testosterone replacement therapy options

Understanding the Benefits of Testosterone Replacement Therapy

Scott Brandt, M.D. Hormone Therapy for Men, Testosterone Replacement

Testosterone therapy, administered correctly, has both a feel good effect as well as significant long-term health benefits. Most patients come to see me to combat fatigue, lean muscle loss, difficulty sleeping, and to improve their general sense of well-being.

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The Benefits of Boosting Testosterone

Many patients don’t realize the power of testosterone to decrease the incidence of many of the diseases of aging.  Testosterone lowers cholesterol, reverses the LDL to HDL ratio, and decreases coronary plaque deposition. In addition, testosterone and its byproducts lower the incidence of osteoporosis, breast cancer, and Alzheimer’s dementia.

Testosterone can be administered to men either topically, by injection or as implantable pellets. Women can take testosterone by these same routes and can additionally be treated by oral capsule. In order to achieve the many health benefits of testosterone, optimal blood levels need to be consistently achieved.

Why Does Dosing Frequency Matter?

The biggest mistake that is made in male testosterone replacement therapy regimens is not dosing regularly enough to maintain steady levels. If testosterone is administered by injection, it needs to be dosed at least twice weekly. If given topically by cream, it needs to be applied twice daily. Pellets can be inserted and will typically last 5-6 months.  Women can take a daily dose orally or topically and will usually get 3-4 months duration from pellet insertion. Many low T clinics dose patients by injection 2-4 times monthly. This regimen allows for huge fluctuations in blood levels throughout the month. These variations greatly diminish the benefits of testosterone replacement therapy.  By dosing only 2-4 times a month, patients also lose the long term health benefits of testosterone therapy.

How to Maximize the Results of Testosterone Replacement Therapy

Optimum blood levels can be achieved by all of the methods listed above.  The steadiest levels are delivered by pellet, followed by injection. Both topical and oral delivery are next and are about equal in their steady state affect. The most important factor in choosing a route of administration is compliance. Whichever method the patient will be most consistent with, is in my opinion, the best choice. Properly dosed, all of the long-term benefits can be achieved with any of these delivery methods.

*Individual patient results may vary. Contact us today to find out if testosterone replacement therapy may be able to help you.

Next Step

If you believe you or someone you care about could be a candidate for testosterone replacement therapy, please contact us today.

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John Beeman
John Beeman
23:05 08 Jan 17
I just wanted to give an update regarding the stem cell procedure performed by Dr. Brandt at Thrive about 3 years ago. My range of motion continues to improve--remarkable at 64.I skied 150k in 5 days last week and never iced my knee once. I can't remember skiing that many feet w/out having to ice in the last 20 years. The knee treated has been without an acl since I was 18 and is pretty severely arthritic,but I am getting better performance now than I have in recent memory. Thank you, Dr. Brandt!!
Laurel Wilkerson
Laurel Wilkerson
21:22 08 Aug 16
Great job by the Thrive MD team in Edwards. With a torn achilles tendon, I was really opposed to surgery. When I discovered Dr. Brandt and team, I was thrilled. They are most professional and explained every step of the process and procedure for treatment options. I am on the road to recovery, and I am so thankful to have discovered Thrive. Before you let an orthopedic doc operate, take the time to explore and discuss stem cell therapy. Thrive MD made the process easy and convenient. Thanks! One year later update - ankle is doing great. Skied 52 days in 2015-16. Hiking, biking and all are no problem. Great team of caring people who know their business.
Lisa Harris
Lisa Harris
15:59 02 Jan 17
After struggling with an Achilles injury for 1 1/2 years and trying everything to heal it - steroid, physical therapy, wearing a boot, no activity, stretching, etc - I decided to have stem cell therapy at Thrive.md. It was a short procedure and an afternoon of post op recovery, which after 6-8 weeks, resulted in a full recovery from my injury. This seemed to finally stimulate blood flow and healing to an injury I had resigned myself to having forever. I highly recommend this procedure for tendon injuries like this one.
John Reilly
John Reilly
13:44 04 Nov 16
I saw Dr Brandt on 8/8/16 for a lower back stem cell injection. From the injection, I got a serious infection in my lower spine. As a result, I spent 2 days in the Vail hospital and have been on daily IV antibiotics for the past 8 weeks. A few weeks after the injection, I started feeling increased pain which was a different pain than before my injection. It was much sharper and a shooting pain. I communicated this information to Dr Brandt and his staff. There only response and treatment was stronger pain meds. oral and injected steroids (the worst thing to do when an infection is present). The pain became so intense and debilitating, I finally made an appointment with an orthopedic surgeon. Their team quickly discovered from listening to my symptoms and reviewing a new MRI that I had an infection. I also discovered from a search on DORA that over the past 13 years Dr Brandt's has a history of incidents with the DORA which regulates medical professionals. Over this time, his license was suspended for a period of time and is he currently practicing on probation through 2019. At one point, the AG said he was unfit to practice medicine.
Zvezdomir Zamfirov
Zvezdomir Zamfirov
03:55 14 Nov 16
I am a pain management physician myself. I am 52, and physically very active. I still play soccer competitively. Six months ago I suffered a hip injury with a labrum tear. Due to the pre-existing wear and tear, the only conventional treatment, which was offered to me was total hip replacement. I wanted to remain physically active and continue to play sports, so I decided that this is not the best option for me. I choose instead to try stem-cell therapy. Ten days ago I had my procedure done by Dr. Brandt, and since then I have nothing but positive things to say about him and his practice. Everyone in his office was extremely welcoming and put me at ease and comfort about my procedure. The procedure went very smooth. And I did not have ANY post procedure pain or discomfort. I had no need for any pain medication. I was back to work seeing patients on the 2nd day after the procedure. My hip already feels noticeably better. I have the second procedure scheduled in four weeks, and I am confident that in another 3-4 weeks I'll be back playing soccer again. Thank you, Dr. Brandt and team for taking such excellent care of me.
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