Pricey DR. ROACH: Tv is total of advertisements touting testosterone and other physique supplements that are meant to get a 40-one thing male and flip his system back into a 20-yr-aged all over again. Their spokesmen are commonly the moment-popular athletes who declare to have been equipped to rebuild body muscle and gradual the ageing procedure. My doctor at the veterans healthcare facility tells me that my testosterone concentrations are typical for a guy of 73 and not to mess with any over-the-counter nutritional supplements. What say you? — A.M.
Response: The indications for testosterone alternative are The two a regularly reduced testosterone stage AND symptoms due to minimal testosterone, these types of as bad sexual purpose, reduction of strength or frustrated mood. The signs and symptoms of very low testosterone are variable and occasionally delicate, so clinical encounter and judgment are required. The use of testosterone in wholesome adult men in their 40s and 50s, even if the testosterone level is in the reduced-regular variety, is not advisable. There is minimal chance of reward and some potential for damage. The thought that testosterone slows the growing old course of action is unproven and, in my viewpoint, unlikely.
More than-the-counter nutritional supplements that purport to enhance testosterone occur in 3 types: people that work a little little bit these that are worthless and those people that have banned substances. I do not suggest them, for the reason that if the testosterone concentrations are lower and a guy has signs or symptoms of reduced testosterone, he should be on testosterone underneath clinical supervision. Some dietary supplements basically minimize testosterone, and 50 percent of bodybuilding health supplements examined in a single review contained banned androgens. Probable facet outcomes of inappropriate testosterone procedure consist of testicular atrophy, psychiatric consequences and attainable heart destruction.
I agree with your doctor that offered a usual testosterone stage, neither testosterone therapy nor nutritional supplements are most likely to profit you.
Dear DR. ROACH: For the past two many years, I have experienced frequent chapping and peeling on my decreased lip only. It receives worse if I have on lipstick. I have stop donning lipstick, but it nevertheless will get dried and chapped. My dermatologist has performed a biopsy. It reveals no cancer, generally a contact dermatitis. She seriously was obscure on dealing with it, except to set Vaseline or Aquaphor on it. I use each, but it in no way goes away. What is your feeling, and is there a improved treatment? — M.R.
Reply: Allergic reactions on the lips are frequent to lots of products. Numerous lipsticks and lip moisturizers, which include Aquaphor Lip Repair service, incorporate castor oil, which is an allergen for some men and women. The procedure is going to be keeping away from as lots of allergens to your lips as doable. This contains Aquaphor — despite the fact that it is a wonderful item for several, a few folks get reactions to it. Vaseline is basically 100% petrolatum, which nearly in no way triggers any allergic reaction, so that would be the product I would most recommend.
It is also attainable that it is something else. Toothpastes can cause get hold of dermatitis to the lips, and so can mangos, citrus fruits and cinnamon in some men and women. An allergist could be important to do patch screening to establish what you may be allergic to so that you can exclusively prevent it.
Dr. Roach regrets that he is unable to respond to individual letters, but will include them in the column any time probable. Viewers may possibly e mail thoughts to [email protected] or deliver mail to 628 Virginia Dr., Orlando, FL 32803.
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