I’m glad to see the activity on the Over 35 area picking up. A lot of interest on HRT obviously, but also on how to train around injuries and deal with age-related issues. Just curious what others would do if they had the chance to be an Age management doctor.
What is an Age management doctor?
Not sure I’ve heard of them over here (UK).
Maybe I should have made the post…If you could be a doc giving HRT…
Age Management Medicine is the new field of medicine focused on combatting the negative effects of aging. Some of it is focused on simple good practices of better nutrition, “prescribed” exercise, decreasing stress, striving to correct lab problems such as high cholesterol, and preventative medicine. However, a major weapon of many Age Management Docs is to provide HRT.
I realize it was to long a question for a proper opening post. I was curious what T-Nation folks would do if THEY were Age management docs, since many of them are seeking them out for HRT or even full gear, but often being frustrated with how the docs treat them.
Doc
I would start off with super clean eating, and proper supplementation. I need to improve my eating, but do better than most. Patients would need to be able to pay for the right supplements. I spend $200.00 month, and say with pride of many years, Every Thing Works!!
Sensible aerobics and weights and a regular polishing up of good manners, coupled with religion or meditation.
An MD on TV a couple of days ago summed it up as Mediation, Exercise & Sex(all that first paragraph stuff makes this part even better).
Everyone would be on fish oil + Vit E
Everyone would take a good multi(I recommend Lef mixes)
Everyone gets bloodwork, and go from there.
Try and see what I could do to make adult onset GH deficiency more affordable(if there is any hormone that ALL adults are deficient in, it is this)
Treat Estrogen and cortisol overload
Fish oil.
Good multi.
Bloodwork.
Raise Test through HRT to the higher end of the “normal” spectum for someone in there 20’s (i think around 1000-1500, so if your putting out 800 mils of test I give you at least 200 mils of test a week)
then blood work him again (never know with hormones!)
Thought this thread was dead, maybe I should have rephrased the title. Because I think the issue is worth discussing.
Just this past week, Dr. "Oz" was on Oprah for a two day segment on Age Management, plugging his new book he co-authored with the Real Age doc (Roizen).
I found it DISGUSTING that in the entire two days, Oz never mentioned hormones except for a brief reference to one patient who had hypothyroidism. His recipe for Age Management made no reference to Hormonal Optimization, just diet, exercise and stress reduction (do tai chi, he says!). He did mention weight lifting as crucial, but he looks like he never came near a weight. Whether or not you believe in HRT, you better believe in Hormonal Optimization, one way or another! Rant over, Doc
[quote]Dr.PowerClean wrote:
Thought this thread was dead, maybe I should have rephrased the title. Because I think the issue is worth discussing.
Just this past week, Dr. "Oz" was on Oprah for a two day segment on Age Management, plugging his new book he co-authored with the Real Age doc (Roizen).
I found it DISGUSTING that in the entire two days, Oz never mentioned hormones except for a brief reference to one patient who had hypothyroidism. His recipe for Age Management made no reference to Hormonal Optimization, just diet, exercise and stress reduction (do tai chi, he says!). He did mention weight lifting as crucial, but he looks like he never came near a weight. Whether or not you believe in HRT, you better believe in Hormonal Optimization, one way or another! Rant over, Doc[/quote]
Most of Oprah’s shows (excluding the ones with idiot celebrities like Tom Cruise)are about how to lose weight, how to have a happy marriage and how to raise your kids.
Oprah is fat, single and childless so obviously her the info on her show is ineffective at best.
I do not know who Dr. Oz is, but from what you said, his advice is about the same as Jack LaLane has been saying for over half a century. Of course, all males are nuetered prior to being on Oprah (it is one of the show’s requirements) so he probably did not have the balls say how fat, lazy and disgusting the average American Oprah viewer is.
Dr. Oz is a cardiac doc who Oprah clearly is smitten with and grooming in the same way she groomed Dr. Phil. His book will no doubt be #1 on the NY Times best seller list and then he will soon have his own show.
All of this would be fine with me, if the guy wasn't neutered and actually put men's health issues real men care about prominently out there. But no, not gonna happen, other than his preaching about prevention of prostate cancer, and reducing your LDL, blah, blah, blah... Doc
Hey, Bushy, enjoyed your post. It really is a holistic thing (in the best sense of the word). I’m a doc often torn between idealism and the pragmatic pressures of business, conforming to the AMA/DEA conglomerate, etc. The solution to this problem for me is…
WEIGHTLIFTING!
BTW, I see you're in Wales. My brother in law married a Welsh girl, I got to go to Mumbles by the sea, beautiful country there. I did catch some food poisoning veering off the fish and chips diet and ate some suspect swordfish. Last thing I remember before becoming delirious with a 105 fever was the doc asking me..."How many stone do you weigh?" Doc
To quote Pogo: “We have met the enemy and he is us.”
The biggest problem is that people don’t take responsibility for their own health and well being. Most people consider themselves healthy if they don’t have an obvious disease.
I used to talk to people of my age group all the time about health issues and most of them really don’t give a rat’s ass. They’re quick to moan about stuff like “I can’t seem to remember things as well as I used to” but when I tell them that Vinpocetine has helped me with memory function they come up with lame ass shit like “I don’t like pills” or “I don’t want to have to take supplements all day long.” People love to bitch about getting older but virtually none of them are willing to actually do anything about it.
Trying to get most people to take a proactive approach to their own health is a loser’s game that I no longer bother with. I don’t blame lame ass doctors for the pitiful state of age management because they are simply a reflection of the lame ass society in which they live.
I’m 56 and I function in every way like someone in their thirties and yet even when faced with living proof that age management works, my buddies would rather write off my vigor and physique as “luck” than take responsibility for their own lack of vigor and stringy muscled estrogen soaked lives.
Women in their 40’s ask me how I do it. Men in their 50’s and 60’s don’t want to know. Go figure.
[quote]bushidobadboy wrote:
I would look at as many facets of a patients life as possible, and rule NOTHING out.
Mental function and health, sexual function, hormonal optimisation, musculoskeletal health.
But then perhaps I’m an ideallist…
Bushy[/quote]
I believe that mental function poses the greatest obstacle.
Behavioural science is a tricky issue.
Especially for those of us who venture onto the realm of psychosis. Ain’t no pill gonna cure my ill.
Yo Momma, on this one we’re 100% in agreement. Mental health and functioning are not only the key, they are the missing ingredient in the majority of Age Management Doctors “formulas” for health. This amazes me, that most folks in the Cenagenics, A4M, and other AMM organizations think that just giving folks bioidentical hormones on top of the usual diet and excercise speech is going to make EVERYONE healthy and happy. No way.
Doc
I doubt if Dr OZ has been accused of hogging the plates at his gym.
It totally surprises me that when Dr Oz brought up a drink made of a Russian berry/extract mixed in Vodka that all of you did not jump up from the floor and run to a Health & liquor store to conducst your own research.