ARTERIOSCLEROSIS, ATHEROSCLEROSIS AND 
								HYPERTENSION 
								
								
								How to understand 
								your disease of aging : ageless man
								
								 AGELESS MAN   
								 
		
								
								
								AMAZON 2017-2022
								
								 
								
								
								
								
								According to the 
								"Vital Statistics Report" of the National Centre 
								for Health Statistics, the cardiovascular 
								diseases are the first cause of death in the 
								world and in the United States (30).
								
								
								
								
								
								
								The arteries are 
								involved by two different phenomenon, 
								arteriosclerosis and atherosclerosis, which 
								occur often simultaneously.
								
								
								
								
								
								
								The pathology of 
								arteriosclerosis is characterized by the 
								replacement of the muscular fibers of the artery 
								by collagen tissue which is inelastic.
								
								
								
								A similar pathology was described 50 years ago 
								with the ureter under pressure.
								
								
								
								
								The pathology of 
								atherosclerosis is characterized by fat and 
								cholesterol involvement of the arterial wall. 
								This phenomenon is the consequence of 
								cholesterol and lipid accumulation in the body 
								through the impaired sugar and fat metabolism 
								when testosterone is missing.
								
								
								
								
								
								Arteriosclerosis and 
								atherosclerosis are two general involution 
								phenomenon increasing with the decrease of 
								testosterone secretion. It is probably the 
								reason for the elevation of blood pressure with 
								age
								
								 GANGRENE
								
								GANGRENE
								
								Gangrene of toes is 
								sometimes the result of maturity onset diabetes. 
								Testosterone treatment proposed  by Jens 
								Moeller (6) gives spectacular results.
								
  

                                                                                    A                                                B
								
								A  
								. Man 
								aged 55, with gangrene of the left 1st and 3rd 
								toes for which amputation of the left leg had 
								been advised. (6)
								 
								B.  
								The left foot before (A) and after 3 months of 
								treatment with testosterone (6)
								
								HYPER COAGULATION, VARIX, HEMORROIDES, 
								THROMBOSIS, ANEMIA,
								BLOOD 
								HYPERCOAGULABILITY 
								
								
								
								
								The main question 
								about blood is not " how it coagulates" but "how 
								it remains fluid". Thrombosis and embolism are 
								common complications of cardiovascular diseases 
								usually treated by
								
								
								
								
								anticoagulant agents as heparin or dicoumarin. 
								The use of those substances can produce 
								hemorrhages. 
								
								
								
								
								The dissolution of 
								the blood 
								clot is under the influence of fibrinolysis 
								agents. 
								
								
								
								
								
								Fibrinolitic agents 
								of the blood are under the influence of 
								testosterone as reported in the Lancet of the 21 
								July 1962 by Fearnley and coll. (2).
								
								
								
								
								
								
								
								Claire Bonithon-Kopp 
								and coll. from the Broussais hospital in Paris, 
								who demonstrated in 1988 that low plasmatic 
								levels of male hormone contributes to 
								hypercoagulability and to ischemic heart disease 
								(3).
								
								
								
								
								BLOOD FLUIDITY 
								
								
								
								Blood fluidity depends on antithrombin III which 
								is a blood fluidizing factor that allows blood 
								to flow. A normal amount of antithrombin III in 
								plasma ensures optimal fluidity which depends on 
								the available testosterone.
								
								VARIX, 
								HEMORROIDS AND THROMBOSIS 
								
								
								
								Veins like arteries 
								are constituted by muscular fibres. Loss of 
								testosterone produces always an involution of 
								their muscular tissue.
								ANEMIA 
								
								
								
								The number of red 
								blood cells is 
								
								decreased from 
								10% in castrated men. This is often so in men 
								with low testosterone plasmatic levels. The 
								ischemic heart disease is of course aggravated 
								by this phenomenon.
								
								
								
								
								In 1981, Najean and coll. reported in the 
								American Journal of Medicine the improvement of 
								anemia in a serial of 137 patients when treated 
								by male hormones. Anemia recurs when the therapy 
								is stopped and improve again with androgens (4). 
								
								
								
								
								
								On the other hand, 
								patients with polyglobulia may constitute a 
								problem for therapy with androgens. The normal 
								account of red blood cells varies normally (5,4
								
								+ 0,9 millions/milliliter) (5). 
								So patients with 6,3 millions red blood 
								cells/milliliter and presenting a failure in the 
								life maintenance system can be carefully treated 
								with an appropriate monitoring of the androgens 
								without increasing of the number of their red 
								blood cells. Those cases are rare.
Bibliography
1.
NATIONAL CENTER FOR HEALTH STATISTICS .Vital Statistics Report, Final Mortality
Statistics, 1982. 
2.
FEARNEY G.R. AND CHAKRABARTI R. Increase of Blood Fibrinolytic Activity by
Testosterone : 
The
Lancet, July 21 : 128-132, 1962. 
3.
BONITHON-KOPP C., SCARABIN P.-Y., BARA L., CASTANIER M., JAQUESON A. AND ROGER
M. Relationship between Sex Hormones and Haemostatic Factors in Healthy
Middle-Aged Men : Artheriosclerosis, 71: 71-76, 1988. 
4.
NAJEAN Y. and coll. Long Term Follow-up in Patients with Aplastic Anemia. A
study of 137 Androgen-Treated Patients Surviving more than Two Years : 
Am. J. Med.,  71 : 543-551, 1981.
5. HARRISON T.R. Principes de Médecine Interne. :
Appendice A 10. Tableau A-XII.  Médecine-Sciences Flammarion, 1989. 
  
Paris. 
6.
MOELLER J. Cholesterol : 27  
Springer-Verlag 
Berlin  
Heidelberg 
New York  
London 
Paris  
Tokyo 1987.