For Men

Optimal Hormone Balance

“We age because our hormones decline.  Our hormones do not decline because we age.”  This is the basis of the Neuroendocrine theory of aging. Hormones are chemical substances in our bodies that are released to have an effect on target tissues somewhere else in our body.  Hormones serve to turn on cell functions and turn off cell functions.  They control our response to illness by  interacting  with our immune system, our response to stress, our sexual development, our growth and our metabolism.  Observational studies of large populations have noted that individuals who die prematurely of chronic debilitating illnesses tend to have low levels of hormones and individuals who live long and robust lives tend to have higher levels of most hormones.  Optimal hormone levels occur for most individuals during their twenties and thirties, and then begin a steady progressive decline.  Hormone balance and optimization does not result simply by taking a prescription for hormones.  The first order of priority is to balance those hormones that contribute to inflammation, pain and cancer by adopting healthy low glycemic diet, perform routine exercise and adopt a stress free lifestyle.  Secondly, all of us have the capacity to boost the endogenous production and secretion of Testosterone and Growth Hormone by further improving our body composition and body fat through more intense exercise and targeted nutraceutical supplementation.  After these efforts have been implemented and if you continue to remain symptomatic than the third order of priority is optimize your hormone levels to the top quartile of your age group.


Testosterone has always been known as the male sex hormone. It has recently been shown to be linked to longer healthier lives in both men and women. As Testosterone levels decline with age, there are health problems that accompany this loss of hormone. Testosterone optimization has been shown to be effective in providing many health benefits. Testosterone optimization results in increased muscle strength and lean body mass, improved sexual response, reversal of impotence, and improved body composition. Testosterone has also been shown to prevent osteoporosis, arthritis and degenerative joint change. It improves the sense of well-being and depressed mood that are frequently seen in andropause (male menopause). It has also been shown to improve memory, as does estrogen in women. Most of all, it has been shown to protect against cardiovascular disease in both men and women.

Men who receive Testosterone optimization consequently report that they feel sexier, stronger and healthier. They state that it makes them feel as they did when they were in their prime. After all, this is what replenishment of hormones is all about. It is about restoring hormones to youthful levels so you can feel as you did when you were at the peak of your physical and mental ability. Testosterone can slow down the physical decline that robs men of their energy, strength and libido. Testosterone can restore muscle tone and improve stamina. Testosterone can restore healthy sexual excitement and desire, which in turn results in an improvement in mood and overall well-being.

Testosterone is responsible for the sex drive of both men and women. As Testosterone diminishes with age, so does the sexual functioning in both men and women. Restoring Testosterone to youthful levels can reverse this situation. All too often, men and women automatically assume that as they age, their sexual capacity will diminish. There is no need to accept this loss of sexuality. Testosterone can play a critical role in helping to preserve and even restore sexual desire and function so that we can live our extended life span with the same excitement and enthusiasm we enjoyed in our youth.

Growth Hormone

Of all the interventions that Age Management Medicine has brought to patients who wish to slow the aging progress and stave off debilitating illness, Human Growth Hormone (HGH) is arguably the most profound and the most controversial.  Human Growth Hormone, also known as Somatotropin, is the most abundant hormone made by the pituitary gland in the brain.  HGH is released in a pulsatile manner, determined in large part by circadian rhythms.  Most HGH release occurs during stages III and IV deep sleep – hence the need for a good nights sleep.  Growth hormone is considered the master hormone of the body with prominent roles.  In adults, HGH helps to maintain lean muscle mass, good bone density, healthy supple skin tone.  HGH increases brain function, and supports nearly every organ in our body.  Just like Testosterone, HGH levels decline significantly with age.  The muscle building actions of HGH don’t come from Growth Hormone directly, but are mediated by conversion and release from the liver of a more potent and active form, known as Insulin Like Growth Factor -1.    IGF-1 has become the surrogate marker of Human Growth Hormone.

Signs and symptoms associated with Adult Growth Hormone Deficiency (AGHD) include decreased mood and well-being, quality of sleep, loss of lean muscle mass, bone density and exercise capacity.  Individuals with low levels of HGH frequently have associated insulin resistance, increased central abdominal and visceral obesity, increased CRP inflammatory markers and premature atherosclerosis.   Human Growth Hormone levels can be boosted with proper nutrition, resistance training, improved REM sleep and by first optimizing Testosterone levels.  HGH replacement therapy is never a first-line therapy for aging related problems and is not indicated or authorized for anti-aging purposes.  Careful monitoring of blood work and routine physical exams are essential with HGH replacement therapy.  Conditions in which HGH should not be administered include:  any form of active cancer, liver disease, acute illness or diabetes.

Stay Fit Forever Age Management Medicine

Stay Fit Forever Age Management Medicine has the knowledge and expertise to maximize your potential for optimal health and well-being by helping you adopt a more healthy lifestyle, by providing you with the guidance and support you need to improve your current exercise program and by judicious and selected use of bio-identical hormone supplementation therapy.  Start by taking the Androgen Deficiency in Aging Male (ADAM) Survey on the top of the home page of this web site.  An affirmative response to three or more of these questions suggests that you may benefit from hormone replacement therapy