They seem to be everywhere - drug ads warning aging men about low testosterone, with "symptom quizzes" asking: Are you sad or grumpy? Is your work suffering? Has your strength or sex drive waned? It's a powerful marketing campaign that is driving men to doctors in droves for testosterone-replacement therapy. A study this month in the journal JAMA Internal Medicine said the percentages of men 40 and older being treated for "Low T" more than tripled from 2001 to 2011. A study this spring in Nature Review Endocrinology said prescription sales of testosterone nationally reached $1.6 billion in 2011, up from about $18 million in 1988. But despite the treatment's skyrocketing popularity, medical professionals are deeply divided about it. Branden Bledsoe, a nurse practitioner at Body Shapes Medical in Louisville, Ky., said replacing the male hormone can boost energy, libido and strength for some middle-aged men. "Why would you want to feel bad for 40 years?" But Dr. Adriane Fugh-Berman, director of PharmedOut, a Georgetown University Medical Center project advancing evidence-based prescribing, said the treatment "offers no proven benefits for healthy men. Low T syndrome is invented by pharmaceutical companies to sell treatment products." Doctors disagree about who should be … Continue reading
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