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admin | Natural Testosterone Replacement | 01.08.2014
The director of the Men’s Health Program at Mount Sinai Medical Center, Tamler is an endocrinologist who specializes in treating men with low testosterone, erectile dysfunction, osteoporosis and diabetes. Low testosterone is a problem for about 15 million American men, most of whom remain undiagnosed and untreated.
Other risk factors include chronic kidney or liver disease, HIV, certain medications and excessive alcohol intake. Low testosterone is an increasingly common problem, in part due to rising rates of obesity in this country. The classic symptoms of hypogonadism are decreased libido, erectile dysfunction, fatigue, loss of muscle mass and depression.
Now that doctors know that lower testosterone is predictive of higher mortality, it’s all the more important to seek out treatment.

For patients who can’t manage their low testosterone in other ways, there is testosterone replacement. In recent years, studies have established that men with low testosterone have a much higher risk of diabetes, heart disease and early mortality.
If you are feeling low desire and fatigue, ask, “Could I have low testosterone?” Another good question is, “Could low testosterone be contributing to my diabetes?” If you have low testosterone, the symptoms you chalk up to normal aging may be far more treatable than you imagine.
Men over the age of 45 are considered at especially high risk of having low testosterone — also called hypogonadism — if they are obese or have sleep apnea, heart disease or diabetes. Men who feel fatigue and low desire, have erectile dysfunction or suspect they have low testosterone should be screened with a morning blood draw. A fracture out of nowhere can be a sign of osteoporosis, which can be the result of low testosterone.

Anyone can paint over it and prescribe testosterone, but with our comprehensive approach at Mount Sinai, we can solve the underlying problem and bring up testosterone levels naturally,” says Tamler, who is also a nutrition-support physician. It can be transformative, not just for a patient’s sex life, but for his relationship and overall well-being,” says Tamler. For instance, losing weight often causes levels to bounce back, and a recent Mount Sinai study showed dramatic effects after weight-loss surgery.

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