Testosterone levels peak in your early 20s.
And begins to decline by age 30. The decrease in production is roughly 1% per year. After 15 to 20 years of this decline you may begin to suffer from low testosterone levels, also known as male hypogonadism (low T). Low testosterone can be fairly complex, involving a myriad of factors including the inability of the testes to produce sufficient testosterone, improper brain signaling, and excess estrogen. Symptoms include reduced sperm count, decrease in muscle mass, lower sex drive/libido, erectile dysfunction/impotence, hair loss, testicle shrinkage, increase in breast size and hot flashes.
Lifestyle modifications is the first therapy.
Lifestyle Modifications can boost testosterone production and keep the androgen/estrogen relationship healthy. This, is the simplest and soundest basis for hormonal health. If that therapy falls short of delivering the desired results we look at hormone replacement therapy.
Therapy may involve reducing estrogen levels with nutritional supplements and/or conventional medications. And/ or increasing testicular output of testosterone by use of Human Chorionic Gonadotropin (hCG) or conventional medication.
Weekly Intramuscular or Subcutaneous dosing with nandrolone and/or testosterone cypionate .
Topical Gel administration appears to be the most effective way of dosing testosterone. While creams, solutions, and lotions have been used, over the past several years the greatest benefit seems to come from topical gels.
Sublingual or Buccal dosing may be useful for a patient who is already supplementing testosterone but needs an extra testosterone boost to enhance sexual function.
Some times Testosterone Replacement Therapy comes with a number of risks which we are prepared to address, including: Testicle shrinkage, Acne/skin reactions, Reduced male fertility.
Bioidentical Hormone Replacement Therapy (BHRT)
BHRT implantable pellets are plant-based compounds formulated in a laboratory to be identical to those which the body makes naturally. The patient has the procedure done in our clinic at a 3 to 5 month intervals and does not have to be concerned with daily or weekly dosing. We find that natural hormone replacement therapy is most effective when combined with other holistic therapies such as nutritional supplements, changes to diet and lifestyle and stress management.
Implants may only be placed after a patient has been treated with another form of testosterone for three months and the blood work including PSA has remained stable.
The Duke-Shot for Male Rejuvenation
The Duke-Shot is Platelet Rich Plasma from your own body re-introduced via injections into the penis. No Pain-Fast Results. This is a treatment for men of all ages and is highly effective when it comes to increasing libido, size and, orgasmic function.
Benefits of the Duke-Shot
The Duke-Shot is a natural way for men to enhance and optimize without the side effects of prescription drugs to prevent & treat Erectile Dysfunction. No Downtime (Bruising is temporary and short-term). There is no lumpiness or scar tissue. There is an actual growth of new tissue. The effects last 18 months or longer. The effects are almost immediate.