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metabolism of estrogens. Other natural supple-
ments are known to raise T levels 10-30%, such as
Tribulus terrestris, chrysin, nettle root or muira
puama.
When replacing T directly use only bioidentical
hormones, which simply means they are 100%
identical to our biology - that is, the molecular
structure is exactly the same as that found in our
body. Simply taking a pill that one swallows does
not work and we recommend either a tablet that
melts under the tongue or a cream that is absorbed
through the skin. Some men prefer a weekly injec-
tion.
Improved mood, energy, sleep, sex drive and gen-
eral outlook will usually start within a few weeks
of TRT. It may take a few months to fully appreci-
ate the improved stamina, muscle building, fat
burning and erectile function effects of TRT.
There are a few caveats to testing and monitor-
ing TRT. Once on TRT one should get a ¡°free¡±
testosterone blood level, and monitor the normal
by-products, estradiol and DHT. I suggest only
considering TRT with a physician who is familiar
with the process.
TRT prevents disease and helps maintain quality of
life, and like other age management strategies, it is
changing the paradigm of normal aging!
* * * * *
Free Seminars at the IMC: ¡°Fibromyalgia and
Chronic Fatigue¡± - Monday, May 13th, 6pm at
the IMC; ¡°Bioidentical Hormone Replacement for
MEN¡± - Monday, May 27th, 6pm at the IMC. RSVP
at 970.245.6911
(Scott Rollins, MD, is Board Certified with the
American Board of Family Practice and the
American Board of Anti-Aging and Regenerative
Medicine. He specializes in Bioidentical Hormone
Replacement for men and women, thyroid and
adrenal disorders, fibromyalgia, weight loss and
other complex medical conditions. He is founder
and medical director of the Integrative Medicine
Center of Western Colorado (www.imcwc.com)
and Bellezza Laser Aesthetics (www.bellezzala-
ser.com). Call 970.245.6911 for an appointment or
more information.)
2013 May
Pg 6 - The Sunshine Express
the cancer. We moni-
tor this through
routine blood testing
and it is very rarely
an issue. TRT may
rarely cause an
increase in the pro-
duction of red blood
cells, which requires
men to simply do-
nate blood to lower
the red cell count.
Still sounds great
- how does one go
about starting TRT?
First of all, check
blood levels of
testosterone, and if
they are lower than
optimal then you
may start TRT. I rec-
ommend getting the
¡°free¡± T level in ad-
dition to the ¡°total¡±
T, as the free portion
is the active portion.
With aging the free
portion tends to get
smaller and smaller
in proportion to the
total and more ac-
curately determines
if T levels are low.
You can raise T lev-
els with a few natu-
ral supplements.
DIM is derived from
cruciferous vegeta-
bles such as broccoli
and can effectively
raise free T levels by
improving the
strength and function. Muscle is replaced by fat
and fibrous tissue. Hormone decline - particularly
androgens like testosterone - is one of the big-
gest reasons for sarcopenia in men and women.
Maintaining muscle mass means less frailty, more
energy and more stamina.
Testosterone indirectly prevents diabetes by pre-
venting sarcopenia. But, TRT also has a direct ef-
fect on helping insulin work well. Several studies
show men who replace testosterone need about
50% as much insulin. Adding TRT to an exer-
cise program results in much better blood sugar
control than exercise alone. I consider TRT in all
my patients with type 2 diabetes or metabolic
syndrome X.
Osteoporosis or ¡°brittle bones¡± is not as common
in men as women, since men build stronger bones
in the first place because of testosterone. Howev-
er, the mortality and disability caused by osteopo-
rosis in men is worse than in women. Again, TRT
has a direct stimulating effect on bone - testoster-
one will build bone!
Dementia and depression are much higher in men
with low testosterone levels. Testosterone has
both protective and growth stimulating effects on
nerve tissue in the brain, and is shown to have a
regulating effect on the plaque that accumulates
in the brain with Alzheimer¡¯s dementia. TRT
improves cognition and mood, especially abstract
and spatial skills such as reading a map, coordina-
tion and balance, and motor control.
The myth of testosterone causing prostate cancer
has been thoroughly debunked. In fact, at the
time of diagnosis, men with prostate cancer tend
to have a lower testosterone level than average.
Men with low testosterone also tend to have more
aggressive forms of prostate cancer. TRT does
not increase the risk of cancer and recent studies
show it is even safe to use TRT after treatment of
prostate cancer.
This all sounds great - but what are the risks of
TRT? The main risk is if a man already has an
existing prostate cancer then TRT will stimulate
Vitality for The Aging Man: Testosterone replace-
ment is changing the paradigm of normal aging
Healthy aging men will have a predictable decline
in the male sex hormone, testosterone, leading to
decreased energy and fatigue, weight gain, loss of
muscle mass, and loss of sex drive or erectile func-
tion. They will also have increasing risk for heart
disease, diabetes, osteoporosis and dementia.
Have heart, men, for there is something you can
do about it! Men can supplement their hormones,
just like women. The decline in male hormones
is called andropause, with a decline in hormones
similar to menopause in women, but it occurs over
10-15 years instead of the few years it takes for
menopause.
Men don¡¯t usually have hot flashes or night sweats
and unlike the mood swings noted with the wildly
fluctuating hormone levels during menopause,
men tend to just get more and more apathetic, with
decreasing motivation, security, and confidence.
Feeling so blah causes many men to feel anxious
or depressed. Insomnia is also common with low
testosterone.
Testosterone Replacement Therapy (TRT) is a
well-established science and there are hundreds of
studies documenting the safety and effectiveness
of TRT. Some of the largest studies simply observe
that men who are low in testosterone have about
a 50% increased death rate over the subsequent
decade when compared to men with normal testos-
terone levels.
Heart disease is the number one killer in men. Tes-
tosterone helps prevent heart disease by improving
the cholesterol profile, discouraging blood clots,
and by keeping blood vessels open and elastic. Tes-
tosterone can be given to men with advanced heart
disease and is shown to improve their functional
ability to stress the heart.
Sarcopenia is the age-related loss of muscle mass,
Health & Nurturing
Medicine
In Harmony
by Scott Rollins, M.D.
The start of vacation season is just around the
corner and hiking is a great way to recharge your
health while soaking up all the natural beauty
that surrounds us.
www.RockyMountainHikingTrails.com
launched a new website that gives hikers inter-
ested in Rocky Mountain National Park a robust
source of trail information at their fingertips.
www.RockyMountainHikingTrails.com offers
detailed information on more than 70 hikes, in-
cluding trail descriptions, key features, pictures,
maps, elevation profiles and more. Additionally,
the site is organized to make it easier for hikers
to compare and choose trails that best suit their
hiking preferences. Before the launch of Rocky-
MountainHikingTrails.com, hikers had difficulty
finding detailed web-based trail information
for Rocky Mountain National Park. Most exist-
ing sites list only a handful of the most popular
trails, and provide only limited information
without regard to individual hikers¡¯ skill level or
preferences.
With this new website, hikers can choose trails
based on either location within the park, hiking
difficulty, key features, or they can simply look
at an alphabetical listing. RockyMountainHik-
ingTrails.com uses a mathematical formula to
rate trail difficulty which gives hikers a compara-
ble reference point between trails. This informa-
tion will benefit any day hiker; including people
looking for a short stroll to a nearby waterfall, to
the long distance hiker looking to climb Hallett
Peak, as well as hikes of varying lengths and
difficulty in-between.
RockyMountainHikingTrails.com is the sister
site to www.HikinginGlacier.com, on Glacier
National Park in Montana, and www.Hikingin-
theSmokys.com, the number one hiking website
for the Great Smoky Mountains in Tennessee.
Healthy Trails To You