Testosterone Replacement Therapy (TRT)

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Is Low T the cause of your extra stress?
Don’t feel like your old self?

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Did you know that studies show Fathers had Lower Testosterone levels than that of men without children?

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Did you know Low Testosterone can be the cause of ED and lack of interest in sex?

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Did you know Low Testosterone can contribute to depressed mood, Loss of concentration?

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Overweight? Diet and exercise just not helping you lose those extra pounds. You could have Low T

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15 Convenient Locations

Welcome to Center For Men's Health LLC

1. EXCLUSIVE: Testosterone Replacement Therapy (TRT) is all we do.

2. AFFORDABLE: C4MH pricing ends the “only for the wealthy” mentality.

3. CONVENIENT: The C4MH "treatment" protocol gets you in and out in 10 minutes or less with 10 west coast locations to serve you… more to come.
(Initial exam takes approximately 60 minutes)

4. SAFE: C4MH physician’s practice within the prevailing professional standard of care.


Testosterone is SAFE!

January 2015

Mayo Clinic Journal

“In summary, there is no convincing evidence of increased CV (cardio vascular) risks with testosterone therapy. On the contrary, there appears to be a strong beneficial relationship between normal testosterone levels and CV health that has not yet been widely appreciated.”


September 17, 2014

FDA Announces:

No Conclusive Evidence of increased Cardio Vascular Events Linked to Testosterone Replacement.


July 2, 2014

National Institutes of Health and the University of Texas Medical Branch


1) No Link to Increased Risk of Heart Attacks.
2) Men At A Greater Risk for Heart Problems Had Lower Rate of Heart Attacks Compared to Those That Did Not Receive Testosterone Injections.


No Cardiovascular Risks with Testosterone Therapy

American College of Cardiology (ACC) Scientific Sessions 2015

Data from a meta-analysis and an observational study suggest testosterone therapy is not associated with cardiovascular (CV) events in men.

Why Testosterone Replacement?

Four simple, straightforward & medically substantiated reasons:

1. You will feel better then you have in years!

2. You will become healthier, stronger, slimmer and have greater endurance.

3. You will enjoy the years more and may live longer.

4. Your family, friends and associates will enjoy your company more then ever!

Why Testosterone Replacement at C4MH?

1. EXCLUSIVE: Testosterone Replacement Therapy (TRT) is all we do.

2. AFFORDABLE: C4MH pricing ends the “only for the wealthy” mentality.

3. CONVENIENT: The C4MH "treatment" protocol gets you in and out in 10 minutes or less with 10 west coast locations to serve you… more to come.
(Initial exam takes approximately 60 minutes)

4. SAFE: C4MH physician’s practice within the prevailing professional standard of care.

Low T Research

The effects of low testosterone have been studied at some of the worlds most prestigious institutes and universities; first below is a medical news report regarding a recent research at the University of Edinburgh followed by five research abstracts sourced from the United States National Institute of Health (NIH) Medical Library. These are just a few of the studies that support increasing low testosterone levels.

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What is a Hormone?

The U.S. National Institute of Health (NIH) defines Hormones (such as Testosterone) as powerful chemicals that help keep our bodies working normally. The term hormone is derived from the Greek word, hormo, which means to set in motion. And that’s precisely what hormones do. They stimulate, regulate, and control the function of various tissues and organs.

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What happens to your Testosterone level as you age?

Your body’s Testosterone level peaks during adolescence and early adulthood. Starting around age 40, sometimes younger, your body produces less Testosterone. For some men, Testosterone levels decline slowly, but for many the decline in Testosterone levels is more rapid or severe.

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What about Testosterone and Type II diabetes?

Low T is frequently found in men with diabetes. Testosterone therapy increases insulin sensitivity in diabetic men and decreases their daily insulin or medication requirement. Increasing lean muscle mass and decreasing total body fat also contributes to a lower blood sugar.

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What is Total Testosterone & Free Testosterone?

A.Guys love to talk about Total Testosterone as if it’s the only thing that counts and nothing could be further from the truth; Total T is the total level of testosterone (both free and total) in your blood BUT here’s the kicker: only about 2% (or less) of the total testosterone in your blood is Free T and Free T is the only testosterone that can enter the body’s cells and do the needed work that leads to the improvements you seek. The other 98% of testosterone in your blood is bound, unavailable and unable to enter your body’s cells. Free T is the level that you should care about and the level that C4MH treats.

How does C4MH test for Testosterone levels?

A. C4MH exclusively utilizes serum (blood) testing provided by Quest Diagnostics, the world's leading provider of diagnostic testing services. C4MH insists on “equilibrium dialysis” method as it is the “gold standard” for serum (blood) testosterone testing; no other test can match the accuracy. At C4MH we find it sad that many other clinics say that “equilibrium dialysis” testosterone testing is impractical for routine use, to us that sounds like an excuse to save money. At C4MH cutting corners is not an option when it comes to your care. Lastly beware of those that use saliva tests.

Is Testosterone replacement therapy safe?

Yes! Testosterone replacement therapy (TRT) has been used for decades and studied just as long. To date no controlled clinical study has shown any adverse health risks associated with the therapy although those with pre-existing conditions such as blood clots or coronary disease would be advised to discuss TRT with their primary physician and/or cardiologist before proceeding. The truth is that men with higher levels of Testosterone live longer with less heart disease compared to men with lower levels of Testosterone (and enjoy the extra years much more).

Unfortunately Testosterone replacement therapy (TRT) has been the victim of massive misinformation (old wives' tales) such as increased T will cause prostate cancer; much of that misinformation comes from physicians who were taught this in medical school……..decades ago. Ask them for the supporting science; there is none! In fact recent studies now show that Low T is more of an issue in the possible cause of prostate cancer (see “Low T Research” page).
Remember: Testosterone replacement therapy (TRT) is safe when done under the care of a physician.

What are the known side effects of Testosterone replacement therapy?

a) Increase in red blood cells: This can be beneficial if you have anemia (low blood counts). However, it can be a potential health problem if your hemoglobin and or hematocrit gets too high. C4MH recommends that TRT patients donate blood at least twice annually during therapy which usually eliminates the problem. C4MH will monitor your initial red cell count (hematocrit / hemoglobin) at the beginning of therapy then again at 12 weeks and every 6 to 12 months thereafter or more frequently as determine by treating physician. (See Dr. Morgentalers comments below which further explain the hemoglobin / hemocrit issue.)

 b) Infertility: This is not uncommon, particularly in young men, but normally reversible after stopping Testosterone therapy.

For those that wish to proceed with TRT and have significant concerns about future fertility we recommend sperm storage (sperm banks).

c) Sleep apnea: This is a condition that disrupts breathing during sleep. Testosterone does not cause sleep apnea, but can possibly make it worse. This has not yet been statistically proven.

d) Other: Mild fluid retention, Acne, oily skin, increased body hair,injection site pain and flushing have also been reported in a small minority of patients (<6%).

e) Tender Breasts or Enlargement of Breasts: This may occur in some older men.

Click here for a complete list of potential side effects.

Putting Side Effects Into Perspective:

Below From Harvard Medical School Web Site;
Harvard Clinical Professor And Board Certified Urologist Abraham Morgentaler, M.D.

“When patients ask about risks, I remind them that they already have testosterone in their system and that the goal of testosterone treatment is to restore its concentration back to what it was 10 or 15 years previously. And the molecule itself that we give is identical to the one that their bodies make naturally, so in theory, everything should be hunky-dory. But in practice, there are always some curveballs.

For example, testosterone can increase the hematocrit, the percentage of red blood cells in the bloodstream. If the hematocrit goes up too high, we worry about the blood becoming too viscous or thick, possibly predisposing someone to stroke or clotting events. Although, frankly, in a review that I wrote in the New England Journal of Medicine* where we reviewed as much of this as we could, we found no cases of stroke or severe clotting related to testosterone therapy. Nevertheless, the risk exists, so we want to be careful about giving testosterone to men who already have a high hematocrit, such as those with chronic obstructive pulmonary disease, or those who have a red-blood-cell disorder.

Although it’s rare to see swelling caused by fluid retention, physicians need to be careful when prescribing testosterone to men with compromised kidney or liver function, or some degree of congestive heart failure. It can also increase the oiliness of the skin, so that some men get acne or pimples, but that’s quite uncommon, as are sleep apnea and gynecomastia (breast enlargement).“

*Source: New England Journal of Medicine 2004;350:482–92. PMID: 14749457