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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