Hormonal balance in men after 30: comprehensive analysis
Section 1: Fundamentals of the male endocrine system
The male endocrine system is a complex network of glands producing hormones that regulate a wide range of physiological processes, ranging from growth and development to reproductive function and mood. The key components of this system include hypothalamus, pituitary gland, thyroid gland, adrenal glands and, of course, testicles. Understanding the interaction of these components is necessary for understanding the hormonal balance and its changes with age.
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Hypothalamus: Acts as a central regulator of the endocrine system. He distinguishes hormones that control the pituitary gland, thereby influencing the entire hormonal activity of the body. Gonadotropin-rilying-hormone (GNRG) distinguished by a hypothalamus is critical for stimulating the production of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) with a pituitary gland.
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Hyphydics: This gland, located at the base of the brain, is often called the “main gland” due to its effect on other endocrine glands. LH, secreted by the pituitary gland, stimulates the cells of Leydig in the testicles to the production of testosterone. FSG, in turn, supports spermatogenesis (sperm production) in the seeds of testicles. The pituitary gland also produces other hormones, such as growth hormone (GR), which is important for growth and metabolism, although its effect on hormonal balance after 30 is mainly associated with its indirect effect on the general state of health.
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Testicles: The main function of the testicles is the production of testosterone and sperm. Testosterone is the main male sex hormone, which is responsible for the development of secondary sexual characteristics (deepening the voice, hair growth on the body), muscle mass, bone density, libido and overall well -being. The production of testosterone is reduced with age, which leads to changes in hormonal balance.
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Thyroid gland: It produces hormones of the thyroid gland (T3 and T4), which regulate metabolism. Disorders of the thyroid gland, such as hypothyroidism (insufficient thyroid activity), can affect the level of testosterone and general health. The level of thyroid hormones should be maintained in the optimal range for maintaining a healthy hormonal balance.
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Adrenal glands: Produce cortisol (stress hormone), aldosterone (regulates blood pressure) and a small amount of sex hormones, including dehydrepiapianrogosterone (DGEA). DGEA is the predecessor of testosterone and estrogen, and its level decreases with age. Chronic stress can lead to adrenal dysfunction and impaired hormone production, which, in turn, can affect the level of testosterone.
Section 2: Testosterone: a key player and his role
Testosterone plays a decisive role in male health. It affects not only sexual function, but also many other aspects, such as:
- Development and maintenance of muscle mass and strength: Testosterone stimulates protein synthesis, which leads to an increase in muscle mass and strength. A decrease in testosterone levels can lead to a loss of muscle mass (sarcopenia) and weakness.
- Bone density: Testosterone helps maintain bone density. The low level of testosterone can increase the risk of osteoporosis and fractures.
- Energy and endurance: Testosterone affects the level of energy and endurance. The low level of testosterone can lead to fatigue and a decrease in motivation.
- Libido and sexual function: Testosterone plays a key role in the regulation of libido and sexual function. The low level of testosterone can lead to a decrease in libido, erectile dysfunction and infertility.
- Mood and cognitive functions: Testosterone affects mood and cognitive functions. The low level of testosterone can lead to depression, irritability and problems with concentration.
- Production of red blood cells: Testosterone stimulates the production of erythropoetin, hormone, which contributes to the production of red blood cells. The low level of testosterone can lead to anemia.
- Fat distribution: Testosterone affects the distribution of fat in the body. The low level of testosterone can lead to an increase in fat mass, especially in the abdomen.
Section 3: Age changes: a decrease in testosterone and its consequences
With age, after about 30 years, most men have a gradual decrease in testosterone levels by about 1-2% per year. This condition is known as age -related hypogonadism or “male menopause” (although this term is not entirely correct, since the changes occur gradually and not as sharply as in women). The degree of decrease in testosterone levels varies from man to man and depends on many factors, including genetics, lifestyle and general health.
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Testosterone reduction mechanisms: A decrease in testosterone levels is associated with a decrease in the functionality of Lydig’s cells in the testicles that are responsible for the production of testosterone. In addition, with age, the sensitivity of the pituitary gland to GNRG may decrease, which leads to a decrease in LH production and, therefore, to a decrease in the stimulation of the testicles. An increase in the level of globulin connecting sex hormones (GSPG) also plays a role, since the GSPG binds testosterone, making it less accessible to fabrics.
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Symptoms of low testosterone (hypogonadism): Symptoms can be different and include:
- Decrease in libido (sexual attraction).
- Erectile dysfunction.
- Reducing muscle mass and strength.
- Increase fat mass (especially in the abdomen).
- Fatigue and decrease in energy level.
- Depression, irritability and mood swings.
- Problems with concentration and memory.
- Breast enlargement (gynecomastia).
- Loss of hair on the body.
- Reduced bone density (osteoporosis).
- Reducing the size of the testicles.
- Infertility.
- Sleep disorders.
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Diagnosis of hypogonadism: The diagnosis of hypogonadism is made on the basis of clinical symptoms and the results of blood tests for testosterone levels. It is important to measure the level of general testosterone and free testosterone (part of testosterone, which is not associated with GSPG and biologically active). It may also be necessary to measure the level of LH, FSH, prolactin and other hormones to identify the cause of hypogonadism. The analysis should be carried out in the morning when the level of testosterone is usually the highest. It is necessary to repeat the analysis several times to confirm the diagnosis.
Section 4: Other hormonal changes after 30
In addition to reducing testosterone levels, after 30 years, men also have other hormonal changes that can affect the general health and well -being.
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DHEA (Dehidroepandrostrostone): The level of DGEA, the hormone produced by the adrenal glands decreases with age. DGEA is the predecessor of sex hormones, including testosterone and estrogen. A decrease in the level of DGEA can contribute to fatigue, a decrease in libido and other age -related changes.
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Melatonin: The level of melatonin, hormone regulating sleep also decreases with age. This can lead to sleep disturbances, such as insomnia.
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Cortisol: Although the level of cortisol does not necessarily decrease with age, chronic stress can lead to a violation of the regulation of cortisol and its increased level, which can negatively affect the hormonal balance, including a decrease in testosterone levels.
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Growth hormone (GR): The level of gr is also reduced with age, which can contribute to the loss of muscle mass, an increase in fat mass and a decrease in energy.
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Insulin: With age, the risk of developing insulin resistance, a condition in which the body cells become less sensitive to insulin increases. This can lead to an increase in blood sugar and an increase in the risk of type 2 diabetes. Insulin resistance can also affect testosterone levels.
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Estrogen: Although estrogen is a female sex hormone, it is also present in men in small quantities. With age, the ratio of testosterone and estrogen may change, which can lead to symptoms such as gynecomastia (breast augmentation).
Section 5: Factors affecting the hormonal balance
After 30 years, many factors affect the hormonal balance of men, including:
- Age: The main factor affecting the level of testosterone.
- Genetics: A genetic predisposition can affect the level of testosterone and the speed of its decrease with age.
- Life: The lifestyle plays an important role in maintaining the hormonal balance. Improper nutrition, lack of physical activity, smoking, alcohol abuse and chronic stress can negatively affect testosterone levels.
- Nutrition: Proper nutrition, rich in protein, healthy fats and trace elements, is necessary to maintain hormonal balance. The lack of zinc, magnesium, vitamin D and other nutrients can negatively affect testosterone levels.
- Physical activity: Regular physical exercises, especially strength training, contribute to increasing testosterone levels.
- Dream: A sufficient sleep (7-8 hours a day) is important to maintain hormonal balance. The lack of sleep can lead to a decrease in testosterone level and increase the level of cortisol.
- Stress: Chronic stress can lead to an increase in the level of cortisol and a decrease in testosterone levels.
- Environment: The effect of certain chemicals, such as endocrine destroyers, can negatively affect hormonal balance.
- Medical conditions: Some medical conditions, such as obesity, type 2 diabetes, chronic diseases and taking certain drugs, can affect the level of testosterone.
Section 6: Strategies for maintaining hormonal balance
Although a decrease in testosterone levels with age is a natural process, there are strategies that will help maintain hormonal balance and minimize negative consequences.
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Proper nutrition:
- Increased protein consumption: Protein is necessary for the construction and restoration of muscle tissue, as well as for the production of hormones. It is recommended to consume 1.6-2.2 grams of protein per kilogram of body weight per day. Sources of protein: meat, fish, eggs, dairy products, legumes, nuts and seeds.
- Consumption of healthy fats: Healthy fats, such as mononensaturated and polyunsaturated fats, are necessary for the production of hormones. Sources of healthy fats: avocado, olive oil, nuts, seeds, fatty fish (salmon, tuna, sardines).
- Limiting sugar consumption and processed products: Sugar and treated products can lead to an increase in blood sugar and insulin resistance, which can negatively affect testosterone levels.
- Consumption of a sufficient amount of trace elements: Important trace elements to maintain hormonal balance: zinc, magnesium, vitamin D, vitamin K2, selenium. Zinc is contained in meat, seafood, nuts and seeds. Magnesium is found in green leafy vegetables, nuts and seeds. Vitamin D is produced in the skin under the influence of sunlight and is contained in oily fish and egg yolks. Vitamin K2 is contained in fermented products, such as NATTO and cheese. Selenium is found in Brazilian nuts, seafood and meat.
- Maintaining a healthy weight: Obesity can lead to a decrease in testosterone levels. Maintaining a healthy weight with proper nutrition and physical activity helps to maintain hormonal balance.
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Physical activity:
- Power training: Power training helps to increase testosterone levels and increase muscle mass. It is recommended to engage in strength training 2-3 times a week, studying all the main muscle groups.
- Cardiocation: Cardio training (running, swimming, cycling) help to maintain healthy weight and improve the general health. It is recommended to engage in cardio training 150 minutes a week of moderate intensity or 75 minutes a week of high intensity.
- High -intensity interval training (VITS): Vit is short periods of intense exercises alternating with periods of rest. VIIT can be effective for increasing testosterone levels and improving metabolism.
- Avoiding overtraining: Crossing can lead to an increase in the level of cortisol and a decrease in testosterone levels. It is important to give the body enough time to restore after training.
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Stress management:
- Relaxation practices: Relaxation practices, such as meditation, yoga and tai-chi, help reduce stress and improve hormonal balance.
- Sufficient sleep: A sufficient sleep (7-8 hours a day) is important to maintain hormonal balance and reduce the level of cortisol.
- Conducting time in nature: Conducting time in nature helps to reduce stress and improve mood.
- Social support: Communication with friends and family helps to reduce stress and improve overall well -being.
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Healthy sleep:
- Regular sleep mode: Try to go to bed and wake up at the same time every day, even on weekends.
- Dark, quiet and cool room: Provide the darkness, silence and cool in the bedroom.
- Avoid the use of caffeine and alcohol before bedtime: Caffeine and alcohol can disrupt sleep.
- Limit the use of electronic devices before bedtime: Blue light from the screens of electronic devices can suppress the production of melatonin.
- Relaxing rituals before bedtime: Take a warm bath, read the book or listen to relaxing music before going to bed.
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Minimization of the effects of endocrine destroyers:
- Avoid the use of plastic dishes and containers for food storage: Use glass or ceramic dishes and containers.
- Avoid the use of cosmetics and personal hygiene products containing phthalates and parabens: Choose natural and organic products.
- Filter water: Filter water to remove harmful chemicals from it.
- Wash fruits and vegetables: Wash fruits and vegetables to remove pesticides from their surface.
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Regular medical examinations:
- Regular blood tests: Pass the blood tests for testosterone levels and other hormones to control the hormonal balance and identify any deviations.
- Consultations with a doctor: Consult a doctor regularly to discuss any symptoms associated with a low level of testosterone, and get recommendations for maintaining hormonal balance.
Section 7: Treatment of hypogonadism (low testosterone)
If a change in lifestyle does not help increase the level of testosterone, the doctor may prescribe replacement therapy with testosterone (ZTT). ZTT can help alleviate the symptoms of hypogonadism, such as a decrease in libido, erectile dysfunction, a decrease in muscle mass, fatigue and depression.
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Forms Ztt:
- Testosterone injections: Testosterone injections are the most common form of ZTT. Injections are usually done once every 1-2 weeks.
- Transdermal gels and plasters: Transdermal gels and plasters are applied to the skin daily.
- Testosterone tablets: Testosterone tablets are taken orally. However, testosterone tablets can be less effective than other forms of ZTT, and can have a negative effect on the liver.
- Bookcar tablets of testosterone: Building tablets of testosterone are placed between the gum and cheek and dissolve during the day.
- Subcutaneous testosterone implants: The subcutaneous implants of testosterone are inserted under the skin and gradually release testosterone for several months.
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Side effects ZTT: ZTT can cause side effects, such as:
- Breast enlargement (gynecomastia).
- Acne.
- Liquid delay.
- Reducing the size of the testicles.
- Reducing sperm production.
- Increasing the risk of developing prostate cancer.
- Improving cholesterol levels.
- Apnee in a dream.
- Increasing aggressiveness.
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Contraindications to ZTT: ZTT is contraindicated in the prostate cancer, breast cancer, severe apnea in a dream, uncontrolled heart failure and polycythemia (an increased level of red blood cells).
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Monitoring during ZTT: During ZTT, it is necessary to regularly monitor the level of testosterone, prostatspecific antigen (PSA), hematocrit and cholesterol.
Section 8: Alternative methods for maintaining hormonal balance
Some men prefer to use alternative methods to maintain hormonal balance, such as:
- Plant additives: Some plant additives, such as Tertrris, Ashvaganda and Cencetian tribulus, can help increase testosterone levels. However, the effectiveness of these additives is not scientifically proven, and they can cause side effects.
- Acupuncture: Acupuncture can help reduce stress and improve hormonal balance.
- Homeopathy: Homeopathy is a system of alternative medicine, based on the principle of “similarity”. Some homeopathic drugs can be used to treat symptoms of hypogonadism. However, the effectiveness of homeopathy is not scientifically proven.
It is important to remember that before using any alternative methods, you need to consult a doctor.
Section 9: Psychological aspects of hormonal imbalance
Hormonal imbalance can have a significant impact on the mental health of a man. A decrease in testosterone levels is often associated with:
- Depression: A decrease in testosterone levels can contribute to the development of depressive symptoms, including a feeling of sadness, loss of interest in activity, fatigue and sleep disturbance.
- Anxiety: An unstable hormonal background can provoke increased anxiety, nervousness and irritability.
- Cognitive disorders: The low level of testosterone can affect cognitive functions, leading to memory problems, concentration and decision -making.
- Reducing self -esteem: Physical changes caused by hormonal imbalance, such as the loss of muscle mass and an increase in fat mass, can negatively affect self -esteem and self -confidence.
- Relationships problems: Libido decrease and erectile dysfunction can lead to problems in sexual relations, and mood swings and irritability can complicate communication with a partner.
In such cases, it is important to seek help from a psychologist or psychotherapist. Psychotherapy can help cope with emotional problems, increase self -esteem and improve the quality of life.
Section 10: Modern research in the field of hormonal health of men
Modern studies in the field of hormonal health of men are aimed at:
- Development of new methods of diagnosis and treatment of hypogonadism. New biomarkers are studied, which allow more accurately diagnosing hypogonadism in the early stages. New forms of ZTT are also developed with fewer side effects.
- Studying the influence of lifestyle on a hormonal balance. Studies show that proper nutrition, physical activity, sufficient sleep and stress can have a significant impact on testosterone levels and the general health of men.
- The study of the influence of endocrine destroyers on hormonal balance. Studies show that the effects of certain chemicals, such as phthalates and parabens, can negatively affect testosterone levels and other hormones.
- The study of the role of hormones in the development of various diseases. Studies show that hormonal imbalance can play a role in the development of diseases such as cardiovascular diseases, type 2 diabetes, osteoporosis and prostate cancer.
- Development of personalized approaches to the treatment of hormonal disorders. Modern research is aimed at developing individual treatment plans that take into account genetic characteristics, lifestyle and general health of each man.
Section 11: Myths and errors about testosterone
There are many myths and misconceptions about testosterone, which can lead to wrong ideas about male health.
- Myth: A high level of testosterone makes a man aggressive and prone to violence. Scientific research does not confirm this relationship. Aggressiveness and violence depend on many factors, including genetics, education, social environment and mental state.
- Myth: Testosterone is a “hormone of youth” and can stop aging. Testosterone plays an important role in male health, but is not a panacea from aging. Antition is a complex process depending on many factors.
- Myth: Ztt is dangerous and causes prostate cancer. ZTT can increase the risk of developing prostate cancer in men who already have a predisposition to this disease. However, regular monitoring of the PSA level and consultation with a doctor help to timely detect and treat prostate cancer.
- Myth: All men with a low level of testosterone need ZTT. ZTT is prescribed only to those men who have clinical symptoms of hypogonadism and the low level of testosterone, confirmed by blood tests.
- Myth: Plant additives are a safe and effective alternative to ZTT. The effectiveness of most plant additives is not scientifically proven, and they can cause side effects. Before using any plant additives, you need to consult a doctor.
Section 12: Hormonal balance and fertility
Hormonal balance plays a critical role in male fertility. Testosterone is necessary for spermatogenesis, the process of sperm production in the testicles. FSG also plays an important role in this process, stimulating the cells of the Sertoli, which support the development of spermatozoa.
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The effect of hormonal imbalance on fertility:
- Low level of testosterone: It can lead to a decrease in the quantity and quality of sperm.
- High level of prolactin: Prolactin can suppress the production of GNRG, LH and FSH, which can lead to a decrease in testosterone levels and impaired spermatogenesis.
- Thyroid function disorders: Hypothyroidism or hyperthyroidism can affect the level of testosterone and fertility.
- Estrogen imbalance: An increase in the level of estrogen in relation to testosterone can negatively affect spermatogenesis.
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Diagnostics and treatment:
- Sperm analysis: The main method of assessing male fertility.
- Blood tests for hormones: Measurement of the level of testosterone, FSH, LH, prolactin, estradiol and thyroid hormones.
- Treatment: Treatment of hormonal imbalance may include ZTT, drugs for reducing prolactin levels, thyroid hormones or drugs for normalizing estrogen levels. In some cases, surgical intervention may be required.
Section 13: Hormonal balance and prostate diseases
Testosterone plays an important role in the development and functioning of the prostate gland. However, the relationship between the level of testosterone and diseases of the prostate gland, such as benign prostate hyperplasia (DHCH) and prostate cancer, is complex and not fully studied.
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DGPG: DGPZH is an increase in the prostate gland, which can lead to urination problems. It is believed that dihydrotestosterone (DGT), the form of testosterone, is the main factor that contributes to the development of DGPZH.
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Prostate cancer: Prostate cancer is one of the most common types of cancer in men. ZTT can increase the risk of developing prostate cancer in men who already have a predisposition to this disease. However, regular monitoring of the PSA level and consultation with a doctor help to timely detect and treat prostate cancer.
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Prevention and treatment:
- Regular examinations with the urologist: Including a finger rectal examination and a blood test for a dog.
- Preparations for the treatment of DGPZH: 5-alpha reductase inhibitors (reduce the level of DGT) and alpha blockers (relax the muscles of the prostate gland and bladder).
- Treatment of prostate cancer: Surgical intervention, radiation therapy, hormonal therapy and chemotherapy.
Section 14: Food for hormonal health: detailed review
Proper nutrition is the cornerstone of maintaining hormonal balance. Here is a more detailed overview of nutrients and products that can contribute to a healthy hormonal profile:
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Squirrels:
- Meaning: Proteins contain amino acids necessary for the synthesis of hormones, including testosterone. They also help maintain muscle mass, which indirectly affects the hormonal balance.
- Sources: Low -fat meat (chicken, turkey, beef), fish (salmon, tuna, sardines), eggs, legumes (beans, lentils, peas), tofu, pace, nuts and seeds.
- Recommendations: Strive for 1.6-2.2 grams of protein per kilogram of body weight per day, depending on the level of physical activity.
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Fat:
- Meaning: Fat, especially cholesterol, are necessary for the synthesis of steroid hormones, such as testosterone. It is important to use healthy fats, avoiding trans fats and an excess of saturated fats.
- Sources: Avocado, olive oil, nuts (almonds, walnuts, cashews), seeds (chia, linen, pumpkin), fatty fish (salmon, tuna, sardines), coconut oil (in moderate quantities).
- Recommendations: Include various sources of healthy fats in your diet and limit the consumption of trans fats and saturated fats.
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Carbohydrates:
- Meaning: Carbohydrates are the main source of energy for the body. It is important to choose complex carbohydrates that are slowly absorbed and do not cause sharp jumps in blood sugar.
- Sources: Whole grain products (brown rice, cinema, oats, whole grain bread), vegetables (broccoli, spinach, carrots, sweet potatoes), fruits (berries, apples, bananas).
- Recommendations: Focus on complex carbohydrates and limit the consumption of simple carbohydrates, such as sugar and processed products.
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Vitamins and minerals:
- Zinc: It is necessary for the production of testosterone and maintaining spermatogenesis. Sources: meat, seafood, nuts, seeds.
- Magnesium: Participates in many enzymatic reactions, including hormone synthesis. Sources: green leafy vegetables, nuts, seeds.
- Vitamin D: He plays a role in the production of testosterone and maintaining bones. Sources: oily fish, egg yolks, sunlight.
- Vitamin K2: It is important for the health of bones and can play a role in the regulation of testosterone levels. Sources: fermented products (NATTO, sauerkraut), cheese.
- Selenium: An antioxidant that can protect the testicles from damage and support spermatogenesis. Sources: Brazilian nuts, seafood, meat.
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Products that should be limited or avoided:
- Sugar and processed products: They can lead to an increase in blood sugar and insulin resistance, which can negatively affect testosterone levels.
- Transjir’s: Hormonal balance is harmful to health.
- Alcohol: Alcohol abuse can lead to a decrease in testosterone levels.
- Soy products (in large quantities): Soya contains phytoestrogens that can have a weak estrogenic effect.
Section 15: Hormonal balance and physical exercises: in -depth analysis
Exercise is a powerful tool for maintaining hormonal balance, especially after 30 years. However, the type, intensity and frequency of training play an important role.
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Power training:
- Advantages: Power training, especially using large weights and multi -sustaining exercises (squats, deadlift, bench press), stimulate the production of testosterone and growth hormone.
- Recommendations: Take strength training 2-3 times a week, working on all the main muscle groups.
- Mechanism: Strength training create microsyas of muscle fibers, which stimulate the release of testosterone and growth hormone for restoration and growth of muscles.
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High -intensity interval training (VITS):
- Advantages: VIIT can be effective for increasing testosterone levels and improving metabolism.
- Recommendations: Turn on your training in your training program 1-2 times a week.
- Mechanism: VITs cause significant stress for