Castellano Health Institute

If you listen to most docs who are unfamiliar with TRT, they steer men away from testosterone because somewhere in their training they were told that testosterone leads to heart attacks.   To their credit, if what they were told was true, that would be the right thing to do. But is it? Is the information they were spoon-fed correct? Up until 2015, there was no study that looked at Testosterone Replacement  Therapy Orange County  (TRT) and cardiovascular death rates. Fortunately, Sharma et al., did a study with 83,010 veterans on TRT and looked at cardiovascular outcomes including heart attacks and strokes. The aim of the study was to look at what happened to outcomes when testosterone (T) levels were normalized. The veterans were broken into three groups, one received no treatment, one received treatment off/on (no normalization of T levels), and the other group received TRT with normalization of T levels. The median age of participants was 66 years a...

Most insurance companies use your BMI (body mass index) to asses health risk, but the BMI can be misleading. BMI is a simple calculation using height and weight to risk stratify individuals. The problem with using body weight is that body fat, muscle, organs, bone, and total body water make up your weight. The big variables ( Weight Loss and Health Institute Orange County California   ) in calculating your BMI are how much total body fat and total muscle mass you have. If your muscle mass is high, are in great shape, and work out, your BMI could be misleadingly high.Athletes and military personnel, who are in great shape, often get misdiagnosed as overweight or obese due to a high BMI, yet they are healthier and at less risk of dying than the BMI would have you believe. If you have a normal BMI, it doesn’t mean you are necessarily healthy. You could still suffer from a condition I call “skinny-fat”. What is skinny-fat? Skinny-fat is a condition where an individual has a normal...

Clinical guidelines recommend Testosterone Replacement Therapy (TRT) for men suffering from clinical symptoms of low testosterone when low Testosterone levels are documented. The most common symptoms of low testosterone include low sex drive/libido, low energy/fatigue, erectile dysfunction, and loss of muscle mass.  Currently there are 2.4 million men, ages 40-69, who meet the criteria for Low Testosterone (Hypogonadism).  With such large numbers of men qualifying for treatment, the question of safety arises.  Since the leading cause of death in men is cardiovascular disease, does prescribing testosterone therapy contribute to heart disease? Contrary to current thinking, we know from studies that Low Testosterone ( Testosterone Replacement Therapy Orange County ) is associated with a higher risk of cardiac events.  Most studies looking at testosterone replacement and cardiovascular disease have been relatively small and have shown some conflicting resu...