Testosterone treatment could be dangerous to the heart
A new study links testosterone therapy to an increased risk of heart problems.
November 5th, 2013
04:27 PM ET

Testosterone treatment could be dangerous to the heart

It’s become the hot new treatment for older men. “T,” or testosterone replacement therapy, has been touted as the new way to turn back a man’s body clock and improve his sexual performance.  

But there may be trouble in paradise, according to new research.  In a study published this week in the Journal of the American Medical Association, scientists have found that men taking testosterone therapy had a 29% greater risk of death, heart attack and stroke  than those who were not on the hormone replacement.

The study included 8,709 men with low testosterone levels, who underwent coronary angiography, a procedure used to open narrow or blocked coronary arteries, in the Veterans Affairs (VA) system between 2005 and 2011. Some were found not to have blockages.

Researchers found the number of patients experiencing heart problems such as attacks and strokes three years after their angiographies, was 19.9% for those who were not on testosterone and 25.7% for those who were.  Even when scientists accounted for other factors in the patients’ health, the increase of heart events in those on testosterone therapy was significant, according to the study.

"These findings raise concerns about the potential safety of testosterone therapy," said Dr. Rebecca Vigen, lead author and an internist at the University of Texas Southwestern Medical Center in Dallas.  "Future studies including randomized controlled trials are needed to properly characterize the potential risks of testosterone therapy in men with comorbidities (other conditions)."

But some doctors who looked at the study questioned the methods, saying many of these men already had heart issues.

“You need to be careful about the conclusion you draw from this study,” says Dr. Warren Levy, a cardiologist and director of Virginia Heart, based in Northern Virginia. “The study is of men who had undergone cardiac catheterization - so that already selects out a higher-risk population. The conclusion may be that for men with a higher risk of cardiovascular disease, testosterone therapy may increase risk slightly.”

So the question is, how does this affect men who are healthy?  The male hormone replacement is so popular, prescriptions for the remedy reached 5.3 million a year in 2011 and are climbing, according to the study.

Baby boomers find youth in testosterone

"Perhaps the most important question is the generalizability of the results of this study to the broader population of men taking testosterone: men of this age group who are taking testosterone for 'low T syndrome' or for anti-aging purpose,s and younger men taking it for physical enhancement," Dr. Anne R. Cappola, an associate professor of medicine in the Division of Endocrinology, Diabetes, and Metabolism with the Perelman School of Medicine at the University of Pennsylvania and a contributing editor for the Journal of the American Medical Association,  writes in an accompanying editorial.

"In light of the high volume of prescriptions and aggressive marketing by testosterone manufacturers, prescribers and patients should be wary,“ says Cappola. “ We are just beginning to see the effects of hormone replacement therapy in men.  In women, we have data from decades of research. But for men, we are still sort of in the dark.”

Even when the men had a clean bill of health after no blockage was found when coronary angiographies were performed, they still had a high rate of heart problems if they were on testosterone therapy, Cappola points out.  As to why testosterone effects the heart, scientists still don't understand the connection, but it has been shown  the hormone can lower a patient's HDL, or good cholesterol.   Yet doctors think it's more than that.

So what’s the takeaway message for those who are toying with the idea of testosterone therapy? Study authors recommend men talk to their doctors about the hormone replacement and how it fits into their general health profile and should be cautious of it if they have a history of heart problems.

soundoff (210 Responses)
  1. Bob

    Basically the risk is 5 percent higher, statistically meaningless. Thanks to testicular cancer, I have no choice but to take the stuff, so that makes me more comfortable.

    November 5, 2013 at 16:50 | Report abuse | Reply
    • Harald

      This wouldn't be a problem anyway because you are just replacing what your body can't produce anymore.

      November 5, 2013 at 17:01 | Report abuse |
    • Bob

      I will say that it would not surprise me that taking too much as a replacement therapy when older COULD harm the heart though. Testosterone levels naturally drop with age, so trying to stop that may mess with the body.

      November 5, 2013 at 17:05 | Report abuse |
    • JustUsBikers

      Well let it kill my heart. If I can't stay awake or have sex I might as well die!

      November 5, 2013 at 17:12 | Report abuse |
    • Matt

      25 is a 25% increase over 20. Not a 5% increase. You can't just subtract percentages like that.

      November 5, 2013 at 17:35 | Report abuse |
    • michael

      It is not in the interest of the government to play up the benefits of longevity with the use of these drugs because it would overtax the social security benefits far beyond the projected death rate for millions of baby boomers. It, like most everything like this, is money, money, money and has nothing to do with the quality of millions of lives. without T therapy 10s of thousands are brought to utter despair and depression bring on other health problems which all too often leads to far to many suicides.

      November 9, 2013 at 15:12 | Report abuse |
  2. reasonablebe

    this is a vanity treatment- it has no other reason or justification. it is the equivalent of barbie mentality for men. if it causes problems, the fda should either ban it altogether or strictly regulate and limit its use.

    November 5, 2013 at 16:53 | Report abuse | Reply
    • Bob

      This is NOT always vanity treatment. I am 30, had testicular cancer, and no longer make my own testosterone. It is medically necessary because not having any is linked to killer heart conditions....STATISTICALLY MUCH MORE significant than this flimsy link.

      November 5, 2013 at 17:00 | Report abuse |
    • Hopefully informative

      Testosterone is limited by the FDA to patients with a prescription - and going a step further, is designated a CIII substance by the DEA (requires all the same monitoring as vicodin, for a reference), in spite of being the only CIII to have no evidence of causing addiction. They were a step ahead of you (and imho, took it quite far enough– without being overly regulatory).

      Testosterone has legitimate uses.

      November 5, 2013 at 17:09 | Report abuse |
    • Patrick Morgan

      Your statement is very broad and not accurate. I began testorsterone therapy after I became very depressed, irritable, and gained a lot of weight. My T readings were 285, which is the very low end of normal. Since taking the hormone, my mood has greatly lifted and I beginning to lose weight, not to mention I have more energy than before.

      Hey, we all will die some day so I'd rather die of a heart attack while living a fulfilling existence rather than dying as a depressed old man.

      November 5, 2013 at 17:14 | Report abuse |
    • Not reasonable

      Agree that this is not a vanity treatment. I have Wegener's Granularmytosys and the treatment stopped my testosterone production. My best level is 8. Only way to deal with that is testosterone treatment.

      November 5, 2013 at 17:44 | Report abuse |
    • some facts

      Bob, I'm sorry you had to go through testicular cancer. Just so you know, most people going through that would not want to supplement with androgen because it would help any metastases present to grow. That is also true with prostate cancer and is true with estrogens and progestins for breast cancer. Your adrenal glands produce a small amount of testosterone just like everyone's do (including women). You do not need that extra androgen to live any more than women do. Also, lower testosterone certainly does not "turn you into a woman". You are certainly free to choose to supplent to enable you to achieve erection but you don't have to do it. Women go through menopause and men go through andropause. It's natural though not at age 30. I spay and neuter all my pets and they are all happy and healthy.

      November 5, 2013 at 17:51 | Report abuse |
    • cancer guy

      How bout for someone who has a tumor wrapped around their pituitary gland, and the body does not produce testosterone....vanity huh?

      nice try reasonablebe, you are clueless.

      November 5, 2013 at 18:05 | Report abuse |
    • Shadow

      It's a far cry from a "vanity treatment". If you mean by vanity, that it allows my body to flow a bit smoother, so that on a good day..I can pull up my drawers, pants and get my socks part of the way on...yes..that's my silly vanity in play. It also really assists my vanity by making my hair greasy like a tween and the zits to go along with that. Ooooo, you mean the muscle growth? Yeah, if you have low testosterone, you don't get muscle growth. If your leveled out, than you are at the standard growth that everyone else has. In my case, it's a bit below that, until they get it all worked out. As for the growth elsewhere...I don't know who started that rumor, but it doesn't help much. Now if a person gets back some of their health, then they start exercising a bit....over time, they might get in better shape, be less constricted in their blood flow and yes, it would beneit them like any "normal" person, without a testosterone deficiency gets.
      Anyway, it's obvious to me, now, that I am being vain, rather than trying to be able to bend, walk and avoid constant night sweats and the like. Thanks for your great insight. 😉

      November 5, 2013 at 18:14 | Report abuse |
    • Ernie

      When I was in my late 50s, I experienced the male equivalent of menopause, especially night sweats and mood swings. What I didn't know was that I had also lost almost an inch of height! Low testosterone in men is a risk factor for osteoporosis. When I was tested, my testosterone was about halfway between low normal for a man, and high normal for a woman.

      Testosterone replacement therapy and bone strengthening drugs have halted my bone loss, but not reversed it. I don't feel like Superman, and I don't have a raging libido. I just feel normal. My blood chemistry is checked several times a year, and is very good. There may be a tradeoff between quality of life now and heart problems later, but right now (I'm 70) I think it's worth it.

      I guess what I'm trying to say is that there are benefits for an otherwise healthy man having testosterone replacement therapy, used appropriately, that outweigh the risks. Also consider that the men in this study were already sick.

      November 5, 2013 at 18:26 | Report abuse |
    • todd

      You are a moron and have no clue what your talking about. I'm 47 yrs old and have been on pellet therapy for 2 years. My body stopped making natural testosterone and I was miserable. I had extreme fatigue, couldn't sleep, mood swings and other health issues. This treatment has changed my life in every completely. Vanity treatment, good one knucklehead, get informed or shut up.

      November 6, 2013 at 06:15 | Report abuse |
    • Carl

      The person under "Some Facts" – What you have said is totally absurd. Not only is your statement about men losing their testicles and not opting for replacement therapy wrong, but the idea that a man's health will be just fine is wrong. I have some personal knowledge on this subject for the last 30 years, and having discussed and talked the subject over (I am in the category of men losing their testicles) by dozens of experts – Urologists and Endocrinologists.

      I am living proof that HRT has helped all my vitals. I undergo periodic blood tests and I can attest my health, weight, blood pressure, triglyceride levels, etc. has improved.

      Just as the article said “You need to be careful about the conclusion you draw from this study,”

      Disregard "Some Facts" post, and speak to your doctor (a reputable doctor), and then weigh the benefits and risks. Life is all about weighing the benefits with the risks. As a starter I have a link below that discusses an introduction


      November 6, 2013 at 11:34 | Report abuse |
  3. Portland tony

    "Talk to your doctor" he's probably the dude who started you on it in the first place. In order for a physician to make a buck, he/she has to find something they can treat or possibly cure. A healthy person is a doctor's nemesis.

    November 5, 2013 at 16:56 | Report abuse | Reply
  4. ss

    we have a long way to go before we can truly fine tune hormone production down to a precise accuracy. lot of trial and error to now and to come.

    November 5, 2013 at 16:59 | Report abuse | Reply
  5. Bob

    I think there is a distinction between necessary therapy like what I have and the treatments that older men get when not needed. It likely can harm the heart since men are not meant to have their levels stay up when older; naturally they are supposed to decrease with age. But, those like me who take it because we no longer make our own are simply replacing what the body made before. That should not be an issue.

    November 5, 2013 at 17:07 | Report abuse | Reply
  6. Just a guy

    So – I can choose between decreased sex drive/performance, increased fat, hair loss and general fatigue or an increased chance of stroke or heart attack. Basically, it's a choice between lower quality of life or an increased chance of death – dying slowly or quickly. Geez, nice options. Now I'm depressed.

    November 5, 2013 at 17:17 | Report abuse | Reply
  7. John

    Epidemiology in general is populated by ridiculous conclusions like this article. Bad science is the norm these days, while journalists are irresponsible in printing this garbage for consumption by the ignorant and fearful sheep.

    November 5, 2013 at 17:21 | Report abuse | Reply
  8. cebundy

    Chronic "low T" can affect the heart as well. "low T" results in muscle loss in the body, which can weaken the heart. Perhaps this is a factor to consider in these studies as well. What is a percentage of heart problems for men with this condition?

    November 5, 2013 at 17:23 | Report abuse | Reply
    • ??

      Did you read the article at all? Men with "low T" having heart problems at 3 years post-study = 20%. Men with "low T" supplemented with "more T" having heart problems at same endpoint = 25%.


      November 5, 2013 at 18:02 | Report abuse |
  9. guest

    Maybe the heart problems are from the renewed sex activity. At 48 if I tried some of that raving sexual tyrannosaurus stuff I used to do I probably would have chest pains....There's no way I would consider jumping off the dresser any more!

    November 5, 2013 at 17:30 | Report abuse | Reply
  10. tuffyturf

    A similar study indicated that 90% of those who pass gas are 50% more likely to feel decreased abdominal pressure than 80% of those who did not, and the study applied, surprisingly similar results for both men and women!

    November 5, 2013 at 17:31 | Report abuse | Reply
  11. Fish

    Please no more facts, my head is hurting. Do you mean I can't be young forever nor look like Superman??? I NEED A PILL OR SOMETHING!!! How will Big Pharma act when they can't sell this snake oil or in New Mexico Rattlesnake milk!!! My world is shattered that I may be reduced to Viagra alone for my ego!!! Weak d1cks of America take heart, your best friend is always your right hand or both if your really good!!! My Gracious!!!! Mr. Haney is turning in his grave!!!!

    November 5, 2013 at 17:38 | Report abuse | Reply
  12. Just another Guy

    Hey Patrick your absolutely right, My level was lower than yours but since I am taking the T implants the number is higher, more energy to do everything I couldn't before. The biggest thing is that I don't need anti-depressants, BP, weight is lower and better general health and well being. Probably would of died sooner if I wasn't on this. If this is what it takes so be it.

    November 5, 2013 at 17:41 | Report abuse | Reply
    • help from my friends

      JAG, amphetamines would do the very same things for you. It's nice feeling hopped up and alert and keeping weight off without even thinking about it.

      November 5, 2013 at 18:10 | Report abuse |
  13. Jody P

    This just makes me chuckle. I have no problem having it prescribed to someone who actually medically requires it. Women have had to deal with this forever, you know, menopause. It is what the body is designed to do. They gave women estrogen for years and then found out it was killing a good percentage of them early. Why would this be any different? It is simply a vanity and/or comfort issue in most cases and some males are just so vulnerable to that aggressive marketing.

    November 5, 2013 at 17:51 | Report abuse | Reply
  14. Nat

    Does it really need to be said? Alright then, I will......WELL, DUH!!!! Mess with the body's natural rhythm, you're playing with fire. Ask any woman who got hormone treatments during menopause, which caused a high chance of breast cancer later in life.

    You're getting older. DEAL WITH IT.

    November 5, 2013 at 18:05 | Report abuse | Reply
    • no

      Nat, hormone replacement therapy does NOT raise the chance of gynecological cancers in all women. It raises the rate in those women who are already susceptible. The trouble is in knowing who is and who is not. For those who are not susceptible, the replacement therapy is safe and lowers the woman's cardiac risks and her risk for developing osteoporosis. It's well worth it although continuing to have menses past 60 is less than desirable.

      November 5, 2013 at 18:14 | Report abuse |
  15. JohnC

    I thought this was already know (well maybe not the exact percentage). As I think I had heard it relates to red blood cell production. If your red blood cell count is normal then add testosterone you up red blood cells and apparently too many causes problems. BUT if your red blood cell was also low then adding testosterone isn't as big a problem. Another issue is that for some testosterone can cause or aggravate sleep apnea which in turn can cause heart issues. Like many things testosterone treatment is very good for some but not for others - you need to test the other areas and monitor after you start treatment.

    November 5, 2013 at 19:20 | Report abuse | Reply
  16. noillusion

    Oh, the sky is falling. Stop being so childish; you're not less than, just because your wood is soft. Leave nature be.

    November 5, 2013 at 19:20 | Report abuse | Reply
  17. Ken Schockman

    Very odd that this article came out... I just turned 50 and had a heart attack.... AND I have been on Testosterone Treatment for about 4 months now..

    November 5, 2013 at 19:47 | Report abuse | Reply
  18. rayschilling

    I find it very disturbing that a group of learned researchers pretends that testosterone enanthate should be the same as native testosterone.
    In the case of bioidentical testosterone the C 17 atom on ring D has OH and H attached to it, while the testosterone enanthate molecule has the configuration
    OCO(Ch2)5CH3 attached to it instead of the OH group. The molecular weight of bioidentical testosterone is 288.42 while testosterone enanthate’s molecular weight is 400.59. The two formulas are shown in the top two lines here:
    So, it is not surprising that testosterone enanthate acts like a blocker to the testosterone receptor as the wrong key occupies the testosterone receptors of the heart muscle, the brain and the arteries. We have a repeat performance of the Women’s’ Health Initiative where the wrong conventional synthetic hormones were used scaring women into using hormone replacement after menopause. Now the same mistake has been repeated for men so that the medical establishment can scare men into the belief that testosterone replacement would be bad for men in andropause, when in reality it is the testosterone with the attached rat tail (enanthate) that allowed Big Pharma to obtain a patent and market this non-fitting dangerous drug as a make belief replacement for low testosterone. The truth remains that any man with low testosterone should only be replaced with bioidentical testosterone. This has been proven to be safe by Harvard professor Dr. Morgentaler (Ref. 1), even for men with prostate cancer (testosterone stimulates the immune system).

    Ref. 1: Abraham Morgentaler, MD “Testosterone for Life – Recharge your vitality, sex drive, muscle mass and overall health”, McGraw-Hill, 2008

    November 5, 2013 at 20:28 | Report abuse | Reply
    • Bob Cruder

      Disparaging claims regarding testosterone enanthate may mislead some into medically inappropriate choices.

      Although many molecular variants of estrogen and progestins are legal for female HRT, only true testosterone is legal for male HRT in the U.S. Testosterone has a plasma half-life measured in minutes and is ineffective when consumed orally or injected.

      It must be delivered gradually and if consumed orally it must be protected from immediate destruction on its first pass through the liver. The options are a liquid carrier that diffuses slowly through the skin, a biodegradable polymer implant or temporary replacement of the hydroxyl group in the 17 alpha position with some other molecule. That addition protects the combination from degradation but also makes it biologically inactive.

      The added molecule is eventually hydrolyzed to yield the original active testosterone. A small added molecule such as acetate gives faster release, low storage in body fat and requires daily injection. Larger molecules require less frequent injection and can allow oral consumption in some fatty carrier.

      Enanthate is simply the largest molecule in common use. The combination is biologically inactive. When the enanthate is removed one has true active testosterone once more.

      November 9, 2013 at 01:13 | Report abuse |
  19. dribblesandbits

    the heart problems have long been suspected and you can have prostrate problems. doctors tell me there is a cancer concern? it looks like some doctors are over prescribimg the stuff, but then the advertising is off the charts. you will see some definitive stats rather soon.

    November 6, 2013 at 11:19 | Report abuse | Reply
  20. exmaschine

    Thanks for the LIES and deception JAMA. What a ridiculous and INCONCLUSIVE study. MEANINGLESS.
    Wondfer how much TAX PAYER money this cost/wasted...UFB

    November 6, 2013 at 13:17 | Report abuse | Reply
  21. karek40

    If we are going to make vanity treatments illegal then all cosmetic surgery needs to go, Also all women's facial products since they are vanity treatments, I am sure I could carry this further but I hope this is enough to address the point. Vanity surgery and products are a multi billion dollar industry.

    November 6, 2013 at 21:57 | Report abuse | Reply
  22. Peter

    Conclusions about T therapy and increased heart disease are a bit premature. Other factors come into play. In reading various articles about male hormones I stumbled on some interesting concerns about male estrogen. It appears that old men convert a certain amount of their testosterone to estrogen which is known to potentially cause vascular inflamation. So, perhaps testosterone therapy should be accompanied with low doses of drugs such as anastrazole which keep excess estrogen in check. There are studies out there that have looked at cardiovascular risk and estrogen to testosterone ratios. Yes, I take one anastrazole tablet weekly along with my T therapy to keep the ratios in the supposedly safe range. My point here is that there seems to be a lot of other factors related to the T therapy that need to be considered.

    November 8, 2013 at 09:55 | Report abuse | Reply
  23. Bob Cruder

    This is too much like the scare story about omega 3 fats and prostate cancer. In each case both quartiles that were being compared were below the typical therapeutic level. The difference in actual blood levels were barely above the noise and the differences were of doubtful statistical significance.

    One additional factor relating to testosterone is that some individuals convert it to estrogen more rapidly than others. Estrogen receptor activation has been implicated in both atherosclerosis plaque growth and several cancers.

    Higher doses, use of DHT or synthetics that do not aromatize, aromatase inhibitors and SERMs are all relevant to proper male HRT. A site staffed with medical professionals should not blindly publish whatever flows down the wires.

    November 9, 2013 at 00:15 | Report abuse | Reply

    Low testosterone levels can cause symptoms such as a decreased sex drive, mood swings, decreased energy, sleeping problems, and even erectile dysfunction. Studies have also linked low testosterone levels to depression in males.

    November 11, 2013 at 02:45 | Report abuse | Reply
  25. Nigel Hyatt

    Dear Sirs,
    I am 72 years old and use Testosterone therapy for low T. However I am carefully monitored every 3 months especially for possible PSA increase and increase in the red blood count. Were I to take Testosterone continuously then my red blood cell count would go through the roof, my blood would greatly increase in viscosity and I would be in danger from a potential cardiac event. Therefore firstly I only use Testosterone therapy for 50% of the time, which allows the red blood cell count to correct itself and secondly I take 0.5 mg per week of Anastrozole which prevents excessive deterioration of testosterone to Estradiol.
    By this method method I have been able to successfully use testosterone therapy and prevent potential cardiac events. Used correctly testosterone therapy can be very beneficial. Unfortunately many men use testosterone therapy continuously without the precautions I have outlined thereby putting themselves at risk. I was able to use this methodology thanks to the assistance of my former internist, Dr Tim Cook and my endocrinologist, Dr M. Llano.

    November 12, 2013 at 14:13 | Report abuse | Reply
    • Chuck Zay

      I also would prefer using androgel 50 % of the time allowing rbc a chance not to clump together.

      August 24, 2016 at 18:22 | Report abuse |
  26. Jenny

    I get paid over $87 per hour working from home with 2 kids at home. I never thought I'd be able to do it but my best friend earns over 10k a month doing this and she convinced me to try. The potential with this is endless. Heres what I've been doing, w*w^w . Best96 . c^o*m-

    November 18, 2013 at 15:15 | Report abuse | Reply
  27. Grip and Rip

    I'm 75 and quite frankly am beginning to feel quite comfortable with myself. I have energy, full head of hair, 6' 184 lbs and little interest in sex. Even if interested it is a waste of time for me. So I guess I'll just have to be happy with being healthy and not a sex object anymore. Honestly, its a relief. The pressure is off to be superman. Hang in there guys things could be worse.

    March 8, 2014 at 21:09 | Report abuse | Reply
  28. Paul

    My body stopped producing testosterone and a doctor gave me the shot which was 10mo once every three weeks. as a result I got polycythemia Vera secondary I have to get 1 to 2 pints of blood removed every 6 weeks or die, I now have no testosterone because the doctors stopped the shot, I will always have polycythemia forever, Doctors dont know what to Di fir me since I need the testosterone. They started me on the t-patch now this week because I was so tired and my memory was being affected. Mayo's even is puzzled what to do me, but approved this new treatment for the next 3 months I dint care about phelbotomy's. I care about living and without testosterone my heart will eventually fail,

    April 12, 2014 at 20:20 | Report abuse | Reply
  29. pauljmolinaro

    On January 31, 2014, the United States Food and Drug Administration (FDA) issued a Safety Announcement regarding testosterone products. This communication stated, "At this time, FDA has not concluded that FDA-approved testosterone treatment increases the risk of stroke, heart attack, or death. Patients should not stop taking prescribed testosterone products without first discussing any questions or concerns with their health care professionals. Health care professionals should consider whether the benefits of FDA-approved testosterone treatment is likely to exceed the potential risks of treatment. The prescribing information in the drug labels of FDA-approved testosterone products should be followed." While the beginning of this Safety Announcement might not seem alarming, the FDA further states, "None of the FDA-approved testosterone products are approved for use in men with low testosterone levels who lack an associated medical condition. FDA-approved testosterone formulations include the topical gel, transdermal patch, buccal system (applied to upper gum or inner cheek), and injection."

    What is "an associated medical condition?" The manufacturers of some testosterone products would have one believe that Low T (the condition of having low testosterone levels) is an associated medical condition to the condition of having low testosterone. If you think this is strange logic, you would be correct. There are some who feel that the manufacturers of some testosterone products, realizing that they had a profitable "cure" for a disease that did not exist, simply invented a disease. Recent studies have shown that certain groups of men taking testosterone will have increased risks of stroke and heart attack. Lawsuits are now being filed against the manufacturers of some testosterone products and for failing to warn consumers about the deadly harm that testosterone can cause. Without getting technical, testosterone has been shown to increase the red blood count (thickening of the blood) which can cause clotting issues leading to stroke and heart attack.

    If your physician has prescribed testosterone for you, you should immediately discuss whether you truly need it and whether there are safer alternative drugs. After weighing the risks and benefits, you and your physician can determine what drug, if any, is best for you. If you have suffered a stroke, you might want to consider a consultation with a lawyer.

    Paul J. Molinaro, M.D., J.D.
    Attorney at Law, Physician

    April 17, 2014 at 23:31 | Report abuse | Reply
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  31. Kyoung11

    My husband was diagnosed with a testosterone problem and he didnt want to take injections. We are both super healthy and work out all the time and his doctor recommended a natural supplement called the Dr Max Powers Testosterone Boost. He's been taking this for 2 weeks now and I have even noticed a change in his energy and strength during our crossfit workouts (both in and out of the gym). Can't wait to see results further into taking this – definite for men if you're low on testosterone.

    April 27, 2014 at 19:21 | Report abuse | Reply
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    ?Well I am 26 male Indian my friend in college have Russian girlfriend for last 1 year and maybe they are ever so happy and now plan to get married like new year.

    I left India when i was 20 lived in uk for 5 years and now in canada for just more than a year. My real question is for Western guys who have dated/married Russian girl/women.

    whats up, really with you, I never dated a ruskies female, But don you assume you basing this too much on race? travelers, whatever their race is, Is different with regard to personality. You can help who you love. Sure most females of a particular race have similar morals and ideals, But not everyone. Every female of an entire race could possibly be the same. many may seem like it, But with such a highly amount of people across the world, There are always some that are not the same.

    write-up Vanyway ietnamese, And I looking to find a good girl right now. mom and dad are pressuring me to find one of my own race, And they very stereotypical about other races. But I not going to follow with what they really want. I not on the grounds that I not going to marry a Vietnamese girl. I marry the person that I adore, it doesn't matter their race. I not going to worry either if my parents will hate her or think that she a bad wife, Because whether she a good or bad wife for me, That based by myself views of her.

    My advice to you is thus far freely, And whether a girl is a bad or good wife, that not based on her race, But on her psyche. Don fear that person race. Only you be worried about their personality. If you see someone which you want, go for it. soon after days or weeks, If you truly don like them as people, Break off every thing has become. You find the proper person eventually. Just don judge a person charm by their race.

    Practically any woman from any poor country is raised to be attending to her husband and children, Not a great deal more. They don have good instructional, So not much of enable you to get a nice job. In the west women accessibility education and have equal rights with men. They don need a man to look after them, So they don reason to be a "Nice lover, People in Canada/USA are proud to be equivalent. You came here to buy a better life and equality is a part of that. require a "Good darling, reexamine your Indian women from India. I am Russian and would never even date a guy with such a view on marriage.

    unfortunately, you can be correct to feel that most American women don make good wives.

    That all in their childhood though. on the internet a breakdown here of how people are educated and most American women have been taught what to think by the public school system instead of their families.

    believe it or not, Most divorced American men I know are looking for marriage with a woman from a third world russian brides photos country. Their doing this because women from third world countries have been taught how to be good wives by their families. So you have every right to do so your presentation.

    with regards to Russian girls go, Every one I have ever met was a fine woman and a joy to be around but I can say whether they make good wives. It does seem however that providing they aren American, there is a better idea of how to be a wife. I don think American women really want to be wives anymore, many of them anyway. I can say that about the entire group. a large few who have made a very spectacular wife for their husbands but I sure haven found one.

    provider(s): higher education of lifeLogin to reply the answersPost

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    Russian women are very beautiful and very usual, They believe in tradition and they take good care of their husbands and families. I a us man married to a wonderful Russian lady, And I let you know, Russian women are the exact opposite of American women. American women have became too independent, Too edgy, Most are disloyal, Most have lost kinds values, Most have grew to become the fat, and they're going to divorce their husbands over any stupid little thing.

    My wife and I have been happily married over the past 11yrs, And she will be a housewife, I could seriously write pages on all she does, She takes great proper care of our home, Great care of our kids, And she takes great good care of me. What I have with my euro wife, I could never have with as a famous woman, But while, A western man has so that you could afford a Russian wife. As the chestnut goes "every different rose has it thorns, without, Russian women do make great wives, But Russian women are also very high protection.

    I lived around in other countries, And i have friends from any location practically. first and foremost to dispel the insults towards american wives, I am us citizen, wed over 26 years. I am home with our 25 yo autistic grown son while my better half chooses to work overseas 6 yrs. Holidays and day to day is lonely, add the fact he had an affair with a filipina, Who wanted his money and whatever dreadful get. This American wife forgave him and i have no intends to commit adultery, All my money transpires church, our home life or our son.

    Living abroad 7 yrs ago i discovered many many russian develop] Women come from alcoholic experiences, They will do anything to leave their poverty and depressed environment. absolutely she will marry you.

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