New to Hormone Replacement Therapy?

“REPLACING ALL OF OUR DEFICIENT HORMONES – thyroid, testosterone, DHEA, and estradiol – to levels we had in our youth is beneficial to both our health and quality of life.”

– NEAL ROUZIER, MD

The Truth About Hormone Replacement for Men

Menopause in females is a widely discussed, well-studied phenomenon, yet its equivalent in males – andropause – is virtually ignored. They are very similar experiences. Both typically occur from age 40 on and are caused by having low t or low testosterone. Both can be accompanied by fatigue, depression, irritability, aches, and pains, and many other issues.

Typically, when hormones in men are discussed, it is usually about the abuse among athletes, which has given rise to the perception that all testosterone is dangerous. Add to that the unfounded fear that testosterone causes prostate cancer, and the misunderstanding escalates.

Tackling low testosterone in a natural, healthy way is what Male Excel specializes in. Don’t let misinformation turn you away from a healthy option as you work through Andropause or other issues related to low testosterone.

The Truth About Hormone Replacement for Men

Menopause in females is a widely discussed, well-studied phenomenon, yet its equivalent in males – andropause – is virtually ignored. They are very similar experiences. Both typically occur from age 40 on and are caused by having low t or low testosterone. Both can be accompanied by fatigue, depression, irritability, aches, and pains, and many other issues.

Typically, when hormones in men are discussed, it is usually about the abuse among athletes, which has given rise to the perception that all testosterone is dangerous. Add to that the unfounded fear that testosterone causes prostate cancer, and the misunderstanding escalates.

Tackling low testosterone in a natural, healthy way is what Male Excel specializes in. Don’t let misinformation turn you away from a healthy option as you work through Andropause or other issues related to low testosterone.

Bioidentical testosterone therapy is safe, when done correctly​

Testosterone replacement therapy [TRT], done with bioidentical testosterone in physiologic doses, is not only safe but also protective. Testosterone has been shown to prevent osteoporosis, protect against cardiovascular disease, increase energy, fight impotence, and improve mood. A recently published study showed that men with higher testosterone levels live longer.

Addressing TRT and it's many benefits

Multiple medical studies have proven that testosterone does not cause prostate cancer. Interestingly, men typically get prostate cancer when they are older and their testosterone levels are naturally at their lowest. In fact, low testosterone levels are associated with more aggressive cancerous tumors.

Men who receive testosterone replacement therapy from Male Excel typically report they feel sexier, stronger, and healthier. Testosterone therapy can slow down the physical decline that robs men of their energy, strength, and libido by restoring muscle tone, improving stamina, mood and one’s overall sense of well-being.

Getting older is inevitable, feeling older is a choice.

Hormones are necessary molecules created naturally in your body to regulate your mood and physiology. However, by the age of 40, men’s hormone production has declined significantly.

The reason for this? Until after the 1950s, the average man couldn’t expect to live beyond 40 years old! Human physiology hasn’t adapted to the long life afforded by modern medicine. In other words: your life is barely started, but your body is preparing itself for death!

Hormones decline in all people as they age. Many physicians assume this is the natural way it should be. If a younger person were to be diagnosed as having a hormonal deficiency, it would be quickly corrected. However, the same low level in an older individual is considered normal for their age and not something we treat. Normal is a relative term. No one wants the hormone levels of an 80 year old, but labs report this low level as “normal” even though it might be only 20% of the level of a 30 year old. Researchers from around the world have now shown that the hormonal deficiency associated with age should be corrected to that of a younger person. When patient see and feel the improvement, they embrace it wholeheartedly. It is not until one tries this new therapy and experiences the tremendous increased vigor that one realizes the harm that is being caused to the body by the lack of these hormones. The added benefit is that it is healthy too.

Neal Rouzier, MD

World's Leading Hormone Specialist

What are the Main Health Benefits of BHRT?

The health benefits of Bioidentical hormone replacement therapy (BHRT) should be on the front page of every newspaper in the world. Testosterone is a wonder drug that can delay the negative symptoms of old age. Hormones, in particular, testosterone, are much maligned in the mainstream media and by those that don’t know the true potential of this powerful preventative medicine. Thankfully those who show faith in bioidentical hormone replacement therapy can expect a longer, healthier, and more fulfilled life.

What are Biodentical Hormones?

What needs to be clear to new patients is the fundamental difference between synthetic and bioidentical hormones. Synthetic hormones carry a health risk, and your body does not recognize them in the same way natural hormones are and often cause unpleasant side effects. We only ever offer bioidentical hormone replacement, hormones that are structurally and chemically exactly the same as those naturally produced in your body. This is the good stuff, and the health benefits are unbelievable.

  • Improved libido and sexual satisfaction
  • Reduced bad cholesterol (LDL)
  • Increased metabolism
  • Improved cardiovascular function
  • Increased lean muscle mass and strength
  • Decreased body fat (dangerous visceral fat)
  • Increased confidence, positivity, memory, and brain function
  • Reduced feelings of depression
  • Increased energy levels
  • Improved sleep
  • More equipped to deal with stress
  • Reduced risk of type 2 diabetes and relief from insulin resistance

What Are the Side Effects?

It would make no sense for our bodies to produce hormones such as testosterone and estrogen if they were harmful to us. Our bodies produce them because we need them. If testosterone were so damaging, medical providers would recommend men be castrated unless they want children to protect them from harm. As we all know, this does not happen.

If you consider reduced risk of diabetes, improved cardio health, the sex drive of a twenty-year-old, and a happy wife side effects, then yes, you should expect some side effects.

Hormones Impacted by Age

Testosterone

Testosterone is a hormone that plays a hugely important role in the human body. Testosterone is considered the primary male hormone that provides many characteristics of being a man, such as libido, lean muscle and strength, stamina, confidence, and mental capabilities. Through its conversion to estrogen, testosterone affects bone health, including bone density. Testosterone increases bone density and bone formation at optimal levels, enhancing energy and sex drive, decreases body fat, increases muscle strength and size, lowers blood pressure, and positively affects LDL and HDL levels. Optimizing testosterone via subcutaneous injections or creams is a cost-efficient and effective tool in curbing the “midlife crisis.” With all of the life benefits testosterone offers, it’s a hormone both men and women should not venture into their forties without.

DHEA

DHEA is a precursor to other essential hormones such as testosterone and estradiol. Because it is present in every cell in your body, this hormone’s effects are far-reaching. DHEA supports the immune system, protects you against cancer, Alzheimer’s disease, brittle bones (osteoporosis), heart disease, depression, regulates stress hormones, and is a potent anti-inflammatory. Clinical studies have revealed that DHEA profoundly affects the immune system, sex drive, metabolism, and one’s emotional stability. Its effect on the immune system via regulation of stress hormones and by its function as a powerful antioxidant illustrates one of its age resisting capabilities. Other health-related benefits

include its ability to alter cognitive decline, help the body cope with stress, and its beneficial influence over the heart through cholesterol modulation. Unfortunately, these benefits decline with age. Proven studies keep DHEA in the news and in the interest of people who strive to remain healthy in their later years.

Thyroid

Your thyroid hormones are critical to how other hormones in your body react. Without a balance of thyroid hormones along with testosterone, hormone optimization is not possible. This metabolic hormone secreted by the thyroid gland regulates temperature, energy, metabolism, and cerebral function. At optimal levels, it breaks down fat, resulting in weight loss and lower cholesterol—the thyroid hormone wards off heart disease and memory impairment. Insufficient thyroid levels result in fatigue, slowness in speech and action, depression, and immune dysfunction.

Estradiol: (Estrogen)

Now, strictly speaking, this is not a medication we ”give” to men; however, because it is a by-product of testosterone, the benefits are essential to point out. Many TRT clinics offer their patients aromatase inhibitors (AI’sAI’s) to block testosterone conversion into estradiol. As a new Male Excel patient, it’s essential to see that these clinics do not understand why estrogen is so important.

Estrogen is good for you; by blocking it, you run the risk of developing diseases and unwanted side effects such as osteoporosis, Alzheimer’sAlzheimer’s disease, erectile dysfunction, and heart disease.

Without estrogen, testosterone does not perform as effectively. Men who take testosterone purely to build muscle often take estrogen blockers thinking they will gain more. Ironically it is the estrogen that aids protein synthesis, creating muscle, so they are making things harder for themselves and risking their future health.

Our message is simple, do not take estrogen blockers.

Injections or Cream

Bioidentical testosterone is best given as a daily subcutaneous injection or applied as a cream twice a day. Both methods are self-administered easily at home. There are advantages and disadvantages to both; however, both are highly effective at optimizing your hormone levels.

  • The injections use the same kind of tiny needle that people with diabetes use to inject insulin and cause very little pain. Usually, patients choose to inject themselves in the subcutaneous fat layer on the stomach or upper thigh.
  • Application of the cream is to the groin area or the scrotum in the morning and just before bed. The cream is popular for those who don’t like the idea of injecting themselves.

How Long Until You See Results?

Testosterone replacement therapy is a long-term investment in yourself, and partnered with lifestyle improvements will change your life. BHRT should be offered to every man over 40 and then would completely change uninformed, negative opinion. If more widely available, TRT would undoubtedly reduce the burden of age-related disease on the health system and save millions of dollars spent each year treating diabetes, heart disease, obesity, and strokes. But how long does it take to see results?

One of the first benefits our patients tend to experience is a noticeable boost in energy levels in as little as a week. Effects on sexual interest usually appear after 3 to 6 weeks, including increased libido, increased pleasure, and improved erectile function, along with reduced symptoms of depression. Other benefits such as weight loss, strength, and muscle gain do take longer, accelerated significantly by exercise and a healthy diet, but studies suggest that noticeable effects start within 12-16 weeks.

FREQUENTLY ASKED QUESTIONS

HRT stands for Hormone Replacement Therapy. Hormone levels are tested and medications are administered to help hormones such as testosterone and thyroid reach their optimum levels.

TRT stands for testosterone replacement therapy. Testosterone is given to combat decreasing levels in men. This is to fight the usual signs and symptoms of aging such as fatigue, weight gain, loss of libido, and muscle loss.

We offer a daily injectable Testosterone Cypionate or a twice-daily Lipoderm cream. Both are bioidentical.

The Benefits of HRT are extensive but include the following: healthy heart and blood, less fat, more muscle, stronger bones, improved libido, better sleep, improved memory, spatial ability and mental reasoning, improved mood, and better sex.

You can start your HRT journey by filling out our simple online hormone assessment here.

On average it takes approximately 7 business days from ordering your test kit to receiving your results. This is obviously dependent on how quickly you complete and return the test via free return postage. Once we have received your results your medical provider will review this along with your online assessment to create your personalized treatment plan.

This is a very difficult question because there is no definitive answer. Everybody is biologically different and responds to the treatment differently. For detailed information, click here.

The test indicates whether you will benefit from this treatment and what your current hormone levels are. We can then know the proper medication to get your testosterone and thyroid to their optimum levels.

Our blood spot test measures 5 key hormone levels. It offers distinct advantages over traditional testing methods because it eliminates the need for a blood draw – saving patients time and money. Our Blood Spot test is a simple to use test that is done in the comfort of your own home. It involves a finger prick and 12 drops of blood dropped onto a card. We include free return postage with your test for your convenience.

Yes. HRT is safe when monitored by a medical provider. This is why we require yearly testing and symptoms questionnaires every 2 months.

The treatment is effective for as long as you take it. Once you stop taking HRT your levels will return to the levels they were previously.

You will be charged $99 for the test kit upon your order. Once your test and symptoms questionnaire has been looked over by one of our medical providers, you will be charged every other month for the medication. You will also be charged a membership fee of $30 every month.

HEAR FROM OUR REAL CUSTOMERS

References And Studies

Hormone extracts from “How to Achieve Healthy Aging, Second Edition,” Neal Rouzier, M.D.

https://pubmed.ncbi.nlm.nih.gov/19179815/

Holtorf K. The bioidentical hormone debate: are bioidentical hormones (estradiol, estriol, and progesterone) safer or more efficacious than commonly used synthetic versions in hormone replacement therapy? Postgrad Med. 2009 Jan;121(1):73-85. doi: 10.3810/pgm.2009.01.1949. PMID: 19179815.

[2] Saad F, Aversa A, Isidori AM, Zafalon L, Zitzmann M, Gooren L. Onset of effects of testosterone treatment and time span until maximum effects are achieved. Eur J Endocrinol. 2011;165(5):675-685. doi:10.1530/EJE-11-0221

 

The information provided on this website is for informational purposes and not a substitute for professional medical advice, diagnosis, or treatment. If you have questions or concerns about your health, please talk to your doctor. Prescription hormones from Male Excel require an online consultation with one of our licensed healthcare providers who will evaluate whether or not you are an appropriate candidate and review benefits and potential side effects with you prior to prescribing. Based on DEA and state laws, your testosterone treatment plan may require an in-person medical exam. Your Male Excel provider will be able to provide more details during your online consultations. See Important Safety Information.

ADDITIONAL IMPORTANT SAFETY INFORMATION

WARNING: SECONDARY EXPOSURE TO TESTOSTERONE

· See full prescribing information for complete boxed warning
· Virilization has been reported in children with secondary exposure to topical testosterone products
· Children should avoid contact with unwashed or unclothed application sites in men using topical testosterone products
· Healthcare providers should advise patients to strictly adhere to recommended instructions for use

Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a doctor.

Warnings and Precautions:

· Possible increased risk of heart attack or stroke.
· Male Excel’s testosterone products are not meant for use by women.
· It is not known if Male Excel’s testosterone products are safe or effective in children younger than 18 years old. Improper use of testosterone in children may affect bone growth.
· Testosterone can be abused when taken at higher than prescribed doses and when used with other anabolic androgenic steroids. Male Excel’s Testosterone Lipoderm Cream is a controlled substance (CIII) because it contains testosterone that can be a target for people who abuse prescription medicines. Anabolic androgenic steroid abuse can lead to serious cardiovascular and psychiatric adverse reactions. Your doctor will check you for signs of abuse before and during treatment.
· Keep your Male Excel products in a safe place to protect them.
· Never give your Male Excel products to anyone else, even if they have the same symptoms you have.
· Selling or giving away this medicine may harm others and is against the law.

These are not all the possible side effects. See the Full Prescribing Information for more.

What Should You Know Before Taking Male Excel’s Testosterone Lipoderm Cream?

It is not known if Male Excel’s Testosterone Lipoderm Cream is safe or effective in treating men who have low testosterone due to aging.

It is not known if Male Excel’s Testosterone Lipoderm Cream is safe or effective in children younger than 18 years old.

Male Excel l’s Testosterone Lipoderm Cream is a controlled substance (CIII) because it contains testosterone that can be a target for people who abuse prescription medicines. Keep it in a safe place to protect it, and never give it to anyone else. Selling or giving away this medicine may harm others and is against the law.

Male Excel’s Testosterone Lipoderm Cream is not meant for use in women.

Male Excel’s Testosterone Lipoderm Cream can transfer from your body to others, including children and women. Transference can happen if other people come into contact with the area where Male Excel’s Testosterone Lipoderm Cream is applied. Children and women should avoid contact with the unwashed or uncovered (unclothed) areas where Male Excel’s Testosterone Lipoderm Cream has been applied to your skin.

Early signs and symptoms of puberty have occurred in young children who have come in direct contact with testosterone by touching areas where men have used Male Excel’s Testosterone Lipoderm Cream.

Signs and symptoms of early puberty in a child who has come in direct contact with Male Excel’s Testosterone Lipoderm Cream may include:

· Abnormal sexual changes.
· Enlarged penis or clitoris.
· Early hair growth near the vagina or around the penis (pubic hair).
· Erections or acting out sexual urges (sex drive).
· Behavior problems, including acting aggressively or behaving angrily or violently.

Signs and symptoms in a woman who has come in direct contact with Male Excel’s Testosterone Lipoderm Cream may include:

· Changes in body hair.
· An abnormal increase in pimples (acne).

To lower the risk of transfer of Male Excel’s Testosterone Lipoderm Cream from your body to others, you should follow these important instructions:

· Apply Male Excel’s Testosterone Lipoderm Cream only to areas of your shoulders, upper arms, or stomach area (abdomen) that a short-sleeve t-shirt will cover.
· Wash your hands right away with soap and water after applying testosterone cream
· After the gel has dried, cover the application area with clothing. Keep the area covered until you have washed or showered the application area well.
· If you expect skin-to-skin contact with another person, wash the application area well with soap and water.
· If a child or woman touches the area where you have applied testosterone cream, that area on the child or woman should be washed thoroughly with soap and water immediately.

Stop using Male Excel’s Testosterone Lipoderm Cream and call your healthcare provider immediately if you see any signs and symptoms of puberty in a child or changes in body hair. The same applies if you notice increased acne in a woman that may have happened through accidental touching of the area where you have applied Male Excel’s Testosterone Lipoderm Cream.

Do not use Male Excel’s Testosterone Lipoderm Cream if you:

· Have breast cancer or have or might have prostate cancer.
· Are pregnant. Male Excel’s Testosterone Lipoderm Cream may harm your unborn baby. Pregnant women should avoid contact with the area of skin where Male Excel’s Testosterone Lipoderm Cream has been applied.

Before using Male Excel’s Testosterone Lipoderm Cream, inform your healthcare provider about all of your medical conditions, including if you have breast cancer, prostate cancer, urinary problems due to an enlarged prostate, heart, kidney, or liver problems, or problems breathing while you sleep (sleep apnea).

Inform your healthcare provider of all medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Especially tell your healthcare provider if you take insulin, medicines that decrease blood clotting (blood thinners), or corticosteroids.

Male Excel’s Testosterone Lipoderm Cream can cause serious side effects, including:

· If you already have an enlarged prostate gland, your signs and symptoms can worsen while using Male Excel’s Testosterone Lipoderm Cream (including changes in urination).
· Possible increased risk of prostate cancer.]
· Blood clots in the legs or lungs. Signs and symptoms of a blood clot in your leg can include leg pain, swelling, or redness. Signs and symptoms of a blood clot in your lungs can include difficulty breathing or chest pain.
· Possible increased risk of heart attack or stroke.[sw4]
· In large doses, Male Excel’s Testosterone Lipoderm Cream may lower your sperm count.
· Swelling in your ankles, feet, or body, with or without heart failure. This may cause serious problems for people with heart, kidney, or liver disease.
· Enlarged or painful breasts.
· Having problems breathing while you sleep (sleep apnea).

The most common side effects of Male Excel’s Testosterone Lipoderm Cream include increased prostate-specific antigen (a test used to screen for prostate cancer), mood swings, high blood pressure, increased red blood cell count, acne, and skin irritation where the gel is applied.

This is the most important information to know about Male Excel’s Testosterone Lipoderm Cream. For further information, talk with your healthcare provider.

Tell your healthcare provider if you have any side effect that bothers you or does not go away.

These are not all the possible side effects of Male Excel’s Testosterone Lipoderm Cream. For more information, ask your healthcare provider or pharmacist.

Please click here to see full prescribing information, Medication Guide, and complete boxed warnings for the product.

You are encouraged to report any adverse side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

ADDITIONAL IMPORTANT SAFETY INFORMATION AND BLACK BOX WARNING

WARNING: Drugs with thyroid hormone activity, alone or together with other therapeutic agents, have been used for the treatment of obesity. In euthyroid patients, doses within the range of daily hormonal requirements are ineffective for weight reduction. Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects.

What Should You Know Before Taking Male Excel’s desiccated thyroid [tetraiodothyronine sodium (T4 levothyroxine) and triiodothyronine sodium (T3 liothyronine)]?

PLEASE NOTE: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a doctor.

This is not an Orange Book product and has not been subjected to FDA therapeutic equivalency or other equivalency testing. No representation is made as to generic status or bioequivalency. Each person recommending a prescription substitution using this product shall make such recommendations based on each such person’s professional opinion and knowledge upon evaluating the active ingredients, excipients, inactive ingredients and chemical information provided herein. All prescription substitutions and/or recommendations using this product shall be made subject to state and federal statutes as applicable.

What is Male Excel’s desiccated thyroid?

· Male Excel’s desiccated thyroid is a prescription medicine used to treat a condition called hypothyroidism from any cause, except for cases of temporary hypothyroidism, which is usually associated with an inflammation of the thyroid (thyroiditis). It is meant to replace or supplement a hormone that is usually made by your thyroid gland.

When should I not take Male Excel’s desiccated thyroid?

· Male Excel’s desiccated thyroid should not be used for weight loss. Do not use Male Excel’s desiccated thyroid if you have hyperthyroidism, overactive thyroid, uncorrected adrenal problems, or are allergic to any of its ingredients.

What warnings should I know about Male Excel’s desiccated thyroid?

· Large doses of Male Excel’s desiccated thyroid may cause serious or life-threatening side effects, including chest pain, increased pulse rate, rapid, strong, irregular heartbeat, and excessive sweating.
· Male Excel’s desiccated thyroid should be used with caution in people with heart disease, on diabetes medication, or on blood thinning medication.
· Children may experience partial hair loss in the first few months of thyroid therapy, but this will usually go away on its own.

What should I tell my healthcare provider?

· Tell your doctor immediately if you experience chest pain, increased pulse rate, rapid, strong, irregular heartbeat, excessive sweating, or any other unusual event.
· Tell your doctor about any other medical conditions you may have, especially heart disease, diabetes, blood clotting problems, and adrenal or pituitary gland problems. The dose of other drugs you may be taking to control these conditions may have to be changed while you are taking Male Excel’s desiccated thyroid.
· If you have diabetes, check your blood sugar levels and/or the glucose in your urine, as ordered by your doctor and immediately tell your doctor if there are any changes.
· Tell your doctor if you are allergic to any foods or drugs, are pregnant or plan to become pregnant, are breastfeeding or are taking any other drugs, as well as prescription and over-the-counter products.

What are the side effects of Male Excel’s desiccated thyroid?

· Side effects may include chest pain, increased pulse rate, rapid, strong, irregular heartbeat, or excessive sweating. If you experience these side effects, immediately contact your doctor.

What other medications might interact with Male Excel’s desiccated thyroid?

· Male Excel’s desiccated thyroid can interact with some medications, such as oral anticoagulants, which are medicines used to thin the blood, insulin or oral medications used to treat diabetes, certain medications used to treat high cholesterol levels, and estrogen-containing birth control pills.

IMPORTANT RISK INFORMATION

Thyroid hormones, including Male Excel’s desiccated thyroid, should not be used alone or in combination with other drugs to treat obesity or weight loss. In patients with normal thyroid levels, doses of Male Excel’s desiccated thyroid used daily for hormone replacement are not helpful for weight loss. Larger doses may result in serious or even life-threatening events, especially when combined with certain other drugs used to reduce appetite.

· Male Excel’s desiccated thyroid is contraindicated in patients with uncorrected adrenal insufficiency, untreated thyrotoxicosis, and hypersensitivity to any component of the product.
· In the elderly and patients with cardiovascular disease, Male Excel’s desiccated thyroid should be used with greater caution than younger patients or those without cardiovascular disease.
· Use of Male Excel’s desiccated thyroid in patients with diabetes mellitus or adrenal cortical insufficiency may worsen the intensity of their symptoms.
· The therapy of myxedema coma requires simultaneous administration of glucocorticoids.
· Concomitant use of Male Excel’s desiccated thyroid with oral anticoagulants alters the sensitivity of oral anticoagulants. Prothrombin time should be closely monitored in thyroid-treated patients on oral anticoagulants.
· In infants, excessive doses of Male Excel’s desiccated thyroid may produce craniosynostosis.
· Partial loss of hair may be experienced by children in the first few months of therapy but is usually transient.
· Adverse reactions associated with Male Excel’s desiccated thyroid therapy are primarily those of hyperthyroidism due to therapeutic overdosage.
· Many drugs and some laboratory tests may alter the therapeutic response to Male Excel’s desiccated thyroid. In addition, thyroid hormones and thyroid status have varied effects on the pharmacokinetics and actions of other drugs. Administer at least 4 hours before or after drugs that are known to interfere with absorption. Evaluate the need for dose adjustments when regularly administering within one hour of certain foods that may affect absorption.

Please click here to see full prescribing information, including BOXED WARNING and important safety information.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088