30 pages
Care for your situation
How evaluation and treatment change with age, health conditions, work and goals.
Testosterone Therapy (TRT)
- Hormone care for men in their 20s and early 30s For men in their 20s and early 30s, hormone care puts fertility first, because testosterone therapy suppresses sperm and HCG-based options exist for men who want children.
- Hormone care for men trying to conceive If you are trying to conceive, testosterone therapy is usually the wrong tool, because added testosterone tells the testes to stop making sperm.
- Hormone restart care after anabolic steroid use After anabolic steroid use, care starts with an honest, judgment-free baseline of LH, FSH, testosterone, estradiol, hematocrit, lipids and liver tests.
- Men's health care for firefighters and police officers For firefighters and police officers, care changes in three ways.
- Men's health care for lifters over 40 For lifters over 40, care starts by reading labs with training in mind.
- Men's health care for night shift workers For night shift workers, a testosterone test is timed to within a few hours of your own wake-up, not to 8 a.m., because testosterone rises during sleep and falls the longer you are awake.
- Men's health care for outdoor and construction workers For outdoor and construction workers, care changes in three ways.
- Men's health care for veterans For veterans, men's health care starts by screening for service-linked causes of low testosterone and ED, such as past head injuries, sleep apnea and the side effects of PTSD or pain medicines.
- Testosterone and ED care for men over 60 After 60, men can still be good candidates for ED treatment and, when low testosterone is confirmed, testosterone therapy, but the plan is more careful.
- Testosterone and peptide care for masters athletes Testosterone, HCG, BPC-157, TB-500 and growth hormone releasing peptides are all prohibited at all times under the WADA list, which many masters competitions follow.
- Testosterone therapy after prostate cancer treatment Testosterone therapy after prostate cancer treatment is considered only for selected men, and only when the treating urologist or oncologist agrees and PSA has been stable at a low or undetectable level.
- Testosterone therapy for men over 50 The diagnosis is the same at any age, meaning two low morning testosterone tests plus symptoms that fit.
- Testosterone therapy for men who dislike needles Men who dislike needles can usually start testosterone therapy without regular injections.
- Testosterone therapy for men who travel often For men who travel often, testosterone therapy is planned around the suitcase.
- Testosterone therapy for men with heart disease Men with heart disease can sometimes take testosterone, but the plan changes.
- TRT for men restarting after a break Restarting TRT after a break begins with a new baseline, not the old protocol.
- TRT for men with a history of blood clots A past blood clot does not automatically rule out testosterone therapy, but it changes the plan.
Medical Weight Loss for Men
- Men's health care for long-haul truck drivers For long-haul drivers, the plan is shaped by the DOT medical card and the road.
- Men's health care for men with type 2 diabetes Men with type 2 diabetes need care that connects blood sugar, hormones and kidneys.
- Weight loss and TRT for men with a BMI over 35 For men with a BMI over 35, weight loss usually comes before testosterone therapy, because excess fat itself lowers testosterone and losing weight often raises it.
- Weight loss care for men with prediabetes Prediabetes care for men runs on a clear scorecard and a target.
- Weight loss medicine after bariatric surgery Weight regain after a sleeve or bypass is common and treatable.
Aesthetics for Men
- Aesthetics for men new to injectables Your first visit should be smaller than you expect. Men usually have stronger facial muscles, so wrinkle relaxer doses often run higher than label amounts, while a naturally flat male brow should stay flat rather than be lifted into an arch.
- Pre-wedding treatment plan for grooms Plan from the wedding date backward. A medical weight-loss program needs three to six months, because the dose builds over about four months.
- Skin treatments for men with darker skin tones Brown and deep brown skin reacts to irritation and heat by making extra pigment, so a treatment that is routine on fair skin can leave new dark marks.
Preventative Blood Testing
- Men's health care for busy executives For a man with little time, the plan is built around fewer, fuller visits.
- Men's health care in your 40s In your 40s, the most useful step is a baseline taken while you feel well.
Erectile Dysfunction Treatment
- ED options for men who take nitrates If you take any nitrate, including nitroglycerin you carry for chest pain, ED tablets such as sildenafil and tadalafil are ruled out completely, and so is Olympus Male, which contains tadalafil.
ED Medications
- ED treatment for men on blood pressure medicines Most men who take blood pressure medicine can still use ED tablets, but the plan changes.
Peptide Therapy
- Recovery care for men coming back from injury Recovery care for an injured man starts with the surgeon or physical therapist in charge of the rehab, and nothing replaces that.

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