There is a Difference

Epoch Health offers the latest innovations in cutting edge personalized health care for men. 

11

November 2016

The truth about 'dad bods' and whether they make men live longer

By: Epoch

Source: Independent


The “dad bod”, it seems, is in vogue. And now a new book claims that gaining weight after fatherhood makes men healthier, more attractive and more likely to live longer than their “skinny” counterparts

The author, Richard Bribiescas, professor of anthropology and deputy provost at Yale University, claims that this is likely due in part to the decreasing testosterone levels seen in older men. He writes:

[One] effect of lower testosterone levels is loss of muscle mass and increases in fat mass. This change in body composition not only causes men to shop for more comfortable trousers but also facilitates increased survivorship and, hypothetically, a hormonal milieu that would more effectively promote and support paternal investment.

But is there actually any solid science behind the idea that lower levels of testosterone – and a bit of a tummy – can make men healthier?

There exists a complex relationship between our bodycomposition, the relative amounts of fat and muscle that we have, and how we age. While accurately measuring biological ageing is actually quite difficult, studies have nevertheless shown that having too much body fat can prematurely age us and that maintaining our levels of muscle mass could have the opposite effect. It is certainly true that frailty, a syndrome in which older adults carry an increased risk of poor health outcomes is increased in people who carry too much body fat.

Testosterone and ageing

But what about testosterone? Testosterone is a steroid hormone that in men is produced by the testes. Alongside governing male sexual characteristics, it also controls body composition, with lower levels – which naturally occur as we age –being associated with less muscle and more fat. It is this very change in body composition that these new claims of vitality are based upon.

Beyond this, there is actually some evidence that testosterone is involved in the ageing process. The most profound evidence that testosterone can affect how we age comes from studies of people who have none: eunuchs or castrati. These men, who have had their testicles removed, outlive their non-castrated counterparts by as much as 20 years, suggesting that the levels of this hormone may have a profound effect on the ageing process.

The precise reasons for this impressive effect are not very clear, but suggested mechanisms have included an increased ability to fight off infection and a reduced risk of developing prostate cancer, although the latter is a controversial link. It is unlikely the effect is related to cardiovascular health as low testosterone levels are also associated with cardiovascular risk factors and testosterone replacement therapy (TrT) has been shown to improve angina pectoris.

How low can you go?

While having low testosterone levels might aid eunuchs in living longer, in the rest of the male population low testosterone is associated with a range of symptoms including poor cognitive function, decreased mobility, reduced sexual function, and lower energy levels, not a list of qualities that many potential partners would find attractive.

But can replacing testosterone levels that have diminished with age improve these issues? Certainly, TrT has been shown to have beneficial effects on bone health, body composition and memory and testosterone has even been called “the best anti-ageing drug”. Taken collectively, this evidence suggests that although an absence of testosterone over the lifespan may be beneficial, the reduced levels seen in middle-aged and older men might not be such a great thing.

Body mass index (BMI) and longevity

One area of interest that this new book has highlighted is the observation that being overweight might be good for you, at least in terms of how long you live. Traditional opinion is that those of us who are overweight – that is, have a BMI of 25 - 29.9 – are unhealthy. But recent evidence suggests that people in this category might actually live longer than people who have a healthy, underweight or obese BMI, although conflicting evidence does exist.

This controversial finding suggests that there may be a benefit in being slightly overweight. So while this might not support the book’s claim that middle-aged men with “dad bods” are more attractive, it is possible that pudgy dads might live a little bit longer than their more slender counterparts. Just don’t give up on that healthy lifestyle.

James Brown, Lecturer in Biology and Biomedical Science, Aston University

This article was originally published on The Conversation. Read the original article.





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20

October 2016

Hypogonadism: Expert panel adopts nine resolutions

By: Epoch


Source: Urology Times

An international group of physician and scientific experts, including several urologists, recently approved nine resolutions that offer physicians and patients what they say is evidence-based clarity on the topic of male hypogonadism and its management.

"The medical and scientific communities are still largely unaware of the major negative impact of testosterone deficiency on general health. The media-driven focus on unproven risks has obscured the known health risks of untreated testosterone deficiency: obesity, reduced bone mineral density, and increased mortality,” panel member Abdulmaged Traish, MBA, PhD, of Boston University Medical Center, Boston said in a press release.

The nine resolutions, published in Mayo Clinic Proceedings (2016; 91:881-96), begin with defining testosterone deficiency (TD) as a “well-established, clinically significant medical condition that negatively affects male sexuality, reproduction, general health and quality of life.” The others include:

  • Symptoms and signs of TD occur as a result of low levels of testosterone and may benefit from treatment regardless of whether there is an identified underlying origin.
  • There is no scientific basis for any age-specific recommendations against the use of testosterone therapy in adult males.
  • The evidence does not support increased risks of cardiovascular events or prostate cancer with testosterone therapy.
  • The evidence supports a major research initiative to explore possible benefits of testosterone therapy for cardiometabolic disease, including diabetes.

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11

October 2016

Ben Stiller goes public with his fight against prostate cancer

By: Epoch

Ben Stiller opened up for the first time about being diagnosed with prostate cancer at 48. He visited the Stern Show on Tuesday morning and told Howard how he and his doctor were able to detect and treat the disease. Come to any one of our Epoch Health locations to get tested today! 


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6

July 2016

From Arkansas Business: Epoch Men's Clinic Expanding in Arkansas

By: Epoch

Although Epoch Health touts that it can treat symptoms related to low testosterone in men, it maintains it’s nothing like the low-T retail outlets that are gaining scrutiny from some members of the medical community.

Epoch Health of Little Rock is “just not testosterone therapy,” said E. Scot Davis, the CEO of Arkansas Urology. Epoch Health is a subsidiary of Arkansas Urology.

If men complain about gaining weight, being tired or having a low sex drive, they will be given a free screening to determine what’s going on, he said.

“It may not necessarily be low testosterone,” he said. “If they’re truly low-T, we’ll treat them. If they aren’t, then we’re going to get them to an appropriate doctor that they need to see. That’s what really makes us different.”

Epoch has opened four locations in Arkansas since December 2013. Davis said more clinics in the state are under discussion, but he declined to say where they might be located. There are also Epoch locations in Missouri, Arizona and Alaska. Epoch partners with urologists in those states, and it retains 5-10 percent ownership in the clinics.

Meanwhile, the increased use of testosterone treatments is raising alarm bells for some doctors.

“The idea that large numbers of men should be treated with testosterone is not supported by the science. It’s very risky,” said Dr. Steven Nissen, the chairman of the department of cardiovascular medicine at the Cleveland Clinic in Ohio. “These kinds of entrepreneurial operations, frankly, are not in the best interest of patients.”

Nissen wasn’t talking specifically about Epoch.

Testosterone therapy is approved to treat a “very rare condition” of men who don’t make testosterone, he said, but “it’s now being used as sort of a general tonic for men.”

“This is American medicine at its worst,” Nissen said.

He also said there are concerns about the cardiovascular safety of the testosterone treatments.

“There are no definitive safety studies,” Nissen said. “The studies that we do have are pointing in the wrong direction, suggesting an increase of heart attack and stroke.”

In March, the U.S. Food & Drug Administration cautioned that prescription testosterone products are approved only for men who have low testosterone levels caused by certain medical conditions “due to disorders of the testicles, pituitary gland, or brain that cause a condition called hypogonadism,” the FDA said on its website. “However, FDA has become aware that testosterone is being used extensively in attempts to relieve symptoms in men who have low testosterone for no apparent reason other than aging.”

Davis agreed that a number of men who are being treated for low-T shouldn’t be. But at Epoch, he said, patients there are screened and “probably half” don’t get the testosterone.

He also said that there are a number of studies to show that testosterone treatment is not risky.

Davis said Epoch conducts proper testing and monitoring of its patients. The clinics that are receiving the bad reputations are the ones that don’t, he said.

Dr. Adam Cole, the national medical director for Epoch, says in a video posted on the Epoch website that he looks at testosterone as “not a treatment but more of a tool that a patient can use in order to help turn their life around.”

He also boasted about the benefits of testosterone treatments, including sleeping better and a reduction in body fat. “As we progress through this,” Cole says in the video, “they’ll lose 10-12 percent body fat. They’ll gain 10-15 percent more muscle mass.”

Epoch’s Davis declined to say what the cost for treatment is, but Epoch’s website says a patient without insurance can prepay $220 for a month of service.

Nissen said that testosterone clinics “are for-profit operations designed to lure men in and charge them and keep them in the system.”

He said once the men come in for the treatments, they have to keep coming back for more treatments.

That’s not Epoch’s goal, Cole said: “Hopefully, you don’t have to be on this therapy for the rest of your life.”

Cole said in an interview with Arkansas Business that the goal of Epoch is to get men healthy and do it as safely as possible.

“If we just wanted to make money, we would do the shot box,” he said. “Our motto really has been from the beginning, you do what’s right for the patient and everything else will take care of itself.”

Published by Arkansas Business on Monday, May 18, 2015
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6

July 2016

From Urology Times: Injected TRT earns high marks for safety, effectiveness

By: Epoch

 

A newly published review suggests that age-related testosterone deficiency treatment with intramuscular injections of testosterone replacement therapy (TRT) offers health benefits and lower cardiovascular risk compared to testosterone replacement by patch or gel.

READ: Studies examine risk factors for low, high T

While TRT can result in increased muscle mass and strength, decreased fat mass, and increased bone mineral density, the therapy has known risks. These include the development of polycythemia, decreases in high-density lipoprotein cholesterol, breast tenderness and enlargement, and prostate issues.

The authors point out, however, that TRT does not increase prostate cancer risk. And whether TRT hurts, helps, or has no effect on cardiovascular risk remains controversial in the literature.

The University of Florida, Gainesville, researchers who conducted this latest review were among the authors of a previously published study suggesting that oral TRT increases cardiovascular risk, but no significant cardiovascular effects were noted with injected or transdermal TRT (BMC Med 2014; 12:211).

For the current study, which was published online in the American Journal of Physiology – Endocrinology and Metabolism (April 21, 2015), study authors Stephen E. Borst, PhD, and Joshua F. Yarrow, PhD, reviewed literature indicating “that intramuscular injected TRT produces greater musculoskeletal benefits and lower cardiovascular risk compared to transdermal TRT… We also review the literature discussing the use of 5α-reductase inhibitors as a promising means of improving the safety profile of TRT.”

ALSO SEE: Testosterone nasal gel shows safety, efficacy

According to the authors, for older hypogonadal men, administering TRT by injection, versus orally or transdermally, offers greater musculoskeletal benefits because doses are higher by injection. But while doses are higher when injected, intramuscular TRT might be less likely to result in cardiovascular risks than transdermal TRT. This could be because transdermal testosterone results in greater serum dihydrotestosterone (DHT) elevation, due to significant expression of 5α-reductase in skin—not muscle.

Published April 29, 2015 by Urology Times

 


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6

July 2016

Free 100% Men's Health Screening

By: Epoch

CALL 1-844-GoEPOCH For a FREE SCREENING!




Do you want to be more focused at work and at home? Feel more energized and enthused? Epoch can help!

Epoch Men’s Health clinics are offering free, fully comprehensive Men’s Health Screenings. Call 1-844-GoEPOCH (1-844-463-7624) today to set up your free screening and experience men’s healthcare the Epoch way – that’s the right way of getting your body healthy. 


The free 100% Men’s Health Screening is an integral part of Epoch’s mission to keep men healthy. Screening takes about two minutes and is as simple as the prick of a needle. Consumption of food and/or beverages does not impact screening results. The screening includes:

  • PSA
  • Total Testosterone
  • Free Testosterone
  • TSH
  • CBC
  • CMP

Our lab also analyzes men’s bodies for other potential problems:

  • Heart
  • Blood Pressure
  • LH
  • FSH
  • Metabolism (including diabetes)
  • Vitamin and Nutrient Levels (including iron, B-12 and D)
  • Hormones (including testosterone, estrogen, thyroid function and prolactin)
  • Potential Internal Bleeding
  • And much more.


We’ll use these screening and lab results to determine if you have any testosterone deficiencies. We’ll also discuss how you’re feeling and what symptoms – such as low energy, exhaustion, weight gain, sadness, forgetfulness, and hair loss – you might be experiencing. Your test results and symptoms could indicate
Low T or they may show that you’re suffering from a different condition altogether. Either way, our goal is to get to the root of your problem, create a treatment plan tailored to you, get you feeling great and help you experience the best possible quality of life.

Owned and operated by the physicians at Arkansas Urology, Epoch Men’s Health is a healthcare experience unlike any other in Arkansas. Our clinic environment is relaxed and professional, with men squarely in mind, intended to energize and inspire. And we’re conveniently located throughout central Arkansas – in Little Rock on South Bowman Road, in North Little Rock on East McCain Boulevard, in Conway on Exchange Avenue, and in Benton on Medical Park Drive.

Epoch Men’s Health isn’t another shot-box, Low T store; it’s real medicine. Check out EpochMensHealth.com to get the facts. And the call 1-844-GoEPOCH toll-free to set up your free, no obligation 100% Men’s Health Screening. Experience real men’s healthcare, the Epoch way.

Together, we are Epoch Health. Men’s Healthcare. Evolved.







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6

July 2016

2014 Kickoff to Men’s Health: The Big Screen Event set for Sept. 25

By: Epoch

Free 100% Men’s Health Screen at Arkansas Urology’s North Little Rock campus

Arkansas Urology and Epoch Men’s Health will observe National Prostate Cancer Awareness Month with the 10th annual Kickoff to Men’s Health: The Big Screen Event on Thursday, Sept. 25, from 5-8 p.m. The event will offer men the opportunity to receive a potentially lifesaving preventive screening at Arkansas Urology’s North Little Rock campus, located at 4200 Stockton Drive.

“Each man will receive what we call our FREE “100% Men’s Health” screening,” said Dr. Tim Langford, president of Arkansas Urology. “This typically involves very comprehensive lab work and/or an examination that includes a free prostate exam. We also analyze men’s bodies for potential problems with their heart, blood pressure, metabolism (including diabetes), vitamin and nutrient levels (including Iron, B-12 and D), urinalysis (for dehydration, kidney function and bladder cancer), LH, FSH, hormones (including testosterone, estrogen, thyroid function and prolactin) DNA tests for hypercoagulability, screening for potential internal bleeding and much more.”

New this year, Arkansas Urology and Epoch Men’s Health will be giving away a flat screen TV every 15 minutes to men who register and participate in the screening (about the amount of time for the screen itself). To schedule an appointment, please call 501-219-8900. Screening results may be mailed to participants or you may receive a phone call with specific results from a healthcare provider.

At last year’s event, 373 men were screened for prostate cancer. Of those, 20 were found to have elevated PSA (prostate-specific antigen) levels and/or abnormal physical exams. These men have been encouraged to schedule follow-up appointments with their primary-care physicians or urologists.

“Arkansas Urology is dedicated to hosting an annual screening event that will have a positive impact on men’s health outcomes in central Arkansas,” said E. Scot Davis, CEO of Arkansas Urology. “By offering free screenings, we hope to help prevent losing another Arkansan to prostate cancer.”

Learn about this year’s screening event at ArkansasUrology.com or visit EpochMensHealth.com

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6

July 2016

2014 Kickoff to Men’s Health: The Big Screen Event set for Sept. 9

By: Epoch

Arkansas Urology and Epoch Men’s Health will observe National Prostate Cancer Awareness Month with the 10th annual Kickoff to Men’s Health: The Big Screen Event on Tuesday, Sept. 9, from 5-8 p.m. The event will offer men the opportunity to receive a potentially lifesaving preventive screening at Arkansas Urology’s Little Rock campus, located at 1300 Centerview Drive.

Each man will receive what we call our FREE “100% Men’s Health” screening. This typically involves very comprehensive labs and/or an examination that includes a free prostate exam. We also analyze men’s bodies for potential problems with their heart, blood pressure, metabolism (including diabetes), vitamin and nutrient levels (including Iron, B-12 and D), urinalysis (for dehydration, kidney function and bladder cancer) LH, FSH, hormones (including testosterone, estrogen, thyroid function and prolactin) DNA tests for hypercoagulability, screening for potential internal bleeding and much more.

New this year, Arkansas Urology and Epoch Men’s Health will be giving away a flat screen TV every 15 minutes to men who register and participate in the screening (about the amount of time for the screen itself). To schedule an appointment, please call 501-219-8900. Screening results may be mailed to participants or you may receive a phone call with specific results from a healthcare provider.

At last year’s event, 373 men were screened for prostate cancer. Of those, 20 were found to have elevated PSA (prostate-specific antigen) levels and/or abnormal physical exams. These men have been encouraged to schedule follow-up appointments with their primary-care physicians or urologists.

“Arkansas Urology is dedicated to hosting an annual screening event that will have a positive impact on men’s health outcomes in central Arkansas,” said Dr. Tim Langford, president of Arkansas Urology. “By offering free screenings, we hope to help prevent losing another Arkansan to prostate cancer.”

Learn about this year’s screening event at ArkansasUrology.com or visit EpochMensHealth.com

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6

July 2016

Epoch Tucson talks about testosterone on The Morning Blend

By: Epoch

Crystal Kasnoff and Dr. Peter Borrows give helpful insight about the testosterone therapy offered at Epoch Men's Health.

Epoch Health represents the next evolution in comprehensive healthcare specifically for men. Epoch Health philosophy is a clinical approach designed to help men enhance their quality of life through truly personalized and professional clinical care. At Epoch we stress appropriate health treatments, proactive screenings and lifestyle modifications.


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