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Low Testosterone

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Managing testosterone levels

Over the past several years Dr. Gavrila has been talking with more and more male patients about low testosterone. It seems that everywhere you look these days you can’t avoid it, a TV commercial, an ad in a magazine, a voice on the radio during your ride to work. The media and advertising campaigns have put the issues associated with Low T front and center and it appears that men all over the world are ready and willing to let down their guard and open up with questions, concerns, and hopes of recapturing the energy and stamina of their youth.

We at ProMD Health understand these concerns and we have the knowledge and experience to help. With that said, let’s roll up our sleeves and get down to business!

testosterone

The role of Testosterone

Testosterone is a steroid hormone from the androgen group made by the body. It is the principal male sex hormone and an anabolic steroid. In men, testosterone plays a key role in promoting characteristics such as increased muscle and bone mass and is essential for health and well-being. Most of the testosterone in a man’s body is produced in the testes.

What is low Testosterone?

Testosterone deficiency syndrome (TDS), formerly termed andropause, is characterized by a deficiency in serum testosterone (T) levels with or without changes in receptor sensitivity to androgens. This syndrome is also variably referred to as Low T, hypogonadism, or late-onset hypogonadism (LOH).

Causes of Low Testosterone

What causes Low T? Low T can occur when a signaling problem arises between the brain and the testes that causes a drop in the amount of testosterone that is being produced. The bottom of a man’s normal total testosterone range is about 300 nanograms per deciliter (ng/dL). The upper limits are 1,000 to 1,200 ng/dL. A lower-than-normal score on a blood test can be caused by a number of conditions, including:
  • Aging
  • Injury to the testicles
  • Hormonal disorders
  • Testicular cancer or treatment for testicular cancer
  • Certain medications & genetic conditions
  • Infection
  • Obesity
  • Chronic liver or kidney disease
  • Type 2 diabetes
  • HIV/AIDS
  • And yes, we’re not afraid to say it, sometimes the cause just isn’t known

Symptoms of low Testosterone

Signs of  Low T can often be subtle and, in many cases, are written off as a normal sign of aging. When testosterone production drops or ceases, a range of symptoms and complications can occur, such as:
  • Sexual dysfunction (unable to maintain erections)
  • Reduced sex drive (reduced sexual activity)
  • Decreased energy
  • Reduced muscle mass
  • Depressed mood
  • Increase in body fat
  • Decrease in bone strength
  • Loss of body hair reduced shaving

Testing for Low Testosterone

This can be identified through a simple blood test ordered by Dr. Gavrila. This test is typically ordered in the morning hours when levels are highest, as levels can drop by as much as 13% during the day.

Ways to enhance your treatment

Improve your Diet and Lifestyle
  • Avoid alcohol, vinegar, and caffeinated drinks (alcohol may increase the conversion of testosterone to estradiol depleting a man of his testosterone)
  • Avoid sugar, sweets, soft drinks, cookies, bread, pasta, and other cereals
  • Avoid cereal fiber (whole grain bread, bran flakes)
  • Avoid milk products
  • Avoid being overweight, obesity
  • Avoid tight underwear and trousers
  • Avoid excessive chronic stress (especially prolonged), including strenuous physical activities
  • Avoid tobacco smoking
  • Avoid marijuana, other drugs (marijuana and many other drugs which increase the body’s opioids, reduce LH secretion, and consequently lower the testosterone production)
  • Avoid or reduce the dose of beta-blockers (beta-blockers reduce the human body’s production of testosterone)
  • Eat enough calories
  • Follow a “Paleolithic” diet: fruits, vegetables, meat, poultry, eggs, fish
  • Add a well-balanced, mixed amino acid supplement
  • Eat organic foods

Ways to enhance your treatment

Improve your Diet and Lifestyle

  • Avoid alcohol, vinegar, and caffeinated drinks (alcohol may increase the conversion of testosterone to estradiol depleting a man of his testosterone)
  • Avoid sugar, sweets, soft drinks, cookies, bread, pasta, and other cereals
  • Avoid cereal fiber (whole grain bread, bran flakes)
  • Avoid milk products
  • Avoid being overweight, obesity
  • Avoid tight underwear and trousers
  • Avoid excessive chronic stress (especially prolonged), including strenuous physical activities
  • Avoid tobacco smoking
  • Avoid marijuana, other drugs (marijuana and many other drugs which increase the body’s opioids, reduce LH secretion, and consequently lower the testosterone production)
  • Avoid or reduce the dose of beta-blockers (beta-blockers reduce the human body’s production of testosterone)
  • Eat enough calories
  • Follow a “Paleolithic” diet: fruits, vegetables, meat, poultry, eggs, fish
  • Add a well-balanced, mixed amino acid supplement
  • Eat organic foods

CAUTIONS MEN SHOULD KNOW ABOUT

Testosterone therapy can raise a man’s red blood cell count. This can lead to a thickening of the blood, which may make a stroke and clotting more likely.

Uncommon side effects include sleep apnea, acne, and breast enlargement. All such side effects go away if treatment is stopped.

Men who use a testosterone gel should wash their hands thoroughly after applying a dose and make sure that no one else touches the spots where they medicate. If a woman or child comes into contact with testosterone gels, it can cause side effects in them, including hair growth and premature puberty. Although there is potential, a transference of testosterone creams or gels to women or children is very rare. Still, as a precaution, it is advised that men should avoid skin-to-skin contact with women or children for the first two to four hours after applying medication.

To continue to benefit, a man with low testosterone must remain on a regimented treatment plan. To learn more about the benefits and risks associated with Low T Therapy and to see if it’s right for you, contact us NOW and schedule a consultation.

We all know that we aren’t getting any younger, but with a boost from “Vitamin T” we can at least feel that way! Contact us today at ProMD Health and schedule a consultation at our Annapolis, Baltimore, or Arlington location!

Choose Your Location

To book an appointment online, select one of the following locations.

Annapolis, MD (21401)

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Arlington, VA (22201)

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Timonium, MD (21093)

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Bel Air,
MD (21015)

Columbia, MD (21045)

Columbia
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Wellington, FL (33414)

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Washington, DC (20001)

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Tox Bar (21224)

Westminster, MD (21157)

Annapolis, MD (21401)

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Arlington, VA (22201)

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Timonium, MD (21093)

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Bel Air,
MD (21015)

Columbia, MD (21045)

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Wellington, FL (33414)

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Washington, DC (20001)

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Tox Bar (21224)

Westminster, MD (21157)

Kelly Cochran

Medical Esthetician

About

Kelly Cochran a licensed esthetician with over 20 years of hands-on experience. Kelly has dedicated her career to quality outcomes and providing a luxury service to every patient she sees. As a ZO Skin Health Expert, Kelly works with her patients using in office services and at home treatments to award them the best results available. Come see Kelly for her personally designed custom Hydrafacials! In her spare time, Kelly enjoys ballroom and professional dancing and spending time with her friends and family.

Jessica Hogg

Medical Esthetician

About

Bio coming soon!

Jillian Krebs

CRNP

About

Jillian has spent the last 6 years of her career working in neurosurgery with WellSpan Health, York PA. Jillian’s extensive surgical background and understanding of the head and neck make her an advanced practitioner in the field of medicine. Graduation from York College, as a Registered Nurse, Jillian immediately worked to become a certified Nurse Practitioner. She has spent 15 years of her career dedicated to the health and wellness of the patients surrounding her home town. Jillian has spent months training along side the brightest and most talented injectors in the world of esthetics and is thrilled to offer the patients of Westminster, MD her expertise. Jillian is passionate about health, wellness and ensuring her patients feel and look their very best. An avid athlete, Jillian spends her time with her fiancé and family enjoying the outdoors.

Bailey Babowicz

Esthetician

About

Over the past four years, I've been a Certified Medical Electrologist (CME). I've collaborated with dermatologists and worked at medspas, performing a variety of laser treatments such as BBL, Moxi, laser hair removal, and acne treatments. Since I was young, I've always had a passion for helping people feel their best, and I'm fortunate to be able to do this through my career.

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Brynn Blackstock

Esthetic Consultant

About

Brynn is one of our Esthetic Consultants. She graduated from Penn State University in 2021 and holds a Bachelor of Science in Biobehavioral Health. She brings over 5 years of experience in customer service within the beauty industry to the team. Brynn has a passion for helping others look and feel their best and strives to make each patient feel welcome at our practices.

Kaitlin Lemenze

Medical Esthetician

About

Kaitlin Lemenze is our medical front desk and licensed medical esthetician. Kaitlin is patient focused and detailed-oriented. She is very personable and courteous in all interaction with patients and team members and skilled at anticipating physician and practice needs. Kaitln specializes in HydraFacial, medium depth chemical peels, dermaplaning, acne treatments, microneedling, skincare assessments, and in-depth treatment plans. All of Kaitlin's treatments incorporate goal oriented results while offering relaxation and pampering. Kaitlin is passionate about eshetics and helping others to love the skin they're in. 

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Ashley Santamaria

PA-C

About

Ashley Santamaria is a Board-Certified Physician Assistant with a master’s degree in Medical Science from Lincoln Memorial University – DeBusk College of Osteopathic Medicine. She has an extensive healthcare background of 12 years as a Patient Care Representative, Emergency Medical Technician, Certified Nursing Assistant, Medical Assistant, and now as a Physician Assistant. She’s an active member of the FL Academy of Physician Assistants and the American Academy of Physician Assistants. Ashley fell in love with Esthetic Medicine because “it is where science meets art; where research marries creativity” and therefore has completed multiple neurotoxin and injectable certifications, along with a certification in hormonal optimization therapy.

Steele Bolton

RN

About

Steele is a native Texan who has called DC home for almost 3 years! He first graduated from Texas State University with a Bachelor’s degree in Microbiology and Biochemistry, and then a degree in Nursing from Brookline College in Phoenix, Arizona. He has experience in various avenues of nursing ranging from the Neuro-Intensive Care Unit, to Orthopedics, Case Management, Home Health, as well as School nursing. He discovered his passion for anti-aging medicine as a client of a MedSpa in 2021 and could not be more excited to step into the industry. “My goal for each client is to feel more confident in themselves and their image with each step in the process of achieving their esthetic goals. The greatest feeling is knowing that you’ve helped boost someone’s confidence.”

Farah Hizoune

Esthetic Consultant

About

Farah is a Baltimore native and our Esthetic Consultant for Tox Bar. Farah has always had a passion for making people feel beautiful and confident. As a current cosmetology student, she is always learning to grow her knowledge in all things beauty. She has worked in medical esthetics for over 3 years and is a certified makeup artist. She looks forward to using her broad beauty acumen to help our patients achieve their esthetic goals!

Cailie Murphy

CRNP

About

Cailie is a Baltimore native who joined ProMD in August 2022 as a Certified Registered Nurse Practitioner. She received Bachelors degrees from University of Denver and Thomas Jefferson University. She also completed her Masters in Nursing from Thomas Jeff

Mariel Castronova

Medical Esthetician

About

Mariel is our Medical Esthetician in the Columbia office. In addition to her esthetics certification from Fortis Institute, she received her Bachelor of Science Degree from Towson University in Human Services as she thoroughly enjoys working with and helping people. Her knowledge and passion surrounding skin care allows her to educate patients while building treatment plans based on skincare goals. Her previous experience in a spa setting allows her to cater to patients’ needs and expectations during treatment, while providing a relaxing environment.