Testosterone and Prostate Cancer - Setting the Record Straight

The Old Theory vs. New Evidence

TestosteroneFor decades, medical professionals believed that testosterone fueled prostate cancer growth. This idea came from research in the 1940's showing that reducing testosterone helped treat advanced prostate cancer. This led to the widespread belief that testosterone therapy might increase cancer risk.

Recent studies and FDA reviews have revealed something surprising: this long-held belief was incorrect. Testosterone does not appear to cause prostate cancer or make it worse in most men.

What Testosterone Actually Does

Testosterone is a vital hormone that supports male development and function. It helps maintain muscle mass, bone density, energy levels, and sexual function. As men age, testosterone levels naturally decline, which can affect quality of life.

The conversion of testosterone to dihydrotestosterone (DHT) in the prostate is normal and necessary for prostate health. This process doesn't cause cancer in healthy men as previously thought.

Updated Understanding

Current research shows a complete reversal of our previous understanding. Low testosterone levels might actually be linked to more aggressive prostate cancers, contrary to what was believed for decades. Men with normal testosterone levels don't face increased risk of developing prostate cancer. The evidence now indicates that testosterone therapy doesn't appear to convert healthy cells into cancer cells.

Perhaps most surprisingly, many men with a history of prostate cancer can safely use testosterone therapy under proper monitoring. This represents a dramatic shift in medical thinking and opens doors for improved quality of life for many men who previously would have been denied treatment.

Who Can Benefit from Testosterone Therapy?

Many men experience symptoms of low testosterone without realizing there might be help available. You might benefit from testosterone therapy if you experience unusual fatigue that doesn't improve with rest. Decreased sex drive and erectile dysfunction are common signs that your testosterone levels might be low. Loss of muscle mass despite regular activity can also indicate hormonal changes.

Mood changes including depression and irritability sometimes stem from hormonal imbalances rather than purely psychological causes. Some men also report cognitive difficulties like brain fog or trouble concentrating. If these symptoms sound familiar, it's worth discussing testosterone testing with your doctor.

Getting Help

If you're experiencing symptoms of low testosterone, the first step is talking to your healthcare provider about testing your testosterone levels. Blood tests can determine if your levels fall below the normal range for your age. During your appointment, discuss your personal and family medical history to help your provider assess your individual risk factors.

Take time to consider the benefits testosterone therapy could bring to your quality of life. Many men report significant improvements in energy, mood, and sexual function after beginning appropriate treatment. If you do start therapy, regular monitoring is essential to ensure you're receiving the right dose and experiencing the expected benefits.

Safety Considerations

While testosterone therapy is safer than previously thought, it's not right for everyone. Men with active, untreated prostate cancer should still avoid testosterone therapy until their cancer is effectively treated. Your doctor will help determine if other health conditions might affect your eligibility for treatment.

Some research has suggested potential effects on heart health, though evidence remains mixed and inconclusive. Testosterone therapy can increase red blood cell production, potentially leading to blood thickness (polycythemia) in some men. Those with sleep apnea might experience worsening symptoms and should be monitored carefully. Your doctor should also review potential interactions with other medications you're taking.

The Bottom Line

The idea that testosterone therapy increases prostate cancer risk is outdated. For most men, appropriate testosterone therapy is safe and can significantly improve quality of life. Don't let old myths prevent you from seeking help if you're struggling with symptoms of low testosterone.

Talk to your healthcare provider about whether testosterone therapy is right for you. With proper testing and monitoring, you can make an informed decision based on current medical understanding, not outdated fears. Medical science evolves, and in this case, that evolution means many men who could benefit from testosterone therapy no longer need to avoid it due to unwarranted cancer concerns.


Understanding Resting Heart Rate (RHR) and Heart Rate Variability (HRV) Part II

Factors and Improvement

What Affects Your Numbers?

HrvYour RHR and HRV don't exist in a vacuum - they respond to countless factors in your daily life. Sleep quality plays a massive role in both metrics. A poor night's sleep can elevate your RHR and suppress your HRV, giving you a clear signal that your body might need extra recovery time.

Stress, whether physical or mental, leaves its mark on these numbers too. A challenging work week might show up as elevated RHR and reduced HRV, even before you consciously notice you're feeling stressed. This makes these metrics invaluable early warning systems for overtraining or life stress.

Your lifestyle choices matter tremendously. That evening glass of wine? It might temporarily raise your RHR and lower your HRV. Same goes for late-night meals, caffeine, and dehydration. Even room temperature can affect your readings, which is why it's important to measure under consistent conditions.

Making Improvements

Improving your numbers isn't about quick fixes - it's about consistent, healthy habits. Regular cardiovascular exercise is your best tool for lowering your RHR over time. Start where you are and gradually increase duration and intensity. Your heart will respond by becoming more efficient, needing fewer beats to pump the same amount of blood.

For HRV, the key is balance. While training hard is important, recovery is equally crucial. Think of your training like a conversation with your body - HRV helps you understand when your body is ready for intensity and when it needs rest.

Warning Signs and Common Myths -When to Be Concerned

Your heart's signals deserve attention, especially when they're out of the ordinary. A sudden increase in RHR of 10 or more beats per minute might indicate that something's not right. This could be as simple as the start of a cold, or it might signal overtraining. Context matters - what's happening in your life when you notice these changes?

Common Myths and Misconceptions

Let's clear up some common misunderstandings about RHR and HRV:

Myth 1: "Lower resting heart rate (RHR) is always better"

While athletes often have lower RHR, extremely low rates (below 40 bpm) without an athletic background could indicate a medical condition. There's no need to chase ever-lower numbers - focus on what's healthy for you.

Myth 2: "HRV should steadily increase with training"

Actually, HRV fluctuates naturally day to day. What matters is the long-term trend and understanding your personal patterns. Some days with lower HRV are completely normal and even necessary as part of the training process.

Myth 3: "You should never train when HRV is low"

While low HRV might suggest caution, context matters. Sometimes a lower HRV is just part of your normal fluctuation. The key is looking for significant drops from your baseline and considering how you feel overall.

Myth 4: "Heart rate monitors replace medical advice"

While these tools provide valuable insights, they don't replace professional medical care. Any concerning symptoms warrant a conversation with your healthcare provider, regardless of what your devices say.

Seek Medical Attention When Needed

Trust your instincts when it comes to your heart health. If you experience chest pain, unusual shortness of breath, dizziness, or fainting, don't wait for your heart rate monitor to confirm there's a problem - seek medical attention immediately. This is especially true if you notice a persistent irregular heartbeat or extreme fatigue with normal activities.

Conclusion

Your RHR and HRV are like your body's own feedback system, offering valuable insights into your health and fitness. While the numbers are important, they're just part of the picture. Use them as tools to understand your body better, guide your training decisions, and monitor your overall well-being.

Remember that everyone's baseline is different, and comparing your numbers to others' isn't helpful. Focus on your personal patterns and trends. Most importantly, listen to your body along with these numbers. When used wisely, this information can help you train smarter, recover better, and achieve your athletic goals while staying healthy.

Keep measuring, keep moving, and keep improving. Your heart will thank you for it.


Understanding Resting Heart Rate (RHR) and Heart Rate Variability (HRV) Part I

The Basics

Resting heart rateYour heart is like a finely tuned engine, constantly adjusting its performance to meet your body's needs. Whether you're pushing through a tough workout or sleeping peacefully, your heart provides crucial feedback about your overall health and fitness. Two key metrics stand out as particularly valuable for athletes: resting heart rate (RHR) and heart rate variability (HRV). Let's explore what these numbers mean and how they can help you optimize your training.

What's Your Heart Telling You?

Think of your RHR as your body's idle speed - it's the number of times your heart beats per minute when you're completely at rest. This number tells you a lot about your cardiovascular fitness and overall health. Generally, a lower RHR indicates better cardiovascular fitness, though there's quite a range of what's considered "normal."

HRV is a bit different and often misunderstood. Instead of counting the number of beats per minute, HRV measures the varying time intervals between each heartbeat. It might seem counterintuitive, but higher variability is actually better. When your heart can nimbly adjust its timing between beats, it shows your body is adaptable and ready to respond to whatever challenges come its way.

How to Take These Measurements

Getting accurate measurements is crucial for making these metrics useful. For RHR, timing is everything. The best readings come first thing in the morning, before you get out of bed. Your body should be completely relaxed, and you should be lying still for at least a few minutes before taking the measurement.

While you can count your pulse manually at your wrist or neck for 60 seconds, technology makes this much easier. Modern fitness trackers and smartwatches can do the work for you, providing consistent daily readings without any effort on your part.

HRV is a bit trickier to measure. You'll need specialized equipment since the time differences between beats are too small to count manually. Here's what works best:

  • Chest strap heart rate monitors (most accurate)
  • Modern smartwatches with HRV capability
  • Dedicated HRV tracking devices
  • Smartphone apps using your phone's camera

Know Your Numbers: Normal vs Athletic Ranges

Understanding what's normal for your age and fitness level helps you set realistic expectations and goals. Here's what the research shows for different age groups:

Resting Heart Rate (RHR) Ranges (beats per minute)

  1. Ages 30-40:
    1. Normal: 60-100
    2. Athletic: 40-60
  2. Ages 41-50:
    1. Normal: 60-100
    2. Athletic: 42-63
  3. Ages 51-60:
    1. Normal: 60-100
    2. Athletic: 43-65

For HRV, the numbers tell a different story. HRV tends to decrease with age, but regular exercise can help maintain higher levels:

Heart Rate Variability (HRV) Ranges (milliseconds)

  1. Ages 30-40:
    1. Normal: 30-60
    2. Athletic: 50-100
  2. Ages 41-50:
    1. Normal: 25-55
    2. Athletic: 45-90
  3. Ages 51-60:
    1. Normal: 20-50
    2. Athletic: 40-85

Remember that these ranges are guidelines, not rules. Your personal numbers might fall outside these ranges while still being perfectly healthy for you. What matters most is tracking your trends over time.


The Top Five "C" Supplements for Performance and Health

Introduction

VitaminsWhen it comes to performance-enhancing supplements, some stand out more than others. Among them, five key supplements beginning with the letter "C"—Caffeine, Creatine, Vitamin C, Calcium, and Coenzyme Q10—have been extensively researched for their effectiveness and safety. While each offers unique benefits, caffeine and creatine remain the most well-supported for improving athletic performance. This article breaks down how these supplements work, their benefits, and how to use them effectively.

Caffeine and Creatine: The Performance Powerhouses

Caffeine and creatine are two of the most widely used and researched supplements for athletic performance. While they serve different purposes, both can enhance training and recovery when used properly.

Caffeine works by stimulating the central nervous system, blocking adenosine receptors to increase alertness, energy, and endurance. It reduces perceived exertion, helping athletes push harder for longer. It may also enhance fat metabolism, making it useful for those looking to improve body composition. Effects begin within 30 to 60 minutes and last a few hours. The recommended dose is 3–6 mg per kilogram of body weight, but exceeding this can lead to jitters or digestive issues. Since caffeine can disrupt sleep, it’s best to take it earlier in the day.

Creatine, on the other hand, enhances strength, power, and muscle recovery by increasing phosphocreatine stores in the muscles. This leads to greater ATP production, which fuels short bursts of high-intensity effort. Unlike caffeine, creatine builds up in the muscles over time, leading to sustained improvements rather than an immediate boost. Studies show that a loading phase of 20 grams per day for 5–7 days is unnecessary. A consistent daily intake of 3–5 grams is just as effective for increasing muscle saturation, avoiding potential digestive discomfort.

While some research suggests caffeine may slightly blunt creatine’s effects, this is not fully understood. If using both, it may be best to take caffeine pre-workout and creatine at another time of the day to maximize benefits.

Vitamin C: Antioxidant and Immune Support

Vitamin C is essential for recovery and overall health. As a powerful antioxidant, it helps combat oxidative stress caused by intense training. It plays a key role in collagen synthesis, which is crucial for maintaining strong joints, tendons, and connective tissue. This makes it particularly valuable for athletes who put heavy strain on their bodies. Additionally, it supports immune function, reducing the risk of illness that could interrupt training. While most people get enough Vitamin C through diet, those with high training loads may benefit from supplementation, especially during periods of intense exercise or stress.

Calcium: Bone and Muscle Health

Calcium is essential for maintaining strong bones and preventing stress fractures, a common issue for endurance athletes and those involved in high-impact sports. It also plays a critical role in muscle contraction and nerve signaling. Without adequate calcium, performance can suffer, and injury risk increases. Many people, especially those who avoid dairy, do not get enough calcium through diet alone. Supplementation, particularly when paired with Vitamin D, can help ensure optimal absorption and utilization.

Coenzyme Q10: Cellular Energy and Endurance

Coenzyme Q10 (CoQ10) is vital for energy production at the cellular level. It plays a crucial role in mitochondrial function, helping the body generate ATP—the primary fuel for muscle contractions. This makes it particularly beneficial for endurance athletes who need sustained energy output. Some research suggests CoQ10 supplementation can reduce exercise-induced fatigue and improve overall efficiency. Additionally, it supports heart health, which is essential for optimal performance and longevity in training. While the body naturally produces CoQ10, levels decline with age, making supplementation a smart choice for older athletes or those with high training demands.

Conclusion

Caffeine and creatine are two of the most effective supplements for improving athletic performance, each offering unique benefits. While caffeine provides an immediate boost in energy and endurance, creatine supports long-term strength, power, and muscle growth. Meanwhile, Vitamin C, Calcium, and Coenzyme Q10 round out the list by supporting recovery, bone health, and cellular energy. When used correctly and consistently, these supplements can help optimize both performance and overall well-being.


Ground Force: The True Engine of your Kettlebell Swing

Krivka KB Swing

After 25 years coaching kettlebell technique, I've noticed a fundamental misunderstanding about what drives the Swing and every kettlebell ballistic technique. The height that the kettlebell achieves isn't determined by your hip hinge—it's determined by how much force you drive into the ground.

Your feet are the true engine of the kettlebell Swing. Every powerful Swing starts with dynamically and forcefully pushing the ground away from you.

Most people mistakenly view the hip hinge as the power generator. It's not. The hinge is merely the transmission—it translates the force from your legs and transfers it to the kettlebell.

When you Swing, here's what's actually happening:

  1. You drive your feet hard into the ground
  2. This force travels up through your legs
  3. Your hip hinge positions your body to effectively transfer this energy
  4. The force continues through your arms to the kettlebell

The kettlebell rises exactly as high as your ground force dictates—no more, no less.

If you want a more powerful Swing, push into the ground harder. If your kettlebell isn't reaching the height you want, you're not generating enough ground force.

This explains why strong squatters often have naturally powerful swings—they already know how to drive into the ground.

Next time you Swing, focus less on the height of the bell and more on how forcefully you're pushing the ground away. Feel the floor beneath you as the starting point of all power.

Your hip hinge simply channels this force. Perfect it, and you'll become an efficient power-transfer machine.

The height will take care of itself when you learn to use the true engine of the Swing—the ground beneath your feet.


The Most Effective Way to Lose Fat

Let's clear something up about fat loss that social media gets wrong. Success comes from balancing protein intake with the right exercise approach. Aim for 0.7-1.0 grams of protein per pound of target body weight daily – this preserves muscle while creating a calorie deficit. Pair this with resistance training at least three times weekly to maintain and build lean tissue. Is cardio important? Absolutely! But it's a supporting player, not the star of the show. Strength training should be your foundation for fat loss – both now and especially as you age.

When you build lean muscle, you're creating a metabolic engine that burns calories 24/7, even at rest. Plus, maintaining strength helps with everything from carrying groceries to preventing injuries. Remember, the scale doesn't tell the full story – body composition changes might show up in how your clothes fit before the numbers change.