Category Archives for Libido

Low Libido: How the Cenegenics Elite Health Program Improves Sex Drive

How to Increase Libido through the Cenegenics Program

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

Next Steps to Increase Your Libido and Sex Drive with Cenegenics


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.

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 Increase Libido through the Cenegenics Program

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 libido by exploring underlying cause of low sex drive

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? exercise can help you lose weight and boost self-confidence which may help increase sex drive, excessive exercise can decrease libido and sex drive as noted in a 2017 medical study

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 NutritionCooking 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 libido

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

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 Increase Your Libido and Sex Drive with Cenegenics

Register for your complimentary phone consultation.


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

Key Resources on How to Increase Libido 

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

Available for purchase here

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 on Libido 

Anti-Aging vs. Age Management

What is Age Management Medicine?

What is Cenegenics?

The Dangers of Processed Foods

Symptoms and Long-Term Consequences of Stress

How Cenegenics Can Help Relieve Stress in Executives & Professionals

How Cenegenics Testosterone Replacement Therapy (TRT) Differs from Low Testosterone Clinics

Defy Your Age with Cenegenics

How Weight Loss on the Cenegenics Program Differs from Your Typical Weight Loss Program

Nutrition for Weight Loss

Weight Loss: Role of Exercise

Sources on Understanding Libido and Sex Drive 

[1] DeNoon, Daniel J. “When a Man’s Sex Drive Is Too Low.” WebMD. 21 May 2009. Retrieved from URL:

[2] Mestrovic, Tomislav, MD, PhD. “Low Libido.” News Medical. 23 Aug. 2018. Retrieved from URL:

[3] Allerhand, Rhalou. “Low libido: the facts about low male sex drive.” Netdoctor. 31 Jul. 2018. Retrieved from URL:

[4] Skerrett, Patrick J. “Erectile dysfunction often a warning sign of heart disease.” Harvard Health Publishing. 24 Oct. 2011. Retrieved from URL:

[5] Anthony C. Hackney et al. “Endurance Exercise Training and Male Sexual Libido.” Medicine & Science in Sports & Exercise. Feb. 2017. Retrieved from URL:

[6] Neithercott, Tracey. “Sex and Diabetes: What You Wanted to Know.” Diabetes Forecast. November 2012. Retrieved from URL:

[7] Elisabete Rodrigues Nascimento et al. “Sexual dysfunction and cardiovascular diseases: a systematic review of prevalence.” Clinics. Nov. 2013. Retrieved from URL:

[8] Borelli, Lizette. “Alcohol And Sex.” Medical Daily. 15 Oct. 2015. Retrieved from URL:

[9] Ingraham, Christopher. “Think you drink a lot? This chart will tell you.” Washington Post. 25 Sept. 2014. Retrieved from URL:

[10] “6 Benefits of Zinc for Men’s Health.” 09 Nov. 2015. Retrieved from URL:

[11] Scott, Elizabeth, MS. “How Stress Can Cause a Low Libido.” Verywell Mind. 19 Oct. 2017. Retrieved from URL:

Cenegenics Alternatives: Why Cenegenics Reigns Superior to Low-T Centers

Cenegenics Age Management Goes Beyond Low Testosterone
How Cenegenics Differs from Low-T Centers: Unwavering Attention to Detail
Industry-Leading Specialists in Age Management 
A Better Patient Experience Over Cenegenics Alternatives
Next Steps to Prioritizing Your Health with Cenegenics


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 age management program extends far beyond hormone replacement therapy (HRT) alone. If you are exploring your age management options and are wondering whether you might be able to achieve 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 health to our team of industry-leading specialists, we have cultivated a program for which, simply put, there is no viable alternative.

Cenegenics Age Management Goes Beyond Low Testosterone

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.

low testosterone consult with physician, consultation with physician at low-t center

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. Moreover, our approach is proactive: instead of waiting for the signs of serious age-related diseases to appear, we mitigate risk factors by enhancing health across these five pillars through evidence-based, physician-developed strategies.

Additionally, hormonal decline is not the only factor responsible for age-related problems. Exercise and sleep, for example, are cornerstones for reducing the risk of age-related problems including obesity, frailty, dementia, heart disease, cancer, and 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 age management instead of narrowly addressing a single parameter. 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

fit couple running on bridge, exercise for age management, improved energy levels with age management medicine

By the age of 70, roughly 30% of muscle mass individuals had at the age of 20 is gone [1]. 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

couple sleeping peacefully, couple improves sleep quality with Cenegenics Age Management

Untreated sleep disorders increase the risk of death from any cause in older adults [2]. 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  [3].

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

weight loss with Cenegenics, weight loss with age management program

Metabolic rate drops by 2% or more per decade after the age of 25 [4], 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 [5]. 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.

happy couple on beach, increased libido with age management program, increased libido with Cenegenics

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 age management 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 Low-T Centers: Unwavering Attention to Detail

age management medicine clinical team, Cenegenics clinical team of physicians

Cenegenics’ comprehensive approach to health encompasses patient care from multiple sources, including age management physicians, nutrition and exercise physiologists, phlebotomists, and 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 age management 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 centers 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.

The value of having a full team of age management 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

age management physician consultation, patients having positive experience with physician

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 Cenegenics Has No Alternative

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

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

[3] Sleep and tiredness survey. YouGov. 02 June 2015.

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

[5] Stanford Health Care. Retrieved from URL:

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)?

Understanding Chronic Stress

Article at a Glance

Chronic stress can impact almost every facet of life and can manifest as:

  • Physical symptoms: increased blood pressure and heart rate, rapid breathing, chest or back pain, muscle cramps, upset stomach, low energy, increased sweating, and fainting.
  • Cognitive symptoms: increased anxiety and worry, racing thoughts, poor judgement, lack of focus, memory and concentration issues.
  • Behavioral symptoms: unhealthy responses to stress including decision to drink, use drugs or other harmful habits.
  • Emotional symptoms: anxiety, feeling overwhelmed, increased hostility, poor impulse control, tension, and unwillingness to cooperate.

Additional chronic stress can increase risk of serious disease such as diabetes, heart disease, heart attack and stroke.

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 wellbeing, 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

Register for your complimentary phone consultation.

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

Key Resources in Understanding Chronic Stress

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

Available for purchase here

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. Jeffery Park Leake is the Partner and Director for Physician Training and Certification for Cenegenics Las Vegas. He specializes in age management and wellness and has trained over 600 physicians worldwide.

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 on Effectively Managing Stress

How Cenegenics Can Help Relieve Stress in Executives & Professionals

Types of Stress: Understanding Stressors

Why Can’t I Sleep? – Clinical Explanations

Healthy Heart: What is Heart Disease? Preventative Steps and Recognizing Symptoms

Building a Nutritional Plan: Food for Weight Loss

Weight Loss: Role of Exercise

What is Age Management Medicine?

What is Cenegenics?

Defy Your Age with Cenegenics

Sources on Managing Stress

[1] Segal et al. “Stress Symptoms, Signs, and Causes.” HELPGUIDEORG INTERNATIONAL. July 2018. Retrieved from URL:

[2] Stöppler, Melissa Conrad, MD. “Stress.” Retrieved from URL:

[3] Nordqvist, Christian. “Why stress happens and how to manage it.” Medical News Today. 28 Nov. 2017. Retrieved from URL:

[4] Segal et al, see above.

[5] “Stress symptoms: Effects on your body and behavior.” Mayo Clinic. 28 April 2016. Retrieved from URL:

[6] “Understanding Agitation.” Depression and Bipolar Support Alliance. Retrieved from URL:

[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:

[9] “The Link Between Autoimmune Diseases and PTSD.” Retrieved from URL:

[10] Hargens, et al. “Association between sleep disorders, obesity, and exercise: a review.” Nature and Science of Sleep. 1 Mar. 2013. Retrieved from URL:

 [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:

[13] “Stress and Sleep.” American Psychology Association. Retrieved from URL:

[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:

sedentary lifestyles can aid in weight gain, standing and walking throughout your day in order to break up sedentary habits is an easy way to exercise for weight loss

Types of Stress: Understanding Stressors

Identifying Stressors

Next Steps: Get a Handle on Your Stressors


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


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]

Identifying Stressors 

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. The inability to accept uncertainty, rigid thinking and inflexibility, pessimism, unrealistic expectations of perfectionism, and negative self-talk are common causes of internal stress.


External Stress Factors

In addition to job-related stress, external stressors may include major life changes such as the death of a family member, divorce, or retirement. Family problems and relationship difficulties of all types can also contribute to stress. Finally, one of the most common reasons for stress is simply being too busy, or 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:

[2] Tirado, Bernando, PMP. “Working With a Type A Personality.” Psychology Today. 30 Jan. 2012. Retrieved from URL:

[3] “Stress: The different kinds of stress.” American Psychological Association. Retrieved from URL:

[4] Nordqvist, Christian. “Why stress happens and how to manage it.” Medical News Today. 28 Nov. 2017. Retrieved from URL:

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


Poor stress management can result in weight gain, Cenegenics aids in stress management to promote long term weight loss

How Cenegenics Can Help Relieve Stress in Executives & Professionals

How Cenegenics Can Help With Stress
Next Steps to Reduce Stress and Increase Effectiveness

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]

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]

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.

Executive dealing with stress, executive effective under stress

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 Cenegenics Can Help With Stress

woman jogging for stress relief, Cenegenics stress management exercise program

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 wellbeing, 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

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] Segal et al. “Stress Symptoms, Signs, and Causes.” HELPGUIDEORG INTERNATIONAL. July 2018. Retrieved from URL:

[2] “Stress at the workplace.” World Health Organization. Retrieved from URL:

[3] Brun, Jean-Pierre. “Work-related stress: scientific evidence-base of risk factors, prevention and costs.” Université de Laval. Retrieved from URL:

[4] Nordqvist, Christian. “Why stress happens and how to manage it.” Medical News Today. 28 Nov. 2017. Retrieved from URL:

Additional Information on Reducing Stress

Types of Stress: Understanding Stressors

Symptoms and Long-Term Effects of Stress

Why Can’t I Sleep? – Clinical Explanations

What is Age Management Medicine?

What is Cenegenics?

Defy Your Age With Cenegenics

How Cenegenics Testosterone Replacement Therapy (TRT) Differs from Low Testosterone Clinics

Increased Disease Risk of Low Testosterone

What Impacts Testosterone Levels?

What are the Risks of Testosterone Treatment?

What are Symptoms of Low Testosterone?

How is Low Testosterone Diagnosed?

How is Testosterone Deficiency Treated?

Which Forms of Testosterone Replacement Therapy Are Available?

Is Testosterone Therapy the Right Solution for You?

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

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 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:

[2] Basaria, et al. “Adverse Events Associated with Testosterone Administration.” The New England Journal of Medicine. 08 July 2010. Retrieved from URL:

[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:

[5] McMillen, Matt. “Low Testosterone: How Do You Know When Levels Are Too Low?” WebMD. 31 Aug. 2016. Retrieved from URL:

[6] Sloan, Matthew. “Treating low testosterone levels.” Harvard health Publishing. 25 July 2018. Retrieved from URL:

[7] “Testing your testosterone: It’s tricky.” Harvard Health Publishing. Oct. 2012. Retrieved from URL:

[8] “Testosterone and the heart.” Harvard Health Publishing. March 2010. Retrieved from URL:

[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:

What is Cenegenics?

What is Cenegenics?

Founded in 1997, Cenegenics is the clinical leader in age management medicine having treated over 35,000 patients, 25% of which are physicians and their families. Cenegenics takes a comprehensive approach to preventive medicine enabling patients to achieve optimal health instead of the traditional approach of treating diseases as they arise. Based on an internal study, the average Cenegenics patient reduces their body fat index by 30% in the first year on the program.

Take Back Your Vitality

Cenegenics provides a partnership that supports a life-changing experience. We proudly offer you access to elite medical experts who remain by your side throughout your transformation. Whether you’re already healthy and looking to take yourself to the next level, or ready to make a change that will benefit you for the rest of your life, Cenegenics will tailor a program to ensure your lifelong goals are met and surpassed.

Elite Health Evaluation

The foundation of the Cenegenics program is the Elite Health Evaluation. This full day of testing establishes your hormonal, physiologic and fitness baseline, serving as the basis of your Cenegenics program. The components of the evaluation include:

  • Medical history and lifestyle assessment
  • Comprehensive blood tests
  • Physical evaluation
  • DEXA scan – determines bone density
  • Body composition scan – measures total and regional body fat
  • CIMT (a specialized ultrasound of the carotid arteries) for heart attack and stroke risk assessment
  • Core strength and flexibility assessment
  • VO2 testing – determines your aerobic fitness level and heart rate training zones
  • Neurocognitive testing
  • Open-ended physician consultation
  • Presentation of your plan of action

A Lifetime of Ongoing Health & Wellness

As part of our partnership, your progress will be monitored and evaluated on an ongoing basis, consistently measuring your current state versus your goals.

  • Easy access to your concierge physician and exercise and nutrition consultant
  • Modifications of your medical program by your Cenegenics physician based on blood work results and clinical progress
  • Ongoing modifications of your exercise plan based on your own fitness level, motivation and lifestyle
  • Close monitoring and fine-tuning of your nutrition program to ensure you are getting good results
  • Medical grade vitamins and supplements

Additional cutting-edge testing

  • Heart Disease and Stroke Prevention – Cardiovascular risk markers
  • Genomic (DNA) Testing – Genetic markers
  • Telomere measurement
  • Micronutrient testing
  • Food allergy testing

Reaching Your Health Potential

Cenegenics provides you with a complete life changing program—one built on low-glycemic and anti-inflammatory nutrition, exercise, nutraceutical supplementation and hormone optimization. No single element stands alone. Its effect keeps your body in perfect harmony and supports your prime objective—realizing your health goals and enjoying a life filled with vigor and a heightened sense of well-being.

Watch these quick videos to learn more:

How Cenegenics Helps with Energy Levels

How Cenegenics Can Improve Your Libido

How Cenegenics Can Help with Sleep

How Cenegenics Helps with Weight Loss

Sharpen Mental Acuity with Cenegenics

In the Media

Cenegenics continues to capture media attention around the world, recognized as a leading authority on age management medicine.Cenegenics’ media exposure includes CNBC, Bloomberg, The Wall Street Journal, GQ, Men’s Health, Forbes, NY Times and more.

To read more about Cenegenics’ media coverage: Click Here

Next Steps

We hope the information above assisted you in your research process. Below are additional links which you might find helpful.

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Additional Information

New Year’s Resolutions: People Typically Fail for These Two Reasons

cenegenics2017-januaryAccording to a statistical report on New Year’s resolutions published by Statistic Brain, the most common New Year’s resolution is to lose weight. Statistic Brain’s report also indicated that while 45 percent of people usually make a New Year’s resolution, only about 8 percent are successful.

There are two primary reasons why the majority of people who make New Year’s resolutions to lose weight fail to do so: unreasonable expectations and failure to scale difficulty with progress. These two explanations will be discussed in further detail below.

Setting unrealistic expectations
From childhood, many of us are encouraged to dream big and to aim as high as our hearts desire. The ambition to seek monumental results is far healthier than self-defeating pessimism, but when it comes to sustainable weight loss, there has to be a balance between optimism and pragmatism.

People who become star-struck by the digitally-polished images of fitness models might be driven to pursue extreme results within time frame that is physically impossible for the human body. With this tunnel vision on instant and dramatic results, their motivation often disappears just as quickly as it surged.

Without a realistic perspective on what to expect from the earliest parts of a weight loss journey, many of these people aren’t able to muster the kind of conviction that is necessary to complete a weight loss journey from beginning to end.

Rather than facing the true difficulty of their resolution head-on from the beginning, they are blind to the realistic challenge of their resolution until they’re forced to recognize it through disappointment; this unexpected realization often discourages them too deeply to press onward.

The harm of unrealistic expectations can stop people with genuine potential to change their lives from achieving the resolutions that they would be perfectly capable of at a steadier pace.

Beginning with small first steps
The first step toward successfully accomplishing a New Year’s resolution has to be a small one. With expectations that are firmly grounded in reality and logic instead of overblown expectations fueled by emotion, real progress can be made and sustained.

Part of accepting the reality of a resolution’s challenge is making peace with the fact that practice won’t be perfect at first. There will be areas of personal weakness that may force a person to face unique challenges for the first time, and only by approaching these new challenges mindfully will a person develop the confidence to overcome them.

By keeping a steady and measured pace, a person can analyze their mistakes in greater detail and with a clearer head; this will give them the perspective to treat mistakes as milestones to grow from, not failures to be ashamed of.

Updating the program’s difficulty with progress
If a person has remained committed to their fitness resolution for the first two or three months, it is vital that they gradually introduce slightly more difficulty into their program. When a workout routine begins to feel less challenging, its difficulty (measured in lifted weight, cardio intensity, inter-set rest periods, etc.) should be raised by about 10 to 15%.

The human body naturally acclimates to any changes in behavior patterns that a person makes in their life. Once the body has begun to acclimate to habitual exercise sessions, the frequency and/or intensity should be adjusted to keep it from fully acclimating; otherwise, the body will no longer react as strongly to the workout plan and progress will hit a plateau.

While the greatest challenge that some may face when pursuing their New Year’s resolution is to summon the discipline that it requires, others may need to learn how to keep their enthusiasm from warping their expectations. Realistic expectations give a person the right mindset to accept difficulty as a constant, steadily escalating factor of their development.