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Signs of Low Testosterone

  • ​Decrease in libido (sex drive)

  • Lack of energy

  • Decrease in strength +/or endurance

  • Loss of height

  • Decreased "enjoyment of life"

  • Sad +/or grumpy

  • Erections that are less strong

  • Recent deterioration in ability to play sports

  • Falling asleep after dinner

  • Recent decrease in work performance                                                                               

Potential Causes 

  • Aging​

  • Obesity

  • Metabolic Syndrome

  • Medications

  • Trauma

  • Pituitary Gland Disease

  • Genetic Conditions                                                                                      

Stressed Man
Drug and Syringe

Screening 

  • ADAM Questionnaire

  • Health History

  • Physical Examination

  • Lab Panel â€‹

Treatment 

  • Testosterone Cypionate​

    • Subcutaneous Injection 2x/week​

    • IM Injection 1x/week

    • Injection supplies provided

  • Follow Up Lab Panel(s)​

    • Frequency of labs varies by patient​

  • Dose Adjustments Based on Response to Treatment

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Lifestyle Considerations

  • Zinc​

  • Magnesium

  • Vitamin D

  • Curcumin

  • Exercise 

  • High Protein/Low Carb Diet

  • Minimize/Avoid Alcohol Intake

  • Avoid Soy and Soy Bi-Products

  • Quality Sleep

  • Stress Management â€‹

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Training with Barbell
Weightlifter
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