Are you a man with chronic kidney disease who constantly feels drained, weak, or has lost your sex drive despite managing your kidney disease? You're not alone. Up to HALF of men with CKD suffer from low testosterone levels, yet this condition often goes undiagnosed and untreated.
In this comprehensive guide, board-certified nephrologist Dr. Sean Hashmi breaks down:
• What testosterone actually does in your body
• Why kidney disease makes you vulnerable to low testosterone
• How treatment could improve your energy, strength, sexual function, and bone health
• The risks you need to know about
• What the LATEST 2024 research from the TRAVERSE trial tells us about safety
• Exactly what to discuss with your doctor
If you've been struggling with fatigue, weakness, or low mood that your other treatments aren't fixing, this information could be life-changing.
CHAPTERS
00:00 - Introduction and the Hidden Problem
01:26 - What is Testosterone? Your Body's Builder Hormone
02:44 - How Common is Low Testosterone in CKD?
03:28 - Why Kidney Disease Affects Testosterone Levels
05:03 - Symptoms and Signs of Low Testosterone in CKD
07:33 - Benefits of Testosterone Therapy: Sexual Function
08:23 - Benefits: Muscle Mass, Strength and Physical Function
09:05 - Benefits: Bone Health and Fracture Prevention
09:42 - Benefits: Anemia Management and Blood Counts
10:18 - Benefits: Metabolism and Psychological Health
11:48 - Could Testosterone Therapy Protect Your Kidneys?
12:29 - Safety Concerns: Cardiovascular Risk (TRAVERSE Trial 2024)
14:32 - Safety Concerns: Polycythemia (Red Blood Cell Issues)
15:59 - Safety Concerns: Prostate Health
17:05 - Other Considerations: Fluid, Sleep Apnea, Fertility
19:01 - Key Research Studies Every Patient Should Know
21:04 - Who Should Consider Testosterone Therapy?
22:48 - Treatment Options and Formulations
24:36 - Key Takeaways and Summary
26:12 - References and How to Take Action
SCIENTIFIC REFERENCES
1. Skiba R, et al. Testosterone Replacement Therapy in Chronic Kidney Disease Patients. Nutrients. 2022;14(16):3444.
2. Deebel NA, et al. Testosterone Deficiency in Men With End Stage Renal Disease and Kidney Transplantation. Int J Impot Res. 2024.
3. Sharma R, et al. Testosterone Replacement Therapy Associated with Delayed Progression of CKD. J Am Soc Nephrol. 2020;5(4):14-24.
4. Snyder PJ, et al. Cardiovascular Safety of Testosterone-Replacement Therapy. NEJM. 2024;390(3):203-211.
ABOUT DR. SEAN HASHMI
Dr. Sean Hashmi is a board-certified nephrologist specializing in kidney health, lifestyle medicine, and obesity medicine. He translates complex medical research into actionable strategies to help you maintain healthy kidneys and improve your overall wellbeing.
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MEDICAL DISCLAIMER
This content is for informational purposes only and does not constitute medical advice or create a doctor/patient relationship. Viewers use this information at their own risk. The content should not substitute for professional medical advice—always consult your physician for medical conditions. Never delay seeking medical care based on information from this video. Views expressed are Dr. Sean Hashmi's own and do not necessarily represent those of affiliated institutions.
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