Testosterone And Aging

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Testosterone and Aging

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309090636
Total Pages : 239 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Testosterone and Aging by : Institute of Medicine

Download or read book Testosterone and Aging written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-12 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: Popular culture often equates testosterone with virility, strength, and the macho male physique. Viewed by some as an "antiaging tonic," testosterone's reputation and increased use by men of all ages in the United States have outpaced the scientific evidence about its potential benefits and risks. In particular there has been growing concern about an increase in the number of middle-aged and older men using testosterone and the lack of scientific data on the effect it may have on aging males. Studies of testosterone replacement therapy in older men have generally been of short duration, involving small numbers of participants and often lacking adequate controls. Testosterone and Aging weighs the options of future research directions, examines the risks and benefits of testosterone replacement therapy, assesses the potential public health impact of such therapy in the United States, and considers ethical issues related to the conduct of clinical trials. Testosterone therapy remains an attractive option to many men even as speculation abounds regarding its potential.

Endocrine Aspects of Successful Aging: Genes, Hormones and Lifestyles

Author : P. Chanson
Publisher : Springer Science & Business Media
ISBN 13 : 3662070197
Total Pages : 231 pages
Book Rating : 4.6/5 (62 download)

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Book Synopsis Endocrine Aspects of Successful Aging: Genes, Hormones and Lifestyles by : P. Chanson

Download or read book Endocrine Aspects of Successful Aging: Genes, Hormones and Lifestyles written by P. Chanson and published by Springer Science & Business Media. This book was released on 2013-03-09 with total page 231 pages. Available in PDF, EPUB and Kindle. Book excerpt: At the beginning of the 20th century, life expectancy at birth in North America and Western Europe was around 50 years of age. Nowadays, women have gained more than 30 years of age and men are trailing closer. However, according to several sociologists such as Louis Chauvel, the notion of a "greying society" is not entirely adequate since aging people are physically and socially younger and more active for a longer time. Of course, the other side of the medal is to tackle the challenge of preventing age-associated chronic diseases. In this book the extensive field of research on neuroendocrine aging has been reviewed. Aging is one of the most complex biological processes determined by the interactions between genetic and environmental factors.

How Men Age

Author : Richard G. Bribiescas
Publisher : Princeton University Press
ISBN 13 : 0691180911
Total Pages : 192 pages
Book Rating : 4.6/5 (911 download)

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Book Synopsis How Men Age by : Richard G. Bribiescas

Download or read book How Men Age written by Richard G. Bribiescas and published by Princeton University Press. This book was released on 2018-05-08 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: A groundbreaking book that examines all aspects of male aging through an evolutionary lens While the health of aging men has been a focus of biomedical research for years, evolutionary biology has not been part of the conversation—until now. How Men Age is the first book to explore how natural selection has shaped male aging, how evolutionary theory can inform our understanding of male health and well-being, and how older men may have contributed to the evolution of some of the very traits that make us human. In this informative and entertaining book, renowned biological anthropologist Richard Bribiescas looks at all aspects of male aging through an evolutionary lens. He describes how the challenges males faced in their evolutionary past influenced how they age today, and shows how this unique evolutionary history helps explain common aspects of male aging such as prostate disease, loss of muscle mass, changes in testosterone levels, increases in fat, erectile dysfunction, baldness, and shorter life spans than women. Bribiescas reveals how many of the physical and behavioral changes that we negatively associate with male aging may have actually facilitated the emergence of positive traits that have helped make humans so successful as a species, including parenting, long life spans, and high fertility. Popular science at its most compelling, How Men Age provides new perspectives on the aging process in men and how we became human, and also explores future challenges for human evolution—and the important role older men might play in them.

Testosterone and Aging

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309166772
Total Pages : 238 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Testosterone and Aging by : Institute of Medicine

Download or read book Testosterone and Aging written by Institute of Medicine and published by National Academies Press. This book was released on 2004-02-12 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: Popular culture often equates testosterone with virility, strength, and the macho male physique. Viewed by some as an "antiaging tonic," testosterone's reputation and increased use by men of all ages in the United States have outpaced the scientific evidence about its potential benefits and risks. In particular there has been growing concern about an increase in the number of middle-aged and older men using testosterone and the lack of scientific data on the effect it may have on aging males. Studies of testosterone replacement therapy in older men have generally been of short duration, involving small numbers of participants and often lacking adequate controls. Testosterone and Aging weighs the options of future research directions, examines the risks and benefits of testosterone replacement therapy, assesses the potential public health impact of such therapy in the United States, and considers ethical issues related to the conduct of clinical trials. Testosterone therapy remains an attractive option to many men even as speculation abounds regarding its potential.

Testosterone Matters ... More!

Author : Gary Donovitz
Publisher : Wheatmark, Inc.
ISBN 13 : 1627878017
Total Pages : 143 pages
Book Rating : 4.6/5 (278 download)

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Book Synopsis Testosterone Matters ... More! by : Gary Donovitz

Download or read book Testosterone Matters ... More! written by Gary Donovitz and published by Wheatmark, Inc.. This book was released on 2020-06-23 with total page 143 pages. Available in PDF, EPUB and Kindle. Book excerpt: There's a sea of misinformation about women and the benefits of testosterone that is sentencing peri- and post-menopausal women to years of suffering not only with menopause symptoms, but also with serious health issues that often shorten their lives. Testosterone Matters…More! is a beacon of hope that will lead you out of the fog of menopause, and offer you a clear pathway to overcome many of the debilitating ailments you may be suffering from right now. In this book, you'll learn that optimizing your testosterone levels may help: • Extinguish night sweats and hot flashes • Give you better sleep • Boost your energy • Boost your mood, memory, and concentration • Improve vaginal dryness and bladder issues While testosterone is known to calm over eleven menopause symptoms, clinical evidence confirms that testosterone also protects your heart, your brain, your breasts, your bones, and your muscles and joints. And there's a vital connection to thyroid health. In Testosterone Matters…More! patients share their own intimate stories about the astonishing changes that have made their lives better and happier. You do need hormones. You most definitely need testosterone. How many more years of your life are you willing to suffer or risk? If you answered NOT ONE MORE, keep reading and discover how testosterone is going to change your life.

Body Composition and Aging

Author : C.V. Mobbs
Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805595220
Total Pages : 204 pages
Book Rating : 4.8/5 (55 download)

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Book Synopsis Body Composition and Aging by : C.V. Mobbs

Download or read book Body Composition and Aging written by C.V. Mobbs and published by Karger Medical and Scientific Publishers. This book was released on 2010-08-12 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Increased adiposity and decreased muscle mass contribute substantially to age-dependent disease and disability. In particular age-related increase in adiposity is quickly becoming a major threat to public health throughout the world. Although the hypothesis that age-related changes in body composition are due to lifestyle choices alone is well accepted, it is a vast oversimplification. This volume reflects the current knowledge in this rapidly developing field of research. The first part of the book discusses the extent to which increased adiposity contributes to age-related diseases and longevity. The 'obesity paradox', describing the protective role of overweight in decreasing mortality while increasing pathology, is covered in depth. Further chapters address specific aspects of the regulation of energy balance during aging, including the effects of changes in food intake. Finally the causes and consequences of loss of muscle mass and age-related osteoporosis are examined.A valuable help for physicians treating elderly patients, this book will also be of great interest to researchers studying energy balance, muscle physiology, bone disease, and other aspects of aging.

Androgens and the Aging Male

Author : B.J. Oddens
Publisher : CRC Press
ISBN 13 : 9781850707639
Total Pages : 266 pages
Book Rating : 4.7/5 (76 download)

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Book Synopsis Androgens and the Aging Male by : B.J. Oddens

Download or read book Androgens and the Aging Male written by B.J. Oddens and published by CRC Press. This book was released on 1996-11-15 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: While menopause in women is a well-established and well documented phenomenon, the andropause in men is a relatively new concept. The terms male menopauseand andropausesuggest that this is an abrupt phenomenon related to a sudden deprivation of sex hormones. Unlike the menopause, which has a relatively sudden onset, the andropause appears to be a gradual process. It has been hypothesized that an androgen deficiency might develop with aging. Androgens and the Aging Male explores this hypothesis. The book focuses on the gradually progressive problems related to the decline in androgens that can occur with advancement of age. It examines the debate about the extent to which an age-dependent decline in androgens leads to health problems that affect or impair the quality of life, and the theory behind it. In addition, it reviews studies evaluating the effects of androgen supplementation. Androgens and the Aging Male comprehensively covers androgen function and how it changes over time.

Design and Implementation of the Modern Men’s Health Center

Author : Joseph P. Alukal
Publisher : Springer Nature
ISBN 13 : 3030544826
Total Pages : 280 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Design and Implementation of the Modern Men’s Health Center by : Joseph P. Alukal

Download or read book Design and Implementation of the Modern Men’s Health Center written by Joseph P. Alukal and published by Springer Nature. This book was released on 2020-10-15 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book outlines the approach to comprehensive men’s health deployed at three of the most successful American men’s health centers. It demonstrates the ways in which multidisciplinary care allows patients to easily access their doctors via coordination of care, same day add-on visits, and streamlining of office logistics such as sharing of charts, reports, and results. Guiding readers in establishing an evidence-based, multidisciplinary approach to the management of male patients of all ages, this volume shows how prevention, rapid intervention, cost efficiency, and coordinated care are at the forefront of a health center’s care strategy. The authors of this volume are thought leaders in the disciplines of cardiology, gastroenterology, dermatology, psychiatry, and preventative medicine. Design and Implementation of the Modern Men’s Health Center: A Multidisciplinary Approach enables urologists, medical subspecialists, and surgical subspecialists to both manage basic patient issues and also to understand how multidisciplinary care enables the success of a men’s health center.

The Role of Protein and Amino Acids in Sustaining and Enhancing Performance

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309172810
Total Pages : 448 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Role of Protein and Amino Acids in Sustaining and Enhancing Performance by : Institute of Medicine

Download or read book The Role of Protein and Amino Acids in Sustaining and Enhancing Performance written by Institute of Medicine and published by National Academies Press. This book was released on 1999-09-15 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is a commonly held belief that athletes, particularly body builders, have greater requirements for dietary protein than sedentary individuals. However, the evidence in support of this contention is controversial. This book is the latest in a series of publications designed to inform both civilian and military scientists and personnel about issues related to nutrition and military service. Among the many other stressors they experience, soldiers face unique nutritional demands during combat. Of particular concern is the role that dietary protein might play in controlling muscle mass and strength, response to injury and infection, and cognitive performance. The first part of the book contains the committee's summary of the workshop, responses to the Army's questions, conclusions, and recommendations. The remainder of the book contains papers contributed by speakers at the workshop on such topics as, the effects of aging and hormones on regulation of muscle mass and function, alterations in protein metabolism due to the stress of injury or infection, the role of individual amino acids, the components of proteins, as neurotransmitters, hormones, and modulators of various physiological processes, and the efficacy and safety considerations associated with dietary supplements aimed at enhancing performance.

Endocrinology of Aging

Author : Emiliano Corpas
Publisher : Elsevier
ISBN 13 : 012819667X
Total Pages : 788 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Endocrinology of Aging by : Emiliano Corpas

Download or read book Endocrinology of Aging written by Emiliano Corpas and published by Elsevier. This book was released on 2020-09-22 with total page 788 pages. Available in PDF, EPUB and Kindle. Book excerpt: Endocrinology of Aging: Clinical Aspects in Diagrams and Images presents chapters in a way that allows the reader to incorporate concepts and complex facts in a visual way. As the global population becomes older, the need for a deeper understanding of geriatric pathology increases, and with it, there becomes a greater need to access educational resources on the endocrinology and metabolism of aging. According to the United Nations, the number of people aged 60 years or over in the world is projected to be 1.4 billion in 2030 and 2.1 billion in 2050, hence this is a timely resource. Divided according to specific endocrine and metabolic systems, providing evidence-based content Addresses physiological changes that alter the pathophysiology of the clinical picture Considers the patient transitioning from young adult to elderly, discussing endocrinological challenges to discern physiology from pathology Focuses on age as an essential factor for diagnostic and endocrine management

Aging Men's Health

Author : Robert S. Tan
Publisher : Thieme
ISBN 13 : 160406532X
Total Pages : 230 pages
Book Rating : 4.6/5 (4 download)

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Book Synopsis Aging Men's Health by : Robert S. Tan

Download or read book Aging Men's Health written by Robert S. Tan and published by Thieme. This book was released on 2011-01-01 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: A complete reference on common health concerns for the aging man The global population is aging, and this important text explores the common health concerns that accompany male aging, particularly the effects of declining testosterone levels, or andropause. Aging Men's Health is the first and only book to comprehensively review this topic. Using a case-based approach with supporting evidence, the book examines treatment for the biological and physiological changes that stem from a wide range of age-related problems associated with androgen deficiency. You will read about such topics as erectile dysfunction, prostate cancer, heart disease, arthritis, osteoporosis, obesity, growth hormone replacement for aging men, nutriceuticals, hypogonadism, and much more. Findings cited from recent literature ensure reliable analysis in every chapter, and 100 charts and graphs clarify research and key points. The clinical implications of male aging extend into many disciplines--orthopedics, urology, endocrinology, cardiology, and others. Appropriate treatment and care are crucial. Highly informative and authoritative, this concise reference is a must for all practitioners treating the aging male patient.

The Testosterone Syndrome

Author : William Fryer
Publisher : M. Evans
ISBN 13 : 1590771656
Total Pages : 242 pages
Book Rating : 4.5/5 (97 download)

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Book Synopsis The Testosterone Syndrome by : William Fryer

Download or read book The Testosterone Syndrome written by William Fryer and published by M. Evans. This book was released on 2001-01-01 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Testosterone therapy can improve the overall health and feeling of well-being of aging men, improving sex drive, mental functions, and energy levels and reducing the risk of cardiovascular disease.—Library Journal

Testosterone for Life: Recharge Your Vitality, Sex Drive, Muscle Mass, and Overall Health

Author : Abraham Morgentaler
Publisher : McGraw Hill Professional
ISBN 13 : 9780071642514
Total Pages : 216 pages
Book Rating : 4.6/5 (425 download)

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Book Synopsis Testosterone for Life: Recharge Your Vitality, Sex Drive, Muscle Mass, and Overall Health by : Abraham Morgentaler

Download or read book Testosterone for Life: Recharge Your Vitality, Sex Drive, Muscle Mass, and Overall Health written by Abraham Morgentaler and published by McGraw Hill Professional. This book was released on 2008-11-02 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Dr. Morgentaler, an internationally recognized expert in sexual medicine and male hormones, shares his secrets for a healthy life." --Irwin Goldstein, M.D., Director of Sexual Medicine, Alvarado Hospital, San Diego, and Editor-in-Chief, Journal of Sexual Medicine "A highly valuable resource. Finally debunks many of the myths about testosterone's safety, which has been an impediment to its appropriate usage for far too long." --David E. Greenberg, M.D., President, Canadian Society for the Study of the Aging Male From a Harvard doctor and a leading expert on testosterone--the groundbreaking book that shows you how to raise your testosterone levels--and live your life to the fullest Better sex. Increased vitality. More muscle. Improved health. Greater mental agility. These are just a few of the life-enhancing benefits that men with low levels of testosterone can experience when they increase their testosterone level. If you've noticed a decrease in your sex drive; experienced erectile dysfunction; or felt tired, depressed, and unmotivated, this authoritative, up-to-date guide from an expert at Harvard Medical School will help you determine if you have low testosterone--a surprisingly common but frequently undiagnosed condition among middle-aged men. Learn how to: Recognize the symptoms of low testosterone Diagnose the problem with simple tests Find the treatment that's right for you Explore options your doctor might not know about Reduce your risk of cardiovascular disease and obesity

Testosterone

Author : Susan Nieschlag
Publisher : Springer Science & Business Media
ISBN 13 : 3662008149
Total Pages : 296 pages
Book Rating : 4.6/5 (62 download)

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Book Synopsis Testosterone by : Susan Nieschlag

Download or read book Testosterone written by Susan Nieschlag and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: New developments in testosterone therapy are summarized here by internationally renowned experts. They review both basic and clinical knowledge in fourteen chapters. The book begins with the biochemistry of testosterone, its biosynthesis, metabolism and mechanisms of action in target organs. Three chapters deal with specific aspects of testosterone action, namely its role in spermatogenesis, its psychotropic effects and its effects on bones. Syndromes caused by androgen resistance are described in order to highlight the importance of properly functioning enzymes and receptors in the target organs. Causes and symptoms of male hypogonadism, the major indication for testosterone treatment, are described. Five chapters are devoted to the pharmacology, pharmacokinetics and clinical uses and abuses of testosterone preparations. The new transdermal testosterone application is described in detail. Side effects of testosterone treatment are reviewed. The possible role of androgens in the development of prostatic hypertrophy and carcinoma is discussed extensively since this question is of major concern to the clinician.

The Secret Female Hormone

Author : Kathy C. Maupin, M.D.
Publisher : Hay House, Inc
ISBN 13 : 1401943004
Total Pages : 322 pages
Book Rating : 4.4/5 (19 download)

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Book Synopsis The Secret Female Hormone by : Kathy C. Maupin, M.D.

Download or read book The Secret Female Hormone written by Kathy C. Maupin, M.D. and published by Hay House, Inc. This book was released on 2015-03-02 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Secret Female Hormone is a must read for women today! Hormones should always be evaluated in unity, and testosterone is almost always overlooked. The authors tell the truth about how hormone imbalances truly affect women - not only their energy, their vitality and their libido but also their family relationships and self-esteem. This book will be a resource for women for years to come!" - Marcelle Pick, author of Is It Me or My Hormones? and The Core Balance Diet Leading experts show why testosterone hormone imbalance could be the vital connecting factor in a wide variety of health issues for women in midlife. You know the experiences all too well. You can’t sleep, so you start your day feeling exhausted. Seemingly overnight, you can’t remember names, places, appointments—things you could previously recite at the drop of a hat. You want to be more active, but you have zero energy for that. And sex? Forget it! By now, you’ve probably been told this is "normal," or that it’s the "natural" course of aging. And you might even believe it, because so many women approaching midlife have the exact same symptoms. In fact, millions of women worldwide are undiagnosed and untreated for hormone imbalance deficiency. As one of the country’s leading experts on hormonal balance—and as a woman who experienced these symptoms herself—Dr. Kathy Maupin has identified a debilitating and overlooked health condition: testosterone deficiency syndrome, or TDS. Most people associate testosterone with men, but it’s one of the most vital hormones in women, and one of the first hormones that women begin to lose as they enter their 40s. And Dr. Maupin’s own research has shown that the symptoms of aging—fatigue, memory loss, moodiness, low libido, and so much more—are initiated and accelerated by testosterone loss. In this book, Dr. Maupin and therapist Brett Newcomb show how testosterone replacement can radically improve your life. They share the history and background of hormone replacement therapy, the latest research on treatment options, as well as: • Tips for dealing with mood swings, changes in sex drive, and maintaining healthy relationships • Surprising information on the long-term effects and health risks of testosterone loss • Common myths and misconceptions regarding estrogen and testosterone replacement therapy • Questionnaires to help you determine your individual hormone deficiencies • Real stories and personal experiences Dr. Maupin’s patients share clear, practical, and easy-to-use, this authoritative guide sheds light on the importance of testosterone and will help you reclaim your physical, mental, emotional, and spiritual health.

Ageless Man

Author : Georges Debled, MD
Publisher :
ISBN 13 :
Total Pages : 308 pages
Book Rating : 4.6/5 (482 download)

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Book Synopsis Ageless Man by : Georges Debled, MD

Download or read book Ageless Man written by Georges Debled, MD and published by . This book was released on 2017-09-30 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sooner or later, starting from forty, each man knows various disorders: general tiredness, overweight, cardiovascular troubles, sexual problems, memory losses, irritability, and tendency to depress. Often, they put these disturbances on stress and overwork. These disorders are actually due to a natural phenomenon easy to diagnose: the progressive reduction in the production of male hormones. It is the androgenic disease of andropause or andropause disease. To neglect this phenomenon leads to early aging and the development of psychological problems, which can affect personal life. However, for many years, the treatment of male aging exists. Thanks to suitable hormonal proportioning, it is possible to slow down aging and even to prevent it. But for lack of information or because they do not dare speak of their problems, men seldom resort to medicine. Georges Debled MD, Associate Professor of Urology, and specialist in andrology joins together in these bright and precise book results of most recent medical research and its forty years of experience on treatment and prevention of aging diseases. He presented this topic in Dallas in 1992. Unfortunately, generally, androgenic disease of andropause is only recognized, occasionally and tardily by doctors, at its end-stage called Low Testosterone in old age. But andropause disease has a commencement around forty, and sometimes before. That condition produces a pathologic fall in the production of dihydrotestosterone, the potent sexual hormone produced from the transformation of testosterone, and, consequently, sexual aging. With time, lack of androgens induces diabetes, high cholesterol, arterial rigidity and hypertension, cardiovascular diseases, osteoarthritis, hearing and eye troubles, nervous breakdown, Parkinson's, and Alzheimer's diseases. The Ageless Man explains the facts and principles of sexual aging, prostate problems, and conditions of aging since their early stages; and how to prevent them. Prevention of diseases of aging should be a priority for everyone who wants to live healthy longevity beyond eighty. The Ageless Man is already born. Do you want to be him?

Testosterone Dreams

Author : John Hoberman
Publisher : Univ of California Press
ISBN 13 : 0520939786
Total Pages : 390 pages
Book Rating : 4.5/5 (29 download)

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Book Synopsis Testosterone Dreams by : John Hoberman

Download or read book Testosterone Dreams written by John Hoberman and published by Univ of California Press. This book was released on 2005-02-21 with total page 390 pages. Available in PDF, EPUB and Kindle. Book excerpt: Testosterone has inspired dreams—of restored youth, recharged sexual appetites, faster running, quicker thinking, bigger muscles—since it was first synthesized in 1935. This provocative book investigates the complex, bizarre, and sometimes outrageous history of synthetic testosterone and other male hormone therapies. Exploring many little-known social arenas—both inside and outside the medical world—in which these substances are becoming increasingly available and accepted, Testosterone Dreams examines the implications and dangers of their use in professional sports, in the workplace, in our sex lives, and beyond. Testosterone Dreams tells the story of testosterone's growing and sometimes concealed influence in our culture over the past 70 years. It explores such controversial topics as the invention and marketing of the male menopause, the disturbing history of hormonal and other medical treatments aimed at boosting or suppressing women's sexuality, and hormone doping in sporting events such as the Tour de France and the Olympics, and in Major League Baseball. It brings to light the hidden use of hormone doping by policemen, soldiers, and other workers in a variety of jobs. It also discusses the burgeoning steroid use in the gay community and its relation to AIDS, and takes a hard look at the pharmaceutical industry's promotional campaigns to create new markets for testosterone products. Testosterone Dreams is the first book to bring together the whole story of testosterone and to consider its social and ethical implications: Where does therapy end and performance enhancement begin? How are changing medical technologies affecting how we think about our identities as men and women and the elusive goal of "well-being"? This book will be essential reading as we move inexorably toward the wide-open, libertarian pharmacology that is now making these drug regimes available to a wider and wider clientele.