Dr. Matt Boland – East Shore Healthcare

Dr. Boland presented information about our physical health and how testosterone therapy can be beneficial for men whose levels are below normal.  There are two frequently used measures that indicate potential weight issues: (1) the body mass index (BMI) and (2) the waist to hip ratio.

The BMI uses a person’s height and weight to calculate an index value.  If the value is between 25 and 30, a person is considered overweight; between 30 and 35, obese; and over 35, morbidly obese.

Matt prefers to use the waist to hip ratio.  Values > .9 for men and >.85 for women double an individual’s risk of heart disease, hypertension, and diabetes type II.

To acquaint us with the terminology associated with testosterone, Matt asked several questions with the following answers:

  • fat is burned in the liver and skeletal muscles
  • fat-burning cells are called mitochondria
  • the energy source produced by mitochondria is called ATP
  • ATP is an acronym for adenosine triphosphate
  • Testosterone has two main functions: (1) androgenic (developing and maintaining male qualities) and anabolic (building muscle)

ATP is the body’s energy source produced in the little power plants called mitochondrion which are located in virtually ALL types of body tissues: brain, liver, Achilles tendon, etc. with their sole purpose of making ATP, i.e., energy.  They are NOT in fat tissue.  So the only way to increase the potential to generate more energy is to “grow” more mitochondria.  Fat is burned exclusively inside the mitochondria so by increasing muscle volume we increase the capacity to burn more fat.  It’s like having a bigger furnace or bigger engine – it needs more gasoline to fuel a larger engine.  Vitamin ‘T’, i.e., testosterone, is the catalyst to allow our bodies to create more muscle and therefore more mitochondria and therefore more fat burning ability!  Without it our muscle volume gradually diminishes over time (approximately 2% per year after age 40) .

The benefits of testosterone therapy, i.e., restoring its presence to peak levels, include:

  • providing cardio protection
  • building and maintaining muscle mass
  • reducing visceral fat
  • reducing irritability
  • reducing fatigue
  • improving brain functions, including memory and concentration
  • speeding wound healing

Testosterone is produced in the adrenal glands and sex glands.