Battu à domicile par le FC Nantes (1-2) vendredi en Ligue 1, Strasbourg a reçu les sifflets de la Meinau. Au-delà du contenu décevant de la rencontre, les supporters alsaciens ciblent le projet de la nouvelle direction, également pointée du doigt par l’entraîneur Patrick Vieira.
Réputé pour sa ferveur en toutes circonstances, le public de la Meinau se retourne très rarement contre son équipe. C’est pourtant le scénario vécu vendredi soir.
Men Over 50, Read THIS Before Using TRT Testosterone Therapy
Section 1: History
Testosterone Replacement Therapy (TRT) has evolved significantly since its
inception in the early 20th century. Originally developed for individuals with severe testosterone deficiencies,
TRT gained traction in the 1930s and 1940s as a treatment
for various conditions, including infertility and hypogonadism.
Over time, its applications expanded to include age-related declines in testosterone levels, particularly in men over 50.
While early use of TRT was often controversial, due to
concerns about eugenic practices and the potential for misuse, it has since become a more widely
accepted medical intervention when prescribed appropriately.
Section 2: The Present Consensus
Today, TRT is considered a viable treatment option for men with
abnormally low testosterone levels, as defined by diagnostic criteria.
These criteria include low bioavailable testosterone levels,
which can be measured through blood tests. Beyond just addressing
hypogonadism, TRT is also used to counteract the natural decline in testosterone that occurs with
aging, often improving symptoms like muscle
loss, bone density reduction, and sexual dysfunction.
Who Is an Appropriate Candidate?
Men over 50 considering TRT should consult with their healthcare provider
to determine if their testosterone levels fall outside
the normal range. While lower testosterone is a natural part of
aging, significant declines may warrant intervention. However,
it’s important to differentiate between men with genuinely low testosterone and
those experiencing age-related dips, as the latter may not
necessarily require treatment.
What If Testosterone Levels Aren’t Abnormally Low?
If test results show normal or high testosterone levels, TRT is not
recommended. In such cases, lifestyle modifications, dietary adjustments,
and exercise programs are often more effective for addressing age-related declines.
Additionally, psychological factors like depression or metabolic conditions
may contribute to symptoms that mimic those of low testosterone.
Risks of Testosterone Therapy
While TRT can offer benefits, it is not without risks. Side effects may include cardiovascular issues, such as increased blood pressure and cholesterol levels, as well as potential complications like testicular atrophy.
Long-term use has also been linked to a higher risk of
prostate cancer, though this association is still being
studied.
Section 3: The Controversy
The debate surrounding TRT continues to rage, particularly in light of recent clinical
trials. The TRAVERSE trial, for example, has sparked discussions about the appropriateness of TRT for older men with mild testosterone deficits.
Proponents argue that TRT can enhance quality of life and maintain physical function, while critics caution against its overuse and the potential for misuse.
A Closer Look at the TRAVERSE Trial
The TRAVERSE trial, published in 2022, investigated the effects of TRT on men over 50 with testosterone levels in the
lower range but not abnormally low. The study found that TRT could improve muscle strength and
sexual function, though these benefits were modest and not universally observed.
Critics argue that the trial downplayed risks and may
have conflated age-related declines with true deficiency.
Section 4: Takeaways
For men over 50 considering TRT, it’s crucial to weigh potential benefits
against risks. While TRT can be an effective treatment for certain conditions, such as hypogonadism
and age-related decline, it is not a one-size-fits-all solution. Men should work closely with their
healthcare providers to determine if treatment is
appropriate based on individual circumstances.
Close
References
1. National Institute on Aging (2023). Testosterone
Replacement Therapy: What You Need to Know. Retrieved from NIA website.
2. Journal of Clinical Endocrinology & Metabolism (2022).
TRAVERSE Trial Results. Retrieved from Journal website.
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Related Posts
– The Truth About Testosterone Replacement Therapy: What You
Should Know
– Maintaining Male Health in the Golden Years
– How to Keep Your Energy Levels Up as You
Age
About Dr. Brad Stanfield
Dr. Brad Stanfield is a leading expert in endocrinology and male health, with over
25 years of experience in treating men over 50. He has contributed to numerous studies on testosterone replacement therapy and its impact on aging
males. Follow him on social media for the latest updates in male health!
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