Podcast 4 - Testosterone: Have You Lost Your Mojo?

Transcription

Dr. Chad: This is Dr. Chad Edwards and you are listening to podcast number four of Against the Grain.

 

Marshall: Welcome to Against the Grain podcast with Dr. Chad Edwards, where he challenges the status quo when it comes to medicine. We get into hot topics in the medical field with real stories from real patients to help you on your way to a healthy lifestyle. Get ready because we’re about to go Against the Grain. Tulsa Prolotherapy

 

Bryan: This is Bryan Wilks here along with my good friend and real doctor, Dr. Chad Edwards.

 

Dr. Chad: Hello Bryan.

 

Bryan: I am so gitty about this topic that we’re talking about today.

 

Dr. Chad: This is good stuff.

 

Bryan: Oh my God. Have you ever watched the movie Austin Powers?

 

Dr. Chad: Well, of course.

 

Bryan: The, “Oh my mojo,” remember that? Isn’t it-?

 

Dr. Chad: Of course.

 

Bryan: Isn’t it the mojo?

 

Dr. Chad: Yes.

 

Bryan: So the topic today is; have you lost your mojo?

 

Dr. Chad: That’s right.

 

Bryan: Have you?

 

Dr. Chad: No.

 

Bryan: No?

 

Dr. Chad: Well, I got it back.

 

Bryan: [laughs] At some point in a man’s life, you lose your mojo. The question is, is do you get that mojo back? That’s what you’ve got to find out.

 

Dr. Chad: And that’s what we’re going to talk about today.

 

Bryan: I love it. I love it. I love it. It’s around testosterone, it’s around lifting weights like, pumping iron, it’s just a great man show.

 

 

Dr. Chad: And we’re here to pump-

 

Bryan: You up-

 

Dr. Chad: -you up.

 

Bryan: I love it. I don’t even know if any listener’s as old as we are.

 

[laughter]

 

I mean, people our age don’t listen to podcast. Maybe they do, maybe? Right?

 

Dr. Chad: I think so.

 

Bryan: Yes, Marshall’s 25, that’s probably his category though of podcasters out there, right? May be?

 

Dr. Chad: Yes.

 

Bryan: I don’t know the statistic on it. Let’s talk about a sponsor today. I’m quite sure our sponsors will be proud to be associated with this today on this awesome topic, so Revolution Health and Wellness Clinic. Tulsa Prolotherapy

 

Dr. Chad: Yes, that’s us.

 

Bryan: That’s you?

 

Dr. Chad: If you’re tired, fatigued, pain, all of those kinds of things, then you need to come see us.

 

Bryan: Mojo? You need your mojo?

 

Dr. Chad: Yes, we do that.

 

Bryan: Give us your number for the mojo.

 

Dr. Chad: (918) 935-3636 or visit our website at revolutionhealth.org.

 

Bryan: And go and get your mojo. Upper Cervical Health Centers, we talk about these guys every time. They’re good stuff, right?

 

Dr. Chad: Yes, but they’re that good.

 

Bryan: They’re that good?

 

Dr. Chad: Yes.

 

Bryan: Yes?

 

Dr. Chad: And they’re not typical.

 

Bryan: They’re not typical?

 

Dr. Chad: So they are a chiropractor clinic, very different, they don’t snap, crackle, and pop.

 

Bryan: No?

 

Dr. Chad: They are looking at optimal health, and the alignment of the spine and how it interplays. It’s a very comprehensive approach to musculoskeletal systems and optimizing your health. It’s pretty cool. Tulsa Prolotherapy

 

Bryan: You say that so well.

 

Dr. Chad: I practiced.

 

Bryan: Obviously those folks have not lost their mojo, right?

 

Dr. Chad: That’s correct.

 

Bryan: Let’s get right to it-

 

Dr. Chad: We need to give them their phone number.

 

Bryan: Yes, the phone number, okay, got you. You’re so much better; you should just run the whole show.

 

Dr. Chad: Okay, well then call them at 9-1-8-7-4-2-2-3-0-0.

 

Bryan: Love it.

 

Dr. Chad: Or go to their website at uppercervicaltulsa.com/newyou. That’s N-E-W-Y-O-U.

 

Bryan: You’re so pro, man. You’re so pro.

 

Dr. Chad: That’s how I role.

 

Bryan: Let’s talk about the hot topic today, okay?

 

Marshall: Hot topic.

 

Bryan: Yes.

 

Dr. Chad: That’s good stuff.

 

Bryan: So the hot topic today is the mojo equals testosterone.

 

Dr. Chad: You know, it’s a really, really, really common problem. It’s kind of one of those topics that has a lot of negative press. You see those commercials on TV and they say, “If you’ve taken testosterone and have a heart attack then call us. We’ll sue and get millions and millions of dollars.”

 

Bryan: Right.

 

Dr. Chad: Thee studies come out that show there’s problems with testosterone and all those kinds of things, and there may be some validity to that, but for the most part there’s really good evidence behind having higher levels of testosterone, but it’s one of those things that just needs to be managed. There’s all these testosterone clinics popping up all over the place and they’re kind of in vogue, but fatigue, low sex drive, being worn out, all these different things are so common today. I see a lot of it in our vets. Of course my heart’s with military and dealing with veterans. The number of guys coming back home, whether or not they have PTSD, low testosterone is incredibly common. Tulsa Prolotherapy

 

Bryan: Okay, let’s talk about what it is. I know that may seem like a stupid question but what causes those levels to go up and down? What is it in your body?

 

Dr. Chad: Yes, so-

 

Bryan: And don’t get too specific or personal.

 

Dr. Chad: I got you. So going back to that functional medicine approach, the question is, why? Why is testosterone low? Let’s talk a little bit about testosterone itself. Testosterone is a steroid hormone, what we mean by steroid hormone is the structure. It’s not like, “I’m on steroids.” You might be, but there’s different kinds of steroids. There’s prednisone and things like that that work one way, testosterone is both what we call anabolic and androgenic. Androgenic means it contributes to male factors, contributes to facial and body hair, there’s several things like that that testosterone’s related to. Acne plays a role with some of that stuff. It’s very important for a lot of those kinds of things, but it also plays with mental function. In other words, this brain-fogginess, and I will actually go ahead and tell a story. Tulsa Prolotherapy

 

Marshall: It’s story time.

 

Bryan: Story time.

 

Dr. Chad: I’m going to talk about this patient because it was a big deal for this patient. He was-

 

Bryan: Life changer.

 

Dr. Chad: Life changing, that’s correct. A lot going on, lots of stress, multiple things going into the pot so to speak, got a testosterone level and his testosterone level started at 220 which is definitely outside of the normal quote reference range which we’ve talked about on previous podcasts. Tulsa Prolotherapy

 

Bryan: Say what the normal range is though.

 

Dr. Chad: Depending on the lab, 300-1000.

 

Bryan: Okay.

 

Dr. Chad: So this was roughly 30% lower than what it should have been, so definitely low. This patient was working out quite a bit and his performance was good and he was improving and all of those kinds of things, so we said, “Well, let’s try and do this naturally.” I supported that. That’s appropriate. So he was just going to focus on trying to reduce stress, making sure he’s sleeping well, those kinds of things, and there’s actually a post on my podcast where I talk about how to get testosterone levels up naturally. There’s a post on my website, not on my podcast. There will be a podcast about this but not this one.

 

So we tried to do that naturally and it didn’t help. It was in the middle of a work out, and like I said, he was doing Cross Fit and it was a Friday evening and half way through his workout he just crashed.

 

Bryan: Hit the wall.

 

Dr. Chad: Literally– normal thing would be just finish the workout slow, but he literally stopped.

 

Bryan: He’s done. Have you ever hit the wall before? They call it hitting the wall in endurance athletes, you know? It’s something.

 

Dr. Chad: Yes.

 

Bryan: You’re done.

 

Dr. Chad: Exactly.

 

Bryan: You’re finished.

 

Dr. Chad: So that’s what happened. This guy, on a Saturday evening– or this was Friday night, thought, “Maybe I need to eat. I need to get a good night’s sleep.” Did both of those things, work up Saturday still felt awful.

 

Bryan: Right.

 

Dr. Chad: So engaged the medical system and got an injection of testosterone Saturday evening. It was six o’clock in the evening.

 

Bryan: Right.

 

Dr. Chad: Got an injection of testosterone, work up Sunday morning a new man. The clouds went away, the birds were chirping, like night and day different. The thing is is that story is mine. That’s exactly what happened to me.

 

Bryan: That’s you?

 

Dr. Chad: That was me.

 

Bryan: Wow.

 

Dr. Chad: It really drove home– When I got that first testosterone level it was 220 and I was like, “Well that’s clearly too low, but I feel good, my performance is good, I’m working out, I’m making gains and getting faster,” and my times were better and all those things. So I was like, “I’m not too worried about it.” But the thing with low testosterone and I tell this to all of my patients – this has been shown to be true over decades, one study showed that men have a testosterone level of 1000, so that’s on that high end, versus men that have a testosterone of 300. The guys with the testosterone of 1000 have a greater than 50% reduced annual mortality. They die half as often every year.

 

Bryan: And a lot happier.

 

Dr. Chad: Exactly.

 

Bryan: Let’s be honest.

 

Dr. Chad: Without question. Real common stuff would be they come in and their sex drive is low, maybe their willy’s not working right, they’re having erectile dysfunction, all those kinds of things. Many people think that that’s testosterone, the reality is is that’s the last thing to show up.

 

Bryan: Right.

 

Dr. Chad: The first things that often show up is you’re fatigued. you’re tired in the evening, especially after dinner, you eat, sit down on the couch, and you’re out. Motivation starts to decline. Many people will think about steroid rage being on testosterone and high levels of testosterone and you get this rage? That’s true, but I also see a lot of anger in low testosterone. I noticed that, and you’ll just kind of snap. It’s weird, it’s not-

 

Bryan: It’s almost a different kind of rage. It’s a depressive rage rather than an aggressive rage.

 

Dr. Chad: It is, it is, exactly, exactly. That’s not uncommon. I actually noticed that I was falling asleep at the wheel driving home in five o’clock traffic. Just noticing snap all of a sudden, “Whoa, what just happened?” I mean, it’s only for a split second but that was weird.

 

Bryan: Yes.

 

Dr. Chad: I didn’t have those issues. I was working on my clinic a lot, I was doing all kinds of things, I would sit down on the couch in the evening, open up my laptop and I couldn’t get anything done. I was like, “I just don’t care right now. I just need to go to bed.” That’s not me. When I went on testosterone, it changed everything for me. That’s my story. Most people don’t have that black and white night and day difference, but that was my story. Now for me all those stresses that I was undergoing, of course I was deployed to Iraq and I fall into that category of the guys coming home and all that stuff. I had a lot of stress. Our clinic had gone through embezzlement. There was just a lot going on.

 

Bryan: A lot of why stuff.

 

Dr. Chad: It was, and a lot of stress. I think that’s what contributed to it, because you going to go back to that why. I checked my adrenals, I checked a bunch of things, they were all shot. Went on a lot of stuff, some supplements, some rebel kind of stuff. In six months I was feeling substantially better, and I just noticed that I don’t take testosterone because like a sex drive or erectile dysfunction problem. None of those kind of things, it’s a fatigue issue. I noticed that if I take testosterone injections, that’s what my doc and I have decided is the most appropriate for me. There’s different ways that we can replace it, but that’s what we decided was most appropriate for me.

I’m supposed to them ever week, but you know doctors make the worst patients. If I go too long, 10 days if I skip a whole week and go to two weeks, I’m really starting to notice the decline again. Because it could be life, just got a lot going on, it could be those kinds of things but I noticed a big difference.

 

Bryan: Give me some statistics on what age does testosterone should be a check that you get regularly, and at what age does it generally start to tail off to become a problem? Then I come to your office at that point, if I’m a listener now and I fit these categories that you’re about to describe what you do. How do you assess it?

 

Dr. Chad: Interesting question it’s a very common thought process that testosterone level decline with age. There may be some association with that. But, Ron Rothenberg is a physician and he does a lot of hormones stuff and his quote what he says is, “We age because our hormones decline, our hormones don’t decline because we age.” It’s an important paradigm shift. We should have optimal levels of testosterone independent of our age. There may be some natural decline, but I’ve got a patient that’s 70 years old and his testosterone is well into the 800s naturally. Why is that guy deferent than some of the others? I think that if we lived on the beach in the Bahamas and sipped Mai Tais all day long, well maybe we’d have liver damage. There is no stress in those kind of things.

 

Bryan: Yeah, it’s not necessarily the age is life.

 

Dr. Chad: Exactly, that would be a big part of my argument. I don’t think age has as much to do with it.

 

Bryan: It’s really the kind of life that you live contributes to either increase or decrease, possibly it has some contributions also your genetic makeup I would assume.

 

Dr. Chad: I think there are multiple factors and many of them are, genetics may play a role but epigenetic meaning external factors in influenced genetics. These epigenetics factor, so stress can be one of them, you know like our nutrition can certainly play a role. What are our environmental toxins? Are we getting heavy metals? Are we getting toxic exposures? Things like BPA and some of these phytoestrogens that would be in plants that we get on our nutrition, and genetically modified foods. We don’t really know the impact that that can have. I think what we are seeing is accumulation of multiple environmental factors that contribute to low testosterone. That’s what I suspect, I don’t have a smoking gun like, “There is the problem.”

 

Bryan: Yeah, it’s an-

 

Dr. Chad: These are some of the thing we need to consider.

 

Bryan: I guess the better way, is if a listener is trying to search if they should to you for this particular issue. What I’m hearing is you say is, if you are feeling fatigued and you feel a lack of energy generally throughout your day. That’s abnormal to you, right?

 

Dr. Chad: Right.

 

Bryan: If you are a person that always come home and sit on the couch, I suppose the fact you continue to sit on the couch is —

 

Dr. Chad: Not different.

 

Bryan: Not different. If you’re still unusually tired sitting on that couch. Fatigue is a common symptom, right?

 

Dr. Chad: That’s correct. We want to screen each patient and determine could this be a testosterone related problem?

 

Bryan: Regardless of age?

 

Dr. Chad: Regardless of age that’s correct. I think we talked about this before, a 22 year old patient came back, his testosterone was in the low 100s. I didn’t believe it I repeated it, it must abnormal. Repeated it came back at 75, 22 years old.

 

Bryan: Wow.

 

Dr. Chad: 22 years old.

 

Bryan: Wow. Give that guy some testosterone now.

 

Dr. Chad: Exactly. It changed his world. Testosterone has to be managed, if we’re using exogenous testosterone, giving you cream, gels, pallets, injections, any of the testosterone replacements.

 

Bryan: You don’t go home and take it and never come back, you’ve got report back.

 

Dr. Chad: That’s correct. One, for ongoing therapy, you certainly need to do that. Testosterone has to be managed. You give testosterone, it can convert to estrogen. You have to watch those things, it can convert to dihydrotestosterone.

 

Bryan: Prostate dilated.

 

Dr. Chad: We’re actually going to have a podcast in the future about the effects of testosterone on the prostate. Testosterone does not cause prostate cancer.

 

Bryan: Interesting.

 

Dr. Chad: It doesn’t even contribute to prostate cancer. Multiple studies have shown that effect. I don’t have the reference in front of me, but study where they had man with prostate cancer initiated testosterone therapy. You had one group that didn’t get testosterone and one group that did. There was no difference between the two groups. Testosterone does not contribute to prostate cancer. It came back from a single case report in 1940, that’s where they started, and we’ll talk about that.

 

Bryan: Do steroids in general, contribute to cancer?

 

Dr. Chad: When you say steroids what do you mean?

 

Bryan: Just the media is awfully good at giving you a version of a story. Help me out here Mark, remember the old Raiders’ defensive line guy? What was his name?

 

Marshall: Lyle Alzado.

 

Bryan: Yeah, Lyle. To me the press did a pretty good job of contributing his cancer and ultimately his death from cancer to the use of steroids, which testosterone will fall in that category.

 

Dr. Chad: What we’re talking about is appropriately medically managed testosterone. We’re not taking testosterone levels to 2,000. Again, we talked about testosterone androgenic, meaning it contributes to us being men, but it’s also anabolic. It makes your muscles grow and those kinds of things. What we see is inappropriate use and abuse of anabolic steroids. Testosterone itself, and you have different salts that you can use as injection, so testosterone cypionate, testosterone enanthate, propionate. There’s different forms of plain old testosterone, which is again, both androgen and anabolic. There are things like deca and there’s all kinds of other —

 

Bryan: The stacks, if you will.

 

Dr. Chad: Correct. There are other forms of anabolic steroids. Steroids is that overall classification. That’s why I wanted to define, what do you mean steroids? You can use –

 

Bryan: I don’t think the average person really can answer that question effectively, because there’s a stigma towards it.

 

Dr. Chad: I want to make a distinction between that because the use of testosterone is not necessarily “I’m on steroids.” I think that has a negative connotation, it’s not appropriate.

 

Bryan: Not appropriate.

 

Dr. Chad: Right.

 

Bryan: You’re saying that level of a thousand. If I come in and I get tested, me personally I want to be re-tested for it, because it could be I’m like you. I have my own business. I’m tired a lot. I got a family. I’m trying to juggle a lot of balls. I think the last time I got tested I was fine. You say an appropriate level would even to keep at 1,000, right?

 

Dr. Chad: Correct.

 

Bryan: If you’re at 500, let’s say 800, you’re in a normal balance but you feel like you need a little more energy. You’re okay with going at 1,000, right?

 

Dr. Chad: Correct.

 

Bryan: That’s not abuse.

 

Dr. Chad: That’s correct.

 

Bryan: As long as it’s monitored.

 

Dr. Chad: Correct. There’s risk. The first take in of medicine do no harm. Hippocrates said, “When a physician cannot do good he must be kept from doing harm.” It’s that concept of doing harm that’s critical. We have to make sure above all else that we don’t screw anybody up. That we are being appropriate of what we’re doing and we’re not doing harm. Within that realm let’s be as optimal as we can be. If someone comes in and we talk about these reference ranges for stuff on my previous podcast-

 

Bryan: Guidelines in a previous –

 

Dr. Chad: If your normal testosterone is 800 and then you start feeling bad and you come and get it checked and now you’re at 310. Is that normal for you? No. I would argue it’s not. Especially, if you’re exhibiting and displaying symptoms of low testosterone. Now, the second piece of that is are you going to look, feel and perform better with testosterone enhancement. Whether that’s we do it naturally or we give you testosterone replacement, are you going to do better? If you do better on testosterone replacement, then we can say with reasonable assurance that, “Okay. This is a testosterone related problem.” It doesn’t answer why we always have to go back to that why.

Appropriately managing testosterone we have to look at all of those factors. Why could this be low? Then, we would consider testosterone replacement. With testosterone replacement comes as whole litany of potential risks. There are things that we have to consider. I would argue that cardiovascular disease is not one of them. That’s a rocky topic and we’ll talk specifically about testosterone and cardiovascular disease in a future podcast. Because there are studies showing that there is no cardiovascular disease risk increase. There are studies suggesting that there may be and I would argue that there’s– it’s probably, that just muddies the water a little bit but I believe it’s not only safe but beneficial. But again, it has to be appropriately managed. But you have things like testicular atrophy. That means the jewels shrivel, and that happens, that’s just a-

 

Bryan: You didn’t lose your mojo, it’s just shrinking.

 

Dr. Chad: Well, the testicles are shrinking. And there are things that we can do to manage that.

 

Bryan: I got that Chad [laughs]

 

Dr. Chad: So we can adjust some things with that.

 

[laughter]

 

Dr. Chad: That was TMI.

 

Bryan: I don’t know if we need to edit that right now.

 

Dr. Chad: That was TMI.

 

Bryan: Yes, it’s a doctor talk. They just get right to it, don’t they?

 

Dr. Chad: But, you know, it’s the reality and I get guys that come in on testosterone replacement and the reason for their visit is, “Man, you got to do something about this. My testicles are too small”.

 

Bryan: Yes, they notice some, yes.

 

Dr. Chad: Right. Now there’s not necessarily-

 

Bryan: Seinfeld shrinkage.

 

Dr. Chad: Exactly.

 

Bryan: Yes [laughs].

 

Dr. Chad: So, there’s not necessarily a medical problem with that. But it’s a problem for them. And we can manage that. But it has to be managed. So, you know, testosterone doesn’t come without side effects and again, you got to weigh the risks and benefits of that. When we give someone testosterone, there’s a chance that they may be dependent on testosterone long term. The last thing that we want to do is initiate therapy that they are going to be dependent on over time.

 

Bryan: Why, I mean, I would assume, and not knowing the science behind it, if I have a, let’s say, a level of three or four hundred. I come in to you, I get regular injections, is the body capable over a certain time of weaning off that and the testosterone levels stay at a higher constant level? Is that what you’re suggesting?

 

Dr. Chad: Sure. We see that in many patients. But there is a chance that, you know, I can’t say it’s 50% or 80% or 20%. We don’t know. But there is a chance that you may be dependent. It’s one of those things that we just have a heart-to-heart conversation, is this something that you want to do long term. Now, the longer you’re on it, the more likely it is that you’re going to need to be on it long term. But if we do this for a couple, a few months, we work on the underlying cause, we fix some things, we often get patients off of their testosterone and they do great. That twenty-two year old that I told you about. He is no longer on testosterone replacement, doing fantastic.

 

Bryan: Really?

 

Dr. Chad: Yes.

 

Bryan: So it’s a course correction if you will.

 

Dr. Chad: Correct.

 

Bryan: So talk to me how that works in the body. I don’t understand. The body naturally begins to– do you lower the doses each segment and the body kind of has this repetition pattern type of-

 

Dr. Chad: You’ve got multiple ways of managing that and then I tailor it for each patient. But you have multiple tools in the toolbox. So, one of them is a slow taper. First, you got to fix the underlying cause. If you’re constantly bombarded with stress and crazy and all those things-

 

Bryan: Yes, going back to that. Yes.

 

Dr. Chad: You’re not, you’re probably not going to get anywhere because that was what caused this to begin with or it could be what caused it to begin with. So you got to consider that. Then you also have to look at things, what are other tools in the, you know, what are other arrows in the quiver so to speak. So, you know, we can use things like HCG, we can use things like Clomid. All of those stimulate the production or the work in the testicles. The Clomid we use more for semen production. So, another side effect would be you don’t make as much semen.

 

So, if you’re trying to get pregnant, then you may not be making enough– I’m sorry, not semen production, sperm production. So, you may not be making enough sperm and that can cause some fertility issues. Now I’ve got multiple patients on testosterone replacement that have no problem fathering children. But it’s one of those things that we have to consider. What are all the potential things– this is not simply a matter of your testosterone’s low, here’s an injection, have a nice day. In my opinion, it’s inappropriate because you’re not looking at the big picture and patients-

 

Bryan: It always comes back for you. It’s a, man; it’s a 360 view of the person-

 

Dr. Chad: Absolutely, again-

 

Bryan: And the underlying symptoms, its managed care.

 

Dr. Chad: Absolutely. We have to make sure that we’re doing the best we can for that patient. And, you know, I mean, I’m sure you’ve seen this, especially, you go to the gym and you’re working out and these guys, they just want to be bigger, they want to be faster, they want to be stronger, I saw that all the time in Special Operations. In fact, there was a question that came up in one of the Special Operations units that I worked with that should we just put these guys on testosterone to enhance their performance. And at the time I said, “No, I don’t think that’s a good idea”.

 

Now I don’t– I’m going to retract that just a little bit. But I would not free-for-all, everyone come in and get your testosterone so that you can increase performance. That’s probably not appropriate either. This has to be managed.

 

Bryan: This is one of these things that, I mean, there’s all kinds of issues that fall into this category of, should you have a drink of, a glass of wine, yes?

 

Dr. Chad: Yes.

 

Bryan: Yes, in moderation, right?

 

Dr. Chad: Sure.

 

Bryan: Should you have a gun and shoot it? Yes. You shouldn’t shoot it the wrong way [laughs].It should be, it should be used appropriately.

 

Dr. Chad: Correct.

 

Bryan: And this is one of these things in medicine that obviously it’s anything that’s highly effective can be misused.

 

Dr. Chad: Absolutely.

 

Bryan: But I think for reasonable people, which I would assume consist of the listening group of people that listen to you in the podcast. This is not a shameful topic and this is not something that puts someone in the category of a steroid user [laughs]

 

[crosstalk 00:05:12]

 

Dr. Chad: That’s exactly right. Again, when it’s appropriately managed, when it’s– we’re doing all those things, some testosterone clinics do a fantastic job of that, some do not .And again, there’s multiple ways that we can replace testosterone. We tailor that for each patient, we give them all the options, we let them have a weigh in that because they’re the ones that are going to be doing it every day. If you’re doing a cream or a gel, it’s, you know, every day and there’s pros and cons with that. There’s pros and cons with injections, there’s pros and cons with pellets, you know, all of those kinds of things. But these, these are all questions that we can certainly review one-on-one and we’ll definitely talk more in detail about these things in future podcasts.

 

Bryan: Yes, this is a great subject. So let’s get down to the nitty gritty, right? Sex, how does it, how’s the connection to testosterone? You know, I hear [laughs] there are these guys going to–I’m ashamed, sometimes I stay up too late, right?

 

Dr. Chad: Yes.

 

Bryan: And I’m watching these late night info commercials, I can’t go to sleep, right? And, literally, I have 400 stations on my cable box; I pay like 200 dollars a month or something. The only thing on is this guy talking about “Get testosterone to improve your sex life” or that ridiculous. It’s either that or a preacher. I actually find the in some instances the preacher to be more fascinating. But you get a lot of talk around a direct linkage between testosterone and sex drive.

 

Dr. Chad: That’s correct. And there’s no question that that can play a role as well. But, I get patients that their sex drive is low, we give them testosterone and their sex drive doesn’t get any better. This is a multi-factorial issue. Now with women, there’s like 50 things, you know, and you can look at them wrong and their sex drives down for a month.

 

Bryan: Isn’t that right? You’re right on.

.

Dr. Chad: The– but men are pretty linear.

 

Bryan: Well, I was going to say, that’s a whole at least 100 podcasts. That we could talk about the differences between men and women when it comes to sex.

 

Dr. Chad: And we will be talking about that.

 

Bryan: Great. I’m in. I’m in.

 

Dr. Chad: We will be talking about-

 

Bryan: Don’t fire me before then.

 

Dr. Chad: You got it. We will be talking about hormones, and, sex drive and my nurse practitioner Courtney will be coming on and-

 

Bryan: Awesome.

 

Dr. Chad: That’s kind of one of her, one of her passions. And so she’s working on that stuff right now.

 

Bryan: Great.

 

Dr. Chad: So that will be coming. But man, it’s still multi-factorial, if there’s resentment, there’s psychological issues, there’s lots of stress. I mean, all of those things can impact sex drive, and certainly as we age our erectile function tends to decline. But there’s a direct correlation between erectile function and risk for cardiovascular disease. So, these are things that we have to watch closely and if you have any performance issues, you’re not able to get a sufficient erection. Then now there could be a psychological component with that and, “Crap, I couldn’t perform before”, and so now you’re just like focused on, you know, keeping it up and stuff.

 

Bryan: Well, for– yes, there’s that. For me, when I hear you talk about this, there are many components to a sex drive. I think of, like I drive a truck, l love driving in my truck, I want to go as fast as I can in that truck without completely breaking the law, right? So, I would say there’s many components to, for, to allow that to happen, right? I’ve got to have my oil changed, I’ve got to have tires that work. I’ve, and I kind of see this issue as, again, there’s a lot of talk about testosterone and I think there’s a lot of guys that look for hope in this category, in the sex category if you will, and they think that there’s just a silver bullet for that truck to go down that highway pretty fast, right? [laughs] And there’s not. And there’s not.

 

Dr. Chad: That’s right.

 

Bryan: This is not a silver bullet for sex drive, right?

 

Dr. Chad: Right. And that’s one of the things that we do differently at Revolution Health. We certainly provide testosterone replacement when medically indicated. But we are looking at the whole picture. You can’t get what we do in a “quick, come and get your injection, you’re out the door” kind of thing. Because our goal is to revolutionize health, it’s our mission statement, to revolutionize medical care. So, when patients come in and they have, their sex drive’s low or they’re tired, whatever, then there are multiple factors. It is not just low testosterone. And their testosterone may be primary, but it may be secondary.

 

And there may be reasons like there could be pituitary issues, there could be brain issues, there could be testicle issues on why their testosterone is low. So that has to be evaluated. But then in the bigger scheme of things we give you testosterone when medically indicated and things improve, but we also– or things may improve, they may not, we have to look at that underlying picture, what, what else is going on. And our goal is to help you optimize your sleep, optimize your nutrition so that you get out of bed and you’re a Nascar ready to run.

 

Bryan: I love it, love the analogy.

 

Dr. Chad: That’s our goal.

 

Bryan: That’s my goal. That’s my life goal. I need to go to– you know a good doctor?

 

Dr. Chad: Yes [laughs].How do you want me to answer that Bryan? It sounds arrogant.

 

Bryan: It does– [laughs] it’s your show. I figured you’d give yourself a plug there, I mean, I’m kind of throwing you a softball apparently you need some mojo.

 

Dr. Chad: At the same time, if I didn’t think what we did was different i wouldn’t be doing it. I would be in the system and just cranking our patients every 15minutes

 

Bryan: Marshal you awfully quite over there

 

Marshall: Am sorry what do you need more feed back?

 

Bryan: Yeah so are you buying this? This whole get your mojo back?

 

Marshall: Well think the biggest thing you guys have you know kind of talked about is that it addresses more than what the common stigmatized, this is what testosterone treats. It treats more than just fatigue in all I think that is huge, because I mean a lot of people in the work place they thinking they are fatigued because of working long hours but it could be a whole host of other things

 

Dr. Chad: that’s right

 

Bryan: I think for you are younging as we say in Oklahoma. He is a younging, I mean you are this country.

 

Marshall: I don’t say younging, you say younging. I don’t.

 

Bryan: Okay, you don’t say younging.

 

Marshall: I do when I am making fun of you.

 

Bryan: Well, maybe you are older than me, that’s good but this is a younging over here and I think he is interesting and I wouldn’t even begin to think a guy like this would be in the category. I have always thought this is like once you hit 40 right? “Once you hit 40, go get your stuff checked here go get your mojo checked,” right? there is a couple of things you do when you hit 40 right you get your prostate exam and you get your testosterone checked that’s interesting it’s not related to age I think that’s one of the most unique facts that I got out of this and I think it’s an amazing story that a 20years old had that well its almost non existence. I guess it’s kind of scary right?

 

Dr. Chad: No, I think that’s ridiculous

 

Bryan: Yes, that’s ridiculous so how many people are out there on testosterone now? Percentage of male?

 

Dr. Chad: Well you got to understand I have a selection bias because we do testosterone therapy. We do management so I would say you know in my clinic I can give percentage, but there is pretty high level in the past I didn’t know what I was doing testosterone management. I was one of those doctors that said just get your injection once a month or I will put you on one of the commercially available testosterone replacement gels or creams which are just not powerful enough to do what we need to do. They will work; I got patients who kept coming saying, “Endogel didn’t work for me.” It will absolutely work you just need some more and sometimes you need so much more that it is impractical.

 

Bryan: Yeah you just like you got to put too much on you used so much product.

 

Dr. Chad: Right.

 

Bryan: Yeah what about hair losses do you help with hair loss? Bald.

 

Dr. Chad: Hair loss can be associated with dihydrotestosterone and its one of the byproducts of testosterone so it’s one of the things that we have to watch because it can actually some cases accelerates hair loss.

 

Bryan: Really? That’s what they say with steroids people lose their hair right get loose their hair all that stuff, but it’s worth it though right? It’s worth it. So, are we going to have a whole podcast on hair loss?

 

Dr. Chad: We certainly can.

 

Bryan: Well I mean how many bald men walk around there? A Lot it almost a half the population you should get on that get it checked.

 

Dr. Chad: Half of them?

 

Bryan: It’s a lot they have receding hair lines may be like yours okay you have a little bit of receding hair right?

 

Dr. Chad: Yes.

 

Bryan: Alright good topic worth the end I don’t know if we need serious edits here we got some music on the way out so thank you Chad.

 

Dr. Chad: Thank you Bryan.

 

Bryan: Yes see you next time.

 

Marshall: Thanks for listening to this week’s podcast with Dr Chad Edwards tune in next week where we will be going Against the Grain.