Notes

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Outline

1	Testosterone Therapy for The Mature Man-Who and How
2	Male Sexual Chemistry
3	Hypothalamic-Pituitary-Gonadal Axis
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5	Pulsatile GnRH Secretion
6	Causes of Hypogonadism
7	Healthy Men with Testosterone Deficiency
8	Age -Total T- freeT index
9	Measuring Testosterone Assay Total Testosterone Free T analogue Bioavailable T Free T by dialysis Measures What? T+SHBG+AlbT ? Probably free T T after NH2SO4 ppt Free T
10	When is a Man Testosterone Deficient?
11	Testosterone Deficiency
12	Low T and ED-2 Views Endocrinology –Low T Common in ED-35% Related to ED T Rx. a. Normal NPT/VSS b. CC NOS c. Effective Urology-Low T Rare in ED -1% NPT Castrati Unrelated to ED T Rx. a. Libido only b. Unproven c. Effective*
13	Effect of Age on Nocturnal Penile Tumescence
14	Androgen Rx.-Expectations
15	NPT Episodes and Serum Testosterone
16	The Nitric Oxide Cascade
17	Androgen Rx.-Expectations
18	Effect of T 100 mg/wk on Grip Strength
19	Weight and Strength after 10 wks of T 600 mg/wk
20	Effect of T 100 mg/wk on weight, muscle and fat
21	Androgen Rx.-Expectations
22	Perception of Physical Function
23	Androgen Delivery Systems
24	Testosterone after Patch, Gel or Injection
25	Serum Testosterone with Androgel
26	Contraindications to Androgen Therapy
27	Sudden Testosterone Deficiency
28	Treating Hot Flashes in Men
29	Will Testosterone Rx. Adversely Affect ?
30	Conclusions- Testosterone for the T deficient Mature Man Benefits Anabolic Lipolytic Libido Erectile Function Well-being Risks Hct. With IM T PSA ?Acne Male pattern baldness
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