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Muira Puama (ptychopetalum Olaciodes)(bark), Calcium Citrate, Maca (Iepidium meyeniiwalp)(root), Nettle (Urtica dioica)(Leaf), LongJack (Eurycoma Longifolia) (Root) 100:1, Ginkgo Biloba (Leaf) Ext 24%, Chrysin,Tribulus Terrestris (fruit) Extract 40%, Black Pepper (piper nigrum)(fruit) Extract. At fourteen, Skylar, born a girl, adopted a boy’s name; at sixteen, he started taking testosterone and had a mastectomy.
For high-school seniors like Skylar—who live in prosperous suburbs, have doting parents, attend good schools, and get excellent grades while studding their transcripts with extracurricular activities—the hardest part of the college application is often the personal essay. These symptoms are often attributed to a natural decline in testosterone that happens as men get older. However, it's very misleading to say the above symptoms are only due to low testosterone, nor is low testosterone simply caused by getting older.
Yes, it is true testosterone levels decrease with age, and the above symptoms are associated with that decrease in testosterone. Exposure to some form of testosterone made outside the body (such as testosterone replacement therapy) can deregulate the hypothalamus and pituitary. Underlining problems which can deregulate the whole steroid hormone family include: nutritional deficiencies, stress, toxicity, auto-immune disease, and infections.
At least testosterone levels declining to the point wher it is causing multiple symptoms in middle aged men (including low libido and impotence) is not a natural part of agine. However, high stress day after day, for years on end (which today is unfortunately very common) wears out the endocrine system and over time lowers stress. There are two basic pathways (as seen in the above chart) steroid hormone production can go. Under prolonged stress the body shunts resources away from the androgens, and focus on the pregnenolone to cortisol pathway. Since altered stress (and increases in cortisol) can lower testosterone in several ways (through pregnenolone steal and supressing LH), the stress responsce needs to be normalized. This involves lifestyle and dietary interventions to reduce stress, plus supplements that nourish and rebalance the hormonal system. High DHT can cause male pattern baldness, enlarged prostate and symptoms of low testosterone as well. The bottom line is that too much stimulation of testosterone receptors (through testosterone drugs, or DHT) can down regulate receptors and cause symptoms of low testosterone.
High DHT can be a sign of nutrient deficiency (especially zinc, essential fatty acids and amino acids) or caused as part of a greater deregulation in the total steroid hormone balance. If low testosterone can not be easily resolved, it may be necessary to get tested for an auto-immune disease.
Besides using other supplements and lifestyle interventions, the steroid hormone precursors DHEA and pregnenolone are available as dietary supplements.
When we step back and look at everything, it becomes clear that blaming low testosterone on an inevitable aging process is simply wrong. Throwing testosterone drugs at the problem may help a man feel good in the short term, but over the long run will not correct the underlining hormonal imbalance. The term male menopause implies that men go through an inevitable process of shifting hormones , comparable to menopause in women. But the truth of the matter is that the process is not inevitable, and there is an awful lot men can do to get healthy and see symptoms reversed. For questions and comments about product, please visit our product discussion forum at the HGH Community. It would be a great combination for building and maintaining lean muscle gain, fat cutting, energy and stamina and increased libido. They’re typically asked to write about some life-changing experience, and, if their childhood has been blessedly free of drama, they may find themselves staring at a blank screen for a long time. However, it is better to understand this as and overall hormonal imbalance, rather than a single hormone deficiency. Natural treatment would include lowering inflammation (by changing diet, anti-inflammatory supplements and investing hidden sources of inflammation, such as toxicity or digestive disorders). This will help rebalance the hormonal system and restore the body's ability to regulate itself.
Just like hypothyroidism (low thyroid hormone) is not a natural part of aging, neither is low testosterone. Despite conventional medicine's attempt to demonize cholesterol, the fact of the matter is that it is essential for life. The over prescription and dosing of statins can drive cholesterol well under the official normal range of up to 200. Either towards production of androgens (androstenedione, testosterone and DHT) or to stress hormones (cortisol).
In addition, hidden sources of stress (toxicity, undiagnosed illness, inflammation in digestive system or systemic inflammation as seen with high homocysteine and high C-reative protein) should be identified and reduced. It looks like testosterone and can block testosterone receptors, but will not activate them.
Too much causes cells to make less receptors and stop responding to a hormone all together. A holistic treatment approach would correct nutrient deficiencies and correct other problems listed on this page to rebalance the entire steroid hormone balance.
Labs indicating this would be high FSH, pulse positive antibodies against leydig and sperm cells. These xeno-estrogens are much stronger than those made in the body and disrupt the hormonal systems of men, women and children.
In cases where hormone levels are very low, these can be used (as part of an overall plan to rebalance the endocrine system) to bring up levels of testosterone. In fact, DHEA works so well, there generally should be no need to jump straight to testosterone replacement therapy. This is especially true for men in there, 50's, 40's, 30's and even 20's who have low testosterone. Basically it says there is nothing you can do to get better, since this is just something that happens with age.
I've used this product for the past 2years regularly and have an incredibleincreased stamina and strength. This is called hormone resistance, and is most commonly known to happen with insulin in diabetes.
Basically, the beer bellies some men get with age, become another endocrine gland which convert testosterone to estrogen. In such cases testosterone replacement therapy may just give fat cells more fuel to convert to estrogen.
Since DHEA and pregnenolone directly feed into steroid hormone production, hormone levels should be monitored before, and during and course of supplementation. You're only choices are to do nothing, or ask your doctor to start testosterone replacement therapy.
If you don't have a credit or debit card we do have other payment options available to you. In fact, hypothyroidism, blood sugar disorders and low testosterone can all be caused by stress and cortisol.
However, this should not happen to such a degree to cause men to run to doctor for testosterone replacement therapy.
Skylar would put it differently: he believes that, despite biological appearances, he was a boy all along. He’d just been burdened with a body that required medical and surgical adjustments so that it could reflect the gender he knew himself to be. At sixteen, he started getting testosterone injections every other week; just before he turned seventeen, he had a double mastectomy. In the past, females who wished to live as males rarely sought surgery, in part because they could “pass” easily enough in public; today, there is a desire for more thorough transformations. Skylar took hormones and underwent “top surgery” at a much younger age than would have been possible even a decade ago. Like many “trans” people of his generation, he is comfortable with some gender ambiguity, and doesn’t feel the need to be, as he puts it, a “macho bro.” He is not sure yet if he will have genital reconstruction when he’s older. Skylar lives in an affluent, wooded town near New Haven, a liberal enclave where nobody seriously challenged his decision to change gender. As he explained in his application essay, classmates kept telling him, “This is the most fundamental essence of who you are, Skylar. They are bullied at school, rejected by their families, and consigned to marginal—even desperate—lives. Teen-agers who identify as transgender appear to be at higher risk for depression and suicide.

Middle-class parents today tend to actively help their children get settled on a path in life, and often subscribe to the notion that “early intervention” is best for all kinds of conditions. Many therapists have begun to speak of even very young children as transgender (a category that few clinicians of past generations would have applied to them). And plastic surgery, tattoos, and piercings have made people more comfortable with body modification. Because this change is happening so fast, and amid a flurry of mostly positive media attention, it can be hard to recognize what a radical social experiment it is. Transgenderism has replaced homosexuality as the newest civil-rights frontier, and trans activists have become vocal and organized.
Alice Dreger, a bioethicist and historian of science at Northwestern University, says, “The availability of intervention and the outspokenness of the transgender community are causing a lot more people to see themselves as transgender, and at younger ages.” A recent survey of thirty-five hundred transgender Americans found that, the younger the respondents, the more likely they were to have had “access to transgender people and resources at a young age,” and to have identified as trans at a young age.
In a follow-up survey, more than two-thirds of the respondents between the ages of eighteen and twenty-two said that they had known other transgender people before adopting the identity themselves, compared with a quarter of those fifty-three and older. A kid today who hasn’t met other transgender young people can readily find them in popular culture and social media. Such characters appear on “Glee” (naturally) and on “DeGrassi.” On the Internet, Tumblrs and Listservs and thousands of YouTube videos chronicle the gender transitions of teen-agers. Shot on blurry Webcams in the family basement or in jumbled, poster-covered bedrooms, they variously resemble diaries, instruction manuals, music videos, and manifestos. Last spring, Warren Beatty and Annette Bening’s child Stephen—born Kathlyn—attracted attention after making a video of himself for the site We Happy Trans. Stephen, then twenty and a sophomore at Sarah Lawrence College, explained that, at fourteen, he had “transitioned socially,” adopting his new name and attending school as a boy. He revealed that he was taking testosterone while “presenting in a femme way,” adding, “It’s nice to finally be able to have my identity be legible to people.” Skylar told me that “the Internet, and the fact that there are resources readily available,” had made a big difference in his decision to change gender.
I don’t even know his former name—this was one remnant of his past that he refused to share.) In the early years of grade school, he hung out at recess with the boys who ran around playing real-life versions of video games, though he also had close friends who were girls.
Waiters and sales clerks often assumed that Skylar was a boy, and it soon became clear to his parents, Melissa and Chip, that Skylar didn’t want them to correct the misimpression.
They divorced when Skylar was nine, and though the breakup was painful, Melissa and Chip remain aligned as parents, sharing a cheerful confidence about Skylar and his older sister, Dakota, now a sophomore at Pomona College.
Obviously.” Partly because of this attitude, and partly because little girls can get away with being boyish—in contrast to little boys, who still cannot easily get away with being girlish—Skylar did not have a hard time in elementary school. When I asked him about difficult moments as a kid, he thought for a minute and then mentioned a school assembly at which a magician asked for male volunteers. I guess I was kind of annoyed at people, but, then again, my physical presentation wasn’t something I was particularly aware of.
I didn’t have that much of an issue with how people perceived me, because I didn’t get how people perceived me.” Puberty complicated things.
Skylar was sitting cross-legged, wearing baggy athletic shorts, colorful socks, and a hoodie. He had floppy bangs, bright teeth, and dimples, and wore a diamond stud in his ear and a clutch of rubber wristbands. The testosterone had lowered his voice by an octave, and he spoke slowly; his speech had less pitch variation than the average girl’s, and his voice didn’t lilt upward at the end of a sentence. At one point, I asked him how tall he was, and he said, “Either five-six-and-a-half or five-seven. At thirteen, Skylar was browsing at Barnes & Noble and came across the young-adult novel “Parrotfish,” by Ellen Wittlinger, which, along with books like “Luna” and “I Am J,” is a touchstone for trans kids.
Skylar wanted to take testosterone right away—he wanted facial hair and a deeper voice and a more masculine frame. Melissa said, “To his credit, Skylar’s been amazingly patient with allowing Chip and me to internalize this and to get up to speed on it. You know, the whole idea of testosterone—there are permanent physiological changes that occur. And, while Skylar himself was sure, he was, after all, fourteen.” Skylar started seeing a social worker in New Haven who works with transgender adolescents. Eventually, the social worker wrote a letter attesting to Skylar’s “gender dysphoria” but otherwise sound mental health. Endocrinologists require such a document before administering regular shots of a cross-gender hormone.
Weeks after Skylar started ninth grade, he announced his male identity by creating a Facebook page with his new gender status and name. The reaction of peers and administrators, he said, ranged from matter-of-fact to enthusiastic.
It certainly didn’t hurt that Skylar, who projects quiet ambition, attends a public high school where superior students get respect from both teachers and classmates.
There was some awkwardness about which bathroom he’d use: initially, he was given access to toilets in the principal’s office and the nurse’s office. But when Skylar started using the boys’ rest rooms nobody said anything, and that was that.
It had started in 2008, with just two kids, but by the time Skylar got involved there were sixty on the e-mail list and fifteen or so attending meetings regularly.
There was a separate group for parents and, eventually, a group for siblings and one for kids under the age of twelve. The group’s leader was Tony Ferraiolo, a burly, bearded fifty-year-old with a shaved head and Popeye forearms scrolled with tattoos.
In his day job, at a company that makes industrial switches and sensors, he supervises thirty employees. Most of the kids had adopted new names and pronouns, but only a few were on hormones or had undergone surgery.
Some had slept with girlfriends or boyfriends; others weren’t sure what their orientation would be once they became sexually active. Sometimes I forget that coming out in terms of sexuality is still a big deal.” On another occasion, he said, “I’m in no way opposed to the idea of being with a girl or woman.
But it’s a lot more likely it will be with a guy.” In trans circles, it is a given that sexual orientation and gender identity are separate matters. It can be hard for some of us to imagine a sexuality that is not inextricably linked to our gender.
Given that Skylar didn’t yet seem preoccupied with his sexuality, I felt almost boorish asking his parents how they felt his gender change might affect his romantic prospects.
Melissa told me that she didn’t worry about it: “There was a point at the beginning of all this when we all thought, How are you going to find someone to love you? Layne had started presenting himself as a boy in high school, after “faking it” as a lesbian since middle school. When he was accepted at the New School, in New York, he pressured his mother, who was reluctant, to let him start testosterone injections, saying that he wouldn’t go to college at all unless he could go as a boy. At freshman orientation, Layne met Mimi, an outgoing girl from Seattle, and felt an instant connection; they started dating and, as sophomores, were still together. But some parents wouldn’t come near the group, so a friend or a grandparent brought the kid.
In some families, only one parent approved of a child’s gender switch, and the marriages had foundered. There was a girl in the group who had begun to transition, and whose parents then divorced, at which point the girl’s father declared that he was transgender, too. Tony tells the parents, “You have to listen to your kids, affirm them, and then empower them to be who they want to be.” At the same time, he reminds the teen-agers that, overwhelming and fascinating as they find their gender identity, it’s not the only relevant thing about them. At one meeting, a girl in her mid-teens, who was starting the process of becoming male, mentioned feeling behind the curve. Many of the kids in the younger group, who were doing messy art projects in a room down the hall, were socially transitioning in elementary school.
It’s not necessarily a bad thing to come out late.” Clearly, “late” means something different to teen-agers. At the beginning of group meetings, Tony and each of the kids share a “highlight and lowlight” of the past three weeks.
When somebody announces that he or she has started taking cross-gender hormones, or is scheduled for surgery, the others clap.
Last April, Skylar shared big news: nine days earlier, he’d had “top” surgery to remove his breasts and “masculinize” his chest.
His endocrinologist and his therapist had recommended a plastic surgeon named Melissa Johnson, in Springfield, Massachusetts, who was willing to operate on kids under eighteen. After the kids stopped cheering for Skylar, they asked questions: Did he have a lot of pain when he woke up from the operation?

Skylar said that all he needed was a few Vicodins on the day following the operation; after that, watching the first three seasons of “Buffy the Vampire Slayer” back to back was enough to distract him from the pain. He said that he was looking forward to going to the beach wearing just a rash guard with his trunks (he had to protect the incision site from the sun for a year while it healed); eventually, he’d go bare-chested. Skylar wouldn’t be able to lift anything heavier than ten pounds for six weeks—he’d recruited friends at school to carry his backpack—but that wasn’t so bad.
Melissa told me that she had initially had some misgivings about Skylar’s desire to change gender.
She recalled when Skylar asked to buy a binder—a nylon-and-Spandex vest worn under clothes to flatten breasts. We, as women, grow up with a lot of expectations put on us about what we’re supposed to look like, and what we’re supposed to weigh and how big our breasts are supposed to be, and I’ve seen women mutilate themselves to try and meet that norm. So I just tell myself, ‘Pull out the rearview mirror and throw it away,’ because all it’s going to do is stop me from getting where I want to go. It’s not for me to want him to be a certain way.” Sometimes, deep in a conversation, Chip would mention having had doubts, but he sounded tentative when he tried to articulate what those doubts had been, especially if Skylar was in the room. In one such instance, he said, carefully, “We grow and evolve in such complex ways, and there still existed this lingering thought that maybe he’ll think, I shouldn’t have done this—I could have lived as a man without doing the surgery.” One afternoon, Melissa and I picked up Skylar at the True Colors Conference, an annual event for gay and transgender youth, at the University of Connecticut, in Storrs. Talking to Skylar and his friends drew me back to my years in graduate school, in the late eighties, when we talked a lot about “the social construction of gender” and frequently reminded one another that “sexuality has a history.” Skylar was reading the Epic of Gilgamesh for a class, and one day he told me, “This is so interesting to think about—my teacher had to sit us down and say, ‘Yes, Gilgamesh and Enkidu are lovers. Certain as he seemed that he’d made the right decision, one thing that remained unresolved was the question of whether he would live as “Skylar, the trans guy” or “Skylar, the guy.” He clearly longed to be the latter—to start college as a boy without a complicated gender story, to not always be a spokesman for the trans experience. In more intimate contexts, it wouldn’t be possible, anyway, since only the top half of his body had been reconstructed.
But he also felt an obligation to keep talking about being trans: to journalists, to school administrators, to questioning youths at conferences. There’s a lot of pressure to be out these days—to own your identity and declare it, proudly, to the world. A few months before I met Skylar and his family, I met a woman I’ll call Danielle, who lives in the San Francisco Bay Area. Danielle wasn’t convinced that gender confusion was the underlying cause, in part because her daughter, whom I’ll call Anna, hadn’t raised the subject until recently.
Anna was a dreamy girl who loved drawing, chafed at the strictures of school, and was beset by anxiety. She hadn’t dated anyone seriously, but in high school she’d told her mother that she might like girls. When Anna was in her last year at an alternative high school, she wrote Danielle a letter saying that she wanted to start taking testosterone and then have sex-reassignment surgery.
He prescribed antidepressants, but Anna refused to take them, saying that she knew too many kids who hadn’t been helped by them.
The psychiatrist then advised Anna to take a year off before starting college, and to proceed immediately toward a surgical transition; that way, “her gender flags would be in order” when she matriculated. We’re all waiting” Share Tweet Buy a cartoon Danielle, who was divorced, had younger children at home, too, and they readily accepted the proposition that their sister was trans. Danielle’s ex-husband, with whom she had a trying relationship, didn’t balk at Aidan’s switch, either.
While Danielle was at her college reunion, on the East Coast, he took Aidan to a clinic that administered testosterone. I know the clinics giving them out think they’re doing something wonderful and saving lives.
Maybe the gender feelings are the underlying cause, maybe not.” Danielle said that she had met many teen-agers who seemed to regard their bodies as endlessly modifiable, through piercings, or tattoos, or even workout regimens. She wondered if sexual orientation was beginning to seem boring as a form of identity; gay people were getting married, and perhaps seemed too settled.
The drug culture of the sixties was like that and the sexual culture of the eighties, with AIDS. I think this could be the next wave like that, and I don’t want my daughter to be a casualty.” History is replete with examples of men and women who cross-dressed, and some of them, no doubt, would have remade their bodies, had the option existed. In the nineteen-tens, German and Austrian scientists interested in the new field of endocrinology began attempting to change the sex of animals. Success with guinea pigs and rats encouraged doctors to respond positively to the human beings who yearned for gender metamorphosis. In 1931, in Berlin, a German waiter named Rudolf Richter had sex-reassignment surgery, becoming Dora.
That same year, Einar Wegener, a Danish artist who had undergone several operations to become Lili Elbe, died after a failed procedure to create female reproductive organs.
Cauldwell began using the term “transsexual” to describe people so alienated from their biological sex that they wished to change it. The endocrinologist Harry Benjamin took the lead in promoting this idea, wresting gender discontent away from the psychoanalytic realm, where it was diagnosed as a disorder of sexual desire (curable through will power and talk therapy), and defining it as a problem of having been born in the wrong body (fixable through hormones and surgery).
Benjamin helped establish a protocol requiring patients to receive a diagnosis of gender-identity disorder from a physician before taking hormones or undergoing surgery. Many transgender people have resented this kind of medical gatekeeping—and particularly the implication that they suffer from a mental illness.
In 1973, homosexuality was removed from the Diagnostic and Statistical Manual of Mental Disorders, and some trans activists worked for years to get “gender identity disorder” expunged, too.
Recently, they succeeded: in the next edition of the manual, which comes out in May, the term is replaced by “gender dysphoria”—a less pathologizing alternative that describes patients who report distress about their biological sex. BECOMES BLONDE BEAUTY.”) In the sixties, American medical centers, beginning with Johns Hopkins, started to perform gender reassignments.
From the outset, clinicians sought acceptance for the surgery by downplaying sexuality and emphasizing the “born in the wrong body” narrative.
The patients most likely to be accepted for surgery were men who, like Jorgensen, seemed as if they could successfully live as straight women and not upset traditional roles all that much once they made it to the other side.
Fewer women sought operations, in part because the surgical techniques that were available lagged behind those for men. Creating a penis, a procedure known as phalloplasty, can cost more than a hundred thousand dollars.
Daniel Medalie, a plastic surgeon in Cleveland who does sex-reassignment operations, told me, “It’s just really difficult to make a fully functioning penis.
It’s much easier to make a vagina—it’s easier to take away than to add.” Estimates of the number of transgender people have never been particularly reliable and have almost certainly undercounted them. An often cited Swedish study, from 1967, included only people who had received treatment for gender-identity disorder, and showed one in thirty-seven thousand for biological males and one in a hundred and three thousand for biological females. But many people who consider themselves transgender either can’t afford treatment or don’t feel a need for it.
Indeed, the term “transgender,” which became popular in the eighties, is an umbrella category that includes transsexuals, those who only take hormones, and people who defy their biological gender with clothes and makeup.
Newer estimates for the prevalence of gender dysphoria are closer to one in ten thousand for both males and females. In recent years, the most striking change for trans people is the possibility of switching gender at younger and younger ages. And, according to some estimates, thousands of American adolescents are taking hormones that forestall puberty until they decide whether they want medical or surgical interventions to change their biological sex.
Starting in the late seventies, doctors began prescribing these drugs for children who suffered from extremely precocious puberty. In 2000, a clinic in Holland began administering the drugs to kids who were struggling with their gender identity. The patients had to be at least twelve and had to have begun puberty; the drug put their sexual development on hold. At sixteen, patients could stop the hormones, allowing puberty to resume its course, or they could start a regimen of cross-gender hormones, whose effects are generally not reversible. Cohen-Kettenis observed, “Early intervention not only seemed to lead to a better psychological outcome, but also to a physical appearance that made being accepted as a member of the new gender much easier, compared with those who began treatment in adulthood.” The first American medical center to offer trans kids puberty blockers was Boston Children’s Hospital, in 2009.
Clinics in several other cities, including Los Angeles, San Francisco, New York, and Seattle, soon followed.
When I spoke recently with Norman Spack, an endocrinologist who runs the Boston program, he said that doctors in half a dozen more cities—among them Chicago, Cleveland, and Philadelphia—planned to adopt the puberty-suppressing protocol. Doctors who see kids with gender-identity issues often attribute their increasing numbers to media coverage.

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