Heart Failure - Could testosterone hold the key?
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- Опубліковано 26 сер 2024
- As healthy men age, there is a fall in testosterone and alongside this there is a decrease in muscle mass, muscle strength and lower extremity strength. When we give testosterone to healthy men with testosterone deficiency, we see an increase in lean body mass and muscle mass.
Now when we look at heart failure patients, we find that up to 26-37% of patients have testosterone deficiency. Low testosterone levels are associated with increased systemic vascular resistance (this means it is even harder for the heart to pump blood to the vital organs) and reduced heart rate variability. In addition, testosterone is recognised to have ant-inflammatory properties and therefore patients with low testosterone may have higher levels of inflammation. Clinically patients who have heart failure and are deficient in testosterone will have more muscle wasting, reduced exercise capacity and worse quality of life.
When testosterone is given intravenously , we see that the systemic vascular resistance decreases and the output of the heart improves. When testosterone is given over a period of time, we see that inflammation as measured by inflammatory blood markers (TNF alpha and interleukin 1-beta) is seen to fall.
There have been a few studies looking at testosterone replacement in men with heart failure and although the studies are very small, the results are certainly very interesting.
There was meta-analysis in the journal of American College of Cardiology in 2016 which looked at all the studies regarding had been done until then and concluded that replacement with transdermal or intramuscular testosterone resulted in a significant improvement in exercise capacity. 6 minute walk test distances increased by 54meters, incremental shuttle walk tests increased by 46.7 meters. These improvements were comparable to some of the most effective licenced medications for heart failure. In addition, quality of life markedly improved in 35% of patients in TRT group.
More importantly there was no increase in adverse event in the TRT group compared to placebo.
One of the very important observations to mention is that the benefits of testosterone supplementation in heart failure may not just be limited to male patients.There was an interesting small study published in the journal of the American college of cardiology which showed that testosterone supplementation in women also improved functional capacity and muscle strength in women with advanced heart failure.
Whilst these are promising data, unfortunately not many people look for or treat testosterone deficiency in patients with heart failure and this is because most doctors tend to be protocol-centred rather than patient-centered and at present checking for testosterone levels routinely and treating testosterone deficiency has not made it into protocols. We will need bigger studies to understand the benefits and cost-effectiveness of testosterone replacement before our learned ‘experts’ who author these protocols will decide to change the status quo.
I have been on TRT for four years - I am now 68. Noticed improvements across the board - particularly in gaining muscle and losing fat. I have 8 lbs more muscle and 10 pounds less fat just due to TRT as I am exercising no differently than before. Of course, this effect has been studied and documented extensively so no surprise there. However, something you don’t hear a lot about is the fact that the heart is a muscle with testosterone receptors and thus TRT must be making the heart stronger as well . Doctors do not focus on TRT for two reasons: (1) lack of push from Big Pharm due to the fact that Testosterone can not be patented and (2) it is a lot of work to manage someone on TRT in terms of monitoring and getting someone dialed into the right protocol. Therefore, if someone wants the benefit of TRT, they need to do their on research and be their own advocate . I really appreciate the doctor taking a stance here!
Hell yes love to see it - take matters into your own hands and consult telemedicine if you need it.
Thanks for the info. Are you on any heart meds; blood thinners? Glad to hear your success.
@@craighughes4279 no meds.
@@AncestralFuel Good for you. Have you in the past prior to this therapy?
@@craighughes4279 no meds in the past. However, I do take 2,400 mgs of fermented garlic a day - 2016 study shows it can stop progression of soft plaque by 80%. (You can google it) I do heart scans every 5 years and can attest that my plaque burden slowed by about 80% once I started taking fermented garlic. My most recent heart scan shows me to have a score of 40, which places me in the 20 percentile for a 69 year old. Prior test had me in the 44 percentile. Not sure if it’s the garlic or TRT.
I WISH I could have seen this video when my mom was still living… She ended up falling 5/8/20 because her leg muscles were not strong enough to hold her up anymore….this particular fall led to her final 3 months of life at 84… because she became bedridden. I’ve always beat myself up wondering what I could’ve done to help her and it breaks my heart knowing that there probably was something… This video makes me believe that. Thank you so much for what you do. It’s too late to help my mom but maybe it can help so many other elderly people. My mom also had heart disease and that caused dementia in her later years but she held on a long time… Until she started falling. She just wasn’t strong enough to hold herself up anymore and it breaks my heart. Thanks again. I appreciate you so much for helping people and the humility you display. You are a beautiful human being (and Bluebell has my heart).
Sorry to hear that. Women get approved for testosterone when there’s underlying conditions. My dad died 5 years ago he was my best friend. I grew up with him cuz my mom was in prison my whole life, then dad had to go and die on me. I feel your pain
Thank you for making such a non-boiler plate video. Honestly, unless there's something obvious staring them in the face or you're in the middle of a medical event, most doctors are worthless. A doctor's office is an assembly line with a quota. It's the system that's broken. We need to take control of our own health and videos like this are important. Thanks again...
I totally agree from 35 years of experience starting with several times a week migraines for years, then fibromyalgia/chronic fatigue and ending with Sarcoidosis 10 years ago until now. Doctors are useless. I’ve been on prednisone for 8 years during which time I went through menopause which causes even greater bone loss than prednisone alone. A patient centered doctor would have had me on estrogen replacement to prevent some of the bone loss. But no. I’ve now got,osteoporosis and I have to stop taking prednisone. Sarcoidosis is flaring. Pain is unbearable. I’m finding my own way of treatment.
It also helps to do research yourself and be pro active also in your own condition. Like Dr Gupta said, to ask for the testosterone test first. Or the doctor probably wouldn't suggest it to you first.
the world needs more doctors like you
Doctors are the persons that should make millions not artists and singers , the world is so messed up right now
@@thedaywillcome Doctors shouldn't choose their profession based on making money but on genuinly wanting to help people. If being a doctor was the best paying profession on the planet, a bunch of people would become doctors just for the money.
In fact I know a person that is currently studying medicine and wanting to become a doctor largely because it is a well respected and well paying profession and because his parents pressured him into it. He might still become a good doctor but generally, this idea of wanting to pay doctors a lot doesn't go well with me. Good doctors definetly deserve all the money they get, as health is worth more than any money the world could give, but we don't want to incentivice people to become doctors out of greed and lust for money, do we?
@@candaniel2 your wrong in a way that most parents want their kids to stay in school to become doctors because they see them a wealthy ppl? And most of them just do it because they feel obligated to do so, I get what your are saying but doctors are the ones that should have all the attention, that’s what I was trying to say .
Why not? There is so much more to being a doctor than most professions! There's a long, expensive, challenging and ever changing education; dedication, compassion, and respect for life that no other profession has. There is nothing more sacred than life, nothing more heartfelt, nor personal which is added pressure on doctors. They deserve every penny the get and
My GP insisted to discontinue my testosterone injections because he said it caused heart events. I argued against it and continued with a topical application. I feel much better at 66 and insist testosterone helps your heart.
Charles find a new doctor! There are shots and pellets too!
I used injections once a week. The derma application is daily. It works better than the weekly monthly or quarterly shots.
@@chazguthrieful where you got your derma application from plz?
@@raniasham3176 I get if from the VA veterns health since I'm a disabled veteran. Before that used injections. Androgel is good because of the daily application rather than weekly injection. Androgel keeps me level.
@@chazguthrieful.
After all of the professional cowards that have been revealed during Covid, it makes me wonder if any of the medical information we’ve been living by is valid. Thank you 🙏🏻 for having the courage to question the status quo!!
A 100% with you
Well said. You took the words right out of my mouth 👍
I really appreciate your approach to medicine and especially with your opening motto "all that is not shared . ... is lost" because when I was a graduate student in psychology that exact phrase was drilled into our heads - in other words psychology should not be something you have to go into an office . . . for it happens all the time every day and you only help others when you share and I think your philosophy fits in very well with mine and I think it's definitely a good way to practice!!
Thanks for the gentle honesty about health care systems.. I've finally found a Dr that will hear me out when I request a test for levels on something related to an issue. it's still rather manual on my part to keep the ball rolling for solutions but at least the Dr is amenable to my input. -very grateful for that, and for Dr's such as yourself for giving the patient more encouragement to be more active in their health care, instead of being pressed to be 'compliant' to the status quo.
Thank you for taking the time to make this very informative video. You are a gentleman 👍
So grateful for sharing all these information. You are the most wonderful clinician on this planet..
You are so welcome
@@YorkCardiology I wish you were my cardiologist. You are a genuinely very caring doctor for your patients in York as well as most cardiac patients from around the world. BTW, I am from U.K. too. Wish you well and happy..
This is very interesting. I have recently started on TRT after my test levels crashed following two years of chronic heart failure caused by constrictive pericarditis, culminating in having a complete pericardiectomy.
Post operation I was unable to regain any of the lean muscle mass I had lost and continued to suffer fatigue, low mood, lack of libido etc. My GP refused to countenance me taking exogenous testosterone even though my cardiologist and surgeon recommended and approved it. Astonishingly the NHS testosterone level tests do not even show free test or SHBG levels, just total test.
I have since started private treatment and receive weekly injected exogenous testosterone. Since starting on this I have already seen marked improvements in mood, energy, lean mass gain.
If anyone is interested I am tracking the progress of this on my channel.
Typical NHS don't even mention trt to them. They demonise it and rather give you stinking anti depressants
How did you get on with the trt it's now 2024 I want to start I had Quintuple bypass
My father has been on metformin and furosemide for years and is having low distolic blood pressure. The sostolic staying pretty much in range.. I have been looking into the effects of Benfotiamine to raise the thiamine levels. Because furosemide blocks the cell absorption of thiamine. It will show your levels are fine with blood work, but that is not on a cellular level. From what I have researched, thiamine plays a crucial role in cardiovascular and central nervous system functions. Sometimes heart disease could be the symptom of a severe thiamine deficiency. The problem I had seen too is that is if levels are increased to quickly in some it can create a paradox/ refeeding reaction , which displays severe deficiency symptoms until optimal levels are reached
We appreciate you more than you will ever know, Doc Gupta!!!!!
Quote from cardiologist when asked about testosterone. " I don't deal below the waist. ". 👹🙏🏋
😂😂😂😂
What an underrated channel, this is pure gold, thank you doc, love and respect from Greece 👏👏🇬🇷
I am 75, I had a five way heart bypass May 2018 and was told that I would feel like I’d had my engine renovated but I never did. Last summer I was diagnosed with AFib and that was subsequently fixed. About ten years ago I had Lymphoma and received chemotherapy but that left me with damage to the nerves in my legs. I always was active with sports into my sixties and had very good muscle mass but now I would say I have lost around 50%. I take Statins and beta blockers and blood thinners as I also have DVT. I feel depressed as go from one diagnosis to another, (I am just getting over Covid) my quality of life has deteriorated rapidly and have thought for a while now that it would be better if my testosterone level were much higher. I live in Sweden and have had excellent medical attention but everything is done according to procedures, I can’t say that this wrong but there is no thinking outside of the box. So thank you Dr Gupta for this information I like to hear it English.
See my comment above about Dr. Sinclair. I’m older than you and have reversed serious AFib events to none in six months. I take the meds you stated but don’t expect to take them too much longer because My cardiologist said my heart has repaired itself and he has never seen this before. Dr. David Sinclair is on UA-cam.
Sorry to hear that. God is our healer.
I was speculating about this just the other day, during a discussion regarding women now being offered HRT over the counter in the UK. My point initially being that the same wouldn’t be offered men needing TRT as testosterone has almost been demonised in the eyes of the general public, who oftentimes have little or no understanding of how massive and devastating an effect low “T” levels can on a man’s quality of life.
my Dr told me my T was normal for my age (66 at the time)....I said I don't care what is considered "normal" for my age I want to have some libido back and energy and muscle mass and clearer thinking etc. He said he cannot I am fine with my levels. So I went to a clinic - was tested - he said OK you are at 11, and we can safely take you up to 28 but that's high like 24 yr old. I said how about 21, around 40-50 yr old is fine with me - he replied that is very easy and that's where i am and have been for 2 yrs. and it works!. Use the Delatestryl if you can - it' is 50% of the volume and the same T % as the alternative...which makes me bitchy...the Delatestryl does not. ---------------- perfect. I self inject daily to mimick the bodys natural way, using 30ga insulin syringes. Can hardly feel them and no scar tissue. (I use my belly fat to inject into - not muscle).
You have given us a precious gift here. Huge contribution. My Mayo trained Cardiologist has proven to be mediocre at best. It's unlikely but maybe he will be amenable to something new.
How I wish you were my cardiologist Dr Gupta. I am elderly, getting worse and weaker by the day. I will attempt to bring up your suggestions at my next appointment but doubt I will be listened to thank you for all your work and advise
what a wonderful crusader for all of us! It is obvious our worst enemy to good health is very often an inflexible and wrong minded health care provider that refused to go outside the box.
The advertisement interruptions midsentence really needs to stop
Unfortunately, these days the GPs I have come acrossed are more money oriantated. They tend not to spend their budget on patients. I consistantly struggle to put me on medications after doing my extensive research. For example if I aske them to watch your post they will find it offensive and take it as an attack on their ego.
Lastly my testerone levels are around 4 and when I get NEBIDO 1000MG_4MG. Every 3 months it onlynraises to 16 and then starts gping down afyer a month.
Is there any average number for a man of 70 years old. So I can ask my GP to adjust the dose.
I am so glad to have discovered ypu. For me you are a blessing from Almighy gor people like us. Bless🙏
Testosterone is often low in a high insulin state. Diabetes t2 is set to be 50% of adults. Low fat diets promoting low cholesterol which promotes a high carb diet is setting humanity up for failure. Treat your insulin resistance and prevent many chronic conditions. Please listen before its too late. Just search conditions associated with insulin resistance and youll be sure to find low T on the list.
Great info
@@strangerthings88 thanks! I've eaten ketogenic and feel my best. Just hope that for all my fellow humans 💖
Yes and you can also look at hypogonadism.
And we appreciate you more than you will ever know too Sanjay..Pete
Great information. Thank you Doctor.
Brilliant. I have my husband on it. Wish I knew for my Dad. Life transforming information. Thank you Dr. Thank you so very very much.
Very interesting review of this amazing treatment for men with cardiac failure. I know that some of our doctors are unsure about providing TRT for men with heart failure as there is potentially an increased risk of oedema, which I understand is detrimental to heart failure patients.
Interested to hear your thoughts and have you on to chat on our youtube!
I really appreciate your advice you give hope to patients with heart problems. I can't wait to meet you when I am back in England. I am planning to visit you and get your advice on the best way to handle my AF complicated problem. Many thanks for your efforts and God bless you.
Why can’t all Dr’s be as curious? Always showing an open mind & a willingness to consider new ways! 🙏 thanks
Thank you Dr Gupta, good information.
My Cardiologist told me I had a "strong heart" and I had no idea what he meant - still don't but Dr. Gupta has referenced it in several videos. I welcome any good news because heart disease is scary and depressing. Sanjay's videos are helpful.
This makes sense. Estrogen also affects the heart as well.
When I was much younger I had an excellent orthopedic surgeon who straightened my bowed leg which was caused from a motorcycle accident when I was 17. As a then bicycle racer I wanted to get better faster. I asked him about testosterone supplementation and it was an absolute "NO." Now that I am 66 I suffered from a great deal of muscle loss during the last Covid shut down. My shoulders got weak and when I returned to activities I had a great deal of pain. I am somewhat better now, but I would like to see if supplementation would help my heart and entire body. I would love to see more studies and commentary on the overall effect of testosterone on heart health directly and indirectly. I love this channel and a couple of others that use evidence based medicine even if they include small studies.
Doctor…. Is there some way to influence the body to begin producing on its own again? Over the course of 10 years, I’ve had multiple testosterone level test. I have been made aware that I have very low testosterone levels, over those ten years. I have been told by physicians that once I begin testosterone replacement therapy, my body will stop producing testosterone permanently & I will become dependent on those treatments forever. Is this true? What you’ve described in this video is what is happening here. The loss of lower body strength, muscle loss, etc.
I have also been researching some Stem Cell research. There is a video I saw with Mel Gibson (the actor) talking about his father whom he took to Panama for stem cell treatments after his father‘s doctors at the mayo clinic told Mr. Gibson just to make his father comfortable that there was nothing more they could do for him. He was 92 at the time now he’s over 100 years old and still feeling stronger than ever. He had heart failure, kidney failure, an arthritic hip, and his vision was going. According to Mr. Gibson, all of those issues were corrected with the treatment. Furthermore, the interviewer, Joe Rogan, also acknowledged that he’s had Stem cell treatments for injuries from MMA fighting like a mutilated rotator cuff injury as well as a devastating knee injury, both of which have been completely healed to the point that his regular doctor, who had X-rays and an MRI of his shoulder injuries ordered a new MRI & the doctor said there was barely any evidence the injury ever existed.
Is there any possibility that you would consider looking at that video in which Joe Rogan interviews the doctor from the mayo clinic in Arizona and Mr. Gibson about what prompted them to send his father to Panama? You seem to know about treatment protocols that are not part of the medical communities dogma. More importantly, you seem to be open to the idea that there may be other ways to treat these problems.
I am very much hoping to get some opinions on this particular video that I saw. But, every time I mentioned it to one of the doctors at Kaiser, they dismiss it as quackery. I am inclined not to believe them. May I post the link to this video for you to watch and respond? I would greatly appreciate it if I could and to get your feedback.
Thank you.
Once you start your natural production will shut down. If you stop you will probably be even lower than before you started. Weight training, proper nutrition, proper sleep, weight loss if overweight and stress management can help naturally increase testosterone. It really depends on how low you are and how old. Maybe you could go from 300 to 450 but you’re probably not going to go from 200 to 600
Check out the discoveries of Dr. David Sinclair, head of Harvard Medical school of genetics. He has discovered how to reverse aging! I am advanced age retired scientist. I had heart attack in my youth (at age 65 then). His molecular stack he takes and his father takes works for them and me! I am not a medical doctor and cannot advise anyone. Check him out on UA-cam.
Always thank you for everything, keep up your great work.
Great video doctor. I was watching another video regarding testosterone treatment in menopausal women. It was said that this treatment helps to protect the heart, give more energy, a better night's sleep, and even helped with dry skin. Have you ever heard of testosterone used in this way? Does it sound plausable to you?
What is testelone
@@Claudia-dw3zl testosterone is a male hormone
Perfect so informative and life changing. Thanks again Dr.
Thanks for the info, much appreciated. TheReaper!
This is amazing info I've been missing and struggling with AF, will definitely do a test.
LISTEN!!!
I do not have heart failure.
I'm a 48 year old healthy male non smoker or drinker.
Vigorous exercise 4x a week
I was diagnosed with a heart murmur aka aortic regurgitate.
I had occasional palpitations for years.
No sex drive, & just feeling blah.
I started TRT 12 WEEKS AGO,
& my levels were tested & were very low.
I feel 100% better!
My palpitations are gone, my exercise is even more intense & my sex drive is 👍!
My BP was never very high but about 135/80 normally but now it's perfect
This is what all the Hollywood stars take but they don't want us the regular Joe's to know this!
Get on TRT!!
My dose is 200mg cypionate every other week.
It's not alot at all but it's enough!!
Thanks Doc! I had never had heart problems in my life until I had an Afib episode at 68 after experiencing frequent mealtime palpitations. A year later, I had my testosterone checked & it was way below normal (200) I had Biosana pellet therapy. I've had no more heart problems after that except that my blood pressure was elevated for several weeks after the procedure. It's time for another pellet procedure, (very pricey) $750 twice a year but it's worth it. My levels went up to 1,200 after I had the procedure now they're down to 300 at 6 months later. You just talked me into getting another one!
I’ve been doing the cream and my FMD wants me on the pellets next. The price is insane and it’s 600 every three months there! Can you tell me how much it’s helped you and if your Bp went back down?
Excellent info! Thanks, Doc.
Helpful. However, the readers could benefit from Dr. Gupta refining his presentation by also applying it to age ranges, and the elderly (70+), i.e how testosterone treatment would benefit an average cardiac deficiency condition. Does testosterone benefit in this respect changes with age?
mid 40s also on a moderate trt regimen. 650ng/dl total, higher side free which labs all seem to measure differently. digestion improved, lipids improved, recovery improved, sleep improved. many many physical improvements just being back around the middle of the reference range. only negative is the increased hemoglobin which i manage by donating blood every few months when it gets up around 18
What’s your protocol brother?
What's up doc. If you want to know the key.. It's the potassium to sodium ratio (dietary). When we evolved, it was 10:1. 10-15 grams of potassium vs 750mg sodium.
Of course this has to be via dietary sources - NOT supplemental!! - and it should be adjusted slowly by slowly, step by step. Treat Kalium/potassium with respect, no supplements!
how do we get that much potassium these days mark and where from with regards to food?
@@paulbillington8290 Howdy Sir, it's simply potassium rich foods, I post a list of some examples:
Sweet Taters: 4-5 grams/Kilo
Taters: ditto 👆🏻
Avocado: 1 gram
Can of Kidney Beans: 1 gram
Dates: 10 ~500
Banana: 400
Beetroot Juice: 700 (1 glass)
Carrot Juice: 600
Orange Juice: 500
Coconut Water: 500
Zucchini: 500
Asparagus: 400 (1 can)
@@MarkKislich top man
Thank you brother
Thank you for this info! You are a blessing!
Throughout the pandemic I had chronic heart palpitations, after a chronic sinus infection and recurrent chest infections. Then it subsided, and started up again after I had my second vaccine. Now, it’s subsided again, so I’m weary of taking a Covid booster, but when I first experienced this, I had it when I didn’t have any vaccines at all. I’ve also had issues with erection dysfunction, which causes a lot of depression with me, and destroyed any potential to have an intimate relationship in recent times. But, during the pandemic, I discovered Buteyko. And I’ve been practicing breath holds, and breathing exercises, and mouth taping my mouth every night, using Micropore tape. Changing my diet drastically, eating no more red meat, or beef, or fatty oils, including, what’s considered as healthy oils, like olive oil, coconut oil. Replacing those with nuts and seeds. Drinking almond milk in my tea, instead of milk. Drinking a glass of celery juice every morning on an empty stomach to heal my stomach lining from acid reflux damage, and other nitric oxide foods. Including, stretching everyday, to bolster circulation in the body, thus, helping the heart. And increasing moderately exercise again, like, cycling, walking, and jogging sometimes. And some occasional exercise at home, or at my gym. Moderation is key, listening to the body, and not overdoing it. But the strange thing is, at 50 years old, after suffering from erectile dysfunction my libido has come alive. Lol. It’s unreal, because I gave up using it, and with that, any chance of being happy. God helps those who help themselves.
I take my hat off to you there my friend but don,t we need nitric oxide foods to open the arteries?
As I have heart failure this video made feel very anxious
Hi Dr Gupta, could you please consider a session on iron deficiency in chronic heart failure?
Very interesting. Thank you for more of your wisdom.
Thank you so so much doctor Gupta sharing such amazing thought. God bless you
what causes a heart failure patient to lose weight quickly? I see on the labs the RBC numbers are low and creatinine creeping up 1.5. I notice my family member walks slower and not as strong walking up stairs.
Question? I have Afib and heart failure. EF of 30. Low T, but can't remember the number, but bumping the bottom range. I like the testosterone therapy idea and it makes perfect clinical sense. I will talk to my Cardiologist as he is not inside the box. My main question is how would this treatment effect Afib, if at all? Thank you for always being outside the box, which I believe medicine as you stated is locked into one size fits all type patient care. We are individuals, we aren't all the same. Then of course, the uphill battle with the insurance company.
Hi Craig. I’m in similar boat as you wondering if I should start. Bad heart and similar EF but a lot of issues in past behind me and I’m in great shape
@@dannydemonic4799 sorry to hear. I hope we get an answer, as I have multiple friends in the same position. I had a new procedure called Hybrid AF Convergent Therapy. Double ablation inside and outside the heart. I feel better, but need to validate this dosage and will it interfere. Good luck to you. Keep in touch.
@@craighughes4279 a lot of stuff I’m hearing is it might improve our EF. I work out like a madman and don’t feel my EF issues. I just turned 40. My cardiac sarcoidosis is in remission and still have defibrillator pacemaker but only paced like 7%. It used to be 100% of time. I get it replaced in 2 years. I told my cardiologist what I’m doing with trt and she hasn’t said too much. Take care!
@@dannydemonic4799 Thanks Danny. Interesting but not surprised that your Cardiologist didn't say much. Most docs are only into what and how they were trained. It is an interesting world in medicine right now. I have heard that the slow release injections do wonders and replaced around a year out. I have a friend that does it and he swears by it. Good luck. I will definitely look at it next year, as I want to heal from my Hybrid AF Convergent Therapy for at least 3-4 months. Thanks.
@@craighughes5890 ya I’ve kind of taken it as doctors really don’t know anything about testosterone or even to look for low T when someone has complaints. They ignore it completely it seems and I wouldn’t have known if I wasn’t into fitness and my own advocate. The clinic I’m working with says we’re going to use insulin pins to do microdosing which avoids some of the estrogen stuff and keeps it more steady. 3 shots a week instead of 1 probably. I’m excited tho but nervous too
I have A-fib and take eliquiz along with a few other things. I was wondering if TRT would be okay with this "heart condition"? What have you heart about A-fib and testosterone?
Thanks, very interesting. On a different subject. What is the best continuous bp monitoring watch for seniors?
Should testosterone be used prior to heart failure
Thank you for the info Doc
I wish specialty doctors would start learning to work together.
You are my type..or I am your type. Or you are what i wanted Or you are what i think of a genuine Doctor Or you are a blessing Or you are way more than what i can utter to show the gratitude to God for giving such a magician To us. Its straight forward blessing of GOD in the form of Your highness Dr Sanjay Gupta.you are An atom bomb of blessings whose radiations of knowledge, clarification ,calmness and love leave everyone effected or impressed ❤️❤️❤️❤️
Thank you so much for this information God bless you.🙏🙏🙏
Great points!
I went on a medical trial, the bloods showed a low testosterone level, when checked out I had tumour on pituitary gland, I went on to have quadruple heart bypass, there were however other contributing factors such as obesity and lifestyle. I have turned my lifestyle around but still have muscle wastage even with resistance exercise
I have severely low t most of my life and found a pituitary tumor also a few years ago! Something cause extreme weight gain also. I’m taking the cream but it barely keeps up and is soo expensive. I think the pituitary tumor caused the low t and all my doctors dismiss it because it’s too ‘small’
You do a great service Dr Gupta,
video mark 8:45 "most docs dont consider testosterone theyre protocol centered rather than patient centered".
"Medicare MDs are protocol driven."
The more the doc spends on the patient,the more that comes out of his/her/etc pocket. The government etermines what is paid for and how much. So that figures in on your degree of medical care.Not only do they not consider testosterone meds they dont even do some marker tests for conditions that could be addressed early to prevent a progressive disease/condition before its too late.They just wait til yu have a symptomatic condition, then they deal with it with a new set of treatment protcols. Its the way the system operates. Wait until the results manifest its full effect before intervention with a new set of protocols . That can easily be too late for survival. Medicare is good for some things,but its intent is to save money to the point you will suffer then often times die prematurely...its the way we treat our cars as they age, Why spend alot of cash on something that isnt going to last another 2 to 30 yrs. Old sick people arent the future voters and its well known in some circles.That is strictly my opinion.
Rather than injections I would like to see some recommendations on Reasonable T supplements. I think my T is ok for my age but I think still yes I could benefit by improvement in T. But I am afraid of most of these type of T things you see out there thinking they are also going to increase your heart rate or cause blood pressure issues because of other stuff in there with them.
MACA, Holy Basil, zinc, horny goat weed are a few I know off hand
Cost Effective? Maybe not profitable for US insc companies??
I've wondered about testosterone in women for some time, besides Estrogen. For years walked two or three miles every night and did weights. With HF muscles are Gone!
Is There Really Any Hope? :-(
How about d-ribose?
More exercise, stimulating stem cell production.
HBOT.
Do you use testosterone on your patients? Have any patients reversed their heart failure? Exercise increases testosterone does it not?
Great questions!!
Yes to D-ribose!!
thanks for sharing
Your the greatest where did u come from!? I tell any one who will listen
Can one stay on TRT therapy continuously or do you cycle on and off. I have heard of some negatives about TRT so I'm a bit hesitant to use it. ( I have multiple stents and just went on a plant based diet).
This is just the info I needed to know. I stopped getting my testosterone shots mostly because it was inconvenient to get them. Now I see how important it is. Regarding specifically heart health could you give us some data on which forms are best? I used to be on the cream and after that l have been on the shots. Frankly the cream takes less time out of my schedule.
i was taking 1x week shots at the start (self administered as it's too easy to do yourself) I noticed spikes in my irritability, so I broke it into 2x /week....I now have daily injections using diabetic needles I buy online. I pull the T from the bottle with a 22m needle then put the required T into a new 30 ga. needle and inject into my midriff spare tire fat - or hip or shoulder etc. I am 67 and i feel great now. been 2 yrs. trust me daily is the way to go. it keeps a more steady availability for your body as per NORMAL homeostasis. I had a stent 2 yrs ago - and there was some heart wall damage to the muscle. So far so good. NOTE: Delatestryl works best - When I have to use the other one i get irritable, not on Delatestryl. I am on 200mg (1ML) per week so I divide that by 7 = approx. 15 units (100=1ml/1cc) a little over a little under - no problems.
@@stevemyers2092 Do you reuse the needles or after injecting you throw away the needle and always use a new one ?
@@prettybird8942 You should never reuse needles
@@jimg6970 Understood. Thank you for replying.
Bio identical cream, but there is also bio identical pellets that go under the skin and last 3 months. You’ll likely need to see a functional medical doctor or compounding pharmacist.
TY this is very interesting. Do you consider there may be an increase risk in prostate cancer for men who may be prescribed TRT? I believe there was a recent study that suggested taking TRT did not increase this risk but I believe it has always been a concern among doctors giving TRT to people with enlarged prostates above a certain age.
Hello Dr Gupta from Paul in the US Colonies. Thank you so much for your videos talking about outside the guidelines ideas. I’m currently trying a mild testosterone supplement called D-Aspartic Acid. So far good results as my mind is more relaxed, sleeping better, and better energy. No adverse effects. I’m almost certainly going to need an artificial aorta valve replacement in a year or two as my echocardiogram gradient has gone from 19 to 34 in 5 years. My stamina has not noticeably improved with this supplement but Im going to look at other supplements too and see if my exercise stamina improves. Thank you!!
Never said whats considered normal testosterone levels. Im 59 male and workout 5 days a week. My Total T was 536. My free T was 11. I did notice taking DHEA 25mg a day raised my T. It was 420 before but it also raised my estridiol to 28 from 24. I feel good tho.
Plz make video on CAC scan and high score?
Can testosterone help with a-fib. 15 years out of heart surgery I am no longer feeling well because of my recently acquired arrhythmia and a-fib. I was on testosterone for breast cancer but went off of it. Could this have caused this problem? Would it help to start taking it again? Thank you.
I recommend first trying D-aspartic acid (DAA) if you have low-T levels and under 60 years old.
How much?
No wonder OLD MEN go fishing...Low or No T levels...crap heck with that...go to a pvt clinic and take care of it. under the dr's supervision. I am 67 and been on TRT for 2 yrs almost...world of difference. OK I am not 40 but I feel pretty close....except in the morning getting out of bed..and as long as i have my nap mid afternoon, I am 40. lol
That may be true but in most cases, the underlying issue is lack of exercise and a poor diet. The longer you ignore proper exercise and diet, the faster your testosterone will fall with age.
Yes or No?
What about the studies that show a increase of heart problems and even death with Testosterone therapy? I want to start trt since long time, but i am to scared because i often have heart arrythmias/fluttering when i am in very stressful/dangerous/angry situations. Maybe the testosterone could even accelerate the adrenal signaling and stress factors.
Never do the synthetic shots only the bioidentical creams or pellets
I m your first viewer so plz reply my quiry as in india now its one thirty am.
Test is the best
Much more research needs to be done on the consequences of testosterone (and other hormones) insufficiency in post menopausal women. Men are still the standard research patients. Makes me so angry.
Am I going to have issues getting prescribed TRT even with low T? I have heart disease and a history of heart surgery when I was 3 years old I feel terrible everyday and was really hoping I might get some relief with TRT
Thank you *****
I have an enlarged prostate (BPH) which is being treated with Finasteride. My understanding is that this drug reduces the amount of testosterone in the body as it is this hormone which is necessary for the prostate to continue to grow in size. So, with a weak heart and BPH, what's a man to do?
Finasteride does not lower testosterone, in fact it raises it.
Dhea supplementation?
What is the risk of TRT and myocarditis, specifically viral myocarditis? Have seen some literature discussing correlation between young males with higher endogenous T levels and an increased risk of viral myocarditis with SARS-CoV-2. I’m curious if testosterone supplementation in the older individual places the individual at a similar risk should they become infected with SARS-CoV-2 or any other virus?
I am 56 yrs old and my EF was three yrs ago 74 % . I heard somewhere before in my life that left chamber optimal Ejection Fraction is 75 %. I had a myocarditis in 2010 after influenza and had an ablation made in 2,5 months done after the diagnosis of cardiological department. However during the ablation 45 yrs old in U.S. trained specialist for arrhythmia, noticed that the heart has “healed” by itself. They could not provócate the arrhythmia eg. with some acid test , which made my heart rate surely close 200 -220 for 10 -15 seconds. So, the professor leading the operation, four cables in my heart, said that we can do some cleaning here around in this case, like general service of cars engine. But truly, after I can play successfully football with youngsters of age 17-21. I don’t know if this makes any sense, what kind of cleaning they could do?
Is there a normal level of T ? What is considered low ? My doctor has a come apart every time I tell I want to go back on the T injections that I use to be on before moving to where I now live.
Thank you for all your amazing information. Can we “clone” you for the US?
Does AFIB fall into this category?
Interesting and useful, thank you.
Since some people say BPH is caused or exacerbated by testosterone, would there be a problem with this therapy for men with BPH?
Testosterone is not the problem in BPH, it is raised level of DHT. If testosterone level was the problem, all male teenagers would have BPH. Dr Eric Berg has done a video on this.
I think DHT levels would still rise if you take a form of exogenous testosterone. For a simple example, adult male bodybuilders would have an increased risk of MPB hair loss when taking testosterone, due to some conversion to DHT (if they were genetically predisposed to MPB).
A quick google said intra-muscular TRT converted to lower levels of DHT vs topical transdermal TRT, which could be worth considering, should you start TRT.
If you have BPH, you are already likely taking finasteride 1-5mg per day, which would reduce DHT conversion of testosterone from natural and exogenous sources.
Some evidence points to DHT being important in long-term muscle strength, as it is a much stronger androgen than testosterone, which likely aids cardiac muscle strength/output into old age, but if you were on TRT, this will be sufficient for maintaining cardiac function, skeletal muscle mass and strength etc.
Regarding teenagers, as john replied, test levels rise naturally, but this is utilised for muscle growth etc. and DHT conversion remains low.
And generally for TRT, get blood work done often - the main cause for concern is hematocrit levels, which can thicken blood and increase heart/stroke risk over time. So if hematocrit is high, find a blood letting service to have blood removed every so often, to keep levels optimum.
Hope you find some of this info useful and do some more research.
BPH= hyper or Hypo? I would think hyper but it seems odd that it is not designated as one or the other - HUGE difference.
For both take 5 mg cialis daily
@@stevemyers2092 Quite agree about confusing jargon like BPH, but afaik it always refers to hyper- and I've never heard of BPHpo-. I expect PHypo must exist, but is not qualified with Benign or Malignant.
Is this an underlying zinc deficiency?
Quality krill oil raises testosterone and is anti-inflammatory. Good for the ❤️ all around
What about prostate cancer
If this is indeed the case, are women who by definition have much lower testosterone levels not equally affected by high levels of heart failure? You would expect them to suffer more if this is a simple causative factor. I note that they treat women with testosterone too? But doesn't testosterone also cause various other diseases in older aged people?
Sanjay what should optimal testosterone levels be just out of interest?
Dr Gupta: Thank You for this info.
One question: how do one circumvent the situation where one's GP or cardiologist refuses to consider testosterone as an option?
Do the studies you quoted use oral testosterone or injectable form?
Is there any efficacy difference between the formulations being tested (oral capsules, IM injectable...).
He already said,,,,, transdermal patches plus injections,,, maybe there is oral answers,,, ask your doctor
my Dr told me my T was normal for my age (66 at the time)....I said I don't care what is considered "normal" for my age I want to have some libido back and energy and muscle mass and clearer thinking etc. He said he cannot I am fine with my levels. So I went to a clinic - was tested - he said OK you are at 11, and we can safely take you up to 28 but that's high like 24 yr old. I said how about 21, around 40-50 yr old is fine with me - he replied that is very easy and that's where i am and have been for 2 yrs. and it works!. Use the Delatestryl if you can - it' is 50% of the volume and the same T % as the alternative...which makes me bitchy...the Delatestryl does not. ---------------- perfect. I self inject daily to mimick the bodys natural way, using 30ga insulin syringes. Can hardly feel them and no scar tissue. (I use my belly fat to inject into - not muscle).
@@onlybugwit just do daily injections - works best and use the insulin syringes not the Cannons they want to sell you - no or minimal scar tissue with the tiny 30ga. can;t say the same if i continued to use the 21ga that they sold me in the beginning. HUGE....
Go to a FMD or compounding pharmacist