In part 7, the conclusion of this Exclusive Interview, Dr. Ronald Swerdloff talks with Diabetes in Control Publisher Steve Freed during the ADA 2017 Scientific Sessions in San Diego, CA about ways to naturally increase testosterone.
Ronald Swerdloff, MD is a professor of medicine at David Geffen School of Medicine at UCLA, the chief of division of endocrinology and metabolism at the Harbor UCLA Medical Center, and the senior investigator at the LA Biomedical Research Institute.
Transcript of this video segment:
Steve: What are some of the things we can do to increase our testosterone? You mentioned losing weight and exercise, but is there anything else that can help?
Dr. Swerdloff: Obviously being in good health has a big impact. It’s very easy to tell people to be in good health. But, we do know that lifestyle changes will have positive effects on general health, on cardiovascular well-being; it has an effect upon risk of other types of diseases. It certainly has an impact on your chances of having type 2 diabetes. So, lifestyle changes, which are not so easy to do but very very important, will have impact on both type 2 diabetes and on low testosterone levels. That is the first order. If we can do that, and if it were easy we wouldn’t have conferences about all these things. Everybody would be in great shape and we would have a very small number of people who have these problems. But Type 2 diabetes is increasing and also we are getting heavier, we are eating more, exercising less because we sit at our computers all the time, we don’t go out and work in the field like people did several hundred years ago. So, our life is changing and we have to then adapt to ways to try to improve our general well-being. Those will have impacts both on type 2 diabetes and on low testosterone. But, if we can’t do that, then we have to use medications to try to treat these things. And we have to try to balance the benefits of the medications, both testosterone for low testosterone symptoms and other medications for diabetes to try to control the blood sugar in those instances were we haven’t been able to solve the problem otherwise.
Steve: You mentioned exercise. There are different forms of exercise: there is aerobic and anaerobic. I would think that in order to increase your testosterone that you are looking more towards anaerobic type of exercise and building muscle mass. Is that right?
Dr. Swerdloff: Actually, our goal would be to decrease fat mass. With testosterone when you decrease fat mass, you increase muscle mass with it. But, the real goal is to decrease fat mass, particularly the fat that we have in our abdomen – what is called the visceral fat. We think that visceral fat produces substances, which might influence the testosterone level by acting on the lower part of the brain, in the pituitary, but it also has effects on developing that in the liver and it has an effect on the cardiovascular system – it increases the chance of having a heart attack. So, we would like to reduce this fat. We would of course like to improve muscle mass as we get older, in order to improve our strength and decrease frailty. As you get older what you really want to do is to stay independent. You don’t want to be in a nursing home because you are too frail. So, you want to improve your strength and you want to decrease your fat mass so you don’t have these complications of disease that occur in people that are overweight.
Steve: I want to thank you for your time. I found it very interesting. Enjoy the rest of your stay here.
Dr. Swerdloff: Thank you so much.