Your DNA is not your Destiny


Your DNA Is No Longer Your Destiny


Is your destiny written in your DNA? For years, scientists believed that a person’s DNA – the complex genetic code that carries all the information needed for your growth and development – was a fixed and unchanging set of “instructions” that directed the body’s processes from birth to death. But new insights from the emerging field of epigenetics suggest that these genetic instructions can be modified by external factors, with profound implications for health, wellness, disease and the aging process.


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“androgen use and abuse is increasing in our society, either for therapeutic or recreational reasons”.


Vascular Health Risk Management 2008




Today is the age of twitter, emojis, 30 second commercial ads,  abbreviations, character limitation and limited attention span.   The old adage is ‘brevity is the soul of wit’.  In this new age of character limitation that is the result of limited attention span, brevity is the soul of communication.  To be consistent with the age, I give you brevity in a title: 50–25—21.  


What is 50–25—21?   The 50—25—21 is a rule, a rule to separate therapeutic uses of Testosterone from recreational uses of Testosterone.  The 50—25—21 rule is a reference to the statistics of Testosterone therapy found in the medical science.  The 50–25–21 rule allows one to separate physiologic, evidence-based Testosterone therapy from recreational, non-evidence-based Testosterone therapy—or simply Testosterone doping.  As the quote above points out, androgen use and abuse, at the hands of physicians, is increasing in our society.


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Lifestyle Intervention–Jack’s Magic beans

Have you seen Jack’s magic beans?   In one way or another, everybody is looking for Jack’s magic beans.  Everyone knows the story.  Jack, at a whim, traded his milk cow for the “magic beans”.  Despite his mother’s rebuke, Jack’s trade eventually proved to bear fruit, that is the fruit of the goose that laid the golden eggs.  The relevance of Jack’s magic bean to health is significant.  Everyone is looking for the magic beans of health.  The magic beans of prescription medications.  The magic beans of surgery.  Everybody is looking for the golden goose of health through the healthcare magic beans.  But, do they exist?


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Man Boobs to Metabolic Syndrome–Inflammation


Inflammation10Inflammation is a hot topic button these days.  It is hard to read any medical or Health related publications and not read something about inflammation and its contribution to medical problems, disease, and the obstacle it provides to Health.   Increased inflammation is found in people with low vitamin D.  Increased inflammation results from imbalanced gut bacteria and contributes to extreme metabolic dysfunction and eventually metabolic syndrome.  Good nutrition can reduce inflammation; a lack of good nutrition results in inflammation.   Obesity is associated with increased systemic inflammation and the result is increased risk of diabetes and cardiovascular disease.  Inflammation is critical to the environment that favors cancer development.  Whatever the headline, inflammation’s impact on health and disease is hard to miss.


What Does inflammation have to do with Testosterone in men?  Quit a bit actually.


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Dr Goodyear speaks at Fagron Academy in Miami

logo_1Dr Goodyear had the honor of speaking at the Fagron Academy Advanced BHRT symposium in Miami, FL 6.21.15.  The Fagron Academy is a comprehensive educational experience for pharmacy professionals.  Dr Goodyear spoke on the topic Man Boob Nation to Metabolic Syndrome and Beyond.  Dr Goodyear highlighted an Integrative medical approach in the treatment of low Testosterone in men as found in the scientific literature—no opinion, just scientific evidence.  Dr Goodyear also highlighted the causes of low Testosterone in men, as highlighted in his book Man Boob Nation, and the metabolic dysfunction that results from low Testosterone in men.  Dr Goodyear followed the timeline of low Testosterone as an effect, to low Testosterone as a cause of metabolic dysfunction, and the disease that results.


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Man Boobs to Metabolic Syndrome–Muscle loss


Testosterone and Muscle loss in men.


Ninety-eight percent failure rate!  Who would initiate something that had a 98% failure rate; let alone, repeat the failure over and over again?  It sounds sadistic.  It is the definition of insanity. But, that is exactly what Americans do with weight loss.  With such a low success rate in the weight loss industry, one might conclude that there is little $$ value in the weight loss industry.  That assumption would be wrong.  According to the 2014 status of US market on the weight loss industry, the value of the weight loss industry was valued at $60.8 billion.   That is $60.8 billion for a success rate of 2%.  That makes the government look like a well-oiled, efficient machine—not!


Why do 98% of weight loss programs fail?


Do weight loss programs fail to help people lose weight?


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Man Boobs to Metabolic Syndrome–Obesity




The number 1 visual of the poor health epidemic in the US and the world is the ever growing numbers of overweight and obese people.  According to the CDC, it is estimated that over 1/3 of American adults are obese.  That equals 34.9% of American adults.  In actual numbers, that 34.9% equals 78.6 million adults.  Add in those that are overweight and the percentage of those that are either overweight or obese increases to 69% or 154.7 million adults.  That leaves a staggering 31% of Americans that are normal weight.


The distinction of the highest increasing prevalence of obesity is found in women over the age of 60.  But that is in adults in the here and now.  What of America’s future?  Is the future bright or bleak?   The younger generations hold the future of America and its Health in its hands.   According to the CDC, the future looks bleek and very big:


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Man Boobs to Metabolic Syndrome

“Androgen use and abuse is increasing in our society, either for therapeutic or recreational reasons”. —Vascular Health Risk Management 2008


If Testosterone in men is simply ED and low libido, then Testosterone is nothing more then recreation.  But, if low Testosterone is associated with metabolic dysfunction and this metabolic dysfunction has implications for disease development, then low Testosterone and thus Testosterone therapy has a therapeutic role in a man’s Health.


Does low Testosterone increase Cardiovascular disease in men?  Does Testosterone therapy increase Cardiovascular disease in men?  Is low Testosterone even a problem in men, or is it simply a marketing fallacy?  Is Testosterone the effect or the cause?  Is there a timeline of low Testosterone in the development of disease for men?  Are men simply Testosterone fueled erections as marketing implies or is Testosterone simple one piece of the puzzle in men’s health?  Lets look for answers to these questions in science, not in opinion.   Is Testosterone the cause, the effect, or both?   The answer is yes, yes, and you guessed it—yes.


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Man Boob Nation highlighted on High Intensity Health podcast

My first book, Man Boob Nation, was recently highlighted on the “High Intensity Health” podcast by Mike Mutzel. This podcast highlights the best of Fitness, HIH-header-smallerNutrition, and Functional Medicine.  Mike Mutzel is the author of the book Belly Fat Effect.


In Man Boob Nation I focus on the underlying causes of low Testosterone in men.  Low Testosterone in men is more of the effect and not the cause.  For most men, low Testosterone is simply a biomarker of poor Health.


In contrast, in some men, Testosterone can have a more causal link and Testosterone therapy can have tremendously positive physiologic impacts on:



Why the difference?  What men can benefit from Testosterone therapy and what men should avoid Testosterone?  Look to the FDA.  A little confused?  Look to the FDA to see the confusion on Testosterone therapy.   Recently, an advisory board to the FDA has recommended significant restrictions on Testosterone therapy for men.  This is a direct about face to previous/current practice and recommendations.


Why the about face?


Why does Marketing still point to Testosterone as the fountain of youth for men?


The simple answer is found in most physicians collective lack of knowledge of the science.  In Man Boob Nation, I highlight the science behind the causes of low Testosterone.  No opinion, just hardcore science.   The majority of the practice paradigm of Testosterone in men is based on opinion and marketing, and not on science.  For a lot of men, and women for that matter, Testosterone is the methadone clinic of the 21st century.  Testosterone therapy is treating the symptom and not the cause.  It makes you feel good and it keeps you coming back for more.  Talk to any bodybuilder that regularly cycles with steroids and see if they are any different.  They feel great when they cycle.  They feel terrible when they don’t.  Thus they want to continuously cycle.


In addition, the Testosterone dosing is supra-physiologic and amounts to nothing more than doping.  The side effects and potential cardiovascular risks are the result of physicians and medical providers treating the symptoms and not the cause.  Sound familiar?  This symptom based treatment strategy, as well as the supra-physiologic dosing, with Testosterone has led to the FDA’s advisory board recommendation.  The FDA has been backed into a corner and may act if it follows the advisory panels recommendations.


When the causes of low Testosterone in men is determined and customized treatment is instituted, the majority of men don’t even need Testosterone therapy.   But, when it is determined that low Testosterone is playing more of a causal role, then physiologic Testosterone therapy can have significantly positive metabolic effects as highlighted above.

Man Boobs to Metabolic Syndrome

Does Testosterone therapy increase Cardiovascular disease in men?  Does low Testosterone increase Cardiovascular disease in men?  Is low Testosterone even a problem in men, or is it simply a marketing fallacy?  Is there a timeline of low Testosterone to the development of disease in men to follow?  Are men simply Testosterone fueled erections as marketing implies or is Testosterone simply one piece of the puzzle in men’s health?   Is Testosterone the effect, the cause, or both?



As it relates to Testosterone, that is all we get today–questions.  Is Testosterone safe?  Is Testosterone dangerous?  How about some answers?  This new video post will  review the scientific evidence and the timeline of Low Testosterone to Cardiovascular disease in men.  No opinions here, just let the science highlight the metabolic dysfunction that is the result of low Testosterone.  The result is Metabolic Syndrome that is the door way to disease for men.  Dr Goodyear will answer these questions and more as he moves beyond Man Boob Nation to “Man Boobs to Metabolic Syndrome”.


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