February 2012

Recognizing Low Testosterone and Corrective Strategies

First of all, talk to your doctor if you have any of the following symptoms:

  • Changes in sexual function. This might include erectile dysfunction, reduced sexual desire, fewer spontaneous erections — such as during sleep, — and infertility.
  • Changes in sleep patterns. Sometimes low testosterone causes sleep disturbances, such as insomnia, or increased sleepiness.
  • Physical changes. Various physical changes are possible, including increased body fat; reduced muscle bulk, strength and endurance; and decreased bone density. Swollen or tender breasts (gynecomastia) and loss of body hair are possible. Rarely, you might experience hot flashes and have less energy. Your testes might become smaller as well.
  • Emotional changes. Low testosterone might contribute to a decrease in motivation or self-confidence. You might feel sad or depressed, or have trouble concentrating or remembering things.

Of course, some of these symptoms may be underlining causes of other medical problems which may or may not be related to low testosterone.  If your doctor decides to run a male hormone panel to take a look at your testosterone and other relevant hormones, feel free to print out the below blood panel and ask if it may be of help to include some of the tests.

Comprehensive male hormone panel that I generally suggest:

  • Free Testosterone
  • Total Testosterone
  • DHEA – Sulfate
  • Prostate-Specific Antigen (PSA)
  • Estradiol
  • TSH
  • Free T3
  • Free T4
  • Sex Hormone Binding Globulin (SHBG)
  • FSH/LH
  • IGF-1
  • RBC Mag
  • Vitamin D3
  • Copper
  • Zinc

If your doctor and or health insurance company will not run or cover a comprehensive male hormone profile — do it yourself.  Below are two companies where you can order comprehensive male hormone blood tests at a fraction of the costs you would pay if you purchased them directly from the lab.

Life Extension Foundation:  Blood Testing

Private MD Labs:  Blood Testing

Although LEF and Private MD Labs companies sell their version of a comprehensive male hormone blood test, I recommend the above suggested tests be included.

After you get your test results back, you’ll want to take it to your doctor for interpretation.   However, you may need to have those blood hormone tests interpreted by an endocrinologist who is typically better educated in the hormone arena.

If your blood tests come back with some hormonal deficiencies and/or imbalances, you’ll want to additionally consult a health and fitness expert.  This health/fitness expert should be someone who can coach you on exercise, diet and targeted supplementation to restore any of the hormonal deficiencies or imbalances.  Testosterone is greatly influenced by exercise, sleep quality, diet and supplementation.

Having integrated BioSignature for more than three years, I can say I have seen testosterone numbers increase dramatically without clients having to resort to clinical hormonal therapies (unless it is urgent, of course).  Many times men notice the beginning symptoms of low testosterone, but it’s not to the point where they need it medically treated.  For example, in the high-tech area where I live, even many men in their twenties and thirties are having troubles with testosterone!  The combination of over-working, sleep deprivation, lack of exercise and exposure to plastics can cause this to happen in younger populations.

In the cases of testosterone deficiencies in younger men, it is easier to restore because the lifestyle causing it to decline hasn’t been going on as long as it has for men in their 50′s and 60′s.  Prolonged periods of stress and unhealthy lifestyle can zap testosterone.  Take care of yourself through exercise, good sleep habits and nutrition/supplementation so you won’t have to repair the damage in your later years.

Stay tuned by subscribing to this blog for future posts on testosterone.  As always, comments are welcome.

Sources:

MayoClinic:  Male Menopause:  Myth or reality?

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Speed Eaters Gain Weight Easier Than Slow Eaters

Have you ever noticed how people consume food at different rates? We all know friends or family members who eat particularly fast and those who eat rather slowly.

Why is there so much variability with eating rates and what causes this variability? Below are three of the most common reasons or theories as to why this might be.

  1. Cultural
  2. Emotional
  3. Nutritional

Cultural

In countries with cultures such as France, for example, a meal can last for hours. The meal is an event in which people socialize, enjoying the food by eating small courses throughout the evening. On the other hand, in countries such as the U.S. people tend to eat quickly and independently.

Many statistical experts in the U.S. have estimated that the average eating time at dinner is around 11 minutes, with smaller meals lasting 2-4 minutes. Some of this may be due to habits formed in school systems early on in life. A recent article in USA Today Cutting short lunch time in school may lead to obesity stated:

“A new national survey by the School Nutrition Association shows elementary kids have about 25 minutes for lunch; middle school and high school students about 30 minutes. That includes the time students need to go to the restroom, wash their hands, walk to the cafeteria and stand in line for their meals.” (1)

Obviously, by the time the students sit down at the table with their meals, they better not talk too much, because they will barely have time to wolf down some food.  I am all too familiar with this scenario, as I was also rushed when going through grades K-12 and even sometimes even in college (depending on my class schedule).

Emotional

The Mayo Clinic suggests that there is a connection between mood, food and weight loss.  “Emotional eating is eating as a way to suppress or soothe negative emotions, such as stress, anger, fear, boredom, sadness and loneliness. Both major life events and the hassles of daily life can trigger negative emotions that lead to emotional eating and disrupt your weight-loss efforts.”  (2)

When negative emotions are tied to eating there is a tendency to eat almost unconsciously, causing both faster eating and overeating.

Nutritional

If a person is hungry due to skipping meals, like breakfast for example, this can cause fast eating and over eating problems.  If one goes more than about six hours without a meal, one may have a greater tendency to eat rapidly and too much.  Eating too many simple sugars without fat and protein can cause a blood sugar crash, ending up in craving more quick energy (sugar).

Remember that fat, protein and fiber all slow down blood sugar.  One way to curb cravings is to make sure you have enough of these in your diet (especially with all of the low fat diets out there).

If you do not get sufficient nutrients due to eating too many processed foods, your body may crave the missing trace minerals and nutrients which may lead to more unhealthy eating.

Are you a speed eater?

If you are a speed eater, know that you can take measures to control it.  If your school system doesn’t allow for a decent lunch, appeal to the school system, perhaps with backup (such as parents).  If your colleagues at work eat fast, take your time and try not to let their habits influence you.  If you notice your eating habits changing when you are under stress, try to eat more lean protein and do not skip meals.

References

1.  Mayo Clinic:  www.mayoclinic.com/health/weight-loss/MH00025

2.  USA Today:  http://yourlife.usatoday.com/parenting-family/story/2011/08/Students-feel-rushed-at-school-lunch/50027612/1

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I strongly suggest to my clients that they choose fish oil supplements inliquid form over capsule form.

1. Unless you cut and smell the capsule, you cannot tell if it is rancid or not.

2. It is easy to determine if liquid fish oil  is rancid and it is far more cost effective.

If a bottle of olive oil has been sitting around in the cupboards for a while, it would behoove you to give it the sniff test.  So why is it that when taking a fish oil supplement most of us are under the assumption that the oil is not rancid?

The fish oil capsule that you are taking has gone through several handling steps along the way.  Ranging from improper manufacturing to storage and delivery, there are ample opportunities for this supplement to go wrong.  For example, the factory could do a perfect job, use proper shipping methods that keep the fish oil at a safe temperature, yet when it gets dropped off at the merchant; it may sit in a hot warehouse for a week before it goes onto the shelves.

I have tested several brands at random from different stores and discovered rancid fish oil capsules by performing the cut and sniff test.  I suspect that in the summer months or warmer climates this problem may be more frequent, due to budgeted shipping methods (not shipping with ice packs or climate controlled trucks).

If you are going to supplement with fish oil (which I highly recommend to anyone who wants to achieve optimal health) make sure to sniff it out before you accept it into your body.  Consuming rancid fish oil is worse than taking no fish oil at all.

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