|
|
|
|
|
|
PMP
by Bert - 02/27/2025 1:22 PM
|
|
|
Posts: 1,023
Joined: February 2011
|
|
#51824
02/08/2013 3:49 PM
|
Joined: Apr 2010
Posts: 520
Member
|
OP
Member
Joined: Apr 2010
Posts: 520 |
Anyone on here in Dallas, indy, cincy, columbus, san antonio, denver, nashville, KC, houston and have you heard of the "LowT" centers for men with low testosterone?
Thoughts?
THanks
|
|
|
|
Joined: Nov 2012
Posts: 25
Member
|
Member
Joined: Nov 2012
Posts: 25 |
Ketan,
I'm in KC. I'll look around. Are they a chain like Bosley hair?
TIA,
Dr. James Webb Solo Practice FP KC, MO
|
|
|
|
Joined: Apr 2010
Posts: 520
Member
|
OP
Member
Joined: Apr 2010
Posts: 520 |
They started in dallas area...and they are spreading...22 clinics...MD's are directors and PA's do work. Seeing if they are legit...
|
|
|
|
Joined: Dec 2010
Posts: 463
Member
|
Member
Joined: Dec 2010
Posts: 463 |
Dear Ketan: From what I understand the whole "low T" thing is a scam. Lots of men are being treated just because they have a slightly low testosterone level. Big Pharma has been pushing this--we've all seen the ads. Low testosterone levels are a normal function of aging, obesity, and other factors. A lab test alone does not clinch a diagnosis of androgen deficiency. The Endocrine Society issued some excellent guidelines on this issue in 2010: http://www.endo-society.org/guidelines/final/upload/FINAL-Androgens-in-Men-Standalone.pdfJohn
John Howland, M.D. Family doc, Massachusetts
|
|
|
|
Joined: Oct 2011
Posts: 1,612
Member
|
Member
Joined: Oct 2011
Posts: 1,612 |
MKSAP 16 8AM total testosterone --if greater than 350 ng/dl excludes hypogonadism, if less than 200 ng/dl, a second confirmatory measurement should be obtained, if 200-350 ng/dl then check a serum free testosterone level.
then check for secondary or primary hypoganadism if confirmed.
jimmie internal medicine gab.com/jimmievanagon
|
|
|
|
Joined: Mar 2011
Posts: 837 Likes: 10
Member
|
Member
Joined: Mar 2011
Posts: 837 Likes: 10 |
Testosterone over age 65 only useful to promote heart disease and prostate cancer. Who are these people kidding?
Tom Duncan Family Practice Astoria OR
|
|
|
|
Joined: Apr 2010
Posts: 1,546 Likes: 1
Member
|
Member
Joined: Apr 2010
Posts: 1,546 Likes: 1 |
The part of these scams I really don't get is the MD participation. All that time spent in training, and it is somehow attractive to prostitute yourself for a few bucks? I kind of understand hawking nonsense if all you have invested is a GED or a degree from a diploma mill, but not after all we went through.
David Grauman MD Department of Medicine Commonwealth Health Center Saipan, Northern Mariana Islands
|
|
|
|
Joined: Oct 2011
Posts: 1,612
Member
|
Member
Joined: Oct 2011
Posts: 1,612 |
jimmie internal medicine gab.com/jimmievanagon
|
|
|
|
Joined: Feb 2011
Posts: 1,023 Likes: 5
Member
|
Member
Joined: Feb 2011
Posts: 1,023 Likes: 5 |
jimmie,
It is your duty to medicine, and mankind in general, to research this personally!
Perhaps obtain a testosterone level pre and post festival?
Sorry.....
Gene
Gene Nallin MD solo family practice with one PA Cumberland, Md
|
|
|
|
Joined: Oct 2011
Posts: 1,612
Member
|
Member
Joined: Oct 2011
Posts: 1,612 |
Gene,
I will gladly volunteer you for this experiment since I hate needles, but a new parameter for measurement of the total testosterone will need to be instituted for the MKSAP17. Greater than 900 ng/dl confirms hypergonadism, on par with the bull elephant seal.
jimmie internal medicine gab.com/jimmievanagon
|
|
|
|
Joined: Feb 2006
Posts: 1,674
Member
|
Member
Joined: Feb 2006
Posts: 1,674 |
OK, I simply CAN'T Resist many of the stupid and silly things floating thru my sick mind while reading this thread, no less the link to Bull Balls Festival. Like WTF? So now you have all been warned to walk away click to another thread and make sure the kiddies are not reading (probably not quite that bad but just in case....) The Balls of these People, Really!
1) Number One Song played over the PA at the Festival: "Big Balls" by AC/DC. If you haven't heard this little silly diddy do yourself a favor, have a glass of wine or a beer and take a listen, it's a silly hoot. Second Runner Up: "Balls to the Walls" by Accept
2)Co-Hosts of the Event: Recently Deceased Host of the Westminster Kennel Dog Show Actor and retired Detroit Lion: Alex Karis in his role as "Mongo" and Mel Brooks as the Gov from Blazing Saddles.
3)Favorite Campfire Song: "The Little Town of Rock Ridge".... "we must admit this said conclusion... our little town is turning into Sheeeeeet".
4) Number One Rated Event: Bull Testicle Roping Contest. OUCH!!! Don't stand too close to the stockades because both the Humans and the Bulls have been known to charge the gates for numerous reasons. Fun For All.
5) Yeah the old saying used to be: "Ah the great wild west... where men were men and "Sheep" were restless..." But here we do it Bigger and Meaner.... Even our Bulls are Scared $#!Tless.
Mind is failing but I'm sure as I let this marinade in its own juices for awhile, I'm sure I'll come with some other stupid ideas to include....
"Some Balls are held for Charity, some Balls for Fancy Dress, but the ones that are Held for Pleasure, they're the Balls that I like Best.... My Balls are always bouncing to the left and to the right; its my belief that my Big Balls should be held Every Night!"
Later....
"Beware of the Medical Industrial Complex" "The Insurance Industry is a Legalized CARTEL"
|
|
|
|
Joined: Jan 2010
Posts: 1,128
Member
|
Member
Joined: Jan 2010
Posts: 1,128 |
One patient was a man in his 30's with ED. All his endocrine tests checked out normal except a significantly low testosterone. With a patch, he was immediately able to have erections, his libido increased, his mood corrected, and he is now extremely fit and happy, and grateful.
Chris Living the Dream in Alaska
|
|
|
|
Joined: Oct 2011
Posts: 1,612
Member
|
Member
Joined: Oct 2011
Posts: 1,612 |
Ketan, We don't have any of the Low T centers around here, the closest one is Denver.
Chris, I have been trying to find the incidence of true hypogonadism, primary or secondary in up to date, and unable to find any pertinent #'s. I agree, there are patients that benefit from replacement, however, until Ketan had asked the question about these centers I had no idea they even existed. What is the prevalence of true hypogonadism and is it high enough to sustain these centers, and will there be a tendency to overtreat?
Paul, I apologize for offending your delicate nature.
jimmie internal medicine gab.com/jimmievanagon
|
|
|
|
Joined: Mar 2011
Posts: 837 Likes: 10
Member
|
Member
Joined: Mar 2011
Posts: 837 Likes: 10 |
One patient was a man in his 30's with ED. All his endocrine tests checked out normal except a significantly low testosterone. With a patch, he was immediately able to have erections, his libido increased, his mood corrected, and he is now extremely fit and happy, and grateful. That's fine, but rather unusual. These patches are being sold to men in late 60's and 70's, or even later. And paid for by insurance, even when birth control pills are not.
Tom Duncan Family Practice Astoria OR
|
|
|
|
Joined: May 2008
Posts: 61
Member
|
Member
Joined: May 2008
Posts: 61 |
Chris,
How low was "significantly low"? I Rx testosterone to a few men and they certainly see an improvement in their quality of life. Most are 50+ in age.
In my readings there is starting to be some evidence that maintaining testosterone levels in middle age and beyond may reduce diabetes and heart disease with no significant increase in prostate cancer rates. Of course, the first level of treatment should be improving lifestyle factors (optimal body composition, fitness, alcohol, sleep etc).
I once read that there was more literature on using testosterone in women than there is in using in in men. Don't know how true that really is.
|
|
|
|
Joined: Oct 2011
Posts: 1,612
Member
|
Member
Joined: Oct 2011
Posts: 1,612 |
According to a graph in up to date I found the following info regarding low total testosterone levels in men--defined as at least one total testosterone below 325ng/dl age 60-69--20% of men age 70-79--30% """"" age 80+----50% """""
And the % free testosterone is just about double the total testosterone percent in men in their respective age brackets.
According to the Board Basic 3 for MKSAP16--"treating men greater than 60 years of age with no identifiable pituitary or hypothathalamic disease with testosterone is controversial."
jimmie internal medicine gab.com/jimmievanagon
|
|
|
|
Joined: Mar 2011
Posts: 837 Likes: 10
Member
|
Member
Joined: Mar 2011
Posts: 837 Likes: 10 |
I am 70 and well into the natural testosterone decline, but I feel just fine. We have been here before with females -- and of course, there is a far more precipitous decline in female trophic hormones: During the 1940s and 1950s estrogen became a popular prescription for the symptoms of menopause. The book Feminine Forever, written by Robert Wilson, described in graphic detail how the lack of estrogen at menopause led inevitably to the shriveling of a woman?s body. Premain was introduced in 1949. It became the synthetic estrogen replacement hormone doctors would prescribe. By the time the 1970s arrived it became apparent that just taking estrogen alone caused the build up of the endometrial lining of the uterus, thus causing Uterine Cancer. Progestin (Provera) reduced this risk so physicians recommended a combination of both hormones. Wyeth-Ayerst maker of Prempro (an estrogen and progestin combination)) did study after study that supported estrogen?s role in keeping the cardiovascular system healthy. It was shown to lower LDL cholesterol. Since heart disease was emerging as the number 1 killer of women this made sales of Prempro hit an all-time high. (Murray, 1995: 110-111)
But once again doubts began to surface. This time multiple studies began to support an incontrovertible link between estrogen supplementation and breast cancer. This should not have been a surprise since estrogen is well known to stimulate the growth of estrogen-sensitive tissue, like that in the breast and uterus. In addition, a number of large studies challenged the heart-protection theory. Until the most recent findings from the study done by the Woman?s Health Initiative, doctors had strongly supported Prempro. However, now women and their doctor?s are left to question which is the best therapy for their symptoms of menopause. http://www.sonomahealth.com/hormone.htmlI guess we will just have to re-invent the wheel.
Tom Duncan Family Practice Astoria OR
|
|
|
0 members (),
94
guests, and
30
robots. |
Key:
Admin,
Global Mod,
Mod
|
|
|
|