What is the content of male hormone health guidance?

The core of male hormone health guidance currently recognized in clinical and sports health fields is to first conduct accurate assessment to eliminate pathological problems, then use lifestyle adjustment as the core intervention method, and then intervene in standardized medical intervention when necessary. This is not at all the logic of "everyone needs testicular stimulation" uploaded on the Internet.

A while ago, I treated a 28-year-old Internet programmer. He worked on a project for half a year and stayed up until two o'clock every day. He always kept milk tea and coffee in hand. Later, he always felt heavy all over and the frequency of morning erections dropped by more than half. After searching for popular science, he bought an internet-famous testicle-stimulating supplement and took it for two months. Not only did his symptoms not get better, but he also felt... He had acne on his head and hair fell out in handfuls. When he checked his sex hormones, he discovered that it was not low testosterone at all, but a disorder of fat metabolism that caused the estradiol to be nearly twice as high as the normal value. Indiscriminate supplementation of testicle-stimulating ingredients only increased the metabolic burden. I stopped taking supplements and adjusted my daily routine and diet. In less than a month, most of the symptoms disappeared.

Don't look at the many people who say they have low testosterone. In fact, more than 90% of people have never done a standardized assessment and rely entirely on their own feelings and guesswork. You must know that the secretion of testosterone varies greatly between day and night. The peak secretion is between 8 and 10 in the morning. The value measured in the afternoon may be more than half lower than that in the morning. Therefore, formal hormone assessment must first choose the right time to draw blood, and it must also be comprehensively judged based on the living conditions and symptom manifestations in the past three months. It is not reliable to benchmark the value of a blood draw report against the reference value at all. I have met many men who have been working out all year round. The testosterone value is in the middle of the reference value, but the muscle mass, energy, and sexual function are completely normal, and no intervention is needed at all.

It turns out that it is just physiological fluctuations or mild abnormalities, and there is no need to take medicine at all. Adjusting your lifestyle is more effective than anything else. Let’s talk about sleep. More than 90% of testosterone is synthesized in the deep sleep stage. If you stay up until one or two o’clock every day before going to bed, even one hour of deep sleep is not enough. How can your body have time to synthesize enough hormones for you? There is also the layer of "swimming rings" piled up on the belly. The aromatase enzyme in the fat may "make trouble" and continuously convert testosterone into estradiol. Many men with abdominal obesity are diagnosed with estrogen and low testicles. This is the root cause. Losing 10% of your weight first will be more effective than any number of supplements you take. Oh, and exercise. Don’t just sit all day long, or you will die as soon as you practice. Last week, there was a fitness enthusiast who practiced for 2 hours a day for two consecutive months and strictly controlled carbon dioxide in order to compete in a competition. His testosterone dropped directly to the reference range for menopausal women. Overtraining caused long-term high cortisol, which directly suppressed gonadal function. After two weeks of rest, he added two avocados and a handful of nuts every day, and the value quickly returned to normal levels.

If it is really found to be a pathological hormonal abnormality, such as congenital Klinefelter syndrome, pituitary function damage, or clear delayed hypogonadism over the age of 50, then medical intervention will be considered. There are indeed different views in this industry. One group believes that as long as there are clear symptoms such as fatigue, loss of sexual desire, and bone density, even if the testosterone value is at the lower limit of the reference value, low-dose testosterone supplementation can be used to improve the quality of life. ； The other group insists that exogenous testosterone cannot be used without clear pathological indications, otherwise it will inhibit the secretion function of the own gonads and lead to irreversible functional degradation. But no matter which view you hold, all regular doctors absolutely do not support privately buying testosterone injections and anabolic steroids from the black market. I have seen patients whose random injections led to testicular atrophy and severe liver function damage. The gain really outweighs the gain.

There are also many people who think that male hormones are only responsible for sexual function. In fact, they are also responsible for your energy status, muscle maintenance, bone density and even emotional stability. If you can't be energetic for two or three months in a row, feel depressed at every turn, lose muscle without deliberately losing weight, or have inexplicable back pain, you can also check for hormones. Don't take it lightly.