238. Testosterone - An Education
238. Testosterone: An Education\n\xa0Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment.\nThanks to our sponsor Uber Lube 10% off, Code NOTBROKEN\xa0\nuberlube.com\nDr. Khera lives in Houston, TX practices at Baylor and has dedicated his clinical and research efforts to three main areas:\xa0 Men\u2019s Health, sexual medicine, and hormone replacement therapy.\xa0 \xa0His basic science and clinic experiences have allowed him to thus far give over 250 lectures at scientific meetings throughout the world, publish over 120 articles in peer-reviewed journals, complete 15 book chapters, and edit and write two books, all in the\nfield of sexual medicine and Men\u2019s Health.\nWhy is testosterone so interesting to Dr. Khera?\nTestosterone and prostate cancer \u2013 what do we know.\nIs a lowering Testosterone in men "natural"? and if it isn\u2019t, what causes low testosterone in men?\nWhat do the new weight loss drugs do to testosterone levels and male fertility?\nWe discuss the different ways you can give testosterone to women: topical, pellets and compounded injectable doses of testosterone for women: 50mg/ml and start at 0.1 mg injected a week. The benefits of testosterone for women besides low libido.\nThe role of chronic pain and testosterone and pain meds.\nThe mechanism of how your testosterone goes up when you lose body fat.\nThe four pillars of health for natural testosterone production \u2013 diet, exercise, sleep, stress reduction\nErectile dysfunction is a harbinger for heart attack and heart disease.\n\u201cThere is not a better barometer of a man\u2019s overall health than his sexual health\u201d \u2013 Dr. Khera\nThe role of DHEA (a mild androgen made in the adrenals) in men and women. \nThe link with Peyronies disease and Testosterone. And we discuss penile stretching devices. \nWe discuss a 2013 Finkelstein article \u2013 they gave men testosterone and blocked its conversion to estrogen. So are we undertreating men by not addressing their estrogen?\nDr. Khera was \xa0part of the NEJM study that came out this summer looking at T in men with low T and high risk CV risk. The Traverse\ntrial. Conclusions:\xa0In men with hypogonadism and preexisting or a high risk of cardiovascular disease, testosterone-replacement therapy was non-inferior to placebo with respect to the incidence of major adverse cardiac events.\xa0\nBarriers to a testosterone prescription include that it is a regulated medication, a physician needs a DEA license to prescribe it \u2013 similar to a narcotic. Dr. Khera lends his opinion to safe prescribing of testosterone but thinks the DEA regulation is here to stay. \nHe clarifies the number of men who suffer from hypogonadism and the number of men who are undergoing treatment for this\ncondition?\nTestosterone levels are dropping because men are getting less healthy. Dr. Khera talks about measuring a baseline\ntestosterone level in men as a marker of overall health and focus on lifestyle changes to naturally get this normal. \n50% of men don\u2019t talk to their doctor about their\nerectile dysfunction, and 44% of those men don\u2019t talk to their partner about\nit. \nwww.instagram.com/drmohitkhera\nDr. Mohit and Dr. Morgentaler\u2019s testosterone course\n\u2060NEJM article discussed: Gonadal\nSteroids and Body Composition, Strength, and Sexual Function\u2060\n\u2060Traverse Trial\nhttps://drmohitkhera.com/\nDid you get my \u201cYou Are Not Broken\u201d Book\nYet? https://amzn.to/3p18DfK\nListen to my Tedx Talk: Why we need adult sex ed \nJoin my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed\nJoin my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. \nwww.kellycaspersonmd.com/membership\n\n\n\n--- \n\nSend in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message\nLearn more about your ad choices. Visit megaphone.fm/adchoices