Category Archives for Low Energy

Cenegenics Heart Disease and Stroke Prevention Program helps patients recognize the early signs of heart disease, cardiovascular disease kills more than 800 thousand people in the U.S. each year, recognizing how to prevent heart disease may reduce your risk of death by cardiovascular disease

Are You Fully Prepared to Prevent Heart Disease and Stroke?

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.


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

Atherosclerosis is one of the most common causes of heart disease and can lead to heart attack and stroke, plaque build-up and wall stiffness are one of the early signs of heart disease, Reducing risk factors such as smoking and obesity may be a suggestion on how to prevent heart disease

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 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. 


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

A diet high in processed foods can increase risk of heart disease and stroke, understanding how to prevent heart disease begins with a healthy diet

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.


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 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 remains an elusive area in determining risk for heart disease. While the precise role genes play in contributing to all cardiovascular conditions remains unknown, researchers have identified family history of heart attack or stroke – especially at an early age – as an important consideration to weigh. In fact, family history can be as powerful an indicator of heart disease as high cholesterol or blood pressure.[10]   

Lack of Exercise

lack of exercise can increase your risk of heart disease and stroke, exercise can be one of the best methods on how to prevent heart disease

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.[11]

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.[12]

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

Early signs of heart disease can manifest as chest pain but can also result in shortness of breath and fatigue, ask your doctor how to prevent heart disease and what the early signs of heart disease are so that you can be proactive, ignoring the early signs of heart disease can lead to heart attack and stroke

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

Speak with your Cenegenics physician to learn more about how to prevent heart disease as well as understanding the early signs of heart disease, the Cenegenics Heart Disease and Stroke Prevention program takes an in depth look at your current risk factors as well as gives your physician the information necessary to reduce your risk of heart attack and stroke

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

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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.


[1] National Heart, Lung, and Blood Institute (NIH). “Know the Differences.” Retrieved from URL:

[2] Mayo Clinic. “Heart Disease.” 22 Mar. 2018. Retrieved from URL:

[3] Centers for Disease Control and Prevention. “Heart Disease Facts.” 28 Nov. 2017. Retrieved from URL:

[4] Mayo Clinic, see above.

[5] NIH. “Coronary Heart Disease.” Retrieved from URL:

[6] Resnick, Art, MD. “How Age and Gender Affect Your Heart.” Kaiser Permanente. 01 Mar. 2014. Retrieved from URL:

[7] NIH. “Diabetes, Heart Disease, and Stroke.” Feb. 2017. Retrieved from URL:

[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:

[9] NIH, see above.

[10] Harvard Health Publishing. “Heart disease: All in the family history.” Jan. 2016. Retrieved from URL:

[11] 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:

[12] Morris, Nathaniel P. “Mental illness and heart disease are often found in the same patients.” The Washington Post. 18 Feb. 2017. Retreieved from URL:

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

What is Andropause? And How Is It Affecting You?

Article at a Glance

  • Andropause is a gradual, age-related drop in testosterone that can lead to physical, sexual, and emotional symptoms in some middle-aged men.
  • Age management medical specialists measure both total and free testosterone, analyze other hormone-related blood tests, and use clinical assessments to help diagnose andropause.
  • Cenegenics treats andropause with a combination of hormone replacement therapy, nutrition, and exercise, but treatment is dependant upon individual needs analysis.

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

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

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

What Causes Andropause?

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

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

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

How is Andropause Diagnosed?

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

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

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

  • Fasting state
  • Sleep
  • Time of day

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

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

What Are the Symptoms of Andropause?

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

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

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

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


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


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


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

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

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

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

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

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

How is Andropause Treated?

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

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

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

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

What is Andropause? In Conclusion

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

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

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

Next Steps in Treating Andropause

Register for your complimentary phone consultation.

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

Key Resources for Understanding Andropause

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

Rudy Inaba

Director of Nutrition & Exercise

AMMEF Nutrition & Exercise Instructor

The Cenegenics Education and Research Foundation

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

Available for purchase here

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

Available for purchase here

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

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

Todd David Greenberg, M.D., CSCS

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

Additional Information on Andropause

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

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

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

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

Defy Your Age with Cenegenics

What is Age Management Medicine?

What is Cenegenics?

Sources on Andropause

[1] “Andropause.” MediResource. Retrieved from URL:

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:

[2] “43 Percent of Americans Admit They’re Too Tired to Function at Work.” Occupational Health & Safety. 27 Jul. 2017. Retrieved from URL:

[3] Laskey, Jen. “Why Does Type 2 Diabetes Make You Feel So Tired?” Everyday Health. 25 Jan. 2017. Retrieved from URL:

[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:

[5] Parker-Pope, Tara. “The Cure for Exhaustion? More Exercise.” The New York Times. 29 Feb. 2008. Retrieved from URL:

[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:

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:

[2] “What is a Processed Food? You Might Be Surprised!” International Food Information Council Foundation. Sept. 2010. Retrieved from URL:

[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:

[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:

[5] Gunnars, Kris. “Nine ways that processed foods are harming people.” Medical News Today.  01 August 2017. Retrieved from URL:

[6] Fiolet et al. Consumption of ultra-processed foods and cancer risk: results from NitriNet-Santé. Prospective cohort.” 14 Feb. 2018. Retrieved from URL:

Alt Image Text = 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

Cenegenics Alternatives: More than a Low-T Center

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 age management program extends far beyond hormone replacement therapy (HRT) alone. If you are exploring your age management options and are wondering whether you might be able to achieve the same results from a Cenegenics alternative, take the time to read through the following guide. From our comprehensive age management solutions that address all facets of adult health to our team of industry-leading specialists, we have cultivated a program for which, simply put, there is no viable alternative.

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

Additionally, hormonal decline is not the only factor responsible for age-related problems. Exercise and sleep, for example, are cornerstones for reducing the risk of age-related problems including:

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

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

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

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

Improved Energy

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 [1]. This often contributes to decreased strength, fatigue, and energy depletion. Our age management doctors specialize in determining whether lifestyle changes alone are enough to address declining energy levels associated with aging, or whether a more aggressive approach is needed to target an underlying cause of the symptom.

Better Sleep

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 [2]. More than a third of Americans are poorly rested for more days out of the week than not, and nearly half the population (46%) is unable to achieve the recommended seven to eight hours of sleep every night  [3].

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

Mental Acuity

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

Weight Loss

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 [4], making weight loss and weight regulation more challenging with age. However, it is important to understand that aging, and the fluctuations in hormone levels that go with it, cannot be solely blamed for the obesity epidemic. It is instead eating patterns that contribute to obesity, which is directly linked to morbidity from heart disease, cancer, diabetes, and high blood pressure [5]. Thus, any indication that a single hormone supplement will accomplish weight loss in itself is a falsehood, as there is no way to achieve sustainable weight loss without compliance to a healthy eating program.

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

Increased Libido

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

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 age management requires compliance with a demanding and comprehensive program. Low-testosterone clinics, conversely, advertise services such as medications shipped to you after a brief analysis. Unfortunately, these quick and easy approaches may overlook some significant indicators of health – which could have serious consequences.

How Cenegenics Differs from 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 age management physicians, nutrition and exercise physiologists, phlebotomists, and nutraceutical experts. They also look at the entire picture of patient health by taking into consideration key factors such as carbohydrate metabolism to observe the ways in which bioidentical hormones are impacting critical bodily functions.

Individualized Treatment

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

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

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

The Biomarkers of Aging

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

Industry-Leading Specialists

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

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

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

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

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

A Better Patient Experience Over Cenegenics Alternatives

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

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

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

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

[5] Stanford Health Care. Retrieved from URL:

Additional Information For Cenegenics Age Management Program 

What is Cenegenics?

What is Age Management Medicine?

What Does Cenegenics Cost?

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

Anti-Aging vs. Age Management

Weight Loss on the Cenegenics Age Management Program

Defy Your Age with Cenegenics

What is Testosterone Replacement Therapy (TRT)?

Understanding Chronic Stress

Article at a Glance

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

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

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

Stress impacts nearly every single system in the body. It can weaken the immune system, impede functionality in the digestive and reproductive systems, increase risk of cardiovascular disease, and accelerate aging.[1] Optimal health is important to work performance, however – especially for professionals in high-power roles with many taxing responsibilities. When stress begins to affect cognitive function, including judgment, concentration, memory, as well as physical and emotional wellbeing, it becomes essential to address its impacts promptly. 

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

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

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

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

Physical Symptoms of Stress

The physical symptoms of stress can be experienced almost immediately upon exposure to stressors. Stress slows some bodily functions, such as the immune and digestive systems, while hastening others. For instance, blood pressure and pulse rate increase, and rapid breathing occurs. Other physical effects of stress can include sweating, back or chest pain, muscle cramps or spasms, headache, nervous twitches, and upset stomach. Low energy, dry mouth, difficulty swallowing, ringing in the ear, and cold or sweaty hands and feet are also physical symptoms of stress. In cases of extreme stress, fainting can also occur.[3]

Cognitive Symptoms of Stress

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

Acute stress can heighten awareness, allowing individuals to become hyperalert to their surroundings . This can be advantageous in certain professional circumstances – allowing for sharp and quick decision-making, for example. Yet, chronic stress actually has the opposite effect. With constant worrying, anxiety, and racing thoughts, individuals may experience poor judgment. Difficulty concentrating and memory problems are also common symptoms of chronic stress.[4] In professionals and executives, whose effectiveness in their role is largely determined by decision-making skills, the cognitive impacts of stress can take a devastating toll on one’s career.

Behavioral Symptoms of Stress

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

The negative impact of stress penetrates virtually every aspect of an individual’s life. In an attempt to escape stress factors, individuals often turn to unhealthy behaviors such as tobacco use, as well as drug or alcohol abuse. Over- or under-eating and decreasing frequency of exercise can also result from compounding stress. Individuals may adopt nervous habits like nail biting and pacing, and they may also become socially withdrawn. Procrastination and neglect of important responsibilities are additional characteristics of chronic stress; as some individuals use avoidance as an unhealthy coping mechanism.[5]

These negative behaviors can transcend into other areas of one’s life, too. With unhealthy behavioral responses to stress, decisions to drink, use drugs, or practice other harmful habits may also affect sleep quality, weight, libido, energy, and cognitive function. Optimizing these five areas of wellness is essential to job performance, because a well-rested individual who is also at their best both physically and mentally is better able to excel in their role. Therefore, the ability to deal with job-related stressors (or any other source of stress) in healthy, productive ways can support performance in the workplace, while also improving quality of life in one’s personal life, too.

Emotional Symptoms of Stress

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

The emotional symptoms of stress include anxiety and agitation, as well as feeling overwhelmed. Agitation can cause hostility, poor impulse control, tension, and uncooperativeness – qualities which sever ties among colleagues and other members of your professional network.[6] Because individuals with chronic stress tend to limit their social interaction, they may also begin to develop feelings of isolation and loneliness. The condition may also lead to feelings of insecurity and restlessness. Feeling generally unhappy is a common symptom of stress, and over the long term, this can progress into depression and other mental health conditions.[7]

While these symptoms are serious and need to be addressed, the effects of stress become even more critical if not treated. Over the long-term, the consequences of ongoing stress can have an extreme impact on a person’s mental, physical, emotional, and cognitive wellness. Impaired concentration and low energy levels are just two of the specific effects related to chronic stress that can directly diminish workplace performance. Cenegenics focuses on optimizing the five pillars of wellness – sleep, energy, libido, cognitive function, and weight management – with proven age management medicine to help professionals feel and perform their best professionally.

Long-Term Effects of Stress

Chronic stress has dangerous, multifarious implications: not only can stress create new problems, it may also exacerbate existing ones. For executives and professionals whose busy day-to-day routines are already impacted by the demands of juggling a multitude of responsibilities, the effects of chronic stress can be more pronounced than in the average individual. The physical and mental toll the condition takes on people can ultimately transcend to the workplace, leading to conditions like lack of sleep, focus, and energy which can impede long-term goal achievement and overall career success. Here are just a few of the specific ways stress can have a lasting impact on health.

Physical Consequences of Long-Term Stress

The long-term physical effects of chronic stress are nearly too vast to measure. When stress is constant, the same life-saving response your body produces in acute stress can suppress your immune system, making you more vulnerable to disease and illness. Individuals with chronic stress are more prone to developing colds and other sicknesses, and there is even an established link between stress-related disorders and autoimmune diseases such as Crohn’s disease, rheumatoid arthritis, and psoriasis [8]. These conditions can lead to absenteeism and energy depletion, which could have a compounding, negative effect on work performance. Researchers believe that when stress is severe, the body may lose control of cortisol over the immune system, contributing to increased inflammation. This can also lead to a range of serious health conditions, including heart disease, high blood pressure, and diabetes. Left untreated, these factors can contribute to potentially fatal conditions including heart attack and stroke [9].

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

Stress can also impact physical appearance, leading to skin and hair issues including psoriasis, eczema, hair loss, and acne. When it affects diet and exercise, it may also lead to obesity or other eating disorders. Being overweight increases the risk of fatigue, as decreased sleep duration and quality are directly associated with increased body weight [10]. Thus, the effects of stress tend to snowball: fatigue also impairs brain activity, which makes it impossible to contribute to your fullest potential at work [11]. The inflammatory response can also irritate the colon, causing conditions such as gastritis and ulcerative colitis over time.

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

Additionally, while stress can contribute to obesity which can in turn cause fatigue, stress itself also often has a major impact on sleep. Unfortunately, the stress/sleep relationship often forms a dangerous cycle, in which the heightened state of alertness produced by chronic stress prevents sleep, but lack of sleep continues to cause added stress. In fact, adults who sleep fewer than the recommended eight hours per night report a higher stress level than those who sleep at least eight hours each night. Stress often causes individuals to lie awake at night with anxiety, and this lack of sleep can compound the physical damage caused by stress. Even minimal sleep deprivation or poor sleep quality can contribute to serious health issues like obesity and high blood pressure, as well as impaired memory and judgment [13]. While alertness is essential to navigating daily challenges in most executive, managerial, and other professional roles, it is also necessary for a host of other day-to-day activities, including driving and maintaining awareness of your general surroundings.

Additional Consequences of Chronic Stress

Additional symptoms of stress include depression and chronic anxiety

Chronic stress can contribute to clinical depression, chronic anxiety states, and addictive disorders. One of the main reasons the condition is so dangerous is because of its notorious snowball effect: it may only impact a few isolated areas of a person’s life at first, but these consequences tend to ripple outwards. The example of stress’s effect on sleep above showcases this relationship: while chronic stress itself can cause impaired judgment, it can also cause lack of sleep, which has an additional impact on decision making abilities. Thus, the lasting consequences of stress are often too significant to measure, and instead of affecting an individual in a linear fashion, it often produces a far-reaching web of consequences. Oftentimes, it penetrates the most critical realms of wellness in profound ways, including sleep, energy, weight, libido, and cognitive function.

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

Understanding Chronic Stress vs Acute Stress – In Conclusion

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

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

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

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

Next Steps: Managing Stress with Cenegenics

Register for your complimentary phone consultation.

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

Key Resources in Understanding Chronic Stress

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

The Cenegenics Education and Research Foundation

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

Available for purchase here

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

Available for purchase here

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

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

Todd David Greenberg, M.D., CSCS

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

Additional Information on Effectively Managing Stress

How Cenegenics Can Help Relieve Stress in Executives & Professionals

Types of Stress: Understanding Stressors

Why Can’t I Sleep? – Clinical Explanations

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

Building a Nutritional Plan: Food for Weight Loss

Weight Loss: Role of Exercise

What is Age Management Medicine?

What is Cenegenics?

Defy Your Age with Cenegenics

Sources on Managing Stress

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

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

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

[4] Segal et al, see above.

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

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

[7] Segal et al, see above.

[8] Song et al. “Association of Stress-Related Disorders With Subsequent Autoimmune Disease.” Journal of the American Medical Association. 19 June 2018. Retrieved from URL:

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

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

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

[12] Karriem-Norwood, Varnada, MD. “Stress: Symptoms.” WebMD. 11 July 2017. Retrieved from URL:

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

[14] Song et al. “Association of Stress-Related Disorders With Subsequent Autoimmune Disease.” Journal of the American Medical Association. 19 June 2018. Retrieved from URL:

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:

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

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

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

Additional Information on Stress Reduction

How Cenegenics Can Help Relieve Stress in Executives & Professionals

Symptoms and Long-Term Consequences of Stress

What is Age Management Medicine?

What is Cenegenics?

Defy Your Age With Cenegenics

How Cenegenics Can Help Relieve Stress in Executives & Professionals

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

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

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

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

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

Executive dealing with stress, executive effective under stress

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

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

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

How Cenegenics Can Help With Stress

woman jogging for stress relief, Cenegenics stress management exercise program

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

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

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

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

Reduce the Risk of Stress – In Conclusion

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

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

Next Steps to Reduce Stress and Increase Effectiveness

Register for your complimentary phone consultation.

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

Key Resources on Stress Management

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

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

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

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

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

Additional Information on Reducing Stress

Types of Stress: Understanding Stressors

Symptoms and Long-Term Effects of Stress

Why Can’t I Sleep? – Clinical Explanations

What is Age Management Medicine?

What is Cenegenics?

Defy Your Age With Cenegenics

Defy Your Age with Cenegenics

Start with a Highly Comprehensive Full-Day Assessment

Custom Designed Cenegenics Age Management Program

Cenegenics Weight Loss Programs: Better Understanding the Role of Nutrition and Exercise

A Pillar of Cenegenics Success: Close Monitoring and Consultation

Does Cenegenics Work?

Are You Ready to Live a Healthier, More Active Life?

About the Senior Cenegenics Physician, Dr. Leake

Aging is Aging, Right?

Conventional wisdom might say so.

From lower energy levels to chronic pain and loss of muscle tone, there are many symptoms older adults experience that are considered to be “just a part of aging.” Declining libido and weight management challenges are a few additional conditions people witness with age, and the common sentiment is that there isn’t much we can do about it.

Not True

There is something you can do to take control of your health as you age: proactive age management. Based on science and proven by medical research, modern anti-aging solutions are powerful treatments used to improve the quality of life for individuals as they enter their senior years.

Cenegenics is the Defining Clinical Leader in Age Management Medicine

Founded in 1997, Cenegenics is recognized in the medical community for its pioneering work in age management medicine. Its physicians are the leading authorities in the field, with Jeffrey P. Leake, M.D., Senior Physician and Director of Education for Cenegenics having co-authored the Textbook of Age Management Medicine. This guide serves as the foundation for clinical practice and was written based on Dr. Leake’s decade of experience at Cenegenics.

The entire Cenegenics team is passionate about helping individuals navigate the challenges of aging with greater ease. Here are some compelling statistics to note:

  • 1 in 3 adults suffers from high blood pressure, while only 54% of these individuals are actively controlling it
  • 70% of adults are overweight, while 34% have obesity
  • 80% of adults have at least one chronic health condition, while 50% have two or more [2]

While these conditions are not exclusive to older adults alone, we do know that aging can exacerbate symptoms or make an individual more prone to developing them. We are living longer now and, as such, there is an increasing demand to provide older adults with the specialized care they need and deserve.

This is precisely what Cenegenics aims to do. We take age management a step further by providing personalized, physician-developed age management programs to defy your age, taking an all-encompassing approach to improving wellness. Read on to find out how our programs work, and to learn what our services can do for you.

Start with a Highly Comprehensive Full-Day Assessment

The starting point of the Cenegenics program is the most comprehensive preventive health evaluation in the industry. It goes far beyond many well-known “Executive Health” evaluations, digging deep to establish as thorough a representation of a person’s health as possible. The testing includes:

1. Medical History and Lifestyle Assessment

Are you always tired? Have you struggled to lose weight and tone as aging progresses? Perhaps you’re experiencing hormone problems or seeking ways to improve sex drive. No matter which health issues you’re facing, the Cenegenics team wants to hear about it.

During the lifestyle assessment, you’ll provide information about your day-to-day living habits, including activity levels and eating patterns. You will also be asked to provide details about any noteworthy health issues, procedures, or other experiences you have to formulate a well-rounded overview of your medical history. This information will help the specialists shape a highly personalized program according to your unique needs.

2. Comprehensive Labs

The extensive lab panel measures a broad range of health indicators, including: CBC (complete blood count), evaluations on hormone levels, cardiac disease risks, lipid panels, homocysteine levels, potential prostate issues (in men), and urine analysis, among others. The results will reveal markers for disease risk and low hormone levels below the healthy range, which our programs can restore. It will also provide the opportunity to address any underlying conditions, if needed.

3. Physical Evaluation

When is the last time you received a full physical exam? Fewer than a quarter of all visits to family physicians are from older adults [1], which suggests that seniors aren’t seeking out preventive health care services as often as they should be. The ability to catch potentially life-threatening illnesses early on lies in routine physical examinations. The Cenegenics staff is adept at performing comprehensive, efficient exams.

Beyond drawing attention to serious health issues, physicals also provide medical experts the opportunity to take vital signs and spot any abnormalities which may have otherwise gone unnoticed. The findings from your physical will also factor into your comprehensive age management plan.

4. Dual Energy X-Ray Absorptiometry (DEXA)

The number we see on the scale only tells us one thing about our bodies. Calculating body composition, however, is far more involved than that. A number of complex factors contribute to our bodily makeup, which is why we use state-of- the-art DEXA scanning to measure:

  • Lean muscle mass
  • Body fat percentage
  • Bone mineral density

DXA, DXA scan, DEXA scan, physician, doctor consultation, physician consultation, physician consulting patient, patient testing, body fat test, doctor’s office

Each Cenegenics center offers a series of comprehensive scans that provide the most accurate measurements of bone and cardiometabolic health to help specialists develop a data-driven approach to clinical treatment. If you have a condition such as poor bone health, for instance, it can be analyzed quickly, allowing you to receive an initial treatment plan tailored specifically for you upon your first physician visit. Additional risk factors are assessed that correlate with visceral body fat levels, including diabetes, cardiovascular disease, and metabolic syndrome.

5. Cardiopulmonary Exercise Testing – CPET

VO2 Max Test, oxygen consumption test, exercise consultant, physiology, exercise physiology, bike, training, male trainer, exercise consultation, consultation

If you’re suffering from a lack of energy, this test could yield significant insights as to why. A VO2 Max test will measure your volume of oxygen consumption by assessing your ability to perform sustained exercise at maximum exertion. If there is an obstacle getting in your way of pursuing a weight loss program through fitness, this may be the test to help uncover it. It is generally considered the best indicator of cardiovascular fitness and aerobic endurance.

VO2 Max Results allow us to design a program that will help:

  • Maximize fat burning potential based on the best way to lose weight for your body type
  • Condition the heart to become stronger both during physical activity and periods of rest
  • Improve exercise efficiency to help you achieve powerful results

6. Carotid Artery Ultrasonography – Carotid Intima-Media Thickness (CIMT) Exam

woman in doctor’s office, doctor consultation, doctor’s appointment, CIMT, ultrasound evaluation, ultrasound, carotid artery, carotid artery ultrasonography, carotid intima-media thickness exam, ultrasonography

The carotid arteries (there are actually two – one on either side of the neck) supply blood to the brain, making this artery branch one of the most important systems in the body. A clinical examination of the arteries can uncover important evidence of conditions, leading to diagnosis and treatment. Inflammation of the artery, for instance, could point to an autoimmune disorder or previously undetected infection. Weakness and bulging in the artery can also indicate a number of ailments, which upon further investigation, may be treated effectively.

The CIMT Test is an FDA-approved, noninvasive advanced ultrasound evaluation of the carotid arteries. This evaluation allows for detection of existing plaque and provides a highly precise measurement of the thickness of the artery wall. Thickening of the artery wall is an early sign of vascular disease and relates to your risk of heart attack as well as stroke. Early detection allows for the formulation of proactive strategies to reduce your risk for these catastrophic events.

7. Neurocognitive Assessment

neurocognitive assessment, neuro exam, brain function, memory, cognitive exam, CNS Vital Signs

One critical aspect of age management is maintaining – and in some cases, even strengthening – cognitive abilities. We begin to experience cognitive decline as early as our mid-twenties, with the decline in thinking and reasoning skills, memory impairment, and a decreased ability to maintain focus and solve problems becoming more pronounced thereafter [3].

While cognitive decline is indeed a scientifically proven aspect of aging, that isn’t to say that there’s nothing that can be done about it. Through our computerized cognitive assessment, CNS Vital Signs, we are able to evaluate important brain functions including memory, processing speed, executive function, and many other vital activities. Once on the Cenegenics program, patients often witness a significant improvement in cognitive performance. This is because our age management solutions are not focused on one area of health exclusively; instead, we firmly believe that supporting both the mental and physical aspects of well-being are essential to overcoming age-related challenges.

8. Core strength and flexibility assessment

If you’ve ever embarked on a weight loss program, you know that eating a balanced diet and maintaining physical fitness are the best ways to lose weight. While strength and flexibility are not the only markers of vitality, they are considered important measures of fitness. By assessing your current fitness levels, the Cenegenics team will be able to forge a comprehensive strategy to help you reach your goals.

9. Comprehensive exercise and nutrition assessment

Many individuals who enter the Cenegenics program want to know how to lose weight quickly. A better question would be: How can I lose weight in a way that’s sustainable for my lifestyle? With an in-depth assessment, we will unlock the answers to this question. With that said, the program will still provide enough challenge, forcing the body to adapt, spurring noticeable results.

10. Food Allergy & Immunology Testing*

An analysis of diet-induced sensitivity pathways provides individual insights into inflammation-provoking foods and food chemicals specific to your body’s own response, which could be interfering with your health goals. Food sensitivities and allergies are commonly perceived as initiating minor, temporary symptoms. Unfortunately, not all symptoms are recognizable and, more frustratingly, many symptoms associated with food allergies can be attributed to other issues.

Something as seemingly innocent as gluten could be creating a chronic inflammatory reaction within your body, causing you to experience persistent discomfort and acting as a barrier against your wellness goals. More specifically, a spike in white cells caused by an allergy can have a pro-inflammatory and proalgesic mediator release. It is the interplay between these pro-algesic mediators (cytokines, histamines, and prostaglandins) and analgesic mediators that causes inflammatory pain. Left untreated, high levels of pro-algesic mediators can have a chronic inflammatory response which can develop into both short-term conditions and long-term disease. Our specialized diagnostics are used to assess these levels, helping our clinical team derive data-driven insights that can factor into your wellness strategy.

11. Micronutrient Analysis*

Although needed only in small amounts, micronutrients play a vital role in a number of key bodily functions, including: hormone production, immune function, enzymatic function, and metabolism of glucose, fatty acids, and amino acids. Micronutrients are also needed to support general cell replication and repair – two factors which are critical to fighting the effects of aging. By understanding micronutrient imbalances within your system, we can identify any risk factors that could contribute to degenerative diseases, balance deficiencies that could otherwise hinder anti-aging treatment, and gain further insights into common complaints related to specific diseases.

12. Genomic Testing*

Have you ever wondered why some people seem more susceptible to health conditions than others? Many risk factors have a lot to do with our genetics. Our comprehensive exome sequencing measures all 22,000 genes of your DNA and cross-references them with more than 100,000 health-related findings on cancer, cardiovascular disease, cognitive function, potential prescription drug complications, and various chronic diseases. In doing so, we can determine which types of treatments will be safest and most effective based on your genetic profile. Measurements of this degree outperform traditional genome sequencing tests, which only look at partial snippets of your DNA and cannot pinpoint the rare genetic mutations that 10% of Americans have [4].

13. Telomerase Testing*

man playing with son, kid with football, summer, healthy aging, telomere testing

Telomeres are an essential part of human cells that affect cellular aging. They also protect critical information of our DNA. When telomeres are abnormally short, they are linked to premature cellular aging. By understanding your percentage of short telomeres, we are able to prioritize critical lifestyle changes, as well as nutraceutical selection, to improve the telomerase enzyme for healthier, longer telomeres.

14. Genetic Inflammatory Biometric Testing*

Biometric testing sounds complex, but it can be broken down rather simply. Since “bio” refers to living things and “metrics” is simply another word for measurements, genetic inflammatory biometric testing is just a phrase that describes the measurement of your inflammatory reactions based on genetic factors. Here are three of the main testing types we use to uncover these insights:

  • KIF6: Genotype that determines if specific cardiovascular medications are useful to the individual
  • ApoE: Genotype that determines response to dietary fat
  • 9p21: Genotype that determines risk of early onset heart attack, abdominal aortic aneurysm, and total heart disease risk

15. Cardiovascular Biomarkers*

When the heart is damaged or stressed, it releases substances called cardiac biomarkers into the bloodstream. Measuring these markers can help determine whether or not there is sufficient blood flow to the heart, among other critical functions. Here are some of the biomarkers Cenegenics can test:

  • Myeloperoxidase: Potential inflammatory precursor to myocardial infarction
  • High-sensitivity C-reactive protein: Measure for systemic inflammation
  • Microalbumin:creatinine ratio: Data suggests subjects with elevated microalbumin levels have a 3x greater risk of developing heart disease [5]
    • F2-isoprostane:creatinine ratio – Gold Standard in measuring oxidative stress

Watch this video to learn more about the comprehensive evaluation:

exercise consultant, exercise physiologist, physiology, Elite Health Evaluation, DEXA Scan, reviewing results, test results, consultation, doctor’s office, DXA Scan, DXA, DEXA

Custom Designed Cenegenics Age Management Program

What Can I Expect from the Cenegenics Program?

Each patient consults with their Cenegenics physician for several hours to develop an in-depth understanding of health issues and risks based on the results of their lab and diagnostic analysis, medical history, and lifestyle assessment. The patient will then work collaboratively with their Cenegenics physician to develop an individualized, goal-oriented plan that suits their lifestyle and food and exercise preferences. All nutraceutical supplements and, if medically indicated, hormone supplementation will be prescribed by the Cenegenics physician. The patient will be closely monitored during follow-up lab analysis to ensure optimal dosages, as each patient’s body will absorb supplements at different rates, and adjustments can be made to reach optimal levels.

The Cenegenics Difference: Personalized Care

Each patient is different, and that is why a “one-size-fits-all” or “take this supplement” approach will routinely fail. Some patients prefer playing tennis over going to the gym to work out, for instance. For these individuals, we custom-design exercise programs to supplement tennis playing. This maximizes efforts and eliminates redundancies, thereby delivering a comprehensive result for healthy aging.

Likewise, nutrition is highly complex and medically different for each individual (we’ll explore this in greater detail in an upcoming section). There is no such thing as a patient who eats a “perfect” diet.

With this in mind, the Cenegenics team works with patients to develop a customized nutrition plan that works for them which they can implement with ease into their lifestyle. Many of our patients are busy executives who travel often and do not have optimal food choices available, so we create a workable system. One simple Cenegenics weight loss tactic is to swap a starch for two sides of vegetables when dining out. Of course, this is just one example to showcase the level of personalization each patient receives when pursuing their wellness journey; there are many more physician-approved weight loss strategies that can be leveraged by individuals across all circumstances. These strategies can also be coupled with tactics like individualized fitness programs and nutraceuticals, if needed.

Cenegenics Weight Loss Programs: Better Understanding the Role of Nutrition and Exercise

ginger, lemons, kale, oranges, cranberries, fruits, veggies, vegetables, healthy eating, nutrition

Nutrition and exercise are integral components of our robust age management programs. Here, we’ll take a look at why Cenegenics gets results when other weight loss alternatives you may have tried fell short.

Nutrition & Weight Loss Programs: More than Just Calories 

Nutrition is a very important modifiable element in aging well. It sounds simple but it is not. Nutrition is a complex, polyvalent system encompassing an interplay of hormones, genomics, hedonics, energy balance, and macronutrients. Understandably, it can become very overwhelming for an individual to conceptualize the relationship between all of these moving parts, and how mastering this balance can help them lose weight.

The nutritional prescription, therefore, should be written like any other treatment for conditions such as heart disease or diabetes: based on individual needs analysis. The interplay referred to above is patient-specific, and the nutrition plan must recognize this. By carefully reviewing the nutrition-related biomarkers via blood and genomic testing, Cenegenics prioritizes which markers are playing the most detrimental role in your health, and then develops a plan of attack based on these factors.

In some individuals, for example, carbohydrate metabolism and the ability to utilize the body’s primary source of fuel can decline over many years. In certain cases, this could be a result of poor nutritional choices. Others may learn that they have genetic markers that prevent them from breaking down seemingly healthy foods appropriately, and instead their bodies respond via inflammation. Identifying these issues and developing a nutritional strategy that progresses and changes as the individual reduces their risk factors and becomes healthier is critical to long-term success.

Lose Weight & Tone with the Cenegenics Approach to Exercise

Now, let’s talk about exercise. Unfortunately, it’s impossible to exercise your way to significant fat reductions alone. However, when combined with an optimized eating program, exercise is key to aging well. Like diet, exercise must be patient-specific, comprising the proper mix of aerobic, resistance, flexibility, and balance training.

Too often, we get caught in the moment, seeking short-term solutions on how to lose weight quickly. We may succumb to fitness and exercise trends that are promoted in magazines, on television, and across social media. These programs are often presented as fail-proof and as the “ideal” form of exercise. Oftentimes, the lack of results that eventually ensues can create a perpetual sense of failure.

It is therefore critically important to understand that there is no “one-size-fits-all” approach to exercise, either. However, by incorporating metabolic testing and measuring the body’s ability to deliver oxygen to all of its working muscles, Cenegenics identifies your body’s most ideal starting point and pushes you to the appropriate intensities that you are physically capable of achieving, while also allowing for sufficient recovery. The use of scientific, evidence-based exercise allows you to see results from month-to-month, building your confidence and motivation while preventing injury.

A Pillar of Cenegenics Success: Close Monitoring and Consultation

While the evidence-based science and the experience of Cenegenics physicians remains unmatched, another key difference of the Cenegenics program that delivers results for our patients is our close monitoring and consultation. Patients receive unlimited consultations with their full Cenegenics clinical team, including a Cenegenics age management doctor and clinical specialists in nutrition and exercise.

New patients often engage in a weekly dialogue with their clinical team to discuss progress, experience, and how they are feeling so modifications can be made, as needed, to optimize the program. The Cenegenics physician will prescribe ongoing lab work to closely monitor the body’s response to the custom-prescribed nutraceuticals and hormone supplementation, if needed, and make adjustments accordingly.

Patients will have an annual reevaluation so that we can closely monitor and manage their progress towards their healthy aging goals and identify any emerging risk factors for proactive intervention.

Does Cenegenics Work?

Proven Results 

Cenegenics has had over 35,000 patients on its programs. We are highly trusted within the medical community, as 25% of our patients are physicians and their families.

Based on an internal study, our average patient reduced their body fat index by 30% in the first year on the Cenegenics program**.

You can see what our patients are saying about their Cenegenics experience:

Cenegenics – Patient Testimonial – Look at the ResultsAnthony Maffei, MD, FACS, Cenegenics Patient

Anthony Maffei, Dr. Maffei, Cenegenics Patient, Cenegenics Patient Review, patient review, program results

Cenegenics – Patient TestimonialJonny Bowden, PhD, CNS, Cenegenics Patient

Jonny Bowden, Dr. Bowden, Cenegenics Patient, Cenegenics Patient Review, patient review, program results

Are You Ready to Live a Healthier, More Active Life?

Register for your complimentary phone consultation.

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

About the Senior Cenegenics Physician, Dr. Leake

Dr. Jeffrey P. Leake, Dr. Leake, Cenegenics Physician, Cenegenics Director of Education, Cenegenics Partner

Dr. Leake, a board-certified anesthesiologist, educated at Ohio State University, held a 23-year tenure at Washington’s Harrison Medical Center Bremerton as Chief of Anesthesiology and Medical Director of Surgical Services.

An expert in nutrition and physiology, Dr. Jeffrey Park Leake has long been known for guiding patients in a preventive health approach. As course instructor for the Age Management Medicine Education Foundation (AMMEF), he demonstrates the established Cenegenics model for achieving optimal health and youthful aging.

He is a certified personal trainer and avidly pursues backcountry/extreme skiing, equestrian sports, weight, plyometric and yoga training. He is a member of the Endocrine Society, North American Menopause Society, International Menopause Society, American College of Sports Medicine, American Society for Nutrition and the National Strength and Conditioning Association.

He is the author of the Textbook of Age Management Medicine and was the recipient of the Alan P. Mintz Award for Excellence in Age Management Medicine in 2015.

*Available at additional charge

**Based on internal study of the last 200 Cenegenics patients completing their first annual re-evaluation, the average body fat percentage declined 30% from the initial extensive evaluation when joining the Cenegenics program.

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

Available for purchase here

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

Available for purchase here

Textbook Authors:

Jeffrey Park Leake, M.D., CPT

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

Todd David Greenberg, M.D., CSCS

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

Additional Information

What is Cenegenics?

What is Age Management Medicine?

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

Anti-Aging vs. Age Management

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

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

Weight Loss on the Cenegenics Age Management Program

Nutrition for Weight Loss

Weight Loss: Role of Exercise


[1] American Family Physician,, 2018.

[2] Centers for Disease Control,, 2018.

[3] Deformation Field Morphometry Reveals Age-Related Structural Differences between the Brains of Adults up to 51 years, The Journal of Neuroscience, 2008.

[4] Global Genes®,, 2015.

[5] Urinary albumin excretion in a population based sample of 1011 middle aged non-diabetic subjects, Scandinavian Journal of Clinical and Laboratory Investigation, 1993.

Patients meet with the Cenegenics physician during the Elite Health Evaluation, Consultations with the physician and clinical staff are including in the Cenegenics Cost, How much does Cenegenics cost is a commonly asked question and is something you can discuss with your physician as it varies by center location

What Does Cenegenics Cost?

Article at a Glance

  • The cost of Cenegenics varies by location, but we encourage you to ask about promotional discounts when you receive your free complimentary phone consultation.
  • The Cenegenics cost includes your initial Elite Health Evaluation which starts with a comprehensive lab panel, and the Gold Standard of diagnostic testing including: DEXA & body composition scan, VO2 Max testing, CIMT test, neuro-cognitive assessment, exercise and nutrition assessment, and your physician consultation.
  • Specialized testing such as telomere, food allergy, and genomic testing is also available at Cenegenics.

While executive health exams at high quality medical institutions are around $5,000 or more, the initial Cenegenics Elite Health Evaluation is less than that despite being the Gold Standard in extensive diagnostic testing and more focused on true preventive and not only disease testing. Cenegenics offers the Elite Health Evaluation starting at $4,495, although costs can vary by location. We do encourage you to ask about any promotional discounts, which may be available.

These costs are all-inclusive. The Elite Health Evaluation includes a comprehensive lab panel taken at your home or office with a phlebotomist, DXA scan to determine your body composition and bone density, VO2 Max testing to measure cardiopulmonary efficiency, CIMT scan to measure the health of your arteries, and other state-of-the-art testing. Cenegenics offers both Elite Health Evaluations for Men and Elite Health Evaluations for Women.

Elite Health Evaluation – Gold Standard Diagnostics

Cenegenics strives to provide superior healthcare by incorporating hormone optimization (when clinically indicated) harmoniously with appropriate exercise, nutrition, and supplementation in customized programs. Cenegenics relies on the science of age management medicine to help identify and meet criteria, which places you in the lowest possible risk category for disease — particularly heart disease, cancer, stroke, diabetes, metabolic syndrome and Alzheimer’s disease — and thereby extending your health span. In order to build your customized program, we start with your initial evaluation.

Comprehensive Lab Panel

The comprehensive lab panel is a state of the art chemistry panel and complete blood count that is the most extensive in the industry. Includes readings on 88 markers, many of which are not included in standard annual physicals. Our comprehensive lab panel is taken at your home or office, at your convenience. Comprehensive labs, such as this, are necessary for the detecting critical changes in your body before they manifest into chronic diseases such as heart disease, cancer, diabetes or worse. By monitoring markers within hormones, decisive steps to enhance your quality of life to decrease body fat, increase muscle tone, increase physical & sexual vitality, improve mental sharpness, improve sleep quality and decrease the risk of age-related diseases.

DEXA & Body Composition Scan

DEXA scan measuring body fat and bone density included in cost of Cenegenics, DEXA giving accurate scan of body composition included in Cenegenics cost

The DEXA Scan is a test that measures total body fat and includes the exact breakdown of bone density, fat tissue, and muscle mass in the body. DEXA is significant more accurate than BMI and hydrostatic weighing. This body composition scan gives you the information necessary to lose stubborn body fat, build more lean muscle, identify health risks, as well as track your physiological response to your nutrition plan and fitness plan.

VO2 Max Cardiovascular Testing

VO2 Max Test measuring cardiovascular endurance and is included in the Cenegenics cost, exercise physiologist testing patients cardio endurance

VO2 Max Testing is a measurement of the maximum amount of oxygen that an individual can utilize during intense exercise to determine aerobic fitness level and heart rate training zones. This measurement is generally considered the best indicator of cardiovascular health and aerobic endurance, and can help shape your exercise plan.

Carotid Intima-Media Scan (CIMT)

Testing patient for risk of heart attack and stroke using CIMT, patient receiving carotid ultrasound during health evaluation is included in Cenegenics cost

Carotid Intima-Media Scan (CIMT) is a specialized ultrasound of the carotid arteries and is used as a preventive measure against heart attack and stroke. The carotid artery transports blood from your heart to your brain. As thickening occurs in the arteries, plaque can silently build up over years, and often the first symptom a person may experience is heart attack. Physicians are able to provide nutrition and lifestyle recommendations, or suggestions for further action depending upon the state of your carotid arteries.

Neuro-Cognitive Assessment

The neuro-cognitive assessment is a comprehensive evaluation of a patient’s cognitive status by specific neurologic domains, i.e. memory, attention, problem solving, language, visuospatial, processing speed motor, and emotion.

Nutrition & Exercise

During the initial evaluation, you will spend time discussing your current exercise & dietary habits in order to determine personal goals which can be achieved with the right food choices and exercise programs, allowing for optimum physical health.

Physician Consultation

During your consultation your Age Management Medicine Certified Cenegenics physician will carefully evaluate and discuss the results of your extensive lab analysis, diagnostics, medical history, nutrition and exercise consultation and lifestyle. Various health and lifestyle topics will be discussed to help design the program that is right for you. Your physician will also discuss key fundamentals including: aging facts, the role of hormones in your health, andropause or menopause, nutraceutical supplementation, low glycemic nutrition, resistance training, cardiovascular exercise, and risk factors related to cardiovascular disease, stroke, Alzheimer’s, diabetes, sleep disorders, weight loss, bone density (osteoporosis and osteopenia), depression, libido/sexual drive, certain cancers and cognitive function.

Specialized Testing

Depending upon your specialized interests, the following tests are also available at Cenegenics.

Heart Disease & Stroke Prevention Program

The Heart Disease & Stroke Prevention Program helps you break free of the limitations of conventional testing, and gives you a more significant, specific and accurate assessment of your cardiac health.

This program is critical for your future health if you have a family history of heart disease or stroke. It helps you avoid future events if you have had cardiovascular disease or had bypass surgery, heart attack or stroke. It is an innovative program designed by four experts in the field – a cardiovascular surgeon and three cardiologists.

Telomere Testing

telomere length helps determine cells aging, testing to determine health of cells, telomere testing is not including in your health evaluation and is not included in the Cenegenics cost

Telomere testing helps measure how well your cells are aging and gives you an opportunity to learn more about your age-related risk factors.

Telomeres provide a tip at the end of each chromosome to protect the cell. Each time the cell divides in order to replicate, the telomere of each chromosome shortens. When a cell’s telomere becomes too short – from replicating, telomere length genetics, lifestyle habits, and/or environmental factors, the cell dies. Therefore, determining telomere length is considered an exceptional biomarker to determine one’s biological vs. chronological age.

Why Get Tested?

  • Telomere Length Matters: Telomere length indicates an overall health status.
  • Inspire Change: Receive a better understanding of the lifestyle habits that impact aging.
  • Better Treatment: Allows physicians to offer a more personalized treatment plan.
  • Set a Baseline: Results are used to set a baseline and can track progress through retesting.
  • Know Where You Stand: Receive a comparison of your results to the results of others of the same demographic.

Micronutrient Testing

Micronutrient testing is a groundbreaking, patented technology at Cenegenics that provides information to help optimize your nutrients. This unique blood test proves a powerful tool in controlling your aging process – measuring specific vitamins, minerals, antioxidants and other essential micronutrients in your white blood cells to determine cellular function.

Real fact: 50% of people taking multivitamins are actually nutritionally deficient. Contributing factors include lifestyle habits (prescription drugs, smoking, alcohol consumption, and even intense exercise), age factors (i.e. lack of enzymes in the gastrointestinal tract), inability to absorb nutrients, chronic illness, and metabolic disposition. This can lead to disease over time, from cardiovascular disease, stroke, cancer, and diabetes to osteoporosis, arthritis, immune disorders and more.

Disease Risk Profile

The Disease Risk Profile provides a precise assessment of 30 individual fatty acids and 5 of the important ratios (such as the ones influencing chronic inflammatory states), as well as percent distributions of fat families, including the Omega-3 and Omega-6 fatty acids. The report of your results includes recommendations to assist in rebalancing your fatty acids for optimal health.

Maintaining a proper balance between the various families of dietary fats may be one of the most important preventative measures a person can take to reduce the likelihood of developing one of the chronic diseases of modern civilization.

Fatty acids were once thought to be nothing more than a stored form of caloric energy. Current research indicates that fatty acids are some of the most essential nutrients in the human diet, critical for cell membrane structure and function and for local “hormonal” signaling. The number of diseases whose clinical course can be improved by fatty acid therapy is huge, including inflammatory disorders, cardiovascular disease, hormonal disorders, autoimmune disorders, forms of arthritis, mental and behavioral disorders, and many cases of senile neurological degeneration.

Food Allergy Testing

Cenegenics offers an advanced food allergy test that identifies possible existing allergies from 93 different foods. These results will help you and your nutrition and exercise counselor better customize a nutrition plan, usually minimizing or even eliminating these foods altogether. This can bring about major improvements in many symptoms and disorders triggered by food, which have now been identified through testing.

Even the perfect nutrition plan can do harm if you are not certain of the foods that can make you ill. Food allergies can cause immune system reactions ranging from runny nose to life-threatening anaphylaxis.

Some of the symptoms that may dissipate with a shift in diet, which eliminates foods that may be causing your chief complaints include:

  • acne, eczema, rashes
  • anxiety
  • autism spectrum disorders
  • candidiasis
  • chronic fatigue
  • chronic infections
  • depression
  • fibromyalgia
  • irritable bowel syndrome
  • leaky gut syndrome
  • migraines
  • movement disorders
  • multiple sclerosis
  • OCD
  • rheumatoid arthritis
  • seizures

Genomic Testing

“Genomic Testing available at Cenegenics, genome analysis can reveal risk of disease, genomic testing is not included in the Elite Health Evaluation and is in addition to the Cenegenics Cost of your Elite Health Program

Cenegenics has partnered with New Amsterdam Genomics (NAG), the world leader in DNA analysis, to provide this state-of-the-art DNA analysis using whole exome sequencing that allows us to contextualize the results and determine the next steps to take towards optimal health.

NAG testing analyzes all 22,000 genes to help identify specific medical issues as well as understand any broader implications related to them. NAG differs from similar programs like 23andMe because NAG uses advanced technology including exome sequencing, whereas 23andMe uses genotyping and only looks at common variants and mutations. NAG is more extensive and thus capable of identifying your risk for disease as well as traits that you do not exhibit but may affect your children in the future.

Your Genome Can Reveal:

  • Pharmacogenomics (optimized medication selection and dosing)
  • Risks for thousands of diseases (e.g. cancer, diabetes, heart disease, etc.)
  • Diet, exercise, and lifestyle recommendations
  • Traits in your DNA you don’t exhibit, but may affect your children
  • Unique features you weren’t aware of
  • Your ancestry

Patient Comment on “How Much Does Cenegenics Cost”

“Don’t confuse Cenegenics with the dozens of hormone-alternative clinics springing up in strip malls all over the country. I’m sorry to tell you that those anti-aging clinics are to Cenegenics what McDonald’s is to the Four Seasons. Cenegenics has a rock-solid track record-20 years of experience with over 35,000 patients. Doctors come from all over the country to get certified in age-management medicine by the non-profit Cenegenics Education and Research Foundation. In a very real sense, Cenegenics wrote the proverbial book on how to do this stuff the right and responsible way. As a doctor friend of mine once joked, don’t shop for bargains in parachutes, scuba diving equipment, or hormone replacement programs.”

~Jonny Bowden, PhD, CNS – Cenegenics Las Vegas Patient

Read the full article by Jonny Bowden featured in Jet Set Magazine

Cost of Cenegenics Elite Health Evaluation – In Conclusion

The cost of Cenegenics Elite Health evaluation is significantly less than other executive health exams at high quality medical institutions, which are often priced over $5,000. The cost of the Cenegenics Elite Health Evaluation varies by center but is always less than that despite being cutting edge diagnostic testing focused on true preventive medicine, not only disease testing.

These costs are all inclusive. The Elite initial evaluation includes a comprehensive lab panel, DXA scan, VO2 Max Test, CIMT, and other state-of-the-art testing, as well as a consultation with a nutrition and exercise expert and your age management medicine trained Cenegenics physicians. Invest in your health today!

Please see the links below for more information on our Elite Health Evaluation and Cenegenics.

How to Schedule Your Elite Health Evaluation

Register for your complimentary phone consultation.

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

Additional Information about the Cenegenics Elite Health Programs

What is Cenegenics?

What is Age Management Medicine?

Defy Your Age With Cenegenics 

What is Testosterone Replacement Therapy (TRT)?

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