Testosterone levels begin to decline in men starting around 30 years old and continue to decline for the rest of your life. There typically is a sharper decline starting around 40 years old, with testosterone levels dropping 1-2% each year. Testosterone replacement can provide many benefits for men seeking solutions in Naples, Florida.
At Howard Health & Wellness, Corey Howard, MD, FACP, FMNM, FAARFM provides various services to help men regain the vitality that declining testosterone levels can take away. With expertise in hormone therapy and functional medicine, he’ll tailor your testosterone replacement treatment to restore your strength, mental sharpness, and energy as much as possible.
Symptoms of Low Testosterone
Signs of low testosterone can vary, but some of the most common symptoms include:
- Fatigue, loss of energy
- Change in mood, especially depression or low mood
- Agitation, anger, or bad temper (these can also occur when testosterone levels are too high)
- Decreased sex drive
- Decrease in memory or concentration
- Decrease in intensity of orgasms
- Weight gain
- Joint aches
- Bone loss
- Decline in physical abilities
- Loss of fitness
- Erectile dysfunction
Not every man experiencing symptoms of low testosterone needs hormone replacement treatment. Low testosterone symptoms can overlap with other conditions like thyroid disorders, heart disease, depression, or chronic fatigue. That’s why a thorough evaluation is so critical in determining if low testosterone is the cause. A careful assessment with Dr. Howard ensures the treatment is suitable for you.
Testing for Low Testosterone
Managing low testosterone requires a thorough evaluation, including blood tests and sometimes saliva or urine tests. These results help determine the best treatment plan.
Your medical history is also an important factor. Dr. Howard conducts a full physical exam, including a prostate evaluation, to assess your overall health before beginning treatment.
If you have not had recent blood work, Dr. Howard will perform the following lab tests:
- Blood count: Checks red and white blood cells to detect anemia or infections.
- Electrolytes: Measures minerals that support hydration, nerves, and muscles.
- Liver and kidney function: Evaluates how well these organs filter waste.
- Thyroid levels: Assesses hormones that regulate metabolism and energy.
- Prostate cancer screening (PSA): Helps detect potential prostate issues.
- Cholesterol and heart health markers: Checks lipid levels for heart health.
Additional hormone tests may include:
- Testosterone: Measures the active form of testosterone available for use in the body.
- Sex hormone-binding globulin (SHBG): A protein that binds to testosterone and regulates how much is available for the body to use.
- Estradiol: A form of estrogen that plays a role in bone health, libido, and overall hormone balance.
- Dihydrotestosterone (DHT): A potent form of testosterone, mainly found in saliva and linked to hair loss.
- DHEA and cortisol: Stress-related hormones that impact energy, metabolism, and overall hormone balance.
Testosterone Therapy Options for Men
Once we review these levels, we can discuss your different options. Testosterone therapy options for men include:
- Topical gels or creams: Applied daily to the skin, typically on the shoulders, arms, or abdomen. This method provides steady hormone absorption throughout the day but requires consistent application. There is also a risk of transferring testosterone to others through skin contact.
- Injections administered directly into the muscle: Typically given every one to two weeks. These provide higher and more consistent testosterone levels than topical treatments, but they’re less consistent than pellet therapy. This method requires self-injection or regular visits to our office.
- Pellet therapy: This is a long-acting form of testosterone inserted under the skin, typically in the buttocks. Pellet therapy lasts between three to six months and requires follow-up blood work to monitor levels and overall health.
Potential Benefits of Testosterone Therapy
While individual results vary, you may experience positive changes in multiple areas of your health, including:
- Increased energy levels
- Improved mood and mental clarity
- More muscle mass and strength
- Reduced body fat
- Boosted libido and sexual function
- Stronger bones
- Better heart health
Why Choose Dr. Corey Howard?
Dr. Corey Howard is a board-certified physician in Internal Medicine and Functional Medicine with training in hormone therapy, metabolic health, and longevity medicine. He has completed a fellowship in Metabolic and Nutritional Medicine and is an expert at evaluating and managing hormone imbalances, including testosterone deficiency.
Beyond his medical expertise, Dr. Howard emphasizes a whole-body approach to hormone therapy. He integrates advanced diagnostics, lifestyle medicine, and treatments such as pellet therapy to provide the most sustainable solutions for various health concerns. Whether you’re dealing with fatigue, decreased strength, or cognitive changes, Dr. Howard aims to help improve your well-being for the long haul.
Frequently Asked Questions
Are There Any Risks or Side Effects From Testosterone Therapy?
Like any medical treatment, testosterone therapy comes with potential risks and side effects. Some men may experience acne, fluid retention, mood changes, or an increase in red blood cell count. In some cases, testosterone therapy can impact cholesterol levels or contribute to an enlarged prostate.
Regular monitoring by Dr. Howard helps minimize these risks and ensures your treatment is safe.
Are There Natural Ways to Boost Testosterone Without Therapy?
Yes, maintaining a healthy weight, exercising regularly (especially strength training), managing stress, getting quality sleep, and eating a nutrient-rich diet can help support testosterone production. However, some men may still need medical treatment.
How Do I Prepare for a Testosterone Blood Test?
Testosterone levels fluctuate throughout the day, so it’s best to get tested in the morning (typically before 10 a.m.). Fasting is not always required, but you’ll want to follow Dr. Howard’s instructions to get accurate results.
How Long Does It Take to See Results From Testosterone Therapy?
Many men notice improvements in energy and mood within a few weeks. Muscle strength, fat loss, and libido changes can take a few months, with full benefits typically seen in three to six months.
What Happens if I Stop Testosterone Therapy?
Stopping testosterone therapy can lead to a gradual return of low testosterone symptoms. Some men may also experience temporary fatigue or mood changes as their body adjusts.
Feeling Off? It Could Be Low Testosterone
If fatigue, weight gain, or brain fog are getting in the way, testosterone therapy might be the answer. Call Howard Health & Wellness in Naples, FL, at 239-331-2285 to learn more and schedule a consultation.
