Andropause male menopause

Acetyl-L-Carnitine & propionyl-L-carnitine may improve organism.  Testosterone may improve erections, desire + decrease fatigue & depression.  8/04 Life Extension magazine www.lef.org
Bhasin, Dr Shalender, chief of endocrinology, nutrition, and diabetes at Boston Medical Center and professor of medicine at BU published an editorial in the 1996 New England Journal of Medicine on the benefits of testosterone injections in healthy men to increase strength and muscle size.  He is currently investigating a testosterone gel which might help elderly male muscle strength and function. 8/27/2006  per Ryan Murphy ciweek@globe.com    www.boston.com/cityweekly
Blood tests may help troubleshoot potential problems.  Optimal blood levels are as follow.  Glucose (70-85mg/dL), cholesterol (180-200mg/dL),  LDL (under 100mg/dL), HDL (over 55mg/dL), triglycerides (under 100/dL), fibrinogen (200-300mg/dL), hemoglobin AIC (below 4.5%), DHEA (400-500ug/dL), PSA (0-2.tng/mL), homocysteine (under 7.2umol/L), C-reactive protein (under 0.55mg/L), TSH (0.35-2.1mU/L), free testosterone (15-26.5pg/mL), estradiol (10-30pg/mL). 5/2006 www.lef.org
Donald Colbert MD in The Bible Cure Booklet for Weight Loss & Muscle Gain notes that men need to supplement testosterone cream with Chrysin (500 mg 2x a day) to inhibit the aromatase enzyme which converts testosterone to estrogen. In addition one should consider 15 mg zinc, DIM (broccoli extract), soy, plus saw palmetto (to protect the prostate). June 2004 Charisma www.drcolbert.com  www.charismahouse.com   www.charismamag.com
10/03 Essential fatty acids EPA & DHA, zinc, DHEA, indole-3-carbinol (I3C) & supplemental testosterone are recommended. Life Extension's Disease Prevention and Treatment suggests adding vitamin E, gamma E tocopherol,  selenium, lycopene, saw palmetto, pygeum & nettle to protect prostate
6/05 DHT (dihydro-testoserone) + DHEA=S (dehydro-epiandrosterone sulfate) may need screening.  DHEA levels may affect mood, bone mineral density, immunity, spinal nerve recovery, and abdominal fat.  Free testosterone levels are the best indicator of available testosterone. www.lef.org
Flax seed hulls provide lignans or phyto-estrogens which may help convert testosterone to dihydro-testosterone (DHT) Urology 2001 www.purecaps.com
Gordon Reynolds MD in 2/05 Life Extension notes that hormone levels peak at about age 35.  By age 55 most sex hormones have declined significantly.  Between ages 64-79 the severe lack of hormones contributes to many diseases.  Reynolds recommends regular monitoring of 5 hormones - estrogen, progesterone, testosterone, DHEA, and cortisol. www.lef.org
Greene, Dr Robert  Perfect Balance  drrobertgreene@aol.com  12/2005  www.lef.org   Green notes that too little fat reduces testosterone levels; this is not an excuse for excess meat consumption. L-carnitine is essential for fat metabolism in mitochondria. Green recommends dancing to promote oxygen exchange.
Gynecologist, Scott Farhart MD author of Sex, Men & God + Intimate & Unashamed
Hormone precursor Pregnenolone is a stepping stone to17-alpha-DHEA to DHEA to Androstenedione to Testosterone.   Hormone precursors may soon be outlawed as supplements. March 2003 Life Extension www.lef.org
HRT cream for men
Abraham Morgentaler  MD
Brookline MA, USA   1-617-277-5000
Boston, MA, USA      1-617-667-2317
Institute for Sexual Medicine Boston, MA, USA treats both men and women. Also read   The Potent Male  by Goldstein & Rothstein www.bumc.bu.edu/sexualmedicine
Life Extension magazine suggests that a vasectomy may result in lowered testosterone (androgen) levels and migraines.  Once case study was remediated with the use of testosterone gel, pregnenolone,  magnesium citrate, melatonin, kava, lactobacillus, bifidobacterium, DHEA, and streptococcus thermophilus. August 2004 Reporting doctor is Sergey A Dzugan, Donetsk, Ukraine www.lef.org
L-arginine + testosterone + acetylcholine David Williams MD report 1-800-219-8591
(Do not take L-arginine if you have herpes.)
Orchic powder is a form of testosterone, often taken from pigs.  It is allowed as a supplement when it is less than the prescription dose of 25-100 mg.  1 mg = 1 million ng.  The adult male daily produces 2.5-11 mg (2,500,000-11,000,000 ng)
Note - Creams are superior, as they do not pass through the liver as do the supplements. www.glycoscience.com  www.labopoterapico.com
Testosterone (taken alone without DIM) will help age related decline in strength, sex and cognition but may cause prostate cancer problems  11/13/03 www.wsj.com
Testosterone is only approved in USA  for male hypogonadism or low testosterone levels in younger men. 11/13/03 www.bostonherald.com
Testosterone homeopathic creams such as the 2 Doctor's Testosterone Gels may be a Fountain of Youth for seniors. www.foytech.com
The brain's hypothalamus gonadotripin-releasing hormone (GnRH) talks to the pituitary gland at the brain's base.  The pituitary makes follicle-stimulating hormones (FSH) & luteinizing hormones (LH).  LH tell the testes to produce testosterone.  40% of testosterone is bound to SHBG.  58% is bound to albumin for use.  2% is free in blood. www.medem.com/medlb/article_detaillb.cfm?article_id=zzzo7pdvdlc&sub_cat=57
Life Extension www.lef.org  Collector's Edition 2004 cites
supplements that boost "free" testosterone = bioflavonoid chrysin with bioperine (piperine), nettle, and muria puama.
1/2000 Life Extension www.lef.org/lefcms/aspx  magazine explains that free testosterone may become unavailable if converted (aromatized) into excess estrogen or [bound to sex hormone-binding gobulin (SHBG) or bound testosterone]. Chrysin + piperine may inhibit aromatization more than other natural flavonoids like genistein, rutin, and tea catechins.  Chrysin may also reduce brain anxiety with no impairment of motor activity or cognitive performance, unlike drugs.  By increasing free testosterone, decreasing excess estrogen and reducing anxiety, chrysin helps prevent breast and prostate cancer.  
Muria puama stems and root of the Ptychopetalum olacoides plant may help male libido and provide better results than yohimbine without side effects.  It may improve sleep, rheumatism, muscle paralysis, increase free testosterone and/or suppress excess estrogen, and stay in the bloodstream longer than other herbs.  
As testosterone may convert (aromatize) to estrogen, be sure to add 80-90 mg zinc to 1000 mg chrysin & 10 mg piperine, plus eat a lot of cruciferous vegetables as broccoli.
Also recommended is 110 mg soy isoflavones (phyto-estrogens) to compete with estradiol on cell receptor sites to stimulate liver to remove estrogens from blood.
320 mg saw palmetto may block prostate estrogen receptor sites. Excess estrogen (estradiol) blocks production & effect of testosterone.
240 mg nettle (urtica dioica) may inhibit (SHGB) sex hormone-binding globulin that binds to and deactivates testosterone.
Androstenedione is a precusor hormone to both testosterone and estrogen.  Combining androstenedione with an aromatase inhibitor such as zinc, chrysin + piperine, genistein, or rutin, may prevent it from converting to estrogen.  (This approach is important for such issues as as breast cancer which is accelerated by excess estrogen.)
www.health-marketplace.com/male-hormone-protocol.htm
www.health-marketplace.com/male-hormone-protocol2.htm
Nettle by binding to SHBG may reduce free testosterone's binding to SHBGs.  When free testosterone becomes bound, it loses its biological activity.  Nettle also may inhibit the 5 alpha reductase enzyme that causes testosterone to convert to dihydro-testosterone (DHT), which may contribute to benign prostate enlargement, excess facial hair and hair loss at top of head.  The liver also causes testosterone to bind to gobulin as well as drugs and alcoholic beverages.  1/2000 Life Extension magazine www.lef.org/lefcms/aspx
The Testosterone Solution Aubrey Hill MD www.primapublishing.com
Tribulus terrestris is a hormone precursor which produces a leutinizing hormone (LH) which signals the body to make more testosterone. Khalsa MD in Food as Medicine advises the use of a compounded hormonal cream over supplements. www.drdharma.com  
Wright and Lenard  Maximize Your Vitality & Potency- for Men over 40  Authors recommend approx 6 grams L-arginine, 7 grams L-lysine (to offset any herpes reaction) + 500 ug of selenium for libido.  Yohimbine (18-100mg/day in divided doses) may be taken  if one does NOT have heart problems!  Other popular herbs are panax ginseng [increases serum testosterone and may release NO (nitric oxide) from arterial endothelia cells], muira puama, and ginkgo biloba. In 1998 scientists were awarded the Nobel prize for NO research. There are 2  types of NO - constitutive NOS  and inducible NOS. Note, most drugs diminish testosterone. This includes tobacco and  alcohol.  www.smart-publications.ocm 
Zeligs MD & Connelly MD in All About DIM encourage eating lots of raw cruciferous vegetables to adjust one's testosterone and estrogen hormones www.penguinputnam.com