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Written by Dr. Welsh, Article reviewed and edited by Dr. Fine M.D..
Published on 09 January 2019

The Relationship Between Night Sweats, Hot Flashes, and Testosterone

Hot flashes and night sweats are two of the many signs of Hormone Imbalance. While night sweats have long been associated with Menopause, these annoying night-time events are also related to Testosterone Deficiency. Men go through a change similar to women, commonly known as Andropause. While women experience the effects of Menopause suddenly and rapidly, Andropause is a relatively slow change in comparison. As Testosterone Levels fall, the frequency and severity of symptoms increases.

What Causes Night Sweats?

Night sweats are a very common issue which impact a large portion of men and women. Around 1/3rd of patients report night sweats in the last thirty days to their doctor. There are a wide variety of causes, including some scary things like cancer, addiction, withdrawal, and infection. Even consuming spicy foods, caffeine, or hot drinks before bed can contribute to night sweats.

Some medications contribute to night sweats, such as prescriptions for diabetes and depression. While night sweats are something you should talk about with your doctor, there's no need to panic! Some of the issues most strongly correlated with night sweats are breathing issues during sleep, stress, anxiety, numbness in the feet and hands, fever, poor sleep, and anxiety attacks.

Age-Related Hormone Imbalance Among Strongest Factors Which Contribute to Night Sweats

During Menopause, 7 out of 10 women experience hot flashes. The frequency of this symptom is strongly correlated with the severity of Estrogen decline resulting from the change. While Testosterone Levels fall continuously and slowly beyond age thirty in men, once Testosterone Production falls beneath a certain threshold, men are more likely to experience some of the same symptoms as women, including low libido, hot flashes, night sweats, depression, and unhealthy changes in body composition.

This propensity for hot flashes associated with Low Testosterone Levels is displayed clearly among those receiving treatment for prostate cancer. One of the primary components of prostate cancer is a drug that suppresses the release of Androgens into the blood stream. Severe androgen deficiency leads directly to a massive increase in reports of night sweats and hot flashes.

Even having children may lead to an increase in night sweats among vulnerable males. When couples have children, the male experiences a drop in Testosterone during the partner's pregnancy and during the early development of the child. This decline in Testosterone Production occurs in order to promote the father to devote more energy and resources toward protecting and raising the child than to trying to find a mate. While this Testosterone drop isn't enough to contribute to night sweats on its own, men that display more risk factors for Low-T are more likely to develop hot sweats and night flashes during this period.

Why Does Low-T Increase the Incidence of Night Sweats and Hot Flashes?

While there is a strong correlation between Testosterone Deficiency and the increased incidence of hot flashes, researchers haven't quite figured out how Low-T triggers night sweats. What we do know is that the Hypothalamus is almost certainly a central aspect of this process, because the Hypothalamus is responsible for bioregulation, which includes controlling the body's temperature.

Upon registering that the internal temperature of the body is too high, the Hypothalamus coordinates the dilation of blood vessels which speeds up blood flow to the skin. The transfer of this heat to the skin is followed by the release of sweat which helps cool the body down. Of course, even though the end goal of this process is a cooler body, it is interpreted by the mind as an increase in heat followed by the clammy chill of a night sweat.

It's hypothesized that Low-T triggers the hypothalamus to release the signal for night sweats during sleep, even when temperature regulation isn't an issue, causing men to wake up cold, sweaty, and uncomfortable. For men with Testosterone Deficiency, night sweats are one of the more common symptoms, and patients do report significant reduction in night sweats while taking Testosterone Replacement Therapy for relief from Low-T.

Testosterone Deficiency Relief with Hormone Replacement Therapy

Though night sweats don't pose any dangers to health, they are annoying and frustrating, and may be a sign of other issues. If you're experiencing night sweats in combination with fatigue and low libido, this is a powerful sign that you are currently suffering from Testosterone Deficiency. Our Board-Certified American Hormone Clinic can help you determine if Hormone Imbalance is contributing to your declining quality of life and we can determine whether Testosterone Replacement can help you overcome night sweats, increase strength and energy, and restore sexual desire and function.

Our Fully-Licensed HRT Clinic has helped hundreds of guys throughout the country feel better about their lives. Generations of research and refinement have vastly increased the safety and effectiveness of Bio-Identical Testosterone Therapy. If you'd like additional information about starting a quality Testosterone Regimen with a trusted Hormone Provider, our HRT Specialists are available to respond to your questions and concerns!


Written by Dr. Welsh, Article reviewed and edited by Dr. Fine M.D..
Published on 01 June 2018

Most people in America today have been concerned about their weight at least once in their lives. Millions of men and women have turned to diet and exercise to lose weight, frequently with success. The biggest issue that folks have when trying to maintain a new goal weight is that the human physiology makes it difficult to maintain weight loss.

This is the reason why modern humans have such issues with Weight Cycling—also known as Yo-Yo Dieting. Through effort and conscientiousness, it's a challenge to lose weight, but not impossible. While most people can lose weight, the hardest part is maintaining a healthier weight after reaching a goal weight.

Metabolism Slows Down In Response to Weight Loss

At first, losing weight isn't that hard. Your body reacts to increased activity levels and dietary restriction by burning calories as a response. Over time, however, the body will recognize continued weight loss and register it as a potential threat. In response to that threat, the body slows down metabolism to maintain existing stores of body fat. This also means that if you return to your old habits, you will gain the weight back more quickly. Often, people will achieve their weight loss goals only to return to their former weight, even adding on a couple of extra pounds. How frustrating!

That's because the human body is obsessed with homeostasis. If you've been overweight for a long time, your body is fine-tuned to operate under those conditions. Losing weight causes a strain on that balance, and your body will react against it, attempting to gain the weight back and return to its prior state of (unhealthy) balance. Your body can eventually adapt to your new weight, but it puts up a fight which causes most diets to ultimately be unsuccessful.

Our bodies are designed to store fat and ward off starvation. For millions of years, human beings and their ancestors have dealt with food scarcity, and evolution has not prepared us for the life of nutritional excess that we have achieved in the 21st century. Our bodies are designed to operate under a feast or famine cycle. The human metabolism treats body fat as if it is highly precious because it once was. That's what makes dieting such a struggle—we're literally fighting millions of years of evolutionary programming.

Weight Loss Triggers Hormonal Changes

As you likely know, our Hormones are largely responsible for maintaining physiological balance. As metabolism slows down, it triggers a cascade of hormonal changes. It triggers changes in Digestive Hormones which encourage increased intake of calories. While Serotonin and other hormones play a role in digestion, the two biggest culprits are Leptin and Ghrelin. Leptin is responsible for triggering the feeling of satiation, while Ghrelin activates hunger response. If you've recently lost weight, your body will not produce as much Leptin, which leaves you susceptible to overeating.

Weight Loss also leads to increase production of Ghrelin, which causes you to get hungry more often, and to experience stronger feelings of hunger. There is even evidence that losing weight makes you respond to the sensations of eating more positively. Food just tends to taste better, which further encourages you to overeat and cancel out all that you've achieved with your diet.

Achieving Weight Loss Goals Often Leads to Lax Habits

By their nature, humans are goal-oriented, which is beneficial to weight loss. The problem is that, once we've achieved a goal, the inspiration often fades, which can have consequences for maintaining positive change. It's a lot of work to lose weight, and as we said, the human body doesn't like change. The combination of lack of motivation, slowed metabolism, and hormone imbalance is incredibly difficult to overcome, which has disappointed millions of men and women across the world.

Once you achieve your weight loss goals, your brain remembers your old habits and wants to return to the past, comfortable ways. Maintaining a new goal weight requires hard work and diligence. The National Weight Control Registry follows the lives of individuals that achieved and maintained significant weight loss for more than a year.

By studying the habits of successful dieters, we can help more people achieve their long-term goal of maintaining a healthy weight. Researchers discovered that keeping the weight off actually required more work than losing it in the first place!

What Steps Can I Take To Preserve My Weight Loss Results?

It's important to recognize that good habits and hard work don't end once you've achieved your goal weight. The fight never ends. Acknowledging that fact will arm you for the road ahead. It's essential to maintain an atmosphere of encouragement and support. Let your friends and family hold you accountable for your weight loss. Your loved ones want you to be healthy, and it doesn't take a lot of effort for them to show their support.

You can also look for outside clinical and social support. There are weight loss clinics nationwide that work with patients just like you, as well as nutritionists and dietitians. Consider joining a weight loss support group! Surrounding yourself with other people with the same goals works wonders for long-term success.

Understand that the diet doesn't end when you've lost the weight. Continue to make the concerted effort to live a healthy and conscientious life, and you'll find that keeping the weight off is easier than it seems. It's all about education, psychology, and perseverance!


Written by Dr. Welsh, Article reviewed and edited by Dr. Fine M.D..
Published on 30 May 2018

When it comes to living well, everything that we put into our bodies affects our wellness. While most people pay attention to the food that they eat, they may be less conscientious about what they drink. Even if you're eating well, your beverage habits may be having an adverse effect on your diet, your teeth, your heart, and your health.

While alcohol is one of the biggest offenders when it comes to poor drinking choices, sodas, juices, energy drinks, and other beverages all have their downsides as well. If you're looking to improve your health or just preserve your wellness, it would be wise to think about your beverage choices.

Should I Drink Alcohol For My Health?

As we learn more about the effects of alcohol on the body, it becomes clear that there are both benefits and drawbacks to the regular consumption of alcohol. While those with addictive tendencies should forgo alcohol altogether, having a drink or two per day can provide some cardiovascular benefits, though the downsides of alcohol may somewhat outweigh them. If you enjoy the occasional pint or glass, there's little harm in continuing the tradition.

On the other hand, most, if not all of the benefits of alcohol can be sought after from other sources, so there's no reason to drink more alcohol to get more benefits or start drinking if you're not a regular drinker already.

Excess alcohol consumption does have a negative impact on Testosterone Levels. That's because alcohol encourages the conversion of Testosterone into Estrogen. This is one reason why alcoholics tend to be overweight and suffer from gynecomastia, known colloquially as man-boobs. Alcohol suppresses Testosterone and contributes to Low-T.

Are Fruit Juices Healthy?

One of the biggest misconceptions about a healthy diet is that fruit juices are good for you. While apple juice, orange juice, pomegranate juice, and other fruit beverages are better than drinking soda, you have to be careful. Many fruit juices contain more sugar than your average can of pop! Also, many fruit juices have loads of added sugar, such as cranberry juice. Without the added sugar in cranberry juice, most people wouldn't be able to stomach the sour flavor.

When it comes to fruit, eating fruit will always provide better health benefits than drinking fruit juice. A lot of the vitamins and most of the fiber in fruit come from the pulp, which is usually processed out of most juices. Fruit will also help fill your stomach, whereas fruit juices can still leave you hungry. There's nothing wrong with treating yourself to a glass of fruit juice occasionally, or even daily, but be aware that you're better off pairing a nice glass of water with a snack of fruit than relying on fruit juice in your diet.

Limit or Eliminate Sodas From Your Diet

Carbonated, sugary sodas contribute more to the obesity epidemic than almost any other single factor. Not so long ago, sodas were treated like a dessert or a special treat. Now they are a staple of tens of millions of people's lives across America. The average can of soda contains 150-200 caloriesYou'd have to run 13-17 minutes at 6 miles per hour to make up the cost of a single can of soda. That means if you drink four cans of soda per day, you would have to run for about an hour to make up for the calories that you consumed.

Furthermore, our bodies are designed to break down complex nutrients. Simple sugars and carbohydrates are very bad for your teeth because they eat away at enamel and lead to cavities, root canals, and other unfortunate dental mishaps. Even diet sodas can contribute to these risks because the acids in soda are also corrosive.

While Diet Sodas are much healthier for you than regular sodas, you're still better off drinking water. Diet Sodas contain sugar alternatives that can have adverse effects on your digestive tract. Artificial sweeteners make it harder to feel full, which can contribute to overeating. This is because the taste of sugar primes the brain to expect incoming calories. When the body doesn't receive calories from soda, the brain amps up feelings of hunger to compensate.

Do Sodas and Coffees Contribute to Dehydration?

Many people believe that drinking beverages high in caffeine can have a negative effect on hydration levels. While this has been widely accepted for decades, there is little truth in the belief. While caffeine does have some diuretic effects, they are minimal in comparison to the amount of liquid that you consume.

Alcohol, on the other hand, does lead to dehydration. Alcohol suppresses the production of Antidiuretic Hormone (ADH), which significantly increases the amount of liquid evacuated during urination. Any time you do go out to have a few drinks, remember to drink lots of water, and you'll minimize the nasty effects of dehydration on the body, which is one of the prime factors in the dreaded morning-after hangover.

How Much Water Should I Drink Per Day?

The commonly accepted wisdom regarding hydration is that you should drink 64 ounces of water per day to stay hydrated. In reality, you may need to drink quite a bit more water to that to stay hydrated. According to the National Academies of Sciences, Engineering, and Medicine, how much water you need depends on many factors, even your gender. The National Academies suggest that men consume around 15-16 cups of water per day and that women consume 11-12 cups daily.

This, of course, includes water that you absorb as a result of your food intake, but this still means that men need around 12 cups of water per day and women need roughly nine. If you're sick, active, or in a hot climate, you'll need even more! Listen to your body. Chronic dehydration doesn't necessarily lead to feelings of thirst. Often, it presents itself fatigue. If you've been feeling tired lately, you may need to drink more water!

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