Let’s Talk About Testosterone Replacement Therapy (TRT) for Men
Testosterone Replacement Therapy (TRT) for Men
Full Potential HRT Clinic in Portland, Oregon and Full Potential Men’s Clinic in Seattle, Washington have provided many thousands of men with unrivaled testosterone replacement therapy (TRT). Our clinic in Portland, Oregon is the largest and most successful anti-aging and regenerative medicine clinic in the Pacific Northwest. Our team of physicians set the standard for testosterone replacement therapy for men 10 years ago, and we have been trailblazing ever since. We provide our male patients with TRT through our Gold Standard Concierge TRT Membership. This membership is the foundation of our approach to providing our male patients with anti-aging and regenerative medicine to help them to experience their full potential health and longevity. We provide our member-patients with the option to add an array of additional anti-aging and regenerative services, including management of a variety of other hormone deficiencies.
Our Revolutionary Approach to TRT for Men with Low Testosterone
We understand that the reference ranges labs use don’t really matter. Reference ranges say that only 2.5% of men under 40 years old can have low testosterone, and that on the other hand 2.5% of men under 40 years old have too much testosterone. That sounds absurd because it is. Regardless, if you’ve tried to receive TRT for low testosterone from your primary care physician, you were likely told that your testosterone levels are normal, and were likely denied TRT for low testosterone, because your levels haven’t yet plummeted to the bottom 2.5%!
Reference ranges are composed only of average men 18 to 40 years old who aren’t obviously chronically diseased, or obese. What do we know about average men 18 to 40 years old who aren’t obviously chronically diseased, or obese? Are they ideally healthy? No, of course not. Should medications that lower testosterone be prescribed to the 2.5% of men who have testosterone levels above the reference range, since the reference range implies that those men are abnormal? No, of course not. Those men in the top 2.5% aren’t unhealthy or abnormal. They’re the healthy men! That’s how much testosterone we’re all supposed to have!
The reference ranges stop at 40 years old, because almost all men over 40 years old have low testosterone, and including them messes up the reference ranges. It’s called Andropause! And it’s in full swing by the time you’re 40 years old! Click here to learn more about low testosterone and what causes low testosterone in men.
We know that what’s most important is what level of total and free testosterone that not only resolves your symptoms and signs of low testosterone, but furthermore makes you feel your absolute best, without causing adverse effects. Our TRT doctors are TRT experts. They have learned from years and thousands of patients of experience that your total and free testosterone levels while on TRT for low testosterone should on average be above the reference ranges for men 18 to 40 years old.
Getting your total and free testosterone levels to be on average above the reference ranges while on TRT for low testosterone is difficult for most TRT doctors to accomplish without causing adverse effects, but this is our area of expertise, and it’s not difficult for us to accomplish. It requires an in-depth understanding of how low testosterone and testosterone replacement therapy (TRT) affects other hormones, medical conditions, genetic predispositions, and environmental factors, and it requires lots of experience. Our TRT doctors have this understanding and experience.
Successful TRT for Men With Low Testosterone Requires the Expert Prescription of TRT Medications
The foundation of successful testosterone replacement therapy (TRT) for men with low testosterone requires the expert prescription of the “Trifecta” of three TRT prescription medications: testosterone, anastrozole, and either gonadorelin or human chorionic gonadotropin (HCG), along with ongoing blood testing and follow-up.
We prescribe a dose of testosterone that gets you and keeps you within your normal and healthy ideal range, which means your average total and free testosterone levels are above the reference range – where they’re supposed to be!
As men age their testosterone levels plummet and their cells decrease their number of testosterone receptors. The disappearance of testosterone receptors means that whatever testosterone is in the blood is more likely to be stuck in the blood outside of the cell, and therefore be converted into estrogen. To make matters worse, extra weight, especially in the mid-section, chronic stress, drinking a significant amount of alcohol, or using cannabis will all increase the conversion of testosterone to estrogen, and this whole process becomes a vicious positive feedforward cycle since higher estrogen levels will decrease testosterone production, causing testosterone levels to further drop, testosterone receptors to continue to disappear, and estrogen levels to further increase.
If men with low testosterone forego “Trifecta” TRT for low testosterone, then this disappearance of testosterone receptors gradually becomes irreversible beginning around age 50 or so, and worsens over the course of the next about 20-30 years, after which it’s mostly irreversible. In the mean time, it’s reversible, but it takes expertly prescribed short-term supersaturation of the testosterone receptors by testosterone for the cells to increase their number of testosterone receptors again. What this means is that when men with low testosterone initiate testosterone replacement therapy (TRT) they will initially require a significant amount of an aromatase inhibitor to prevent the conversion of testosterone to estrogen. Over time, the required dose of anastrozole usually decreases, but it can be quite significant for some time. Of course, in cases where men become a lot more physically active and improve their body composition, testosterone doses can increase such that the anastrozole dose remains the same or even increases. This is why it’s important to make sure you’re going to a specialty TRT clinic where you can receive testosterone replacement therapy under the supervision of a team of TRT doctors who are TRT experts.
If testosterone is prescribed without the appropriate anastrozole dose, then an overwhelming amount of estrogen will be produced from the prescribed testosterone, which will outcompete testosterone for testosterone receptors, and this pretty much causes the opposite of what men with low testosterone want from testosterone replacement therapy (TRT). Trust me, there are better ways for men to get in touch with their feminine side. Without the appropriate prescription of the just-right amount of anastrozole by a TRT doctor who is a TRT expert there’s no way to normalize testosterone levels without causing either overwhelming estrogen levels.
Our TRT doctors prescribe a dose of anastrozole that gets and keeps men’s estrogen levels within their normal and healthy ideal range, which means that they get all of the benefits of having a normal amount of estrogen, without suffering any adverse effects of having either too much or too little estrogen. This is crucial, because estrogen is actually a very important hormone for men! Men will not feel normal and healthy if their estrogen levels are either too high or too low. An example of how important estrogen levels are is that if men have too much estrogen, then they can’t achieve a firm erection, and if they have too little estrogen, then they can’t maintain one. I think that’s all I have to say about estrogen for men to understand it’s importance, but there’s a whole lot more to it than that!
Gonadorelin or Human Chorionic Gonadotropin (HCG)
Neither gonadorelin nor HCG is a required part of TRT. We only recommend the ongoing use of one of these medications for patients who want to prevent gradual testicular shrinkage, and a gradual loss of their ability to make testosterone and sperm while they’re on TRT. This will gradually happen without the ongoing use of one of these medications, because otherwise when your testosterone levels are kept in an ideal range, then over time your hypothalamus and anterior pituitary gland will determine that there’s no need for them to produce their stimulatory hormones, so over time they gradually weaken and shrink, and the entire pathway for making testosterone and sperm will shut down.
Either of these medications can work very well to accomplish this. Gonadorelin is preferred unless there is a disease or lesion of the anterior pituitary gland, which is very rare. Gonadorelin is another name for gonadotropin releasing hormone (GnRH), which is made by the hypothalamus in the brain. Gonadorelin stimulates the anterior pituitary to make and release luteinizing hormone (LH), follicle stimulating hormone (FSH), and to a much lesser extent, human chorionic gonadotropin (HCG). LH then stimulates the testes to make testosterone, while FSH then stimulates the testes to make sperm, while HCG then stimulates the testes primarily to make testosterone, but secondarily also stimulates the testes to make sperm. HCG is preferred when the anterior pituitary is not able to respond to gonadorelin, which is very rare. In this case, it makes the most sense to bypass the anterior pituitary and directly stimulate the testes with HCG. Based on our experience, patients are able to maintain most if not all of their testicular functional capacity by taking one of these medications while on TRT.
Sometimes You Need More Than “Trifecta” TRT
Properly prescribed testosterone replacement therapy (TRT) requires an in-depth understanding of how low testosterone and testosterone replacement therapy (TRT) affects other hormones, medical conditions, genetic predispositions, and environmental factors, and it requires lots of experience. We have this understanding from years and thousands of patients of experience
We’re experts not only in testosterone replacement therapy (TRT) for low testosterone, but also in comprehensive hormone replacement therapy for men in general. Low testosterone is the most common severe hormone deficiency in men less than 50 years old men, but between 40 and 50 years old it becomes more common for men to suffer from severe human growth hormone deficiency, and severe human growth hormone deficiency is just as common as severe testosterone deficiency for men over 50 years old. It’s also not uncommon for men to suffer from other hormone deficiencies and imbalances as well, especially low progesterone, as they age. For men less than 40 years old who suffer from low testosterone, usually expertly prescribed testosterone replacement therapy (TRT) is all that’s needed to bring other hormones into balance. But sometimes it’s not. For men over 50 years old, usually some form of human growth hormone replacement therapy is required for symptom relief, prevention and treatment of age-related chronic disease, and the experience of full potential health.
When necessary, we identify and address other hormone deficiencies and imbalances as well. And we do it better than any other testosterone or hormone replacement therapy clinic anywhere near Portland, Oregon, Vancouver, Washington, or Seattle, Washington.
We augment testosterone replacement therapy (TRT) and comprehensive hormone replacement therapy for men with the evidence-informed use of other medications, nutraceuticals, herbs, and realistic lifestyle recommendations, customized to their needs and abilities – so that we can work together to help our patients reach their full potential!
Our Gold Standard Concierge Testosterone Replacement Therapy (TRT) Program for Men With Low Testosterone
We Have Helped Thousands of Men Just Like You Who Suffer From Low Testosterone
Are you suffering from symptoms and diseases we’ve all been told are just an inevitable part of getting older, when in fact they’re really caused by low testosterone and low levels of other hormones, which can be treated? If so, then regardless of your age, but especially if you’re over 50 years old, it’s really important that you see a testosterone replacement therapy (TRT) or hormone replacement therapy (HRT) doctor with expertise and successful experience prescribing testosterone replacement therapy and comprehensive hormone therapy for men.
Our distinguished team of physicians and staff has more than 10 years of experience successfully treating many thousands of men near Portland, Oregon and Seattle, Washington with testosterone replacement therapy (TRT) for low testosterone, helping these men to live and perform to their full potential health and longevity.
Call 971-319-4636 for more information or help with scheduling an appointment.