Are you one of the many people in West Palm 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 West Palm 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.
Ten Common Myths About Testosterone Treatment For Women
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.
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
- normally used for depression and anxiety
- effective in reducing hot flashes
- used to lower blood pressure
- effective in reducing hot flashes
- primarily used for treating seizures
- used to treat hot flashes
- short-term relief of hot flashes
- not recommended as first-line drug
- sometimes effective in treating hot flashes
- may cause weight gain and bone loss
- Aldenodrate (Fosamax)
- Raloxifene (Evista)
- Calcitonin (Calcimar or Miacalcin)
- 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
- soy is an example
- safety of soy in women with breast cancer not established
- dong quai
- red clover
- yam cream
- Chinese medicinal herbs
- evening primrose oil
Perimenopause Treatment - Beware of HRT
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
Ten Common Myths About Testosterone Treatment For Women
What is Testosterone?
Testosterone is a very important hormone, primarily produced in males via their testicles, and in smaller quantities from their adrenal glands. Females produce much smaller amounts of this hormone than men do, via the ovaries as well as adrenal glands. The importance of testosterone in the male body lies in how it controls the expression of sexual characteristics at different stages in the body's development, regulates sexual functions later in life, and assists in the generation of bone and muscle mass, among other functions it governs.
In healthy human males, testosterone levels peak in young adulthood, and naturally decrease over time, happening gradually and without sharp drop offs. However, some men's testosterone levels drop off suddenly, with significant and noticeable effects to their physical and mental well-being. This condition is known as "Andropause" (male menopause) or Low T. Judging by reports, it certainly seems to be on the increase.
Effects of Low Testosterone
Among the more severe and disturbing effects that low testosterone levels have on the male body, we find a decreased interest in sexual activity, erectile dysfunction, decreased muscle mass, osteoporosis (weak bones) and a diminished sense of well-being. One or more of the above can easily threaten a man's sense of identity, opening the door to even more issues. Several at once can be devastating. These symptoms develop over time, so there won't necessarily be a clear before and after to refer to.
What Should I Do?
If you suspect that you are suffering from a decrease in testosterone levels, the first thing you should do is get a check up by a medical professional. There are several reliable lab tests that your physician can run to verify that you are suffering from low testosterone levels, as well as rule out other conditions that may present with similar symptoms.
You need to be candid with your doctor! We realize this can be an embarrassing subject, but your doctor will only be able to help if you give them a full picture of what's going on. The sooner you check up on this, and the more straightforward you are, the higher the chances of being helped.
Testosterone Replacement Therapy
One of the ways to treat low testosterone levels is to introduce more testosterone into the body. Testosterone can now be manufactured commercially, and is available in different forms that, once applied in the proper manner, will go into the body increasing levels temporarily. Some of the more common forms that commercially produced testosterone comes in are gels, patches and injections.
The key part of this therapy is that it is temporary. Your body will not begin to produce testosterone in greater quantity on its own, but will instead now rely on obtaining it from the outside world. There are also some side effects involved (which are beyond the scope of this article), depending on the treatment and the dose, which should be discussed with your physician prior to selecting a product.
A better alternative, and one well worth trying, is to use a testosterone booster. Unlike testosterone replacement therapy, testosterone boosters do not introduce testosterone into the body. What they do is increase the body's ability to produce this hormone at higher levels, sometimes even at levels similar to before the condition started. Additionally, many of these boosters are made of all natural ingredients with proven ability to naturally raise testosterone production, and without many of the side effects that come with replacement therapies.
Since they work to recover the body's ability to produce testosterone, they also do not shock the body by introducing large amounts at any given time, as happens with an injection. There are many products on the market, though, and you will want to look at online reviews and other information to separate the wheat from the chaff.
More importantly, this does not relieve you of the need to talk to your physician. Remember there are other conditions which can cause similar, or identical, symptoms. You definitely do not want to be treating the wrong condition. A doctor's professional opinion, along with good lab work, is essential.
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West Palm Beach, Florida
West Palm Beach is a city in and the county seat of Palm Beach County, Florida, United States. It is located immediately to the west of the adjacent Palm Beach, and is one of the three main cities in South Florida. The population was 100,343 (revised) at the 2010 census. The University of Florida Bureau of Economic and Business Research (BEBR) estimates a 2016 population of 108,896, a 7.9% increase from 2010. It is the oldest municipality in the Miami metropolitan area, having been incorporated as a city two years before Miami in November 1894. Although West Palm Beach is located approximately 68 miles (109 km) north of Downtown Miami, it is still considered a principal city within the Miami metropolitan area, due to the solid urbanization between both cities. The estimated population of the Miami metropolitan area, which includes all of Palm Beach County, was 6,012,331 people at the 2015 census.
The beginning of the historic period in south Florida is marked by Juan Ponce de León's first contact with native people in 1513. Europeans found a thriving native population, which they categorized into separate tribes: the Mayaimi in the Lake Okeechobee Basin and the Jaega and Ais people in the East Okeechobee area and on the east coast north of the Tequesta. When the Spanish arrived, there were perhaps about 20,000 Native Americans in south Florida. By 1763, when the English gained control of Florida, the native peoples had all but been wiped out through war, enslavement, or European diseases.
Other native peoples from Alabama and Georgia moved into Florida in the early 18th century. They were of varied ancestry, but Europeans called them all "Creeks." In Florida, they were known as the Seminole and Miccosukee Indians. The Seminoles clashed with American settlers over land and over escaped slaves who found refuge among them. They resisted the government's efforts to move them to the Indian Territory west of the Mississippi. Between 1818 and 1858, three wars were fought between Seminoles and the United States government. By 1858, there were very few Seminoles remaining in Florida.