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First of all it is important to make clear that andropause isn't the male version of menopause, says consultant urologist Dr Datesh Daneshwal.

"While all women go through menopause, all men do not experience andropause. It's not supposed to happen to every man and it only affects a very small percentage of men," he says.

Andropause is a condition where men experience a decrease in their testosterone levels that is not normal. While all men do start losing testosterone after the age of 30, the decrease isn't very significant (about 1% a year) and should not affect their well-being. Very different from menopause which signifies a sudden decrease in a womans hormone levels that causes ovulation to cease.

But sometimes, when a man's biochemical dip is more drastic, it can cause a broad range of symptoms that affect their overall health and temperament.

These symptoms include a decline in muscle mass and strength, a buildup of body fat, a loss of bone density, flagging energy, emotional instability, deranged sugar and cholesterol levels, lowered fertility and fading virility.

"A drop in testosterone coupled with these symptoms is what is classified as andropause. When it interferes with your well-being and health," explains Dr Datesh. "Many people have a misconception that testosterone is purely for sexual function which it is not. It is the elixir that keeps the brain sharp, affects one's mood, muscle bulk and weight management and also collesterol and sugar levels. Low testosterone can cause insomnia and depression and, of course, sexual dysfunction too. Men need a certain level of testosterone to function well in all aspects of their life and if it dips too low, their health is at risk," says Dr Datesh

Getting help

David was 38 when he started noticing the symptoms.

"I was experiencing a gradual but progressive decline of erectile function, decreased libido, frequent and more prolonged periods of low moods, decreased energy levels and frustration, sadness and despair that my interest in the opposite gender was not what it once was," says David who is now 61.

Although he initially started taking Viagra to help with his sexual dysfunction, David decided to consult a doctor when the symptoms persisted.

"For many years, l absorbed myself in my work and largely shrugged off and just accepted my symptoms without question. ince retiring a few years ago, l have had the time to become more aware of the physical and psychological fallout these symptoms have been having on me. The biggest psychological symptom was the diminishing confidence that l keenly felt in pursuing new relationships with women (l am, and always have been, a single guy) not least because l was conscious of the increasing difficulty of consummating such relationships.

"On a physical level, l felt myself becoming more anxious and subject to low moods as well as experiencing decreasing energy levels. I felt that l owed it to myself to get my symptoms properly evaluated by qualified professionals in this area," he said.

David was diagnosed with hypogonadism, a condition where the body doesn't produce enough testosterone which can occur from birth or later in life, often from injury or infection. He is currently on testosterone replacement treatment as well as medicine for erectile dysfunction which he says has helped him tremendously.

"Physically, l feel more energised, l have a stronger libido and my erectile functioning difficulties have been greatly improved, with further improvements anticipated after further testosterone injections. Psychologically, my confidence in interacting with women has been greatly boosted l think this is the most dramatic change l have notice.

"My advise to other men who are going through this is to not ignore the symptoms but to take action! Go and get specialist advice initially from your doctor and better still from a Urologist who has special expertise in this area. Please do not be embarrassed about talking through your symptoms with a doctor or urologist, particularly around erectile dysfunction. Remember that these medical people have seen and heard it all before many, many times. ln most cases your symptoms are likely to be physiological rather than psychological and can be resolved with treatment," says David.

Strength training exercises and a healthy lifestyle can stimulate the body's own production of testosterone. Photo: Pixabay

The stigma is real

Although there is a lot of literature available or andropause, men rarely seek medical help even when the symptoms can be affecting their life significantly, notes Dr Datesh.

"There is a stigma associated with this, unfortunately. And that's because we immediately associate testosterone with sexual function. That's why we need to raise awareness about how men need healthy levels of testosterone to lead a healthy life all around. If you are over 40 and are not feeling yourself notice that you put on weight, lose muscle bulk, emotional instability, find you are no longer attracted to your partner anymore, come and get tested. All it takes is a simple blood test and if it is because of low levels of testosterone, there is a solution now. You can get treated and change your life not just for yourself but for your family too," says the urologist from Prince Court Medical Centre.

Hormone replacement therapies for men come in the forms of pills, injections and gels although the most effective and popular option in Malaysia are thelong-term injections that are adinistered every three months.

"Hormone replacement is a science though and cannot be administered simply without ruling out a few things. First and most importantly, we have to make sure that the patient has no signs of prostate cancer because testosterone is fuel for prostate cancer cells. Second, while testosterone administered externally may help with a man's virility, it may affect his fertility. These things have to be discussed with the patient before he starts on treatment," says Dr Datesh.

How long a patient has to be on them really depends on the individual, he says.

I have had patients who, after a couple of doses, were feeling better and able to resume an active lifestyle which can stimulate the body's ability to produce it's own testosterone," he explains.

Men experiencing the symptoms of andropause are advised to make healthier lifestyle choices. Aerobic exercise to release endorphins that improve mood, strength training to increase blood flow and strengthen the hear as well a healthy diet and a decrease in alcohol and tobacco intake.

Muscle-building exercises, he says, can encourage the body's own production of testosterone.

"But a person experiencing andropause will not have the energy to do weight training - they'd need a boost of hormones get they them feeling energised enough to start exercising and building their body up," he says.

The rest is here:
Andropause: Not the same as menopause but needs to be addressed - The Star Online

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1 Overview of the Testosterone Replacement Therapy market

2 Market competition by manufacturers

3 Production capacity by region 3 Production capacity by region

4 World consumption of Testosterone Replacement Therapy by region

5 Production, Turnover, Price trend by Type

6 Global Testosterone Replacement Therapy Market Analysis by Application

7 Company Profiles and Key Figures in Testosterone Replacement Therapy Business

8 Testosterone Replacement Therapy Manufacturing Cost Analysis

9 Marketing Channel, Distributors and Customers

10 Market Dynamics

11 Production and Supply Forecast

12 Consumption and demand forecasts

13 Forecast by type and by application (2021-2026)

14 Research and conclusion

15 Methodology and data source

Continuous

Place a Direct Order Of this Report: https://www.globalmarketvision.com/checkout/?currency=USD&type=single_user_license&report_id=10524

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See the article here:
Global Testosterone Replacement Therapy Market Drivers & Restraints, Trends & Developments and Forecast 2027 - Stock Market Vista

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Facial hair, like scalp hair, grows in stages and understanding it may help you maximize your beard-growing potential.

A full beard can take 2 to 4 months to grow, as facial hair tends to grow between 0.3 and 0.5 millimeters (mm) every 24 hours. This works out to between one third and one half an inch per month.

Many factors can affect the growth of your beard, but there are some lifestyle strategies you can try to enhance your beard growth. Read on to learn more about what influences beard growth and if it can be influenced.

Once you stop shaving, you can expect facial hair to grow in stages. Hair may grow fuller and faster in certain areas, especially at first. Be patient, though, as this is a normal growth pattern for most guys.

Your ethnicity, age, genetics, and hormones not to mention various medical conditions can all affect whether your beard comes in faster or slower, or in all the places you desire.

If your beard seems to be taking a long time to grow in, one of the following factors may be at play.

You may remember guys in high school who seemed to have a full beard before they got their drivers license. Theyre the exception, not the rule.

Typically, full beard growth is possible starting at around age 18, but for many men, that time may not arrive until theyre 30. So, if youre not getting the beard growth you want, it may be because its not your time.

Certain ethnic groups tend to be more hirsute than others. Chinese men, for example, generally have less facial hair than white men, and men of Mediterranean descent generally have thicker beards.

Beyond your ethnic origins, your direct family traits have much to do with whether you can grow a full beard. Likewise, your genetics also determine the texture of your hair, your likelihood of going bald, and so forth.

For clues about your beards future, look to your male relatives. While theres no guarantee that a dad with a full beard will have a son who can pull off the same thing, hair patterns do tend to be hereditary.

Low levels of testosterone can make it more difficult to grow a beard. Talk with your doctor about taking supplements or trying testosterone therapy to help combat low testosterone.

If you want to grow your beard faster, there are a few strategies worth trying. Understand, however, that these tips may not work for everyone.

For general health, its recommended you have a balanced diet that includes fruits, vegetables, whole grains, and lean proteins, while avoiding processed food and added sugars.

For healthy hair growth, some key nutrients should have a place in your diet, including:

Too much stress and too little sleep can cause countless health problems, not to mention affect your beard growth.

Aim for 7 to 8 hours of sleep each night, and try strategies such as meditation or deep-breathing techniques to help de-stress.

Its not uncommon for guys to have thicker hair around their mouths and parts of their sideburns but a little less on their cheeks.

One way to help mask thinner (or zero) growth in those spots is to let the hair around them grow longer. You can hide those sparse spots a little with longer beard hair nearby.

Hair growth, whether its on your scalp or your face, is subject to many changes in your health.

Underlying medical conditions such as alopecia barbae or alopecia areata can cause hair loss from your beard or make it harder to grow a beard that isnt patchy or thin in places.

Alopecia areata is the more common condition. It occurs when the bodys immune system mistakenly attacks healthy hair follicles. When beard alopecia areata develops, men are usually middle-aged and hair loss is typically along the jawline.

Unusual conditions, such as prolactinoma a noncancerous tumor of the pituitary gland can also result in thin or missing facial hair.

Conversely, a noncancerous birthmark called Beckers nevus can sometimes cause excessive, coarse hair to form at the site of the birthmark.

The time it takes to grow a beard not to mention the look of the final product varies from person to person.

If youre trying to grow a full beard, plan on waiting a couple of months before you reach your goal. That means being patient and watching for signs of medical conditions that may affect your beard growth.

If youre concerned about a lack of beard growth, talk with your doctor or a dermatologist.

See the rest here:
How Long Does It Take to Grow a Beard? Tips, Genetics, and More - Healthline

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Avika looks completely unrecognizable in her latest photos. For Avika, there was one particular night which made her make the big change. In a very candid, emotional post, the actress said that she didn't like the way she looked and found it difficult to believe she was overweight, despite not having any health issues. A social media post reads:

"I still remember one night last year, when I looked at myself in the mirror & I broke down. I didn't like what I saw. Big arms, legs, a well-earned belly. I had let go too much. If it were due to an illness (Thyroid, PCOD, etc), it would be okay because that would be out of my control."

Although Avika is a proficient dancer and has a busy schedule, she realized the problems a bad lifestyle led her to have. Avika admitted that she had been negligent about her health, and it costed her heavily.

"...But, it happened because I ate anything & everything, and I didn't work out at all. Our bodies deserve to be treated well, but I didn't respect it.

View post:
Weight loss: From having a well-earned belly to fitting into size XS, secrets behind Avika Gor's weight loss transformation - Times of India

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CLARKSVILLE, Tenn. (CLARKSVILLENOW) The City of Clarksvilles annual Halloween walk-thru celebration, Fright on Franklin, was a new experience this year due to the ongoing pandemic as it became a drive-thru trick-or-treating event at Liberty Park.

There was no doubt the community enjoyed the fun as vehicles, each one of course with any number of children, lined up throughout the park to collect treats from close to 40 vendors and sponsors of the event. At one point traffic was backed up on Cumberland Drive outside the park, as well as on Riverside Drive reportedly to Commerce Street waiting to get treats.

No figures were immediately available on how many vehicles passed through the Trick-or-Treat line.

The Clarksville Parks & Recreation Department organized the event again this year with the health and safety of citizens being a top priority. A contest was held for the best decorated Halloween booth with Once Upon a Child taking 1st place, 101st Adult Dentistry won 2nd place, and Fat Shack took 3rd place.

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Liberty Park drive-thru trick-or-treating was spooktactular - Clarksville Now

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Speaking to Express.co.uk, Bulk Powders ambassador Hayley Madigan shared her top weight training tips.

She said: Weight training has a vast range of positive benefits for women, not just physically but mentally too! Weight training loads a resistance to our muscles, which allows them to rebuild stronger.

Not only does weight training improve our muscle strength, it also strengthens our bones, joints, ligaments and tendons all vital for our long-term health.

Additional to these benefits, weight training can improve heart health and blood pressure, improving our fitness as well as strength.

READ MORE:Adam Woodyatt weight loss: EastEnders star made easy change to slim

For complete beginners, I recommend starting in either a group training environment (like a (virtual) class for example) or with a personal trainer (online or in person).

When you have the advice of an instructor or coach you will learn how to train correctly and safely, this will enable you to perfect your technique and lower any injury risk.

The weights area in a gym training environment can look and feel a little intimidating to newbies, so following a routine even from your favourite Instagrammer or YouTuber will give you the courage to try something new and hit the weights.

It is also best to start of using small weights regularity and build up to heavier ones as this will cause less strain on the muscles.

Protein is also great for weight loss as it reduces the hunger hormone and boosts several satiety hormones.

Hayley continued: There are many forms of weight training you can try, from CrossFit to Body Pump classes (or virtual classes) it isnt a one size fits all form of training and is highly versatile.

Depending on your goal, I would always recommend incorporating some kind of weight training, even if youre a long-distance runner or a Yogi, the benefits of weight training can improve your performance in pretty much every sport.

Full body training can be a brilliant way to maintain strength all over if you only train two-three times a week, then adding in body part splits like lower body and upper body training can be a great way to target the individual muscles if you train more often like four-six times a week.

Research suggests that weight lifting burns almost just fat which can help target those stubborn areas which may carry more fat.

The expert explains how weight training is also a great way to develop coordination, attention and memory.

She explained: All of these improvements to the cognitive part of your brain will relay over to your everyday living, including your studying or working life there is so much more to weight training than just improving muscle mass!

Original post:
How to exercise to lose weight and build muscle at the same time - Daily Express

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This article was originally published here

Obes Surg. 2020 Oct 30. doi: 10.1007/s11695-020-05045-7. Online ahead of print.

ABSTRACT

PURPOSE: Bariatric surgery is the most effective treatment for severe obesity, but currently, only 1-2% of all eligible patients undergo surgery each year. This study examined which factors were associated with a patient receiving bariatric surgery after referral in a real-world healthcare setting.

MATERIALS AND METHODS: The current study used the baseline survey and electronic medical record (EMR) data from the Bariatric Experience Long Term (BELONG) study (n = 1975). Predictors of who did (n = 1680) and who did not (n = 295) have surgery were analyzed using multivariate logistic regression.

RESULTS: Participants (n = 1975; 42.4% response rate) were primarily women (84%) and either non-Hispanic Black or Hispanic (60%). In the fully adjusted multivariate model, the strongest predictors of having surgery were being a woman (OR = 3.17; 95% CI = 2.15, 4.68; p < .001) and losing at least 5% of their body weight in the year before surgery (OR = 3.16; 95% CI = 2.28, 4.38; p < .001). The strongest predictors of not having surgery were a BMI 50 kg/m2 (OR = .39; 95% CI = .27, .56; p < .001) and having a higher physical comorbidity burden (OR = .84; 95% CI = .75, .94; p = .004).

CONCLUSIONS: Practices such as 5-10% total weight loss before surgery and selection of patients with safer operative risk profiles (younger with lower comorbidity burden) may inadvertently contribute to under-utilization of bariatric surgery among some demographic subpopulations who could most benefit from this intervention.

PMID:33125675 | DOI:10.1007/s11695-020-05045-7

The rest is here:
The Bariatric Experience Long Term (BELONG): Factors Related to Having Bariatric Surgery in a Large Integrated Healthcare System - DocWire News

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Savvy Senior:How to recognize and stop elder abuse in the COVID era

Dear Savvy Senior,

Can you write a column on how to recognize elder abuse and what to do if you suspect it?

Concerned Relative

Dear Concerned,

Elder abuse is a big problem in the United States that has escalated during the COVID-19 pandemic. According to the National Council on Aging, as many as 5 million seniors are victims of abuse each year, but studies suggest this crime is significantly under-reported. Only 1-in-14 cases of elder abuse ever get reported to the authorities because victims are usually too afraid, too embarrassed, too helpless or too trusting to call for help.

The term elder abuse is defined as intentional or negligent acts by a caregiver or trusted individual that causes or can cause harm to a vulnerable senior. Elder abuse also comes in many different forms: emotional, psychological, physical or sexual abuse, abandonment, neglect and self-neglect, and financial exploitation.

Those most vulnerable are seniors that are ill, frail, disabled, socially isolated or mentally impaired due to dementia or Alzheimers disease.

Its also important to know that while elder abuse does happen in nursing homes and other long-term care facilities, the vast majority of incidents take place at home where the senior lives. And tragically, the abusers are most often their own family members (usually the victims adult child or spouse) or caregiver.

How to Recognize Abuse

So, how can you tell if an elderly relative or friend is being abused, and what can you do to help?

A change in general behavior is a universal warning sign that a problem exists. If you notice that your relative or friend has become very depressed, withdrawn or gets upset or agitated easily, you need to start asking questions. Here are some additional warning signs on the different types of elder abuse that can help you spot a possible problem.

Physical or sexual abuse: Suspicious bruises or other injuries that cant be explained. Sudden changes in behavior (upset, withdrawn, fearful). Broken eyeglasses. Caregivers refusal to allow visitors to see an elder alone.

Neglect or self-neglect: Weight loss, poor hygiene, unattended medical needs, and unsanitary, unsafe living conditions.

Emotional or psychological abuse: The senior is extremely upset, agitated, withdrawn, unresponsive, fearful or depressed, or demonstrates some other unusual behavior.

Financial exploitation: Missing money or valuables. Unexplained withdrawals from bank accounts, or transfers between accounts. Unauthorized use of credit, debit or ATM card. Unpaid bills despite available funds. Checks written as a loan or gift. Abrupt changes in a will or other documents.

For more tips on how to recognize the warning signs of abuse during the pandemic, see the National Center on Elder Abuse website at NCEA.acl.gov/Resources/COVID-19.aspx.

What to Do

The best ways to help stop elder abuse is to be in touch and keep the lines of communication open. If you suspect any type of abuse or neglect in your relatives or friends home, report it to your local protective services agency.

Adult Protective Services is the government agency responsible for investigating elder abuse cases and providing help and guidance. Call the Eldercare Locator at 800-677-1116 to get the agency contact number in your area or visit NCEA.acl.gov/Resources/State.aspx.

The agency will ask what you observed, who was involved, and who they can contact to learn more. You dont need to prove that abuse is occurring; it is up to the professional.

Or, to report suspected abuse in a nursing home or assisted living facility, call the local Long-Term Care Ombudsman see LTCombudsman.org for contact information.

If, however, you feel the person is in immediate danger, call 911 or the local police for immediate help.

Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of The Savvy Senior book.

See the original post:
Savvy Senior: How to recognize and stop elder abuse in the COVID era - Huron Daily Tribune

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By Dr. Havya Dave and Karen Holdsworth, NPProvided by Sentara Northern Virginia Medical Center

Women have particular health-care needs, which often means multiple appointments with different providers. But the female team of providers at Sentara Internal Medicine Physicians in Woodbridge has set out to give women an experience that meets their needs.

Havya Dave, M.D. and Karen Holdsworth, NP understand that women have different needs and many demands placed on them. The duo has worked to establish a practice where women can get much of their care in one location, at one visit.

Most people, but particularly women, talk more openly with their primary care provider since they have a rapport, says Holdsworth. Its easier for us to provide holistic care because we have the time to build a trusting relationship where people open up about their concerns.

We created a practice that allows us to do more for our female patients, says Holdsworth. Women are pulled in so many different directions. We make it easier for them to receive whatever services they need in a single visit, whenever possible. This approach promotes continuity of care because we see the big health picture.

This team of providers eliminates the burden of having to make multiple appointments in different places to take care of health needs.

The team sees females from ages 13 and up. In addition to typical primary care services, they offer:

Preventive gynecologic care can help identify and treat precancerous cells before problems start. The team offers Pap tests and pelvic exams as part of the annual exam. They also perform surgical removal of uterine polyps. And they provide biopsies of the uterine lining to help diagnose bleeding and other problems.

One of the most common concerns women have is related to menstruation, says Dr. Dave. We help women who experience every degree of bleeding, period pain and cycle-related mood swings.

The providers also support women who are pre- or postmenopausal. Holdsworth notes, We address all of the issues that come with menopause, so we can improve womens quality of life.

Our goal is to create an environment where women of all ages can talk about their sexual concerns or ask questions, says Dr. Dave. We offer judgment-free advice and provide contraception services that meet a womans specific situation.

The practice offers prevention and treatment services for sexually transmitted infections, plus contraceptive services, including:

Women who experience incontinence can get early care. The team helps women understand their options, counsels on Kegel exercises and prescribes medications. And they offer cleaning and replacement services for women who have a pessary.

Weight management isnt unique to women, but women think about and process weight concerns differently than men, says Holdsworth. We offer sustainable weight loss advice that includes nutrition and exercise counseling. We dont offer fad, get-thin-quick diets because we know they dont work long-term.

Our environment supports women, says Holdsworth. We want women to feel they arent alone and that their concerns are normal. When they feel supported, they are more at ease and have improved quality of life.

The providers believe that by helping women, theyre helping those around them. Women are the lifeblood of happy, healthy households. When we improve the quality of life for women, we help entire families function better, says Dr. Dave.

Both providers accept new patients at Sentara Internal Medicine Physicians, located at 2280 Opitz Blvd., Suite 250, Woodbridge. Make an appointment by calling 703-523-9750.

Original post:
Female Care Team Understands the Unique Needs of Women - Prince William Living

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If youre not incorporating weight training into your workouts, you should consider working it in them now. You may thank yourself later.

Lifting weights isnt just about bulking up and building muscle mass. Its other benefits include improved posture, better sleep, gaining bone density, maintaining weight loss, boosting metabolism, lowering inflammation and staving off chronic disease, to name a few things on the laundry list of positives.

Ask the average person to design an effective fitness plan and a lot of them will immediately go to cardio: walking, running, swimming and using the gyms machines. And while these methods can be effective in burning calories, they may not do enough to build lean muscle capable of improving athletic performance and boosting the metabolism.

Thats why the most effective fitness plans need to include lifting weights and a commitment to strength training. It doesnt mean you have to pump 50-pound dumbbells or spend your whole trip to the gym at the weight machines, but it does mean there has to be some investment of your time and energy toward training with weights.

Lets take a look at the main reason to add weight training to your exercise regimen: it can add years to your life.

Thats because muscle mass plays an important part in determining how we age, and that increased muscle capacity can help us reduce our overall risk of death. In fact, as we age, the focus on losing fat or maintaining weight becomes progressively less important as we progress toward prioritizing keeping the muscle mass and strength we have.

We do so much to improve our overall health but we dont always think about how our exercise regimen affects our long term. For young and middle-aged people, the fitness goal is usually to look and feel better both today and in the near future (perhaps even decades down the road). But the 75-year-old version of you, the one enjoying retirement and spending time with the grandchildren, may be really pleased that the younger edition of you made a commitment to strength training and lifting weights.

Mike Gartz is a personal trainer who owns I Hate My Trainer at 117 E. Reynolds St. Plant City.

Related Stories

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Focus on Fitness: There's more to lifting weights than meets the eye - Plant City Observer

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