Testosterone and Heart Health: What You Need to Know? Dr. Stephen Sinatra

Testosterone and Heart Health: What You Need to Know? Dr. Stephen Sinatra

Dr. Stephen Sinatra

Most people know low testosterone levels can affect libido and sexual function. But did you know low testosterone is linked to heart problems, including heart attacks?

In a 2011 study published in the Journal of the American College of Cardiology, researchers analyzed testosterone levels in 2,416 men ages 69 to 81 over a five-year period. They found that men with the highest testosterone levels had a 30% lower risk of having a cardiovascular event than those with lower levels. 

While the researchers quickly cautioned men to not rush out and take testosterone in order to prevent a heart attack, it does illustrate the important role this hormone plays in heart health.

Dr. Jacob Teitelbaum: Testosterone is a hormone produced primarily in the testicles.

  • Every man over 40 years should be using a good quality supplements and eating a better diet. 

Low Testosterone and Heart Problems

The heart and blood vessels contain numerous testosterone receptor sites, suggesting this hormone is meant to support these body parts. Plus, low testosterone is associated with many heart risk factors, including obesity metabolic syndrome,  type 2 diabetes, and inflammation.

Research has also demonstrated that men with low testosterone have a higher incidence of developing heart failure or having a stroke. And a study published in the Journal of Clinical Endocrinology demonstrated that men with low testosterone have an increased risk of developing coronary artery disease. 

Dr. Stephen Sinatra Continues...
Low Testosterone Is a Widespread Issue

As important as testosterone is, having low testosterone is a real issue—especially as men age. Testosterone production normally increases during puberty, peaks at age 30, and declines at a rate of 1-2% per year after age 30.

Left unchecked, an 80-year-old man can have half as much testosterone as he did at age 30. Although, men of any age can develop low testosterone—especially those who are obese or have diabetes.

As a cardiologist, this concerns me greatly. A good naturopathic doctor, should have good experience treating low testosterone. So, I wanted to share his important advice with you.

Symptoms of Low Testosterone

Low testosterone symptoms can include:

  • Low libido and sexual function
  • Loss of muscle strength
  • Loss of body hair
  • Cognitive decline
  • Depression
  • Fatigue

Additionally, a European study of 3,369 men ages 40-79 concluded that there are three cardinal symptoms that are most likely to be related to low testosterone: erectile dysfunction, reduced sexual desire, and a loss of morning erections. 

Testing for Low Testosterone

To make sure you have enough testosterone, your physician needs to test for both total testosterone and free testosterone—which is the amount of biologically available testosterone that your body can actively utilize.

You should check your testosterone levels in the morning since this is when levels are usually at their highest. I also recommend having your blood tested again within two weeks because hormone levels can fluctuate.


The low limit of testosterone levels in men is about 300 nanograms per deciliter and the upper normal limit is approximately 1000-1200 ng/dl. A low level needs to be investigated further to distinguish it from normal aging.

Low testosterone has become such an issue that up to 50 percent of men over 45 are affected! No one knows the prevalence of women with low T-levels yet, but a Wall Street Journal article suggests that the pain epidemic many women struggle with may be linked to imbalanced hormones, including testosterone.

Maintaining the right level of testosterone can be tricky today. And I’m not just talking to guys here! Healthy women make up to 300 micrograms of testosterone in their ovaries and adrenal glands every day.

Like men, women with low testosterone levels often experience chronic fatigue, a stunt in their libido, and a decreased sense of well-being. So, this is a hormone that everyone should keep tabs on.

Maintaining your healthy Testosterone level for men is critical for vital over all health.

...helps maintain men's:
  • Bone density
  • Fat distribution
  • Muscle strength and mass
  • Facial and body hair
  • Red blood cell production
  • Sex drive
  • Sperm production

In middle-aged men, many of the risk factors for CVD can be caused by low levels of testosterone, including high cholesterol, overweight, high blood pressure, and pre-diabetes or diabetes. Male patients, I prescribe testosterone if the patient has a total testosterone level that is under 450 nanograms per deciliter and has one or more of the symptoms of low testosterone, such as high blood pressure, high cholesterol, depression, or erectile dysfunction.  


Dr. Jacob Teitelbaum Continues...
What are the risks of testosterone therapy for normal aging?

Testosterone therapy has various risks. For example, testosterone therapy may:

  • Contribute to sleep apnea — a potentially serious sleep disorder in which breathing repeatedly stops and starts

  • Cause acne or other skin reactions

  • Stimulate noncancerous growth of the prostate (benign prostatic hyperplasia) and growth of existing prostate cancer

  • Enlarge breasts

  • Limit sperm production or cause testicle shrinkage

  • Increase the risk of a blood clot forming in a deep vein (deep vein thrombosis), which could break loose, travel through your bloodstream and lodge in your lungs, blocking blood flow (pulmonary embolism)


low testosterone in males is rapidly growing. I will cover the best strategies to increase testosterone naturally and boost human growth hormone (HGH) fast.

Maintaining the right level of testosterone can be tricky today. And I’m not just talking to guys here! Healthy women make up to 300 micrograms of testosterone in their ovaries and adrenal glands every day.

Like men, women with low testosterone levels often experience chronic fatigue, a stunt in their libido and a decreased sense of well-being. So, this is a hormone that everyone should keep tabs on!

However, low testosterone in men has especially become a major health issue today, and I will explain why and how you can fix.

Testosterone Benefits the Body in Many Ways

You’re probably most familiar with testosterone as being the sex hormone responsible for defining “manhood.” And, yes, it does. However, proper levels of this key hormone are also necessary to stimulate sexual desire, increase libido, heighten arousal and ensure sexual satisfaction for both men and women. It’s also necessary to maintain the following:

  • A healthy pain response

  • Sufficient levels of red blood cells

  • Regular sleep patterns

  • Optimal bone density

  • Muscle mass

  • And high energy levels

As men and women age, their T-levels naturally decline but this can accelerate faster than normal by the typical American lifestyle:

  • Chronic stress

  • Insufficient nutrition

  • Imbalanced microflora

  • Low vitamin D levels

  • Weight gain

  • Inadequate exercise

  • Prescription drugs (especially statins)

All of these risk factors deplete the normal immune response, lead to obesity and diabetes, tax the body and decrease metabolism. This, my friends, is the recipe for low T-levels and most people are stuck on the gerbil wheel desperate for a ticket to get off of the ride.

Interview with Dr. David Sinclair (Harvard medical School) briefly explains the importance of maintaining your healthy Testosterone for maintaining muscle mass and longevity.!!

Hormone Replacement Therapy Side Effects!

Supplement companies have been targeting people with decreased sex drive, altered mood and difficulties with concentration and mental stimulation heavily the past few years. This is one reason why T-therapy has become relatively commonplace today.

Knowing the research and past side effects of other synthetic hormone treatments — which have been shown to lower HDL cholesterol and increase the risk of stroke — makes me recommend avoiding this type of treatment if possible. (3) The story is similar for testosterone supplements.

  • Intermittent Fasting

The first of the natural testosterone boosters is intermittent fasting. One of the biggest intermittent fasting benefits? It’s been shown to increase testosterone by nearly 200 percent or even up to 400 percent. In addition, a study by the University of Virginia Medical School noted that growth hormone levels increased 2,000 percent over the baseline in men who ate no calories for 24 hours, and growth hormone levels are correlated with testosterone. 

Intermittent fasting basically means you skip breakfast, and you eat your meals closer together. You’ll eat three meals per day: one at noon, one at 3 p.m. and your last meal around 6 p.m. That allows your organs to rest, especially your liver, which is so crucial for naturally balancing hormones, especially testosterone.

  • Heavy Weight Training + Interval Training

If you want to naturally boost testosterone and HGH then combining weight training with HIT WORKOUTS (high-intensity interval training). Go to the gym at least three days a week, ideally at least three days a week, and lift heavy weights. Lifting heavy weights 6–12 reps with larger muscle groups like your quadriceps, hamstrings, back, shoulders and chest will help your body pack on the maximum amount of muscle. Specifically, lifting at least 30 minutes up to as long as an hour or so can be very, very beneficial boost low testosterone levels.

Researchers at Ball State University found that “strength training can induce growth hormone and testosterone release.” Another study from the University of Nebraska Medical Center researched the acute effects of weight lifting on serum testosterone levels. The results concluded that even moderate weight lifting and light weightlifting increased serum testosterone levels in participants.

In addition to weight training, combining this with interval training like burst training is the best overall combo to increase HGH. In fact, Burst training has been proven to not only boost T-levels, but it also helps keeps your testosterone elevated and can prevent its decline. Burst training involves exercising at 90–100 percent of your maximum effort for a short interval in order to burn your body’s stored sugar (glycogen), followed by a period of low impact for recovery.

This causes your body to burn fat for the next 36 hours to replace your body’s vital energy stores. In addition to increasing your T-levels, it can help burn between 3–9 times more fat, lower your resting heart rate, lower blood pressure, keep your brain young by increasing circulation, and aids in detoxification by stimulating the lymphatic system.

  • Healthy Fats

Step three is to add a lot of healthy fats in your diet. Most men with low testosterone consume too much junk food and too many carbohydrates. You have to get rid of those empty calories and load up on healthy fat.

A study published in the Journal of Steroid Biochemistry studied the effects of diet on serum sex hormones in healthy men. Results showed that when men decreased their healthy fat intake, serum concentrations of androstenedione, testosterone, and free testosterone also decreased. This indicates you can add low testosterone to the list of low-fat diet risks.

There are three categories of healthy fat. Number one is healthy saturated fat. The truth about saturated fat is it’s actually good for you if it’s the proper kind. Healthy saturated fat is found in coconut oil and raw, fermented dairy products like goat milk kefir, yogurt, or raw goat or sheep milk cheese. However, avoid conventional dairy because it will actually damper your testosterone.

The other type of fat you need is healthy omega -3 fatty acids. Consuming benefit-rich salmon a couple of times a week or adding a quality fish oil supplement is great. Flaxseeds, chia seeds, and walnuts are also great for low testosterone as you get those omega-3s.

Finally, monounsaturated fats can be natural testosterone boosters. Consuming an avocado a day or some olive oil and almonds really helps get those healthy fats that can help you naturally boost your testosterone levels.

  • Detox 

The next step on the natural testosterone boosters scale is to embark on a liver cleanse. Your liver is so crucial to testosterone levels. When your liver does not function optimally, it affects your testosterone output. That’s because the liver holds an enzyme that conjugates the 17beta-hydroxyl group of testosterone. 

A study published in the Journal of Gastroenterology and Hepatology notes that “serum testosterone is reduced in up to 90 percent of men with cirrhosis, with levels falling as the liver disease advances.” This shows just how vital liver health is to your testosterone, and countless studies verify the effects of liver function on testosterone.

  • Vitamin D3

One of the most important nutrients that can help boost testosterone levels is vitamin D3. In 2011, the results of a study published in the journal Hormone and Metabolic Research announced that vitamin D supplementation boosts Testosterone naturally in overweight men by up to 30 percent. This is pretty exciting because research has shown that vitamin D3 is also linked to helping to prevent and treat cancer! 

If you have vitamin D3 deficiency symptoms, it will absolutely crush your testosterone levels. So you want to get out in the sun 20 to 30 minutes every day to detox your body with the sun and get that all-important vitamin D.

Any day that you don’t get 30 minutes of direct sunlight on your skin, you want to supplement with min 5,000 IUs of vitamin D3 combined with K2. If you get your blood levels tested and you’re extremely low — below 50 IUs — you typically want to do 5,000 IUs D3 twice a day for  a few months until you get those numbers up to 70. You can do everything in the world, but if your vitamin D3 levels aren’t right, your testosterone levels will stay low.

And why should you use liquid vitamin D3 plus K2 ?

Renowned researcher Dr. Russell M. Jaffe answers this question: "People have been taking vitamin D3 for years with no significant changes in their Vitamin D levels"!  (Dr. Russell Jaffe explains in less than one minute)

  • Kick the Sugar Habit

If you want to normalize your hormone and naturally boost your testosterone, the first thing you need to do is kick the sugar habit immediately. It has been reported that the average American takes in 12 teaspoons of sugar a day (about two tons of sugar in a lifetime), and sugar has been linked to depleting T-levels in several ways.

According to the American Diabetes Association (ADA), for example, type II diabetics are twice as likely to develop low T-levels. Here’s how it works:

  • When you eat a diet rich in processed grains and sugars, your blood glucose levels become chronically elevated.

  • To help keep blood sugar levels from going haywire, your pancreas starts to work overtime to produce insulin, which helps transport the sugar from the bloodstream into your cells to be metabolized for energy.

  • Ultimately, if your cells are exposed to insulin for extended periods, you develop insulin resistance, which causes type II diabetes.

Once diabetes develops your body isn’t able to produce the right levels of testosterone as it should, and the ADA recommends that diabetics get their T-levels checked by their doctor if they start to develop any of the symptoms that I mentioned above.

If you can follow these steps, you are going to see great results in naturally boosting your testosterone levels.

  • Lower Body Fat Percentage

In the words of Dr. Gary Wittert – Head of the School of Medicine at the University of Adelaide, Australia – weight loss has a predictable and linear relationship with increased testosterone naturally. 

When you consider the effects that insulin resistance and poor sleeping habits have on testosterone, this makes perfect sense because they are all closely knit together with obesity. At the core of this issue is cutting out processed sugars from your diet, which has been linked to insomnia, obesity, diabetes and countless hormone disorders. 

Prostate Cancer: In 2124, half of all men can count on developing prostate cancer.

Ref https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4324338/

P.A. Pollock, MRes,* A. Ludgate, and R.J. Wassersug, PhD


Ref https://www.mayoclinic.org/diseases-conditions/prostate-cancer/symptoms-causes/syc-20353087


Doctors know that prostate cancer begins when cells in the prostate develop changes in their DNA. A cell's DNA contains the instructions that tell a cell what to do. The changes tell the cells to grow and divide more rapidly than normal cells do. The abnormal cells continue living, when other cells would die.

The accumulating abnormal cells form a tumor that can grow to invade nearby tissue. In time, some abnormal cells can break away and spread (metastasize) to other parts of the body.

Risk factors

Factors that can increase your risk of prostate cancer include:

  • Older age. Your risk of prostate cancer increases as you age. It's most common after age 50 but recently more 40 years old are diagnosed with prostate cancer.
  • Race. For reasons not yet determined, Black people have a greater risk of prostate cancer than do people of other races. In Black people, prostate cancer is also more likely to be aggressive or advanced


What are the risks of testosterone replacement therapy?

Ref https://moffitt.org/

While there is currently no evidence to suggest the existence of any link between testosterone replacement therapy and prostate cancer, the use of this treatment is not completely without risk. For instance, some men may experience immediate side effects, such as breathing disturbances during sleep, breast swelling or tenderness, ankle swelling and acne. Many physicians also monitor their testosterone replacement patients for high red blood cell counts, which can increase the risk of blood clots. Additionally, long-term testosterone replacement therapy is associated with an increased risk of cardiovascular problems, including heart attacks and strokes, particularly in older men.


"Prevention is better than a thousands cures"
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