Testosterone Replacement for Men
In healthy males, 95% of the testosterone circulating in blood is made in the Leydig cells of the testes; roughly 6 to 7 mg per day of testosterone. The remaining 5% is made in the adrenal glands.
Testosterone replacement therapy has the potential to drastically improve the quality of life; however, it’s just as important to take the right dose of testosterone. Administration of excessive amounts of testosterone will suppress endogenous production and eventually lead to receptor downregulation, a phenomenon known as negative feedback. This means if you take too much testosterone, your brain will reduce its natural production to protect the body against abnormally high levels.
What Are the Potential Benefits of Testosterone?
- Builds and maintains muscle mass and strength
- Causes vasorelaxation which lowers vascular pressure
- Helps maintain a powerful immune system
- Improves mood
- Improves oxygen uptake throughout the body
- Increases lean body mass
- Lowers cholesterol
- Maintains libido
- Prevents memory loss
- Reduces body fat mass
- Regulates blood sugar
- Regulates nutrient and energy balance to maintain protein synthesis
- Regulates red blood cell production
- Sperm production
What Are the Signs and Symptoms of Low Testosterone?
- Anxiety
- Cognitive decline
- Decreased ability to concentrate
- Decreased muscle mass
- Depression
- Difficulty achieving and maintaining an erection
- Hair loss
- Hot flashes
- Increase in breast tissue
- Increase in perceived stress
- Increased risk of bone loss and bone fracture
- Infertility
- Insomnia
- Irritability
- Low sex drive
- Reduced body and facial hair
- Reduced energy
- Reduced sperm count
- Weight gain
Why Do Testosterone Levels Drop?
- Aging
- Alcohol use
- Chronic illness
- Chronic kidney failure
- Diabetes
- Disorders of the pituitary or hypothalamus gland
- Genetic disorders
- HIV
- Hypothyroidism
- Infection or injury of the testicles
- Medications like opiates, some antidepressants, anxiety medicines, some seizure medications, and some antipsychotic medicines
- Lack of exercise
- Obesity
- Other medications
Bioidentical Hormone Replacement Therapy for Men
We are CA's experts in compounding BHRT
- Testosterone Injectables
- Intramuscular injections
- Subcutaneous injections
- Topical creams/hydrogels (Atrevis™ Hydrogel)
Clomiphene Citrate
Clomiphene citrate provides an oral dosage form that may help increase testosterone levels in hypogonadal males.
Clomiphene belongs to a class of drugs called estrogen receptor antagonists and has the potential to increase serum testosterone levels in men. For patients with secondary hypogonadism, Clomiphene helps restore physiological endogenous testosterone secretion while maintaining testicular volume and, potentially, spermatogenesis. In clinical trials conducted, these drugs demonstrated significant efficacy in the physiological restoration of testosterone levels in males with secondary hypogonadism.
Clomiphene Citrate may be an option for younger males wanting to raise their testosterone levels without completely reducing their fertility as seen without injectable testosterone therapy.
Erectile Dysfunction (ED)
Erectile dysfunction (ED) is characterized by the consistent inability to attain or sustain an erection sufficient for satisfactory sexual activity.
The Massachusetts Male Aging Study, which surveyed 1,709 men aged 40 to 70 from 1987 to 1989, revealed that 52 percent of the participants experienced some form of erectile dysfunction. In 1995, it was estimated that over 152 million men globally were affected by ED. Projections suggest that by 2025, around 322 million men worldwide will suffer from this condition.
Erectile Dysfunction (ED)
Erectile Dysfunction often results from physical causes, such as nerve damage, neurological disorders, hormonal imbalances, surgery, and chronic illnesses. Medications like Viagra (Sildenafil), Cialis (Tadalafil), and Levitra (Vardenafil) may not be working as well over time for some men due to underlying health conditions such as diabetes, high blood pressure, heart disease, obesity, and prostate cancer. Men often also face challenges with ED after prostate removal surgery (prostatectomy).
Customized Dosage Forms and Strengths for Men’s Health at ScriptWorks
One size does not fit all when it comes to medication, especially with erectile dysfunction. ScriptWorks’ pharmacists provide guidance on compounded prescriptions for erectile dysfunction to both patient and provider. Let’s go through the most commonly prescribed medications for ED (as well as nutritional supplements recommendations).
ScriptWorks works closely with practitioners to create medications that work for each individual. Our pharmacists create custom erectile dysfunction medications in various dosage forms, such as Rapid Dissolve Tablets (RDTs), sublingual troches, and lozenges.
ScriptWorks RDTs for ED include:
- Sildenafil Citrate 150mg: Tablets can be divided into 4 doses of 37.5mg each.
- Combination Drugs
- These include:
- Sildenafil 112mg/Tadalafil 22mg (Quarterable)
- Sildenafil 81mg/Apomorphine 6mg (Quarterable)
- Sildenafil 100mg/Tadalafil 22mg (Quarterable)
- Sildenafil 100mg/Vardenafil 40mg (Quarterable)
- These include:
These RDTs dissolve quickly in the mouth, resulting in rapid absorption and onset of action. They are typically flavored to make them more palatable.
CALIFORNIA PRACTITIONERS
Are you interested in prescribing compounds for your male patients?
Sexual Health Support Supplements: Is Nitric Oxide (NO) the Missing Piece in ED?
Nitric Oxide (NO) promotes improved blood flow throughout the body, which is crucial for erectile functioning. The saying “Erectile Dysfunction is Endothelial Dysfunction” underscores the importance of cardiovascular health in managing ED. NO is a vital molecule in cardiovascular health, and many of the most popular traditional ED medications have been shown to be ineffective when NO levels in the body are not optimal.
NO Supplements:
- Nitric Oxide Tablets: Available in 60-tablet bottles to support good blood flow and enhance erectile function.
NO supplements play a crucial role in maintaining sexual health, especially when traditional ED medications are less effective due to low NO levels.
California BHRT & ED Compounding Pharmacy You Can Trust.
Compounding medications offer personalized solutions for a range of men’s health issues, particularly in managing sexual health. ScriptWorks Pharmacy collaborates closely with practitioners to provide ED medications that address individual needs, ensuring optimal health outcomes.
PCAB ACCREDITED PHARMACY
It’s important for California patients to get the highest quality medications for ED. ScriptWorks is a PCAB accredited compounding pharmacy.
For more information or to get started on your personalized plan, contact ScriptWorks today.
Working with Providers & Patients
ScriptWorks provides information, resources, and fills prescriptions written by your doctor for testosterone and other bio-identical hormones.
- Prescriptions
- Consultations
- Physician Referrals
- Test Kits + Testing Facilities