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How to Find Pro Bono Legal Services
Bristol Personal Injury Lawyer will typically fight to get you a financial settlement without going to court. They’ll investigate the negligence, review medical bills and other documents to evaluate your case and take over all formal communications with the insurance company.
Large insurance companies have teams of professionals who work to minimize their liability. A skilled New York personal injury attorney will level the playing field and ensure you’re getting fair compensation.
When someone sustains an injury due to the negligent actions of another person, company or municipality, they may be entitled to financial compensation called “damages.” Damages are designed to put a victim back into the position they were in prior to their injury. They can include monetary losses such as medical expenses and lost wages, as well as non-monetary damages such as pain and suffering.
A personal injury lawyer can help victims understand and pursue the full scope of their damages. They will review medical records, examine police reports, and interview witnesses to build a strong case that demonstrates how the defendant breached their duty of care. They will then work diligently to secure the maximum amount of compensation for their clients.
While pursuing damages can be overwhelming, it’s important to hire an experienced attorney who can guide you through the process. Often, the first step in seeking compensation is filing a claim with the at-fault party’s insurance company. This allows them to demand coverage for damages, and it’s typically less complicated than filing a lawsuit.
However, insurance companies often offer settlements below what a victim’s claim is actually worth. An experienced personal injury lawyer can evaluate the insurance company’s offer and determine whether it’s fair. They can also file a lawsuit on your behalf to obtain additional compensation if the insurance company won’t negotiate a reasonable settlement.
To maximize the value of your injury claim, your lawyer will ensure all monetary damages are accurately documented and supported. This can involve gathering receipts, invoices and other documentation for damages that have already been incurred, as well as working with medical experts to project future losses, and financial experts to calculate the amount of future lost income.
In some cases, your personal injury lawyer can seek punitive damages in addition to compensatory damages. These are intended to punish the defendant for their actions and deter others from taking similar risks.
If you have been injured in an accident, contact the personal injury attorneys at Miller, Montiel & Strano PC. The firm’s practice includes automobile, construction site and other workplace accidents, as well as medical malpractice cases. They have won major settlements and verdicts in cases involving misdiagnoses, surgical errors and birth injuries.
Expert Witnesses
Expert witnesses are a key element in personal injury cases. They are highly esteemed professionals with extensive education and experience in their field who are able to offer insight and expertise on complex matters that are critical to the case’s outcome. Their expertise helps a jury or judge understand complicated scientific or technical information that may not be familiar to them.
There are many different types of expert witnesses that can be employed in a personal injury case, including accident reconstruction specialists, medical experts, financial experts, and forensic toxicologists. Your lawyer will select the best experts to support your case, taking into account their credentials, professional reputation, and how often they testify in personal injury cases. The selection process is a meticulous one, as the experts selected must be able to withstand rigorous scrutiny by the jury or judge and provide unbiased opinions that are in line with the evidence presented in the case.
Medical experts can provide insight into the injuries sustained by a victim, the treatment they received, and their future prognosis. They can also help a victim establish the amount of damages they are entitled to based on their medical bills, lost wages, and future foreseeable medical costs.
Forensic experts can be used in a personal injury case to determine the cause of an accident and who was at fault. These experts use their knowledge of physics, engineering, and other fields to recreate an accident in order to determine what caused it. Accident reconstruction experts are often utilized in vehicle accident cases.
A forensic toxicologist can be hired to analyze the chemicals in a victim’s bloodstream and determine whether the chemicals contributed to the victim’s illness or disease. They are also helpful in determining the cause of a workplace injury.
An economic expert can assist a plaintiff in establishing the amount of damages they are entitled to. They can review medical bills and other financial records to calculate the cost of a victim’s care and treatment, their current and future loss of income, and the impact of an injury on a person’s quality of life.
Statute of Limitations
The statute of limitations is a legal safeguard that ensures individuals have the opportunity to pursue a lawsuit within a reasonable timeframe after an incident occurs. This timeframe varies from state to state, but New York typically gives plaintiffs three years to file their claim. If a lawsuit is filed after this deadline has passed, the case will likely be dismissed in court. This can be devastating for the injured individual, as it forfeits their right to seek compensation for their damages.
Personal injury attorneys are trained to recognize and address any issues with the statute of limitations associated with their clients’ claims. There are many factors that can affect when the statute of limitations clock starts ticking. For instance, if an accident victim moves to another state, the time they spend in that jurisdiction will be deducted from their three-year deadline. Similarly, the statute of limitations clock is often tolled for minors or those who are legally disabled. In these situations, the three-year period only begins when the individual gains or regains their ability to make legal decisions on their own behalf.
Statutes of limitations are designed to encourage the prompt filing of lawsuits and conserve judicial resources by preventing defendants from having to deal with an indefinite threat of being sued. However, they are also intended to protect the rights of victims to have their cases heard in a timely manner. The statute of limitations serves as a crucial tool for ensuring the justice system is fair and that injured victims can have their day in court before the window closes.
It is important to speak with an experienced personal injury lawyer about the statute of limitations associated with your case, so that you do not miss out on the opportunity to file a lawsuit in court before this critical deadline passes. Attorney Jesse Minc is well versed in personal injury law and can review your specific circumstances to determine what your timeline may look like. Call him today for a free consultation. He works on a contingency basis, so there is no fee for his services unless you win your case.
Preparation
A personal injury lawyer’s role involves a wide range of legal activities that require careful preparation, including interviewing witnesses and reviewing evidence. They also prepare documents for filing lawsuits and negotiating fair settlements with insurance companies. Often, they must help clients manage their emotions and expectations about the legal process and results of their case. This requires skill in recognizing when a client may omit important details, believe their case has more legal merit than it does, or have unrealistic expectations about the outcome of a trial.
Clients can help their attorneys by bringing relevant paperwork and documentation to their initial consultation. This can speed up the process and help them get a clearer picture of the accident and injuries that occurred. This should include police reports, other accident reports, a written description of the incident, medical bills and records, pay stubs, eyewitness statements and photographs.
During a consultation, a personal injury attorney will review the information you provide and determine whether they can represent you in your case. They will then ask a series of questions about the incident and your injuries to gain a full understanding of the facts of your claim. It is a good idea to have a list of your own questions ready, as well.
Before your meeting, you should consider what your goal is for legal representation. Your desired outcome may be to secure compensation for your injuries, hold the responsible party accountable or understand your legal rights. This information can help your attorney develop a targeted approach and tailor their advice to your needs.
During the interview, you should also make note of the attorney’s communication style and how responsive they are. You will want an attorney who is available to you when you need them and will give you a timely response when you reach out with questions. It is a good idea to ask about their fee structure at this point, as well, whether they charge on a contingency basis, hourly or have flat fees. You should also inquire about any potential additional costs, such as court fees, investigation expenses or expert witness fees.
How to Safely Use a Towing Service
Towing can be a dangerous job. Knowing your equipment, understanding your weight limits, and following safety procedures are important. This will help reduce costly accidents and insurance claims.
Towing capacity is based on the gross vehicle weight rating of your tow truck and the GVWR of the trailer you’re pulling. It also depends on how you distribute and control the load. Contact 24 Hour Towing Phoenix now!
If your car breaks down, a roadside assistance plan is an affordable safety net. It can help change a flat tire, fuel delivery, and dead battery jumps. These services are important for every driver because they can save you time and money when the unexpected happens. They also offer peace of mind, which is crucial on the road.
Many companies offer roadside assistance plans, and what they cover varies. Some are standalone, while others are included in auto insurance policies. Knowing which one you have is important so you can use it when necessary.
When a roadside assistance plan is in place, the provider will send a mechanic out to your location to assist you with your vehicle issue. They will then contact you when they are en route to your location. You should have your roadside assistance number, your insurance policy number, and any other relevant information in your vehicle at all times. It’s a good idea to keep it in the glove box or somewhere else that’s easy to find.
You are driving along a quiet road when suddenly your engine sputters to a stop. You have a flat tire, no gas, or a dead battery, and you’re stuck on the side of the road. This is a stressful situation and can be dangerous for you and other drivers. You need someone to come and get you out of the situation as quickly as possible.
Emergency roadside assistance is an invaluable service that can help you when your vehicle breaks down. They are available 24 hours a day and provide a variety of services including flat tires, lockouts, non-starting vehicles, and dead batteries. They also provide fuel delivery, towing services, roadside repairs, and more.
Most roadside assistance providers have mobile apps that allow you to track your service provider. You can see how close they are and what their estimated time of arrival is. You can even get GPS tracking so you can share your location with the service provider if you’d like.
Towing Services
If you need a towing service, look for a company that is known for its promptness and availability. It should also have a team of professionals who are well trained to handle all kinds of roadside incidents. They will know how to assess the situation and implement safety protocols in order to minimize risks. In addition, they will have state-of-the-art equipment to transport vehicles safely. This includes flatbed trucks that are designed to minimize approach angles and make them suitable for exotic automobiles, show cars, European sports car and antique vehicles.
Besides offering basic towing services, some companies also offer mobile battery replacement and jump start service. These are very useful when your vehicle’s battery is dead or you have locked your keys in the car. They also have jumper cables that can help you get started again without hurting yourself or damaging your car’s engine. If you have a faulty tire, they can replace it with a new one and even patch the hole in the tire for you.
Many companies also offer a light-duty towing service that can transport small vehicles such as motorcycles and all-terrain vehicles. They can also tow larger vehicles such as garbage trucks, farm equipment, buses and semi-tractor trailers. In fact, some towing services can even tow large commercial vehicles like airplanes and tanks.
There are several different types of towing services available, such as wheel lift towing and flatbed towing. Flatbed towing is the most common and involves the use of a flatbed on a truck to haul your vehicle. This method is safe and secure and works well for most vehicles. Wheel lift towing, on the other hand, uses a yoke to lift your vehicle off its drive wheels. This method isn’t as effective for 4×4 or all-wheel drive vehicles and can cause damage to the suspension of your vehicle.
Another important service that many towing companies provide is fuel delivery. If your vehicle has run out of gas, they can deliver an allotted number of gallons to you. This is a good way to save time and money on gasoline, especially if you are in a hurry.
Trailer Towing
The first step to towing a trailer safely is to understand your vehicle’s payload capacity and maximum towing limit. Truck manufacturers publish this rating on their websites or as part of their vehicle specifications. Once you know your towing capacity, it’s important to adhere to these limits to avoid damage to your truck and trailer or the safety of those sharing the road with you.
A vehicle’s towing capacity is determined by the gross combined weight rating (GCWR). This includes both the towing vehicle and its passengers and cargo. To determine this rating, start by reading the placard located in the driver’s doorjamb. Then, subtract the weight of your occupants from that number. The remaining number is your vehicle’s available cargo and luggage capacity.
Another important factor is the trailer’s tongue weight, which is the amount of pressure a trailer puts on the towing vehicle. Ideally, this should be between 10 and 15% of the total trailer weight. This can be determined with a tongue-weight scale or by using a ball mount that has a built-in tongue-weight gauge. If you plan to use a scale, make sure the tongue-weight indicator is activated so that it can display the correct data.
Other factors to consider include a proper connection between the tow bar and your vehicle’s wiring system. For example, if your car uses the CANbus network to activate its various safety systems when it detects the presence of a trailer, a tow bar wiring kit that can interact appropriately must be used. Otherwise, these systems may be disabled or fail to work properly.
When towing, it’s also a good idea to add some extra gear to help keep the trailer in line with your vehicle. For example, sway-control bars mitigate side-to-side trailer movement, and a weight-distribution hitch can level the load. And if your trailer is equipped with brakes, be sure to add an emergency “breakaway” cable that’s designed to trigger the trailer’s brakes and bring it to a stop if it somehow disconnects from the hitch.
It’s also a good idea to adjust your mirrors to account for the additional size of your trailer and to make sure you can see around it when changing lanes on the highway. Additionally, you should consider adding telescoping towing mirrors to expand your field of vision when backing the trailer up.
Car Towing
Towing is the process of moving a vehicle from one place to another, usually on the back of a flatbed truck. Generally, this is reserved for vehicles that don’t run or are in some way damaged beyond repair. However, cars can also be towed in other circumstances, such as when someone has been arrested and the police won’t let them drive the car home. Additionally, some people use tow services after purchasing a new vehicle so they can get it home before registering it.
When towing, it’s important to follow safety guidelines. This includes using a tow dolly or a flatbed trailer, as these are the safest options for both you and the vehicle you’re pulling. Moreover, a properly attached recovery strap is vital to the towing process. It should be fastened securely to the recovery points of both vehicles and checked frequently for signs of strain or damage. In addition, the towing vehicle should drive slowly and carefully when driving around the towed vehicle. Any sudden movements could cause the vehicle being pulled to slam into the towing vehicle, potentially causing expensive and extensive damage.
In addition, the towing vehicle should have functioning brake lights, blinkers, and taillights. These should be synced with the lights on the towed vehicle so that both sets of lights illuminate at exactly the same time when the towing vehicle brakes. Many states have laws requiring that towed vehicles have operable lights, making this an essential step for any driver planning on towing a vehicle.
It’s a good idea to have comprehensive towing coverage in addition to your car insurance policy, particularly for high-value cars. This extra feature can save you money when you need to tow a vehicle, and it can also help protect your investment in the event of an accident or breakdown.
Some car insurance providers offer towing coverage as a standalone policy, while others provide it as an add-on to their standard auto policies. Evaluating your needs and risk factors is the best way to determine which option is right for you. In either case, make sure to read the fine print and assess the coverage limits so you know what’s covered and what isn’t.
What is Pest Control?
Pest Control is the management of undesirable organisms that damage plants, crops, or property. Control measures may include prevention, suppression, and eradication.
Preventing pest infestation starts with keeping the area around the house clear of clutter. This will eliminate places for rodents and other animals to breed and hide. Click https://facilitypestcontrol.com/ to learn more.
Biological pest control uses natural enemies, like parasites and pathogens, to reduce a pest population to an acceptable level.
Pest Identification
In most cases, the first step in pest control is identifying the pest. This is critical for planning a management strategy and determining whether the pest needs to be controlled. The pest may be a plant, animal, or pathogen. Pests damage crops and can also damage people and property.
Pest identification involves examining the pest and its environment. In the case of insects and rodents, this includes a visual inspection of the pest’s habitat or the area in which it has caused damage. The pest should be compared with other specimens in order to determine the species and to confirm the pest’s identity. In addition, the pest should be inspected at different times of the year to evaluate its population growth.
Many pests change in appearance as they move through their life cycle. This can make it difficult to tell what is a pest and what is not. In addition, some pests only attack a crop at a particular stage of its development or in a specific environmental condition. Proper identification of the pest allows the development of control strategies that target the specific organism while minimizing injury to beneficial organisms and reducing environmental impacts.
A number of resources are available for pest identification, including online and printed guides. These resources are often geared to the needs of a particular region. In the United States, for example, the National Identification Services (NIS) provides a database and reference materials that include detailed information on the biology of plant pests.
In addition, the NIS database has photos that can be used to help identify a pest. In addition to the identifying characteristics of a pest, these photos can provide information about the pest’s habits and habitats, threats, signs of infestation, and prevention and control measures.
In addition to a pest identification guide, a logbook is an important tool for monitoring pests. This logbook should contain general information about the pest management company (pest company contact details, qualification certificates or licenses of the pest control technician, daily contact person, etc); a summary of pesticides applied (including a list of the pesticides used, their concentration levels, the dates and application volumes, the area treated, and any recommendations made by the pest control service provider); and a record of pest activity.
Prevention
The goal of pest control is to keep pests from entering or spreading inside buildings and crops. This is achieved by preventing them from finding food and shelter, improving sanitation practices, and using physical controls such as traps, screens, barriers, nets, and other types of mechanical devices. Preventive measures also include selecting plants that are not attractive to pests and interplanting them; growing tolerant or resistant varieties; and practicing good crop management techniques such as eliminating pest harborage, maintaining adequate soil moisture, and avoiding over-watering.
Pest identification is an essential step in determining the need for pest control. It involves regularly searching for and identifying pests, including their numbers, locations, and damage. Scouting should be done regularly – anywhere from daily to weekly – and should include examining areas that are difficult to reach or inspect, such as under leaves, along foundations, and in cracks and crevices. Scouting helps identify pest problems before they become a nuisance, such as when a few mosquitoes turn into an epidemic overnight.
In a pest management plan, preventive methods are used to reduce the need for chemical control. These include removing food, water, and shelter sources; sanitizing food handling areas; and closing off access points. In addition, sanitation practices such as properly disposing of garbage and removing garbage from the premises regularly can help to reduce pest populations.
Another method is promoting natural enemies that naturally control pests, such as parasitoids and predators. These can be augmented with the release of more natural enemies or introduced from other places where pests are not a problem. Biological control usually takes time to be effective, and the degree of pest control can fluctuate.
Other methods use physical or mechanical controls to alter a pest’s environment, such as trapping, screening, sealing cracks, and using electric devices. These controls also can be used in conjunction with preventive measures, such as removing trash regularly from the facility and caulking cracks in walls and floors. Clutter provides hiding places for pests and impedes the effectiveness of preventive treatments. It is important to clean up and store all materials, utensils, and containers before treating with pesticides.
Suppression
Suppression is the use of pest control methods to reduce the population of a particular organism below a level at which it causes unacceptable harm. In the context of IPM, this goal often overlaps with prevention as it can involve reducing the number of pests present in the field to prevent them from becoming too numerous to manage effectively through other means.
Many of the same tools used to determine the need for pest control (scouting, monitoring, identification) are also useful in controlling populations once they have reached a certain level. Control methods are designed to limit the amount of damage done by a pest, usually through some sort of chemical application.
A pest control technician must consider the impact that any of these management strategies will have on natural enemies and their ability to reduce pest numbers, including pheromones, mycoplasmas, juvenile hormones, predatory insects and nematodes. When using chemical pesticides, proper scouting and timing of applications will minimize the opportunity for beneficial insects to come into contact with the product. Applying spot treatments and using low persistence products are also helpful in reducing the impact of pesticides on these important organisms.
Pests that are controlled by natural enemies include fungi, bacteria, parasitic insect species and pathogens, and predatory birds, reptiles, amphibians and fish. These enemies typically eat or otherwise injure the pests and can affect their behavior, such as by altering the growth rate of their hosts or by disrupting the chemistry of their bodies, pheromones, and other chemicals that influence their behavior.
In addition, cultural controls are commonly used to deprive pests of a favorable habitat and/or to restrict their movement. These include plowing, crop rotation, seed cleaning to remove infected plant material before sale, field sanitation procedures, irrigation scheduling to avoid long periods of high humidity that encourage disease development, and cleaning tillage and harvest equipment between fields or operations.
Physical barriers can also be effective. Traps and trapping materials are a common way to catch unwanted creatures such as mice, rats, cockroaches, and even bats. Other physical controls can include screens, fences, netting and radiation.
Eradication
A pest is an organism that affects human activity and environment. A typical response to a pest is prevention, suppression or eradication. Prevention stops an organism from becoming a problem, suppression reduces the population to an acceptable level and eradication eradicates the pest completely. Eradication is rarely the goal in outdoor situations but can be a part of the strategy when an exotic organism has been accidentally introduced (Mediterranean fruit fly, gypsy moth, fire ant). Eradication is more common for indoor pests such as rodents, birds, insects and disease organisms.
A threshold can be used to determine the need for pest control action. Below the threshold, no action is needed; above it, corrective actions should be taken. For example, to keep mosquito populations low in a garden, regularly drain puddles that collect water or add fish to ornamental ponds to eat the larvae.
Chemical controls are generally the fastest way to control a pest population. Herbicides can be used to kill weeds, insecticides to control insects and fungicides to manage diseases. All chemicals should be carefully selected and applied following all label instructions to prevent injury to plants and humans. Chemicals also can cause problems when they contaminate soil, water or air.
The term eradication may be misused because it has several meanings, including “to pull up by the roots, uproot, remove or destroy entirely.” The word has roots in the Latin verb eradicare, which means to “uproot, exterminate, eliminate,” and its English descendants include radical and radish.
In the context of pest control, eradication is defined as “to reduce to zero the worldwide incidences of a specific disease.” This can be accomplished by eliminating the parasite that causes guinea worm (Dracunculiasis) and by ensuring that all populations receive adequate vaccination against the virus that causes yellow fever.
Many factors can prevent the achievement of eradication goals, such as resistance to the drugs that are used to control a disease (as occurred with yellow fever), civil unrest or political problems that interfere with the delivery of vaccines and/or the destruction of the hosts (as with poliomyelitis), or reintroduction of the organism from an unforeseen reservoir or reversion of the vaccine strain (as is currently feared in the case of guinea worm). Despite these obstacles, a number of successful eradication programs exist.
Testosterone Replacement Therapy
Trt San Diego is an ongoing treatment that replenishes testosterone levels to relieve low-T symptoms. Testosterone can be delivered through a skin patch, gels, orally disintegrating tablets, injections or implants under the skin.
Men with low-T can experience improved energy, sex drive and mood. Talk to your doctor if you think you have low-T.
Testosterone is a hormone that’s present in higher amounts in men than women. It helps initiate the development of male internal and external reproductive organs during fetal life, enhances male libido, stimulates sperm production in adulthood, and increases muscle mass and bone density in men. It also boosts mood and energy levels in both men and women. It improves skeletal muscle growth, stimulates protein synthesis and erythropoiesis in the blood, and it has some positive effects on cardiovascular risk factors in adults.
Testosterone deficiency is often called hypogonadism and may be caused by loss of or harm to the testicles, certain genetic mutations, mumps, head trauma, severe injury, cancer chemotherapy or radiation, some medications and some chronic illnesses. It’s also more common in overweight people and those with diabetes.
Using testosterone to boost low levels can increase muscle bulk, decrease fat and body hair, boost libido, and enhance the ability to concentrate and remember things. It can also help with depression, low energy and irritability, but results vary from person to person. It can be delivered in the form of injections (short-acting), gels or liquids that are rubbed into the skin, and patches or tablets that are placed on the gums. During TRT, testosterone levels will fluctuate, peaking right after an injection and dropping to the lowest level before the next injection. Injections are the most common method of delivering testosterone.
Testosterone can be delivered through gels, injections, patches and pellets. Our physicians can recommend the best treatment option for you based on your symptoms and preferences.
Testosterone is the male sex hormone and is produced primarily in the testicles (although some is also made in the adrenal glands). Women produce testosterone as well but at much lower levels. Testosterone therapy can help treat symptoms of low testosterone, including sexual dysfunction in men and hot flashes in women.
Some forms of TRT involve injecting a small amount of Testosterone directly into large muscles, usually in the buttocks or thigh. We can teach you how to self-inject or we can do this for you. Injections are typically given on a weekly basis to maintain a steady level of testosterone in your body.
The most popular form of TRT involves the use of a transdermal patch that delivers a small dose of Testosterone. We carry the most commonly used brand of this product, Androderm. The patches are easily applied to the skin each day and can be worn with a shirt or pants. The patch allows you to swim, exercise and shower with ease while delivering a steady dose of the hormone.
Oral Testosterone is a newer option for some patients. New oral formulations such as Kyzatrex, Jatenzo and Tlando are not associated with liver toxicity. Intranasal gel (Natesto) is another newer form of Testosterone that can be administered three times a day into the nose.
Testosterone Replacement Therapy can improve symptoms for men who suffer from hypogonadism (problems with the testicles or pituitary gland that controls the testicles). The treatment is available in the form of gels, injections, patches and pellet implants. AHN physicians are trained to evaluate and customize TRT treatments to address individual patients’ needs.
Most people who use TRT notice positive changes in their mood and energy levels within weeks of beginning treatment. Some also experience a boost in muscle mass and libido. The time it takes to see results will vary based on the type of testosterone preparation used. AHN doctors primarily prescribe longer-acting esters such as testosterone propionate and testosterone cypionate that take longer to build up to a therapeutic level in the bloodstream.
It’s important to note that TRT is a lifelong treatment. It’s not a cure for low testosterone and it isn’t intended to be used by men with normal hormone levels. However, in many cases restoring low testosterone levels with the right dose can significantly improve the quality of life and prevent disease.
TRT is not recommended for men who have a history of prostate cancer or any pre-existing conditions that may worsen after taking the medication. TRT can also exacerbate problems with benign prostatic hyperplasia, polycythemia or sleep apnea in some men. Those who are planning to have children should also avoid TRT, as the drug can decrease sperm count and fertility.
Testosterone levels decrease due to aging, and low testosterone can affect a person’s mood, energy level, muscle mass, bone density, facial and body hair, and libido. TRT can help to improve these symptoms and can produce positive psychological effects such as improved self-esteem and increased motivation.
Some people who take testosterone notice a boost in their sexual desire, and some experience more body hair growth or loss. Others may notice a loss of fat, increased muscle mass and bone density, and increased energy. Some individuals also note improved alertness and better memory.
A few studies have linked long-term use of testosterone therapy to an increased risk of heart problems. The FDA has a warning label for this. However, new research suggests that these risks are overstated. This latest study followed 5,198 men who applied a testosterone gel or placebo to their arms daily for nearly two years. Researchers compared the participants to similar men who didn’t use testosterone replacement therapy.
The results of the TRAVERSE study suggest that testosterone is not associated with an increased heart attack, stroke or death — despite the fact that the participants all had three or more risk factors for cardiovascular problems, including high blood pressure, Type 2 diabetes, abnormal levels of fat in the blood and smoking history. However, large clinical trials are still needed to confirm these findings. In the meantime, it’s important to discuss any concerns with your doctor before starting any hormone therapy. Also, it’s important to tell your health care provider about all the medicines, herbs, non-prescription and dietary supplements you’re taking.
Testosterone replacement therapy does not increase a man’s risk for heart problems, such as irregular heartbeat and blood clots in the legs or lungs, but it does have some risks. These risks must be weighed in the context of the overall quality of life benefits that the treatment provides to an individual who has hypogonadism, says a cardiologist and endocrinologist at Emory University School of Medicine in Atlanta.
AHN physicians offer hormone therapy in the form of gels, injections, patches or pellet implants that help men restore normal levels of testosterone to improve energy, mood, muscle mass and libido. These treatments also may help with infertility issues caused by low testosterone, and the effects are often reversible. However, some changes may not be reversible, such as facial hair growth (andropause), voice changes and male-pattern baldness.
Besides these sexual changes, patients might experience bloating or pelvic pain and a return of menstrual bleeding, since excessive testosterone is converted to estrogen in the body. In addition, if an estrogen blocking medication is not used in combination with testosterone, excess levels of the hormone can cause symptoms such as mood symptoms or irritability and swollen breasts (gynecomastia). These side effects are not reversible, but can be managed by taking smaller doses of the drug or by switching to another type of hormone therapy. A person’s AHN physician can recommend the best treatment for them.
Testosterone replacement therapy has been shown to increase muscle mass and strength, reduce fat mass, improve bone mineral density, raise HDL (good) cholesterol and boost libido. It can also lead to a more positive mood and increased energy. The AHN team will work with you to determine the most effective method of reintroducing testosterone into your body. This can include gels, injections or pellet implants. We will monitor your progress regularly and make adjustments as needed to ensure the best possible outcome.
The most common side effects of TRT are acne, changes in hair growth and color and an enlarged prostate. Depending on the cause of low testosterone, other side effects may be present, such as elevated blood sugar levels and an increased risk of heart problems, including stroke and heart attacks.
Some of the benefits of TRT, such as muscle mass, sex drive and emotional well-being are reversible once the hormone is discontinued. However, some of the longer term effects, like clitoral enlargement, changes in facial hair growth and voice and male-pattern baldness, are not reversible once they have started.
There is limited evidence about the long-term effects of TRT. In the few trials that reported cardiovascular outcomes, results were mixed. The pooled risks for death, myocardial infarction or stroke were not significantly different between testosterone and placebo groups, although most trials excluded men at higher risk of these events.