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Questions and Answers Segment

Your questions answered every 2 weeks. If you have a question for Dr Elstein, click here.


QUESTION 1: I had treated a patient with testosterone two months ago.  Now he has an increase in libido but he has still a decrease in strength and endurance.   How can we help him to improve his endurance?

Answer:  I suggest you evaluate all this patients hormones including growth hormone, thyroid hormone and oestrogen as he may be converting the testosterone you are giving him to oestrogen especially if he is overweight.  You also need to evaluate his nutrient status with special emphasis on his amino acid levels, as these are needed to provide for muscle strength and endurance.


QUESTION 2: I attended the Anti Aging Medicine Conference in Kuala Lumpur in May 2004 having practised most of the principles on my family and myself.  I am being employed by Midwest Murchison in West Australia from Feb 2005 as a Primary Health Nurse Practitioner (South African Qualifications) or Community Nurse in Australia and they have seen the application of healthy aging in my own life and wish me to run with a program towards healthy aging within the community.  I would like to know if you offer any recognized courses on behalf of the society, which I should undertake to complete in order to better equip myself for the work ahead?

Answer:  I don’t offer any courses but the book ‘Eternal health’ which is described on this site has some useful educational material.  Swinburne University in Melbourne is offering postgraduate courses in anti-aging medicine and then there is the American Academy of Anti-aging medicine at www.worldhealth.net who provide ongoing education.


QUESTION 3:  Concerning Peyronie’s disease, although I am a healthy family physician with no unhealthy habits and 24 years of marriage I have suddenly developed painful plaque! Not resolving now with vitamin E and NSAIDs for 3 months. Urologists say there is no good treatment. I have no desire to ever have surgery.  Much research has led me to want to try the verapamil cream.  I have no one here in the states who seems to have heard of it, not docs or pharmacists. If I can get a compounding pharmacist to make it for me how is it prepared and dosed?

Answer:  Peyronie’s disease is associated with curvature of the penis.  I suggest you contact the pharmacist in Sydney, Australia who does the compounding of verapamil for me.  The contact number is 2-95247131 preceded by the international code with Bob and Marina being the contact pharmacists.  Bear in mind that in Australia we are +-15 hours ahead of the USA.  Other treatments that you might want to explore include the nutrient acetyl-L-carnitine, which has been shown in a clinical trial to reduce pain and inhibit disease progression as well as topical testosterone and dihydrotestosterone applied to the tissue that is resulting in the curvature.   Colchicine used to treat gout is another nutrient that used together with vitamin E has been demonstrated to have a benefit.


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