Dr. John DiTraglia cautions that men need to be careful before going on a testosterone replacement therapy. Dr. DiTraglia reports that several weeks ago he was ready to ask his doctor, Dr. Arrick, to give him a prescription for testosterone to shrink his belly and make him run faster - or at least test him to see if he was low. But this week’s Journal of the American Medical Association had a report titled “Association of testosterone therapy with mortality, myocardial infarction, and stroke in men with low testosterone levels,” that changed his mind.
These authors from a consortium of 76 VA hospitals studied a group of 8709 men in their 60s who had low testosterone levels. Most of them had heart disease and 50 percent had diabetes. They gave 1,223 (16 percent) of them replacement testosterone treatment and watched for three years. The group given testosterone treatment had a 30 percent increased occurrence of heart attacks or strokes or death, that was significant enough to stop the study. The increased risk was no different in the younger men and the ones without heart disease. Whoops. These authors conjecture that maybe testosterone somehow worsens arteriosclerosis.
Remember when we used to think estrogen would fix everything? Even Dr. DiTraglia wanted to take it. Now he thinks he'll try buying expensive new running shoes.
If you or a loved one have suffered a heart attack or stroke after taking a testosterone replacement drug, like AndroGel, Androderm, Testrim or Axiron, please call our office for a free consultation.