Low Testosterone; Low T; Hormone Replacement Therapy; Energy Levels; Adrenal Fatigue

[title size=”1″ content_align=”left” style_type=”single” sep_color=”” class=”” id=””]Question[/title][testimonials design=”classic” backgroundcolor=”” textcolor=”” class=”” id=””][testimonial name=”” avatar=”male” image=”” image_border_radius=”” company=”” link=”” target=”_self”]I’m 41 years old, and I’ve seen all these commercials on TV about low testosterone, and I’m tired at the end of the day. I don’t know why, I used to be able to work 13/14 hours a day, and be able to go home and do something. But now, at the end of the day, I’m beat down. I’m wondering if that’s low testosterone.[/testimonial][/testimonials][separator style_type=”none” top_margin=”” bottom_margin=”20″ sep_color=”” icon=”” width=”” class=”” id=””][title size=”1″ content_align=”left” style_type=”single” sep_color=”” class=”” id=””]Answer[/title][testimonials design=”classic” backgroundcolor=”” textcolor=”” class=”” id=””][testimonial name=”” avatar=”male” image=”” image_border_radius=”” company=”” link=”” target=”_self”]Well, it could be low testosterone. That’s a very distinct possibility. We’ll take the question and cut it in half. The first thing About the advertisements on television, “Could it be a low T?” Well, the fact of the matter I; Statistically it probably is. Why? Because about the age of 40, your testosterone is going to be dropping very, very significantly to the point where you’re going to start to get fatigued, have difficulty sleeping, have difficulty concentrating. But when people get sleepy in the middle of the day, that usually indicates adrenal fatigue.

When you have adrenal fatigue, your body is not secreting out quite enough cortisol. It’s not kicking out enough DHEA, it’s not kicking out a lot of the other hormones that are necessary for you to maintain your balance. While testosterone may be one of the issues, it may very likely be only one of several things that need to be addressed.

So the fatigue could be testosterone, but more than likely what you’re demonstrating is something called adrenal fatigue. Now, why is that important? The adrenal glands are these two bits of tissue that sit on top of the kidneys. There are three parts to these glands. One part secretes cortisol, the second part secretes epinephrine or adrenaline, and the third part of the gland is responsible for the secretion of estrogens, DHEA, and about thirty to fifty other important hormones. These little pieces of tissue, the adrenal glands, are vital to your health.

As you get older, the adrenal glands tend to decrease in their effectiveness and function. This is the way the body ages.

We need to look at your adrenal glands and find out what we need to do to ramp up their function, or to restore those hormones that are not being produced in adequate amounts. One hormone in particular, DHEA, or didehydroepiandrosterone, is most likely what’s causing the fatigue.
Do you wake up in the middle of the night finding yourself where you can’t get back to bed? Do you feel panicky, or wake up in the morning and you just do not feel as though you rested at all?
Those symptoms usually result from adrenal fatigue or adrenal failure. Lab work is the only way to know for sure. The problem with testosterone products that are commercially available, is that they contain inadequate quantities testosterone to begin with. By using these commercially available “low T” products, there is nothing to prevent the body from taking this testosterone and degrading it to estradiol as it passes through the skin.

The way I really prefer replenish testosterone and other hormone levels, is a compounded product that combines the testosterone with a little bit of progesterone, then adding something called chrysin to the mix. Adding an aromatase inhibitor like chrysin prevents the enzymatic breakdown of testosterone to estradiol, which is not a good thing for a guy.[/testimonial][/testimonials]

David S Klein, MD

David S. Klein, MD, FACA, FACPM was born in Washington, DC, and was raised in Chevy Chase, Maryland. He completed his undergraduate education at the University of Maryland with degrees in Chemistry and Psychology.

Medical School was completed at the University of Maryland at Baltimore, followed by Internship in General Surgery at the University of North Carolina and Residency in Anesthesiology at the Duke University, Durham, North Carolina. Dr Klein has been practicing medicine since 1983, concentrating in Pain Medicine, Minimally Invasive Medicine and Surgery, and Neuroendocrinology. Earning Board Certification in Anesthesiology, Dr. Klein was elected Fellow in the American College of Anesthesiology, and he was elected Fellow in the American College of Pain Medicine. He is currently an adjunct Associate Professor at the University of Central Florida, School of Medicine.

He has focused his private practice on treating patients with hormone imbalance issues, nutritional deficiency related medical problems as well as pain related issues and impairment. With a highly-complex, CLIA licensed laboratory in-house, he has been able to provide rapid-turn around analysis efficiently and cost-effectively.
Lecturing extensively nationally as well as internationally, Dr. Klein has authored many articles on topics relating to pain, injury and nutritionally modulated illness. His radio show, “Pain Free Living,” received top ratings during the 6 years it was on the air. Currently practicing in Longwood, Florida, Dr. Klein practices entirely in the office setting.

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