We are driven by a desire to help others and make a difference in as many lives as we can. We are about a full swing lifestyle of health, fitness, and life balance. Sharing our experiences to offer patients hope and excitement to a new era of their life is the foundation of this group.
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By the time men are between the ages of 40 and 55, they can experience a phenomenon similar to the female menopause, called andropause. Both andropause and menopause are distinguished by a drop in hormone levels. Menopause reduces estrogen in females and andropause reduces testosterone in the male. The bodily changes occur very gradually in men and may be accompanied by changes in attitudes, fatigue, a loss of energy, sex drive, depression, and physical agility.
Studies show that a decline in testosterone can actually put one at risk for other health problems like heart disease and weak bones. Since all this happens at a time of life when many men begin to question their values, accomplishments, and direction in life, it’s often difficult to realize that the changes occurring are related to more than just external conditions.
A recent World Health Organization report analysed male hormones and found that the testosterone levels in most 70 year old men were 10% of the level in males that are 25 years old. By the time men are between the ages of 40 and 55 they can begin experiencing symptoms of andropause.
Age Management Medicine distinguishes itself from anti-aging by being a more evidence based, proactive, preventative approach to healthcare for an aging population focused on preservation of optimum human function and quality of life making every effort to modulate the process of aging prior to the onset of degenerative aging.
There is a 4 in 7 chance of receiving the baldness gene. Onset of hair loss sometimes begins as early as the end of puberty, and is mostly genetically determined. It was previously believed that baldness was inherited from the maternal grandfather. While there is some basis for this belief, both parents contribute to their offspring's likelihood of hair loss. Most likely, inheritance is technically "autosomal dominant with mixed penetrance"
The trigger for this type of baldness is DHT, a powerful[sex hormone, body- and facial-hair growth promoter that can adversely affect the prostate as well as the hair located on the head. The mechanism by which DHT accomplishes this is not yet fully understood. In genetically-prone scalps, i.e. those experiencing male or female pattern baldness, DHT initiates a process of follicular miniaturization, in which the hair follicle begins to deteriorate. As a consequence, the hair’s growth phase (anagen) is shortened, and young, unpigmented vellus hair is prevented from growing and maturing into the deeply-rooted and pigmented terminal hair that makes up 90 percent of the hair on our heads. In time, hair becomes thinner and its overall volume is reduced, resembling fragile vellus hair or "peach fuzz" until, finally, the follicle falls dormant and ceases producing hair completely.
A variety of medications have been proven to slow hair thinning, help grow new hair or enlarge existing hairs to create better coverage. Most require long-term use as, if stopped, hair loss returns. Some treatments are topical, and activated by being sprayed or rubbed into the scalp, while others are taken in pill form. One of the most popular medications, corticosteroids, are either injected into the scalp, taken in pill form or applied in an ointment, and are used especially to treat patchy hair loss.
As men enter middle age they may notice changes caused by a relative decline in testosterone: fewer erections, fatigue, thinning skin, declining muscle mass and strength, more body fat. This dissatifaction with the changes of aging has led to the development of the idea of androgen replacement therapy.
Male hormones are called androgens from Greek words andro meaning man, and gen meaning giving birth to. Primary among them is the natural hormone testosterone, which is produced in the testes, ovaries and adrenals. Females also produce testosterone in the adrenals and as a precursor to estrogen, but the amount of circulating testosterone is generally far less than in males, although the ranges on the two genders overlap. Both sexes also produce an androgen precursor called dihydroepiandrostene (DHEAS) from which the body can make androgens. Androgens cause the secondary sex characteristics of males: facial hair, thicker skin, low body fat, deeper voice, muscularity, penis and scrotal growth and darkening, broad shoulders, body hair, erection of the penis, etc. With increasing age, testosterone production declines, and many of these changes start to reverse.
There are several artificial androgens, including nandrolone and various other manipulations of the testosterone molecule. Androgen replacement is via patch, tablet, pill, cream or gel; or depot injections given into fat or muscle.
Users report an increased alertness and well-being, heightened libido and erection ability, increase in lean muscle mass and concomitant decrease in body fat.
Adverse effects of testosterone supplementation include minor side effects such as acne and oily skin, and more significant complications such as increased hematocrit which can require venipuncture in order to treat, exacerbation of sleep apnea and acceleration of pre-existing prostate cancer growth in individuals who have undergone androgen deprivation.
We have a dedicated group of doctors who strive for results that meet our clients’ needs. The highly skilled staff of doctors take time to review medical history, blood work, and all of your goals and concerns to help you achieve the New Era in your life. The motto we live by is “Strengthening and reclaiming your life,” soon you will too.
We offer nutrition programs custom-tailored to your individual goals. Below is a list of our most popular nutrition programs:
•Lean Mass Building Guide: Add lean mass and strength without all of the unwanted bloat or bulk.
•Clean Life Style Guide: Incorporate many new meal options into your daily diet and routine to ensure you stay in shape and on track. Achieve extreme results without being weighed down by bland food.
•I Love My New Baby But Not This Baby Weight: Calling all moms (new or old!) who want that pre-pregnancy figure back, maybe even a better figure than before. Designed by women for women; getting you to the best shape of your life is our main objective.
•Competitive Athlete Program: Tailored for the competitive athlete, our experienced staff works to help you get the best results. From tri-athletes to bodybuilding to mountain bike racing, we have a program that will work for you.
1. Reach out to your client care consultant to schedule an appointment to meet your Dr. and get your blood work completed.
2. Follow up visit with our Dr. group to review the results and program recommendations.
3. Receive you program mailed conveniently to your home and contact your client care consultant with any questions
It’s that simple, we look forward to helping you reach a New Era of your Life!
We are driven by a desire to help others and make a difference in as many lives as we can. We are about a full swing lifestyle of health, fitness, and life balance. Sharing our experiences to offer patients hope and excitement to a new era of there life is the foundation of this group.
New Era Health Group was founded by three guys with varying hormone deficiencies. While searching for a solution they found minimal advice, both good and bad, from all kinds of medical professionals. After working closely with the doctor group, they succeeded with identifying a thorough and safe process that addressed these deficiencies.
Now offered by New Era Health Group, these therapies are designed to get clients healthier by increasing performance, stamina, and energy. The success of their patients fuels their passion for developing New Era Health Group.
After living with these symptoms for long enough, I consulted with a physician in 2010. I was surprised to learn that the real cause of the problem was my age, rather than the injuries I sustained years prior. Still slightly skeptical, I started hormone replacement therapy. Within a matter of weeks I could see noticeable changes; I realized I was finally on the road to a complete recovery. My attitude about my situation changed and I welcomed the thoughts and feelings of overcoming this battle. Today, all of my previous ailments are gone and I look forward to the next stages of my life with both the energy and drive to be a great dad.”
"60 hour work weeks never affected me until two years ago. Turning 43 and managing life as a Corporate Attorney negatively impacted the energy I put towards running, golfing and my sex life; “blue-diamonds” were must for me! I did not realize there was a solution to my energy problems until a friend, who dealt with similar issues, recommended NewEra and the programs developed for men my age. I contacted New Era immediately, consulted with their physicians and started the program that worked best for me. Since I found NewEra HRT Group, I have experienced a complete life transformation. I’m back enjoying the things I used to love, on top of my hectic work schedule, and my wife is much happier with the newfound energy I put towards her!”
Traders on Wall Street are always looking to get an edge and pull ahead, especially in this catch-a-falling knife market. The latest secret weapon isn’t some complex trade or computer algorithm, it’s something more primal — testosterone.
Testosterone has been blamed for many a bar fight but some aging traders and executives — and aging on Wall Street means 30 and up — who feel these young kids breathing down their necks and the economic screws tightening, say boosting their testosterone levels has helped them get their edge back.
Testosterone levels in men tend to be anywhere from 150 to 850 nanograms per deciliter (ng/dL), depending on age and other factors. Testosterone levels typically start to decline after age 30. For some men, as they get older, those levels fall to 200 or below. "Low T" as its been branded, has been attributed to that sluggish feeling, muscle aches, belly fat, low stamina, low sex drive and lack of focus that many just attribute to the aging process.
One of the most widely known ads for Low T is of a shirtless 64-year-old man whose head looks like a 64-year old, but whose ripped body looks like that of a man half his age. That’s for a Las Vegas-based mega-clinic called Cenegenics, which has 20 centers and 20,000 patients in the U.S. They opened a Wall Street clinic a year and a half ago in the Trump Building on Wall Street. And, while some other businesses on Wall Street were floundering during the recession, their business tripled. So much so that they’re hiring more doctors and moving to a bigger space by year end.
Dr. George Shapiro, the CEO and chief medical officer of the Wall Street clinic, was a cardiologist for 20 years when he decided to seek treatment from Cenegenics to get his energy, focus and muscle tone back. After becoming a patient, he was such a believer, he joined Cenegenics as a doctor to help other men — and a few women — who were similarly struggling with symptoms most just chalked up to the aging process, figuring there was nothing they could do about it.
“I get feedback within two to four weeks” from patients, Shapiro said. “Their lives have changed. It’s a 180-degree turnaround. They say they can’t believe they felt this way for so long and it was something that could be helped.”
Dr. Lionel Bissoon had a practice on the upper west side of Manhattan doing a booming business in Botox and cellulite treatments. That all but dried up during the recession. He said one day he walked in and he had no patients on the calendar. He decided he wasn’t taking the recession lying down, so he shifted his practice to testosterone treatment. At first, he was worried he was just going to get a bunch of gym rats who wanted to pump it up. To his surprise, most of the people who walked through his door were guys who worked in the financial-services industry and who were beaten down during the recession and looking to get an edge with anything they could get their hands on.
They all had common complaints: “’Doctor, I’m tired. I’m run down. My muscles are sore. I get home and I don’t want to play with my kids. I feel my creativity slipping. I don’t wake up with morning erections,’” Bissoon said. "I said, 'If you wake up in the morning and the only thing stiff is your back, you should be taking testosterone!'"
The treatments are aimed at getting a patient’s testosterone level up to an optimal range, around 850 to 900, Bissoon said.
He said about 90 percent of his patients are guys who work in finance — traders, CEOs, upper-level management. And it’s not just the little guys or executives from small companies. He’s got patients from some of the biggest names in finance, including Goldman Sachs [GS 96.39 -0.12 (-0.12%) ], Citigroup [C 27.06 -0.04 (-0.15%) ], Bank of America [BAC 7.53 --- UNCH ], American Express [AXP 56.18 -2.11 (-3.62%) ], and Morgan Stanley [MS 13.37 -0.62 (-4.43%) ].
The patient list at Cenegenics also reads like a Who’s Who of Wall Street: Goldman Sachs, JPMorgan [JPM 35.1195 0.1595 (+0.46%) ], Deutsche Bank [DB 31.66 0.13 (+0.41%) ], Bank of America, traders from the New York Stock Exchange and Nasdaq and a lot of hedge funds.
Many complain that they used to love going to work but now they’re losing their edge. Their head’s not in the game as much.
In the greed-is-good era of the 70s and 80s, Wall Street stress was treated with antidepressants and antacids drugs that didn’t treat some of the symptoms associated with low testosterone like low energy and sex drive.
Boosting a person’s testosterone levels — and yes, it can be done for women as well as men, just in much smaller doses — can come in different forms: injections or topical creams. Testosterone in any form requires a prescription from a doctor. The dosage varies by patient and form — injections tend to be done a couple times a week and creams applied every day. Doctors caution that the cream isn’t for everyone, particularly those with small children, a pregnant spouse or pets in the house, since it can rub off your skin for many hours after application and could cause unwanted side effects in family members or pets.
Brian Pasalich, a partner at a financial-services firm, said he used to be really athletic and had a driven personality. At 35, he started having a hard time sleeping, was hitting a wall at 3pm, was having more mood swings and losing his sex drive. He considered some of the larger clinics like Cenegenics, which work on a retainer and cost $1,000 and up and a month for integrative hormone, diet and exercise regiments, but he ultimately opted to go with Dr. Bissoon. Bissoon said his services and tests typically cost around $1,000 for the whole year, plus roughly $500 for testosterone and other medication, though some of that is covered by insurance.
After a thorough exam and analysis from Dr. Bissoon, Pasalich opted for the testosterone shots. He gets them twice a week and said after two weeks, he began to start seeing a big difference.
“I had more energy. I was back to my old self. My mood was better. I was happier my sex drive was back and it helped my attitude,” Pasalich said. It also made him sharper.
“No doubt about it. When I was lower (testosterone), I was easily distracted. I felt drained and my energy was gone. Not as focused. For the first time in my life, I had started to see myself not as the young guy but as the experienced guy,” he said. “You need energy to deal with things. Now, it’s easier for me to handle because I have the energy and focus to deal with it. This is like how you feel after a cup of coffee — you’re awake and can do anything!”
Now 38, Pasalich said, “I feel like I’m in my early 30s! People say I don’t look my age I act younger — and look younger! Haha.”
Indeed, Pasalich said he not only has more energy in his professional life, but his personal life as well. He said sometimes he stays out until 3 or 4 in the morning, something that makes most people over 40 tired just thinking about it!
Testosterone isn’t a one-time deal — you have to keep taking it to keep your levels up. Just to give his body a break, Pasalich said he takes the shots twice a week for about three months, then takes a month off. He actually feels the difference during that month of having lower testosterone levels.
John Gapper points us toward a recent study finding that chief executives with higher levels of testosterone are more aggressive in M&A situations.
"We are familiar with dominant chief executives who want to get their own way, but an academic study has found that young CEOs with high levels of testosterone are not only more likely to launch bids but more likely either to withdraw a bid in anger or to launch a hostile tender offer.
The researchers at the University of British Columbia did not actually test the CEOs in their study for levels of testosterone (they used age as a proxy) and my first reaction was to wonder if they were constructing a good story.
However, having read the study, they did consider alternative explanations, such as older CEOs being more likely to bid an acceptable amount for a target and found no evidence for them. Higher testosterone in younger chief executives remained the most likely explanation.
As they point out, M&A activity is thus similar to the “ultimatum game” - a psychological test in which two people are asked to split $40. The higher the level of testosterone in a male participant, the more likely he is to reject a low offer from his companion, even if it is all he can get."
JAndropause /an•dro•pause/ (an´dro-pawz) a variable complex of symptoms, including decreased Leydig cell numbers and androgen production, occurring in men after middle age, purported to be analogous to menopause in women.*
Experts say 52 percent of men age 40 to 70 have erectile problems – that’s about 30 million men in the United States. Is the answer a prescription like Viagra, or could it be andropause?
Andropause is referred to as the male menopause, or colloquially as “manopause.” Each of these terms is used to describe the gradual decline of testosterone experienced by many men as they age. Testosterone levels typically peak in a man’s mid-to-late 20s and gradually decline with each passing year. As testosterone production declines, levels of other hormones, such as estrogen, begin to increase. These incessant fluctuations in hormone levels make it increasingly difficult for remaining testosterone to function effectively. The resulting deficiency of testosterone brings on many of the same symptoms that women experience during menopause: hot flashes, night sweats, weight gain, irritability, diminished sex drive, fatigue, hair loss, insomnia and decreased muscle mass.
The key difference between menopause and andropause is that with andropause, hormone imbalances evolve gradually over time causing symptoms to go unnoticed or are dismissed as a normal part of the aging process.
Testosterone assists the male body in building protein and is crucial for normal sex drive, stamina and the ability to achieve erection. Testosterone also contributes to several metabolic functions including bone formation, liver function, prostate gland growth and production of blood cells in bone marrow.
While testosterone is declining in men, the sex binding hormone globulin (SHBG), also called androgen-binding protein, increases in levels. SHGB inhibits a substantial portion of remaining testosterone from working - the remaining working testosterone is referred to as bio-available testosterone or “free T.” Bio-available testosterone declines with time, causing the development of symptoms classically associated andropause.
The risks and benefits of testosterone replacement may be evaluated by a qualified hormone therapy expert. Androgen replacement therapy is not a one size fits all treatment - testosterone replacement therapy is a treatment for men with low testosterone who want to boost their health and overall well-being. Through hormone therapy and a regimented treatment plan, the aches and pains of andropause may be minimized or eliminated – without the risk – testosterone therapy is not linked to prostate cancer and has been shown to improve cholesterol levels and decreases the risk of heart disease.
*Dorland's Medical Dictionary for Health Consumers. © 2007 by Saunders, an imprint of Elsevier, Inc. All rights reserved.
Several years ago Dave O'Neal, 47, was having serious health problems that no one could diagnose. The Columbia, Ill., man was totally uninterested in sex and had very low energy levels. O'Neal went to several doctors and even a therapist but no one could tell him what was wrong. Eventually O'Neal was diagnosed with androgen deficiency, a problem of low testosterone levels in the body, also known as male menopause.
"One doctor just told me to take some vitamins and I thought it was depression, but they would never diagnose it as full blown depression," says O'Neal.
As men age, their testosterone levels gradually decline and some men go through what is now called male menopause. But many never get diagnosed or treated because until now male menopause has been in the closet.
"The male ego doesn't usually ever want to admit to having a problem. Men want to be macho and if they have a problem they just don't want to talk about it," says O'Neal. "I have had several guys come up to me and ask me questions. But the guys will only talk to me in private." O'Neal thinks the issue is now becoming more mainstream in part because he and so many other men are finally beginning to discuss their experiences.
O'Neal has been giving himself testosterone injections twice a month for the past 5 years and now has no symptoms of male menopause. He also has few problems with depression and says he has a healthy sex life.
While menopause is relative easy to diagnose in women -- their menstrual periods stop -- diagnosing male menopause (also known as andropause) in men is trickier and requires a blood test to check testosterone levels. Consequently, the condition often goes undetected. "Very few people are addressing the problem of male menopause and the profound consequences the loss of testosterone can take on a man," says Dr. David Thomas, a professor of geriatrics at St. Louis University School of Medicine.
Thomas says of the estimated 4 million to 5 million American men with low testosterone, only 5 percent currently are being treated. About one in every 10 men between the ages of 40 and 60 has low testosterone. Among men over the age of 60, the numbers jump to one in every five men, according to researchers.
"I think it is still in the closet but it is gradually coming out of the closet," says Dr. John Morley, who heads up the department of geriatrics at St. Louis University. "Low testosterone is a real condition that can cause men problems with their sex drive, strength and memory, and make them susceptible to weakened bones. But detecting the problem can be sticky because many men don't want to admit their sex drive isn't what it used to be." Morley has now created a 10-question, Androgen Deficiency in Aging Men (ADAM) screening tool to help physicians detect the problem. A horomone study for men?
In addition, Morley is calling on the federal government to fund a major study that would assess the long-term risks and benefits of treating middle-aged men with testosterone therapy. He is pushing the National Institutes of Health to fund a Men's Health Initiative that would cost up to $200 million. The study would be an 8-to-10-year project involving 16,000 to 20,000 men who have low testosterone and would examine the effect of testosterone therapy on prostate cancer and cardiovascular disease, as well as on improvements in mobility and decreases in spinal fractures. "The delay in doing the Women's Health Initiative resulted in many women using an estrogen/progestin combination to prevent heart disease when it clearly increased it," says Morley. "We have the opportunity not to make the same mistake in men."
Currently, a small number of studies have shown that testosterone replacement in men who have low levels of the hormone can improve libido and enhance sexual function. The studies have also shown that testosterone replacement therapy can increase bone mineral density, muscle mass and strength, and help improve mood. However, research to date has not documented whether testosterone replacement therapy has adverse side effects.
"I am not sure it has to be done at the same level as the Women's Health Initiative but we need something. They had 20,000 women. We think a study with 6,000 men could answer the questions in a 5-to-6-year study," says Dr. Glenn Cunningham, a professor of medicine at Baylor College of Medicine in Houston.
For now, a key concern is whether long-term testosterone therapy may affect a man's risk for prostate cancer. It's possible that the treatment could raise hormone levels in the body and accelerate the growth of pre-existing prostate cancer tumors, experts say.
O'Neal, who has been injecting testosterone twice a month for more than 6 years, gets screened for prostate cancer every 6 months. He undergoes a PSA (prostate specific antigen) exam, a routine blood test that helps detect prostate cancer.
"I think this is where the man has to have a relationship with his physician and his physician has to be an educator and have a thorough discussion of what are the man's symptoms. Right now, the risks appear to be low when it comes to prostate cancer. But we need to quantify those risks," says Dr. Kevin Loughlin, a professor of surgery at Harvard Medical School and a senior surgeon at Brigham and Women's Hospital in Boston.
While many men have never heard of male menopause, often their physicians are hesitant to bring up the issue because there are still so many unanswered questions about who would benefit from replacement therapy. "I think it's a joke," says Paul Joste, a 45-year-old painter in St. Louis. Joste believes lower testosterone levels are part of the natural aging process and should not be turned into a medical problem. Like many other men in his age group, Joste doesn't want to visit a doctor for regular checkups and don't see a need for hormone therapy.
But Morley and other experts contend that Joste is terribly misinformed. They say many men who are middle-aged today will live well into their 80s and 90s and need to be concerned about the issue.
Dr. Larry Lipshultz, a professor of urology at Baylor College, says Joste and other men like him will soon be changing their minds once they are better educated -- or once they develop more severe symptoms.
"I know men are interested in it and I know more men are showing up for a diagnosis and treatment. You can just see that more prescriptions for testosterone are being given out. There is steady growth," says Lipshultz.
For now, most medical experts agree that only men over the age of 40 with symptoms of low testosterone should have a blood test and be screened.The NIH has asked the Institute of Medicine to determine whether a large study on testosterone replacement therapy, similar to the Women's Health Initiative, is justified. Committee members at the IOM have been interviewing experts on testosterone therapy, including Morley, and a recommendation is expected later in October.