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Tough to stick with your fitness goals? You’re not alone but then again maybe you are and that’s the problem. – TAPinto.net
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Comments Off on Tough to stick with your fitness goals? You’re not alone but then again maybe you are and that’s the problem. – TAPinto.net
Tough to stick with your fitness goals? Youre not alone but then again maybe you are and thats the problem.
Many people who work out on their own find working-out in the gym a chore at best or maybe worse. Most people dont enjoy chores so its no great surprise that all too soon they give up. For some theres a simple solution, and its fun.
Many years of research confirms that exercising in groups provides substantial benefits for many, rather than exercising alone. Here are some of the benefits:
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So when it comes to the best exercise program thats fast, fun and gets great results for those who dont want to exercise alone, small group exercise might just get you addicted to exercise, and keep you going.
Body Restoration Studio located in Berkeley Heights offers affordable Small Group Personal Training Sessions. Call: 908-464-4644 for more information. BodyRestoreNJ.com
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Doreen Puglisi. MS is an Exercise Physiologist and Owner ofBody Restorationan innovative Personal + Group Training wellness studio with a focus on restorative and integrated movement, mobility and pain-free living. We also have a special focus on medical fitness/exercise programs which are intended for those with chronic health conditions to those recovering from cancer and other types of surgeries. All fitness levels encouraged & welcomed. Please visit:www.bodyrestorenj.comfor more information. You can also reach us at 908-464-4644 or email:doreen@pinkribbonprogram.com.
Body Restoration is located at 10 Summit Ave. in Berkeley Heights.
The opinions expressed herein are the writer's alone, and do not reflect the opinions of TAPinto.net or anyone who works for TAPinto.net. TAPinto.net is not responsible for the accuracy of any of the information supplied by the writer.
Read More..Eating healthy, exercising can make a world of difference – Kdminer
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All too often, seniors trekking into the golden years begin wondering why they have more aches, pains, are always feeling tired, and also begin experiencing medical issues.
Some if not all aches, pains and constant tiredness can be attributed to one thing - inactivity. An idle mind and inactivity in ones life can lead to medical issues; seniors must grab the bull by the horn and keep active both physically and mentally!
It is conservatively estimated that by age 75, approximately one in three men and one in two women do not engage in physical activity.
The time has come for those inactive seniors to get up off the sofas and out of their recliner chairs, lace up their sneakers and get involved. There is life after raising a family and after retiring. Its not attempting to figure out the answer on a favorite TV game show, it is called putting together a simple exercise and/or activity plan in order to maintain good health.
Regular physical activity is good for everyones health. People of all ages and body types can be physically active and benefit from not just sitting around watching TV or taking long naps each day.
One of the easiest ways to get involved in physical activity is working around the yard or getting out of the Lazy Boy chair and starting a hobby that keeps their mind and body in good working order.
People dont have to go out and run a marathon to stay fit. Just walking 30 minutes a day will help get the blood flowing in that old ticker.
Regular exercise is an important part of preventing or lessening health issues and conditions. Some of the benefits of regular exercise include muscle strength, flexibility, cardiac fitness, reducing stress and anxiety, and it gives people a sense of well-being.
A viable solution to beginning an exercise plan is to take a leisurely walk. Talk with a relative or neighbor and set up a walking schedule. But the biggest factor people should consider is if they are actually healthy enough to undergo an exercise program. It doesnt have to be a long walk; just strolling around the block and having a stimulating conversation with a companion will help out a lot. And besides, seniors can catch up on all the things that are occurring around their neighborhood.
Seniors who have any concerns should consult with their medical professional or physician prior to starting their exercise regimen.
If a senior feels as if she or he doesnt want to trudge around the block or their physical condition precludes them from walking, they can visit one of the many centers and/or facilities available locally that are designed for elderly people (dont say anything Im 70).
Many of the senior centers have activities such as bingo, crafts, karaoke and dancing, and of course, there is stimulating conversation there in which people can share their experiences and thoughts.
One such center is the Kathryn Heidenreich Adult Center (KHAC) located at 1776 Airway Ave, Ste A, in Kingman. Visit KHAC or give them a call at 928-757-4525 to find out what schedule, events and programs they have for active seniors. (Note: Ill be putting together a series of articles in the near future detailing the various senior centers located in Mohave County and what services and events they have scheduled).
There are numerous gyms and fitness centers located in Mohave County that have programs for those seniors who want to work out. An example is the Kingman Regional Medical Center Del E Webb Wellness Center located at 1719 East Beverly Ave. The center has a wide variety of exercise equipment including free weights, a swimming pool and a trained staff to help assist individuals with their fitness needs and program.
Seniors should also eat healthier. A balanced nutritional program will help seniors feel better. They should not eat three large meals per day, but it is medically proven that it is better for people to have six smaller meals each day.
An example is between larger meals break out the celery, a piece of fruit or other nutritional items from the fridge and munch on them instead of waiting for the larger afternoon and dinner meals.
There is a wealth of information available at the touch of a fingertip on the internet about things seniors can do to remain active and on brochures at various medical facilities and senior centers.
Take time to do research on what is available for seniors in Mohave County.
Be active both physically and mentally.
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Eating healthy, exercising can make a world of difference - Kdminer
More Americans Are Walking for Exercise – Arizona Daily Star
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Call it a step in the right direction: More and more Americans are trying to walk their way to better health.
The number of adults who took up walking for exercise or as a way to get from place to place increased significantly between 2005 and 2015, federal health officials reported Thursday.
During that time, the percentage of women who walk increased from 57 percent to 65 percent. Among men, the percentage increased from 54 percent to 63 percent, according to the U.S. Centers for Disease Control and Prevention.
People who are physically active have a lower risk of many chronic diseases like heart disease, stroke and depression and it supports the healthy aging process for older adults, said study lead author Emily Ussery, a CDC epidemiologist.
On the downside, although more people are walking, the increase among men has stalled a bit in recent years, Ussery said.
And about one-third of adults said they didnt walk for at least 10 minutes a day, she said. There is still some work to be done to increase walking.
Its not clear why more people are walking, although it could be that messages promoting the benefits of exercise are getting through, Ussery said.
Its an easy activity to do. It doesnt require a lot of special skills or equipment, she said.
Its also not known why more women than men have started walking. Maybe it appeals more to women than men, Ussery said.
Regardless, people should engage in moderate exercise for at least two and a half hours a week, and walking fits right in, she added.
Communities can help get people walking by making streets safer and promoting walking programs. People need access to convenient and safe places to walk, she said.
As with other matters of health, there are racial, ethnic and socioeconomic disparities that exist between the people most likely to start walking and those who dont, Ussery said.
Blacks and Hispanics walk less than whites, and less educated and poorer people tend to walk less than more educated and richer folks, she said.
The report was published June 30 in the CDCs Morbidity and Mortality Weekly Report.
Dr. David Katz is president of the American College of Lifestyle Medicine. He said the CDC finding that walking rates have trended up over recent years suggests the message is getting out, but progress is slow, and disparities are large and persistent.
The people most in need of walking for health reasons are least likely to do it because of the usual social factors education, economics and environment, he said.
Affluent city-dwellers can rely on walking to get them many of the places they need to go. Not so for residents of many rural and suburban neighborhoods, said Katz, who also directs the Yale-Griffin Prevention Research Center .
There are some encouraging signs here, he added, but much work is clearly needed to create the level playing field of opportunity for health.
Samantha Heller, a senior clinical nutritionist and exercise physiologist at NYU Langone Medical Center in New York City, said walking is a good way to start an exercise program it only takes a pair of shoes and the desire.
Walking is free, we already know how to do it and it can be done virtually anywhere, she said.
Heller said walking regularly has been associated with decreased belly fat and better management of weight, blood sugar, cholesterol and blood pressure. It also can lead to a healthier heart, muscles, bones and joints, improved sleep and mood. And it can cut the risk of some cancers, and boost creativity, brain power and immunity, she added.
Heller recommends making walking a regular part of your day. You must schedule time to be physically active every day, she said.
Make an appointment with yourself, set aside specific times and days for walking or other physical activity, she suggested.
There are many ways to get moving, including enlisting a partner, joining a walking group, going hiking, and taking a historical walking tour. There is no time like the present to get off the couch and out the door, Heller said.
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More Americans Are Walking for Exercise - Arizona Daily Star
Counter-Punching Parkinson’s: Boxing Can Boost Physical And Emotional Health – Hartford Courant
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Larry Orkins, who was diagnosed with Parkinson's disease 10 years ago when he was 48, is unleashing a flurry of punches. He relentlessly backs up his sparring partner, who is catching the blows with padded mitts. When the minute-long mayhem is over, both are breathing heavily. The other Parkinson's pugilists in the class salute his effort by clapping their boxing gloves.
At first blush, boxing and Parkinson's seem like an odd pairing. One is about quickness and strength; the other is a degenerative movement disorder. But increasingly boxing is a big component in the exercise regimens that doctors recommend to treat patients' symptoms, which include halting gait, poor balance and decreased coordination.
Recent studies have documented the role of exercise in fighting Parkinson's, but Larry Orkins alone is proof positive. He began boxing and working out two years ago; he has lost 50 pounds and plans to lose 20 more. His balance and strength have improved so much that he now jogs regularly with the goal of competing in a 5K race this year. His outlook on life has improved as well: "You get out of the house doing this and get to know people. They become good friends. And when I come here I don't feel like people are staring at me while I exercise."
Lauren Schneiderman | Hartford Magazine
Sheila Tobin, 67, is another pugilist. She boxes twice a week and also trains at home, at the gym, and takes yoga and Tai Chi classes. Diagnosed in 2012, she started exercising three years ago.
"Last year I broke my arm and couldn't work out for a while, and I really felt like I had Parkinson's," she said. "When I started exercising again, I felt more normal, like my old self."
Sheila and Larry are among six participants in a "Beat Parkinson's Today" class led by Michelle Hespeler, who was diagnosed with Parkinson's 10 years ago at age 40. A physical education teacher at Glastonbury High School, Hespeler developed the exercise program with the help of her personal trainer and now offers classes to more than 170 clients at a dozen locations throughout the state. In addition to boxing drills, her charges perform movement and strength calisthenics. "Let's do 10 more, that was too easy," she is wont to say.
Lauren Schneiderman | Hartford Magazine
Like virtually everyone who gets the disease, Hespeler was devastated initially: "The first two months were very traumatic. I thought, oh my God, I am 40 years old and I have this old person's disease, what am I going to do?"
It is an understandable reaction. While Parkinson's progression is slow, it is relentless and there is no cure. Medications can mitigate the symptoms but become less effective over time. Despite extensive research, the cause is unknown but is thought to be a combination of genetic and environmental factors.
Parkinson's is, indeed, more common among older people. About one in 100 people 65 and older have the disease, according to Dr. J. Antonelle de Marcaida of Hartford Healthcare's Chase Movement Disorders Center in Vernon. As the American population ages, Parkinson's is becoming more prevalent there are at least 1 million patients nationwide and some 60,000 new cases diagnosed every year.
Doctors, therapists and hospitals are responding to this demographic reality. The Chase Center, one of the places where Hespeler holds her classes, is just two years old, and the Parkinson's Disease and Movement Disorders Center at the Hospital for Special Care in New Britain opened in 2013. Last year, Mount Sinai Rehabilitation Hospital in Hartford introduced an intensive four-week program whose goal is to improve the speech and movement of Parkinson's patients. Rock Steady Boxing offers programs nationwide, including at several locations in Connecticut.
Lauren Schneiderman | Hartford Magazine
Exercise is my medicine, says Michelle Hespeler, who teaches classes at the Chase Movement Disorders Center.
Exercise is my medicine, says Michelle Hespeler, who teaches classes at the Chase Movement Disorders Center. (Lauren Schneiderman | Hartford Magazine)
After recovering from the shock of her diagnosis, Michelle Hespeler decided on a course of action: she would fight back with all her might. She vowed to stay strong by working out every day for an hour. It worked out so well that she began to share her regimen with friends and fellow patients in her Parkinson's support group. Then, three years ago, she launched her classes (www.beatpdtoday.com).
"The results I see are amazing, both emotionally and physically," she said. "People are feeling better very quickly, within a week or two. Emotionally they feel better because they are up and out and doing things. A lot of time people just sit there and take this disease and kind of just accept it, especially if they are older."
De Marcaida, who is Hespeler's doctor, said that exercise is doubly important for her patients: "Researchers are finding that exercise actually activates the brain cells that are affected by Parkinson's and makes them healthier. Exercise is not only important for the physical benefits it affords, but also at the level of the neurons themselves."
So far Hespeler is fighting Parkinson's to a draw. Her numbers on motor skills tests have barely budged in 10 years, and, while she takes a low-level medication, she is not yet on Levodopa, the gold standard drug that most patients begin taking at or soon after diagnosis. Watching her work out with her class, exhorting them on to further pain and gain, one would not assume that she is anything but remarkably fit.
"I am a very positive thinker, I am very proactive," she said. "I visualize and meditate, which I think is a really great thing. It's part of my classes. Having the right frame of mind and working at it will keep you healthy."
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Counter-Punching Parkinson's: Boxing Can Boost Physical And Emotional Health - Hartford Courant
RC Senior Center hosts ‘Christmas in July’ raffle – The Inter-Mountain
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The Randolph County Senior Center is hosting a Christmas in July fundraiser through July 25. Laura Ward, the executive director, is shown here with some of the prizes that have been donated by local residents and businesses.
ELKINS A Christmas in July raffle is underway at the Randolph County Senior Center, as part of a fundraiser that will benefit the countys nutrition program in three locations.
Winners are selected daily through July 25, with more than $6,000 worth of prizes donated by generous local individuals and businesses, said Laura Ward, the executive director of the Randolph County Senior Center.
Its fun, and its a nice way to raise money, Ward said, noting the fundraiser will support the lunch programs at the Senior Center in Elkins as well as the nutrition sites in Mill Creek and Harman.
She said food costs add up quickly, and seniors are offered meals on a donation basis. Those who cannot afford the suggested donation of $3 per meal just pay what they can, and some folks cannot pay anything.
The meals program does receive federal funding as well as generous support from the Randolph County Commission and the United Way, and Ward said Thursday night bingo at the Senior Center and the July raffle bring in additional funding.
Prizes range from bingo packets, collectibles and handmade gifts to cash and gift certificates. Each winning ticket is placed back into the drawing, so one person could win multiple times.
A full list of prizes and additional details about the raffle are available by calling 304-636-4747 or stopping by the Randolph County Senior Center, which is located at the corner of 5th Street and Railroad Avenue in Elkins.
In addition to lunch offered five days a week, the Senior Center also offers in-home care options; transportation services; a large range of activities, such as exercise programs, craft classes, games and book clubs; and other services.
ELKINS A Randolph County man is behind bars after allegedly breaking into an area residence and stealing a cast ...
FRANKLIN Now in its 19th year, Pendleton County Relay For Life is proud to have contributed a total of $1 ...
SENECA ROCKS The Seneca Rocks area re-opened to the public at 6 a.m. Friday morning, through some firefighters ...
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RC Senior Center hosts 'Christmas in July' raffle - The Inter-Mountain
If Roxane Gay’s vulnerabilities motivate, what could her strengths do?: Paradkar – Toronto Star
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To the multiplicities of characteristics and identities ascribed to Roxane Gay writer, author, New York Times bestseller, bisexual, woman, Black you can safely add giver.
Gay showed up at her sold-out event at the Trinity-St. Pauls United Church in Toronto on Wednesday evening, and she gave.
She gave herself to the rapt, mostly female audience, with whom she was in turn coquettish and serious, flirtatious (Im into ladies) and vulnerable (Ive hit a wall) at the launch of her book Hunger: A Memoir of (My) Body.
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Roxane Gays deeply personal hunger explores relationship with her body
Today, I am a fat woman. I dont think I am ugly, she says in the book, about her six-foot-three frame and a few hundred pounds of weight. I dont hate myself in the way society would have me hate myself, but I do live in the world.
Yet you might also wonder if a woman who has put so much of herself in the book, despite describing herself as a shy, awkward person, would have anything left to give.
She does. She gave her time, telling organizers she would stay as long as it took to sign copies of her book, and the long line that snaked along the aisles for that signature suggested she wasnt doing it just for the publicity.
Gay also gave something less visible but powerful to her readers, who on Wednesday night came in various shapes and sizes: the permission to not be perfect, and the language with which to navigate those imperfections.
This is a memoir of (my) body because, more often than not, stories of bodies like mine are ignored or dismissed or derided, she writes in the beginning.
What she is not writing is a confessional, nor is it a diary; what she is not offering is a book that takes the complexities of size and race and sexuality and reduces them to sound-byte-sized morals such as love yourself as your are.
In a world where kindness is labelled as political correctness and cruelty is labelled freedom, she brings brave, raw honesty.
Its not just the gut-wrenching story of being raped as a 12-year-old, after which, she writes, I ate and ate and ate in the hopes that if I made myself big, my body would be safe.
Its also the consequences of having to live with that body.
I am always uncomfortable or in pain. I dont remember what it is like to feel good in my body, to feel anything resembling comfort, she writes.
In the mating game, there is the gaze, the slight smile, the unconscious double take from a stranger, the lingering eye contact and countless other ways people find their attractiveness acknowledged by other men or women.
So much of that is challenged at the intersectionality of race and size.
People never ask me out. People never approach me, Gay said. I wouldnt know you were hitting on me unless you held up a sign. Im so used to being ignored. People are not interested in dating women like me. Part of it is dealing with the constant indifference. When people are interested in you, oftentimes they have specific ideas of how you are meant to be sexually. Theres this sense that your pleasure that you dont want to be pleasured. Thats not the case!
Only in my 40s have I been able to articulate I, too, have needs. This body is not a fortress. I need you to touch me like you mean it . . . like Im a person.
For victims of any kind of discrimination, baring your soul comes with risks attached, mostly the risk of ridicule from the cruel, the risk of having your trauma dissected and the risk of being disbelieved and challenged in insensitive ways.
Then there is also is the cruelty of unthinkingness. The people who insultingly equate the worth of this intellectual academic to her size, the mind-blowing amount of diet and exercise advice she gets, the man who wrote to say I dont know if you know this but exercise helps to lose weight, or the psychiatrist who asked her if shed heard of bariatric surgery (a chapter deals with that), and a reader from Montreal who offered buy her something for a modest $100 if she lost weight by going vegan for three months. (And if she didnt she would have to give him $150.)
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If Roxane Gay's vulnerabilities motivate, what could her strengths do?: Paradkar - Toronto Star
Trump and Putin Meet in Testosterone-Fueled Face-Off – New York Times
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For his part, Mr. Putin called the dissolution of the Soviet Union the 20th centurys worst catastrophe. His appeal to a Russian public hungering to restore its rightful superpower status has withstood economic privations caused by sanctions imposed after Russia invaded Ukraine.
William Taubman, an expert in Soviet history, said that Mr. Putin tapped into a long Russian preoccupation with being perceived as strong. When they get drunk, Russians will often say, You respect me, dont you? said Professor Taubman, the author of Khrushchev: The Man and His Era and a forthcoming book about Mikhail Gorbachev.
Meetings between world leaders have often been seen through the lens of masculinity (witness Lyndon B. Johnsons oft-quoted remark after the American bombing of Vietnam: I didnt just screw Ho Chi Minh. I cut his pecker off.) That holds particularly true for encounters between Russian and American leaders.
During their kitchen debate in Moscow in 1959, Richard M. Nixon and Nikita Khrushchev stood in an American model kitchen and shook their fingers in each others faces during a fiery exchange about capitalism and communism. Nixon, then vice president, wanted to avoid looking weak as he prepared to run for president; Khrushchev was posturing for both Soviet and American audiences.
Before John F. Kennedys first meeting with Khrushchev in Vienna in 1961, President Charles DeGaulle warned him: Your job, Mr. President, is to make sure Khrushchev believes you are a man who will fight, Professor Taubman recounted in his book. But Kennedy was rattled by their encounter; Khrushchev dismissed him as such a weakling that he went on to miscalculate Kennedys resolve in the Cuban missile crisis.
The Geneva summit in 1985 between Ronald Reagan and Gorbachev may be the encounter with the most parallels to the meeting between Mr. Putin and Mr. Trump, Professor Taubman believes, because the two were geopolitical foes who built a personal rapport that helped end the Cold War.
That, of course, is what some of Mr. Trumps aides appear to fear that the self-proclaimed master dealmaker may actually make a deal that intensifies the suspicions surrounding his circles encounters with Russia. Reagans defenders would hasten to add that dtente with the Soviet Union came only after Reagan talked and acted tough. And in Poland on Thursday, Mr. Trump criticized Mr. Putin in the strongest term hes used to date, although he again declined to state unequivocally that he believed Russia was solely responsible for meddling in the 2016 election.
Even with the long history of swagger, this Russian-American meeting stands out. Its as old as American politics and yet it feels new in this iteration, said Michael Kimmel, a professor of sociology and gender at Stony Brook University and the author of Angry White Men.
Everything is a manhood test. Even CNN has to be wrestled into the ground in a fake match, not a real one. To me, thats the metaphor, the WWE. Its two hyper-idealized versions of masculinity getting into the ring. Everyone loves the over-the-topness of the pretense, because everyone knows no one can get hurt. In this case, someone could get hurt.
So Mr. Trump has set himself up with little room to maneuver. Hes built his brand, and much of his foreign policy, on masculine strength. He lost the handshake contest to Emmanuel Macron of France. And hes walking into a meeting with a country seen by much of the world as an aggressor who has already scored points against the United States with its interference in a domestic election.
The cost of any perceived weakness could be high for both combatants and the projection of masculinity they hold so dear.
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Trump and Putin Meet in Testosterone-Fueled Face-Off - New York Times
Read More..Merkel’s Patient Diplomacy Is Tested by Trump and Putin’s ‘Axis of Testosterone’ – Wall Street Journal (subscription)
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Wall Street Journal (subscription) | Merkel's Patient Diplomacy Is Tested by Trump and Putin's 'Axis of Testosterone' Wall Street Journal (subscription) HAMBURG, GermanyThe U.S. president has accused her of ruining Germany. The Turkish president says she harbors terrorists. The Russian president, her spy agencies warn, may be about to interfere in her re-election campaign. In the coming days, ... |
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Read More..Testosterone treatment reserved for men with symptoms | To Your … – STLtoday.com
Testosterone Comments Off on Testosterone treatment reserved for men with symptoms | To Your … – STLtoday.com
Dear Dr. Roach I am a 70-year-old male. I receive testosterone injections (in the butt) from my provider every three weeks, and have been receiving these injections for roughly five years. My provider reviews my bloodwork every six months before he writes a prescription renewal for testosterone, which I then take to his office for safekeeping and the regular injections. My latest bloodwork indicates that my testosterone serum is low at 310, and free testosterone is low at 4.9. After five years of injections, I continue to have low T; it does not seem to be improving. At my most recent visit, the doctor increased the injection dosage from 2 ml to 3 ml. I am concerned because of the heart, prostate and other risk factors I read about. Any advice or cause for concern? M.M.
Answer Testosterone treatment is indicated for men with symptoms of low testosterone levels and confirmed by blood testing. It is not a tonic to be used without due consideration.
There has long been concern about adverse effects of testosterone, especially to the prostate and to the heart. Most prostate cancer is testosterone-sensitive, and removing testosterone was one of the oldest treatments for prostate cancer. However, restoring normal levels of testosterone in a man with low levels is now considered to have low potential for increasing prostate cancer. It has not been definitively proven to be safe, but the many studies that have been done have been reassuring. Authorities recommend more-aggressive prostate cancer screening for men on testosterone treatment.
Athletes using extremely high doses of testosterone (many times greater than the doses you are taking) are at risk for heart attack and stroke. However, these data cannot be used to consider the risk in men who are prescribed testosterone with a low level, where the goal is to get to normal. Testosterone treatment reduces several key risk factors, including cholesterol. Most of the well-done studies show little if any risk from testosterone treatment; some have shown some benefit.
Since the dose you were getting wasnt bringing your blood level up, I think increasing it is appropriate. The usual goal is a blood level of 500-600, but that may not be appropriate for everybody.
Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu or request an order form of available health newsletters at 628 Virginia Drive, Orlando, Fla. 32803. Health newsletters may be ordered from rbmamall.com.
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Testosterone treatment reserved for men with symptoms | To Your ... - STLtoday.com
Read More..Column: Testosterone treatment reserved for men with symptoms … – Prescott Daily Courier
Testosterone Comments Off on Column: Testosterone treatment reserved for men with symptoms … – Prescott Daily Courier
By Dr. Keith Roach, Syndicated Columnist
DEAR DR. ROACH: I am a 70-year-old male. I receive testosterone injections (in the butt) from my provider every three weeks, and have been receiving these injections for roughly five years. My provider reviews my bloodwork every six months before he writes a prescription renewal for testosterone, which I then take to his office for safekeeping and the regular injections. My latest bloodwork indicates that my testosterone serum is low at 310, and free testosterone is low at 4.9. After five years of injections, I continue to have low T; it does not seem to be improving. At my most recent visit, the doctor increased the injection dosage from 2 ml to 3 ml. I am concerned because of the heart, prostate and other risk factors I read about. Any advice or cause for concern? M.M.
ANSWER: Testosterone treatment is indicated for men with symptoms of low testosterone levels and confirmed by blood testing. It is not a tonic to be used without due consideration.
There has long been concern about adverse effects of testosterone, especially to the prostate and to the heart. Most prostate cancer is testosterone-sensitive, and removing testosterone was one of the oldest treatments for prostate cancer. However, restoring normal levels of testosterone in a man with low levels is now considered to have low potential for increasing prostate cancer. It has not been definitively proven to be safe, but the many studies that have been done have been reassuring. Authorities recommend more-aggressive prostate cancer screening for men on testosterone treatment.
Athletes using extremely high doses of testosterone (many times greater than the doses you are taking) are at risk for heart attack and stroke. However, these data cannot be used to consider the risk in men who are prescribed testosterone with a low level, where the goal is to get to normal. Testosterone treatment reduces several key risk factors, including cholesterol. Most of the well-done studies show little if any risk from testosterone treatment; some have shown some benefit.
Since the dose you were getting wasnt bringing your blood level up, I think increasing it is appropriate. The usual goal is a blood level of 500-600, but that may not be appropriate for everybody.
DEAR DR. ROACH: I am perplexed about use of estrogen ointment. My doctor has prescribed Premarin ointment to be used vaginally for relief of painful intercourse. It is effective, but I am very concerned about side effects. She has assured me that the amount that is used (twice a week) is minimal and does not put users at risk for the side effects of oral estrogen tablets. I do have family history of blood clots and uterine cancer, and I suffer from aura migraines. I am 65 years old and in good general health. I never considered the use of hormones for menopausal symptoms, and although I am using the ointment at present, I still am very hesitant. A.M.H.
ANSWER: Because estrogen is poorly absorbed when used topically, the concerns about side effects are greatly reduced. Estrogen blood levels are very nearly the same in women on vaginal estrogen compared with women who do not use estrogen at all. While I would never prescribe vaginal estrogen to a woman with a history of breast cancer without discussing it with her oncologist, I think that the systemic risks of estrogen are very small with the vaginal preparations.
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Column: Testosterone treatment reserved for men with symptoms ... - Prescott Daily Courier
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