Cardiovascular Benefits and Risks of TRT in Older Men with Low T
People are asking...
Would a person that has low test and takes trt build more or less muscle than an average person that doesn’t take anything?...
They would generally build the same amount of muscle, assuming that "average person" was not also a low Testosterone individual. This is because the primary goal of TRT is to get you back to where you... See Full Answer
Do you think that most mental health issues are contra indications for starting TRT? Such as depression and bipolar for example? Or have you seen peop...
For us, we have had a significant number of patients join us with slight anxiety or depression start TRT and find that those mental health issues improved or went away for them. It is likely that it w... See Full Answer
How do you manage bph while on TRT? I’ve considered finasteride but hear very conflicting information about its usage....
Because of the way it works to decrease DHT levels, and because DHT is very important in sexual function, it has a known potential side-effect of erectile dysfunction. Despite this potential side ef... See Full Answer
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This meta-analysis of 58 research papers regarding TRT and heart health demonstrates that TRT is safe and is associated with prevention of CVD and strokes in hypogonadal men. These studies have have also demonstrated that normal T levels or the normalization of low T levels with testosterone replacement therapy (TRT) is associated with decreased incidence of heart attacks, diabetes, and strokes, besides improving sexual function and the quality of life.
https://pubmed.ncbi.nlm.nih.gov/29478348/
Many studies have shown that low testosterone (T) levels have been associated with increased risk for cardiovascular (CV) events, type 2 diabetes mellitus (T2DM), and strokes. In contrast, many other studies have demonstrated that normal T levels or the normalization of low T levels with testosterone replacement therapy (TRT) is associated with decreased incidence of CV events, T2DM, and strokes, besides improving sexual function and the quality of life. However, recent studies have indicated that TRT could lead to increased incidence of CV events and strokes. These latter studies have created a great controversy among physicians regarding these findings, who question the validity of their results. In order to get a better perspective on the current status of TRT in hypogonadal men, a focused Medline and EMBASE search of the English language literature was conducted between 2010 and 2017 using the terms hypogonadism, low Testosterone, cardiovascular disease, testosterone replacement therapy, benefits, risks, older men, mechanism of action, and 58 papers with pertinent information were selected and 48 papers were rejected. The selected papers will be discussed in this review. In conclusion, based on the current status of TRT, the majority of studies indicate that TRT is safe and is associated with prevention of CVD and strokes in hypogonadal men. However, the evidence is not uniform and the therefore, decision to administer TRT should be discussed with the patient till more definitive information becomes available.
Have a question? Ask us.
At AlphaMD, we're here to help. Feel free to ask us any question you would like about TRT, medical weightloss, ED, or other topics related to men's health. Or take a moment to browse through our past questions.
People are asking...
Would a person that has low test and takes trt build more or less muscle than an average person that doesn’t take anything?...
They would generally build the same amount of muscle, assuming that "average person" was not also a low Testosterone individual. This is because the primary goal of TRT is to get you back to where you... See Full Answer
Do you think that most mental health issues are contra indications for starting TRT? Such as depression and bipolar for example? Or have you seen peop...
For us, we have had a significant number of patients join us with slight anxiety or depression start TRT and find that those mental health issues improved or went away for them. It is likely that it w... See Full Answer
How do you manage bph while on TRT? I’ve considered finasteride but hear very conflicting information about its usage....
Because of the way it works to decrease DHT levels, and because DHT is very important in sexual function, it has a known potential side-effect of erectile dysfunction. Despite this potential side ef... See Full Answer
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