The clinical practice of administering exogenous testosterone to men with documented hypogonadism, or age-related decline, with the long-term therapeutic goal of mitigating age-related health risks and enhancing overall healthspan and vitality. This therapy is focused on restoring testosterone levels to a physiological, youthful range to preserve muscle mass, bone density, metabolic function, and cognitive health over the lifespan. The intent is a systemic anti-aging effect.
Origin
This approach evolved from the traditional treatment of clinical hypogonadism to a broader application in anti-aging and longevity medicine, driven by the understanding of testosterone’s pleiotropic effects on multiple organ systems. The term reflects the growing clinical interest in hormonal optimization as a strategy for extending the period of healthy, high-functioning life. It is a key intervention in male hormonal health.
Mechanism
Testosterone acts by binding to the androgen receptor, leading to the upregulation of anabolic gene expression in muscle and bone tissue, thereby preserving lean body mass and skeletal integrity. Mechanistically, optimal levels improve insulin sensitivity and lipid profiles, reducing cardiovascular risk factors. Furthermore, testosterone is neuroprotective, supporting cognitive function and mood, all of which contribute to an improved longevity profile and enhanced quality of life.
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