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What is a dangerously low testosterone level?

In general, levels below 300 combined with symptoms are indicators of a testosterone deficiency. If it is determined that you may benefit from testosterone therapy, we take this seriously. In men who have severe symptoms, getting treatment can be life-changing.

nebraskamed.com - Low T-like symptoms could signal something more serious

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Christopher Deibert, MD, urologist

If you listen to the media, you might think that all men suffer from low testosterone (low T).

But that’s far from the truth.

While it’s true that most men will experience a small drop in testosterone production each year after 40, the facts are, only about 14% of men suffer from low T that is clinically significant. And of that group, only about 5% has symptoms severe enough to warrant treatment. The challenge in diagnosing low T is that it can cause symptoms that are very similar to other health problems that can be even more serious like sleep apnea or depression. These symptoms include low motivation, decreased stamina and energy, low sex drive, depression, hot flashes, loss of muscle mass and mood swings. Here at the Men’s Health Program, we help men with low T and other health problems. We also treat male health conditions such as erectile dysfunction. Our clinic is staffed by a urologist and other health care providers who specialize in men’s unique health problems and we are committed to getting to the root of your problem.

Not feeling yourself?

We'll help you find out why. Please call 800.922.0000 to schedule an appointment with one of our men's health experts. So not only are we going to test your testosterone levels, but we are also going to check for other diseases that are often associated with low T that may need treatment as well. This includes conditions like diabetes, high lipids, high cholesterol, high blood pressure and coronary artery disease. While one does not appear to cause the other, these conditions tend to co-exist. If we were to only treat your low T and not treat additional co-existing problems, you would never reach your optimal health. If we find you have other health problems, we can get you in quickly to see other providers in internal medicine, endocrinology, cardiology or pulmonology with whom we collaborate to ensure we are providing you thorough and comprehensive care for your condition. This is why testing for low T should always involve a thorough physical exam and medical history to rule out other explanations for your symptoms. We are also going to make sure you are up-to-date on other age-appropriate screenings like the prostate or colorectal screening. It is important to be diagnosed and treated properly, as testosterone replacement therapy can cause blood clots, stroke, heart or liver toxicity. It can also raise a man's red blood cell count, enlarge his breasts and accelerate prostate growth. We are not going to treat you for low T if it’s not necessary. You should also be screened for prostate cancer before receiving testosterone therapy. While testosterone therapy does not cause prostate cancer, it can cause it to grow faster.

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Confirming your testosterone level can be achieved with a simple blood test. The bottom of a man's normal total testosterone range is about 300 nanograms per deciliter (ng/dL) and the upper limit is about 800ng/dL, depending on the lab. In general, levels below 300 combined with symptoms are indicators of a testosterone deficiency. If it is determined that you may benefit from testosterone therapy, we take this seriously. In men who have severe symptoms, getting treatment can be life-changing. There are several types of therapy that have proven effective. One of these is an oral prescription therapy called clomiphene citrate that stimulates the body to produce more testosterone on its own. This therapy is effective in about 70% of men. The most effective treatments are synthetic testosterone replacement therapies. These can be administered with a gel application to the upper arm, a daily patch on the shoulders, self-injections every couple of weeks or pellets that are placed under the skin in the lower back and can last three or more months. Replacement therapies that should not be used include over-the-counter testosterone boosters and bioidentical therapies – neither of which are regulated, tend to have more variability in the actual testosterone potency and are rarely effective enough to produce significant results. Synthetic replacements, on the other hand, are made of chemicals and compounds in a lab that mimics the same structure and chemical composition of hormones produced by the body and are far more accurate, safer and effective. If you have been feeling fatigued, moody or depressed lately, come in for an evaluation. It could be your testosterone or it could be something more serious. Whatever the case, we will get to the root or your problem and help you get to your optimal health again.

nebraskamed.com - Low T-like symptoms could signal something more serious

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