Local doctor has warning about low-T treatments

KANSAS CITY, Kan. - It is a pill that a rapidly growing number of people believe is the fountain of youth.
But University of Kansas Hospital doctor, Ajay Nangia, is on a mission to warn patients the push for low-testosterone treatments can do more harm than good, particularly for people trying to have a family.

Jim Kesterson has seen the low-T commercials run endlessly the past few years.

Kesterson said, "50% of the radio time in my car is for testosterone."

The billions of dollars drug manufacturers have spent adverstising testosterone for men has helped triple the number of those prescriptions since 2001.

The miracle drug promises to boost energy, muscle and libido.
 Kesterson's doctor told him his low energy level was because of low -T.

The 43 year old Blue Springs business man wants another child, "I said my wife and I want a baby. (I asked the doctor) is that going to be a problem? He said if anything it will help your libido."

But surprisingly, two years later,  Kesterson and his wife Renee still could not have a baby. .

Their new urology specialist, Dr. Nangia, believes the problem was Kesterson's testosterone treatments.
Kesterson is already a parent of four children but all of the sudden he had no sperm count.

"It was like a punch in the gut," he recalled.

Dr. Nangia said, "Just like the pill does for a woman, testosterone shuts down sperm production (in a man)."

9% of Nangia's infertility patients have been on testosterone
He said testosterone is often not the solution.

"Your low-T is a reflection sometimes of a poor lifestyle." he explained. "It's a vicious circle. Get 8 hours of sleep, put the computer down. When you get heavy, your estrogen goes up and your testosterone goes down."

He said fat decreases testosterone levels in a person's body; exercise can solve a person's low-T and energy problems.
Dr. Nangia said 15% of his patients will never get their fertility back.

The Kesterson's are now considering adoption.

Renee said, "I think we would have a toddler running around already if he (the doctor) would've treated us correctly."
Dr. Nangia and drug manufacturers warn patients to do the proper tests first; Jim did but many never do before taking the drug.
Testosterone comes with other risk factors: heart risks, some doctors believe a possible increased risk of prostate cancer and liver damage.
However, low-T treatments are clearly making many people feel better and more vibrant, so much so that sales are expected to triple to $5 billion
by 2017.


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