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Bob Guthrie's avatar

Question: what is difference between prescribing testosterone and DHEA?

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Jim's avatar

Yet this paper and others suggest low T is associated with Afib

https://www.ahajournals.org/doi/10.1161/JAHA.116.004880

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Alice's avatar

Who knows - perhaps the common factor is beans (Dr William Davis recommends them for their pre-biotic fibre)!

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Alice's avatar

Well, perhaps food might help a bit too; try red kidney beans, oysters, and magnesium-rich produce, and … certain micro biome helpers such as home-made yoghurt fermented with Lactobacillus gasseri BNR17 and reuteri DSM 17938 and ATCC PTA 6475 (see Dr William Davis’ book, Super Gut; apparently these microbes are good for muscle strength). He also wrote about the ‘wheat belly’ in an earlier book. An elderly Egyptian man once told us that ‘a man is still a man even if he’s 100 years old’, which was startling to hear when in one’s early 20s.

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Alice's avatar

My husband was dx with hypogonadism in his early 50’s, but in his case he has low ‘Free T” and normal “Total T”. He has the symptoms of hypogonadism and upon reflection he had them even in his 40’s. Unfortunately we are poor and his insurance would not cover Androgel, only injections and he did not want to do it that way. It is also my understanding that injections are an inferior method compared to the Androgel. My husband is now in his mid 60’s and he continues to have low Free T and worsening symptoms that are seriously affect his quality of life. Sigh

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Mike S's avatar

Thank you for writing informative and interesting articles that are also a hoot. Seems like as we get older it gets harder and harder to navigate one's way past all those who are just trying to sell us something we don't need. Thank you for the help!

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Ryan McCormick, M.D.'s avatar

I’m aging with everyone and everything, too, so I accept the lowering of testosterone that is normal. I’m hesitant to prescribe T. Studies like this that only go 2-4 years are not sufficiently reassuring in terms of longer term risks (CV, higher grade prostate cancer potential, thrombosis, etc.). Also important to know the free testosterone, especially in overweight/obese men. Good review though, thank you for your perspective!

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Salik Sayyar's avatar

This sentence is telling.

‘ However, a higher incidence of pulmonary embolism, acute kidney injury, and atrial fibrillation was noted in the testosterone group.’

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Kayleen Hunsaker Smith's avatar

Love your last statement!

As a 70 year old woman who still can “dash about” most of the time I refuse to go “gently”!

One of my sons (who is 46) tells me I need to “work out more” HA!

I am right now on an 18 day vacation w/him, his wife & 8 children.

We walked about Jerusalem for 3 days & Rome for a day about 7-8 miles a day up & down steps etc.

We are on a Mediterranean 10 day cruise & all the ports are around 88 degrees w/60-70% humidity...

I don’t think 🤔 I need any more work outs!!!

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