CDxP are delighted to introduce our new Men’s Health and Wellbeing Clinic. Building on the
success and foundation of our core Metabolic Health Philosophy CDxP provide dedicated
services to men of all ages. At CdxP we recognise that there are many health and performance concerns men may struggle with and we are dedicated in helping men recognise, manage and engage with their future health in a more positive way.
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One of key priorities at CDxP is the diagnosis and treatment of low testosterone, also known as Testosterone Deficiency or TD. TD is one of the most common Endocrine (Hormone) conditions, second only to Type 2 Diabetes, affecting Men today. It is commonly dismissed and mislabelled as other conditions such as Chronic Fatigue, Depression, and Anxiety but what many people do not realise is that low Testosterone is something that occurs with the natural ageing process. Our Testosterone levels decrease by up to 2% per year after age 30, and that many men (young and old) suffer needlessly with the symptoms of Testosterone
Deficiency. This can lead to a significant reduction in their quality of life.
The symptoms of Testosterone Deficiency can be quite broad including but not limited to the below:
Low libido
Lethargy
Depression
Erectile dysfunction
Anxiety
Inability to gain muscle mass
Poor sleep
Mood swings
We understand that TD symptoms can overlap with many health issues, that is why a
thorough consultation and work-up is important in diagnosing and understanding this
condition. We also recognise that there are some lifestyle related contributors to low
testosterone including Stress, Insulin Resistance, Poor Sleep and excessive Alcohol intake. At
CDxP Lifestyle solutions are what we excel at so a Lifestyle approach to all Suboptimal
Metabolic Health including Testosterone Deficiency will be a key component of any
treatment strategy.
The good news is that once a diagnosis of Testosterone Deficiency is confirmed, and lifestyle
factors considered there are a number of Treatment Protocols available. Not everyone is
suitable for Testosterone Replacement Therapy (TRT), and that is why a medically
supervised treatment programme is the safest way to avail of TRT. If you would like to find out more about how to achieve the benefits of TRT, book a call with us to learn more:
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As with any Medical Treatment it is important we monitor and review our clients on their
TRT journey. Monitoring can take the form of follow-up Physical and Virtual consultations
as well as regular Blood Work (every 3-6 months).
Our Philosophy is Patient-Safety first, that is why we advocate for the lowest dose required to obtain the desired therapeutic effect. This is obtained by regular smaller doses of Testosterone rather than the 'Sledgehammer' approach of larger less frequent doses. Mimicking natural human physiology should be the goal of any hormone restoration treatment.
When it comes to Prostate Health there are two major issues we must consider, particularly as men get older.
1. Benign Prostatic Hypertrophy.
Benign prostatic hypertrophy (BPH) is caused by enlargement of the prostate gland and is a
common disorder in men over 50.
Symptoms include frequent urination, frequent trips to
the bathroom during the night, difficulty starting a stream, and dribbling
Diagnosis of the condition is usually made by digital rectal examination (DRE) – a physical examination of the rectum to see if the gland is enlarged.
There are a range of treatments for BPH including lifestyle measures, Medical treatment
including the use of safe medications and Surgical options carried out by our Urology
Colleagues.
2. Prostate Cancer
The most commonly used screening tests for prostate cancer are blood tests and a physical examination of your prostate (a DRE).
The PSA blood test may help detect early prostate cancer. PSA can also be raised due to
BPH, a urinary tract infection or inflammation of the prostate as well as prostate cancer, so
careful interpretation of results is important.
Prostate cancer is one of a number of tumours linked with obesity, and having poor metabolic health.
Erectile dysfunction (ED), also known as impotence, is a common condition estimated to affect roughly 50% of all men aged between 40 and 70. ED is when a
man cannot get or keep an erection long enough to have satisfactory sex.
Erectile dysfunction may be caused by both psychological and physical factors ED can be caused by physical factors where the narrowing of the blood vessels
leading to the penis reduces blood flow to your penis. This may be due to an underlying health condition such as diabetes, high blood pressure and heart
disease. In some cases, ED may be a sign of early heart disease so it is important to have a full Health or Metabolic Check (see our Health Screening Options)
Other physical factors that can cause ED include Testosterone Deficiency, injury and
certain medications.
Psychological issues such as stress, anxiety or depression can also affect whether you feel physically able to get and keep an erection. These symptoms can also
reflect Testosterone Deficiency or other underlying Metabolic issues.
The good news is that there are a number of treatment options available.
One in four men over 50 will break bones during their lifetime due to Osteperosis.
Up to 20% of vertebral fractures (broken bones in your back) and 30% of hip fractures occur in men. These fractures are associated with premature death, possibly due to conditions associated with osteoporosis rather than the fracture itself.
All low trauma fractures (broken bones from a trip and fall or less) in men should be considered Osteoporosis unless proven otherwise.
Any male who has a low trauma fracture (Breaks a bone from a standing position or less) should be investigated for bone loss. Examples include broken bone/s from
a trip and fall or less, coughing, sneezing, getting up from a chair, turning over in bed, or unexplained broken bones.
There is an increased risk of dying prematurely from all major broken bones from Osteoporosis, and it is higher in men than women. 20% of people aged 60+ who fracture a hip will die within 6-12 months due to the secondary complications of the fracture. The person may develop a blood clot, pneumonia, or an infection. Therefore, broken bones should be treated very seriously.
50% of people aged 60+ who fracture a hip will no longer be able to wash, dress or walk across a room unaided. Only 30% of people aged 60+ who fracture a hip will regain their independence.
Men, like women with broken bones in their back, commonly complain of intermittent back pain, loss of height, and kyphosis (hump on back), but men have significantly less energy, poorer sleep, more emotional
problems, and impaired mobility compared with women.
The commonest cause of osteoporosis in men is hypogonadism. This refers to the lack of the male sex hormone testosterone. This may be the result of a variety of conditions which include abnormal chromosomes,
excessive stress, either physical or psychological.
Overtraining in athletes particularly those who must maintain low body weight, is usually associated with low levels of testosterone and high levels of cortisol (high levels of stress), leading to bone loss.
Dietary problems, low caloric intake, inadequate calcium, and vitamin D levels in your diet also play a role. Other risk factors include alcohol abuse (more than 3 units a day or 21 units of alcohol a week), excessive caffeine
intake, smoking, and lack of weight-bearing exercise.
Males with a Family history of Osteoporosis or a close relative with a history of a low trauma hip fracture or vertebral fracture (broken bone in their back) should be referred for a DXA scan. Genetics is one of the
strongest links for osteoporosis, as 80% of bone is genetics and preventing fractures will keep people mobile and independent.
Dr. Farrell holds a degree in Medicine and a Masters in Sports and Exercise Medicine from Trinity College Dublin.
Dr. Farrell began working in High Performance Sport in 2012 and has worked with a number of Professional Sports Teams in Ireland and around the World.
He established CDxP in 2022 to focus on chronic disease prevention, helping his clients to understand the importance of biomarker testing and how they can apply the tools of the High Performance World to understand their metabolic health, improve their performance and prevent chronic disease.
In 2023, CDxP established their unique Testosterone Deficiency and Hormone Restoration service to help men of all ages suffering needlessly with the symptoms of low testosterone levels.
