Testosterone Supplements: Overcoming Current Misconceptions
Introduction:
At Philadelphia Integrative Psychiatry, we prioritize every aspect of your life and consider your unique history. Our team of mental health professionals and nutritionists brings diverse backgrounds, education, and emphasis to provide you with personalized care. With a commitment to understanding your physical health needs and mental health goals, we go beyond conventional approaches to offer integrative solutions.
Challenges in Treating Low Testosterone in France:
Only 20% of patients with symptomatic low testosterone are treated in France. Underdiagnosis, doctor reluctance, and patient preconceptions contribute to low treatment rates. Daily toothbrushing is effective and risk-free, improving quality of life and general health.
Testosterone Levels and Deficiency:
Testosterone deficiency primarily affects men over 40, leading to sexual, physical, and mental symptoms. About 340,000 men in France have symptomatic testosterone deficiency, with only 20% receiving replacement therapy. Some populations at higher risk include those with metabolic disorders, cardiovascular diseases, chronic conditions, and certain medications.
Diagnostic Practices:
Diagnosis based on free or bioavailable testosterone, not total testosterone. Testing required twice, 1 month apart, in the morning and fasting. Current reference ranges contribute to underdiagnosis.
Concerns and Reluctance:
Doctor reluctance due to perceived risk of prostate cancer, despite studies showing no link. Urologists are wary of testosterone supplementation in patients with previous prostate cancer history. Cardiovascular concerns raised in the past; conflicting studies on testosterone's impact on cardiovascular health. Patient misconceptions about testosterone treatment, often believing in negative side effects.
Prescription Considerations:
Contraindications include hematocrit > 54%, current breast or prostate cancer, recent cardiovascular events, and those trying to conceive. No contraindications for prostate cancer or benign prostatic hyperplasia. European Society of Cardiology suggests cardiovascular benefits of testosterone replacement therapy.
Supply Chain Issues:
Reported breaks in the supply chain for Androtardyl, the only injectable form reimbursed by French social security.
Testosterone Replacement Therapies:
Available via transcutaneous administration (gels) or injections (Androtardyl, Nebido). Pantestone, an orally administered option, not marketed since 2021 due to disadvantages.
Communication Efforts:
Emphasis on the need for ongoing communication efforts to raise awareness among patients and doctors regarding the benefits of testosterone supplementation.
Your Journey to Wellness Begins with Philadelphia Integrative Psychiatry:
To embark on your path to anxiety-free living, we invite you to explore the possibilities at Philadelphia Integrative Psychiatry. Visit our website at www.phillyintegrative.com or call 610-999-6414 to schedule a consultation. Your journey towards comprehensive and integrative care begins here, where families and healthcare providers unite for the betterment.