Aging, Insecurity and the Quest for Immortality


Day after day after day older men are bombarded with images like these that tout the benefits of testosterone replacement.

I’m not going to go into all the conflicting research because I can’t delineate advertising from hard research. But as a man in the center of the marketing bulls-eye [i.e., right age and socioeconomic profile], I know all about the pressure to fold.

If I had to hazard a guess, I would say that between 80 and 90 percent of the men in my demographic [58-64] are on some form of testosterone supplementation.

This is not an exaggeration.

How else could they drop so much body fat while building and/or maintaining so much muscle mass and strength – without training even a tenth as hard as I do?

Let’s be honest. Most affluent older men don’t want to spend their entire lives in the gym, nor do they want the other hassles associated with aging, like not being able to maintain an erection for an hour, or having to rest and recovery like an old person.

They want to wake up fully refreshed, on 6 hours of sleep, with a raging hard-on and enough energy to power a small city.

For me, it’s more like 8 hours of sleep followed by 30 minutes of stretching just to pull myself out of bed because I’m so damn sore from the previous days’ workout, and then 6 cups of coffee all before acknowledging anyone or anything else around me.

Which would you choose?

That’s what I thought, and why the testosterone replacement industry has exceeded the 2 billion dollar mark…and rising fast.

Soon, all of us will be on “T” as the baselines rise to fit industry expansion strategies.

The mantra in my health club is that the AMA [American Medical Association] is living in the Dark Ages, and that people of means should see a urologist “in the know.”

Why waste such a great life on outdated research and thinking? is the way it’s usually phrased.

At this writing I see no way the blitzing will end – or the patient count drop.

I would also love to look and feel the way I did 20 years ago. But I am only human, and no matter how well I eat or how much time I spend in the gym, I’m still mortal.

I know this is simply unacceptable to many men of my generation as much as it is unacceptable for a 60-year-old man to drive a Buick over an Aston Martin. I get it.  If you can afford the best, why not?

With testosterone injections you take the risks with the rewards because there’s only one NOW and “tomorrows” in an actuarial context are fewer than ever before.

In other words, while the Buick may save your life, the Aston Martin makes whatever is left of it worth the risk. It’s that simple.

Whether or not I will capitulate to the barrage of influence is still uncertain. I discuss this with my trainer every time we meet and it always ends in a kind of detente.

He says no and I say maybe.


It bears noting that older men with good lives are also at greater risk of clinical hypochondria.

Blood tests “every 5 minutes” is normal.

“My doctor wants my cholesterol levels below 120, so now I’m on a statin drug, which means I’m back in his office every few months for blood-work to determine whether or not my medications are screwing up my kidneys or my liver or whatever.”

Okay, so now he’s on testosterone replacement and a statin drug, and he’s just getting started on the hamster wheel.

How about chest pain?

Shortness of breath after a workout? How can that possibly be?

Not that the following item isn’t completely natural, but did you know hair loss could indicate an autoimmune disease like lupus?

“Heavens to Betsy get my ass back in that car! we’re headed back to the emergency room! I knew he missed something!”

“And ya know, now that I’m thinking about it, my penis was insubordinate this morning, so I’ll ask him about the possibility of my having multiple sclerosis.”

“And come to think of it I’m more fatigued than I was at 17. I must have diabetes or a malfunctioning thyroid gland. Crap!

“I might add that I was dizzy the other day, which goes back to heart disease, stroke, or even shock. And why the hell do I drink so much water??? They say it’s an indicator of failing organs. And god knows I have trouble remembering people’s names. Is it Alzheimer’s? And my damn vision is not what it used to be, so it must be macular degeneration!”


This part is true, but not for the reasons you think.


We’re all just waiting for the other show to drop, which is exactly why we’d all be far better off in therapy than the office of a urologist.