As part of your subscription and as medically indicated, physicians prescribe medications, and recommend supplements that are delivered to you from the comfort of your home. Everything you need to know about the holistic treatment. Research-backed tools, tactics, and techniques to maximize your health, delivered to your inbox every Monday. Dr. James R. Staheli is the Medical Director for Broad Health, Hone Health’s affiliated medical practice and a family medicine doctor in Atlanta, Georgia.
Most men notice increased quality of sleep on TRT. There can be benefit as it can support test production/levels and in a different pathway. I would first consider your current DHEA levels. Thorough documentation, regular monitoring, and clear communication among the service member, medical officers, and command are essential for navigating TRT within the armed forces.
Future prospective studies with longer follow-up will determine if such association between TRT and male breast cancer truly exists. Despite a significant increase in PSA in men receiving TRT, there were twice as many cancer recurrences in the control group after 36 months of follow-up. In the most recent study by Pastuszak et al., the authors retrospectively reviewed a cohort of 103 men who underwent prior radical prostatectomy and were treated with TRT. Recently, there has been a paradigm shift whereby TRT usage has increased despite this potential risk. At 1 year, the 23 men randomized to 250 mg of testosterone enanthate every 4 weeks reported significant improvements in IPSS and maximal urinary flow rates compared with baseline and controls. The goal of this review is to highlight the risks and summarize the current literature on safety of TRT.
Keeping those caveats in mind, in one study (2) of healthy adult males between the ages of 40 and 70, researchers observed these normal total testosterone levels. Another study found that TRT doesn’t increase the risk of prostate cancer, even after more than 15 years of treatment. Hall scheduled an appointment with a specialist, and in 2024 started testosterone replacement therapy (TRT)—receiving regular small doses of the hormone that’s almost synonymous with male health. Because prostate cancer is so common, doctors tend to be leery of prescribing testosterone to men who may be at higher than average risk of having undiagnosed prostate cancer. Testosterone therapy does not appear to increase the risk of prostate cancer, but it can stimulate the growth of prostate cancer cells. Some men and women experience immediate side effects of testosterone treatment, such as acne, disturbed breathing while sleeping, breast swelling or tenderness, or swelling in the ankles.
Most men experiencing low energy, reduced performance, low libido, weight challenges, or hormone imbalance symptoms qualify for customized treatment. A men’s health clinic focuses on treatments designed specifically for men, including testosterone optimization, weight loss, sexual wellness, vitamins and peptides. Sermorelin stimulates your body’s natural growth hormone production, supporting lean muscle, enhanced recovery, improved sleep and greater vitality. GLP-1 therapy supports appetite regulation and blood sugar control to help men achieve steady, sustainable weight loss and improved metabolic health. Ideal for men who want to reclaim hormone balance without traditional testosterone injections, this protocol supports libido, sperm health and vitality through guided care. It's best to measure free testosterone levels in the morning.
Testosterone levels in men can vary widely, though they generally decline in men after the age of 35 says McDevitt. The average male who reaches 70 years old will have testosterone production that’s 30 percent below his peak (5). But if you’re 50 and doing triathlons, you’ll need higher levels."
McDevitt says she sees older men who live a healthy lifestyle in their fifties who have the testosterone levels of a man in his thirties. A combination of age, genetics, and pre-existing medical conditions determines your testosterone levels. But determining normal testosterone levels by age?
Any man who has a comorbidity that precludes TRT should be informed of all risks. The Baltimore Longitudinal Study of Aging reported the incidence of hypogonadism as 20% in men over 60 years of age, 30% in men over 70 years and 50% in men over 80 years of age. Testosterone has many beneficial effects, including increasing bone strength and density, inducing hematopoiesis, driving sexual function and libido, providing a cardioprotective effect and increasing muscle strength. Men on TRT should be monitored for side-effects such as polycythemia, peripheral edema, cardiac and hepatic dysfunction. The benefits seen with TRT, such as increased libido and energy level, beneficial effects on bone density, strength and muscle as well as cardioprotective effects, have been well-documented.