April 19, 2017
Men should have enough testosterone in order to fight disease and we know that low levels of the male sex hormone (Testosterone) increase your risk for obesity, diabetes, cancer, osteoporosis and in the article below, the most common cause of death in the U.S. — cardiovascular disease. There has been controversy about replacing testosterone but here is what we know. The blood vessels that feed blood to the heart muscle wall respond to testosterone by dilating — meaning greater blood flow. Also we now know that of all the muscles in the human body there are more receptors for testosterone in cardiac (heart ) muscle, so it just makes sense that optimal levels of testosterone is very likely healthy for men’s hearts. I like to therefore advocate for higher levels of testosterone for male patients.
This article describes a study looking at the relationship of low testosterone to an increased risk for heart disease.
Men with low testosterone levels may have a slightly increased risk of developing or dying from heart disease, say a group of European researchers who examined findings from studies on cardiovascular disease and testosterone published between 1970 and 2013. Whilst the studies suggested some sort of relationship, existing research found little evidence of a connection between low testosterone and artherosclerosis, and no relationship between testosterone levels and heart attacks. “When we reviewed the existing research into testosterone and cardiovascular disease, a growing body of evidence suggested a modest connection between the two. A specific pathogenesis did not come forward, but perhaps less frequently investigated events may play a role, such as thrombosis where a blood clot develops in the circulatory system or arrhythmia, where there is a problem with the heart beat or rate,” said the study’s lead author, Johannes Ruige, MD, PhD, of Ghent University Hospital in Belgium. “Gaps still remain in our understanding of low testosterone and cardiovascular disease. Ultimately, the goal is to more accurately assess the impact testosterone substitution therapy may have on the heart health of men who qualify for the treatment.”
JB Ruige, DM Ouwens, JM Kaufman. “Beneficial and adverse effects of testosterone on the cardiovascular system in men.” The Journal of Clinical Endocrinology & Metabolism. 2013, September 24.
Don Fisher D.O.
Medical Director/ Physician
The BEST Program, Inc.