Is Testosterone Safe?

Author: Pierre Angier DO – Florida’s Wellness Doctor

Recently, two studies were published that raised the possibility that testosterone replacement therapy could increase the risk of heart attacks and stroke in older men. The media has been having a field day with this, and attorneys are drooling in anticipation of the settlements they might receive.

But not so fast—there are major concerns about the way these studies were conducted and reported. Also, they directly conflict with previous studies that show normal testosterone levels reduce the risk of cardiovascular events.

To be specific, the PLOS ONE study was flawed in several ways. The data used were based on insurance claims and not on any clinical data. Also, it was an observational study—not a randomized, controlled trial—making the results more uncertain. They did use comparison drugs (Viagra and Cialis) but that only confused the picture, as these drugs may prevent heart attacks. Lastly, the difference in risk was so small as to be clinically insignificant. Based on the study’s own conclusions, testosterone therapy would result in an increase of only 1.27 heart attacks per 1000 patient years. That’s not enough to convince me and I don’t think it will convince many juries.

In the second study, published in JAMA, the raw data showed a reduction in heart attacks, strokes and deaths in VA patients who received testosterone compared to those who did not. But after statistical modeling the authors concluded that testosterone increased the risk of these events! What would account for this difference? Well, the authors used convoluted and complex statistical analysis (which often is more likely to confuse than clarify). Also, there were over a thousand patients excluded from the analysis that should not have been. This error drastically changed the statistical outcome to make testosterone replacement seem unsafe.

Immediately after its publication, the study’s many flaws were brought to light and many prominent physicians and scientists, including 25 different medical societies from around the world, have asked that it be retracted. While the study has been corrected several times, the data mismanagement was so serious that this study is no longer considered credible.

In short, these two studies do not conclude that testosterone therapy will increase your risk of a cardiac event. In contrast, nine scientific studies done since 2006 have shown that low testosterone puts you at increased risk for cardiac death. Other well done studies show improvement of cardiac risk factors with testosterone replacement.

Until we have better information, I will continue to use caution in prescribing testosterone replacement in older men with heart disease, but in most cases, and especially in middle-aged men, I believe the benefits outweigh the risks. Patients report enhanced libido and sexual function, increased energy, and improvement in mood and motivation. Treating low testosterone can also help patients lose weight, lower their blood sugar, and avoid osteoporosis.

If you have further questions about testosterone replacement therapy, call Dr. Angier today for a consult (904-217-7030).

Posted in Cardiac Risk Assessment, Heart disease, Mens health, Testosterone

Alternative Therapy for Heart Disease in Patients with Diabetes

Recent studies are further supporting how chelation therapy can help heart patients who also suffer from diabetes. We are honored to be a part of the Advanced Medicine Model here at Get Well.  We offer Chelation Therapy at GET WELL in Saint Augustine, FL.  Call today to schedule an appointment and learn if EDTA chelation therapy is right for you.

http://www.news4jax.com/news/alternative-therapy-for-heart-disease/26546356

Posted in Bypass surgery, Cardiac Risk Assessment, Chelation Therapy, Diabetes, Heart disease, Mens health, Natural and Alternative Therapies, Nutrition Therapy

The Naturopathic Approach to Treating Diabetes

According to the National Institute of Health “25.8 million Americans have diabetes — 8.3 percent of the U.S. population. Of these, 7 million do not know they have the disease.” Get Well offers a wide variety of nutritional therapies including Alpha Lipoic Acid, a multifunctional antioxidant shown to reduce the symptoms of diabetes and aids in controlling blood sugar levels.

 

 

Posted in Chelation Therapy, Diabetes, Nutrition Therapy

Nutritional Deficiencies and Your Health

Dr. Angier’s knowledge of nutrition and advanced medicine allows him to offer a wide variety of natural and alternative therapies! There is a direct link between nutritional deficiencies and ones’ health. Check out this great article and stay well:  http://www.hormones4u.com/#!Psychoneuroimmunology/ct3r/CA517A60-B242-4D40-93B9-C2469E10961E

 

Posted in Natural and Alternative Therapies, Nutrition Therapy

Mediterranean Diet for Heart Health

The Mediterranean diet is a a great meal plan for heart health and whole food nutrition! Packed with phytonutrients and healthy sources of fat, check out this this great recipe from our health coach Marian Thompson!

http://marian-eloise-thompson.healthcoach.integrativenutrition.com/lime-mahi-mahi

Click here to learn more about our weight loss program.

Posted in Heart disease, Losing weight, Mens health, Weight Loss, Women's Health

Gluten Sensitivity and Autoimmune Disorders

Experts have estimated that as much as one third of the population has gluten sensitivity (not necessarily manifested as celiac disease) and this is important because it appears that many of the autoimmune disorders may be triggered by gluten—a protein found in wheat, rye and barley. To learn more about food sensitivities and testing for food allergies come see us at GET WELL, wed like to help.

Posted in Autoimmune disease, Chronic pain, Gluten sensitivity, Mens health, Women's Health

Thyroid Disease and Exposure to Toxins

Thyroid disease is one of the most common health problems today! There are many causes for hypothyroid disease, including exposure to toxins. Drinking purified and natural water can be a good step to preventing this common condition. Please read this great article on thyroid conditions and how to reduce exposure to heavy metals: http://articles.mercola.com/sites/articles/archive/2011/08/13/fluoride-and-thyroid-dysfunction.aspx

If you think you might have an undiagnosed thyroid condition, please call Dr. Angier at GET WELL.  We’re here to help.

Posted in Autoimmune disease, Hormone Therapy, Losing weight, Thyroid, Weight Loss, Women's Health

Feel Young Again with Bioidentical Hormone Therapy

Check out what Dr Oz has to say about hormone therapy! Looks like the fountain of youth can be found in St Augustine here at GET WELL! Leading the way in Integrative Medicine and Anti-Aging

Learn more if Hormone Therapy if for you at http://www.hormones4u.com

Posted in Hormone Therapy, Mens health, Women's Health

DNA Testing for Weight Loss

Science is making huge breakthroughs with DNA testing for weight loss! Genes are being found to regulate the way our body processes fats, carbs and proteins and are the key to finding the ideal diet for your genotype. We are excited to be offering the new DNA test at GET WELL!

 

Posted in Losing weight, Mens health, Weight Loss, Women's Health

Feel Young Again!

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Get your body in balance with Florida’s Wellness Doctor. Contact us today to find out more about hormone replacement therapy. Our goal is to help you feel young again!

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