Thursday, June 27, 2013

Testosterone: Fear-mongering by pharma and doctors

Here's the lede from a story in the Washington Post about prescribing testosterone to men:

In case you haven’t noticed, advertisements aimed at treating low levels of testosterone, or “low T,” have displaced those erectile dysfunction commercials with side-by-side bathtubs. The ads ask: Are you suffering from any of the following — depression, low energy, weight gain, fatigue, low sex drive?

If ever there were a case of medicalizing aging, this is it. Didn't we learn from the estrogen debacle? This is sheer predatory activity by pharma and doctors capitalizing on men's worst fear.

“Those symptoms are true of everybody as they age, to a greater or lesser extent,” says Glenn Braunstein, an endocrinologist and vice president of clinical innovation at Cedars-Sinai Medical Center in Los Angeles. Low T, he says, is the latest trend in direct-to-consumer advertising, promoting . . . products . . . that deliver the male sex hormone through the skin — a more convenient and less painful option than the injections that have been available for decades. 

These drugs, which require a prescription, treat hypogonadism, or low testosterone production. While doctors agree that testosterone therapy is beneficial in hypogonadal men, they are concerned about rejuvenation clinics and Internet sites that push testosterone — or supplements dubiously claimed to boost it — as a cure-all for aging symptoms. 

I'll offer this unscientific prediction: Fifteen years from now we will wonder why the incidence of prostate cancer is mysteriously increasing.

“For a drug, testosterone’s relatively safe,” John Morley [an endocrinologist at St. Louis University School of Medicine] says. “But no studies go longer than three years. What happens if you take it for 20 years?” If large numbers of men begin taking testosterone in their 40s to combat normal aging, he says, “are we going to see similar problems in aging populations that we saw in the Women’s Health Initiative with estrogen [replacement therapy,]” which turned up small but significant increases in cardiovascular and cancer risks? “Probably so.”

I hope but do not expect that men among my generation of baby boomers will pay attention to this advice from Dr. Braunstein:

“If you don’t need it, don’t take it,” he advises. “There’s absolutely no evidence that these treatments decrease aging. Ponce de Leon never found the fountain of youth, and the baby boomers won’t, either.” 


Unknown said...

Lift weights!

Unknown said...

Lift more weights.

VEGF antibody said...

Thank you for the article.

Eye Doc said...

Why stop with testosterone? They should go all the way-anybody over 40 gets a lifetime prescription to testosterone, dianabol, trenbolone, and anavar. For your health.

The insanity of our society...

Anonymous said...

Thank you for this, Paul. It infuriates me to see these ads on TV. Like the old ads for EPO...or, indeed, like "the estrogen debacle". Real real danger in direct-to-consumer advertising of powerful drugs!!!

Anonymous said...

I've been on testosterone replacement therapy for 5 months. My blood pressure has jumped from 115/75 to 140/85. I think I'd rather have low T than high BP, yet alone prostate cancer. said...


Healthline just designed a virtual guide explaining how testosterone affects the body. You can see the infographic here:

This is valuable med-reviewed information that can help a man understand how affects multiple parts of their bodies and the side effects that occur from having low testosterone. I thought this would be of interest to your audience, and I’m writing to see if you would include this as a resource on your page:

If you do not believe this would be a good fit for a resource on your site, even sharing this on your social communities would be a great alternative to help get the word out.

Thanks so much for taking the time to review. Please let me know your thoughts and if I can answer any questions for you.

All the best,
Maggie Danhakl • Assistant Marketing Manager
p: 415-281-3124 f: 415-281-3199

Healthline • The Power of Intelligent Health
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Paul Levy said...

I published this comment but am offended that your website on this topic includes advertisements for testosterone. That undercuts any semblance of objective reporting on your part.