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Published: February, 2014 Millions of American men use a prescription testosterone gel or injection to restore normal levels of the manly hormone. The ongoing pharmaceutical marketing blitz promises that treating 'low T' this way can make men feel more alert, energetic, mentally sharp, and sexually functional. However, legitimate safety concerns linger.

For example, some older men on testosterone could face higher cardiac risks. 'Because of the marketing, men have been flooded with information about the potential benefit of fixing low testosterone, but not with the potential costs,' says Dr. Carl Pallais, an endocrinologist and assistant professor of medicine at Harvard Medical School. 'Men should be much more mindful of the possible long-term complications.' Signs of low testosterone MIND • Depression • Reduced self-confidence • Difficulty concentrating • Disturbed sleep BODY • Declining muscle and bone mass • Increased body fat • Fatigue • Swollen or tender breasts • Flushing or hot flashes SEXUAL FUNCTION • Lower sex drive • Fewer spontaneous erections • Difficulty sustaining erections Images: Thinkstock The low-T boom A loophole in FDA regulations allows pharmaceutical marketers to urge men to talk to their doctors if they have certain 'possible signs' of testosterone deficiency. 'Virtually everybody asks about this now because the direct-to-consumer marketing is so aggressive,' says Dr. Michael O'Leary, a urologist at Harvard-affiliated Brigham and Women's Hospital.

'Tons of men who would never have asked me about it before started to do so when they saw ads that say 'Do you feel tired?' ' Just being tired isn't enough to get a testosterone prescription. 'General fatigue and malaise is pretty far down my list,' Dr. O'Leary says.

'But if they have significant symptoms, they'll need to have a lab test. In most men the testosterone level is normal.' If a man's testosterone looks below the normal range, there is a good chance he could end up on hormone supplements—often indefinitely.

'There is a bit of a testosterone trap,' Dr. Pallais says. 'Men get started on testosterone replacement and they feel better, but then it's hard to come off of it. On treatment, the body stops making testosterone. Men can often feel a big difference when they stop therapy because their body's testosterone production has not yet recovered.'

This wouldn't matter so much if we were sure that long-term hormone therapy is safe, but some experts worry that low-T therapy is exposing men to small risks that could add up to harm over time. What are the risks of testosterone therapy? A relatively small number of men experience immediate side effects of testosterone supplementation, such as acne, disturbed breathing while sleeping, breast swelling or tenderness, or swelling in the ankles.

Doctors also watch out for high red blood cell counts, which could increase the risk of clotting. Men on long-term testosterone appear to have a higher risk of cardiovascular problems, like heart attacks, strokes, and deaths from heart disease. For example, in 2010, researchers halted the Testosterone in Older Men study when early results showed that men on hormone treatments had noticeably more heart problems.

'In older men, theoretical cardiac side effects become a little more immediate,' Dr. Pallais says. Some physicians also have a lingering concern that testosterone therapy could stimulate the growth of prostate cancer cells.

As with the hypothetical cardiac risks, the evidence is mixed. But because prostate cancer is so common, doctors tend to be leery of prescribing testosterone to men who may be at risk.

H Force Keygen Download No Virus here. For men with low blood testosterone levels, the benefits of hormone replacement therapy usually outweigh potential risks. However, for most other men it's a shared decision with your doctor. It offers men who feel lousy a chance to feel better, but that quick fix could distract attention from unknown long-term hazards. Marvel Ultimate Alliance 2 Xbox 360 Iso.