hormone replacement therapy

Improve Erectile Dysfunction with Natural Low Testosterone Treatment

SottoPelle® twice-a-year low testosterone treatment, enables men suffering from Low T to enhance their sexual drive and performance, improve their overall energy, and help prevent against dangerous health disorders such as cardiovascular disease, high blood pressure, diabetes, and more.

Testosterone Therapy: Help For Men With Low T & Weight Issues

Obesity is a problem for 70 million adults in the United States including 54 million men. But while we know that obesity raises our risk of diabetes, cardiovascular disease, cancer and more, for men it is also linked to hormone deficiency.

Bottom line: many men who are obese might also have low testosterone (T).

Looked at closely, it appears to be a case of the chicken and the egg. Testosterone deficiency causes men to gain fat and lose lean muscle mass. Insulin resistance caused by obesity lowers testosterone levels. As those two forces feed each other, the result is a man who is overweight and getting bigger, is unmotivated to lose the weight, and if he does try, has very little success.

If you know someone like this, testosterone pellet therapy could be the answer.

The numbers support this. A 2007 study of men ages 40 and up found that each one-point increase in BMI coincided with a 2% decrease in testosterone. A 2008 study of men ages 30 and up found that a four-inch increase in waist circumference increased a man’s odds of having low testosterone by 75%. Waist size was the strongest predictor of developing symptoms of testosterone deficiency. Australian research suggests that one in every seven obese men could benefit from testosterone replacement.1

By raising testosterone to proper levels with the help of pellets & SottoPelle’s bioidentical hormone replacement therapy, patients report signs that the vicious cycle of obesity and low T are lowered.

Fit mature man smiling while standing in a gym lifting heavy weights during a workout session

How can healthy levels of testosterone help men lose weight and keep it off?

  • Healthy testosterone levels help men build lean muscle mass
  • Healthy testosterone levels help men burn fat more effectively.
  • Healthy testosterone levels help improve mood and make men feel more motivated, competitive and excited about life in general.

It’s not just anecdotal, either. According to Endocrine News, a study presented at ENDO 2019 showed that long-term testosterone therapy in men with obesity and hypogonadism contributed to prolonged weight loss without added risks. In fact, losing the weight and being healthier as a result actually lowered their risk of mortality and major adverse cardiovascular events.

Not only that, but even though patients in the study were always counseled on exercise and nutrition, it was only once they had begun testosterone therapy that they began to follow the recommendations and even ask for more!

It appears that testosterone replacement therapy knocked them out of the vicious cycle of low T and weight gain into a healthier feedback loop of weight loss, physical activity and motivation.

That’s great news! Here’s more:

Over the ten years of the study, the men who received testosterone lost over 20% of their baseline weight, their waist circumference dropped by almost five whole inches, and their BMI decreased by over seven kg/m2. The control group (who received no testosterone) gained in all three measurements.2

Now that you know the link between obesity and low testosterone, what can you do?

First you need to find out if low testosterone may be fueling your inability to lose weight and stay healthy.

Make an appointment with a SottoPelle practitioner to find out if you are a candidate for bioidentical hormone replacement and break the vicious cycle!

References:

  1. Harvard Health Publishing. “Obesity: Unhealthy and Unmanly.” Harvard Health, Harvard Health Publishing: Harvard Medical School, Mar. 2011, www.health.harvard.edu/mens-health/obesity-unhealthy-and-unmanly.
  2. Bagley, Derek. “The Long Haul: Treating Men with Obesity with Testosterone.” Endocrine News: Endocrine Society, June 24, 2019, https://endocrinenews.endocrine.org/the-long-haul-treating-men-with-obesity-with-testosterone/

Hormone Replacement Therapy – Are You Man Enough?

As a man, sometimes seeking help for a problem can be overwhelmingly difficult. Men are taught and expected to be self-sufficient, strong, problem solvers. They are supposed to do the heavy lifting, to fix broken things, to be “the rock.”

They aren’t supposed to ask for directions. Or help.

They shouldn’t need a doctor. They shouldn’t need anybody.

But that’s not true.

Sometimes men do need help, and guys, if you are experiencing the symptoms of hormone imbalance due to low testosterone levels, this isn’t something you’re going to be able to fix on your own.

See, testosterone is the hormone that makes men men. Its why men have more muscle mass than women. It’s important for bone health and strength. As a sex hormone, it’s responsible for sperm production and plays a major role in libido.

And while it may get a bad rap, being accused of making men violent, aggressive, Type A or sexually promiscuous, this is simply untrue. Sensitive guys don’t have lower levels of testosterone than their macho buddies. In fact, all men need the right amount of testosterone to look and feel their best.

As men age, a gradual reduction in testosterone naturally occurs, about 1% to 2% each year with a more dramatic drop-off happening after age 45. If levels become too low, however, unpleasant symptoms can begin to manifest.

Senior man exercising at gym.

Some signs you may have low testosterone include:

  • Loss of body and facial hair
  • Inability to build and keep muscle mass
  • Low libido
  • Erectile dysfunction
  • Increased breast size (gynecomastia)
  • Brittle bones/bone fractures
  • Dry skin
  • Diabetes
  • Anxiety
  • Headaches
  • Irritability
  • Poor concentration
  • Weakness and fatigue
  • Depression

Low testosterone levels may also increase your cardiovascular risk and levels of bad cholesterol.

The good news is there is a safe, effective treatment for hormone imbalance in men available in the form of SottoPelle pellet therapy!

Through simple blood testing, your testosterone levels are assessed, and our doctors can recommend the right amount of testosterone for your needs. Unlike the gels or injections, you might get at your general practitioner’s office, SottoPelle’s therapy consists of tiny implants compounded from natural, bioidentical testosterone that is indistinguishable from the testosterone your body itself makes. Not only that, but the pellets are tailor-made to fit your specific needs– something you won’t get from synthetic gels or injections.

Our male patients are surprised how much more vital and balanced they feel when their hormone levels are where they should be (you can see some of their testimonials here). They feel strong and energized again. Their sex life is back to where they want it to be. They feel more clear-headed, less anxious, with an improved mood. In short, they feel like the men they want to be again.

And so can you.

Take the plunge and call a SottoPelle practitioner in your area today.

Featured Provider – Leita Harris, M.D.

Leita Harris, M.D. has been a SottoPelle® Trained Physician since May 2015 and has a thriving practice in Corona and Indian Wells, California. Her continued success treating Menopause, Andropause, and anti-aging has earned her the SottoPelle® recommendation and positive patient reviews in the community.

Leita Harris, M.D. is dedicated to outstanding care and proactive support for the many issues and concerns that arise as we age.

“My passion is to offer women and men options to optimize their health and overall sense of well-being. We are all aging and I like to encourage people to age well! Restoring hormonal balance with pellets has an amazing way of restoring life to those who have unnecessarily, and unknowingly accepted symptoms related to deficiency as the way to live the rest of their lives. It is very rewarding to see lives and relationships change for the better!” states Leita Harris, M.D.

SottoPelle® is proud to be associated with Leita Harris, M.D., who has been trained to understand the best practices of BHRT.” states CarolAnn Tutera, CEO of SottoPelle. “We are thrilled to have Leita Harris, M.D. as a Doctor of Note who shares our vision of best practices and quality patient care.”

Leita Harris, M.D. has the following qualifications:

– Expert gynecologist who has been caring for women since 1990.
– Offers a wide variety of wellness, health and beauty services.
– Caters to men and women struggling with hormonal imbalances.
– Provides remedies for perimenopausal and menopausal symptoms

To view additional information about Dr. Harris, or to contact the office, please visit Dr. Harris’ SottoPelle directory listing: https://www.sottopelletherapy.com/doctors/leita-harris-md/

You can visit Dr. Harris on her website and social media outlets at:
https://www.nurturingyou.com/
https://www.facebook.com/nurturingyou.drleita/

Featured Provider – Linda Evans, M.D.

Linda Evans, M.D. has been a SottoPelle Trained Physician since September 2008 and has a thriving practice in Cincinnati, Ohio. Her continued success treating Menopause, Andropause, and anti-aging has earned her the SottoPelle recommendation and positive patient reviews in the community.

Linda Evans, M.D is dedicated to outstanding care and proactive support for the many issues and concerns that arise as we age.

“SottoPelle is dedicated to training doctors like Linda Evans, M.D who practice the highest level of professionalism and patient care,” states CarolAnn Tutera, CEO of SottoPelle. “We are thrilled to have Linda Evans, M.D as a Doctor of Note who shares our vision of best practices and quality patient care.”

Linda Evans, M.D.

Linda Evans, M.D has the following qualifications:

· Board certified Obstetrician-Gynecologist and fellow in the college of Obstetricians and Gynecologists.
· Dr. Evans’ practice has grown to include a focus on the care of peri-menopausal and menopausal women.
· Expert in both hormonal and non-hormonal therapies for menopausal health.
· Dr. Evans takes the time to listen to your physical and emotional challenges and will work with you to address them.
· Dr. Evans recognizes that each patient is a totally unique individual and takes pride in providing the highest quality of healthcare possible.
· Professional organizations she is affiliated with that are specific to menopause health:
— International Society for the Study of Women’s Health
— The North American Menopause Society

Dr. Evans resides in Loveland, Ohio, and throughout the years, has volunteered for and served on various medical and community organizations and boards.

In her free time, she enjoys reading, hiking, boating, swimming, snow skiing and traveling.

To view more information about Dr. Evans or to contact the office for your BHRT appointment, please see Dr. Evans’ profile on the SottoPelle directory: https://www.sottopelletherapy.com/doctors/linda-evans-md/

Please see Dr. Evans’ Website and Social Media:

https://premierecenters.com/
https://www.facebook.com/PremiereCenterForHealthAndWellness
https://twitter.com/PremiereCenters

Dr. Evan’s Office and Contant Information:

Linda Evans, M.D
Premiere Center for Health & Wellness
8261 Cornell Road, Suite 610
Cincinnati, Ohio 45249
513-985-0950

Testosterone, Andropause and Men’s Health

Testosterone, Andropause and Men’s Health

A man’s testosterone (T) is his most vital hormone. It impacts everything from muscles, brain and sex drive, to blood, arteries, organs and glands. Take it away and his well-being goes with it. That’s why low testosterone (Low T) can be so devastating.

Andropause: Every man begins a gradual drop in hormone production around age 30. He loses approximately one to two percent a year until sometime between 40 and 50 years of age, his T levels fall sharply and signify the beginning of andropause. By age 50, most men have lost over half of their T, which can have a major impact on their health. Lifestyle changes alone aren’t sufficient to address hormonal imbalances. Therefore, it’s important for men to be aware of early symptoms and start checking their hormone levels in their 40’s with a simple blood panel – before Low T strikes.

Symptoms: Fatigue, mood swings, poor mental focus, low stamina, sleep disturbances, memory loss, depression, erectile dysfunction, irritability, decreased sex drive, anxiety, bone loss, high cholesterol, loss of muscle mass, weight gain, belly fat, and decreased sense of well-being. Studies show a link between Low T and cardiovascular risk, insulin resistance, high cholesterol and osteoporosis.

Health Benefits: Enhances energy, well-being, memory, concentration, lean body mass, muscle strength, bone density, metabolism and sexual function. Relieves depression, anxiety and fatigue. Helps maintain a healthy supply of red blood cells, cardiovascular function and a normal lipid profile.

Testosterone Replacement Therapy (TRT): There are many different forms of TRT and it’s important to distinguish between the synthetic type found in most traditional hormone replacement therapies (HRT) and natural, plant-based compounds used in bio-identical hormone replacement therapy (BHRT).  Synthetic pills, patches, gels, drops, troches, creams and injections with generic doses often contain harmful chemicals and additives that can pose serious health risks. BHRT uses natural hormones whose molecular structure contains the exact biochemical structure as the human hormone, with no side effects.

The Power of Pellets®: Delivery is key to effective TRT. Studies show that hormone pellets – about the size of a grain of rice and slipped under the skin – provide the most effective delivery system because they are monitored naturally by the body’s own heart rate for 24-7 distribution exactly when needed. This approach can restore the body to its normal physiology. Pellets last on average 5 – 6 months for men.

Dosing: Pellets work best when they are precisely dosed and individualized for each patient’s specific needs. Safe and effective TRT involves: accurate testing and analysis; bioidentical hormones, proper dosage and round the clock delivery to sustain hormone levels. Restoring T to normal, physiologic levels. means customizing the dosage to the individual and monitoring patients on a regular basis.

Beyond Andropause: Parkinson’s & Traumatic Brain Injury: A number of retired NFL players have turned to SottoPelle® for relief from a variety of issues related to brain injuries. New studies show that Low T is related to neurodegenerative conditions such as Traumatic Brain Injury (TBI), concussions, Parkinson’s disease (PD), Alzheimer’s and dementia. Since the sex hormones are also closely related to cognitive and neuromuscular function, positive results are being reported in patients with PD, TBI and PTSD.

SottoPelle® has been diagnosing andropause and treating men with Low T for over 20 years. With founder, Gino Tutera MD, being the inventor of the patented BioCalc® method of pellet dosing, SottoPelle® remains the BHRT global leader. We understand the strain that Low T can put on a man’s energy, drive and quality of life and that your body needs a steady flow of testosterone that it may not always be able to produce by itself. We use only the purest pellets and quality plant-based compounds to deliver the right amount of testosterone your body requires exactly when it needs it. This can keep you going and feeling great! Reclaim your life with SottoPelle® — helping people live longer, stronger and healthier!

Bibliography

Cattabiani C, Basaria S, Ceda GP, et al. Relationship between Testosterone deficiency and Cardiovascular risk and Mortality in Adult Men. J Endocrinol Invest. 2011 Nov 8; [PubMed]

Leung-Wing Chu, Sidney Tam, Rachel LC Wong, Ping-Yiu Yik, Youqiang Song, Bernard MY Cheung, John E Morley, Karen SL Lam. Bioavailable testosterone predicts a lower risk of Alzheimer’s Disease in older men. Journal of Alzheimer’s Disease 2010; 21 (4).

  1. Srinivas-Shankar U, Roberts SA, Connolly MJ, et al. Effects of testosterone on muscle strength, physical function, body composition, and quality of life in intermediate-frail and frail elderly men: a randomized, double-blind, placebo-controlled study. J Clin Endocrinol Metab. 2010;95:639–50. [PubMed]

Farid Saad,1,* Antonio Aversa,2 Andrea M Isidori,2 and Louis J Gooren3. Testosterone as Potential Effective Therapy in Treatment of Obesity in Men with Testosterone Deficiency: A Review. Curr Diabetes Rev. Mar 2012; 8(2): 131-143.

Moffat SD, Zonderman AB,Metter EJ,Blackman MR,Harman SM, Resnick SM. Longitudinal assessment of serum free testosterone concentration predicts memory performance and cognitive status in elderly men. J Clin Endocrinol Metab. 2002 Nov;87(11):5001-7.

Gino Tutera and R. Don Gambrell Jr. Marked reduction of breast, endometrial and ovarian cancer in users of bio-identical estradiol and testosterone subcutaneous pellets, Maturitas, 2009. Journal of Spanish Society of Anti-Aging Medicine and Longevity, Vol. 18, Sept. 2014, pp 27-33.

  1. Travison TG, Araujo AB, Kupelian V, O’Donnell AB, McKinlay JB. The relative contributions of aging, health, and lifestyle factors to serum testosterone decline in men. J Clin Endocrinol Metab. 2007;92:549
  2. Kapoor D, Goodwin E, Channer KS, Jones TH. Testosterone replacement therapy improves insulin resistance, glycaemic control, visceral adiposity and hypercholesterolaemia in hypogonadal men with type 2 diabetes. Eur J Endocrinol. 2006;154:899–906. [PubMed]
  3. Kenny AM, Fabregas G, Song C, Biskup B, Bellantonio S. Effects of testosterone on behavior, depression, and cognitive function in older men with mild cognitive loss. J Gerontol A Biol Sci Med Sci. 2004;59:75–8. [PubMed]
  4. Marin P, Holmang S, Jonsson L, et al. The effects of testosterone treatment on body composition and metabolism in middle-aged obese men. Int J Obes Relat Metab Disord. 1992;16:991–7. [PubMed]

Seidel B, Lewis T, Kucer B. The decision to provide testosterone supplementation in patients with traumatic brain injury. PM R. 2013 Nov;5(11):985-6.

Young TP, Hoaglin HM, Burke DT. The role of serum testosterone and TBI in the in-patient rehabilitation setting. Brain Inj. 2007 Jun;21(6):645-9.

  1. Emmelot-Vonk MH, Verhaar HJ, Nakhai Pour HR, et al. Effect of testosterone supplementation on functional mobility, cognition, and other parameters in older men: a randomized controlled trial. Jama. 2008;299:39–52. [PubMed]

Holland J, Bandelow S, Hogervorst E. Testosterone levels and cognition in elderly men: a review. Maturitas. 2011 Aug;69(4):322-37.

I just want you back

It’s 4am, I cant sleep.
I remember sleeping in late, but now I can’t even sleep more than a few hours. It’s funny how you take for granted people, things and even yourself.
I stumble to the bathroom and catch sight of myself in the mirror. At first, I’m startled in my sleep deprived state. I think there is someone else there – that’s not me. People once told me I was pretty now they just call me Mam.

I look in the mirror and wonder when I got old.

I have gained some weight in the last year. My mom just passed this fall after a 6 year battle with colon cancer. It’s unfortunate how old we suddenly feel when a parent passes or maybe it just brings our own mortality front and center. Either way, it’s a sad and scary time.  Then a series of life’s unfortunate events and post menopause and my former size 2 self is now 20 pounds heavier. My daughter scoffs when I complain as she is now struggling to lose 50 pounds herself.

It’s all about perspective, each person’s battle is difficult to them. The worst is not feeling healthy with this extra weight – I don’t feel like me. I have some really pretty clothes and I will  be damned if I have to buy more. Who wants to buy clothes because you can’t squeeze into your current ones ?

That’s not fun.

Midlife is filled with not fun moments for both men and women. Most people are suffering from the challenges of getting older and experiencing changes in body and mind. The key is not to change our spirit. I try to look at everything happening with a sense of humor and as a challenge. But, when you lose sight of yourself it becomes harder.

Starving yourself or crazy fad diets are not the answer. I know because I tried it – no luck.

I spent a lot of money to lose water weight and it’s just not a long term or healthy alternative.

Menopause and Andropause make it harder to do things exactly as we have always done them and reap the same results.  Change can be good if you look at as an opportunity to be a better healthier you. You have to start by getting help.  If your experiencing big changes in weight and health, check in with your doctor.

Gaining weight or feeling bad does not have to be the new you.  I found out that part of my menopause experience was suddenly out of whack hormones and thyroid.  A better diet, regular exercise and medication and I’m beginning to feel better. I’m still getting up earlier but I’m just using that time now for good and not evil. I’m not staring in the mirror at 4am examining wrinkles or grey hairs but taking the dog for a walk or writing.

By the way, taking power naps do work when needed. I’m learning that I’m still me – I’m just evolving.

Who knows, I may become a butterfly!!

What is your midlife experience and how are you dealing with it?