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Requirements for Hormone Replacement Therapy


Written by Dr. Welsh, Published on 13 December 2018

hormone replacement-therapy Requirements for Hormone Replacement Therapy

We are a licensed and fully certified HRT Provider that specializes in Hormone Therapy programs which restore Hormone Balance in patients thirty and older. While we are proud of the various Hormone Treatments that we provide, including Sermorelin Acetate Therapy, HGH Injections for Somatopause, Menopause Treatments, and Testosterone Therapy for Low-T, we have some very important requirements for those that are interested in the HRT Programs that our Hormone specialists have to offer.

If you've been considering hormone replacement therapy with a Reputable Provider, we urge you to read on to understand the limitations and prerequisites of treatment!

Our Hormone Therapy Patients Must Be At Least Thirty Years Old

We specialize in treating adults that struggle with issues related to Hormone Imbalance and Deficiency. Our wellness programs are specifically designed with adult patients in mind. While children and teens often require Bio-Identical Hormone Therapy, we recommend seeking out the services of a qualified professional that specializes in the treatment of pediatric and adolescent disorders.

Our HRT Clinic Requires The Results of a Physical From The Past Six Months Before Treatment

hgh blood-work While your blood work will ultimately provide the evidence for Hormone Intervention, a proper physical is an indispensable aspect of your diagnosis. Our Hormone Therapy Facility will accept the results of a physical conducted in the six months prior to your HRT Evaluation. If you've not had a medical physical in the last six months that's not a problem. We can make an appointment for you!

During this appointment, a physician will give you a general once-over, including weight, height, blood pressure, etc., so that we have additional information that we can combine with the results of your blood testing. With all of this information in hand, our Hormone specialists will be well-equipped to provide a highly informed diagnosis of your current Health and Hormone Needs!

Comprehensive Blood Tests Are Essential To Proper Care

In order to determine your HRT Needs, we require that all of our patients undergo blood testing for Hormone Imbalance. Most Hormonal Issues have a broad set of symptoms which are shared among many different health problems. For this reason, proper bloodwork is crucial to reach an appropriate diagnosis. Luckily, we can arrange for blood collection in a single morning appointment at a facility near you!

We utilize a battery of tests known as a Comprehensive Metabolic Panel to not only search for direct evidence of Hormone Deficiency and Imbalance but also to gather information about your underlying health and to ensure that hormone optimization is a safe option for you. Our affiliates will carry out the tests and forward the extensive results to our United States Hormone Clinic. Our trained Hormone specialists will then analyze all of the presented data, along with the results from your physical, to reach a conclusion regarding your needs.

After our HRT Doctors have diagnosed your condition, they will develop a range of potential treatment options designed to enhance your well-being via Hormone Replacement Therapy, Pharmaceutical-Grade Supplements, and other tools to improve your vitality and wellness.

Once our Endocrinologists have completed their investigation and developed their recommendations, they will reach out to you for debriefing. They will explain your current Hormone Status and Wellness condition in detail and offer their guidance regarding what can be done to facilitate your good health. Of course, you're ultimately in control of your treatment and will select the HRT Program and options which appeal to your personal needs and budget. We strive to make things as simple and easy as possible for our Hormone Therapy Patients!

Follow-Up Evaluations Are A Critical Component Of Ongoing Treatment

After you begin your Prescription Hormone Therapy Regimen, you should be aware of any potential side-effects. You should also feel free to contact your HRT Provider with any questions or concerns that you may have. Depending on your Treatment Program, you'll be required to touch base with our HRT specialists once every six months to one year to undergo further blood testing to determine if your Bio-Identical Hormone Therapy Program is providing the intended results as expected. Dependent upon the results, your Endocrinologist may adjust the dosage of your prescription. In the case of unintended side-effects, he or she may recommend suspending treatment or making changes to your treatment.

With proper follow-ups, you not only maximize the results of Hormone Therapy but you also greatly mitigate the risks associated with your specific treatment regimen. We pride ourselves on the safety of the HRT Programs that we provide and consider Follow-Ups a crucial aspect of the Hormone Restoration Process.

Interested In Working With Our HRT Professionals? Contact Us Today!

If you've experienced unwelcome changes in your health and wellness as you've gotten older, there is absolutely no reason to give in to the suppressive symptoms associated with Hormone Imbalance and Aging. Our American Wellness Clinic has extensive experience in helping men and women just like you overcome hormonal issues related to aging. We offer a wide variety of hormone optimization programs which serve to minimize the negative health consequences of Hormone Deficiency.

If symptoms such as Low Libido, Slow Metabolism, Weight Gain, Fatigue, Loss of Strength, Depression, and Diminished Immune Health have impeded your ability to live a happy life, then our life-changing Hormone Treatments can help you get your health and wellness back on track! We also offer diet and weight loss counseling intended to help amplify the benefits of treatment and get you looking and feeling at the top of your game!

If you believe that Hormone Imbalance and Deficiency are hindering your life, we can provide Hormone Diagnostic Testing and Diagnosis in a matter of days and have quality Hormone Therapy Products delivered to your door as soon as possible! We work closely with trusted national testing firms Quest Diagnostics and LabCorp, so we have local affiliates all over the United States! Give our highly experienced HRT Representatives a call to set up an appointment or arrange for no-cost consultation!

Our American HRT specialists have improved the lives of hundreds of patients across the nation. If you've ever considered hormone optimization for improved health and wellness, we can provide you the results and 21st Century Care that you've been looking for!

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Breast Cancer: Separating Fact from Fiction


Written by Dr. Welsh, Published on 14 December 2016

Breast Cancer is probably the most talked-about form of cancer today. Millions upon millions of dollars are donated from regular people just like you into research that will help patients overcome breast cancer, and treatments that save lives all over the country. In spite of all the money spent on Breast Cancer Awareness, a lot of people are still woefully ill-informed about the truths of Breast Cancer, and their knowledge regarding breast cancer is largely the result of hearsay and hypotheses put forth in the past that have now become outdated. Let's talk about some of these myths now, and separate the fact from the fiction.

Fiction: Breast Cancer is Primarily Hereditary, and women are only at high risk if they have a family history of breast cancer.

Many people believe that breast cancer is for the most part a genetic condition, and that risk is carried down from parents to daughters. In reality, it is believed that only between five and ten percent of breast cancer cases are the result of genetic mutations acquired from the mother or father.

Of course, having one of these mutations can significantly increase your risk of breast cancer. For example, women that have particular BRCA mutations are eighty percent likely to experience breast cancer at some point in their lives.

Just because you have a family history doesn't mean that you are definitely going to get cancer, however. Having a daughter, sister, or mother with breast cancer, for example, doubles cancer risk. If you have two close family members with the condition, your risk increases by three times compared to average.

Out of all breast cancer cases, only around twenty to thirty percent have immediate relatives that have experienced the condition in their lives. This means that the majority of women do not experience breast cancer as a result of direct hereditary risk passed down from their relatives.

Truth: Although genetic heritage does play a role, it is not the only factor which determines breast cancer risk, and most women that get breast cancer don't express genetic predisposition.

Fiction: If someone in your family has had Breast Cancer, you will inevitably get Breast Cancer yourself.

If someone in your family has experienced Breast Cancer in the past, this is vital information that your physician needs to know. In addition to knowing that you have a history, it's also important for your physician to know how many women in your family have experienced the condition in the past. Although Breast Cancer risk increases significantly when your family has a prior history of the condition, this doesn't mean that you will definitely get breast cancer in the future.

There are ways to establish your risk, including genetic testing and counseling. One of the issues with how Breast Cancer risk is evaluated these days is that not enough women get these tests done. In fact, the percentage of women that actually receive this analysis is in the single digits! As with many other conditions, patients simply aren't open enough with their doctors, and many doctors don't readily recommend such procedures without prompting.

If your genetic evaluation says that you are at an elevated risk of Breast Cancer, this can completely change the way that your physician handles your Breast Cancer Prevention and Monitoring. For example, women at high risk benefit from earlier screening, both in the form of mammograms and MRI scanning. Breast Cancer, when caught early, has a very high rate of successful treatment, and by catching it early, it can be removed and treated before it has the chance to significantly risk your health. There are even preventative treatments available, ranging from surgery to pharmaceuticals that can be used to mitigate your breast cancer risk, dependent on your risk level.

Truth: Women with a family history shouldn't think of breast cancer as inevitable, but they should take the steps to ensure their health and safety. With proper care and screening, Breast Cancer can usually be prevented or defeated before it reaches its more dangerous stages.

Fiction: Women without a history or genetic disposition toward breast cancer have nothing they can do to mitigate their potential risk for the condition.

Some variables of Breast Cancer risk are incontrovertible. There's nothing you can do about your age, or your family history. There's nothing you can do to change when you enter puberty or reach menopause. On the other hand, there are a variety of factors that you do have the power to mitigate, and you can take an active role in your breast cancer prevention. The following are three factors to think about in particular: Activity Level, Body Composition, and Alcohol Consumption.

Activity Level - A sedentary lifestyle has been scientifically shown to increase Breast Cancer risk. Studies have shown that women that get a lot of physical activity every day have a 25% reduced breast cancer risk as compared to their counterparts that are largely sedentary. The ideal level of cardiovascular exercise in order to mitigate breast cancer risk is between 45 minutes and an hour per day, although less activity also promotes breast health. Ideally, women should undergo fairly vigorous exercise, such as swimming, cycling, or jogging. As little as 75 minutes of light cardio per week has the potential to reduce the risk of breast cancer by around 18%, however.

Body fat percentage has been strongly correlated to the risk of breast cancer in women (and men). This is even more true after Menopause. As you experience your regular periods, the ovaries are primarily responsible for the production of Estrogen, whereas adipose fat tissue produces much less. After a woman's Ovaries stop producing Estrogen at menopause, however, the body primarily relies on fat cells to produce the hormone. The amount of Estrogen that a woman produces via her body fat correlates completely with the amount of body fat she carries. Abnormally high Estrogen Levels increase breast tissue activity, which further correlates to breast cancer risk.

Alcohol Consumption - It is well documented that Alcohol suppresses Testosterone production in men by increasing the rate at which Testosterone is converted into Estrogen. Alcohol consumption also leads to an increase in breast cancer risk as well, as a result of increasing Estrogen levels in the blood stream. Specifically, each drink that a women consumes daily is associated with an increased risk of Breast Cancer of between ten and twelve percent. In addition, high levels of Alcohol consumption are also associated with other cancers such as liver, esophagus, throat, and mouth cancer.

For women that drink alcohol, the American Cancer Society suggests no more than one per day. To minimize Breast Cancer risk associated with Alcohol, it's best to not drink at all.

Truth - Lifestyle factors play a major role in cancer risk, and by improving your lifestyle, you can reduce the odds of experiencing Breast Cancer in the future.

Fiction - Injuring your breast can cause breast cancer.

Many women are under the mistaken notion that hurting one's breast can cause breast cancer. There is no evidence that bruising breast tissue can cause breast cancer. The reason that this myth first began to circulate is likely because bruising or pain in the particular area of the breast occasionally brings existing cancers to the notice of patient or physician. In these cases, the tumor has existed for awhile, but simply hasn't been noticed.

Truth - You can't get cancer from breast bruises.

Fiction - Breast Cancer is a disease which only occurs to women.

In reality, both sexes can get breast cancer. The reason why so many people think that men can't get breast cancer is because it is far more rare than female breast cancer. In fact, women get breast cancer at a rate which is a hundred times that of their male counterpart. On average, only around 2,200 men in the United States get breast cancer, whereas 230,000 women experience the disease. The mortality rates differ similarly: 400 males die each year from the condition, whereas 40,000 women die from breast cancer.

That men are not made aware of male breast cancer can be to the detriment of their health. Because they don't understand that men can get breast cancer, they frequently recognize the lumps, but simply ignore them until they become impossible to ignore, a point at which the danger of the cancer has grown dramatically and the outlook becomes far more grim.

Women have a higher incidence of breast cancer for a couple of important reasons. First, most cancers respond to progesterone and/or estrogen, feeding off of the hormones to grow. Since men don't produce nearly as much, their risk is significantly lower. Also, men have fewer breast cells than women, meaning that there are fewer possible cells to malfunction.

Truth - Although men experience breast cancer at a much lower rate, they should still see their doctor if they sense any breast tissue abnormalities.

Fiction - The ideal way to catch breast cancer is with monthly self-exams

Not too long ago, it was recommended that women give themselves monthly evaluations to check for breast lumps and other abnormalities, but this is no longer the recommended protocol of the American Cancer Society. They discovered that these examinations increased the rate of false positives while also not being all too effective at discovering real cancer. Instead, the current suggestion is simply to have knowledge of one's body, and be aware of any abnormal changes take place. The majority of women discover Breast Cancer during their normal routine, and an emphasis on awareness during routine appears to provide the best detection results.

Of course, women that are still interested in performing these monthly exams still may do so if they wish, but it is important that they learn how to perform the exams with maximum accuracy, as taught by their physician, if they wish to perform the self-exam in an optimal fashion.

If a woman feels a lump or recognizes any breast abnormalities, it is vital to talk to one's physician as soon as possible. Even if you have recently had a mammogram performed, it's still possible that the exam missed a potential cancer. It's important to not only engage in self-examination, but also to undergo Mammogram, because often, Breast Cancer tumors can be recognized before they are felt, and the earlier that Breast Cancer is treated, the more likely it can be safely removed and treated completely.

Truth - There's nothing wrong with monthly breast exams, but regular, breast awareness is more than sufficient to recognize potential breast cancer.

Fiction - Finding lumps is the only indication of Breast Cancer

All women understand that breast cancer can lead to tumors, which are referred to as lumps, but many women are unaware of other symptoms which are indicative of Breast Cancer which can be recognized, other than lumps. For example, unnatural breast discharge, scaliness and redness of the breast or nipple, pain and extreme sensitivity, dimpling, and irritation can all be signs of Breast Cancer. Some women may even experience an inversion of the nipple.

In fact, one rare but particularly dangerous type of breast cancer, known as Inflammatory Breast Cancer, is characterized by swelling, thickened skin, and redness, rather than lumps. Never assume that changes in breast health are benign or simply caused by infection. Visit a physician as soon as you can.

Truth - Lumps are the most commonly recognized symptom, but different cancers have different symptoms, and you should always take the proper precautions and make an appointment with a medical professional at the first sign of breast trouble.

Fiction - Mammograms Are Barely Worth the Time

Some women, unfortunately, have lost their faith in the effectiveness of the mammogram. In reality, mammograms are quite effective at recognizing breast cancer, with a success rate of between 80% and 90%. There's no data which can accurately reflect how Mammograms mitigate mortality risk, but there is near universal agreement that Mammograms save women's live on a regular basis. The general consensus is that when women turn forty, they should start getting yearly Mammograms.

Truth - Mammograms are an effective means to monitor for breast cancer.

Fiction - Deodorants Can Cause Breast Cancer

There are websites and emails which claim that Deodorants and Antiperspirants have the ability to cause breast cancer, by inhibiting immune function by blocking the lymph nodes. By inhibiting immune function, they supposedly increase toxin concentrations in the breast tissue There is next to no evidence that suggests that this is even a possibility.

One major study surveyed whether women with and without breast cancer used deodorant, in an attempt to see if there was any correlation with the use of such products and breast cancer. No significant connection was found. Shaving also had no notable impact on breast cancer rate.

Truth - Antiperspirants have absolutely zero noted connection with Breast Cancer.



Six Questions You Should Ask Yourself Before Your Trip to the Doctor

We all know how frustrating it can be to feel unwell and not understand why. Sometimes it can even be difficult for your doctor to help. Your physician is obviously very smart, that's how he got through med school, of coursebut he or she doesn't know everything, or may not be able to diagnose your condition effectively without some help from you. Getting the help that you need from your doctor is a group project, whether you realize it or not. In order to get the best possible care, you need to come to your doctor armed with knowledge, and able to describe to your physician what problems that you are dealing with as completely as possible.

In this article, we are going to discuss some underlying issues which may be impacting your health and wellness without you fully realizing it. By understanding more about your body and what affects you negatively, you will improve your doctor's ability to give you accurate treatment, or test for chronic conditions which may be suppressing your otherwise good health.

Most doctors focus on a particular set of questions when they assess your health, whether it is during a physical, or other assessment of your health. They will discuss your activity level, and your diet. They will ask you how much water you drink. They will also ask likely ask if you experience feelings of stress and anxiety. Because there are so many questions to ask, there's no doubt that your doctor will skip over some questions which could seriously benefit you. The following are six questions that you should ask yourself before you go to the doctor, and if you find any of the answers unsatisfying, you should discuss them with your doctor. Most patients that suffer from chronic illness will have issues related to their answers to a few of these questions.

Am I Suffering from Digestive Issues?

Most people don't think about it, or even look at it, but your poop says a lot about what your body is going through, and whether your body is effectively taking in nutrients through your diet. Each cell within your body thrives as a result of the calories and nutrients that you intake. For better or worse, you are completely composed of the nutrients that you take into your diet.

Sometimes it isn't enough for you just to eat well, however. Sometimes, the body has issues taking in nutrients effectively because of issues related directly to how your body is digesting food, or how your stomach and intestines are absorbing nutrients. There are many symptoms that are associated with poor digestive health, including bloating, gas, cramping, diarrhea, and constipation.

It may sound a little weird, but taking the time to look to your poop after you go number two can go a long way in helping you (and your doctor) understand your digestive health. And because your food is what makes you, your digestive health can provide insight into your overall health and wellness.

There are many examples of health issues which can impact your digestive health. The following is a list of some of the more common causes:

  • Chronic Stress

  • Poor Diet

  • Food Sensitivity

  • Suppressed Digestive Enzymes

  • Poor Bacteria Balance

  • Parasites

For patients that are having issues with digestive health, this is one of the most important things to fix as soon as possible, because most digestive problems can be easily treated, and provide significant benefits to the patient.

Am I Eating the Wrong Foods?

Another important part of good nutrition is eating a good diet. Your doctor will likely talk to you about dieting with regard to your weight, but is less likely to get into the specifics of your diet. There are many food sensitivities that people suffer from without even realizing it that can negatively impact health. Some of the more common allergies and sensitivities include nuts, eggs, corn, soy, and dairy. Many people also suffer from gluten allergy which is also a reaction to wheat products.

Often, it's difficult to find the root cause of your food problems. This is because it can take as long as a few days for foods you eat to cause problems, and by then, it's difficult to link the cause to the effect. Also, symptoms may lead to digestive problems, but frequently, the issues can be fatigue or other problems not directly related to noticeable digestive problems. These foods may also lead to widespread or acute inflammation, limiting the optimal function of your kidneys or liver, or slowing down your healing processes.

Food sensitivities are a known health issue, but there isn't a whole lot of implementation because the science is still relatively new. The best way to assess how your diet affects your health is through a combination of selectively eliminating foods from your diet and having your blood tested for specific allergic sensitivities.

How Well Do I Sleep?

Everyone understands that sleep is important, but most people don't understand exactly why. Most of your body's rejuvenative processes are functioning at their peak while you are asleep. If you aren't sleeping well, then you are going to have issues not only with fatigue, but with your body's ability to maintain itself. Human Growth Hormone is one of the mechanisms by which the body promotes healing, and this hormone is produced in its greatest quantities during deep sleep. If you don't sleep steadily through the night, or you toss and turn, this inhibits your healing processes, as well as your memory and cognitive function.

When you don't sleep well, this also leads you to take shortcuts throughout the day in order to keep yourself awake and active. Many people rely heavily on sugar and caffeine, which can both cause issues when used in excess. Too much caffeine can lead to anxiety and jitters and make it even harder to fall asleep.

By talking to a doctor about your sleeping habits, you may be able to uncover what issues are preventing you from sleeping well. Perhaps it could be chronic anxiety or even sleep apnea.

Am I Being Exposed to Chemicals in My Home or at Work?

Our bodies have some mechanisms to get rid of many toxins, but if we are exposed to too much, this can be a serious health hazard. There are many ways that you can be exposed to toxins. Not too long ago, lead was widely used in a variety of products, before we realized exactly how dangerous lead was. There are still products like thatWe may not be exposed to them as heavily and they may not be as potently toxic, but they still can lead to issues. For example, there are many forms of plastic which are not designed to be exposed to hot water, like that in a dishwasher, and leech toxic chemicals without you even realizing it.

Also, your makeup or even your soap or shampoo may contain ingredients which irritate your skin and cause adverse reactions which impact your health. The human body can metabolize or otherwise get rid of certain levels of most toxins, but if you are overexposed, this can inhibit your body's healing processes. There are many products that put men at risk in particular. These are known as Endocrine Disrupting Chemicals, and they have the ability to disrupt the body's Testosterone Levels, which can suppress health and vitality.

Of course, other EDCs can stimulate high levels of cortisol or imbalance hormones in other ways. Many people are also very sensitive to molds. If you have been feeling chronically under the weather lately it may pay to give your house a thorough cleaning and look for ways to reduce your exposure to potentially harmful chemicals.

Do I Have a Healthy Level of Self-Esteem?

Psychological health and physical health are intricately related. If you aren't feeling good about yourself, this can have a devastating effect upon your health and wellness. People that are down on themselves are less likely to take care of themselves, and more likely to feel stress and sadness which prevent them both from living up to their potential and being optimally healthy.

Studies have clearly shown that people with positive attitudes and positive self-worth are more likely to live longer than their pessimistic and self-defeating peers. A big aspect of negative thinking is that you make yourself feel inferior and not up to the task of living your life. As a result, you have a tendency to stress out about things way more than you should, preventing the stress from allowing you to live your life. Stress is a physiological response, largely mediated by the release of cortisol. Cortisol and other adrenal hormones activate what is known as the Fight-or-Flight Response.

Stress is designed to be a short term change of physiological priorities designed to help you overcome high pressure situations, but when you feel long term stress, you overload yourself and your body's protective and rehabilitative processes go into decline.

Take stock of your life. If you experience any of the following characteristics in excess, then you need to take steps to reevaluate yourself and your life to accentuate the positive:

  • Self-Deprivation

  • Addiction

  • Chronic Tendency to Sell Yourself Short

  • Perfectionism

  • Beating Yourself Up Over Mistakes

  • Hanging on to Bad Memories

If you have severe issues with the characteristics above, you would likely benefit from therapy. There are clinical ways to overcome mood disorders, depression, and chronic anxiety, whether they be through therapeutic means, medication, or a combination of both.

How is My Social Life?

Whether you are an introvert or an extrovert, human beings thrive when they make meaningful relationships with others. If you are not fostering close relationships with those around you, you are putting both your psychological and your physical health at risk. People with close friends are more likely to live longer and be happier for a number of reasons. They tend to be less stressed because they have someone to talk to. If they are having trouble and need help, they have someone to reach out to. People with friends simply have more protection from the forces in the world which attempt to break them down.

That doesn't mean that all relationships are healthy, however. A bad relationship with someone you are very close to can be absolutely destructive. If you have a boyfriend or girlfriend, it's important to understand what makes a healthy relationship and understanding when its time to work to make things better and when it's time to cut your losses and run. If you are in a rough marriage, it may be time for counseling. Sometimes people simply surround themselves with the wrong friends. Perhaps they are good and loyal, but they have a tendency to get you into bad or severely unhealthy situations. If you have trouble with drinking, for example, hanging out with your drinking buddies all the time is obviously going to be bad for your health.

Take the time to take stock of your relationships with those around you. Try to take steps to improve your relationships with those that you want to keep and work on maintaining more distance or being more honest with those that put you in an unhealthy place. By making the concerted effort to surround yourself with nurturing people, or people that can promote good in your life, you will be healthier and happier in the long run.

In Order to Stay Healthy, It's Important to Keep Your Whole Being in Mind

The human body is incredibly complex, which is exactly why you need to work with your doctor to get the best treatment and/or health advice possible. He or she can only do so much without your input, but with just a few questions or comments from you, you could totally change and improve the quality of your healthcare.

It's not necessarily your doctor's intention, but he or she is primarily interested in treating the symptoms of the conditions which you are experiencing, but may not be able to figure out the root cause of your chronic problems without help from you. Being and staying healthy is both physical and mental. In order to optimize your health and wellness, you must take steps to improve your quality of life in addition to your simple physical state. By living a conscientious lifestyle, you can live a longer and happier life.

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Correctly performed testosterone therapy can be your ticket to health.

Three sided solution: Testosterone + HCG + Arimidex

If your doctor only prescribes testosterone by itself, you will probably have a rough ride. The tendency is for you to feel great the first couple months, while you increase testosterone levels, followed by a slow deterioration, once your estrogen creeps up.

High estrogen negates a lot of the positives from testosterone therapy, resulting in the same symptoms of low testosterone you had in the first place!

The solution is to add a drug called Arimidex. It's called an aromatase inhibitor, which essentially blocks the conversion of testosterone to estrogen. It has the effect of increasing testosterone levels, while keeping your estrogen low.

Once you have your testosterone and estrogen solved, it's time to stop the next inevitable decline? Shrinking testicles.

This is where HCG (human chorionic gonadotropin) comes in. It prevents both infertility and testicle shrinkage. Your testicles shrink because your body thinks it doesn't need to make testosterone anymore.

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