You need to find a new doctor fast, this statement indicates he is old school in his thinking, these flawed studies about prostate cancer and heart attacks were based off old men placed on TRT who were already compromised and had heart trouble do to being low testosterone for decades.
Prostate cancer is an old man’s disease and if you have the gene, you will get prostate cancer as it’s genetic. Prostate cancer is more associated with older men and not younger men, older men have lower levels of testosterone. When was the last time you heard of a young man with high testosterone with prostate cancer?
The likelihood of you finding a knowledgeable TRT doctor inside insurance is low to non-existent. You are missing important testing, no thyroid hormones were even checked.
Testosterone Therapy in Men With Prostate Cancer
The use of testosterone therapy in men with prostate cancer was previously contraindicated, although recent data challenge this axiom. Over the past 2 decades, there has been a dramatic paradigm shift in beliefs, attitude, and treatment of testosterone deficiency in men with prostate cancer.
Testosterone Replacement Therapy and Prostate Cancer Incidence
While early studies demonstrated a positive association between testosterone and prostate cancer, evidence on the nature of the relationship has evolved with time and newer data. Studies examining links between baseline testosterone levels as well as testosterone therapy and incident prostate cancer, reveal a more complex relationship. Moreover, investigators have reported their initial experiences with supplementing testosterone in men with a history of both treated and untreated prostate cancer.
Testosterone (T) has a number of important effects on the cardiovascular system. In men, T levels begin to decrease after age 40, and this decrease has been associated with an increase in all-cause mortality and cardiovascular (CV) risk. Low T levels in men may increase their risk of developing coronary artery disease (CAD), metabolic syndrome, and type 2 diabetes. Reduced T levels in men with congestive heart failure (CHF) portends a poor prognosis and is associated with increased mortality. Studies have reported a reduced CV risk with higher endogenous T concentration, improvement of known CV risk factors with T therapy, and reduced mortality in T-deficient men who underwent T replacement therapy versus untreated men. Testosterone replacement therapy (TRT) has been shown to improve myocardial ischemia in men with CAD, improve exercise capacity in patients with CHF, and improve serum glucose levels, HbA1c, and insulin resistance in men with diabetes and prediabetes. There are no large long-term, placebo-controlled, randomized clinical trials to provide definitive conclusions about TRT and CV risk. However, there currently is no credible evidence that T therapy increases CV risk and substantial evidence that it does not. In fact, existing data suggests that T therapy may offer CV benefits to men.
I can throw studies at you all day showing the opposite of what your doctor is stating, I assure you he will be unable to provide any studies showing TRT causes prostate cancer or heart attacks. These have been debunked.
Excellent question, testosterone has been on the decline for the last several decades across the globe, our father fathers had higher testosterone and each new generation of men are seeing testosterone and sperm production on the decline.
We live in a toxic environment, cars expel poisonous noxious gases, we eat processed foods and foods with little nutrients. We are killing ourselves slowly.
Your SHBG is very low and concerning, low SHBG men can struggle on TRT. Testosterone and estrogen bind to SHBG and since you don’t have that much of it, most of your hormones will be free and bioavailable. That means Free T and Free E2 will be high and difficult to control if you shoot for high normal levels.
You body fat percentage and low SHBG will ensure estrogen side effects, T is very low and estrogen is already in a good range which will change once you begin TRT.
TRT will lower SHBG so I suggest you inject EOD or daily to avoid unnecessary estrogen sides in the form of Free E2, daily has a better chance of you succeeding. Sometimes low SHBG is genetic and other times can be explained by low thyroid hormones, fT3 and or high rT3.
Everything you want to know about low SHBG is in this thread/video.