Secondary hypogonadism is more common than primary gonadal failure and is seen in chronic and acute illnesses. Although testosterone has a role in erections, its importance in erectile dysfunction (ED) has been controversial. Hypogonadism produced by functional suppression of pituitary gonadotropins has been shown to correct with clomiphene citrate, but with a modest effect on sexual function. We wondered if longer treatment would produce improved results. A total of 178 men with secondary hypogonadism and ED received clomiphene citrate for 4 months. Sexual function improved in 75%, with no change in 25%, while significant increases in luteinizing hormone (P<) and free testosterone (P<) occurred in all patients. Multivariable analysis showed that responses decreased significantly with aging (P<). Decreased responses also occurred in men with diabetes, hypertension, coronary artery disease, and multiple medication use. Since these conditions are more prevalent with aging, chronic disease may be a more important determinant of sexual dysfunction. Men with anxiety-related disorders responded better to normalization of testosterone. Assessment of androgen status should be accomplished in all men with ED. For those with lower than normal age-matched levels of testosterone treatment directed at normalizing testosterone with clomiphene citrate is a viable alternative to giving androgen supplements.
The High starch high glucose diet is another important cause of low testosterone. It s one of the reason that low testosterone is a strong predictor of Type 2 Diabetes Mellitus. There is a vicious circle of the High starch diet, such as proposed by most fast food outlets and T2DM, Obesity, Low Testosterone, Brain Atrophy, Hyperglycaemia, heart disease, neuropathies, and even depression. A first thing any police officer should do is to minimize starchy foods in the diet. Digestible starches (amylose and amylopectin) are pure glucose, they are glucose polymer chains. We don’t need carbohydrates to survive, they are an economic luxury of low-cost/high-energy foods but with very little nutrient density, fruits having the most nutrients, and starches the lowest, amongst carbohydrate rich foods (Starches, flours from cereals, score the lowest of all other foods in terms of nutrient density). They were incorporated in the human diets at the beginning of the agricultural organization when humans shifted from a nomadic way of life to a sedentary one some 12,000 years ago. They were appreciated because of their low-cost/high-energy density…not because of their nutrient density. With leafy greens, who are very low-energy/high-nutrient density, their carbohydrate content are mostly fibers (non digestible saccharides, or other complex saccharides). In fact, excessive starchy diets also have a strong chelating effect, this means that the natural chelators (such as phytic acid) found in cereal grains attract nutritional metals such as iron, copper, zinc, etc…a deficiency in zinc is an etiological characteristic of Type 2 Diabetes. This is the reason Food programs sponsored by the UN which usually are based on enriched flours are treated with anti-chelating agents such as phytase, the enzyme that neutralises phytate (also called phytic acid) ( http:///content/130/2/+html ). But the common flours used in the human North American diets are not. before the fast food revolution, North Americans consumed on average less than 10% of starches in their diets. This average is now 25%, and this is the root cause of the metabolic syndrome, diabetes and obesity epidemics, all conditions where low testosterone is a strong marker.
AndroGel ® (testosterone gel) 1% and % are controlled substances, available by prescription, used to treat adult males who have low or no testosterone due to certain medical conditions. It is not known if AndroGel is safe or effective to treat men who have low testosterone due to aging . It is not known if AndroGel is safe or effective in children younger than 18 years old . Testosterone products that are applied to the skin may have different doses, strengths, or application instructions that may lead to different levels of testosterone in your body .