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Asking for Self, Male, 42 years old, Rawalpindi /Islamabad
Dear, Doctors. I am 42 with BMI 45, DMT2, HTN, Dep +Anxiety, GERD, mild Asthma, etc. my Testosterone level is 100. Diabetes A1c is 7.3%. TSH is 4.5. TG 300, LDL 120,HDL 44mgdl. along with regular meds my healthcare Professional adv Injections Testoviron 250ml for 4 months. Do you think ( asking as 2nd opinion ) Testovirone injection is a good choice for me? or maybe it will boost weight loss, Diet, etc? Sperm count is also low. do you think I should do more labs? I need your great advice and suggestions. Thanks & regards. NOTE. Marham's Admins are requested to Tage many Doctors in this Post, Endocrinologists, Diabetologists, Medical specialists, Psychiatrists, gastroenterologists, and hematologists.
Hi. Thanks for your query. Diabetes, metabolic syndrome, and obesity have all been linked to testosterone deficiency. Low testosterone isn't known to cause these health problems, and replacing testosterone isn't the cure
abetes and Low Testosterone
A link between diabetes and low testosterone is well established. Men with diabetes are more likely to have low testosterone. And men with low testosterone are more likely to later develop diabetes. Testosterone helps the body's tissues take up more blood sugar in response to insulin. Men with low testosterone more often have insulin resistance: they need to produce more insulin to keep blood sugar normal.
As many as half of men with diabetes have low testosterone, when randomly tested. Scientists aren't sure whether diabetes causes low testosterone, or the other way around.
Fat cells metabolize testosterone to estrogen, lowering testosterone levels. Also, obesity reduces levels of sex hormone binding globulin (SHBG), a protein that carries testosterone in the blood. Less SHBG means less free testosterone.
Losing weight through exercise can increase testosterone levels.Â
Metabolic syndrome is the name for a condition that includes the presence of abnormal cholesterol levels, high blood pressure, waistline obesity, and high blood sugar. Metabolic syndrome increases the risk for heart attacks and strokes.
Studies show that men with low testosterone are more likely to develop metabolic syndrome. In short-term studies, testosterone replacement improved blood sugar levels and obesity in men with low testosterone. However, testosterone therapy increases the risk of heart disease, so it is not used to treat metabolic syndrome.
But testosterone deficiency is connected to insulin resistance, obesity, and diabetes. Each of these problems increases cardiovascular risk. Men with diabetes and low testosterone also have higher rates of atherosclerosis, or hardening of the arteries.
A certain amount of testosterone may be necessary for healthy arteries because it's converted into estrogen, which protects arteries from damage. As yet, no studies show that testosterone replacement protects the heart or prevents heart attacks
Low testosterone often exists with other medical conditions:
* Depression: In a study of almost 4,000 men older than 70, those with the lowest testosterone levels were more than twice as likely to be depressed. This link remained even after allowing for age, general health, obesity, and other variables.
* Erectile dysfunction (ED): Problems with erections and libido (sexual desire) are common symptoms of low testosterone. While most ED in older men is caused by atherosclerosis, an evaluation for low testosterone may be warranted.
Testosterone Replacement Treatment Options
The question that remains is, does low testosterone cause or worsen medical problems like diabetes? Or are people who develop diabetes, or other health problems, simply more likely to also have low testosterone?
Studies to answer these questions are under way, but it will be years before we know the results. In the meantime, remember that testosterone replacement hasn't been conclusively shown to improve any health condition other than testosterone deficiency and its symptoms.
Ur BMI is very high and u qualify for bariatric surgery but if u have a will and u really committed to reduce ur weight u can do it by stopping carbohydrates and doing intermittent fasting. I’m sending you the link of my videos to get more details about it. My YouTube channel is DrZulfiqarAhmed endocrinologist
U can check for further details
Thanks
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There should be asking some Q in detailso you may call me
Kindly visit any of my clinics.
Schedule of clinics is attached.
Thanks
Regards,
Dr Faisal Ilyas
Consultant Diabetologist & Endocrinologist
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