What is male hormone health guidance?

Male hormone health guidance is a full-process health management service that focuses on men's hypothalamic-pituitary-gonadal axis endocrine system with testosterone as the core, from testing and evaluation, individualized intervention to long-term follow-up. The core goal is to help men maintain endocrine homeostasis. It is neither an "improving prescription" spread online, nor a "muscle-building miracle drug guide" popularized in the fitness circle.

Speaking of which, many people's understanding of this matter is still based on the crude logic of "testosterone is low, take supplements." Two years ago, I met a 32-year-old Internet programmer who worked on projects for more than half a year. He always felt tired and unmotivated, and his married life was also affected. After checking some information, he bought overseas testosterone supplements online. After taking it for half a month, his face broke out with acne. When he checked his sperm motility, it dropped by nearly 30%. This is a typical counterexample of blind intervention without evaluation. The first step in our guidance is never to prescribe supplements or medicines, but to first understand the situation of the entire endocrine axis. You have to know where the problem is - just like the tap water output at home is small, and if it cannot come up, then connect the booster pump. You must first check whether the water supply from the water plant is insufficient, the middle water pipe is leaking, or the outlet is blocked. In addition to total testosterone, we also need to look at indicators such as free testosterone, sex hormone binding globulin, estradiol, and luteinizing hormone, combined with your daily routine, body fat rate, and exercise habits to comprehensively judge. Many people's low testosterone is not a gland problem at all, but the body fat is too high.

Last month, I received a visit from a 45-year-old private company owner. During his physical examination, his testosterone level was at the lower end of the normal range. He always felt tired and in a bad mood. So I asked if he could get a testosterone injection. I saw that his belly was very bulging and his body fat rate was 33%. Dunden usually drinks white wine, so he made a very basic adjustment plan for him: walk 5,000 steps a day, spend 2 hours a week doing lower limb strength training such as squats and deadlifts, stop all sweet drinks and white wine, and try to go to bed before 12 o'clock at night. His execution ability is quite strong. When he came back for a review more than two months ago, his body fat dropped to 27%, and his testosterone increased by 42%. The previous uncomfortable symptoms were basically gone, and there was no need for exogenous testosterone at all.

Of course, there are now different voices in the academic world on this part. One school of thought believes that as long as the indicator is within the normal reference range, even if it is close to the lower limit, no additional intervention is needed. Exogenous supplementation will instead inhibit the secretory function of the own glands, and the risk is particularly high for men with fertility needs.； There is also a group of people who believe that if clear symptoms such as fatigue, depression, and decreased sexual function have appeared, even if the indicators are still within the normal range, lifestyle intervention can be used to adjust testosterone to the mid-range of the normal range, without the need for medication. At present, our clinical principle is still to give priority to lifestyle adjustments. Only patients who are diagnosed with primary hypogonadism and whose life intervention is completely ineffective will use testosterone replacement therapy under strict follow-up.

I also want to remind everyone not to be fooled by the "testosterone anxiety" on the Internet. As long as young men in their twenties have a regular schedule and exercise regularly, they will rarely suffer from pathological low testosterone. Don't take supplements casually for the so-called "more manly" and "faster muscle gain", which will mess up your endocrine system.