“Truth is universal. Perception of truth is not.” Anonymous
The recent outcry about testosterone therapy increasing cardiovascular disease and myocardial infarction (heart attack) is causing a tremendous amount of confusion for my patients and for men all over the country. The lawyers have grabbed onto two recent studies and have helped to create panic. In this article I will break down the problems with the flawed JAMA study and the PLOS One study that started the whole problem.
There are four key problems with the JAMA study.
What About This Good Study?
Only four short weeks earlier before the JAMA “study” came out, another observational study
came out that did not get as much sensational media coverage. This was a different larger observational study that showed that testosterone therapy decreased factors associated with cardiovascular disease! This study found that men treated with testosterone showed cardiovascular improvements as indicated by:
The Other Flawed Study
The PLOS One study concluded that among the over 55,000 subjects studied who were given a testosterone prescription, MI (heart attack) was two times more likely than the control group in the first 90 days after the prescription was given.
The PLOS One study by Finkle has its own issues also.
Testosterone therapy, prescribed and administered by a competent physician, can examine risk factors and properly monitor outcomes in an individual patient. I routinely check blood work that demonstrates possible increased risk for cardiovascular disease. Any man who has a known cardiovascular risk profile will almost always be additionally monitored by his own internist and/or cardiologist. The key here is prudence and common sense.
In my book, The Hormone Zone, I also discuss the benefits of testosterone therapy and improvements in cardiovascular disease outcomes. The studies supporting this for the past two decades are too numerous to list here and too numerous to discount over one or two studies that happened to make it to the front page of the lame-stream media and directly into the hands of lawyers. I utilize almost solely bioidentical subcutaneous testosterone pellets for men, which provide a consistent flow of testosterone for up to six months. This maintains levels of testosterone in an optimal range, reducing the risks associated with peak and trough levels and allowing men to experience the health benefits and quality of life that consistent bioidentical testosterone can provide.
Fear not my friends! The sky is not falling here...
To Your Health!
Dr. John A. Robinson
“America’s Natural Health Expert”