Male hormone health risk warning analysis report

The risk of hormonal homeostasis imbalance among men aged 30-45 in my country has increased by 47% compared with 10 years ago, and the age of onset has advanced by 8.2 years. 72% of early warning signs will be mistaken as "too tired from work and too old" and ignored. Long-term imbalance will not only induce obesity, hair loss, and osteoporosis, but also increase the risk of type 2 diabetes and cardiovascular disease.

Let’s talk about a case I just received last week. He is a 34-year-old director of an Internet company. He has just been promoted for six months and spends every day in the company to catch up on projects. He always has milk tea and coffee in hand. Sometimes he stays up late and spends the night on the company sofa. In the past six months, I have always felt drowsy after sleeping for 10 hours. My belly has secretly gained 20 pounds, my hair has fallen out one by one, and I am not even interested in married life. I bought Cordyceps and Liuwei Dihuang Pills for three months to see if they have been used. When I checked, the total serum testosterone was only 280ng/dl - the reference limit for normal adult men is 300ng/dl, which is the critical line of hypogonadism.

What’s interesting is that the two groups of scholars have been arguing for many years about this trend of hormonal imbalance and younger people in the academic world, and no one can convince the other. Scholars in the field of public health believe that the environment is to blame: ubiquitous plasticizers (phthalates) hidden in take-out plastic boxes, bottled drinks and even inferior shower gels. This estrogen-like substance can directly interfere with testosterone synthesis. ； Coupled with the superimposed effects of high-sugar diet and air pollution, it is equivalent to putting a layer of shackles on hormone secretion. Researchers in clinical andrology are more likely to think that it is a problem of behavioral habits: In the past, people just walked and rested after get off work, but now people have to watch short videos and play games until one or two o'clock after work. The sympathetic nerves are spinning continuously, which directly inhibits the normal work of the hypothalamus-pituitary-gonadal axis. Just like if you keep stepping on the accelerator and don't let go, the engine will of course wear out quickly. Both factions are supported by data. In fact, there is no need to prioritize. For ordinary people, it is always right to avoid risks in both aspects.

Back to the clinical point of view, in fact, many people's bodies have already sent warnings, but they just didn't catch it. Emotional changes are often the first thing to show up. People who used to like to join in the fun and play ball suddenly become too lazy to socialize and get angry at the smallest things. Many family members will also tease whether they have reached menopause early. In fact, this is because the decrease in testosterone levels affects the secretion of neurotransmitters, which is half a year to a year earlier than visible changes such as hair loss and weight gain. Another sign that can easily be classified as "poor physical strength as you age" is the decline in muscle strength. People who used to carry 20 kilograms of rice up to the fifth floor without gasping for breath now have to take a break when carrying two express packages to the third floor. It's not that you have become lazy, but that testosterone, as the core raw material for muscle synthesis, is in insufficient supply. Oh, by the way, many people scold themselves for being unable to control their mouths in response to their growing belly. In fact, when testosterone levels are insufficient, fat will accumulate in the internal organs and abdomen first, and the aromatase in abdominal fat will convert testosterone into estrogen, which is equivalent to an endless cycle. The fatter, the lower, and the lower, the fatter.

When it comes to intervention plans, the controversy is even greater, and doctors from different departments in the same hospital may even give different recommendations. The American College of Sports Medicine’s view is very clear: If the functional decline is caused by lack of exercise or disordered work and rest, adjust your lifestyle first, strength training more than three times a week + quit sugar + go to bed early for 6 months, and 80% of people’s testosterone levels can return to the normal range, without the need for additional supplements. However, the European Urology Association’s guidelines also mention that if the total serum testosterone is lower than 230ng/dl, and obvious problems such as erectile dysfunction and osteoporosis occur at the same time, short-term exogenous testosterone supplementation can be provided under the guidance of a doctor, but it is definitely not recommended for 40 years. Men under the age of 10 should use it by themselves - I once met a 28-year-old fitness enthusiast who secretly bought testosterone injections online and injected them himself. After half a year of training, his muscles were very good-looking, but his testicles atrophied. After stopping the injections, his testosterone level was not as good as before. It took a year of adjustment to return to normal.

Let me tell you a little way to measure it without going to the hospital. Calculate your waist-to-height ratio: divide your waist circumference by your height. If the value is greater than 0.5, then your probability of hormonal problems is 3.2 times that of ordinary people. If you have morning erections less than once a week for more than a month, don't take it seriously. Take the time to check the six sex hormones. It doesn't cost much and is not troublesome.

In fact, men's hormonal homeostasis is like a mobile phone battery. It doesn't suddenly lose power when you reach 50 years old. It is created by charging and playing and using fast charging every day, and it is worn out bit by bit. Don’t believe those gimmicks on the Internet about “replenishing testosterone in 7 days” and “miraculous pills for nourishing kidneys and aphrodisiacs”. 90% of them contain hormones of unknown composition, which will mess up your own endocrine system. If you really have a problem, go to the men's department or endocrinology department of a regular hospital first, as it is more reliable than any folk remedies.