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Studies show that to feel more energetic, vibrant, and at our best, we need to restore our bodies to optimum functioning. One way to do this is through hormone replacement therapy which helps us regain youthful levels of vital hormones. This therapy modulates hormonal and metabolic balance to optimal level, so our bodies can operate at their strongest, healthiest and most efficient levels. Among others, here are some of the benefits:

• Improved energy and psychological well being
• Decreased fat and increased lean muscle mass
• Decreased blood pressure and improved cholesterol profile
• Improved bone-mineral density and skin tone
• Enhanced memory and brain responsiveness

Men experience andropause which is an age-related decline in testosterone. It is a medical condition and treatment is available. This testosterone decline occurs gradually over a thirty year period. The symptoms become more apparent and they include increased fatigue both in the morning and at night, decreased interest in sex, increased irritability, and increased risk for cardiovascular disease, osteoporosis, and prostate cancer.

Often men chalk these changes up to stress at work or financial pressures at home, but the fact is an age-related decline in testosterone is a medical condition and treatment is available. Common symptoms include: negative attitudes about life in general, a loss of focus and drive, questioning one's values and accomplishments, decreased libido, depression, and even cognitive impairments. Physical changes can also occur and are characterized by thinning hair, a decline in lean muscle tissue and an increase in body fat. A decrease in bone mass is another major problem associated with declining levels of testosterone. In fact recent studies have shown that up to 30% of men over 60 have problems with osteoporosis, and one out of every six men will fracture a hip as a result of decreased bone density.

Testosterone - Both men and women need normal levels of testosterone for a healthy sex drive. Unfortunately, with age, testosterone diminishes and so does sexual functioning. By restoring testosterone to youthful levels both men and women can enjoy healthy sexual functioning throughout their lives.

Testosterone is a hormone made by the body and is responsible for the normal growth and development of the male sex organs and for maintenance of other sexual characteristics. In men, testosterone is produced in the testes, the reproductive glands that also produce sperm. The amount of testosterone produced by the testes is regulated by the hypothalamus and the pituitary gland. Some effects of testosterone may include:

• Growth and maturation of prostate, and other male sex organs
• Development of male hair distribution such as facial hair
• Changes in body muscle mass and strength and fat distribution
• Sex drive and sexual function
• Mood and energy level
• Bone strength

In healthy men, testosterone levels between 350 ng/dL and 1,000 ng/dL are referred to as normal. Normal physiology allows the brain and the testes to work together to keep testosterone in this range. The brain produces “signal” hormones that are responsible for stimulating testosterone production. These “signals” are periodically released, which in turn stimulates testosterone production. When levels of testosterone are in an acceptable range, the production of the “signal” hormones is slowed, which in turn allows the testosterone levels to decrease.

Benefits of testosterone replacement therapy vary based upon the pre-therapy symptoms and other factors, but can include:

• Increased energy
• Decreased irritability and depression
• Improved muscle mass and strength
• Improved sexual desire
• Improved visuospatial cognitive function and verbal memory
• Higher motivation
• Decreased body fat (optimal results received through accompaniment of a diligent diet and exercise regimen)
• Possible improvement in erectile function
• Thicker skin


Some patients could experience one or more of the following side effects:

Increase in red blood cells
This can be beneficial if you have anemia. However, it can be potentially dangerous, since an increase in red blood cells can lead to blood clots, heart attack, or stroke.

Prostate effects
If you have an enlarged prostate, testosterone injections may worsen your symptoms, particularly if you are more than 50 years of age. If you have a history of prostate cancer, you cannot receive testosterone therapy without prior clearance from the urologist who is overseeing your care.

Skin reactions
Acne, oily skin, increased body hair and flushing have been reported. These side effects are not very common, but when/if they occur, often are transient.

Testosterone therapy down regulates production of a man’s sperm. Ensure you are upfront with your desire for children with your medical provider, and be sure to discuss the situation with your spouse/partner if appropriate.

Sleep apnea
This is a condition that disrupts breathing during sleep, and if already present, may be worsened by the use of testosterone injections. If you snore or suspect you may have sleep apnea, be sure to talk to your medical provider about the situation. Considering a sleep study for further evaluation may be appropriate prior to starting therapy.

Fluid retention
Although uncommon, you must use caution if you have a history of heart failure or kidney disease.

What does Testosterone therapy at SASS cost?
Initial appointment at our San Antonio, TX location is $100 which will then go towards the monthly fee of $250. The cost is then $250 per month to continue therapy.
Patients should have their levels tested either at their own PCP office, or have them tested at any stand-alone lab testing facility before coming to their initial appointments.

Schedule an appointment to see if you are a good candidate for testosterone injections!

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