Andropause male menopause

Reduction of available male hormones.
Alternative Medicine
Acetyl-L-Carnitine & propionyl-L-carnitine may improve organism.  Testosterone may improve erections, desire + decrease fatigue & depression.  8/2004 Life Extension magazine
Chrysin + Piperine + Nettle + Muria Puama - Life Extension  Collector's Edition 2004 cites supplements that boost "free" testosterone = bioflavonoid chrysin with bioperine (piperine), nettle, & muria puama.
1/2000 Life Extension magazine explains that free testosterone may become unavailable if converted (aromatized) into excess estrogen or [bound to sex hormone-binding gobulin (SHBG) or bound testosterone]. Chrysin + piperine may inhibit aromatization more than other natural flavonoids like genistein, rutin, & tea catechins.  Chrysin may also reduce brain anxiety with no impairment of motor activity or cognitive performance, unlike drugs.  By increasing free testosterone, decreasing excess estrogen & reducing anxiety, chrysin helps prevent breast & prostate cancer.  
Muria puama stems & root of the Ptychopetalum olacoides plant may help male libido & provide better results than yohimbine without side effects.  It may improve sleep, rheumatism, muscle paralysis, increase free testosterone and/or suppress excess estrogen, & stay in the bloodstream longer than other herbs. 
Chrysin + Peperine + Saw Palmetto + Nettle + Zinc + Androstenedione -
As testosterone may convert (aromatize) to estrogen, be sure to add 80-90 mg zinc to 1000 mg
chrysin & 10 mg piperine, + eat a lot of cruciferous vegetables as broccoli.
Also recommended is (up to) 110 mg soy isoflavones (phyto-estrogens) to compete with estradiol on cell receptor sites to stimulate liver to remove estrogens from blood.
320 mg saw palmetto may block prostate estrogen receptor sites.
Excess estrogen (estradiol) blocks production & effect of testosterone.

240 mg nettle (urtica dioica) may inhibit (SHGB) sex hormone-binding globulin that binds to & deactivates testosterone.  Androstenedione is a precusor hormone to both testosterone & estrogen. 
Combining androstenedione with an aromatase inhibitor such as
zinc, chrysin + piperine, genistein, or rutin, may prevent it from converting to estrogen. 
(This approach is important for such issues as as breast cancer which is accelerated by excess estrogen.)
Colbert MD, Donald - The Bible Cure Booklet for Weight Loss & Muscle Gain notes that men need to supplement testosterone cream with Chrysin (500 mg 2x a day) to inhibit the aromatase enzyme which converts testosterone to estrogen. In addition one should consider 15 mg zinc, DIM (broccoli extract), soy, + saw palmetto (to protect the prostate).
June 2004
DIM - Zeligs MD & Connelly MD in All About DIM encourage eating lots of raw cruciferous vegetables to adjust one's testosterone & estrogen hormones
10/2003 Essential fatty acids EPA & DHA, zinc, DHEA, indole-3-carbinol (I3C) & supplemental testosterone are recommended. Life Extension's Disease Prevention and Treatment suggests adding vitamin E, gamma E tocopherol, selenium, lycopene, saw palmetto, pygeum & nettle to protect prostate.
6/2005 DHT (dihydro-testoserone) + DHEA=S (dehydro-epiandrosterone sulfate) may need screening. 
DHEA levels may affect mood, bone mineral density, immunity, spinal nerve recovery, & abdominal fat. 
Free testosterone levels are the best indicator of available testosterone.
Flax seed hulls provide lignans or phyto-estrogens which may help convert testosterone to dihydro-testosterone (DHT) Urology 2001
L-arginine + L-lysine + yohimbine - Wright and Lenard  Maximize Your Vitality & Potency- for Men over 40  Authors recommend approx 6 grams L-arginine (or L-ornithine or L-citrulline), 7 grams L-lysine (to offset any herpes reaction) + 500 ug of selenium for libido.  Yohimbine (18-100mg/day in divided doses) may be taken if one does NOT have heart problems. (Take in SMALL divided doses.  Avoid with high blood pressure.)  
Other popular herbs are panax ginseng [increases serum testosterone & may release NO (nitric oxide) from arterial endothelia cells], muira puama, & ginkgo biloba.
In 1998 scientists were awarded the Nobel prize for NO research. There are 2  types of NO: constitutive NOS & inducible NOS. Note, most drugs diminish testosterone. This includes tobacco & alcohol. (Yohimbine is be taken in small divided doses.  Omit if one has high blood pressure.)
L-arginine + testosterone + acetylcholine - David Williams MD report 1-800-219-8591
(Do not take L-arginine if you have herpes.  Take in SMALL divided doses.)
Life Extension magazine suggests that a vasectomy (side effect) may result in lowered testosterone (androgen) levels & migraines.  Once case study was remediated with the use of testosterone gel, pregnenolone,  magnesium citrate, melatonin, kava, lactobacillus, bifidobacterium, DHEA, & streptococcus thermophilus.
August 2004 Reporting doctor is Sergey A Dzugan, Donetsk, Ukraine
(Tying of fallopean tubes also adversely affects hormones.)

L-citrulline - - L Citrulline is a precursor to L Arginine, & L Arginine is a precursor of the erection inducing gas Nitric Oxide, both are amino acids & form 2/3rdís of the amino acids in the urea cycle with the other being L Ornithine...
A combination of the 2 will result in better results. If I was to chose just 1 of the 2, I would choose L Citrulline.

Nettle by binding to SHBG may reduce free testosterone's binding to SHBGs.  When free testosterone becomes bound, it loses its biological activity.  Nettle also may inhibit the 5 alpha reductase enzyme that causes testosterone to convert to dihydro-testosterone (DHT), which may contribute to benign prostate enlargement, excess facial hair & hair loss at top of head.  The liver also causes testosterone to bind to gobulin as well as drugs & alcoholic beverages.  1/2000 Life Extension magazine
Orchic powder is a form of testosterone, often taken from pigs, thus NOT Kosher. 
It is allowed as a supplement when it is less than the prescription dose of 25-100 mg.  1 mg = 1 million ng. 
The adult male daily produces 2.5-11 mg (2,500,000-11,000,000 ng) 
Note - Creams are superior, as they do not pass through the liver as do the supplements.
Pregnenolone, a hormone precursor, is a stepping stone to17-alpha-DHEA to DHEA to Androstenedione to Testosterone. Hormone precursors may soon be outlawed as supplements. March 2003 Life Extension
Tribulus terrestris is a hormone precursor which produces a leutinizing hormone (LH) which signals the body to make more testosterone. Khalsa MD in Food as Medicine advises the use of a compounded hormonal cream over supplements. (Take in SMALL divided doses.  Avoid with high blood pressure.)

Medical Research


Bhasin, Dr Shalender, chief of endocrinology, nutrition, & diabetes at Boston Medical Center & professor of medicine at BU published an editorial in the 1996 New England Journal of Medicine on the benefits of testosterone injections in healthy men to increase strength & muscle size. 
He is currently investigating a testosterone gel which might help elderly male muscle strength & function. 8/27/2006 per Ryan Murphy +

Blood tests may help troubleshoot potential problems.  Optimal blood levels are as follow. 
Glucose (70-85mg/dL), cholesterol (180-200mg/dL),  LDL (under 100mg/dL), HDL (over 55mg/dL), triglycerides (under 100/dL), fibrinogen (200-300mg/dL), hemoglobin AIC (below 4.5%), DHEA (400-500ug/dL), PSA (0-2.tng/mL), homocysteine (under 7.2umol/L), C-reactive protein (under 0.55mg/L), TSH (0.35-2.1mU/L), free testosterone (15-26.5pg/mL), estradiol (10-30pg/mL). 5/2006


Colbert MD, Donald - The Bible Cure Booklet for Weight Loss & Muscle Gain notes that men need to supplement testosterone cream with Chrysin (500 mg 2x a day) to inhibit the aromatase enzyme which converts testosterone to estrogen. In addition one should consider 15 mg zinc, DIM (broccoli extract), soy,+ saw palmetto (to protect the prostate).
June 2004
Charisma + +

Greene, Dr Robert  Perfect Balance  12/2005 - Green notes that too little fat reduces testosterone levels.  This is not an excuse for excess meat consumption. L-carnitine is essential for fat metabolism in mitochondria. Green recommends dancing to promote oxygen exchange.
HRT cream for men - Abraham Morgentaler MD - Brookline MA, USA   1-617-277-5000 or Boston, MA. 1-617-667-2317
Institute for Sexual Medicine Boston, MA, USA treats both men & women.
Also book 
The Potent Male  by Goldstein & Rothstein
Pregnenolone, a hormone precursor, is a stepping stone to17-alpha-DHEA to DHEA to Androstenedione to Testosterone.   Hormone precursors may soon be outlawed as supplements. March 2003 Life Extension

Reynolds MD, Gordon - 2/2005 Life Extension notes that hormone levels peak at about age 35.  By age 55 most sex hormones have declined significantly.  Between ages 64-79 the severe lack of hormones contributes to many diseases.  Reynolds recommends regular monitoring of 5 hormones: estrogen, progesterone, testosterone, DHEA, & cortisol.

Testosterone (taken alone without DIM) will help age related decline in strength, sex & cognition but may cause prostate cancer problems  11/13/2003
Testosterone is only approved in USA  for male hypogonadism or low testosterone levels in younger men. 11/13/2003
Testosterone homeopathic creams such as the 2 Doctor's Testosterone Gels may be a Fountain of Youth for seniors.
Testosterone - The brain's hypothalamus gonadotripin-releasing hormone (GnRH) talks to the pituitary gland at the brain's base.  The pituitary makes follicle-stimulating hormones (FSH) & luteinizing hormones (LH).  LH tell the testes to produce testosterone.  40% of testosterone is bound to SHBG.  58% is bound to albumin for use.  2% is free in blood.
The Testosterone Solution Aubrey Hill MD




Farhart MD, Scott, gynecologist & author of Sex, Men & God + Intimate & Unashamed