Category: Men’s Health

Men’s Health

Conference Pearl – Supplementing Testosterone in Men reduces Cardiovascular Risk and Helps control Blood Sugar


I recently attended the Advanced Applications in Medical Practice (AAMP)’s fall conference focusing on endocrinology. This was a 3-day, multi-doctor panel that taught all things endocrinology – the study of hormones.  I especially was intrigued by the research showing low testosterone in men affects cardiovascular risk and blood sugar regulation. 

Type 1 Diabetes

While I personally don’t have any type 1 diabetics currently in my practice, I gleaned quite a bit from the diabetes talk by Dr. Jodi Stanislaw, NMD. If you recall, type 1 diabetes is where the body starts to attack the pancreas via autoimmune antibodies, and you cannot make insulin to be able to utilize the blood sugar. This can be life threatening and the patient is insulin dependent.  There were many nuanced and often overlooked helpful points about blood sugar that can be applied to pre and type 2 diabetes.

Prediabetes and Type 2 Diabetes

I do see quite a few patients with prediabetes and type 2 diabetes, where the body’s glucose/sugar use is dysfunctional and often controlled by diet or if needed, supplements and oral medications. Their body can still produce insulin, but sometimes the communication between insulin production and use breaks down.

Hormones and Blood Sugar Regulation – an Important Connection

While blood sugar and hormones (estrogen, progesterone, testosterone) are often not linked together, the Endocrine Society is now recognizing this relationship as more important in the management of diabetes than previously understood.

There have been numerous studies regarding the beneficial relationship testosterone has on blood sugar regulation and atherosclerosis (the buildup of plaques in the artery walls which can cause high blood pressure, heart attacks, and cardiovascular disease).

The Endocrine Society is now recommending measuring testosterone in all newly diagnosed diabetic men as testosterone has not been found to necessarily effect the blood sugars directly, but moreover the inflammation that accompanies high blood sugar.

Bottom line: adding testosterone replacement therapy to a diabetic’s regimen improves cardiovascular inflammation, decreases cardiovascular risk, and decreases obesity. I think this research is amazing and will begin measuring testosterone in my male prediabetic and diabetic patients to further decrease cardiovascular risk!

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3167667/

Getting to the Root of Hair Loss, Strategies Old and New


Many people suffer hair loss, and it can be devastating to our sense of self. Hair shedding is part of a natural balance — some hairs fall out while others grow in. When the balance is interrupted — when hair falls out and less hair grows in — hair loss happens.

The three most common types of hair loss are:

Androgenic Alopecia: this is the most common cause of male and female pattern baldness. It occurs in more than 95% of men and often in a well-defined “M” pattern. In women the hair becomes thinner all over the head, but the hairline does not recede.

Poor nutrition: this can be from diets high in animal fat and processed foods or deficiencies of biotin, protein, zinc, vitamin D or iron. We can help you optimize your diet and decipher your gut health to promote better terrain for hair growth. https://boisenaturalhealth.com/test-your-gut-microbiome-with-a-simple-stool-sample/

Hormonal imbalance: low levels of estrogen and progesterone can cause hair to grow more slowly and become much thinner. We dive further into this aspect here https:// boisenaturalhealth.com/hair-thinning-women-identifying-cause/

We can also provide you with compounded hair loss solutions! This includes using minoxidil, finasteride, items to enhance absorption like tretinoin and azelaic acid, hormones like progesterone, antifungals like ketoconazole and more.

How To Raise Your Testosterone Without Taking Testosterone

Some men have lower levels of testosterone as they age creating a decline in a feeling of general well-being or a decrease in sexual satisfaction – this is called Andropause.  Not all men have low enough testosterone to warrant hormone replacement (HRT) or they have other issues where HRT is not a good idea.  Here are some ideas to increase testosterone naturally, some of them may surprise you!

Curious About How Testosterone Works?

Here’s my previous article that explains testing and how we rule out other causes of low testosterone besides age?  https://boisenaturalhealth.com/understanding-the-role-of-testosterone-in-men-options-for-testing-and-treatment/

Boost Your Testosterone with Diet and Lifestyle

One can stimulate the body to influence the testosterone making pathway.  Try one or all of these stimuli, they are especially effective if the testosterone is borderline or low:

  1. Get started on a weight-lifting routine and work up to lifting heavy weights 3 times per week.  The more muscle you have, the higher the testosterone levels.
  2. Eat healthy fats, especially the omega 3’s like cold water fish or olive oil.  Good fats seem to also increase luteinizing hormone, which stimulates cells in the testes to produce testosterone.
  3. Add honey to your diet.  Aside from being sweet and tasty, it also enhances serum testosterone levels in males via a variety of avenues.  We do need more clinical trials in this area, however, it won’t hurt to add some honey to your tea or coffee daily.
  4. Decrease stress.  Stress decreases cortisol which pushes the pathway away from creating testosterone.  If you decrease stress the pathway will go back to making testosterone.  Consider meditation – it’s a great way to provide lasting benefits not only with lowered stress but better metabolic function overall.  Watch funny videos – laughing a lot helps!
  5. Target body fat below 25% – but not too fast, no more than 2 pounds per week. Obesity lowers testosterone.  A one point increase in BMI was found to be associated with a 2% decrease in testosterone.
  6. Try to have sex (on your own or with a partner) daily in the morning.  Sex helps increase androgen receptor sensitivity so one is responding properly to the testosterone they have.
  7. Consider competitive sports, and surprisingly, competitive video gaming works just as well and rooting for the winning team.

Need more help sorting out your symptoms and hormones?

Schedule an appointment with Dr. Maxwell for further help supporting healthy aging and hormone balance at 208-338-0405. 

Understanding The Role of Testosterone in Men – Options for Testing and Treatment

by Nicole Maxwell, NMD

Are you or a loved one curious about testosterone replacement therapy, also known as TRT? Testosterone naturally begins declining in men between 30 and 40 years of age. Fortunately, age related testosterone decline can be treated in a variety of ways. With proper testing and guidance, men can experience normal levels of testosterone providing energy and stamina well into advanced age. 

I’ve provided some of my favorite links to reliable information to consider if you are thinking about a testosterone prescription. 

Overview of Testosterone

Here is a very thorough article exploring symptoms, causes, and treatment of low testosterone:
https://www.urologyhealth.org/urologic-conditions/low-testosterone 

Labs

Appropriate labs that must to be done before starting TRT and are available at our office. Here is a link that talks about appropriate lab markers: https://ndnr.com/mens-health/testosterone-drops-anti-aging-for-male-baby-boomers/# 

Many wonder what method of testing to choose. I prefer serum and saliva testing. 

The risks and benefits of testosterone replacement therapy

PROS: Numerous studies show the benefits of TRT with reducing cardiovascular disease risk, improving metabolic dysfunction, improving glycemic control and body composition. https://ndnr.com/naturopathic-news/testosterone-therapy-could-increase-risk-of-heart-attack-and-stroke/ We do, however, need more long-term studies as the next bullet demonstrates. 

CONS: There has been one study showing that there may be a 21% increased risk of a cardiovascular event especially in the first two years of TRT and then it seems to be cardioprotective.
https://ndnr.com/mens-health/testosterone-cv-risk-in-men/ 

Testosterone Modifiers

Many things we do daily affect our hormones. Testosterone modifiers are crucial to address. Your naturopathic physician can review diet, lifestyle, medication, nutrient deficiencies, blood sugar, and hormonally active chemicals in our environment. Here’s a great article exploring this topic: https://ndnr.com/mens-health/testosterone-modifiers/ 

I’d Love to Help

I have been working with men’s health for 17 years and would be happy to assist you or a loved one with anti-aging medicine. Please contact us at www.boisenaturalhealth.com.