NOTICE: This web site is provided as a source of general information and is not intended to take the place of a physician’s advice nor is it intended to diagnose a medical condition. Only a physician that has performed an examination which includes laboratory testing can determine if you qualify for and should undertake treatment.

An Educated Consumer is our Best Customer.
                                                                    Sy Syms (1926-2009)

Testosterone Replacement Therapy has recently become a very popular subject and with such popularity comes much misinformation, gimmicks and “snake oil” salesman. At C4MH we want you to be informed about these issues:

 
TESTOSTERONE IS A CONTROLLED SUBSTANCE:

RECEIVING TESTOSTERONE (prescribed and/or administered) FROM MULTIPLE PHYSICIANS WITHOUT FULL DISCLOSURE TO THE PHYSICIANS IS A VIOLATION OF STATE AND FEDERAL LAW.

In Florida only a physician (MD / DO) may prescribe testosterone for use in testosterone replacement therapy (TRT).

IS YOUR TESTOSTERONE TREATMENT BEING RECORDED IN A GOVERNMENT DATABASE? 

NOT IF YOU ARE A C4MH PATIENT.  

YES: IF YOU ARE PURCHASING ANY TESTOSTERONE PRODUCT (Vials, Creams, Gels) AT A PHARMACY OR A PHYSICIAN IS PROVIDING YOU WITH A TESTOSTERONE PRODUCT TO TAKE HOME.  

C4MH’s in house treatment protocol keeps your medical care PRIVATE and out of the government’s database. 

Get the facts at: http://www.center4menshealth.com/PDFs/PDMP.pdf

Compounded Testosterone (non FDA licensed):

C4MH has not and will not utilize non FDA licensed medications.

Compounded testosterone is manufactured outside the oversight of U.S. Food and Drug Administration. The issue of compounding medications recently came to national attention with the deaths of patients who were seeking interventional pain care. The drugs that caused the deaths were compounded and were found to be manufactured under non-sterile conditions.

The only reason to use compounded testosterone is to reduce costs; additionally in Florida it is a way to bypass laws that limited controlled substance distribution to patients by physicians.

This video clearly shows why C4MH does not use any “compounded”injectable Testosterone:

Click here to watch video.


TESTOSTERONE USED AT THE CENTER FOR MEN’S HEALTH (C4MH) IS PRODUCED BY TWO OF THE WORLDS LARGEST PHARMACEUTICAL COMPANIES* AND ALL SHIPMENTS HAVE PEDIGREE PAPERS AS REQUIRED BY FL LAW**. 

* Pfizer Pharmaceuticals               http://www.pfizer.com/home/
   Watson Pharmaceuticals           http://www.watson.com/ 
 **FL Pharma Pedigree Statute:  http://www.flsenate.gov/Laws/Statutes/2012/499.01212



FLY BY NIGHT TESTOSTERONE CLINICS:

Profits over care.

At C4MH we hear of facilities where patients are treated without the prerequisite lab testing and/or the physician's exam. It would not surprise us that such facilities are also using "black market" medications or “compounded” testosterone. As a patient you should be aware of your surroundings and always demand treatment that meets or exceeds the prevailing standard of medical care.

Bio-Identical “Natural” Testosterone ……a marketing gimmick!

At C4MH we sometimes hear that Bio-Identical Testosterone is a natural testosterone and thus better for you and therefore worth the higher price that many professionals and clinics charge. Additionally all pharmaceutical testosterone is “bio-identical” upon entering the blood stream.

FACT: NO TESTOSTERONE USED IN TESTOSTERONE REPLACEMENT THERAPY IS NATURAL AND THOSE WHO TELL YOU OTHERWISE ARE EITHER UNINFORMED OR WORSE.

All testosterone used in testosterone replacement therapy is laboratory made (synthesized); the only source of natural testosterone is the human body.

We understand that there is a significant emotional response to the word “natural” but to use it in regards to “bio-identical” testosterone is simply done to take advantage of that emotional connection which is exactly what snake oil salesmen did years ago. 

For complete info:
http://www.center4menshealth.com/PDFs/Bioidentical.pdf

OTC Testosterone Enhancing Supplements: 

C4MH physicians do not prescribe HCG

Human chorionic gonadotropin (HCG) is a hormone produced by the human placenta and found in the urine of pregnant women.  This medication has three (3)  FDA approved uses:

1)     for use in boys (before puberty) to cause the normal dropping of the testicles into the scrotum. It is also used in certain boys to help with normal sexual development. It works by causing the testes to release male sex hormones (e.g., testosterone).

2)     for use in men to treat inadequate Gonadotropin Secretion causing Hypogonadism

3)     for use in women to treat fertility problems. It is given after finishing another medication (menotropins) to cause the release of an egg (ovulation).

The three (3) primary reasons why C4MH does not prescribe HCG in conjunction with testosterone replacement.

1)     In regards to TRT related testicle shrinkage HCG is not FDA approved for this use and treating off label would raise physician standard of care issues as well as significant medical liability.

“The “off-label” use of products usually presents greater uncertainty about both the risks and benefits because less information is available on safety and effectiveness.  Unexpected adverse events may occur in this context.  Additionally the FDA has received reports of serious adverse events associated with the unapproved uses of HCG injections in weight loss clinics including cases of pulmonary embolism, depression, cerebrovascular issues, cardiac arrest, and death.

2)     Even as labeled HCG would serve no purpose for the vast majority of Low T patients:

In most of our patients, the testicles are the limiting factor in testosterone production (called primary hypogonadism), therefore HCG would be of no use in increasing T levels.  HCG is a hormone produced in pregnancy and is derived from the urine of pregnant women and horses.  It does not cause the pituitary gland to do anything, but rather mimics the Leutinizing Hormone (LH) produced in the pituitary gland.  LH stimulates testosterone production in the testicles, but if the testicles are the problem, no amount of LH (or HCG) will cause them to make more T. When you have low T, the pituitary gland is already sensing this and producing lots of LH, but the testicles just can't deliver even though they are maximally stimulated.  When you receive testosterone replacement and the levels rise, the pituitary senses this and turns down the production of LH, so the testicles "relax" and thus get softer and smaller. Prescribing HCG just to offset testicle shrinkage would be for cosmetic purposes only and not an approved FDA use.

3)     Violates C4MH’s commitment to its patients:

C4MH physician’s practice within the prevailing professional standard of care and treating off label (non FDA approved) puts the patients’ health at risk. We are sure there are other physicians that for a price will practice outside of the prevailing standard of care; at C4MH that is a price too high.

Human Growth Hormones (HGH):

C4MH physicians do not prescribe HGH!

FDA Approved use of HGH is limited to the treatment of the following conditions:

• Human Growth Hormone Deficiency 
• Turner's syndrome 
• Chronic renal insufficiency 
• Intrauterine growth retardation 
• Prader-Willi syndrome 
• Continued height deficit at puberty 
• Cachexia 

FDA has not approved other medical use of human growth hormone.
 

The pharmaceutical industry is keen to use HGH treatment for chronic fatigue syndrome, fibromyalgia and obesity, anti-aging therapies and as athletic performance enhancer. But the FDA has not approved HGH for mentioned purposes and will not until thorough research.

Potential Risks
Human growth hormone use is not without potential risks and side effects. Prescribed HGH products also cause for swelling of the hands and feet, self limited musculoskeletal pain which can be treated with analgesics. Possibility of developing of carpal tunnel syndrome is there. Thyroid function and in case of diabetics or non-diabetics, glucose level should be monitored as high dose HGH can induce insulin resistance. Other conditions associated with prescription of HGH are gynecomastia, intracranial hypertension and development of antibodies to the human growth hormone protein.
Source: FDA http://www.hgh9.com/hgh-fda.html