experience poor judgment.

Difficulty concentrating and memory problems are also common symptoms of chronic stress.[4] In professionals and executives, whose effectiveness in their role is largely determined by decision-making skills, the cognitive impacts of stress can take a devastating toll on one’s career.

Behavioral Symptoms of Stress


Behavioral symptoms of stress include negative habits such as nail biting and tobacco use to form, Chronic stress may lead individuals to turn to negative behaviors such as alcoholism and drug abuse

The negative impact of stress penetrates virtually every aspect of an individual’s life. In an attempt to escape stress factors, individuals often turn to unhealthy behaviors such as tobacco use, as well as drug or alcohol abuse. Over- or under-eating and decreasing frequency of exercise can also result from compounding stress.

Individuals may adopt nervous habits like nail biting and pacing, and they may also become socially withdrawn. Procrastination and neglect of important responsibilities are additional characteristics of chronic stress; as some individuals use avoidance as an unhealthy coping mechanism.[5]

These negative behaviors can transcend into other areas of one’s life, too. With unhealthy behavioral responses to stress, decisions to drink, use drugs, or practice other harmful habits may also affect sleep quality, weight, libido, energy, and cognitive function.

Optimizing these five areas of wellness is essential to job performance, because a well-rested individual who is also at their best both physically and mentally is better able to excel in their role. Therefore, the ability to deal with job-related stressors (or any other source of stress) in healthy, productive ways can support performance in the workplace, while also improving quality of life in one’s personal life, too.

Emotional Symptoms of Stress


Emotional symptoms of stress include increased agitation and may lead to social withdrawal, Chronic stress can progress into depression and other mental health conditions

The emotional symptoms of stress include anxiety and agitation, as well as feeling overwhelmed. Agitation can cause hostility, poor impulse control, tension, and uncooperativeness – qualities which sever ties among colleagues and other members of your professional network.[6]

Because individuals with chronic stress tend to limit their social interaction, they may also begin to develop feelings of isolation and loneliness. The condition may also lead to feelings of insecurity and restlessness. Feeling generally unhappy is a common symptom of stress, and over the long term, this can progress into depression and other mental health conditions.[7]

While these symptoms are serious and need to be addressed, the effects of stress become even more critical if not treated. Over the long-term, the consequences of ongoing stress can have an extreme impact on a person’s mental, physical, emotional, and cognitive wellness.

Impaired concentration and low energy levels are just two of the specific effects related to chronic stress that can directly diminish workplace performance. Cenegenics focuses on optimizing the five pillars of wellness – sleep, energy, libido, cognitive function, and weight management – with proven age management medicine to help professionals feel and perform their best professionally.

Long-Term Effects of Stress


Chronic stress has dangerous, multifarious implications: not only can stress create new problems, it may also exacerbate existing ones. For executives and professionals whose busy day-to-day routines are already impacted by the demands of juggling a multitude of responsibilities, the effects of chronic stress can be more pronounced than in the average individual.

The physical and mental toll the condition takes on people can ultimately transcend to the workplace, leading to conditions like lack of sleep, focus, and energy which can impede long-term goal achievement and overall career success. Here are just a few of the specific ways stress can have a lasting impact on health.

Physical Consequences of Long-Term Stress

The long-term physical effects of chronic stress are nearly too vast to measure. When stress is constant, the same life-saving response your body produces in acute stress can suppress your immune system, making you more vulnerable to disease and illness. 

Individuals with chronic stress are more prone to developing colds and other sicknesses, and there is even an established link between stress-related disorders and autoimmune diseases such as Crohn’s disease, rheumatoid arthritis, and psoriasis [8]. These conditions can lead to absenteeism and energy depletion, which could have a compounding, negative effect on work performance.

Researchers believe that when stress is severe, the body may lose control of cortisol over the immune system, contributing to increased inflammation. This can also lead to a range of serious health conditions, including heart disease, high blood pressure, and diabetes. Left untreated, these factors can contribute to potentially fatal conditions including heart attack and stroke [9].

Chronic stress can lead to increased risk of serious health conditions including heart disease and high blood pressure, Physical symptoms of stress can vary but may progress into potentially fatal conditions including heart attack and stroke

Stress can also impact physical appearance, leading to skin and hair issues including psoriasis, eczema, hair loss, and acne. When it affects diet and exercise, it may also lead to obesity or other eating disorders. Being overweight increases the risk of fatigue, as decreased sleep duration and quality are directly associated with increased body weight [10].

Thus, the effects of stress tend to snowball: fatigue also impairs brain activity, which makes it impossible to contribute to your fullest potential at work [11]. The inflammatory response can also irritate the colon, causing conditions such as gastritis and ulcerative colitis over time.

The impact of stress is so pronounced that it can even cause issues in the reproductive system. In women, it can cause menstrual problems, while it may cause sexual dysfunction such as premature ejaculation and impotence in men. Loss of sexual desire is also potential side effect of stress experienced in both men and women [12].

Additionally, while stress can contribute to obesity which can in turn cause fatigue, stress itself also often has a major impact on sleep. Unfortunately, the stress/sleep relationship often forms a dangerous cycle, in which the heightened state of alertness produced by chronic stress prevents sleep, but lack of sleep continues to cause added stress.

In fact, adults who sleep fewer than the recommended eight hours per night report a higher stress level than those who sleep at least eight hours each night. Stress often causes individuals to lie awake at night with anxiety, and this lack of sleep can compound the physical damage caused by stress. Even minimal sleep deprivation or poor sleep quality can contribute to serious health issues like obesity and high blood pressure, as well as impaired memory and judgment [13].

While alertness is essential to navigating daily challenges in most executive, managerial, and other professional roles, it is also necessary for a host of other day-to-day activities, including driving and maintaining awareness of your general surroundings.

Additional Consequences of Chronic Stress

Additional symptoms of stress include depression and chronic anxiety

Chronic stress
can contribute to clinical depression, chronic anxiety states, and addictive disorders. One of the main reasons the condition is so dangerous is because of its notorious snowball effect: it may only impact a few isolated areas of a person’s life at first, but these consequences tend to ripple outwards.

The example of stress’s effect on sleep above showcases this relationship: while chronic stress itself can cause impaired judgment, it can also cause lack of sleep, which has an additional impact on decision making abilities. Thus, the lasting consequences of stress are often too significant to measure, and instead of affecting an individual in a linear fashion, it often produces a far-reaching web of consequences. Oftentimes, it penetrates the most critical realms of wellness in profound ways, including sleep, energy, weight, libido, and cognitive function.

These very pillars are the foundation on which the Cenegenics program was built. By finding solutions to improve in these five realms, effective stress management becomes a natural byproduct. For example, Cenegenics tailored programs provide solutions catered to each individual’s needs for optimizing nutrition, achieving better sleep, and driving energy levels, which can be effective tools for managing stress.

Understanding Chronic Stress vs Acute Stress – In Conclusion


Stress can impact nearly every single system in the body, and professionals in high-power roles with many taxing responsibilities are at in increased risk. Physical symptoms of stress can be experienced almost immediately upon exposure to stressors. Cognitive symptoms of stress such as constant worrying, anxiety, and racing thoughts can lead to poor judgment.

In an attempt to escape stress factors, individuals often turn to unhealthy behaviors such as tobacco use, as well as drug or alcohol abuse. These behaviors can lead to emotional symptoms and even progress into depression and other mental health conditions.

Over the long-term, the consequences of ongoing stress can have an extreme impact on a person’s mental, physical, emotional, and cognitive wellness. Cenegenics helps individuals with effectively managing stress by optimizing the five pillars of wellness – sleep, energy, libido, cognitive function, and weight management – with proven age management medicine to help professionals feel and perform their best professionally.

Contact Cenegenics to find out how our personalized, physician-developed age management solutions can help you treat your stress before you suffer long-term effects.

Next Steps: Managing Stress with Cenegenics

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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] Segal et al. “Stress Symptoms, Signs, and Causes.” HELPGUIDEORG INTERNATIONAL. July 2018. Retrieved from URL: https://www.helpguide.org/articles/stress/stress-symptoms-signs-and-causes.htm

[2] Stöppler, Melissa Conrad, MD. “Stress.” MedicineNet.com Retrieved from URL: https://www.medicinenet.com/stress/article.htm#stress_facts

[3] Nordqvist, Christian. “Why stress happens and how to manage it.” Medical News Today. 28 Nov. 2017. Retrieved from URL: https://www.medicalnewstoday.com/articles/145855.php

[4] Segal et al, see above.

[5] “Stress symptoms: Effects on your body and behavior.” Mayo Clinic. 28 April 2016. Retrieved from URL: https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/stress-symptoms/art-20050987

[6] “Understanding Agitation.” Depression and Bipolar Support Alliance. Retrieved from URL: http://www.dbsalliance.org/pdfs/brochures/agitation.pdf

[7] Segal et al, see above.

[8] Song et al. “Association of Stress-Related Disorders With Subsequent Autoimmune Disease.” Journal of the American Medical Association. 19 June 2018. Retrieved from URL: https://jamanetwork.com/journals/jama/article-abstract/2685155

[9] “The Link Between Autoimmune Diseases and PTSD.” Healthline.com Retrieved from URL: https://www.healthline.com/health-news/the-link-between-autoimmune-diseases-and-ptsd#1

[10] Hargens, et al. “Association between sleep disorders, obesity, and exercise: a review.” Nature and Science of Sleep. 1 Mar. 2013. Retrieved from URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3630986/

 [11] Tanaka, et al. “Effects of Mental Fatigue on Brain Activity and Cognitive Performance: A Magnetoencephalography Study.” Department of Physiology, Osaka City University Graduate School of Medicine. 01 Jul. 2015. px

[12] Karriem-Norwood, Varnada, MD. “Stress: Symptoms.” WebMD. 11 July 2017. Retrieved from URL: https://www.webmd.com/balance/stress-management/stress-symptoms-effects_of-stress-on-the-body#2-5

[13] “Stress and Sleep.” American Psychology Association. Retrieved from URL: http://www.apa.org/news/press/releases/stress/2013/sleep.as

[14] Song et al. “Association of Stress-Related Disorders With Subsequent Autoimmune Disease.” Journal of the American Medical Association. 19 June 2018. Retrieved from URL: https://jamanetwork.com/journals/jama/article-abstract/2685155

Understanding how to deal with stressors can help decrease your risk of health problems and tarnishing long-term wellness, Business professionals often experience different types of stress including acute stress that can progress to chronic stress when not managed properly

Understanding How to Deal with Stressors

Article at a Glance

  • Stress is the body’s natural response to threats, and it is important to be able to distinguish the way the body experiences the three main types of stress: acute, episodic acute and chronic stress.
  • Internal stress factors come from within and can be caused by unrealistic expectation, pessimism, uncertainty, and negative self-talk.
  • External stress factors can include being too busy, feeling unable to complete everything on time.
  • Chronic stress can result in impaired cognitive function, weight gain, and a number of unfavorable symptoms.

Stress is the body’s normal response to threats. Yet, while it affects everyone in at least one way, not all forms of stress are the same – or even healthy. For professionals in positions associated with high levels of stress, it’s especially important to recognize the differences among the ways in which the body experiences stress.

Different Types of Stress


There are three main types of stress, each of which elicits a unique response in the body:

  • Acute stress
  • Episodic acute stress
  • Chronic Stress

Acute Stress

The demands of the near future and recent past cause acute stress, the most common form of stress. Work deadlines, exhilarating experiences, and short-term dilemmas can all cause acute stress. This form of stress is fleeting and does not have the potential to do long-term physical damage. In fact, acute stress can actually be considered “good” stress, because it helps executives and professionals perform better in challenging scenarios. Whether it is preparing for an important meeting or thinking quickly to rectify an unexpected issue, the body responds to perceived threats with quicker breathing and pulse, allowing you to use more oxygen and increase activity to perform better.[1] The danger to your health and work performance does not occur until acute stress becomes chronic stress, which is discussed below.

Episodic Acute Stress 

Individuals who always seem to be “on the edge of their seats,” often labeled as “Type A” personalities, are most likely to have episodic acute stress. While these individuals often embody characteristics that help them excel in the workplace, including the ability to multitask well and a sense of competitiveness that can lead to goal completion, they also face a tremendous amount of stress because they juggle many responsibilities and are pressured by time constraints.[2]  Cardiologists have concluded that these individuals are much more likely to have heart disease and high blood pressure than others, and face difficulties in organizing self-inflicted demands and pressures. Because these barriers to health can negatively impact work performance, individuals facing episodic acute stress must find ways to manage their stressors in a healthy way to ensure long-term wellness.[3]

Chronic Stress

By nature, stress is supposed to be temporary. Once the body recovers from fight or flight mode, you should be able to recover physically: your heart rate should return to normal and muscles should relax. Yet, chronic stress occurs even when real, physical danger is not present. It happens when a person is never able to escape their causes of stress but stops seeking solutions. Sometimes, it may be caused by a traumatic experience. While people can become used to and even comfortable with chronic stress, its effects are long-lasting and detrimental to health. Chronic stress is the most harmful type of stress and can have a number of effects on your body, mood, and behavior. If action is not taken, this form of stress can create or worsen health problems, including limited concentration, inhibited sleep, and problems with personal relationships – all of which can eventually lead to energy depletion and poor performance in the workplace.[4]

Understanding How to Deal with Stressors: Identifying Stress Factors


Our fight or flight response is influenced by both external and internal factors. While both types can produce similar effects, they can also both be addressed and managed effectively. Understanding the differences between these two sources can help pinpoint your greatest sources of stress.

Internal Stress Factors

As their name suggests, internal stressors come from within. These stressors stem from an individual’s perception of themselves compared to where they think they should be in life. Internal stressors play a role in one’s ability to handle external sources of stress, which is why it becomes critically important to address any internal stressors, if present, first. Common internal stress factors include:

  • The inability to accept uncertainty
  • Rigid thinking
  • Inflexibility
  • Pessimism
  • Unrealistic expectations of perfectionism
  • Negative self-talk

External Stress Factors

Common external stress factors include:

  • Job-related stress
  • Major life changes
    • Death of a family member
    • Divorce
    • Retirement
  • Family problems and relationship difficulties
  • Being too busy
  • The feeling of being unable to get everything done

Unfortunately, this tends to be a common feeling among individuals holding demanding jobs or maintaining positions of power in the workplace. Because the stress associated with high-power positions is unavoidable for most career-oriented professionals, the solution for managing chronic stress lies in first addressing its effects. By overcoming fatigue, for instance, professionals can become sharper and more alert, and ultimately, more engaged and focused at work. Likewise, tackling many of the additional challenges that tend to accompany aging, such as cognitive impairment and weight gain, can also create a healthier individual who is better able to manage the stress of their career.

Ultimately, stress is different for each individual, and the factors which may elicit a response in one person may not affect another. Regardless of the stressor, however, chronic stress can produce a number of unfavorable symptoms in those who suffer from it. Thus, addressing its effects proactively – before they escalate and cause irreversible career or relationship damage – is critical for people who face chronic stress.

Impact of Acute & Chronic Stress: In Conclusion


Stress can affect people in various ways, but for professionals dealing with high levels of stress, it is especially important to recognize the type of stress you are undergoing and the effect it can have on your body. All types of stress, if not managed, are all capable of increasing your risk for health problems and tarnishing long-term wellness.

Our fight or flight response is influenced by both external stressors and internal stressors. Internal stressors stem from an individual’s perception of themselves, and it is important to address them first to be able to handle any external stress factors. External stressors include job-related stress, family problems, relationship issues, etc. If such effects are left unmanaged, there is potential for unfavorable symptoms and health-related consequences of chronic stress.

Cenegenics’ expert clinicians help you overcome high levels of stress by catering to the rigorous demands that life presents.  Each program is individually tailored to your specific needs and is designed to help mitigate stress, both immediately and over a long-term basis.

Next Steps: Get a Handle Your Stressors 


Register for your complimentary phone consultation.

We hope the information above assisted you in your research process.

Key Resources on Stress Management


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

[1] “5 Things You Should Know About Stress.” National Institute of Mental Health. Retrieved from URL: https://www.nimh.nih.gov/health/publications/stress/index.shtml

[2] Tirado, Bernando, PMP. “Working With a Type A Personality.” Psychology Today. 30 Jan. 2012. Retrieved from URL: https://www.psychologytoday.com/us/blog/digital-leaders/201201/working-type-personality

[3] “Stress: The different kinds of stress.” American Psychological Association. Retrieved from URL: http://www.apa.org/helpcenter/stress-kinds.aspx

[4] Nordqvist, Christian. “Why stress happens and how to manage it.” Medical News Today. 28 Nov. 2017. Retrieved from URL: https://www.medicalnewstoday.com/articles/145855.php

Additional Information on Stress Reduction


How Cenegenics Can Help Relieve Stress in Executives & Professionals

Symptoms and Long-Term Consequences of Stress

What is Age Management Medicine?

What is Cenegenics?

Defy Your Age™ With Cenegenics

Acute stress can be effective in certain situations such as preparing for large presentations or facing certain challenges within the workforce, long-term or chronic stress can have detrimental effects on your health

Are You Aware Of The Impact Stress Has?

Stress is the body’s natural response to threats or demands. In limited doses, stress is normal and even healthy. It is the automatic “fight-or-flight” reaction that helps executives and other professionals prepare for and perform well under critical circumstances, such as meeting tight deadlines or practicing quick and effective decision-making. Stress can also be the catalyst that helps us react quickly when needed, whether in traffic or when faced with danger.

Despite all of these benefits, stress has a bad reputation – and for good reason. While our fight-or-flight instinct may indeed be vital to our survival, stress that occurs on a continual basis (chronic stress) can have an adverse effect on health and performance. When your nervous system stops differentiating among real physical danger and perceived, emotional threats, stress begins to recur frequently. This spurs a vicious cycle in which emergency stress is easily activated and increasingly difficult to avoid.[1]

Impact of Stress

While there are many causes of stress, one of the most common is a person’s work life. As the World Health Organization states, “Pressure in the workplace is unavoidable due to the demands of the contemporary work environment.”[2] Research shows that organizational risk factors for stress include busy work schedules, pressing demands relating to specific tasks and roles, and the degree of an individual’s involvement in decision making, among others. Yet, this description applies to the majority of today’s professions, meaning that stress is not something that can be evaded but must instead be approached differently. Addressing the effects caused by stress can help professionals optimize their wellness; giving them the power to overcome daily challenges and perform better in the workplace. When its effects are simply ignored, however, all of this stress has a far-reaching impact: with its wide range of consequences, it’s estimated that the total cost of stress exceeds $300 billion for U.S. enterprises.[3] 

Far Reaching Impact of Chronic Stress

Of course, the impact of stress is more than just financial. Chronic stress can impact your productivity, mood, relationships, health, and ultimately, your quality of life. It tends to have far-reaching implications on some of the most important parameters of wellness, including sleep quality, energy levels, libido, cognitive function, and body weight. Symptoms of stress may not appear all at once; rather, they may creep up slowly and even begin to feel familiar. Unfortunately, even busy professionals and executives who recognize the signs of stress may feel as if they have no time to address these compounding effects. As their list of responsibilities continues to grow, their health is often put last, while work and other demands take top priority.

Cenegenics Approach to Stress Management

Ask your Cenegenics physician how to relieve stress and the best way to reduce stress, one of the best means to reduce stress is proper exercise

At Cenegenics, our age management program is designed with executives and professionals in mind. We cater to the rigorous scheduling requirements of our patients and provide practical solutions for mitigating stress and tackling its many consequences, both immediately and over a long-term basis. Moreover, we understand that the pressures associated with demanding professions are inevitable, but through effective stress management, executives and professionals can improve upon the key areas of health, such as low energy, poor sleep, and cognitive function, to boost career performance.

Addressing the far-reaching impacts of stress is where we excel. Through physician-led, tailored treatment programs, Cenegenics provides a roadmap for executives and professionals to improve wellness in the areas of cognitive function, libido, energy, sleep, and weight. Our approach to wellness is scientifically proven, research-based, and overseen by physicians specializing in age management who tailor each program to their patients’ unique needs. Additionally, our stress mitigation plans are all-encompassing to address all of the areas of your wellbeing stress can permeate. Targeted treatments such as individualized nutrition plans, exercise programs, and hormone replacement therapy (if needed) are employed to achieve lasting improvements in sleep quality and duration, cognition, libido, energy levels, and weight regulation.

Oftentimes, busy professionals do not realize the impact of stress in their lives until physical symptoms begin manifesting themselves. The good news is that it is never too late to begin overcoming stress, and by tackling it now, you can begin improving your health immediately. If you suspect that stress could be holding you back professionally or that it has impacted your quality of life in additional ways, take a moment to identify the types, causes, symptoms, and long-term effects of chronic stress to help you determine whether your health could be in jeopardy.

How to Relieve Stress with Cenegenics Elite Health

Exercise is one of the most effective ways to reduce stress, Custom nutritional and exercise planning is one of the many examples of how Cenegenics physicians can support health stress management practices

Tackling stress effectively requires a comprehensive approach. It is not a simple fix but instead demands a strategic treatment plan, as would any other medical condition. Nutritional planning to support the immune system and targeted exercise programs to benefit the mental and physical state are just some examples of how Cenegenics physicians can support healthy stress management practices, thereby leading to a more focused, healthy, and engaged professional.[4] 

Unfortunately, one of the reasons patients fail to overcome chronic stress is because most recommendations for mitigating stress leave too much room for guesswork. Busy professionals and executives need a precise plan that can be used to improve all aspects of their wellness, so that they are armed with an entirely new, healthy way to combat the effects of stress and approach the responsibilities and demands that would normally cause them stress in the first place. Cenegenics age management physicians deliver treatments and tactics used to improve mental focus, sharpness, strength, and sleep quality, helping patients restore their ability to work through life’s many challenges in a healthy manner and relieve stress.

stress free executive with team, professionals in office effectively managing stress, team of professionals managing stress

While the effects of chronic stress can go unnoticed and even become comfortable to those suffering from it, you were likely drawn to this guide because stress has impacted your life in one way or another. Do not allow stress to take its toll on your well-being, professional life, or relationships any longer. Contact Cenegenics to find out how our personalized, physician-developed age management solutions can help you address the stress factors you face in positive, productive ways and reverse the effects caused by chronic stress.

Reduce the Risk of Stress – In Conclusion

Stress is the body’s natural response to threats or demands and is normal and even healthy, in low doses. The automatic reaction helps executives and other professionals prepare for and perform well under critical circumstances. However, while our fight-or-flight instinct may indeed be vital to our survival, stress that occurs on a continual basis (chronic stress) can have an adverse effect on health and performance. Often times, during chronic stress, your nervous system stops differentiating real physical danger and perceived, emotional threats, and can spur a vicious cycle in which emergency stress is easily activated and increasingly difficult to avoid.

Tackling stress effectively requires a comprehensive approach, including nutritional planning to support the immune system, and an exercise program to benefit physical and mental states. Cenegenics age management physicians deliver treatments to improve mental focus, sharpness, strength, and sleep quality to help optimize patients’ well-being, professional life, and relationships by restoring patients’ ability to work through stress in a healthy manner.

Next Steps to Reduce Stress and Increase Effectiveness

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] Segal et al. “Stress Symptoms, Signs, and Causes.” HELPGUIDEORG INTERNATIONAL. July 2018. Retrieved from URL: https://www.helpguide.org/articles/stress/stress-symptoms-signs-and-causes.htm

[2] “Stress at the workplace.” World Health Organization. Retrieved from URL: http://www.who.int/occupational_health/topics/stressatwp/en/

[3] Brun, Jean-Pierre. “Work-related stress: scientific evidence-base of risk factors, prevention and costs.” Université de Laval. Retrieved from URL: http://www.who.int/occupational_health/topics/brunpres0307.pdf?ua=1

[4] Nordqvist, Christian. “Why stress happens and how to manage it.” Medical News Today. 28 Nov. 2017. Retrieved from URL: https://www.medicalnewstoday.com/articles/145855.php

Hormone levels decline at a much slower rate in men than in women and can result in a gradual onset of symptoms which is why the decline is often associated with aging, low testosterone has been linked to increased body fat

Understanding Hormone Replacement Therapy & Low Testosterone

Article at a Glance

  • Low testosterone can increase the risk of cardiovascular disease, osteoporosis, metabolic syndrome, obesity, and diabetes.
  • Testosterone deficiency can be treated by oral administration, topical gels, or injections.
  • Patients receiving testosterone replacement therapy should be monitored closely. Each patient absorbs and metabolizes testosterone at vary rates and adjustments may need to be made.

The male hormone testosterone plays a critical role in men’s health: it strengthens bones, builds muscle, and improves brain function and heart health. Testosterone also improves libido and energy levels. Yet, by their middle ages, most men begin to witness a decline in this important hormone. By the age of 30, hormone levels begin to drop by 1% to 3% annually; at age 50, this could amount to a 20% drop. These imbalances can penetrate every aspect of life, from physical wellbeing to personal life, job performance, and business success.

Typically, hormone levels in men decline at a much slower rate than in women. Thus, the effects of testosterone deficiency can come on gradually, which is one of the reasons it is so often mistakenly attributed to general aging. Energy depletion, for instance, is typically attributed to being a “normal” part of aging. In reality, it could point to low testosterone, also known as low T. There are many other similar symptoms which could be going unnoticed.

Yet, while declining testosterone levels are normal to some degree in men, that doesn’t mean they have to live with the symptoms they produce. From low libido to increased risk of mortality, a decline in this critical hormone can lead to a number of frustrating symptoms. The good news is that these challenges can now be addressed through hormone replacement therapy.

In this guide, we’ll explore the topic of low T to help you make informed health decisions tailored to your precise needs and expectations. We’ll begin by looking at some of the common symptoms of testosterone deficiency, and by the end of this guide, you will have a comprehensive understanding of how the condition can be treated effectively through modern medical solutions.

Increased Disease Risk of Low Testosterone


increased risk of diabetes due to low testosterone, man checking blood glucose levels for improvement after hormone replacement therapy

In addition to the tangible effects of low T, there is also some increased risk of serious diseases men face when experiencing a deficiency. As stated in The Textbook of Age Management Medicine: Volume 2, available on Amazonconditions associated with testosterone deficiency include cardiovascular disease, osteoporosis and related bone fractures, metabolic syndrome and obesity, diabetes, and frailty. By addressing the deficiency through medical treatment, men can minimize their risk for these serious conditions, thereby enjoying a better quality of life, as well as reduced healthcare costs as they age.

What Impacts Testosterone Levels?


pharmaceuticals used in hormone replacement therapy, pharmaceuticals used to treat testosterone deficiency

As we’ve established, a gradual and minor decline in testosterone is normal with aging. Yet, that leaves the question: what actually causes abnormally low T levels?

It’s important to understand that there are both primary and secondary causes of hypogonadism, the medical term for “male menopause” or “andropause.” Congenital defects, certain developmental conditions, and even stress could be to blame for low T. Testicular trauma and surgical procedures, radiation treatment or chemotherapy, alcoholism, obesity, and certain types of pharmaceuticals can also hasten the decline of testosterone.

Because there are so many potential causes for low testosterone levels, approaching the issue requires personalized testing to confirm the diagnosis, which brings us to our next section.

What are the Risks of Testosterone Treatment?


Unmonitored testosterone levels during hormone replacement therapy can increase risk of cardiovascular issues

Misinformation tends to circulate surrounding the risks of testosterone treatment. There are certain side effects associated with testosterone replacement therapy, but it’s critically important to put these effects into context. Testosterone treatment can raise red blood cell counts, for instance, but under the care of experienced physicians, any associated risk will be minimized through in-depth screenings and active monitoring. The risk of cardiovascular disease is also low and cannot be determined as a direct contraindication to testosterone replacement therapy. In a 2010 study of men using testosterone gel, some participants experienced serious cardiovascular issues such as heart attacks. [2] Yet, studies have not been able to establish a concrete link between testosterone replacement therapy and heart attack risk, and there are many other contributing factors, which need to be examined more closely any time cardiovascular issues are present. [8] Lifestyle management tactics should therefore be implemented by age management professionals to parallel treatments and effectively minimize any potential risk.

Questions of a link between prostate cancer and testosterone treatment have also been raised, but these have also been challenged. Evidence shows that risk of prostate cancer in a patient undergoing testosterone treatment is equal to or actually less than that for the general population, with the exception of patients who have a history of prostate cancer. Thus, appropriate patient selection by expert physicians again plays a role in minimizing any risk associated with treatment.

Some testosterone replacement candidates also wonder about the risk of additional side effects, such as breast enlargement and hair loss. Yet, it’s important to understand that genetics, stress, and other factors play a role in many of these side effects. Again, expert physicians can monitor for early warning signs of these potential side effects to take prompt action against them. For breast tissue enlargement, for instance, aromatase inhibitors such as Anastrozole can be implemented to counterbalance this effect. Hair loss can be treated with over-the-counter solutions such as Minoxidil.

What are Symptoms of Low Testosterone?


One of the reasons testosterone deficiency is so infrequently diagnosed is because many of its symptoms imitate those associated with other conditions. Additionally, as mentioned above, some are also simply attributed to aging. As explained in The Textbook of Age Management Medicine: Volume 2, available from Amazon, age and body mass index (BMI) are both directly correlated with testosterone deficiency rates, so it is often difficult to determine whether age or hormones are to blame for increases in body fat. With that said, it is estimated that up to 39% of men aged 40 and older are deficient in testosterone. [3]

According to Harvard Health Publishing, testosterone levels in men decline by roughly 1% to 2% beginning in the 40s. [6] Although these slight decreases are considered normal with aging, noticeable symptoms could point to a testosterone deficiency. Oregon Health and Science University urologist Jason Hedges, MD, PhD, notes that lack of interest in sex, along with many of the other symptoms accompanying drops in testosterone, are often perceived as just a part of aging, “but that’s a misconception.” A gradual decline in testosterone would not account for little to no interest in sex. Many other symptoms may be mirrored by other conditions. Instead of low T, these symptoms were often credited to high blood pressure, depression, and diabetes. Due to the increasing awareness surrounding testosterone deficiencies, medical experts are now beginning to see the condition as the root cause for many of these problems. [5]

Below, we highlight some of the most common symptoms caused by testosterone deficiencies.

It isn’t simply increased BMI that men with testosterone deficiency face. As mentioned in “9 Signs of Low Testosterone,” a Healthline.com article, a deficiency is specifically linked to increased body fat. Some also develop gynecomastia, or enlarged breast tissue, which is suspected to result from a hormonal imbalance between testosterone and estrogen. The article also highlights decreased bone mass, loss of muscle mass, fatigue, hair loss, low semen volume, and difficulties with erections as additional physical indicators of low T. [1]

Beyond the physical impact of low T, men may also experience mood changes relating to the condition. Testosterone plays an important role in many physical processes, but it can also influence mood and mental capacity. According to research, factors such as depression, irritability, and difficulty focusing can all impact men facing testosterone deficiency. Likewise, low sex drive is another indicator of a hormonal issue. [9]

How is Low Testosterone Diagnosed?


physician meeting with patient to discuss low testosterone, physician discussing hormone replacement therapy with testosterone deficient patient

In order for a diagnosis of a testosterone deficiency to be made, a combination of biochemical and clinical diagnostic criteria is required. Clinical symptoms of testosterone deficiency are typically what spur patients to seek medical treatment, thereby prompting physicians to pursue a laboratory investigation.

Diagnosis of Testosterone Deficiency by Measurement of Free Testosterone Levels

The Textbook of Age Management Medicine: Volume 2, explains that testosterone is measured in multiple ways. First, there is free testosterone (FT), which refers to the fraction of testosterone that actually enters cells. It accounts for roughly 1% to 2% of testosterone available. It can be measured via equilibrium dialysis, a process that takes place following the patient’s blood draw. Average total testosterone (TT) levels are 723.8 according to the Framingham Heart Study, with a standard deviation of 221.1. [3] Thus, the “normal” range is not within the 95% confidence interval of average as standard medicine and lab ranges suggest. We’ll address these substantial differences below.

Diagnosis of Testosterone Deficiency by Measurement of Total Testosterone

In addition to FT, there is also total testosterone (TT). This figure measures both FT and the amount of hormone bound to the protein albumin, which is active and therefore bioavailable in the body. In other words, while FT floats around independently in the blood, roughly half of the remaining testosterone is attached to the albumin protein. TT measures both the FT and the testosterone attached to proteins. This, too, can be measured via a blood draw. [7] While the average level of FT is 141.8, this, too, can vary widely from one patient to the next.[3]

The challenge with getting an accurate reading lies in the fact that even TT tests leave 40% to 70% of testosterone unaccounted for, because it is traveling with a protein called sex hormone binding globulin (SHBG). It is tightly bound to this protein and therefore is unavailable in the cells. Thus, a large portion of TT could be biologically inactive, and results of tests may be misleading. TT levels that are borderline low could represent a true deficiency; or, it could be a variation in SHBG levels. For this reason, FT is the most essential measurement in making the biochemical diagnosis of a testosterone deficiency.

Another problem with diagnosing testosterone deficiency is that there are some limitations in measuring the hormone. First, there are technical limitations: the quality of tests may vary among laboratories, especially since there are multiple ways to measure testosterone. While equilibrium dialysis for measuring FT is considered the gold standard of testing, calculated free testosterone is considered an adequate measure. However, it must be understood that the different approaches for measuring testosterone levels can account for variability in patient results.

In addition to technical limitations, there is also a host of inherent variations in testosterone levels that can impact a patient on a daily, or even hourly, basis. Total testosterone fluctuates significantly throughout the day, for example. For this reason, blood is typically drawn for testosterone tests between 7 and 10 a.m. Still, we must consider daily intra-patient variations in levels according to health status, age, fasting state, and sleep, among other factors.

Lastly, there is still no single consensus on the definition of “low” testosterone. The criteria depend on the standards adopted by the doctor and/or lab.

The factors described above present significant challenges to making an initial diagnosis. Thus, while FT and TT measurements are necessary for managing patients with symptoms of low T, as well as monitoring treatments, reference ranges should be used as guidelines – not absolute inclusion or exclusion criteria for a diagnosis. Signs, symptoms, and patients known to have high risk factors for low T should be heavily weighted in diagnosing a deficiency. The most effective way to get a diagnosis is therefore to seek input from expert physicianssuch as those trained in age management medicine. Test results should be interpreted in light of identifiable symptoms, and the physician should therefore be able to form a “big picture” view of the condition.

Men who are ideal candidates for seeking help from a specialist could have the symptoms described in the previous section, along with loss of body hair, hot flashes, insomnia, decreased energy, poor concentration and memory, reduced muscle bulk and increased body fat, and diminished physical or work performance.

How is Testosterone Deficiency Treated?


Luckily, testosterone treatments are available to combat the symptoms described above. Patients tend to notice significant improvements within just a few weeks. Yet, many understandably have questions before beginning treatment. Here are some of the most commonly addressed points regarding testosterone replacement therapy.

Is Testosterone Replacement Therapy Safe?

physicians review and monitor progress of hormone replacement therapy for low testosterone, physicians monitor changes in testosterone during hormone replacement therapy

In an article for WebMD, urologist Jason Hedges, MD, PhD confirms that testosterone treatment is safe, as long as patients are monitored carefully by specialists. Appropriate patient selection, safe administration, and expert supervision are all essential for minimizing potential risks. Patients will be closely monitored during the initial six months of treatment to adjust dosing to their specific absorption rate. Absorption rates for testosterone can vary dramatically, which is why frequent lab work is performed and reviewed by expert physicians in age management medicine.

Which Forms of Testosterone Replacement Therapy Are Available?


Testosterone therapy options have come quite a long way since they were first introduced in the 1930s. Patients currently have a comprehensive range of choices with small clinical differences in each. Here are some of the most common options available for testosterone replacement therapy.

Testosterone Replacement Therapy by Oral Administration

Man orally ingesting testosterone pill as part of low testosterone hormone replacement therapy, treating testosterone deficiency orally

Oral administration was one of the earliest forms of testosterone therapy. However, it was rendered ineffective when researchers realized that orally ingested testosterone was metabolized in the liver before reaching systemic circulation, resulting in zero bioavailability. The earliest forms of oral testosterone were also linked to liver toxicity. Since then, sublingual (under the tongue) applications were made available, but due to side effects such as change of taste and gum irritation, they are not recommended.

Testosterone Replacement Therapy with Topical Gels

Testosterone administration with gels and topical products during hormone replacement therapy, Addressing low testosterone with gel and topical product

Testosterone gels and topical products in general are not recommended for a number of reasons. They require daily use and it is therefore easier for patients to mistakenly miss doses. They are also notoriously unreliable, because it can be difficult to administer the proper dose and adequate levels are therefore hard to obtain. They are gooey on the skin and can therefore be easily transferred to family members and other individuals with whom the patient regularly comes into contact. They may also lead to skin irritation.

Testosterone Replacement Therapy with Injections

Addressing low testosterone with testosterone injection during hormone replacement therapy, testosterone injected as hormone replacement therapy treatment

Intramuscular injections of testosterone are typically administered on a weekly basis. Like other forms of treatment, patients undergoing testosterone injections should be monitored closely, as it could be linked with an increase in red blood cell count. With that said, they are a preferred option because they are among the least expensive forms of treatment and are hailed for their reliable delivery.

Testosterone Replacement Therapy with Under-the-Skin Implants

Injected microspheres, or under-the-skin implants, release testosterone into the body over both a steady state, as well as a transient accelerated initial “burst” release. Also sometimes referred to as “pellets,” this form of treatment must be carefully monitored because each patient has a significantly different absorption rate. Pellets can also be relatively painful and expensive. Additionally, because they are implanted beneath the skin, they may cause infection and scarring.

Is Testosterone Therapy the Right Solution for You?


One of the most significant benefits of testosterone replacement therapy is the significant reduction in all-cause mortality. Hypogonadal men treated with testosterone therapy experience reductions by as much as 50% compared with untreated men. Beyond being healthier overall, however, there are many specific benefits men can experience when opting to receive hormone replacement therapy.

For one, muscle strength improves among hypogonadal men across most age groups, and reduction in fat mass is also achieved with the help of testosterone therapy. Certain treatments may also help enhance fertility in couples trying to get pregnant.[4] Typical benefits increasingly supported by clinical science can include improved body composition, greater bone strength, a healthier cardiovascular system, and better sexual function.

happy couple sitting on couch at home, hormone replacement therapy can increase sex drive due to optimal testosterone levels

If you’ve experienced issues like lethargy, increased body fat, declining sex drive, reduced muscle strength, or any of the other symptoms described herein, you could be an ideal candidate for testosterone replacement therapy. Cenegenics physicians are thoroughly trained and experienced in identifying hormone imbalances and are the premier choice for treatment among men who qualify for this powerful form of therapy.

Based on an extensive, full day initial evaluation with extensive lab panels, Cenegenics physicians who are highly trained experts in age management medicine can offer customized, tailored hormone therapy, if needed. Treatments are administered as part of a comprehensive program of nutrition, exercise, and vitamin and hormone supplementation for each patient to achieve optimal health as they age. The result is not only a better quality of life, but also lowered disease risk and increased vitality through the middle-ages and beyond.

Hormone Replacement Therapy to Treat Low Testosterone – In Conclusion


Testosterone deficiency can cause men and women to experience lethargy, increased body fat, declining sex drive, reduced muscle strength & loss of muscle mass, and many other symptoms. These symptoms often go unnoticed in correlation to testosterone deficiency as it is viewed as a normal “sign of aging”.

Though there are many treatments to address testosterone deficiency including oral administration, topical gels, intramuscular injections and under-the-skin implants, it is important to find a program in which you will be monitored. How a patient metabolizes or absorbs testosterone differs significantly from patient to patient.

Cenegenics individualized programs address hormone replacement therapy, only when clinically indicated by your comprehensive blood analysis. Your therapy is individualized to meet your specific needs. And patients are monitored to ensure adjustments are made when necessary.

Get Started Now and See If You Are a Candidate for Hormone Replacement Therapy


Register for your complimentary consultation.

We hope the information above assisted you in your research.

Key Resources for Hormone Replacement Therapy to Treat Testosterone Deficiency


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

The Cenegenics Education and Research Foundation

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

Available for purchase here

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 Education 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.

Additional Information about Hormone Replacement Therapy at Cenegenics


What is Age Management Medicine?

What is Cenegenics?

Defy Your Age™ With Cenegenics

Anti-Aging vs. Age Management

Cenegenics Elite Health Now Offers State-of-the-Art Genetic Testing

Sources on Hormone Replacement Therapy


[1] “9 Signs of Low Testosterone.” Healthline. 24 July 2018. Retrieved from URL: https://www.healthline.com/health/low-testosterone/warning-signs

[2] Basaria, et al. “Adverse Events Associated with Testosterone Administration.” The New England Journal of Medicine. 08 July 2010. Retrieved from URL: https://www.nejm.org/doi/full/10.1056/NEJMoa1000485

[3] Bhasin et al. “Reference ranges for testosterone in men generated using liquid chromatography tandem mass spectrometry in a community-based sample of healthy nonobese young men in the Framingham heart study and applied to three geographically distinct cohorts.” Journal of Clinical Endocrinology and Metabolism. 2011 Jun 22.

[4] “Female Fertility: What’s Testosterone Got To Do With It? University of Rochester Medical Center. 03 March 2014. Retrieved from URL: https://www.urmc.rochester.edu/news/story/4022/female-fertility-whats-testosterone-got-to-do-with-it.aspx

[5] McMillen, Matt. “Low Testosterone: How Do You Know When Levels Are Too Low?” WebMD. 31 Aug. 2016. Retrieved from URL: https://www.webmd.com/men/features/low-testosterone-explained-how-do-you-know-when-levels-are-too-low#1

[6] Sloan, Matthew. “Treating low testosterone levels.” Harvard health Publishing. 25 July 2018. Retrieved from URL: https://www.health.harvard.edu/mens-health/treating-low-testosterone-levels

[7] “Testing your testosterone: It’s tricky.” Harvard Health Publishing. Oct. 2012. Retrieved from URL: https://www.health.harvard.edu/mens-health/testing-your-testosterone-its-tricky

[8] “Testosterone and the heart.” Harvard Health Publishing. March 2010. Retrieved from URL: https://www.health.harvard.edu/heart-health/testosterone-and-the-heart

[9] Tsujimura, Arika. “The Relationship between Testosterone Deficiency and Men’s Health.” The World Journal of Men’s Health. 31 Aug. 2013. Retrieved from URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3770847/

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