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This case study walks through one man’s journey from debilitating fatigue and low libido to renewed energy, strength, and cardiovascular protection. Like women, men experience a decline in hormone Natural Testosterone Replacement Therapy for Men In an earlier post we discussed the role of natural estrogen therapy in women. Please consult with a healthcare professional before making any changes to your diet or starting any supplements. However, this approach has limitations.
It's an approach that seeks to optimize health through personalized, evidence-based interventions. Functional medicine promotes a comprehensive understanding of these risks, ensuring that patients are informed participants in their treatment decisions. Functional medicine presents a comprehensive framework for managing testosterone deficiency. Although testosterone therapy offers benefits, it is not without potential risks and side effects.
It is important to understand all aspects of testosterone replacement therapy before making a decision about whether it’s right for you. If you’ve been putting off addressing unwanted symptoms, setting up an appointment to discuss your concerns is easy—contact a functional men’s health provider at CentreSpringMD. First, saliva and/or blood tests are necessary to measure both free testosterone & bound testosterone. This means that synthetic testosterone therapy may not be the right option to treat a low testosterone level in all men. In males with obesity there is increased aromatase activity, which converts testosterone to estradiol resulting in decreased testosterone and elevated estrogen levels (8). Though low testosterone affects as many as 1 in 4 men, only about 1 in 20 men experience noticeable symptoms (2).
For some men, abnormally low testosterone levels are due to an underlying condition or a pituitary disorder. Today, average testosterone levels in men are significantly lower than they were just a few decades ago (1). Fortunately, the functional medicine approach to treating low testosterone offers a more holistic solution. Too often, conventional treatments for low testosterone simply involve hormone supplementation—a solution that is often ineffective on its own and carries both short-term and long-term risks.
We map your full diurnal cortisol curve and identify the root drivers of dysregulation. This page reflects current functional medicine practice standards and is updated as new clinical evidence becomes available. Treatment is individualized to the specific cortisol pattern, addressing root causes at every level.
Thyroid health is essential for maintaining hormonal balance, as it regulates metabolism, energy levels, weight, and cardiometabolic health, as well as directly influencing hormone levels. Improving gut health through diet, probiotics, or other interventions may positively affect men's hormone balance and overall well-being. Body composition analysis helps assess muscle mass, which is closely tied to testosterone levels. Testosterone plays a role in preserving muscle mass; naturally declining testosterone levels can lead to changes in body composition, including reduced muscle mass and increased body fat. Understanding one’s cardiometabolic health status and adopting healthy diet and lifestyle habits can support heart health and may preserve sexual function. Men’s hormone health is closely linked to cardiovascular and metabolic health. Therapies to directly address testosterone levels may also be considered.
With the help of a functional medicine practitioner, you can learn how to address the underlying causes of low testosterone with lifestyle changes and possibly supplementing hormones in an optimal manner. Defining what constitutes optimal testosterone levels isn't a straightforward task due to the variations influenced by factors such as age, health status, and lifestyle choices. Shockingly, up to 25% of men who receive testosterone therapy do not undergo pre-prescription testing for their testosterone levels. Reducing stress is crucial for maintaining healthy testosterone levels. In the following video, IFM educator Mark Holthouse, MD, FAAFP, IFMCP, discusses the functional medicine approach to optimizing testosterone levels naturally.
The DUTCH test also measures estrogen and its metabolites, which can indicate whether a man is converting excessive testosterone to estrogen. For instance, supplements like zinc may be recommended to lower SHBG levels. The results of the testosterone panel help determine androgen status and testosterone bioavailability.
Let’s break it down clearly so you (and your patients) can feel confident about treatment decisions. Join healthcare leaders for live online sessions and Q&A — delivering evidence-based strategies to guide patients toward lasting longevity. Lifestyle predictors of healthy ageing in men. Andropause and the development of cardiovascular disease presentation-more than an epi-phenomenon.
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