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WHEN MOST people think about testosterone , they think about sexual function and fertility . But when it comes to men ’ s health , testosterone plays a role in everything , from maintaining a healthy weight to having a healthy heart . In Dr . Charles Mok ’ s latest book , If Your Testosterone Is Low , You ’ re Gonna To Get Fat ., he talks about the importance of addressing low testosterone ( T ) in men , especially as men age and their T levels decrease . Dr . Mok shares his research and expertise about how to properly diagnose low T and how it can impair brain , heart , hormonal , musculoskeletal , and sexual functions . Fortunately , as he also explains , low T can be easily and effectively treated .

Excerpts from If Your Testosterone Is Low , You ’ re Gonna To Get Fat .

[ from Chapter 4 : Testosterone and Weight Gain , “ In summary ” section ]

Studies have shown us clear links between low testosterone and weight gain and testosterone and obesity . Weight gain and obesity … are associated with the development of other diseases such as diabetes , cardiovascular disease , high blood pressure , arthritis , and even cancer . Avoiding weight gain and obesity is paramount for all men . For men who have gained weight or gotten obese and who have low testosterone , testosterone replacement should be considered . There is no reason that a man who is gaining weight and has symptoms of low testosterone should avoid testosterone replacement … when testosterone is replaced to therapeutic levels , there are no adverse events . Also , it can be taken indefinitely . There are no other drugs we can say this about .

The FDA has approved various risky drugs , such as brain

anticonvulsants and brain stimulants for weight loss , that don ’ t have much of a benefit and do have potentially serious adverse effects . That ’ s because the Agency recognizes that obesity is a significant public health concern . Still , despite that acknowledgement , the FDA has ruled that testosterone replacement should not be used to treat men with a testosterone deficiency if that deficiency is not caused by a very limited set of unique circumstances .

But know that we — you as a patient and I as the physician — are not regulated by the FDA . I have an ethical duty to do what ’ s in the best interest of my patients and to evaluate the best evidence-based medicine . This is how my staff and I practice medicine : I discuss the full situation with my patients so that we can determine what is their best option for their optimal health . I ’ m certainly aware of FDA rulings and take them into consideration ,

but the FDA is not infallible , and , in this case , I do not prescribe the drugs the FDA has approved for weight loss . For men with low testosterone and weight problems , I prescribe testosterone replacement as the best , safest , and most effective option .

[ from Chapter 6 : Testosterone and Cardiovascular Disease , “ In summary ” section ]

Testosterone replacement therapy also does the following :

• Protects against cardiovascular mortality

• Decreases your risk of heart attack or stroke

• Reduces symptoms associated with congestive heart failure

• Decreases your risk of blood clots

• Benefits your cardiac lipids

• Protects against allcause mortality

8 FALL 2017