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

Testosterone Therapy: Cenegenics vs. Low-T Clinics

The greatest wealth is health.

Virgil

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

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

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

What Is Testosterone Therapy?


picture of molecular compound for testosterone on a blue background

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

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

Symptoms of Testosterone Deficiency

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

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

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

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

Benefits of Testosterone Therapy

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

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

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

What Are Low-T Clinics?


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

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

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

Cenegenics Is Vastly Different than Low-T Clinics


Picture of DEXA scan and bone density test results

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

An All-Encompassing Approach to Testosterone Therapy


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

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

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

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

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

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

Superior Expertise in Testosterone Therapy and More


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

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

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

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

Patient Convenience and Optimal Care


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

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

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

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

All Testosterone Therapy is Not Equal - In Conclusion 


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

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

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

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

FREE Consultation

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

About the Author

Raymond Ishman, M.D.
President of Cenegenics Philadelphia 

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

Key Resources

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

The Cenegenics Education and Research Foundation  

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

Click to purchase

The Cenegenics Education and Research Foundation  

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

Click to purchase

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

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

Todd David Greenberg, M.D., CSCS

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

References

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

[2] mayoclinic.com; see above.

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

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

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

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

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

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

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

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

Tired man drinking coffee as he sits in his home office

Do You Recognize the 6 Warning Signs of Adrenal Fatigue?

Our fatigue is often caused not by work, but by worry,

frustration and resentment.

Dale Carnegie

The adrenal glands are located at the top of the kidneys and play an important role in producing hormones essential to life, as well as those that are nonessential. Cortisol, for instance, regulates metabolism, while aldosterone controls blood pressure; both are critical in keeping us alive and healthy. Adrenaline, on the other hand, is considered nonessential but helps the body react to stress. These, among other hormones, are all produced by the adrenal glands.

Because hormones are responsible for so many actions within the body, it comes as no surprise that when the adrenal glands are underperforming, a host of symptoms may arise. This is termed “adrenal fatigue.”

Yet, since its symptoms can closely resemble other conditions, adrenal fatigue isn’t always properly diagnosed. It therefore takes a comprehensive analysis of the patient and their symptoms to determine whether the adrenal glands are functioning optimally. Without this intervention, individuals with adrenal fatigue may face a higher risk of infections and a general feeling of poor health. [1] Learn more about this serious condition, its symptoms, and how it can be treated below.

What is Adrenal Fatigue?


A web search for adrenal fatigue may yield conflicting results. Some traditional medicine practitioners dismiss the symptoms of adrenal fatigue as general signs of aging, despite the fact that a very real and serious underlying condition is at play. This is because many traditional doctors aim to address their patients’ symptoms first – instead of what’s really causing them – and it’s notoriously challenging to get to the bottom of symptoms such as chronic fatigue, nausea, and muscle weakness.

While adrenal fatigue isn’t always responsible for these and other persistent symptoms, it’s certainly a possible explanation for them. When the adrenal glands are exposed to long periods of stress, they may fail to keep up with the demands of these stressors and begin to under-perform as a result. The condition can leave you feeling chronically fatigued, even with plenty of sleep.  

Traditional Medicine vs Optimal Health Specialists

Mature doctor speaking to male patient while sitting at his desk

In the past, the syndrome has been referred to as a number of different conditions, including neurasthenia, adrenal apathy, and non-Addison’s hypoadrenia. This is perhaps indicative of the greater medical community’s general sense of uncertainty surrounding the complex ways in which the symptoms of underperforming adrenal glands can manifest.

Thankfully, optimal health specialists are committed to taking a comprehensive look at patient wellness to understand each patient’s symptoms and the broad range of conditions that may underlie them

While adrenal fatigue may continue to puzzle traditionalists, specialists with a focus on modern developments in medicine use a few criteria to help them diagnose the syndrome. One method is understanding the causes of the condition and comparing the patient’s medical history against these factors.

Causes of Adrenal Fatigue


Mature man sitting in dark room rubbing his head while staring at a tablet

Adrenal fatigue often occurs when an individual has sustained long periods of stress – including mental, physical, emotional, or a combination thereof. Because the adrenal glands are responsible for supplying the hormones which respond to stress, exposure to intense or prolonged stressors takes its toll on the glands.

After a while, they become unable to meet the demands of stress. Sources of immense physical stress may include acute or chronic infections. Adrenal fatigue is especially common as a result of respiratory infections, including pneumonia, influenza, and bronchitis. It may also occur after a major surgery, or an emotional crisis such as the loss of a close loved one. [2]

Yet, the stressors that cause adrenal fatigue don’t have to correlate with a single, identifiable event. In some cases, repeated or constant stress can also result in the condition. Poor nutrition may even be enough to impede adrenal function, as can environmental stress from pollutants and toxins.

Long-term psychological stress from work, problematic relationships, and similar unavoidable circumstances can affect the glands as well. In these cases, the adrenal glands may still function, but not as they should. Thus, the effects of these ongoing sources of stress are cumulative. Symptoms may therefore develop slowly over time, which brings us to our next topic.

Adrenal Fatigue Symptoms


Symptoms of adrenal fatigue include: 

  • Fatigue/exhaustion
  • Difficulty waking up and falling asleep
  • Cravings for salty and sweet snacks
  • Digestive Issues
  • Nausea
  • Muscle Aches

Not only are the adrenal glands affected by all types of stressors, but they also activate the body’s response to mental and physical stress through hormones. These hormones regulate many different processes and aspects of health, including energy balance, immune response, heart rate, and muscle tone. Thus, adrenal fatigue symptoms can be multifaceted.

Older man with white hair holding his glasses while rubbing his eyes, man sitting at desk in office with plant in window

Among the most noteworthy indicators of adrenal fatigue is, unsurprisingly, fatigue. The exhaustion tends to have no identifiable cause and may peak in the early morning and mid-afternoon. People with adrenal fatigue tend to have difficulty waking up, despite getting ample sleep, and typically turn to unhealthy solutions such as heavily caffeinated drinks and nutritionally poor foods that give a temporary energy spike.

Cravings for salty and sweet snacks are therefore a common symptom. Adrenal fatigue may also make it difficult to recover quickly or thoroughly from illness and stress. It can also produce digestive issues such as nausea, in addition to muscle aches.

The fact that the symptoms of adrenal fatigue are so general is a common basis upon which they are so readily dismissed. Yet, anyone who has experienced these challenges knows that they are not only frustrating, but that they may actually interfere with your quality of life over time. To that end, finding a physician who is committed to taking your complaints seriously, then diagnosing and treating the cause behind them, is integral for both short-term relief and long-term optimal wellness.

How is Adrenal Fatigue Treated?


Combatting adrenal fatigue typically requires a comprehensive approach to wellness optimization. In some cases, the patient may require a hormone replacement to compensate for any insufficiencies caused by poor adrenal function. In others, dietary modifications may be needed.

For example, in some individuals whose adrenal glands aren’t functioning sufficiently, a high-sodium diet may be necessary, while supplementing key nutrients such as vitamin D and calcium may also be required. [3] Other vitamins used to support healthy adrenal function include magnesium and vitamins C, B5, B6, and B12. Patients may also benefit from a low-sugar diet free of packaged or processed foods. 

Additionally, in people whose adrenal fatigue may be caused by emotional or mental stress, developing stress management practices may be necessary as a long-term resolution. Incorporating exercise into your regular routine may aid in overall health as well as a healthy coping practice for outside stressors.

Not Just a Sign of Aging – In Conclusion


If you suspect you could have adrenal fatigue, the first step in finding relief is working with a team of physicians who will take your symptoms seriously. At Cenegenics, our expert staff is committed to taking an all-encompassing approach to health optimization for every patient. We perform a comprehensive set of tests to assess for dozens of biomarkers, which together, form a clear and all-inclusive picture of health.

From there, our specialists use powerful solutions such as individualized dietary planning, tailored exercise programs, nutraceuticals, and hormone replacement therapy when clinically indicated to help patients restore better physical functioning at every level for an optimized quality of life both now and into the future.

Whether you have symptoms that resemble adrenal fatigue or you’re simply seeking ways to defy your age™ and feel your best, contact the Cenegenics center near you to begin your journey towards optimal health.

Next Steps in Treating Adrenal Fatigue with Cenegenics

FREE Consultation

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

About the Contributor

Rudy Inaba 
Global Director of Nutrition & Exercise

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

Key Resources

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

The Cenegenics Education and Research Foundation  

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

Click to purchase

The Cenegenics Education and Research Foundation  

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

Click to purchase

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

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

Todd David Greenberg, M.D., CSCS

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

References

[1] FAQ on Adrenal Fatigue. Adrenalfatigue.org

[2]FAQ on Adrenal Fatigue; see above.

[3] National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/endocrine-diseases/adrenal-insufficiency-addisons-disease

Man in business suit gripping chest with red overlay indicating a heart attack or chest pain

More Than 800,000 Americans Suffer From Heart Disease Every Year. Learn The Symptoms Here:

If you knew you could change your lifestyle and diet and avoid heart disease and other things, you should do it.

Laila Ali

Each year, more than 800,000 people in the U.S. die from cardiovascular disease. This figure accounts for a whopping percentage of fatalities, making up one in three deaths. To put it into perspective, cardiovascular disease collectively claims more lives than all cancers, diabetes, Alzheimer’s disease, or accidents. As many as 2,200 Americans die of cardiovascular disease each day, with one death occurring every 39 seconds.

Cardiovascular disease, the umbrella term referring to all types of diseases affecting the heart or blood vessels, encompasses coronary heart disease and stroke. Alarmingly, more than 10% of Americans have already been diagnosed with heart disease.[1]

Despite these grim statistics, there’s still tremendous hope for today’s adult population: heart attack and stroke are largely preventable. To prevent these diseases effectively, however, you must first be able to recognize the warning signs. Browse through this guide as we review some of the most critical information about the life-saving power of heart disease and stroke prevention.

Heart Disease & Stroke: An Introduction


Cardiovascular disease and heart disease are often used interchangeably. While the conditions share many of the same characteristics, the serious ways in which they affect the body can actually be different. Here is a helpful breakdown to help you remember these key terms.

Cardiovascular Disease

As mentioned above, this catchall refers to all types of diseases of the heart or blood vessels, including clogged arteries (heart disease) which can lead to heart attacks, strokes, and congenital heart defects.

Heart Disease

Any condition affecting the heart’s function and structure is heart disease. While heart disease is a type of cardiovascular disease, and thus all heart diseases are also cardiovascular diseases, not all cardiovascular diseases are a form of heart disease.

Heart disease can encompass many different issues which are often related to atherosclerosis, or the formation of plaque along the artery walls. Heart disease can therefore lead to heart attack or stroke.

Stroke

A stroke occurs when a blood vessel that feeds or is located within the brain becomes blocked or bursts. This starves the brain of blood and oxygen, causing brain cells to die. If too many brain cells die, the effects of a stroke can be permanent, but in cases where enough brain cells survive, injured cells can be repaired and impaired functions may improve.

While understanding the key differences among these conditions is important, cardiovascular diseases as a whole share many of the same causes, risk factors, early warning signs, and prevention tactics. Because of this, and the fact that heart disease and stroke are so closely related, we will focus on the characteristics of heart disease for the remainder of this guide.

Causes of Heart Disease


3D rendering of atherosclerosis, otherwise known as plaque buildup in the arteries. An illustration demonstrating the beginning of a blood clot as the bloodstream is slowed by thickened arterial walls

Atherosclerosis is the most common cause of heart disease.[2] As the plaque thickens along artery walls, it causes the walls to stiffen, which can prevent blood from flowing freely through your arteries to your vital organs and tissues.

Alarmingly, the signs of atherosclerosis may never be outwardly visible – that is, until a plaque ruptures or builds up to the point where blood flow is completely restricted. If you have atherosclerosis in your heart valves, you may develop symptoms such as angina (chest pain). The appearance of this symptom calls for quick action, however, as it often precedes a heart attack. [3]

The plaque development which characterizes atherosclerosis develops slowly over time. While the exact cause of the condition is unknown, experts strongly believe it can result from many different factors, such as:

  • High blood pressure
  • High Cholesterol
  • Smoking
  • Insulin Resistance
  • Obesity
  • Inflammation
  • High triglycerides [4]

While atherosclerosis is the most common cause of heart disease, it isn’t the only one. Heart arrhythmias (abnormal heart rhythms), congenital heart defects, cardiomyopathy (thickening of the heart muscle), and heart infections can also lead to heart disease. Arrhythmias are caused by many of the same factors as atherosclerosis including high blood pressure, tobacco use, and smoking, but can also be brought on by excessive caffeine or alcohol use, illicit drug use, and stress.

In addition to the primary causes, there are many behaviors and other risk factors which can contribute to your likelihood for developing heart disease.


Heart Disease Risk Factors


What Are Your Risk Factors for Heart Disease?

Common risk factors associated with heart disease include: 

  • Age
  • Gender
  • High Blood Pressure
  • High Cholesterol
  • Poor Diet
  • Insulin Resistance/Diabetes
  • Obesity
  • Smoking
  • Genetic Factors
  • Lack of Exercise
  • Mental Illness

Age

Age plays an important role in raising the risk of heart disease. In men, the risk for heart disease begins to increase at the age of 45. For women, the age is 55. [5] While age-related behavioral factors, such as poor nutrition and sedentary lifestyles, can contribute to heart disease risk, biological changes also factor in. For instance, the blood vessels naturally become less flexible as we age, which makes it more difficult for blood to pass through. 

Gender


For many years, heart disease was perceived to be commonly seen in men. Now, however, it has been established that it is the leading cause of death for both sexes. After the age of 65, men and women share roughly the same risk. With that said, the symptoms of heart disease in diabetic women tend to be less obvious than in their male peers. For example, women may only experience shortness of breath during physical activity, versus men who experience chest pain.[6]

High Blood Pressure


Your blood pressure measures the force of your blood pressing against your blood vessel walls. Having high blood pressure creates added stress on your heart and blood vessels causing them to work harder. High blood pressure also creates friction, which damages the tissues in your arteries, causing bad cholesterol to develop within the tears in the artery walls and prompting atherosclerosis.

High Cholesterol


Unhealthy blood cholesterol levels increase heart disease risk in the ways outlined above. Poor diet is one of the main culprits behind high cholesterol.

Poor Diet

Unhealthy, processed foods including fries, soda, chips, cookies, chocolate, donuts and candy sprawled out on a wooden counter

Saturated fats, commonly found in animal products, can raise your cholesterol levels. In particular, red meat and full-fat dairy could lead to increased cholesterol, but this is oftentimes a result from poor selection of raw materials. For example, grass-fed beef is leaner than grain-fed beef, and both meat and dairy from hormone-free sources are considered healthiest. Of course, genetic factors should be assessed to create a meal plan to support each patient’s unique needs. If an individual’s genetics do not make them susceptible to cholesterol increases, full-fat dairy and red meat typically needn’t be restricted.

On the other hand, commercially baked cookies, crackers, and other processed foods are problematic in that they often contain cholesterol-raising trans fat, and even when they don’t, they can contribute to inflammation, a common culprit behind chronic illness and a suspected causative agent behind heart disease.

Insulin Resistance/Diabetes


In diabetes, the body fails to produce ample insulin or cannot use insulin properly, causing blood sugar levels to spike. Over time, this increased level of blood glucose can damage your blood vessels, along with the nerves controlling your heart. Adults with diabetes face twice the risk of a fatal heart disease or stroke compared to those without.[7]

Limiting poor-quality carbohydrates that have a significant impact on insulin response is critically important to preventing insulin resistance, and subsequently, the development of type 2 diabetes.

It is carbohydrates – and in particular, high-glycemic index carbohydrates – which most substantially increase cardiovascular-related disease by modulating insulin and inflammation and causing a negative impact on the cardiovascular system.

High-glycemic index foods, including white bread, rice, and processed snacks such as breakfast cereals and packaged cakes or cookies, pose an especially concerning threat for patients with excess body fat and exercise limitations. Diets rich in these foods could place an individual at risk for diseases related to inflammation, including heart disease, especially when coupled with a sedentary lifestyle.

Obesity


Adults have a significantly increased risk of developing any form of cardiovascular disease if they are overweight or obese. Specifically, obese or overweight adults between the ages of 40 and 59 have an increased risk ranging from 21-85%, compared to normal weight peers.[8]

The relationship between heart disease and being overweight is complex, but most notably, carrying extra weight creates a ripple effect of damage on the heart as it is associated with hidden inflammation which can impede your heart’s ability to function properly.

Smoking


Smoking damages and constricts blood vessels, and has also been found to raise cholesterol and blood pressure levels. Moreover, it can prevent ample oxygen from reaching the body’s critical organs and tissues, thereby increasing heart disease risk.[9]  

Genetic Factors


Genetics can play a major role in determining risk factors for cardiovascular disease. Unfortunately, most individuals are unaware of specific testing that is available to establish a better understanding of individual risks. For example, Apolipoprotein E (ApoE) is a protein found in your blood that carries cholesterol and triglycerides to the liver, where they are removed from the blood and also impacts additional enzymatic functions that aid in the removal of these lipids.

There are 6 possible genotypes with 2 genotypes carrying a high risk for developing heart disease, 2 carrying intermediate risk, and 2 carrying normal risk. [10] Those with the highest risk genotype experience a 40X greater risk in developing cardiovascular disease than their normal risk counterparts. Not only does knowing your genotype determine your potential risk factors, but it also provides insight as to how effective clinical interventions with prescription drugs and lifestyle modifications can be.

Another inherited risk factor is familial hypercholesterolemia (FH) – a defect that affects how the body recycles low-density lipoprotein (LDL) or “bad” cholesterol. The result is very high LDL levels, above 190mg/dL, and is known to be caused by a mutation in the gene for the LDL cholesterol receptor. According to the results from the 1999-2012 National Health and Nutrition Examination Survey, roughly 1 in 250 adults have the FH genetic mutation. [11]

Lack of Exercise

Middle-aged man eating pizza and drinking beer while sitting on a couch

A sedentary lifestyle is a major cause of chronic diseases, including heart disease. Studies have even indicated that the increase in risk associated with reduced fitness is comparable to or greater than other clinical factors, such as smoking and diabetes.[12]

Exercise contributes to cardiovascular health in numerous ways. It controls blood pressure, increases “good” HDL cholesterol, improves circulation to prevent clots which can lead to heart attack and stroke, and aids in weight regulation

Mental Illness

Research shows up to 44% of people with heart disease also have major depression, and individuals hospitalized for heart attack are about three times as likely to have depression. While individuals with heart disease often face stress related to health issues, depression itself also appears to be a risk factor for heart disease. While the precise interplay is still unclear, experts believe both inflammatory and lifestyle changes related to depression can impact cardiovascular health.[13]

While calculating your risk for all cardiovascular issues, including heart disease and stroke, is an important foundational step in preventing a deadly cardiac event, it’s also critical to watch for the early signs of heart disease. Identify what to look for in the next section.


Early Signs of Heart Disease


Mature man leaning against treat in park while gripping chest and trying to breathe

Frustratingly, many of the early signs of heart disease mimic those seen in other health issues. Further, some of these symptoms are even ignored as signs of aging or inactivity. Yet, when they are intense or appear out of the blue, it’s worth taking note. Patients should always be mindful of any unfamiliar developments in their health and err on the side of caution, because by the time signs of heart attack manifest it is likely past the point of prevention.

Early signs of heart disease can include unexplained aches or pain. When the blood supply to the heart is blocked, it can cause significant strain and, subsequently, pain in the heart. Yet, this pain isn’t always experienced in the chest. It can also be felt in the arms, shoulders, back, or even the jaw or abdomen. Symptoms that occur with activity but fade with rest are especially important to note, as they can indicate heart issues.

Shortness of breath is another telling sign of heart problems. While it’s possible for anyone to become winded after exertion, climbing just a few stairs shouldn’t leave you out of breath. Extreme shortness of breath, accompanied by pressure or pain in the chest, dizziness or lightheadedness, extreme fatigue, pain in the regions described above, or extreme fatigue could indicate a heart attack, which demands immediate medical attention.

Additionally, heart palpitations, characterized by irregular or rapid beating, can signify heart issues. While they are often harmless and can occur with anxiety, caffeine, and dehydration, unexplained palpitations occurring while at rest should be investigated by a physician. Note how often they occur and what you’re doing when they happen.

Being mindful of these signs, along with your individual risk factors, can be helpful in preventing heart disease. With that said, the most comprehensive approach to prevention should incorporate the expertise of physicians who employ the next generation of medicine to stop heart disease before it even starts.

How to Prevent Heart Disease


Mature female patients smiling at male physician while looking over results

There are many preventive tactics within your reach, which you can begin implementing right away. Smoking cessation, diet and weight management, exercise, and blood pressure and cholesterol control are among the most powerful lifestyle changes you can make to prevent heart disease.

Yet, a key component of prevention is knowing your individualized risk for heart disease and stroke. Metrics such as blood pressure levels can only tell you so much, and without insights garnered from more advanced, comprehensive laboratory screenings, we only see a small portion of overall heart disease risk.

With its innovative Heart Disease & Stroke Prevention Program, Cenegenics provides life-saving testing, going beyond conventional screening to assess in-depth genetic factors, advanced lipid panels, laboratory markers for plaque formations, and assessments for inflammatory markers which contribute to cardiovascular disease.

By combining the expertise of three cardio-diagnostic leaders and implementing aspects from the nation’s two top laboratories screening for cardiovascular disease, we have developed an industry-leading program to provide the most specific and accurate cardiac health picture currently available.

The findings retrieved from your screenings allow our physicians to offer patient-focused, specific recommendations based on your unique needs. From prescribing nutritional adjustments such as sodium intake and nutraceuticals to tailoring exercise plans to encourage physical fitness that is both effective in reducing disease risks and safe for your current abilities, our clinical team takes an all-encompassing approach to not only supporting your heart health, but also your overall wellness.

And, because our experts remain at the forefront of age management medicine, all of our programs are tailored to accommodate age-related risk factors and concerns, thereby allowing you to minimize the risk of deadly disease and feel great through every decade of life.

If you’re interested in preventing heart disease, stroke, and other chronic illness while becoming the healthiest possible version of yourself, contact a Cenegenics location near you.

Next Steps on How to Prevent Heart Disease

FREE Consultation

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

About the Contributor

Rudy Inaba 
Global Director of Nutrition & Exercise

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

Key Resources

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

The Cenegenics Education and Research Foundation  

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

Click to purchase

The Cenegenics Education and Research Foundation  

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

Click to purchase

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

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

Todd David Greenberg, M.D., CSCS

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

References

[1] National Heart, Lung, and Blood Institute (NIH). “Know the Differences.” Retrieved from URL: https://www.nhlbi.nih.gov/sites/default/files/media/docs/Fact_Sheet_Know_Diff_Design.508_pdf.pdf

[2] Mayo Clinic. “Heart Disease.” 22 Mar. 2018. Retrieved from URL: https://www.mayoclinic.org/diseases-conditions/heart-disease/symptoms-causes/syc-20353118

[3] Centers for Disease Control and Prevention. “Heart Disease Facts.” 28 Nov. 2017. Retrieved from URL: https://www.cdc.gov/heartdisease/facts.htm

[4] Mayo Clinic, see above.

[5] NIH. “Coronary Heart Disease.” Retrieved from URL: https://www.nhlbi.nih.gov/health-topics/coronary-heart-disease

[6] Resnick, Art, MD. “How Age and Gender Affect Your Heart.” Kaiser Permanente. 01 Mar. 2014. Retrieved from URL: https://wa.kaiserpermanente.org/healthAndWellness/index.jhtml?item=%2Fcommon%2FhealthAndWellness%2Fconditions%2FheartDisease%2FageAndGender.html

[7] NIH. “Diabetes, Heart Disease, and Stroke.” Feb. 2017. Retrieved from URL: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/heart-disease-stroke

[8] SS Khan et al. “Association of Body Mass Index With Lifetime Risk of Cardiovascular Disease and Compression of Morbidity.” JAMA Cardiology. 1 Apr. 2018. Retrieved from URL: https://www.ncbi.nlm.nih.gov/pubmed/29490333

[9] NIH, see above.

[10] Apolipoprotein E [PDF]. (n.d.). Cleveland, OH: Cleveland Heart Lab. 

[11] Familial Hypercholesterolemia (FH). (n.d.). Retrieved from https://www.heart.org/en/health-topics/cholesterol/causes-of-high-cholesterol/familial-hypercholesterolemia-fh

[12] Frank W. Booth, Ph.D., et al. “Lack of exercise is a major cause of chronic diseases.” Comprehensive Physiology. 23 Nov. 2014. Retrieved from URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241367/

[13] Morris, Nathaniel P. “Mental illness and heart disease are often found in the same patients.” The Washington Post. 18 Feb. 2017. Retreieved from URL: https://www.washingtonpost.com/national/health-science/mental-illness-and-heart-disease-are-often-found-in-the-same-patients/2017/02/17/665e5dd0-ee1d-11e6-9973-c5efb7ccfb0d_story.html?utm_term=.88eb1b2db522

Mature man wearing wooden glasses smiling while sitting in clean home

What is Andropause? And How Is It Affecting You?

I'm at the point where food has taken

the place of sex in my life.

Rodney Dangerfield

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

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

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

What Causes Andropause?


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

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

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

How is Andropause Diagnosed?


Mature man getting blood drawn by woman in lab coat

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

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

  • Fasting state
  • Sleep
  • Time of day

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

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

What Are the Symptoms of Andropause?


Diagram demonstrating physician differences and similarities between andropause and menopause

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

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

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

Physical

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

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

Sexual

Commonly reported sexual symptoms of andropause include:

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

Emotional

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

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

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

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

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

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

How is Andropause Treated?


Mature man speaking to younger female physicians about andropause test results

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

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

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

What is Andropause? In Conclusion


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

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

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

Next Steps in Treating Andropause

FREE Consultation

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

About the Contributor

Rudy Inaba 
Global Director of Nutrition & Exercise

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

Key Resources

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

The Cenegenics Education and Research Foundation  

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

Click to purchase

The Cenegenics Education and Research Foundation  

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

Click to purchase

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

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

Todd David Greenberg, M.D., CSCS

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

References

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

The Cenegenics Elite Health Programs can help boost low energy in busy adults pursuing their personal and professional goals, Cenegenics programs combat fatigue by addressing various factors within your personal and professional life

Low Energy: How the Cenegenics Program Boosts Energy & Combats Fatigue

Improving Your Diet: Eating to Boost Energy

How Can You Exercise If You Always Have Low Energy?

How Cenegenics Can Help Combat Fatigue 

Poor Sleep & Fatigue: How it Relates to Low Energy

Are Hormones to Blame for Low Energy? 

Could Supplements Help Combat Low Energy?

Is Cenegenics Right for Helping You Boost Energy Levels? – In Conclusion

Next Steps to Boost Energy and Combat Fatigue

If you are suffering from low energy and are constantly thinking, “I need energy now”, you are not alone. Research shows that 40% of Americans wake up feeling tired most days of the week [1], and a startling 97% of Americans have at least one of the leading risk factors for fatigue [2]. Yet, if you are like many of the other individuals who experience exhaustion, you may have come to accept feeling tired as an unavoidable part of life.

In fact, there is a reason why you are always feeling tired – even if you have yet to identify it. Much like our overall wellness, our energy levels are defined by a complex combination of factors. From optimizing your diet to addressing hormone imbalances, there are proven, practical ways to boost energy and start improving your quality of life. And, for adults with busy lifestyles, there’s no better way to do it than through Cenegenics. Our age management program is designed for busy adults actively pursuing their personal and professional goals, whose success and performance depend on their ability to maintain optimal energy levels. Discover how our clinical team can help you address your fatigue, boost energy and restore your vitality below.

Improving Your Diet: Eating to Boost Energy


At the most fundamental level, the very purpose of eating is to provide our body with the energy it needs to support its many critical functions. Yet, the abundance of packaged and processed foods has transformed eating into a pleasure-driven activity centered on convenience, rather than a health-driven activity conscious of the dangers of processed foods. Indeed, the Western diet is characterized by foods that have little inherent nutritional value, which ultimately leave us feeling exhausted instead of energized.

To combat the issue, Cenegenics physicians prioritize a way of eating that spurs energy creation. One foundational aspect of improving diet in patients is optimizing their insulin sensitivity. Insulin, the hormone responsible for controlling blood sugar levels, is produced in the pancreas and helps to move sugar from the blood into storage. When cells become insulin resistant, however, they cannot use insulin effectively and therefore leave blood sugar levels higher than they should be. This spurs a vicious cycle in which the pancreas creates more insulin to reduce blood sugar when it detects high sugar in the blood. Over time, this process can deplete the pancreas of insulin-producing cells, a trend commonly found in patients with type 2 diabetes and obesity.

Beyond being linked to serious health conditions, poorly controlled blood sugar is also a common cause of fatigue [3]. Thus, optimizing insulin sensitivity is among the most effective means to boost energy levels through diet.

Macronutrients play an integral part in providing the body with the energy necessary to perform essential processes on a cellular level, Micronutrients are often overlooked since the role of micronutrients is more widely known

Cenegenics’ team of dietary experts apply the concept of glycemic index (GI) in the introductory phase of treatment to help patients understand the ways in which different food sources impact blood sugar levels. In fact, GI was originally developed to help patients with diabetes manage insulin dosing. Low GI foods are typically digested slowly, thereby reducing the risk of the insulin spike, which abruptly reduces blood sugar levels and leads to the infamous “crash” we feel after eating something sugary. Eating lower GI foods also results in satiation despite taking in fewer calories, and a low-GI diet can even improve hormone-related response to food intake.

Carbohydrates high in fiber and other phytonutrients have a lower GI than heavily processed white breads, pastas, and similar foods. They can be energizing as well as satiating and, combined with quality protein and fats rich in essential fatty acids, are digested slowly and can aid in optimizing insulin sensitivity. However, the complex relationship between diet, satiety, and energy requires an individualized approach. For instance, some patients may benefit from incorporating marine fish oils and other food sources specifically to improve cognitive function, reduce anxiety, and address other symptoms that can impact perceived energy levels. As such, each patient receives individualized nutrition counseling through the Cenegenics program to pinpoint the key contributors behind possible fatigue-causing dietary factors.

Beyond nutrition, our clinical staff will also help you establish an exercise regimen that fits your lifestyle and actually spurs energy production instead of leaving you feeling tired, which brings us to our next point.

How Can You Exercise If You Always Have Low Energy?


 Routine exercise can actually combat fatigue and low energy, Cenegenics Elite Health programs incorporate exercise which can act as a natural energy enhancer

Feeling tired is perhaps the most common reason people neglect to exercise. Yet, it is worth noting that training and exercising can actually fight fatigue and act as natural energy enhancers. Research shows that exercise can even reduce symptoms of fatigue by as much as 65%, while boosting energy levels by up to 20% [4]. While the precise interplay among exercise and energy levels has yet to be understood by researchers, some believe the ability to reduce fatigue stems from the impact energy has on the central nervous system [5].

How Cenegenics Can Help Combat Fatigue 


Specifically, the Cenegenics program favors short bouts of high-intensity interval training, or HIIT, customized to each patient’s own physiology and goals. With the understanding that the majority of Cenegenics patients lead busy lifestyles, this form of exercise is considered beneficial due to the fact that it achieves optimal results, including 24-hour energy expenditure similar to that produced by traditional endurance training, despite its reduced time commitment.

Moreover, HIIT is considered anaerobic exercise. This short-lasting, high-intensity form of fitness occurs when the body’s demand for oxygen exceeds the available oxygen supply. It therefore relies on energy sources stored within the body. Bouts of anaerobic training are also shown to increase growth hormone production and serum concentrations of testosterone, which is more beneficial to boost energy levels than longer bouts of moderate-intensity exercise which raise cortisol levels. High cortisol, especially in the evening, can deceive the body into thinking it doesn’t need rest, thereby contributing to poor sleep and, ultimately, fatigue.

Cenegenics physicians devise a tailored exercise plan for patients based on their preferences, skills, and ability. Because each patient begins with their own unique fitness starting level, recommendations are individualized and fine-tuned throughout the course of treatment to support optimal results, including improved energy levels. Ultimately, while some programs aim to exercise participants to the point of exhaustion, the goal of our physician-prescribed fitness programs is to do more with less time and take a healthy, sensible approach to working out so that you feel more energized – instead of drained – each day. At the same time, the regular periods of activity will also help to spur tiredness at the appropriate time: when you’re ready for bed. Discover more about how Cenegenics helps to optimize your sleep cycle in the next section.

Poor Sleep & Fatigue: How it Relates to Low Energy


Cenegenics Elite Health programs explore multiple factors of poor sleep as it can cause fatigue and low energy, Cenegenics provides all-encompassing programs to wellness that tackles the root cause of low energy

Poor sleep is perhaps the most obvious culprit behind fatigue and lack of energy. Yet, if you are always feeling tired, you probably know that frustratingly, simply feeling exhausted sometimes is not enough to facilitate quality sleep.

To make matters worse, there are many potential causes of sleep deprivation, which is why a “one-size-fits-all” fix cannot be applied. The inability to fall asleep, and subsequently remain sleeping for the recommended seven to nine hours, can result from either physical or psychological challenges. For some patients, psychological barriers such as stress are the greatest barriers of a good night’s sleep. For others, a condition such as obstructive sleep apnea (OSA) could be to blame.

Duration and quality of sleep are both commonly improved on a Cenegenics program. This is due to the fact that the program’s all-encompassing approach to wellness often tackles the root causes behind poor sleep. Physicians’ recommendations on food selection, along with tailored dietary tips and exercise routines, can contribute to addressing the challenges that may be causing lack of sleep in patients.

For example, while weight regulation is one of the pillars of the Cenegenics age management program, it is also a key player in the prevention and treatment of OSA (obstructive sleep apnea). In fact, research shows that losing just 22 pounds can significantly improve apnea/hypopnea index scores [6]. Likewise, Cenegenics physicians may also utilize nutraceuticals to aid in sleep. Individualized supplements, including magnesium, magnolia bark, and gamma-aminobutyric acid (GABA) can be taken under the direction of physicians to facilitate restfulness.

Additionally, our clinical team can assist patients in hormone regulation if needed. While the relationship between hormones and energy levels will be reviewed in greater detail in the next section, it is suspected that there is also a relationship between sleep disorders and hormones. Specifically, testosterone affects the organization of circadian rhythms and timing of sleep.

Are Hormones to Blame for Low Energy? 


Consult with your Cenegenics physician to understand how your hormones are affecting your low energy, suboptimal levels of hormones can negatively affect a person’s energy levels

As mentioned above, one major component of the Cenegenics program is optimizing hormone levels. In both women and men, suboptimal levels of testosterone can have a negative effect on a person’s energy levels. Because significant dips in hormone levels are common in older adults, men and women in their middle ages and older may be ideal candidates for hormone replacement therapy.

In both genders, low testosterone has been linked to lack of motivation, fatigue, and even depression. Thus, testosterone has a far-reaching impact on energy and, when it becomes imbalanced, the physical impacts can escalate. Luckily, hormone replacement therapy is an effective way to address the challenging symptoms produced by an imbalance.

The age management experts from Cenegenics specialize in all aspects of age management and are particularly adept at diagnosing and treating testosterone deficiencies. They understand the inherent variabilities of testosterone levels and therefore perform diagnostics at specific times and take into consideration factors such as health status, age, fasting state, and sleep to determine if hormone replacement therapy should be considered. While there is no single consensus on what defines “low” testosterone, in general, patients beginning the program with a total testosterone reading in the 300s and low free testosterone may be recommended for treatment. By increasing and improving free testosterone levels (which fall within the normal physiologic range), patients will notice a considerable improvement in energy levels. The effects can be optimized further when combined with the measures outlined above, as well as nutraceuticals, described in greater detail below.

Could Supplements Help Combat Low Energy?


Cenegenics Elite Performance Power is a supplement used as a pre-workout to boost energy, Cenegenics CoQ10 is a vitamin-like compound that can be used to boost energy

We mentioned briefly above that Cenegenics physicians may prescribe nutraceuticals for patients in which there has been an identified need for a specific supplement. While nutraceuticals can aid in sleep, as previously mentioned, it is also possible that certain micronutrients could help to support optimal energy levels, too.

Coenzyme Q10 (CQ10), for example, can be used to boost energy production, as well as cardiovascular health, neurological wellness, and blood sugar levels. While this antioxidant also plays a critical role in helping the body regenerate the production of vitamins, the body’s synthesis of CQ10 begins to decline at approximately 30 years of age. It has also been shown to reduce fatigue during workouts. Although CQ10 is found in food sources such as meat and fish, nuts, seeds, and plant oils, most people are unable to reach even lower ends of the suggested dietary intake through diet alone. Thus, a supplement administered in the proper dose based on the patient’s needs assessment may aid in the natural production of energy.

Additionally, cinnamon may play a role in increasing energy, as well as improving circulation and aiding digestion. The spice has also been shown to directly improve insulin levels, possibly through slowing the absorption of carbohydrates in the small intestine. Thus, when taken regularly, it is possible cinnamon could have widespread benefits on overall health.

When it comes to nutraceuticals, it is important to note that 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 their supplements in their list of medications, drug interactions are even more likely to occur. It is thus critical that any supplements be taken under the direction of licensed physicians. Moreover, the quality of the source is critical. Nutraceuticals, such as healthy energy boosters provided by Cenegenics, bear significant differences from generic, retail-grade supplements. Cenegenics patients receive custom pharmacy items and efficaciously-dosed, pharmaceutically-tested clinical nutraceuticals.

Is Cenegenics Right for Helping You Boost Energy Levels? – In Conclusion


While determining the potential cause(s) behind fatigue and energy depletion might ordinarily take patients months or even years to do, the robust testing performed under the care of Cenegenics clinicians upon the inception of the age management program may help uncover a causative agent quickly. Sometimes, the culprit behind energy depletion could be as simple as suboptimal vitamin intake, which can be easily remedied through nutraceutical and dietary measures. In other cases, there may be a complex array of contributing factors behind fatigue which require a comprehensive treatment program to address.

No matter the scenario, Cenegenics is the best source for achieving lasting and noticeable improvements in energy levels. Increased energy is one of the five key pillars on which the program itself was built, and the four supporting pillars also strengthen each patient’s ability to feel and perform better. Through the robust yet detail-oriented approach to wellness, our clinical team will address the barriers to optimal energy levels you are facing, while also lowering disease risk factors and supporting your overall, long-term wellness.

Next Steps to Boost Energy and Combat Fatigue


Register for your complimentary phone consultation.

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

Key Resources on How to Boost Energy


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 Educational Foundation.

Todd David Greenberg, M.D., CSCS

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

Additional Information on How Cenegenics Can Boost Energy


What is Cenegenics?

What is Age Management Medicine?

What Does Cenegenics Cost?

Nutrition for Weight Loss

Cenegenics Alternatives: Why the Original Age Management Program Reigns Superior

The Dangers of Processed Foods

Understanding Mental Acuity: Improving Focus, Memory and Concentration with Cenegenics

How Cenegenics Can Help Relieve Stress in Executives & Professionals

Why Can’t I sleep? – Clinical Explanations

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

Sources on Low Energy 


[1] Moore, Peter. “Two-fifths of Americans are tired most of the week.” YouGov. 02 June 2015. Retrieved from URL: https://today.yougov.com/topics/lifestyle/articles-reports/2015/06/02/sleep-and-dreams

[2] “43 Percent of Americans Admit They’re Too Tired to Function at Work.” Occupational Health & Safety. 27 Jul. 2017. Retrieved from URL: https://ohsonline.com/articles/2017/07/27/43-percent-of-americans-admit-they-are-too-tired-to-function-at-work.aspx

[3] Laskey, Jen. “Why Does Type 2 Diabetes Make You Feel So Tired?” Everyday Health. 25 Jan. 2017. Retrieved from URL: https://www.everydayhealth.com/type-2-diabetes/why-does-type-2-diabetes-make-you-feel-tired/

[4] Timothy W. Puetz et al. “A randomized controlled trial of the effect of aerobic exercise training on feelings of energy and fatigue in sedentary young adults with persistent fatigue.” Psychotherapy and Psychosomatics. 14 Feb. 2008. Retrieved from URL: https://www.ncbi.nlm.nih.gov/pubmed/18277063

[5] Parker-Pope, Tara. “The Cure for Exhaustion? More Exercise.” The New York Times. 29 Feb. 2008. Retrieved from URL: https://well.blogs.nytimes.com/2008/02/29/the-cure-for-exhaustion-more-exercise/

[6] Foster et al. “A Randomized study on the effect of weight loss on obstructive sleep apnea among obese patients with type 2 diabetes: the Sleep AHEAD study.” Archives of Internal Medicine. 28 Sept. 2009. Retrieved from URL: https://www.ncbi.nlm.nih.gov/pubmed/19786682.

What are processed foods and what are the dangers of processed foods? Processed foods tend to be readily available and have a decreased ability to promote the feeling of fullness, the dangers of processed foods include increasing risk of cardiovascular disease and obesity

What Are Processed Foods & Why Are They Dangerous?

Article at a Glance

  • Processed foods, by the strictest definition, is any food source that is not a raw vegetable, fruit, or meat product.
  • The dangers of processed foods include increased risk of cardiovascular related disease, obesity, type 2 diabetes, metabolic syndrome, and cancer.
  • Eating healthy foods as an alternative to processed foods can provide the nutrients necessary to support healthy functionality of the body’s major systems.

Nutrition is one of the most important factors in promoting the quality and longevity of life. Yet, for many individuals, it is a known area of weakness. Most people know their diets could use improvement, but struggle to identify exactly how they could optimize their eating for better wellness. The simplest answer lies in the elimination of processed foods.

Although modern science has come a long way in terms of helping the human population maintain wellness, there is still no manufactured substitute for the nutritional value provided by natural sources. Processed foods only add cost to foods, and their creation is driven solely by consumer demand. Yet, while the food industry continues to churn out processed products, we continue to see startling disease rates linked to poor diet: as of 2016, obesity affected more than 93 million U.S. adults [1].

Indeed, the dangers of consuming processed foods are serious and often underappreciated. Here, we will explore some of the potential impacts of processed foods, along with dietary alternatives. Firsts, we will begin by finding out exactly what defines this type of food. You may be surprised to learn just how much of your diet comprises processed food sources.

What Are Processed Foods?


People often ask what are processed foods and the truth is anything that is not a raw vegetable or fruit or meat is considered processed

Processed foods tend to be readily available, nutrient-poor but calorie-dense, and have a decreased ability to promote feelings of fullness. Yet, the reason people keep coming back to them is simple: these foods are highly palatable, which is largely due to their high concentration of excess additives like sugars, sodium, and fats.

Because the term “processed” is so vague, however, it is no surprise that there tends to be confusion around what is considered processed and what is not. Oftentimes, the term “processed food” is used synonymously with “junk food,” but, in reality, it also includes many food sources which are typically perceived as healthy. Any grain – including multigrain bread and whole wheat pasta – is a processed food, for example. In fact, by the strictest definition, any food source that is not a raw vegetable, fruit, or meat product would be considered processed.

Yet, in practical terms, it is important to understand the varying degrees to which foods can be processed. Bagged or frozen vegetables and roasted nuts, for instance, are less processed than pre-made meals, such as microwavable dinners, which fall at the other end of the spectrum. “Ready-to-eat” foods requiring minimal or no preparation, including cereal, oatmeal, dairy products, and deli meats are also considered processed [2]. The more additives and processing a food source has, the more harmful it may be.

Why Are Processed Foods Dangerous?


Processed foods contribute to obesity and is considered one of the dangers of processed foods

Processed foods are harmful for a number of reasons. Firstly, they are often high in refined carbohydrates. Carbohydrates are the primary factor that most substantially increase cardiovascular related disease by modulating insulin and inflammation. They also contribute to obesity more than any other macronutrient (including protein and fats).

Most processed foods are exceptionally high in added sugar, which can have a significant detrimental effect on the metabolism. Added sugar plays a role in the epidemics of cardiovascular disease, type 2 diabetes, and metabolic syndrome [3].  Sugar consumption is also strongly linked to obesity and heart disease.

A diet consisting primarily of processed foods is also responsible for added weight gain, and eventually, obesity. Processed sugars in particular increase levels of harmful cholesterol, as well as fat accumulation in the abdominal cavity and liver [4]. Additionally, processed foods are often high in unhealthy, cheap fats, like soybean oil and Omega-6 fatty acids, which can increase inflammation when ingested in excess.

Moreover, it is not a single offending ingredient but rather a plethora of artificial ingredients found in processed foods that contribute to them being so harmful. Highly processed foods typically contain additives including preservatives, colorants, flavors, and texturants, all of which are chemicals used for specific purposes. Some foods even contain additional chemicals you will not find on nutrition labels, since manufacturers do not have to disclose what comprises blends, including “artificial flavors,” for instance [5]. In addition, while some contain added synthetic vitamins and minerals (to compensate for the nutritional value lost during processing), their nutrient level pales in comparison to that of whole, unprocessed foods. They are also low in fiber, which supports appetite regulation and aids in digestion.

Perhaps most alarmingly of all, highly processed foods are even linked to an increased risk of cancer. A 10% increase in the intake of highly processed foods is associated with an increase of greater than 10% in risk for overall and breast cancer [6]. These ultra-processed foods associated with extra cancer risk include sweet or savory packaged snacks, soda and other sweetened beverages, mass-produced and packaged breads and baked goods, chicken and fish nuggets, industrialized desserts, and frozen ready meals.

What is the Alternative to Eating Processed Foods?


eating healthy food sources is a great alternative to questioning what are processed foods, eating clean can help eliminate the dangers of processed foods

For individuals who are used to following an eating plan primarily consisting of processed foods, eradicating these sources from their diet may seem overwhelming. Yet, these harmful foods can be phased out gradually, by moving away from the most heavily processed foods first until only minimally processed or entirely natural food sources are left.

While processed foods are indeed highly palatable and are in fact made for the very purpose of appealing to appetites, there are still hundreds of natural alternatives, which can be enjoyed. More importantly, natural food sources provide the nutrients needed to support healthy functionality for the body’s major systems, as well as minimized disease risk. From trying unique pairings to adding different blends of seasonings, there are many ways to tailor whole foods to your own liking. Finding vegetables, lean meats, and fruits that you enjoy most and replacing processed snacks and meals with these natural food sources can have far-reaching benefits.

Eliminate the Dangers of Processed Foods – In Conclusion


Nutrition is one of the most important factors in promoting the quality and longevity of life. However, many individuals struggle to identify food necessary to optimize eating for better wellness. Processed foods tend to be readily available, nutrient-poor but calorie-dense, and have a decreased ability to promote feelings of fullness. The reason so many people return to these foods is simple: they are highly palatable, due to their large concentration of excess additives like sugar, sodium and salt. By the strictest definition, any food source that is not a raw vegetable, fruit, or meat would be considered processed.

Processed foods are dangerous and play a significant role in increased risk of cardiovascular disease, obesity, type 2 diabetes, metabolic syndrome and even cancer. As an alternative, to reduce the risk of disease based on diet, find vegetables, lean meats, and fruits that are enjoyable and replace processed snacks and meals with these natural food sources. Eradicating sources of processed food from one’s diet reduces the risk of disease and though it may seem overwhelming, these harmful foods can be gradually phased out.

The Cenegenics Elite Health programs take a comprehensive approach to nutrition, unlike other diets which tend to focus on a single facet of life – changes in eating habits. The Cenegenics approach assures long-term results in comparison to “fast” weight loss solutions by customizing programs based on individual needs.

Next Steps to Optimize Your Nutrition with Cenegenics


Register for your complimentary phone consultation.

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

Additional Information About Cenegenics Nutrition Programs


What is Cenegenics?

What is Age Management Medicine?

Defy Your Age™ With Cenegenics

Nutrition for Weight Loss

Weight Loss on the Cenegenics Age Management Program

Understanding the Dangers of Processed Food Sources 


[1] “Adult Obesity Facts.” Centers for Disease Control and Prevention. Retrieved from URL: https://www.cdc.gov/obesity/data/adult.html

[2] “What is a Processed Food? You Might Be Surprised!” International Food Information Council Foundation. Sept. 2010. Retrieved from URL: https://www.foodinsight.org/sites/default/files/what-is-a-processed-food.pdf

[3] Stanhope et al. “Adverse metabolic effects of dietary fructose: results from the recent epidemiological, clinical, and mechanistic studies.” Current Opinion in Lipidology. June 2013. Retrieved from URL: https://www.ncbi.nlm.nih.gov/pubmed/23594708

[4] Stanhope et al. “Consuming fructose-sweetened, not glucose-sweetened, beverages increases visceral adiposity and lipids and decreases insulin sensitivity in overweight/obese humans.” Journal of Clinical Investigation. 1 May 2009. Retrieved from URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2673878/

[5] Gunnars, Kris. “Nine ways that processed foods are harming people.” Medical News Today.  01 August 2017. Retrieved from URL: https://www.medicalnewstoday.com/articles/318630.php

[6] Fiolet et al. Consumption of ultra-processed foods and cancer risk: results from NitriNet-Santé. Prospective cohort.” 14 Feb. 2018. Retrieved from URL: https://www.bmj.com/content/360/bmj.k322

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

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

Article at a Glance

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

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

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

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


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

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

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

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

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

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

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

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

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

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

Improved Energy

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

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

Better Sleep

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

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

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

Mental Acuity

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

Weight Loss

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

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

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

Increased Libido

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

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

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

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


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

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

Individualized Treatment

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

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

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

The Biomarkers of Aging

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

Industry-Leading Specialists


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

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

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

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

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

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

A Better Patient Experience Over Cenegenics Alternatives


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

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

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


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

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

Next Steps to Prioritizing Your Health with Cenegenics


Register for your complimentary phone consultation.

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

Key Resources


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

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

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

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

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

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

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

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

Additional Information For Cenegenics Age Management Program 


What is Cenegenics?

What is Age Management Medicine?

What Does Cenegenics Cost?

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

Anti-Aging vs. Age Management

Weight Loss on the Cenegenics Age Management Program

Defy Your Age™ with Cenegenics

What is Testosterone Replacement Therapy (TRT)?

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

This Is How Your Body Is Reacting To Stress:

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

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

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

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

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

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

Physical Symptoms of Stress


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

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

Cognitive Symptoms of Stress


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

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

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

Behavioral Symptoms of Stress


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

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

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

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

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

Emotional Symptoms of Stress


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

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

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

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

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

Long-Term Effects of Stress


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

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

Physical Consequences of Long-Term Stress

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

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

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

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

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

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

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

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

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

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

Additional Consequences of Chronic Stress

Additional symptoms of stress include depression and chronic anxiety

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

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

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

Understanding Chronic Stress vs Acute Stress – In Conclusion


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

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

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

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

Next Steps: Managing Stress with Cenegenics

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Key Resources

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

The Cenegenics Education and Research Foundation  

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

Click to purchase

The Cenegenics Education and Research Foundation  

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

Click to purchase

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

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

Todd David Greenberg, M.D., CSCS

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

References

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

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

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

[4] Segal et al, see above.

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

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

[7] Segal et al, see above.

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

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

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

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

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

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

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

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

Understanding How to Deal with Stressors

Article at a Glance

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

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

Different Types of Stress


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

  • Acute stress
  • Episodic acute stress
  • Chronic Stress

Acute Stress

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

Episodic Acute Stress 

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

Chronic Stress

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

Understanding How to Deal with Stressors: Identifying Stress Factors


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

Internal Stress Factors

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

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

External Stress Factors

Common external stress factors include:

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

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

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

Impact of Acute & Chronic Stress: In Conclusion


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

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

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

Next Steps: Get a Handle Your Stressors 


Register for your complimentary phone consultation.

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

Key Resources on Stress Management


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

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

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

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

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

Additional Information on Stress Reduction


How Cenegenics Can Help Relieve Stress in Executives & Professionals

Symptoms and Long-Term Consequences of Stress

What is Age Management Medicine?

What is Cenegenics?

Defy Your Age™ With Cenegenics

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

Are You Aware Of The Impact Stress Has?

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

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

Impact of Stress

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

Far Reaching Impact of Chronic Stress

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

Cenegenics Approach to Stress Management

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

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

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

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

How to Relieve Stress with Cenegenics Elite Health

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

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

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

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

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

Reduce the Risk of Stress – In Conclusion

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

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

Next Steps to Reduce Stress and Increase Effectiveness

Key Resources

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

The Cenegenics Education and Research Foundation  

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

Click to purchase

The Cenegenics Education and Research Foundation  

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

Click to purchase

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

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

Todd David Greenberg, M.D., CSCS

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

References

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

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

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

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

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