Showing posts with label hypogonadism. Show all posts
Showing posts with label hypogonadism. Show all posts

Monday, December 12, 2016

Weight Loss with HCG - New things we discovered along the way.

Weight loss has always been a major concern for me as I remembered a time when I was more than overweight. The best weight I was ever in my life was when I was 18, at the weight of 52, I was as lean as ever. But looking back, at that time my assets were not fully blown and perhaps the best I could be now is perhaps 62 kilos. (I did this once last year and everyone was worried and thought I was sick because I looked too skinny, thank you for your concern, I was just experimenting on best weight).


If I told people that I was a heavy 89 kilos, most of them would react by saying when? But yes, this was a reality to me in the years 2006 after the delivery of Bella to around circa 2009. I was struggling with weight loss. Until I stumbled across the hcg diet which was introduced to me by one of my sifus. I believed him because the first time I met him he was twice my size (and I was fat then) and now he is smaller than me.  I owe a lot of my knowledge to his mentoring. He could explain to me things that other doctors would not even bother to understand. And I needed to know, not just because I am curious, evidence-based and critical, but also for my patients. The worst thing to be as a doctor is ignorant to all the effects and complications of the treatment that you warrant to your patient.

Well, back to HCG. In the past, we use to just explain the role of the HCG hormone that acts like a catabolic hormone in the absence of insulin. What it means is that, when there is no insulin spike in the body, the HCG at 125-250mg level acts on the fat cells facilitating transport and metabolising fats into energy. This is why it is strictly prohibited to take any form of sugar or carbohydrate during the diet phase 2 and 3a as it would cause the opposite effect. Many can argue that if they go on 500 calories of protein and fibre they definitely will lose weight but how do you explain the fat percentage loss? Starvation leads to protein breakdown and usually the fats are the last ones to go. (We've measured our patient using a complete body scan and in 1 week, she lost 3kg of fat, her protein mass remained the same). 

It sounds simple, but I believe that as patients you require guidance especially in the first attempt and going through maintenance. There is a lot of explaining to do that some clinics do not bother doing, hence you will get a more yo-yo effect on weight loss which in the long run is not good for you as it can cause more harm to your metabolism. We are playing with hormones people.... Make sure your doctor knows what they are doing. It is not a quick weight loss program.

Along the line, we've learnt a few things. We can use HCG to increase testosterone levels in men who are young and suffers from hypogonadism. It is safer than giving testosterone directly since once you introduce external testosterone, the natural factories will decide to stop production (like 91% based on latest studies done in China). It helps reverse the conversion of testosterone into oestrogen by the aromatase enzyme. The easiest clinical signs are the formation of man boobs and the pot belly hard tummy. So if you are a guy below 60, who is overweight and have gynaecomastia and an increasing pot belly, most likely you have reduced levels of testosterone. Some guys will say, so what? But in the long run it will effect your daily performance (not to mention the performance in bed). I envy my male patients on HCG, as they seem to loose weight faster than us ladies. They kill two birds with 1 stone, lose fat and increase testosterone levels.

I've also realised after being on the program for a few years, the best  is to slowly drop your weight, year by year, and then it would last longer. So usually after new year I would be on the program again, just to lose a few more kilos and maintain it. Since last year, I've succeeded in keeping my weight less than 70kg, and my silhouette has maintained. I've also discovered that muscle building during the second phase of maintenance helps to improve body tone and sustain weight loss results. I took a new liking to pilates, and I find that despite being off for awhile my weight easily jumps back to what it is usually.

Other things we've discovered also is that the protein intake is super important. If you are a strict vegetarian, forget it. The most you are able to lose is 4kg in 23 days. Some vegans who wanted to try, had to be on egg whites daily that it caused them to be bored. Without the protein, the weight loss was reduced.

Other benefits of the HCG diet as observed is a better glycemic control for diabetics, reduced cravings for sugar and junk food in most people, sustained silhouette despite some weight gain, and change of dietary habits. But the set back is the strict regime during the diet and the maintenance phase. So at the end of the day, it is all about will power and determination. Like I always tell my patients, the diet is a detox sacrifice for 3 months. If you do it well, it may be the first and the last time you ever have to do it. It is a personal choice. If you are willing to commit and want to change, we will be here to help guide you throughout the process.

For more information or to book appointments do contact us at drmmclinic@gmail.com or send a message to +60129660852.



Sunday, November 27, 2016

Testosterone Therapy - Men Need Help Too .....




When I first started my private practice, my focus was mainly on medical aesthetics and external beauty, skincare and products to enhance beauty.  After 8 years, now it have evolved more into lifestyle, where I also delve into optimizing my patient's systems so that the body functions the best. Because what is the point of looking beautiful, if you feel like crap and you gain weight excessively for no reason? I myself face similar dilemma trying to keep my weight checked, to the point that I start studying more on hormones and internal body processes and metabolic pathways. And after awhile, everything seems to make sense.

A very interesting problem nowadays is how a lot of men in their prime are not in optimum health that you find young men having testosterone deficiency symptoms. The factors contributing to this dilemma is mainly stress levels, diet and lack of physical exercise that causes the testosterone levels to decline and slowly leads to weight gain, low mood, low energy and depression. Another issue that a lot of men have is the aromatization of testosterone into oestrogen by an enzyme called Aromatase. This then leads to the formation of gynaecomastia or also dubbed man-boobs and the collection of fats around the stomach pot belly area. This conversion leads to a reduced amount of available testosterone in the body leading to symptoms of deficiency. So basically that growing tummy is not a good thing boys, you better start thinking of losing it. Recent studies have also shown that men with reduced testosterone levels have higher mortality risk. So its not just about getting that 6 packs, but it is also to ensure then men live longer.



Last July I attended a conference on men focusing on hypogonadism or low testosterone and erectile dysfunction. It was a real eye opener. Thank you Bayer for the kind invitation. Our speakers were well experienced andrologist from Malaysia and Singapore who were very informative and entertaining. Andrologist are doctors who specialize in male sexual and urinary problems. I learnt so much on testosterone in that two days that a lot of the things I was studying made more sense.





Most doctors believe that as long as the testosterone levels are within range, it is normal. However, more and more studies have shown that there is an age relation to the level, where it peaks highest in the adolescent stage up to 1200ng/dl at 18 years old and slowly declines over the years with an average of 1.6% decline per year. The range given by the labs is so huge i.e. from 270ng/dl - 1070ng/dl. A few community studies have shown the averages based on age groups which can also be used as a rough guide. The best way is to look at the symptoms and signs and correlate clinically. 



Possible symptoms of Testosterone deficiency:

1. Psychological symptoms
     - Irritability
     - Nervousness
     - Anxiety
     - Depressive Disorders
     - Memory Disturbances
     - Lack of Concentration
     - Mood changes

2. Somatic Symptoms
     - Muscle Pain
     - Joint Pain
     - Excessive sweating
     - Sleep disturbance
     - Muscle strength and muscle mass decline
     - Hot flushes
     - Cardiovascular disease
     - Increase body weight
     - Increased visceral body fat
     - Testicular atrophy
     - Osteopenia
     - Chronic fatigue
     - Anaemia

3. Sexual Symptoms
     - Low libido or sexual interest
     - Reduced number of morning erections
     - Delayed ejaculations
     - Impotency

These symptoms can be reduced by increasing testosterone levels in men to what they require. You see, not everyone function well on the same level. It really depends on the individual. Just like how our body built are not the same. In the past, the testosterone range was determined by subjects between the ages of 20-80 years old. Nowadays, there is a more age specific range based on the general well being of the man, whether or not they have metabolic issues like diabetes or cardiovascular problems.


But it is not as easy as just supplementing testosterone as what most men believe. There are many factors to consider such as age, and cause of low testosterone and whether future offsprings are considered. Long-term testosterone therapy causes the Leydig cells to stop producing sperm in 91% of cases. Hence, we should weigh the pros and cons of treatment. The best is always to consult your anti-ageing or lifestyle practitioner properly to give you the best options based on your age, and future expectations. Furthermore, too much testosterone has been proven to increase aggression in men, with a higher tendency for them to drink, smoke and engage in high risk sexual behaviours. Therefore, careful planning  and monitoring is required to ensure optimized treatment. I'll explain more about treatment options in another blog entry.


For more information or for appointments feel free to contact us at drmmclinic@gmail.com or +60129660852.