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It has been considered for many years that men with heart failure should avoid taking hormone therapy such as HGH therapy and, especially, testosterone therapy. But from the present studies have shown that testosterone supplementation is useful for patients with low testosterone levels and normal, even if improvements are greater in those with low levels. This has been observed by Dr. Fernando Iellamo, assistant professor of internal medicine at the University of Rome Tor Vergata, and lead author of a report in the edition September 1 of the Journal of the American College of Cardiology.

The Italian study includes 70 men aged heart failure, which all had low levels of testosterone. All patients received standard treatment of heart, but half also received injections of 1.000 mg long testosterone acting at the beginning and again at six and 12 weeks. A series of tests – electrocardiograms, stress tests and evaluation of muscle strength — showed improvements in men who received treatment for hormone replacement, but not in those without.

You can not specify the time and dose of testosterone therapy in men wsaid.

“There is no trend,” he said. “However, Our study indicates that the long-acting testosterone in doses and intervals, we used [the date used only in patients with hypogonadism] is safe and well tolerated in patients.

The study was not designed to determine whether treatment with testosterone could prolong survival of men to fail Iellamo said. “The next big test is needed to properly assess the results,” he said.

Men with heart failure who are tempted to try testosterone therapy on their own must avoid the temptation he said. “It is absolutely against inappropriate for patients to choose the testosterone and all medicines on their own,” said Iellamo. The warning is especially important for men with high levels of PSA, an indicator of the risk of prostate cancer, “he said.

“This study confirms our previous finding of a beneficial effect of testosterone in men with chronic heart failure moderate, the improvement of exercise capacity and functional resistance to insulin, “said Dr. T. Hugh Jones, a consultant endocrinologist at the University of Sheffield in England.

Jones and colleagues reported two studies with results positive one with injections of testosterone, and the other with a hormone-delivery skin patch.

“Historically, replacement therapy testosterone-cons is indicated in men with chronic heart failure, said Jones. “This is due to retention water observed with older forms of the preparation of testosterone. This study and our studies show that testosterone is safe for these patients and has an advantage to the underlying condition. ”

But in the case of testosterone therapy in heart failure have not been tested, “he said. “Now, the long-term studies to assess effects on survival, quality of life and long-term safety must be done to establish whether this treatment should be used routinely in the treatment of men, “said Jones.

Jones also said that the case of testosterone therapy in heart failure has not been tested. He said that Studies show longer-term survival, quality of life and long-term safety must be done to establish whether this treatment should be used routinely in the treatment of heart failure in men.

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