Is ‘Normal’ Really Acceptable?
For the past year or so, we’ve been receiving requests for our opinion on hormone replacement. Although we’ve had mail asking about steroids, but this is different. At the same time, I have been seeing patients (in my Private Practice) making similar requests. Many of my patients are senior amateur or professional athletes, so their needs are usually addressed by team physicians.
However, I am also seeing entrepreneurs and executives seeking information about hormone replacement therapies. Please understand that, only a few years ago, such requests were made using hushed tones under a veil of secrecy. There seemed to be a stigma to admitting there may be a need for it. Not any more…
Testosterone Replacement Therapy and Normative Ranges
One of the most often discussed topics is “what is normal?” I am often presented standard bloodwork reports. They typically contain normative ranges to provide some frame of reference for the patient, as well as the treating professional. These ranges have changed over the years, and with good reason: the population is changing.
Countless studies have noted the decline in male testosterone levels over the past several decades. Many potential causes have been suggested, but that is another discussion, perhaps the subject of future articles. I wanted to briefly address those “normative ranges” cited on most bloodwork reports and the availability/accessibility of Testosterone Replacement Therapy (TRT).
Acceptable vs. Average
At the University, I teach my students, both graduate and undergraduate, to differentiate between what is “normal” and what might be “acceptable”. If you want any evidence of this, you might want to look at the height/weight “standards” for past enlistment into the military. We first began keeping records for the First World War.
Since then, height/weight “standards” have increased significantly. (While it may be easier to accept weight standards to increase, but height standards have also increased!) In short, the “standards” are normative. They reflect actuarial data of the current population. Just as height/weight ranges reflect what is “normal” (read: average) for society, it may not be wholly acceptable.
The Shift in Attitudes Towards TRT
There has been a paradigm shift in society regarding TRT. As mentioned, only a few years ago, there was an almost shameful stigma attached to the therapy. Today, there are a growing number of clinics, classes, and seminars de-mystifying the practice. In my own Private Practice, most (not just some) of my executives are engaged in the process. Many of the informational seminars, like the Silverback Summit, bring experts in the field together to educate and inform about the potential benefits of Testosterone Replacement Therapy (TRT). It seems that times are changing, and it’s no longer necessary to settle for being “average” or “normal” …
More in This Issue
But, enough about that… What do we have to offer in this information-packed issue…?
Let’s start by welcoming a previous contributor to Muscle Media Magazine. Nick returns to explain the process involved in Platelet Rich Plasma (PRP) therapy for rehabilitation. Our resident entertainment authority, Anne, continues her regular section with an examination of some alcohol-free “spirits” available to create tasty and satisfying “mocktails”.
For those of you seeking guidance in the training arena, Ella takes us through the important reasons to include an appropriate warmup into your exercise regimen. Michael explores the critical role a strong core plays in Activities of Daily Living (ADLs), as well as in athletic performance. Kaley helps us understand the reasons for, and advantages of muscle hypertrophy.
Moving Beyond Average
Priva takes us up the mountain and examines the benefits associated with altitude training when competing at sea level. James helps explain the process of periodization when mapping your fitness journey. Elizabeth outlines the impact of heat-related injuries and how to avoid the condition becoming serious. For a first in MMM, Jackson introduces us to the exciting sport of rock climbing. For those of you interested in physiological implications of training, Justine explains the importance of circadian rhythm and its’ effect on performance.
Alexandra gives us an overview of the importance of appropriate sleep for rest and recovery from workouts. Michael (another Michael…!) introduces us to a potentially useful, but little-known, supplement known as curcumin. Giovanna details the three major energy systems relative to their design and purpose. Bridget introduces the importance of electrolytes and other minerals in the metabolic processes. Genevieve reviews some contents found in many popular pre-workout supplements.
Don’t satisfy yourself by settling for “normal”. Take some time to consider being extraordinary…
Train Hard, Train Often, Train Safe…
-Dr. Tom
