Low T was killing me

Well maybe not actually killing me, however, the effects of low testosterone (low-T) made me feel as if I were one of the walking dead. I was 56 years old at the time, a 6-year veteran of spinning indoors and road cycling. My training was consistent and included weight lifting. Being a former collegiate 4:21 miler, made me expectantly competitive. Performing well in all aspects of my life was mandatory.  About that time however, something began to change. Conditioning gains plateaued to a modest level. Also noticed, was an inability to recover timely from challenging training sessions, now requiring at least three days.  Interim days were met with tiredness, fatigue and a feeling of dullness. Mental calculating wasn’t as sharp. Fat now hid my once six-pack abs. And here is the real kicker. … the bedroom became a stressful, confused, mental war zone. Previous spontaneous romantic interludes were now associated with feelings of performance uncertainty. Neither me nor my wife could count on the awesome benefits of a flawless romantic evening. Though supportive and accommodating, it wasn’t long before she questioned my lack of responsiveness with the possibility of me losing desire for her. Anxiety and tension was mounting as needs went unmet. We began to divert our tension away from playful flirting to household needs, children and issues at work. The communication was changing and neither of us was happy with that. ED (erectile dysfunction) was killing my manhood. A fix was required.


Dr. Elmore Alexander of Smartplex Atl in Marietta works with patients with these challenges everyday from his office in Marietta. Dr. Alexander filed this report for us.


Viagra and like medications filled the gap. The other problems such as mental sharpness, fatigue, mood changes, stamina, exercise recovery, muscle conversion and ED was not changed. This significant change led me to become an expert at correcting this problem. What I found was that the hormones need to be fixed first. When I checked, my testosterone was well below the normal range. Correcting estrogen and testosterone is vitally important. How testosterone is given is also very important. The most consistent and dependable way is by a non-painful injection every 7 – 10 days. The dose should be monitored and tailored to your own personal requirements. Due to the way the body metabolizes testosterone, replacing every 14 days is too long and allows the negative effects to return before the next dose is give. 

Testosterone can actually convert to estrogen and this conversion needs to be blocked. We therefore add an estrogen lowering medication commonly known as anastrozole to do this. Next we have to prevent infertility and testicular shrinkage.  Testosterone that our own body makes prevents this from happening, so we have to make sure that as we give testosterone our own production does not shut down. This is achieved by giving HCG (human chorionic gonadotropin). This also improves libido and energy by stimulating the adrenal glands.


The next order of business is to restore blood flow to the male organ. This is done by opening the old vessels, breaking up and removing plaque and causing new nerves and vessels to form. Currently, three procedures are utilized and while some providers utilize only one, I have found awesome results incorporating all three. They are:

  1. Acoustic Wave Therapy (ESWT… Extracorporal Shockwave Therapy)
  2. P-Shot Procedure 
  3. and Stem Cell Recruitment.


ESWT is an unfocused ultrasound wave which breaks up plaque. P-Shot Procedure are tissue growth factors derived from your own blood and placed to regrow vessels. Stem Cell Recruiters are derived from placental tissue and they summon your bodies stem cells to build new tissue and nerves. Together, blood flow is improved and greater sensitivity to the organ is achieved.