andropause: exploring the causes and hormone free ...caue of andropause: elevations in shbg review...

75
Andropause: exploring the causes and hormone free, evidence based nutrients and botanicals for treatment Dr Eugene R. Zampieron, ND, RH(AHG) Financial Disclosure: Receives royalties from Restorative Formulations

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Page 1: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Andropause exploring the causes

and hormone free evidence based

nutrients and botanicals for

treatment

Dr Eugene R Zampieron

ND RH(AHG)

Financial Disclosure Receives royalties from Restorative Formulations

Urologe A 2013 Jun 12 Testosterone deficiency - an

underestimated risk for men Prevalence of

hypogonadism

bull RESULTS

bull Pathologically low testosterone levels (ltthinsp25 ngml) were found in 152thinsp of subjects while 374thinsp had a testosterone level lower than 35 ngml Decreased testosterone levels were not associated with age In addition the proportion of men with decreased serum testosterone levels was comparable in all age groups The average serum testosterone level decreased slightly in all age groups during the period before midday

bull CONCLUSIONS

bull The data reveal high rates of testosterone deficiency in men independent of patient age As decreased serum testosterone levels may be the consequence of several diseases and can be causally involved in the pathogenesis of further diseases it is strongly recommended that serum testosterone measurement should be included in the diagnostic arsenal especially when symptoms such as loss of libido erectile dysfunction lack of concentration depression lethargy irritability and sleep disturbance are present

I would add high lipids

weak legs chronic low

back amp weight gain here

httpwwwhealthyfellowcomimages2009testoste

rone-age-chartgif

httpwwwendotextorgmalemale2figures2figure2jpg

httpwww2mstdkudgivpublications2007978-87-7052-538-1htmlimagesfig03gif

Effects of restoring Test Levels

bull In a controlled study 13 healthy men aged 57 to 76 years with low or borderline low blood testosterone were administered testosterone therapy at the University of Washington The men received either testosterone or placebo for three-month time periods The men were not supposed to know when they were receiving testosterone or a placebo but at any given time 12 out of the 13 were able to ascertain they were receiving testosterone based on increases in their libido aggressiveness in business transactions or an improvement in their sense of well-being

bull Tenover JS Effects of testosterone supplementation in the aging male J Clin Endocrinol Metab 1992 Oct75(4)1092-8

Researchers measured free testosterone and 25-hydroxyvitamin D

blood levels in a large group (2069) men who were referred for

coronary angiography The results were nothing short of startling for

those who fail to maintain optimal blood ranges of vitamin D and

testosteronehelliphellip

These are most of

the men who go to

holistic physicians

Expanded Causes of Andropause

Restorative Medicine Model

bull Precursor steal due to Dis-Stresselevating cortisol and reducing lsquoYinrsquo Neurotransmitters

bull Adrenal medulla exhaustionrarrlowDOPAMINErarrwith elevations in ProlactinrarrLow Test

bull ObesityBMI issues

bull Lack of activity

bull Excess aromatase

bull Hypothalamic damage due to high cortisol

bull Hypothalamic damage due to high ROS stress

bull 5 alpha reductase activity

bull SHBG activity

bull Nutrient deficiencies

Free radical and ROS stress to testesleydig cells from multiple agents

bull Low Growth Hormone production

bull Endocrine disruptors and increased toxic load

bull Malabsorption of minerals like zinc leading to low T

bull Kidney disease

bull OTHERS

CAUSES of ANDROPAUSESTRESSeffect on adrenals

Precursor steal

ldquohellipChronically increased cortisol

level as seen during

prolonged stress may reduce

the functional activity of

leuteinizing hormonemdashrelease

hormone (LHRH) pulse

generator which may lead to

decrease in gonadotropin and

testosterone levelshelliprdquo

Science 1984 May

4224(4648)452-9

Stress hormones their

interaction and regulation

Axelrod J et al

Causes of Andropause

Obesity Estrogen cycle

ldquoMen with obesity

and Syndrome X

develop

low

Testosteronehelliprdquo

Adipokines increase

IL-6 which increases

inflammation and

decreases

testosterone

CAUSES of ANDROPAUSE

INSULIN RESISTANCEhttpimgmedscapecomarticle719489719489-fig14jpg

Even surgical loss of

fat increases

testosterone

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 2: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Urologe A 2013 Jun 12 Testosterone deficiency - an

underestimated risk for men Prevalence of

hypogonadism

bull RESULTS

bull Pathologically low testosterone levels (ltthinsp25 ngml) were found in 152thinsp of subjects while 374thinsp had a testosterone level lower than 35 ngml Decreased testosterone levels were not associated with age In addition the proportion of men with decreased serum testosterone levels was comparable in all age groups The average serum testosterone level decreased slightly in all age groups during the period before midday

bull CONCLUSIONS

bull The data reveal high rates of testosterone deficiency in men independent of patient age As decreased serum testosterone levels may be the consequence of several diseases and can be causally involved in the pathogenesis of further diseases it is strongly recommended that serum testosterone measurement should be included in the diagnostic arsenal especially when symptoms such as loss of libido erectile dysfunction lack of concentration depression lethargy irritability and sleep disturbance are present

I would add high lipids

weak legs chronic low

back amp weight gain here

httpwwwhealthyfellowcomimages2009testoste

rone-age-chartgif

httpwwwendotextorgmalemale2figures2figure2jpg

httpwww2mstdkudgivpublications2007978-87-7052-538-1htmlimagesfig03gif

Effects of restoring Test Levels

bull In a controlled study 13 healthy men aged 57 to 76 years with low or borderline low blood testosterone were administered testosterone therapy at the University of Washington The men received either testosterone or placebo for three-month time periods The men were not supposed to know when they were receiving testosterone or a placebo but at any given time 12 out of the 13 were able to ascertain they were receiving testosterone based on increases in their libido aggressiveness in business transactions or an improvement in their sense of well-being

bull Tenover JS Effects of testosterone supplementation in the aging male J Clin Endocrinol Metab 1992 Oct75(4)1092-8

Researchers measured free testosterone and 25-hydroxyvitamin D

blood levels in a large group (2069) men who were referred for

coronary angiography The results were nothing short of startling for

those who fail to maintain optimal blood ranges of vitamin D and

testosteronehelliphellip

These are most of

the men who go to

holistic physicians

Expanded Causes of Andropause

Restorative Medicine Model

bull Precursor steal due to Dis-Stresselevating cortisol and reducing lsquoYinrsquo Neurotransmitters

bull Adrenal medulla exhaustionrarrlowDOPAMINErarrwith elevations in ProlactinrarrLow Test

bull ObesityBMI issues

bull Lack of activity

bull Excess aromatase

bull Hypothalamic damage due to high cortisol

bull Hypothalamic damage due to high ROS stress

bull 5 alpha reductase activity

bull SHBG activity

bull Nutrient deficiencies

Free radical and ROS stress to testesleydig cells from multiple agents

bull Low Growth Hormone production

bull Endocrine disruptors and increased toxic load

bull Malabsorption of minerals like zinc leading to low T

bull Kidney disease

bull OTHERS

CAUSES of ANDROPAUSESTRESSeffect on adrenals

Precursor steal

ldquohellipChronically increased cortisol

level as seen during

prolonged stress may reduce

the functional activity of

leuteinizing hormonemdashrelease

hormone (LHRH) pulse

generator which may lead to

decrease in gonadotropin and

testosterone levelshelliprdquo

Science 1984 May

4224(4648)452-9

Stress hormones their

interaction and regulation

Axelrod J et al

Causes of Andropause

Obesity Estrogen cycle

ldquoMen with obesity

and Syndrome X

develop

low

Testosteronehelliprdquo

Adipokines increase

IL-6 which increases

inflammation and

decreases

testosterone

CAUSES of ANDROPAUSE

INSULIN RESISTANCEhttpimgmedscapecomarticle719489719489-fig14jpg

Even surgical loss of

fat increases

testosterone

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 3: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

httpwwwhealthyfellowcomimages2009testoste

rone-age-chartgif

httpwwwendotextorgmalemale2figures2figure2jpg

httpwww2mstdkudgivpublications2007978-87-7052-538-1htmlimagesfig03gif

Effects of restoring Test Levels

bull In a controlled study 13 healthy men aged 57 to 76 years with low or borderline low blood testosterone were administered testosterone therapy at the University of Washington The men received either testosterone or placebo for three-month time periods The men were not supposed to know when they were receiving testosterone or a placebo but at any given time 12 out of the 13 were able to ascertain they were receiving testosterone based on increases in their libido aggressiveness in business transactions or an improvement in their sense of well-being

bull Tenover JS Effects of testosterone supplementation in the aging male J Clin Endocrinol Metab 1992 Oct75(4)1092-8

Researchers measured free testosterone and 25-hydroxyvitamin D

blood levels in a large group (2069) men who were referred for

coronary angiography The results were nothing short of startling for

those who fail to maintain optimal blood ranges of vitamin D and

testosteronehelliphellip

These are most of

the men who go to

holistic physicians

Expanded Causes of Andropause

Restorative Medicine Model

bull Precursor steal due to Dis-Stresselevating cortisol and reducing lsquoYinrsquo Neurotransmitters

bull Adrenal medulla exhaustionrarrlowDOPAMINErarrwith elevations in ProlactinrarrLow Test

bull ObesityBMI issues

bull Lack of activity

bull Excess aromatase

bull Hypothalamic damage due to high cortisol

bull Hypothalamic damage due to high ROS stress

bull 5 alpha reductase activity

bull SHBG activity

bull Nutrient deficiencies

Free radical and ROS stress to testesleydig cells from multiple agents

bull Low Growth Hormone production

bull Endocrine disruptors and increased toxic load

bull Malabsorption of minerals like zinc leading to low T

bull Kidney disease

bull OTHERS

CAUSES of ANDROPAUSESTRESSeffect on adrenals

Precursor steal

ldquohellipChronically increased cortisol

level as seen during

prolonged stress may reduce

the functional activity of

leuteinizing hormonemdashrelease

hormone (LHRH) pulse

generator which may lead to

decrease in gonadotropin and

testosterone levelshelliprdquo

Science 1984 May

4224(4648)452-9

Stress hormones their

interaction and regulation

Axelrod J et al

Causes of Andropause

Obesity Estrogen cycle

ldquoMen with obesity

and Syndrome X

develop

low

Testosteronehelliprdquo

Adipokines increase

IL-6 which increases

inflammation and

decreases

testosterone

CAUSES of ANDROPAUSE

INSULIN RESISTANCEhttpimgmedscapecomarticle719489719489-fig14jpg

Even surgical loss of

fat increases

testosterone

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 4: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

httpwwwendotextorgmalemale2figures2figure2jpg

httpwww2mstdkudgivpublications2007978-87-7052-538-1htmlimagesfig03gif

Effects of restoring Test Levels

bull In a controlled study 13 healthy men aged 57 to 76 years with low or borderline low blood testosterone were administered testosterone therapy at the University of Washington The men received either testosterone or placebo for three-month time periods The men were not supposed to know when they were receiving testosterone or a placebo but at any given time 12 out of the 13 were able to ascertain they were receiving testosterone based on increases in their libido aggressiveness in business transactions or an improvement in their sense of well-being

bull Tenover JS Effects of testosterone supplementation in the aging male J Clin Endocrinol Metab 1992 Oct75(4)1092-8

Researchers measured free testosterone and 25-hydroxyvitamin D

blood levels in a large group (2069) men who were referred for

coronary angiography The results were nothing short of startling for

those who fail to maintain optimal blood ranges of vitamin D and

testosteronehelliphellip

These are most of

the men who go to

holistic physicians

Expanded Causes of Andropause

Restorative Medicine Model

bull Precursor steal due to Dis-Stresselevating cortisol and reducing lsquoYinrsquo Neurotransmitters

bull Adrenal medulla exhaustionrarrlowDOPAMINErarrwith elevations in ProlactinrarrLow Test

bull ObesityBMI issues

bull Lack of activity

bull Excess aromatase

bull Hypothalamic damage due to high cortisol

bull Hypothalamic damage due to high ROS stress

bull 5 alpha reductase activity

bull SHBG activity

bull Nutrient deficiencies

Free radical and ROS stress to testesleydig cells from multiple agents

bull Low Growth Hormone production

bull Endocrine disruptors and increased toxic load

bull Malabsorption of minerals like zinc leading to low T

bull Kidney disease

bull OTHERS

CAUSES of ANDROPAUSESTRESSeffect on adrenals

Precursor steal

ldquohellipChronically increased cortisol

level as seen during

prolonged stress may reduce

the functional activity of

leuteinizing hormonemdashrelease

hormone (LHRH) pulse

generator which may lead to

decrease in gonadotropin and

testosterone levelshelliprdquo

Science 1984 May

4224(4648)452-9

Stress hormones their

interaction and regulation

Axelrod J et al

Causes of Andropause

Obesity Estrogen cycle

ldquoMen with obesity

and Syndrome X

develop

low

Testosteronehelliprdquo

Adipokines increase

IL-6 which increases

inflammation and

decreases

testosterone

CAUSES of ANDROPAUSE

INSULIN RESISTANCEhttpimgmedscapecomarticle719489719489-fig14jpg

Even surgical loss of

fat increases

testosterone

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 5: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

httpwww2mstdkudgivpublications2007978-87-7052-538-1htmlimagesfig03gif

Effects of restoring Test Levels

bull In a controlled study 13 healthy men aged 57 to 76 years with low or borderline low blood testosterone were administered testosterone therapy at the University of Washington The men received either testosterone or placebo for three-month time periods The men were not supposed to know when they were receiving testosterone or a placebo but at any given time 12 out of the 13 were able to ascertain they were receiving testosterone based on increases in their libido aggressiveness in business transactions or an improvement in their sense of well-being

bull Tenover JS Effects of testosterone supplementation in the aging male J Clin Endocrinol Metab 1992 Oct75(4)1092-8

Researchers measured free testosterone and 25-hydroxyvitamin D

blood levels in a large group (2069) men who were referred for

coronary angiography The results were nothing short of startling for

those who fail to maintain optimal blood ranges of vitamin D and

testosteronehelliphellip

These are most of

the men who go to

holistic physicians

Expanded Causes of Andropause

Restorative Medicine Model

bull Precursor steal due to Dis-Stresselevating cortisol and reducing lsquoYinrsquo Neurotransmitters

bull Adrenal medulla exhaustionrarrlowDOPAMINErarrwith elevations in ProlactinrarrLow Test

bull ObesityBMI issues

bull Lack of activity

bull Excess aromatase

bull Hypothalamic damage due to high cortisol

bull Hypothalamic damage due to high ROS stress

bull 5 alpha reductase activity

bull SHBG activity

bull Nutrient deficiencies

Free radical and ROS stress to testesleydig cells from multiple agents

bull Low Growth Hormone production

bull Endocrine disruptors and increased toxic load

bull Malabsorption of minerals like zinc leading to low T

bull Kidney disease

bull OTHERS

CAUSES of ANDROPAUSESTRESSeffect on adrenals

Precursor steal

ldquohellipChronically increased cortisol

level as seen during

prolonged stress may reduce

the functional activity of

leuteinizing hormonemdashrelease

hormone (LHRH) pulse

generator which may lead to

decrease in gonadotropin and

testosterone levelshelliprdquo

Science 1984 May

4224(4648)452-9

Stress hormones their

interaction and regulation

Axelrod J et al

Causes of Andropause

Obesity Estrogen cycle

ldquoMen with obesity

and Syndrome X

develop

low

Testosteronehelliprdquo

Adipokines increase

IL-6 which increases

inflammation and

decreases

testosterone

CAUSES of ANDROPAUSE

INSULIN RESISTANCEhttpimgmedscapecomarticle719489719489-fig14jpg

Even surgical loss of

fat increases

testosterone

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 6: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Effects of restoring Test Levels

bull In a controlled study 13 healthy men aged 57 to 76 years with low or borderline low blood testosterone were administered testosterone therapy at the University of Washington The men received either testosterone or placebo for three-month time periods The men were not supposed to know when they were receiving testosterone or a placebo but at any given time 12 out of the 13 were able to ascertain they were receiving testosterone based on increases in their libido aggressiveness in business transactions or an improvement in their sense of well-being

bull Tenover JS Effects of testosterone supplementation in the aging male J Clin Endocrinol Metab 1992 Oct75(4)1092-8

Researchers measured free testosterone and 25-hydroxyvitamin D

blood levels in a large group (2069) men who were referred for

coronary angiography The results were nothing short of startling for

those who fail to maintain optimal blood ranges of vitamin D and

testosteronehelliphellip

These are most of

the men who go to

holistic physicians

Expanded Causes of Andropause

Restorative Medicine Model

bull Precursor steal due to Dis-Stresselevating cortisol and reducing lsquoYinrsquo Neurotransmitters

bull Adrenal medulla exhaustionrarrlowDOPAMINErarrwith elevations in ProlactinrarrLow Test

bull ObesityBMI issues

bull Lack of activity

bull Excess aromatase

bull Hypothalamic damage due to high cortisol

bull Hypothalamic damage due to high ROS stress

bull 5 alpha reductase activity

bull SHBG activity

bull Nutrient deficiencies

Free radical and ROS stress to testesleydig cells from multiple agents

bull Low Growth Hormone production

bull Endocrine disruptors and increased toxic load

bull Malabsorption of minerals like zinc leading to low T

bull Kidney disease

bull OTHERS

CAUSES of ANDROPAUSESTRESSeffect on adrenals

Precursor steal

ldquohellipChronically increased cortisol

level as seen during

prolonged stress may reduce

the functional activity of

leuteinizing hormonemdashrelease

hormone (LHRH) pulse

generator which may lead to

decrease in gonadotropin and

testosterone levelshelliprdquo

Science 1984 May

4224(4648)452-9

Stress hormones their

interaction and regulation

Axelrod J et al

Causes of Andropause

Obesity Estrogen cycle

ldquoMen with obesity

and Syndrome X

develop

low

Testosteronehelliprdquo

Adipokines increase

IL-6 which increases

inflammation and

decreases

testosterone

CAUSES of ANDROPAUSE

INSULIN RESISTANCEhttpimgmedscapecomarticle719489719489-fig14jpg

Even surgical loss of

fat increases

testosterone

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 7: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Researchers measured free testosterone and 25-hydroxyvitamin D

blood levels in a large group (2069) men who were referred for

coronary angiography The results were nothing short of startling for

those who fail to maintain optimal blood ranges of vitamin D and

testosteronehelliphellip

These are most of

the men who go to

holistic physicians

Expanded Causes of Andropause

Restorative Medicine Model

bull Precursor steal due to Dis-Stresselevating cortisol and reducing lsquoYinrsquo Neurotransmitters

bull Adrenal medulla exhaustionrarrlowDOPAMINErarrwith elevations in ProlactinrarrLow Test

bull ObesityBMI issues

bull Lack of activity

bull Excess aromatase

bull Hypothalamic damage due to high cortisol

bull Hypothalamic damage due to high ROS stress

bull 5 alpha reductase activity

bull SHBG activity

bull Nutrient deficiencies

Free radical and ROS stress to testesleydig cells from multiple agents

bull Low Growth Hormone production

bull Endocrine disruptors and increased toxic load

bull Malabsorption of minerals like zinc leading to low T

bull Kidney disease

bull OTHERS

CAUSES of ANDROPAUSESTRESSeffect on adrenals

Precursor steal

ldquohellipChronically increased cortisol

level as seen during

prolonged stress may reduce

the functional activity of

leuteinizing hormonemdashrelease

hormone (LHRH) pulse

generator which may lead to

decrease in gonadotropin and

testosterone levelshelliprdquo

Science 1984 May

4224(4648)452-9

Stress hormones their

interaction and regulation

Axelrod J et al

Causes of Andropause

Obesity Estrogen cycle

ldquoMen with obesity

and Syndrome X

develop

low

Testosteronehelliprdquo

Adipokines increase

IL-6 which increases

inflammation and

decreases

testosterone

CAUSES of ANDROPAUSE

INSULIN RESISTANCEhttpimgmedscapecomarticle719489719489-fig14jpg

Even surgical loss of

fat increases

testosterone

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 8: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

These are most of

the men who go to

holistic physicians

Expanded Causes of Andropause

Restorative Medicine Model

bull Precursor steal due to Dis-Stresselevating cortisol and reducing lsquoYinrsquo Neurotransmitters

bull Adrenal medulla exhaustionrarrlowDOPAMINErarrwith elevations in ProlactinrarrLow Test

bull ObesityBMI issues

bull Lack of activity

bull Excess aromatase

bull Hypothalamic damage due to high cortisol

bull Hypothalamic damage due to high ROS stress

bull 5 alpha reductase activity

bull SHBG activity

bull Nutrient deficiencies

Free radical and ROS stress to testesleydig cells from multiple agents

bull Low Growth Hormone production

bull Endocrine disruptors and increased toxic load

bull Malabsorption of minerals like zinc leading to low T

bull Kidney disease

bull OTHERS

CAUSES of ANDROPAUSESTRESSeffect on adrenals

Precursor steal

ldquohellipChronically increased cortisol

level as seen during

prolonged stress may reduce

the functional activity of

leuteinizing hormonemdashrelease

hormone (LHRH) pulse

generator which may lead to

decrease in gonadotropin and

testosterone levelshelliprdquo

Science 1984 May

4224(4648)452-9

Stress hormones their

interaction and regulation

Axelrod J et al

Causes of Andropause

Obesity Estrogen cycle

ldquoMen with obesity

and Syndrome X

develop

low

Testosteronehelliprdquo

Adipokines increase

IL-6 which increases

inflammation and

decreases

testosterone

CAUSES of ANDROPAUSE

INSULIN RESISTANCEhttpimgmedscapecomarticle719489719489-fig14jpg

Even surgical loss of

fat increases

testosterone

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 9: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Expanded Causes of Andropause

Restorative Medicine Model

bull Precursor steal due to Dis-Stresselevating cortisol and reducing lsquoYinrsquo Neurotransmitters

bull Adrenal medulla exhaustionrarrlowDOPAMINErarrwith elevations in ProlactinrarrLow Test

bull ObesityBMI issues

bull Lack of activity

bull Excess aromatase

bull Hypothalamic damage due to high cortisol

bull Hypothalamic damage due to high ROS stress

bull 5 alpha reductase activity

bull SHBG activity

bull Nutrient deficiencies

Free radical and ROS stress to testesleydig cells from multiple agents

bull Low Growth Hormone production

bull Endocrine disruptors and increased toxic load

bull Malabsorption of minerals like zinc leading to low T

bull Kidney disease

bull OTHERS

CAUSES of ANDROPAUSESTRESSeffect on adrenals

Precursor steal

ldquohellipChronically increased cortisol

level as seen during

prolonged stress may reduce

the functional activity of

leuteinizing hormonemdashrelease

hormone (LHRH) pulse

generator which may lead to

decrease in gonadotropin and

testosterone levelshelliprdquo

Science 1984 May

4224(4648)452-9

Stress hormones their

interaction and regulation

Axelrod J et al

Causes of Andropause

Obesity Estrogen cycle

ldquoMen with obesity

and Syndrome X

develop

low

Testosteronehelliprdquo

Adipokines increase

IL-6 which increases

inflammation and

decreases

testosterone

CAUSES of ANDROPAUSE

INSULIN RESISTANCEhttpimgmedscapecomarticle719489719489-fig14jpg

Even surgical loss of

fat increases

testosterone

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 10: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

CAUSES of ANDROPAUSESTRESSeffect on adrenals

Precursor steal

ldquohellipChronically increased cortisol

level as seen during

prolonged stress may reduce

the functional activity of

leuteinizing hormonemdashrelease

hormone (LHRH) pulse

generator which may lead to

decrease in gonadotropin and

testosterone levelshelliprdquo

Science 1984 May

4224(4648)452-9

Stress hormones their

interaction and regulation

Axelrod J et al

Causes of Andropause

Obesity Estrogen cycle

ldquoMen with obesity

and Syndrome X

develop

low

Testosteronehelliprdquo

Adipokines increase

IL-6 which increases

inflammation and

decreases

testosterone

CAUSES of ANDROPAUSE

INSULIN RESISTANCEhttpimgmedscapecomarticle719489719489-fig14jpg

Even surgical loss of

fat increases

testosterone

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 11: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Causes of Andropause

Obesity Estrogen cycle

ldquoMen with obesity

and Syndrome X

develop

low

Testosteronehelliprdquo

Adipokines increase

IL-6 which increases

inflammation and

decreases

testosterone

CAUSES of ANDROPAUSE

INSULIN RESISTANCEhttpimgmedscapecomarticle719489719489-fig14jpg

Even surgical loss of

fat increases

testosterone

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 12: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Adipokines increase

IL-6 which increases

inflammation and

decreases

testosterone

CAUSES of ANDROPAUSE

INSULIN RESISTANCEhttpimgmedscapecomarticle719489719489-fig14jpg

Even surgical loss of

fat increases

testosterone

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 13: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

CAUSES of ANDROPAUSE

INSULIN RESISTANCEhttpimgmedscapecomarticle719489719489-fig14jpg

Even surgical loss of

fat increases

testosterone

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 14: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Even surgical loss of

fat increases

testosterone

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 15: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Causes of Andropause

Prolactin and Andropausebull Physiologic levels of prolactin in males enhance in LH receptors in

Leydig cells resulting in testosterone secretion which leads to spermatogenesis

bull Highly elevated levels of prolactin decrease the levels of sex hormones mdashestrogen in women and Testosterone in men

bull Very Low Prolactin also effects serum testosterone

bull httpwwwmayocliniccomhealthprolactinomaDS00532

bull Gonzales GF Velasquez G Garcia-Hjarles M (1989) Hypoprolactinemia as related to seminal quality and serum testosterone Arch Androl 23 (3) 259ndash65 Rev Urol 2000 Winter 2(1) 39ndash42

bull Hyperprolactinemia and Erectile Dysfunction

bull Scott I Zeitlin MD Rev Urol 2000 Winter 2(1) 39ndash42

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 16: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 17: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Lay off the brew

bull The consumption of beer unlike other alcoholic beverages increases serum prolactin a hormone necessary for milk production but not good for andropausal men (Carlson Wasser amp Reidelberger 1985 De Rosa Corsello Ruffilli Della Casa amp Pasargiklian 1981 Grossman 1987)

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 18: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Causes of Andropause

Aromatase activity

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 19: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Caue of Andropause Elevations in SHBG review

of physiology

bull Sex hormone binding globulin (SHBG) is a glycoprotein which binds to human sex hormones These binding proteins are most often found bound to the primary male and female sex hormones

bull Major production of sex hormone binding globulin occurs in the liver but it may also be produced in the brainuterus testes and in the placenta during pregnancy

bull The function of this protein is to limit the levels of active unbound sex hormones in the body Very high or very low levels of the protein in the body can indicate a variety of health conditions in both women and men

bull Most sex hormones within the bloodstream are biochemically bound to sex hormone binding globulins Only a tiny portion of sex hormones are free and able to enter cells where they bind to hormone receptors Therefore the availability of sex hormones in the human body is directly linked to the amount of SHBG the body produces

bull When produced by the testes SHBG is instead known as an androgen-binding protein a protein that is produced in the Sertoli cells High levels of androgen-binding protein in the testes allow sperm cells to mature in spermatogenesis

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 20: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Causes of ANDROPAUSE

5 apha reductase

5 alpha

reductase

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 21: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

CAUSES of Andropause

Toxinseffect on Testes

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 22: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

CAUSES of Andropause

Toxinseffect on Testeshttpwwwsiumededu~dbhaleslabimagesresear2gif

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 23: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

CAUSES of Andropause

Toxinseffect on Testeshttpwwwoneresultcomsitesdefaultfilesu3Prohormones20Chart_1png

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 24: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Michael Phelps amp Co at high risk of low

testosterone

bull A 2011 paper that was

published in the

International Journal of

Andrology by Nickmilder

et al a clear-cut

association with early life

exposure to chlorinated

indoor-pool water and low

testosterone levels in

adolescence and

probably later in life

(Nickmilder 2011)

I wonder if

therersquos an

issue with

Bromine

too

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 25: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Amaral S et al Front Biosci (Schol Ed) 2013 Jan 15181-97

Aging and male reproductive function

a mitochondrial perspective

bull Researching the effects of aging in the male reproductive system is not trivial Not only are multiple changes at molecular cellular and endocrine levels involved but any findings must be discussed with variable individual characteristics as well as with lifestyle and environmental factors Age-related changes in the reproductive system include any aspect of reproductive function from deregulation of the hypothalamic-pituitary-gonadal axis and of local autoparacrine interactions to effects on testicular stem cells defects in testicular architecture and spermatogenesis or sperm with decreased functionality Several theories place mitochondria at the hub of cellular events related to aging namely regarding the accumulation of oxidative damage to cells and tissues a process in which these organelles play a prominent role although alternative theories have also emerged However oxidative stress is not the only process involved in mitochondrial-related aging mitochondrial energy metabolism changes in mitochondrial DNA or in mitochondrial-dependent testosterone production are also important Crucially all these issues are likely interdependent We will review evidence that suggests that mitochondria constitute a common link between aging and fertility loss

Damage to Leydig cells cause low

testosterone

Are toxin avoidance antioxidants

and depuration a key

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 26: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

bull Biomed Environ Sci 2013 Jun26(6)474-84 doi 1039670895-3988201306008

bull Effects of Environmental Lead Pollution on Blood Lead and Sex Hormone Levels among Occupationally Exposed Group in An E-waste Dismantling Area

bull Yang Y Lu XS Li DL Yu YJ

bull Source

bull School of Environmental amp Safety Engineering Changzhou University Changzhou 213164 Jiangsu China

bull Abstract

bull OBJECTIVE

bull To study the effects of environmental multi-media lead pollution on blood lead and sex hormone levels among lead exposed males engaged in E-waste dismantling and the correlation between confounding factors and sex hormone levels

bull METHODS

bull An E-waste dismantling area in Taizhou of Zhejiang Province was selected as the research site One hundred and fifty two samples were collected from the groundwater soil rice corn chicken and pork in the dismantling area The effects of the multi-media lead pollution on the male blood lead and sex hormone levels of FSH LH and T as well as the correlation with confounding factors were studied

bull RESULTS

bull The blood lead concentrations in the males aged under 31 from 31 to 45 and from 46 to 60 were 9855 10023 and 10145 μgL respectively Of all the environmental media lead exposures the groundwater rice and soil were main contributing factors to the lead accumulation in humans FSH and LH levels increased with the age while the T levels decreased with the age instead There was a significant correlation between the FSH and LH levels and wearing masks

bull CONCLUSION

bull There was correlation between the FSH LH and T levels and the mean values of lead concentrations in environmental media and the sex hormone levels were correlated with the confounding factor of wearing masks

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 27: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Workup up the Andropausal male Exam PEBlood SalivaUrine

BMI

Chemistry and health profile with all hormones VAP

Free Total and Bioavailable Testosterone amp DHT

Estradiol (Ultrasens)

DHEA Uncong and S

Cardivascular CRP and Homocysteine

Fibrinogen amp D-Dimer

Delta PSA amp Free to Total

Vit D and other Nutrients

IGF-1

bull LH and FSH

bull Prolactin

bull SHBG

bull Cortisol X 4

bull Neurotransmitters

bull Amino acids

bull Hair analysis

bull RBC mineral levels

bull Liver detox profile

bull Pregnenolone

bull Cytokine panel

bull Fasting GlusocseInsulin HAIC amp Fructosamine

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 28: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Natural non-hormonal

interventions for

trteating the underlying

causes of Andropause

and Low T syndrome

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 29: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Work on your patients response to the stressttpwwwcursoercomenwp-contentuploads201202people-man-stress-Fotolia_8150434_XSjpg

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 30: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Put the Adrenals to

BedhellipBotanically

bull Mild relaxants

ndash Chamomila

ndash Vervain

ndash Oats (Avena)

ndash Motherwort

bull Stronger Relaxants

ndash Passiflora

ndash Scutellaria

ndash Valerian

ndash Humulus (Hops)

ndash Eschscholtzia

bull Potent relaxants

ndash Jamaican Dogwood

ndash Corydalis

ndash Wild lettuce

Nervine trophorestoratives

-- St Johnrsquos wort

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 31: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

ADAPTOGENS

bull David Winston in his book ADAPTOGENS Herbs for strength stamina and stress relief states the following lsquoadaptogens can be used for helping the body respond to an excess of adrenal hormones and prevent oxidation damage to the adrenalsrsquo

bull Eleuthero

bull American Ginseng

bull Ashwagandha

bull Asian ginseng

bull Cordyceps

bull Reishi

bull Rhaponticum

bull Rhodiola

bull Schizandra

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 32: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Make adrenal deposits

Adrenal tonic herbs

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 33: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Exercise and Testosterone

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 34: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Exercise helps (even in obese

men to raise) testosterone

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 35: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Squats 4 sets of 10

reps increased

testosterone the

greatest

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 36: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Treating Andropause Better sleep

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 37: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Flavonoids

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 38: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Chrysin and Aromatase

bull Science 1984 Sep 7225(4666)1032-4

bull Inhibition of human estrogen synthetase (aromatase) by flavones

bull Several naturally occurring and synthetic flavones were found to inhibit the aromatization of androstenedione and testosterone to estrogens catalyzed by human placental and ovarian microsomes These flavones include (in order of decreasing potency) 78-

benzoflavone chrysin apigenin flavone flavanone and quercetin 56-benzoflavone was not inhibitory 78-Benzoflavone and chrysin were potent competitive inhibitors and induced spectral changes in the aromatase cytochrome P-450 indicative of substrate displacement Flavones may thus compete with steroids in their interaction with certain monooxygenases and thereby alter steroid hormone metabolism

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 39: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

In response to eating certain plant foods the intestine

converts their lignans into compounds called

enterolactones which enter the bloodstream Findings from

human and animal studies indicate that these

enterolactones protect against hormone-dependent

cancers via several well-established mechanisms

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 40: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

bull Increasing your intake of fruits vegetables and whole grains helps provide the lignans needed to boost serum enterolactone levels This fact helps explain why men who eat healthier diets enjoy sharply reduced rates of prostate cancer

bull The two most important lignans that most readily convert to beneficial enterolactones in the body are secoisolariciresinol diglucoside and hydroxymatairesinol Extracts obtained from flax and the Norway spruce are now available as concentrated dietary supplements to enable aging men to achieve and maintain higher daily blood levels of enterolactones

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 41: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

ParsleyCelery

rosemary oregano

thyme basil and coriander

Chamomile

Cloves amp Lemon Balm

Scute

Apples lemons

limes

many fruits

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 42: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Modulate Aromatase with Vit D3bull Steroids 2012 Sep77(11)1107-12 doi 101016jsteroids201206005 Epub 2012 Jul 16

bull The potential therapeutic benefits of vitamin D in the treatment of estrogen receptor positive breast cancer

bull Krishnan AV Swami S Feldman D

bull Source

bull Division of Endocrinology Department of Medicine Stanford University School of Medicine Stanford CA 94305 United States

bull Abstract

bull Calcitriol (125-dihydroxyvitamin D(3)) the hormonally active form of vitamin D inhibits the growth of many malignant cells including breast cancer (BCa) cells The mechanisms of calcitriol anticancer actions include cell cycle arrest stimulation of apoptosis and inhibition of invasion metastasis and angiogenesis In addition we have discovered new pathways of calcitriol action that are especially relevant in inhibiting the growth of estrogen receptor positive (ER+) BCa cells Calcitriol suppresses COX-2 expression and increases that of 15-PGDH thereby reducing the levels of inflammatory prostaglandins (PGs) Our in vitro and in vivo studies show that calcitriol decreases the expression of aromatase the enzyme that catalyzes estrogen synthesis selectively in BCa cells and in the mammary adipose tissue surrounding BCa by a direct repression of aromatase transcription via promoter II as well as an indirect effect due to the reduction in the levels of PGs which are major stimulator of aromatase transcription through promoter II Calcitriol down-regulates the expression of ERα and thereby attenuates estrogen signaling in BCa cells including the proliferative stimulus provided by estrogens Thus the inhibition of estrogen synthesis and signaling by calcitriol and its anti-inflammatory actions will play an important role in inhibiting ER+BCa We hypothesize that dietary vitamin D would exhibit similar anticancer activity due to the presence of the enzyme 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) in breast cells ensuring conversion of circulating 25-hydroxyvitamin D to calcitriol locally within the breast micro-environment where it can act in a paracrine manner to inhibit BCa growth Cell culture and in vivo data in mice strongly suggest that calcitriol and dietary vitamin D would play a beneficial role in the prevention andor treatment of ER+BCa in women

Vit D3

modulates

aromatase

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 43: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

I would need 800 mgday of I3C

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 44: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

GOAL Lower SHBG with

Radix Urtica spp

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 45: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Nettle Root Extract

bull When testosterone binds to SHBG it loses its biological activity and becomes known as ldquobound testosteronerdquo as opposed to the desirable ldquofree testosteronerdquo

bull Nettle inhibits all 3 enzymes which can disable testosterone DHT Aromatase and SGBH

bull Scopoletin may be an active constituent

bull DOSEs 4-6 grams dried rootd

bull 600 -1200 of a 51 extract9 ml of 12 tincture 1 gram herb 2ml liquid

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 46: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Nettle and SHBGbull Planta Med 1997 Dec63(6)529-32

bull Lignans from the roots of Urtica dioica and their metabolites bind to human sex hormone binding globulin (SHBG)

bull Polar extracts of the stinging nettle (Urtica dioica L) roots contain the ligans (+)-neoolivil (-)-secoisolariciresinol dehydrodiconiferylalcohol isolariciresinol pinoresinol and 34-divanillyltetrahydrofuran

bull These compounds were either isolated from Urtica roots or obtained semisynthetically Their affinity to human sex hormone binding globulin (SHBG) was tested in an in vitro assay In addition the main intestinal transformation products of plant lignans in humans enterodiol and enterolactone together with enterofuranwere checked for their activity All lignans except (-)-pinoresinoldeveloped a binding affinity to SHBG in the in vitro assay The affinity of (-)-34-divanillyltetrahydrofuran was outstandingly high These findings are discussed with respect to potential beneficial effects of plant lignans on benign prostatic hyperplasia (BPH)

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 47: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Protect Testes from Oxidative

Damage and Endocrine disrupters

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 48: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Se can protect the testes

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 49: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Milk Thistle protects the

TESTES too

bull Phytomedicine 2012 Sep 1519(12)1077-84 doi 101016jphymed201206011 Epub 2012 Jul 20

bull Preventive and protective effects of silymarin on doxorubicin-induced testicular damages correlate with changes in c-myc gene expression

bull Malekinejad H Janbaz-Acyabar H Razi M Varasteh S

bull Source

bull Department of Pharmacology and Toxicology Faculty of Veterinary Medicine Urmia University Urmia Iran

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 50: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Minerals which

Increase

Testosterone

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 51: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Zinc help low T patients increase T but not normal T

patients

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 52: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Boron

This is a

High dose

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 53: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Magnesium

apply topical

Mag gel before

class + oral

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 54: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Evidence Based

BOTANICALS

which Increase

Testosterone

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 55: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Macuna pruriens flowerspodsseeds

DOSE 5 grams per day in the literature

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 56: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

bull M pruriens seeds are rich source of L-DOPA and its

bull metabolites which include epinephrine and norepinephrine

Therefore an increase in dopamine level in the brain

following M pruriens treatment may not only induce the

activation of sexual behavior but it may also increase

plasma testosterone level It has been reported recently

that L-DOPA and its metabolite dopamine stimulate the

hypothalamus and forebrain to secrete gonadotropic releasing hormone (GnRH)

This in turn upregulates

bull the anterior pituitary gland to secrete follicle

bull stimulating hormone (FSH) and luteinizing hormone

bull (LH) causing increased synthesis of testosterone by

bull Leydig cells of the testis

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 57: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

bull Fertil Steril 2009 Dec92(6)1934-40 doi 101016jfertnstert200809045 Epub 2008 Oct 29

bull Mucuna pruriens improves male fertility by its action on the hypothalamus-pituitary-gonadal axis

bull Shukla KK et al

bull PATIENT(S)

bull Seventy-five normal healthy fertile men (controls) and 75 men undergoing infertility screening

bull MAIN OUTCOME MEASURE(S)

bull Before and after treatment serum T LH FSH PRL dopamine adrenaline and noradrenaline in seminal and blood plasma were measured

bull RESULT(S)

bull Decreased sperm count and motility were seen in infertile subjects Serum T and LH levels as well as seminal plasma and blood levels of dopamine adrenaline and noradrenaline were also decreased in all groups of infertile men This was accompanied by significantly increased serum FSH and PRL levels in oligozoospermic subjects Treatment with M pruriens significantly improved T LH dopamine adrenaline and noradrenaline levels in infertile men and reduced levels of FSH and PRL Sperm count and motility were significantly recovered in infertile men after treatment

bull CONCLUSION(S)

bull Treatment with M pruriens regulates steroidogenesis and improves semen quality in infertile men

Treatment with M pruriens

significantly improved T

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 58: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

sTAR - Steroidogenic acute

regulating protein protein has

285 amino acids transports

cholesterol to the mitochondria in

the leydig cells

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 59: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Ashwagandha Withania somniferaDose 6 grams per day 12 ml of 12 tincture

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 60: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Withania improves sperm count and hormones including

LH amp Testosterone lowered FSH amp prolactin versus

controls

Serum T

significantly

increased

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 61: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Tong Kat ali akaEurycoma longifolia

Usual Dose 600 mg of 1001 qd or 200-300 of 2001 qd

can be very expensive

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 62: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

bull Andrologia 2012 May44 Suppl 1226-30 doi 101111j1439-0272201101168x Epub 2011 Jun 15

bull Standardised water-soluble extract of Eurycoma longifolia Tongkat ali as testosteronebooster for managing men with late-onset hypogonadism

bull Tambi MI et al

bull Source

bull Wellmen Clinic Damai Service Hospital Kuala Lumpur Malaysia dr_tambiyahoocom

bull Abstract

bull In most countries millions of people are relying on herbal medicines as remedy for numerous ailments In South-East Asia Eurycoma longifolia Jack also known as Malaysian ginseng or Tongkat ali is used to combat stress and disease and to improve physical strength Moreover the compounds of the roots of this plant are reported to have aphrodisiac and testosterone enhancing effects in the rat Considering that human studies are not available 76 of 320 patients suffering from late-onset hypogonadism (LOH) were given 200 mg of a standardised water-soluble extract of Tongkat ali for 1 month The Ageing Males Symptoms (AMS) according to the standardised rating scale and the serum testosterone concentration were taken Results show that treatment of LOH patients with this Tongkat ali extract significantly (P lt 00001) improved the AMS score as

well as the serum testosterone concentration While before treatment only 105 of the patients did not show any complaint according to the AMS scale and 355 had normal testosterone levels after the completed treatment 717 and 908 of the patients showed normal values respectively Thus Tongkat ali extract appears to be useful as a supplement in overcoming the symptoms of LOH and for the management of hypogonadism

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 63: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

TongKat ali improves hormones

in elders 57-72 years oldbull Phytother Res 2013 Jun 11 doi 101002ptr5017 [Epub ahead of print]

bull Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors-A Pilot Study

bull Henkel RR et al Department of Medical Bioscience University of the Western Cape Bellville 7535 South Africa

bull Abstract

bull Tongkat Ali (Eurycoma longifolia TA) is known to increase testosterone levels and alleviate aging males symptoms This study aimed at investigating TA as an ergogenic supplement for elderly people Thirteen physically active male and 12 physically active female seniors (57-72thinspyears) were supplemented with 400-mg TA extract daily for 5thinspweeks Standard hematological parameters were taken In addition the concentrations of total and free testosterone dihydroepiandrosterone cortisol insulin-like growth factor-1 and sex hormone-binding globulin were analyzed As additional biochemical parameters blood urea nitrogen and creatine kinase as parameters of kidney function and muscle damage respectively as well as the muscle strength by a simple handgrip test were determined After treatment hemoglobin testosterone and dihydroepiandrosterone concentrations and the ratio of total testosteronecortisol and muscle force remained significantly lower in female seniors than in male seniors Hematocrit and erythrocyte count in male seniors increased slightly but were significantly higher than in female seniors Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations The study affirms the ergogenic benefit of TA through enhanced muscle strength

Significant increases

in total and free

testosterone in men amp

women

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 64: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Tribulus amp Testosteronebull Fiziol Zh 200955(5)89-96

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparedness and athletes organism homeostasis

bull Milasius K Dadeliene R Skernevicius J

bull The influence of the Tribulus terrestris extract on the parameters of the functional preparadness and athletes organism homeostase was investigated It was established the positive impact of dietary supplement Tribulus (Optimum Nutrition USA) using per 1 capsule 3 times a day during 20 days on athletes physical power in various energy producing zones anaerobic alactic muscular power and anaerobic alactic glycolytic power statistically reliable increased Tribulus terrestris extract after 20 days of consuming it did not have essential effect on erythrocytes haemoglobin and thrombocytes indices During the experimental period statistically importantly increased percentage of granulocytes and decreased percentage of leucocytes show negative impact of this food supplement on changes of leucocytes formula in athletes blood Creatinkinase concentration in athletes blood statistically importantly has increased and creatinine amount has had a tendency to decline during 20 days period of consuming Tribulus terrestris extract The declining tendency of urea cholesterol and bilirubin concentrations has appeared The concentration of blood testosterone increased statistically reliable during the first half (10 days) of the experiment it did not grow during the next 10 days while consuming Tribulus still

This study showed

some increases in

blood testosterone

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 65: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Tribulus fails to work in Rugby

playersbull J Strength Cond Res 2007 May21(2)348-53

bull The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players

bull Rogerson S Riches CJ Jennings C Weatherby RP Meir RA Marshall-Gradisnik SM

bull Source

bull School of Exercise Science and Sport Management Southern Cross University Lismore New South Wales Australia srogerson10bigpondcom

bull Abstract

bull Tribulus terrestris is an herbal nutritional supplement that is promoted to produce large gains in strength and lean muscle mass in 5-28 days (15 18) Although some manufacturers claim T terrestris will not lead to a positive drug test others have suggested that T terrestris may increase the urinary testosteroneepitestosterone (TE) ratio which may place athletes at risk of a positive drug test The purpose of the study was to determine the effect of T terrestris on strength fat free mass and the urinary TE ratio during 5 weeks of preseason training in elite rugby league players Twenty-two Australian elite male rugby league players (mean +- SD age = 198 +- 29 years weight = 880 +- 95 kg) were match-paired and randomly assigned in a double-blind manner to either a T terrestris (n = 11) or placebo (n = 11) group All subjects performed structured heavy resistance training as part of the clubs preseason preparations A T terrestris extract (450 mgd(-1)) or placebo capsules were consumed once daily for 5 weeks Muscular strength body composition and the urinary TE ratio were monitored prior to and after supplementation After 5 weeks of training strength and fat free mass increased significantly without any between-group differences No between-group differences were noted in the urinary TE ratio It was concluded that T terrestris did not produce the large gains in strength or lean muscle mass that many manufacturers claim can be experienced within 5-28 days Furthermore T terrestris did not alter the urinary TE ratio and would not place an athlete at risk of testing positive based on the World Anti-Doping Agencys urinary TE ratio limit of 41

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 66: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

PROTOCOL

bull Eurycoma 2001

300 mg

Macuna extract equivalent to 5 Gms per day

Ashwagandha equivalent to 3 Gms per day

Nettle root 2 tsp 12 qd

bull Squats 4 sets of 10day

bull Zinc 100 mgday

bull Ornithine and arginine 3000 mg per day

bull Fresh organic Veggie juice 2 X per day 8 OZ

ndash Kale

ndash Celery

ndash Ginger frac12 inch root

Hair analysis showed Pb toxicityrarrDetox X 6 months

Increase competitive minerals znCamg

Increase flax seed fiber to sequester Pb and act as phytosterol

Liver Detox support formula

Sauna

Homeopathic Pb

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 67: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Quest lab values from April to

sept 2018bull Protocol without DHEA and Detoxhellip only botanicals (Tong Kat

Ashwagandha Nettles and minerals used

bull Mucuna 6 grams Ashwagandha 6 grams 101 pine pollen 501 Nettle

root Shilajit Boron 12mg

bull Ashwagandha daily other 5 things rotate daily 4 day rotationTong Kat alirarr use reliable brand

Shilajit shows promise as a

rasayana

Page 68: Andropause: exploring the causes and hormone free ...Caue of Andropause: Elevations in SHBG review of physiology • Sex hormone binding globulin (SHBG) is a glycoprotein, which binds

Shilajit shows promise as a

rasayana