Dr. Roshin responde as perguntas dos leitores

Dr. Roshin responde as perguntas dos leitores
29 dezembro 13:44 2016 Imprimir

dr_roshin“Hi Roshin, it is normal for test to become low in the winter time? I always seem to have lower levels in WInter. Could this be due to low Vitamin D (due to lack of Sun here)? (Carl, London, UK)

Dear Carl,
Although you did not provide an official testosterone level, this column has been written with information on why low testosterone levels evolve, the symptoms of low testosterone, and a treatment plan. To answer your question, testosterone levels do not become low in the winter. Year round, testosterone levels general stay level in the normal range of 300-1000 ng/dL.

Low testosterone can cause increased body fat, erectile dysfunction, decreased libido, infertility, less muscle mass, hair loss, fatigue, depression, gynecomastia (increased breast size in males), and insomnia.
The causes of low testosterone are the following not limited to medications (opioids, steroids), high cholesterol, being overweight or obese, diabetes, high blood pressure, illicit drug use, testicular tumors, pituitary gland disorders, mumps, AIDS, liver disease, hypothalamus disorders, Klinefelter Syndrome, testicle trauma, and adverse effects from radiation upon treating cancer(s). When I asked if you had any of these conditions, you said, “I have high blood pressure and I am overweight. I do not have high cholesterol. i do not have Aids or HIV.” You also said,” About 6 months ago, there was a minor injury. Now the epidermis is no longer attached to the testicle, making it much shorter than 5.5cm, it is now only 4.5cm.” Upon further inquiry, you meant epididymis, not epidermis. You said “It used to be normal, as in attached to the top of the testicle, but after the accident my epididymis is no longer attached to the testicle, it is loose within the scrotum.” Remember, specialized cells in the testicles make testosterone, testosterone is released into the blood bound to a protein, called sex hormone binding globulin, and once transported to targeted areas of the body, testosterone is used for growth.

You told me you are “I am 6ft 1 and I am 225 pounds.” After my calculations, you have a BMI (basal metabolic index) of 29.7; thus, this number places you in the overweight category.

What should you do? Since you told me, “I have never had my testosterone levels officially checked” I recommend, you schedule an appointment with a doctor in London, have the physician order blood work of testosterone levels, basic metabolic panel, thyroid levels, and pituitary function in particular, and at the physician’s discretion order imaging of the brain and pelvic/abdominal area, as needed. However, I do believe that you have the ability to make a significant difference in not only increasing testosterone levels, but improving your overall health, by reducing weight. Being overweight and or obese decreases testosterone levels and causes high blood pressure. High blood pressure has many bad consequences including increasing the risk of stokes, heart attacks, atherosclerosis, exacerbating blood vessel damage, and many other significant ill effects to your body and overall health. Thus, reduce your weight, and know the benefits certainly contribute to your longevity in life.

Since the 2017 New Year is around the corner, make losing weight your new New Year’s resolution. I was glad to hear you are open to my suggestion(s). Thanks for your reply, “Sure 🙂 Thanks for the help.”

Thanks for your question and trust. God Bless you and God Bless England.

Respectfully,

Dr. Roshin

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