Physicians Weight Loss Center in South Florida

Are you one of the many people in South Florida who are burning the candle at both ends and maybe only getting 4 or 5 hours of sleep a night? Are you also one of those guys having problems with his sex drive and feeling out of sorts? Well, recent studies done in South Florida in the last 3 years show that these symptoms could all be due to the effect of sleep on testosterone – just how, though, may be a chicken and egg question!

While it’s true that lower testosterone levels can be the cause of a sluggish sex drive and irritability it seems to be a matter of research opinion whether low sleep levels cause low testosterone or low testosterone causes lack of sleep.

Testosterone Replacement Therapy or a Testosterone Booster?

hormone replacement therapy for menopause

Theoretically,  menopause is not a disease.  Therefore, there is no cure.  Many women opt to forgo any treatment at all, and simply tolerate many of the symptoms associated with this normal transition.  However, for those women whose symptoms are so severe as to interfere with their quality of life, there are many options at their disposal.

Remedies may be implemented by the woman herself for the conditions associated with menopause.  For example,

Hot flashes: Several nonprescription treatments are available, and lifestyle choices can help.

  • Many women feel that regular aerobic exercise can help reduce hot flashes
  • Foods that may trigger hot flashes, such as spicy foods, caffeine, and alcohol, should be avoided.
Heart disease: A low-fat, low-cholesterol diet helps to reduce the risk of heart disease.

Weight gain: Regular exercise is helpful in controlling weight.

Osteoporosis: Adequate calcium intake and weight-bearing exercise are important. Strength training (lifting weights or using exercise bands in resistance training) can strengthen bones.

Certain medications are beneficial in reducing many of the signs and symptoms of menopause.

Hormone Replacement Therapy

  • estrogen or a combination of estrogen and progestin
  • treats hot flashes
  • reduce fracture risk by building bone mass
  • improve cholesterol levels
  • decrease vaginal dryness
  • estrogen and progestin combination associated with increased risk of heart attack, stroke, and breast cancer
  • estrogen alone associated with increased risk of endometrial cancer
  • increased risk of gallstones and blood clots
Selective Serotonin Reuptake Inhibitors (SSRIs)
  • normally used for depression and anxiety
  • effective in reducing hot flashes
Clonidine (Catapres)
  • used to lower blood pressure
  • effective in reducing hot flashes
Gabapentin (Neurontin)
  • primarily used for treating seizures
  • used to treat hot flashes
Megestrol (Megace)
  • short-term relief of hot flashes
  • not recommended as first-line drug
Medroxyprogesterone (Depo-Provera)
  • injectable
  • sometimes effective in treating hot flashes
  • may cause weight gain and bone loss
Several medication options are available for the treatment of osteoporosis during menopause.  They include:
  • Aldenodrate (Fosamax)
  • Raloxifene (Evista)
  • Calcitonin (Calcimar or Miacalcin)
There are natural remedies on the market which report to reduce hot flashes.  However, for many, the clinical studies are conflicting and inconclusive.  These include:

Black Cohosh

  • herbal supplement
  • German studies recommend limiting its use to six months or less
  • not regulated by the Food and Drug Administration
  • side effects include nausea, vomiting,  dizziness, visual problems, slow heart beat, and excessive sweating
Plant Estrogens (Phytoestrogens)
  • soy is an example
  • safety of soy in women with breast cancer not established
Other Herbal Preparations - avoid or take under supervision of health care provider
  • dong quai
  • red clover
  • chaste-berry
  • yam cream
  • Chinese medicinal herbs
  • evening primrose oil
There are several treatment options available to help alleviate the symptoms of menopause.  These treatments should be individualized for each patient.  As many of these methods are not without risk, they should be implemented and monitored under the guidance of a physician.

How to Lose Weight by Eating Fruit

hormone replacement therapy clinics

When a woman reaches the approximate age of 50, she has to be concerned about the onset of menopause. Menopause occurs when the body starts reducing the amount of estrogen it produces, and it can lead to a series of potential risks, like increased odds of breast cancer, osteoporosis, and cardiovascular risks. To offset these risks, women have taken hormonal supplements to offset the newly created imbalance in their bodies. But only recently has it emerged that a popular hormone therapy of the past doesn't altogether protect against all potential risks. Women were confused, and clarification and updates were in order. Making these issues clear can never be done enough, and it is with that in mind that we look at various ways of treating menopause.

The cure of the past used estrogen isolated from a pregnant mare, and this is what was determined not to be less than effective in some cases, and possibly detrimental in others. There is logic in this, as it's the body's hormonal changes that cause menopause, not a lack of horse estrogen. Accordingly, it's not progesterone's chemical analogues that were needed, but human bio-identical progesterone.

There are various hormones that studies have shown to be effective ways of reducing the effects of menopause. Included in this list are: estrogen, progesterone, testosterone, and DHEA. Among the positive effects of these supplements are: lower cholesterol levels, increased bone density, reduced frequency of night sweats and warm flashes, diminishment of menstrual-type syndromes, and promotion of an overall feeling of well-being.

If you are in the stage where it's necessary to seek treatment, either if you think you're on the verge of entering menopause or you'd like to treat it differently, it's essential that you speak to a trusted pharmacist and read up on the latest articles and studies. Living right, watching what you eat, and getting a fair amount of exercise can help you keep a healthy body, but when it comes to redressing the hormonal imbalance you need a different type of solution. This can only be addressed by changing your hormone intake, and to learn how to properly do this you need to consult an expert. Talk to other women experiencing the same conditions, and feel empowered to seek the best treatment for you. It's of paramount concern to your overall health, and once dealt with properly, you'll feel much better in your day to day life.

When seeking treatment for menopause, it's essential to find the best, most trusted pharmacy around. Professionals all have a way of describing the conditions and the treatment in a convincing fashion, so it's nearly impossible to discern who is effective and who isn't simply by hearing them speak. For this, you need to base your decision on their experience and success rate. It's an important decision, so take your time and make a deliberate choice. It's a time where your body undergoes considerable change, but it can be a smooth transition with the right treatment.

Are Low T-Levels and Poor Sleep Related?

female hormone replacement therapy

There's a growing interest in testosterone hormone replacement for treating symptoms related to aging. You've probably seen advertisements of virile, muscle bound men in their 60's and 70's.

Along with the growing interest there's also a growing amount of information. But much of it is anecdotal stories, misleading data and flat out, unproven myths. Especially as it relates to testosterone replacement therapy for women.

The fact is that medically administered, testosterone therapy is also used to successfully treat symptoms of hormone deficiency in pre and postmenopausal women. And two physicians-Dr. Rebecca Glaser and Dr. Constantine Dimitrakakis-are dispelling the misinformation about it through scientific research.

Dr. Glaser and Dr. Dimitrakakis focus on subcutaneously implanted, bio-identical hormones (human identical molecule) and not oral, synthetic androgens or anabolic steroids.

With that in mind, here are the 10 myths of testosterone replacement therapy for women.

Myth #1: Testosterone is a "male" hormone

Although men have a higher circulating level of testosterone than women, from a biological perspective, men and women are genetically similar. Both sexes include functional estrogen and androgen (testosterone) receptors. And while estrogen is popularly considered the primary female hormone, throughout a woman's lifespan, testosterone is actually the most abundant, biologically active hormone with significantly higher levels than estradiol. And as early as 1937, testosterone therapy was reported to effectively treat symptoms of the menopause.

Myth #2: Its only role in women is sex drive and libido

There's a lot of hype about testosterone's role in sexual function. But in reality, it's a fraction of the overall physiologic effect testosterone plays in women. That's because testosterone governs the health of almost all tissues including the breast, heart, blood vessels, gastrointestinal tract, lung, brain, spinal cord, peripheral nerves, bladder, uterus, ovaries, endocrine glands, vaginal tissue, skin, bone, bone marrow, synovium, muscle and adipose tissue.

The function of these tissues declines as testosterone declines. The result of this deficiency in both men and women includes dysphoric mood (anxiety, irritability, depression), lack of well-being, physical fatigue, bone loss, muscle loss, changes in cognition, memory loss, insomnia, hot flashes, rheumatoid complaints, pain, breast pain, urinary complaints, incontinence as well as sexual dysfunction. And just like for men, these symptoms are successfully treated in women through testosterone therapy.

Myth #3: It masculinizes females

Testosterone therapy has been safely and successfully administered in women for over 76 years. Rather than decrease a woman's femininity it increases it. Testosterone stimulates ovulation, increases fertility and safely treats the nausea of early pregnancy without adverse effects.

Sure, large doses of supra-pharmacological synthetic testosterone are used to treat female to male transgender patients to increase male traits like body hair. But this requires high doses over an extended period of time. Even then, true masculinization is still not possible. And these effects are reversible by simply lowering the dosage.

Myth #4: It causes hoarseness and voice changes

Hoarseness is most commonly caused by inflammation due to allergies, infectious or chemical laryngitis, reflux esophagitis, voice over-use, mucosal tears, medications and vocal cord polyps. Testosterone possesses anti-inflammatory properties. There is no evidence that testosterone causes hoarseness and there is no physiological mechanism that allows testosterone to do so.

Although a few anecdotal case reports and small questionnaire studies have reported an association between 400 and 800 mg/d of danazol and self-reported, subjective voice 'changes' an objective study demonstrated the opposite.

Twenty-four patients received 600 mg of danazol (synthetic testosterone) therapy daily and were studied for 3 and 6 months. There were no vocal changes that could be attributed to the androgenic properties of danazol. These conclusions are consistent with a one year study examining voice changes on pharmaco-logic doses of subcutaneous testosterone implant therapy in women by Glaser and Dimitrakakis.

Myth #5: It causes hair loss

Hair loss is a complicated, genetically determined process and there is no evidence that either testosterone or testosterone therapy cause it. In fact, from a medical perspective, dihy-drotestosterone (DHT), not testosterone, is considered the active androgen in male pattern balding.

There are many factors associated with hair loss. For example, it's common in both women and men with insulin resistance. Insulin resistance increases 5-alpha reductase, which increases conversion of testosterone to dihy-drotestosterone in the hair follicle.

In addition, obesity, age, alcohol, medications and sedentary lifestyle increase aromatase activity, which lowers testosterone and raises estradiol. Increased DHT, lowered testosterone, and elevated estradiol levels can contribute to hair loss in genetically predisposed men and women. But so can medications, stress and nutritional deficiencies.

In studies conducted by Glaser and Dimitrakakis, two thirds of women treated with subcutaneous testosterone implants have scalp hair re-growth on therapy. Women who did not re-grow hair were more likely to be hypo or hyperthyroid, iron deficient or have elevated body mass index. And none of the 285 patients treated for up to 56 months with subcutaneous T therapy complained of hair loss.

Myth #6: It has adverse effects on the heart

On the contrary, there is overwhelming biological and clinical evidence that testosterone promotes a healthy heart. Testosterone has a beneficial effect on lean body mass, glucose metabolism and lipid profiles in men and women. It is successfully used to treat and prevent cardiovascular disease and diabetes.

Testosterone also widens blood vessels in both sexes, has immune-modulating properties that inhibit plaque and strengthens the cardiac muscle. It improves functional capacity, insulin resistance and muscle strength in both men and women with congestive heart failure.

Myth #7: It causes liver damage

High doses of oral, synthetic androgens (e.g., methyl-testosterone) pass through the digestive system, are absorbed into the entero-hepatic circulation and can adversely affect the liver. But subcutaneous implants and topical patches avoid the entero-hepatic circulation and bypass the liver. So there is no adverse effect on the liver, liver enzymes or clotting factors.

Furthermore, non-oral testosterone does not increase the risk of deep venous thrombosis or pulmonary embolism like oral estrogens, androgens and synthetic progestins. And despite the concern over liver toxicities with anabolic steroids and oral synthetic androgens, there are only 3 reports of hepa-tocellular carcinoma in men treated with high doses of oral synthetic methyl testosterone. Even the report of benign tumors (adenomas) with oral androgen therapy is exceedingly rare.

Myth #8: It causes aggression

Although anabolic steroids can increase aggression and rage, this does not occur with testosterone therapy. Even supra-pharmacologic doses of intramuscular testosterone undecanoate do not increase aggressive behavior. But as stated before, testosterone can aromatize to estradiol. And there is considerable evidence among species, that estrogens, not testosterone, play a major role in aggression and hostility.

However, in studies conducted by Glaser and Dimitrakakis, over 90% of women treated with subcutaneous testosterone therapy have documented decreased aggression, irritability and anxiety. And this is not a new finding. Androgen therapy has been used to treat PMS for over 60 years.

Myth #9: It may increase the risk of breast cancer

It was recognized as early as 1937 that breast cancer was an estrogen sensitive cancer and that testosterone acted as a counter balance to estrogen. Clinical trials in primates and humans have confirmed that testosterone has a beneficial effect on breast tissue by decreasing breast proliferation and preventing stimulation from estradiol.

However, some epidemiological studies have reported an association between elevated androgens and breast cancer. But these studies suffer from methodological limitations, and more importantly, do not account for associated elevated estradiol levels and increased body mass index. And the cause and effect interpretation of these studies conflicts with the known biological effect of testosterone.

Although testosterone is breast protective, it can aromatize to estradiol and have a secondary, stimulatory effect on the estrogen receptor. But when testosterone is combined with an aromatase inhibitor in a subcutaneous implant, it blocks testosterone from aromatizing.

This form of treatment has been shown to effectively treat androgen deficiency symptoms in breast cancer survivors and is currently being evaluated in a U.S. national cancer study. In addition, Dimitrakakis and Glaser see a reduced incidence of breast cancer in women treated with testosterone or testosterone with anastrozole implants.

Myth #10: The safety of testosterone use in women has not been established

Testosterone implants have been used safely in women since 1938. Any real concerns would be well established by now.

Long-term data exists on the successful and safe use of testosterone in doses of up to 225 mg in up to 40 years of therapy. In addition, long term follow up studies on supra-pharmacologic doses used to 'female to male' transgender patients report no increase in mortality, breast cancer, vascular disease or other major health problems.

Many of the side effects and safety concerns attributed to testosterone are from oral formulations, or are secondary to increased aromatase activity due to elevated estradiol. This effect increases with age, obesity, alcohol intake, insulin resistance, breast cancer, medications, drugs, processed diet and sedentary lifestyle. Although often overlooked or not addressed in clinical studies, monitoring aromatase activity and symptoms of elevated estradiol is critical to the safe use of testosterone in both sexes.

Adequate testosterone is essential for physical, mental and emotional health in both sexes. Abandoning myths, misconceptions and unfounded concerns about testosterone and testosterone therapy in women allows physicians to provide evidence based recommendations and appropriate therapy

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University of South Florida

The University of South Florida, also known as USF, is an American metropolitan public research university in Tampa, Florida, United States. USF is also a member institution of the State University System of Florida. Founded in 1956, USF is the fourth-largest public university in the state of Florida, with an enrollment of 48,373 as of the 2014–2015 academic year.[5] The USF system has three institutions: USF Tampa, USF St. Petersburg and USF Sarasota-Manatee.[6] Each institution is separately accredited by the Commission on Colleges of the Southern Association of Colleges and Schools.[6] The university is home to 14 colleges, offering more than 80 undergraduate majors and more than 130 graduate, specialist, and doctoral-level degree programs.[7]

USF is classified by the Carnegie Foundation for the Advancement of Teaching in the top tier of research universities, and is among three other universities in Florida to hold this highest level of classification.[8] In its 2011 ranking, the Intellectual Property Owners Association placed USF 10th among all universities worldwide in the number of US patents granted.[8] The university has an annual budget of $1.5 billion and an annual economic impact of over $3.7 billion.[9] In a ranking compiled by the National Science Foundation, USF ranks 43rd in the United States for total research spending among all universities, public and private.[10]

USF ranks #68 of Top Public Schools and #140 in National Universities according to the 2018 U.S. News & World Report.[11][12] USF was named a national leader in online education by Guide to Online Schools.[8] USF graduate level programs – including Public Health, Library and Information Studies, Education, and Criminology – continue to rank among the nation's 5 best in the U.S. News & World Report graduate school rankings.[8]


Hormone Replacement Therapy For Men in Broward

Doctors Weight Loss in South Florida

Are you one of the many people in South Florida who are burning the candle at both ends and maybe only getting 4 or 5 hours of sleep a night? Are you also one of those guys having problems with his sex drive and feeling out of sorts? Well, recent studies done in South Florida in the last 3 years show that these symptoms could all be due to the effect of sleep on testosterone – just how, though, may be a chicken and egg question!

While it’s true that lower testosterone levels can be the cause of a sluggish sex drive and irritability it seems to be a matter of research opinion whether low sleep levels cause low testosterone or low testosterone causes lack of sleep.

Hormone Imbalance in Women

female hormone replacement therapy

If I had to give one tip as to how to lose weight without resorting to some fad diet, it would be this: eat nothing but fresh fruit or fresh fruit juice before noon. This tip alone will stand you in very good stead to losing weight safely. You will also be very likely to keep the weight off on an ongoing basis. This approach certainly paid dividends for me. I had tried every celebrity diet plan going and while I did initially lose weight, I could not keep it off for more than a month or two.

The theory is that when you eat nothing but fresh fruit before noon, you are not putting an undue burden on your elimination system so that your body eliminates waste properly. If you have a heavy breakfast, your body uses valuable energy in digestion that it should be using on elimination. I really found this to be very true. By just eating lots of fresh fruit I definitely felt "lighter" and had more energy than the days I used to have a coffee and a bagel with cream cheese every breakfast time.

The other important rule is that you should not eat anything else except fruit during the hours before noon. If you do, the food in your stomach will start to ferment and spoil, therefore requiring much more energy to break down and digest. Fruit only stays in your stomach for a very short period of time. Usually thirty minutes maximum. So that is how long you should wait before consuming any other food. I usually go for lunch at around 12.30 so this routine works perfectly.

If you want to really see some noticeable results very quickly, you should also for the rest of the day try to avoid mixing carbohydrates and proteins in the same meal. There has been lots written about this subject but it basically follows a simple principle laid down in the 1930s by the renowned nutritionist Hay. The basic idea is that concentrated protein causes acidic gastric juices to be produced whereas carbohydrates cause alkaline gastric juices to be produced in the stomach. If you have a mix of the two, Hay argues, you neutralize the pH in your stomach which means your body needs to spend much more energy in digestion that it would if the foods were kept separate. You can find much more on the topic of proper food combining by just doing a quick Google search. I have found that this way of eating combined with fruit only before noon has been very beneficial both to my weight and my general energy levels.

Hopefully this article has proved informative. You should always check with your doctor before embarking on any change in your diet. The concepts discussed here represent a huge area of research and discussion and you are encouraged to do further reading and research so you can tailor any program you decide to follow to your individual dietary needs and goals.

Medifast Recipes - Ways to Shake Up Your Medifast Shakes

hormone replacement therapy pellets

Women have different weight loss needs than men. Many times, men seem to lose weight at the drop of a hat, while women seem to starve themselves for weeks, only to find that they have only lost a pound. Is there a way to even the playing field in the weight loss game? Sure there is! By following weight loss advice designed for women, women can lose just as much weight as men can in the same amount of time.

One reason men seem to lose weight faster than women is because of a nasty little visitor that women have that drops by once a month. While your period doesn't actually cause lasting weight gain, it does cause you to temporarily gain water weight. Water weight can stick on you for two weeks at a time, causing you to feel like your weight loss efforts are not doing any good at all. This may cause you to give up on them altogether. Your period can also make you feel pretty bad. With irritability, cramps, headaches and bloating, you may have moments of weakness and grab that brownie that has been calling your name. Then you might feel worse, and eat the whole pan of brownies.

Men, obviously don't have these problems, the lucky punks. To combat these issues, there are some tricks you can try. To fight the bloating, resist the urge to chug soft drinks and chomp down the potato chips. The extra sugar, carbonation and other nasty ingredients in soda can make you feel bloated and tired. Chips have a lot of sodium and grease, which can add to the bloat. To help with the cramps and headaches, talk to your doctor about a gentle pain reliever that will work for you. Also, drinking warm tea will help you feel better. When it comes to cravings, remember chocolate is not your enemy. Sounds crazy, I know, but it isn't all the fat and sugar that comes with some chocolate that you are craving it is the chocolate itself. Find a chocolate bar that has the highest concentration of cocoa. You will need less of this chocolate bar to satisfy your cravings. Using these tips will help you relax, feel better, and not give up or de-rail your weight loss efforts.

One advantage that women have over men in the weight loss battle is soy. Soy is not good for men in large amounts because of the phyto-estrogens it contains. These phyto-estrogens don't have ill effects on women, so women can enjoy more soy, and it can actually be a healthy addition to their diets. There are many yummy products that include soy, and soy can be a great low-fat way to get in your protein. So is a part of many products these days, so you can choose from a variety of tasty products.

When it comes to weight loss, women often think that men have the upper hand. Once you understand the reason why women have a harder time losing weight, you can prevent these issues and take advantage of the benefits that soy has to offer. Women can improve their weight loss odds by following these tricks designed especially for women.

How to Raise Your Testosterone Levels With Testosterone Cream

bioidentical doctors

It might be tempting to get a quick fix for hot flashes, but consider a different perimenopause treatment besides hormone replacement therapy (HRT). HRT may be inexpensive and easy, but its long-term risks outweigh the benefits - not to mention that it will likely further aggravate the symptoms of menopause! This outcome occurs because HRT causes estrogen dominance, a condition where there is far more estrogen than progesterone in the body. On the other hand, products that are natural for menopause-related symptoms will provide relief from your symptoms without causing estrogen dominance.

How is estrogen dominance related to traditional perimenopause treatments?
Estrogen dominance was a term coined by Dr. John Lee, the first doctor who published shocking findings on the dangers of HRT. His research was premised on the fact that a woman can experience serious health problems if she has normal or excessive estrogen, but little or no progesterone to balance out estrogen's effects on the body. Progesterone inhibits estrogen's effects on the body, e.g. when estrogen increases fat accumulation and weight gain, progesterone burns fat for energy. For these reasons, Dr. Lee suggested that giving progesterone supplements would benefit menopausal women more than estrogen-only HRT. However, his work was shunned by the medical community despite mounting evidence against HRT and the damage it causes. It's easy to see why - when Dr. Lee's research first came out in the 1980s, everyone was still caught up in the hype of estrogen HRT pushed by pharmaceutical companies.

Despite what you might be led to believe, HRT promotes unopposed estrogen. Women these days are very susceptible to becoming estrogen dominant, even when they are menopausal. The beauty products and cosmetics we use are laden with xenoestrogenic preservatives - manmade chemicals that behave like estrogen when they enter the body. Cows and chickens are also fed estrogen so they can grow and fatten up faster. On the other hand, we aren't exposed to the same levels of progesterone. Taking HRT will only skew the balance of estrogen and progesterone, causing estrogen dominance and increasing the risks of various health problems.

Risks of estrogen dominance caused by medications for perimenopause
Below are just some of the risks faced by menopausal women when they take HRT.

Increased menopause symptoms
While restoring your estrogen levels might reduce hot flashes initially, it may also cause increased weight gain, poor sleep patterns, headache, anxiety, and depression if left unopposed.

Fibrocystic breasts and breast cancer
Researchers from Harvard University discovered that the longer your exposure to estrogens, the greater your risk of fibrocystic breasts (breast cysts) and breast cancer. In their Nurses' Health Study, a study that tracked the health of 70,000 women for almost 20 years, they discovered that menopausal women who used estrogen had a 30% increased risk for breast cancer than women who didn't take HRT. The risk for breast cancer was 40% more among women who took estrogen and progestin (a manmade progesterone). Those who were taking HRT for over five years had an elevated risk that increased with their age. The Nurses' Health Study supports early evidence that HRT plays a significant role in the onset of breast cancer, even if progestin is added to balance out the estrogen.

Blood clots
Studies show that an increased risk of blood clots among menopausal women is triggered by two things: cigarette smoking and the use of synthetic estrogens.

Gallstones and liver problems
If you have a liver disorder, then you should definitely avoid HRT; estrogen affects the function of the liver enzymes. Research shows that women taking HRT have twice the risk of developing gallstones that require surgical removal.

Uterine cancer
Four to eight out of every one thousand menopausal women will develop uterine cancer because of HRT. Although the risk of uterine cancer is decreased when progestin is added, research shows that progestin will place you at risk for breast cancer. Other risk factors like cigarette smoking, a family history of uterine cancer, and abnormal uterine bleeding will also increase the likelihood of HRT-related uterine cancer despite the presence of progestin.
Unlike the symptoms of menopause, which are temporary, the side effects of HRT may last a lifetime. Avoid these risks and consider making lifestyle changes or using natural progesterone or phytoestrogens (plant estrogens) for perimenopause and menopause relief.

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University of South Florida

The University of South Florida, also known as USF, is an American metropolitan public research university in Tampa, Florida, United States. USF is also a member institution of the State University System of Florida. Founded in 1956, USF is the fourth-largest public university in the state of Florida, with an enrollment of 48,373 as of the 2014–2015 academic year.[5] The USF system has three institutions: USF Tampa, USF St. Petersburg and USF Sarasota-Manatee.[6] Each institution is separately accredited by the Commission on Colleges of the Southern Association of Colleges and Schools.[6] The university is home to 14 colleges, offering more than 80 undergraduate majors and more than 130 graduate, specialist, and doctoral-level degree programs.[7]

USF is classified by the Carnegie Foundation for the Advancement of Teaching in the top tier of research universities, and is among three other universities in Florida to hold this highest level of classification.[8] In its 2011 ranking, the Intellectual Property Owners Association placed USF 10th among all universities worldwide in the number of US patents granted.[8] The university has an annual budget of $1.5 billion and an annual economic impact of over $3.7 billion.[9] In a ranking compiled by the National Science Foundation, USF ranks 43rd in the United States for total research spending among all universities, public and private.[10]

USF ranks #68 of Top Public Schools and #140 in National Universities according to the 2018 U.S. News & World Report.[11][12] USF was named a national leader in online education by Guide to Online Schools.[8] USF graduate level programs – including Public Health, Library and Information Studies, Education, and Criminology – continue to rank among the nation's 5 best in the U.S. News & World Report graduate school rankings.[8]


Testosterone Replacement Therapy in Palm Beach