Bio-Identical Hormone Replacement Therapy in Men

Jake Ames, MD, HMD.

As men age, they slowly get low testosterone and other adrenal gland androgenic hormones. Testosterone in men usually declines 1% a year after age 30. Since the decline in testosterone is so slow, men usually don’t recognize it.

Signs of low testosterone in men are:

  • Fatigue
  • Abdominal obesity
  • Decrease muscle strength
  • Brain fog
  • Erectile dysfunction
  • Moodiness and grumpiness
  • Loss of vitality

Low testosterone usually causes an increase in estrogen in men which can cause abdominal obesity, erectile dysfunction, loss of libido prostate enlargement and prostate cancer.

What are some treatments for low testosterone?

Men have the option of taking synthetic testosterone injections, testosterone pellet implantation is done usually every 6 months or using topical testosterone cream. Progesterone cream is usually given to help keep the prostate gland healthy. We also put most men on an estrogen blocker.


49% percent of men between the ages of 40-50 have some evidence of prostate cancer. 


85% percent of these men will have a slow-growing prostate cancer and may die of natural causes never knowing that they had prostate cancer.

It is controversial, but it is now thought that estradiol contributes to prostate cancer, and testosterone protects men from getting prostate cancer.

All men that are going to be taking testosterone replacement therapy need a digital rectal exam (DRE) and laboratory hormone testing including a prostate-specific antigen (PSA) test, which, unfortunately, is not too accurate in detecting prostate cancer.

At The Holistic Bio Spa, we have been helping men get their testosterone back to youthful levels for 25 years. We are authorities in laboratory testing in men and women.

Our clients notice the difference in their energy levels usually within a few weeks, and most or all of their symptoms of low testosterone resolve.


No part of this blog may be reproduced in any form without written permission. The content on this blog was written by Jake Ames, MD, HMD and is not intended to be a substitute for medical advice, diagnosis, or treatment by your primary physician.

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