Dangers of Low Testosterone Therapy

Testosterone Replacement Therapy produLow Testosterone Therapy Riskscts for men have been linked to an increased risk of death, heart attack, stroke and blood clots. Testosterone therapy, such as the prescription topical treatments Androgel, Testim and Axiron, are used to help boost testosterone levels in men who have “Low T,” a deficiency of the male hormone. Call us today if you think you or a loved one may have a claim. Toll free at 1 866 975-7766. Or e-mail Mark Wolfe at mark@bfw-lawyers.com. Put “Low T Therapy Claim” in the subject line.

Synopsis of “Low Testosterone Treatment Risks” from Yahoo Health

New research indicates millions of men may be risking a heart attack, stroke or even premature death by taking testosterone therapy they don’t actually need.

Based on two large new studies linking approved prescription testosterone therapy to increased risk for cardiovascular events, the FDA has launched an investigation and cautions medical providers to carefully weigh if the benefits exceed the potential harms before prescribing these drugs, which are only advised for men who have low T and an associated medical condition.

In the latest study, published in the journal PLOS ONE and funded by the National Institutes of Health, researchers report that within 90 days, taking the hormone can more than double heart attack risk in men ages 65 and up—as well as nearly triple risk in younger men with known heart disease.

November, 2013 study published in Journal of the American Medical Association (JAMA) reported a 30 percent rise in risk for stroke, heart attack, and death in men age 60 and older who had been prescribed testosterone, compared to those who not.

“I’m very concerned that widespread use of testosterone supplements without any long-term safety studies is putting millions of men at risk for the most common lethal condition in the United States: heart disease,” says Steven Nissen, MD, department chair of Cardiovascular Medicine at the Cleveland Clinic.

“The FDA needs to require makers of these drugs to do long-term studies of these drugs, which are being marketed to men as a fountain of youth, just as hormone replacement therapy (HRT) was to women 20 years ago,” adds Dr. Nissen.

“When HRT was finally studied, it turned out to increase women’s risk for heart attack and stroke, and now the PLOS ONE study suggests that testosterone may have similar dangers for men,” says Dr. Nissen.

http://www.healthline.com/health-slideshow/healthy-heart-tips?utm_source=health.yahoo.net&utm_medium=referral&utm_campaign=yahhp

Treatments for low testosterone are now an estimated $2 billion-a-year industry in the US—with up to 25 percent of prescriptions written without medical providers bothering to do a blood test to check the man’s hormonal levels, according to the New York Times.

“Assuming that ‘low T’ is a huge global issue for all older men and prescribing the hormone without checking the man’s testosterone levels and cardiovascular risk is a scary—and highly irresponsible—practice,” says Amy Doneen, ARNP, medical director of the Heart Attack & Stroke Prevention Center in Spokane, Washington.

“Direct-to-consumer ads make it seem that if a man is tired and doesn’t have the libido he did at age 20, maybe the problem is ‘low T’,” reports Dr. Nissen, who feels that this problem may be greatly over-diagnosed. “The message men get is that these supplements are the fountain of youth they need, which is very seductive to men, but there isn’t much research to support these purported benefits.”

“What these well-done studies are telling us is that this treatment needs to be used cautiously in men who actually need it, after a careful, individualized assessment of both their symptoms and their cardiovascular health,” adds Doneen, who is also coauthor of Beat The Heart Attack Gene.

Currently, testosterone therapies, which have been FDA-approved for decades, don’t carry any cardiovascular warnings. The FDA is now investigating the link with heart attack, stroke, and early death identified in the new research.

Here’s a closer look at the studies and what men should know about testosterone-boosting drugs—available in at least five formulations, including gels, patches, and injections.

In the PLOS ONE study, the researchers compared rates of heart attacks in 55,593 middle-aged and older men in the 90 days after they received a new testosterone prescription with rates during the year prior to the initial prescription.

In addition, pre- and post-prescription heart attack rates were compared in a separate group of 167,279 men who were treated for erectile dysfunction with a type of medication known as phosphodiesterase type 5 inhibitors, such as Viagra and Cialis. This type of drug has not been linked to cardiac issues, so these men were studied as a control group.

The study found that among all men who received testosterone therapy, risk for non-fatal heart attack jumped by 36 percent in the 90 days after starting use of the hormone, compared to the rate of heart attack in these men during the one year prior to starting hormone treatment.

Among men age 65 an older, rate of heart attack soared by 219 percent in 90 days among those who received testosterone therapy, whether or not they had known heart disease. In men under 65, those with a prior history of heart disease had nearly triple the 90-day heart attack risk, compared to rates in the prior year.

“Men have higher rates of heart attacks than women do, and testosterone may be a factor, so there is a plausible biological explanation for the association between using these supplements and higher cardiovascular risk observed in the studies,” remarks Dr. Nissen.

To read the complete article: http://health.yahoo.net/experts/dayinhealth/testosterone-therapy-overhyped

If you or a loved one has suffered a heart attack, stroke and/or blood clots after starting testosterone therapy, you may be entitled to compensation for your injuries and damages. We can help. For more information, please contact Mark Wolfe of Boteler, Finley & Wolfe toll free at 1 866 975-7766 or by e-mail at mark@bfw-lawyers.com  [please place Low T Therapy Claim in the subject line]

 Learn more about Boteler, Finely & Wolfe. Learn more about Mark Wolfe’s experience and qualifications.

Required Disclaimers:

The Mississippi Supreme Court advises that a decision on legal services is important and should not be based solely on advertisements. Free Background information is available upon request to a Mississippi attorney. The listing of any area of practice by a Mississippi attorney does not indicate any certification of expertise therein. See Mississippi Rules of Professional Conduct Rule 7.2(d), Rule 7.4(a), Rule 7.6(a) (1997).

Alabama Rule of Professional Conduct 7.2: No representation is made that the quality of legal service to be performed is greater than the services provided by other lawyers.

General Disclaimer: This information is posted for general information purposes to help those interested parties or persons with potential civil claims better understand their rights and potential causes of action. If readers are currently represented by an attorney on the subject matter of this post then they are encouraged to continue with said representation. No attorney-client relationship is established by this post.

New Study Offers Distracted Driving Insights

a recent study on distracted driving revealed new statistics on teen driversAlabama Public Radio recently reported on some disturbing findings in a well-publicized New England Journal of Medicine study about teen driving habits. While the findings might not surprise you, they should definitely give you pause about sharing the road with hormonal, inexperienced drivers. A Short But Blessed Grace Period First, here’s the good news: Teen drivers are model road citizens for the first several months of their driving careers. Before they develop an innate familiarity with the rules of the road, they’re extra-careful about signaling early, looking both ways, respecting speed limits and avoiding dangerous passing maneuvers. Over time, however, these good habits start to fall by the wayside. Within six months, teens are just as reckless as their adult counterparts. It’s possible that teens don’t fully absorb the good habits that their teachers impart. Alternatively, they may acquire dangerous behaviors by mimicking role models like older siblings and college students. Eating and Driving: Better for Adults? Eating and driving is a classic example of such a dangerous behavior. Surprisingly, this act poses relatively little risk for adult drivers who can successfully keep their eyes from wandering during the maneuver. By contrast, teens who eat while behind the wheel are involved in accidents at far higher rates than teens who refrain from the practice. Practice Makes Perfect Although the study’s conclusions weren’t crystal clear on this point, it seems likely that teen drivers engaged in risky maneuvers as a result of general overconfidence in their driving abilities. After six months of driving, the study found that teens drove distractedly at the same rate as adults in their 20s and 30s. While these drivers were no longer novices, they still hadn’t gained enough experience to react to external hazards while distracted. “It takes thousands of hours of practice to get good at driving,” notes the study’s co-author. Cell Phones: The Great Equalizer Teens aren’t solely responsible for distracted driving accidents. According to the study, adults and teens alike struggle to maintain focus while operating a mobile phone’s keypad. Although accidents in which texting is a factor occur at dismally high rates, even dialing a 10-digit phone number before completing a call can be hazardous. These findings reinforce the need to educate drivers about the dangers of using hand-held phones on the road. This requires a collective effort. While you can personally avoid texting, eating, applying makeup or performing other dangerous tasks during your commute, you can’t control what nearby drivers are doing. Fortunately, you’re not alone out there. If you’ve suffered injury or property damage in an accident that may have been caused by distracted driving, you could be entitled to compensation. To learn more about your options, contact our Mobile, AL attorney’s office at 866-975-7766 or visit our auto accident resources page.

Hiring the Right Personal Injury Attorney

Hiring the Right Personal Injury Attorney: Recently in our local TV market a personal injury lawyer began running a somewhat controversial TV ad. Some people liked it and others hated it. Many of my peers in the bar thought it was demeaning to our profession. The ad also sparked lots of comments on facebook and one post in particular caught my attention. In response to a critical comment, one person responded, “For those of you critical of this commercial, please tell me how I am supposed to go about selecting a personal injury attorney. I’m new to the area and don’t know any lawyers. I think I’d rather hire a lawyer based upon his TV commercial rather than just randomly selecting a lawyer from the telephone book or the internet.”

 Before I move into some suggestions on how to hire the right personal injury lawyer for your situation, let me first share some observations and concerns about some of the TV ads being run by personal injury attorneys. Let me also share that our law firm has run ads on TV and we use numerous informational publications as marketing tools. I understand that lawyers and law firms need to market their services to the public and I recognize that television still remains one of the easiest ways to mass market a product or service. However, with that said I do have great concern because in my opinion many TV ads run by personal injury lawyers are misleading and some are downright deceptive. Understand in our State we have very little regulation over the content of a lawyer’s TV ad and this lends itself to some extreme exaggerations regarding a lawyer’s ability and the results he or she has obtained for clients. Just because an actor in a TV commercial says that Lawyer X got him “1.75 million dollars” for his car accident injuries, that alleged result is not a fair representation of typical results for auto-injury victims. Or just because the lawyer films his or her commercial inside a Courtroom does not mean that lawyer has ever actually tried a case in Court. Add in the fact that from a business context personal injury law is considered one of the most competitive business environments and you can see how competition among personal injury lawyers can easily lead to more and more exaggeration and puffing in TV ads. Then you throw in the ads that show lawyers flying around in Superman like costumes and lawyers screaming into the camera and claiming names like “The Hammer” or “Bulldog Bill” or Steve “the Stingray” and hiring a personal injury lawyer becomes more like picking your favorite WWE character rather than hiring someone to help you get through the complexities of an insurance claim or case. What follows are three basic areas that should be explored when considering hiring a personal injury lawyer. (I also highly recommend the AVVO.com web site because it has extensive lawyer ratings based upon legitimate skill criteria.)

 The three key areas for inquiry when considering hiring a personal injury attorney are: 1) Contingency fees, 2) Trial Experience and, 3) Resources. Having an experienced and qualified attorney with litigation and trial experience is important to achieving a good outcome because it helps bring forth a fair settlement offer. Also it is important to have an attorney who is truly concerned about your situation and who is committed to protecting your best interest through the legal process. There is a good attorney out there who can help you and I hope this article helps you find that attorney.

1. CONTINGENCY FEES:

Most people know that personal injury attorneys who represent personal injury victims do so under a contingency fee contract. (The attorney fee is a percentage of the money recovered by the attorney.) Yet the percentage or contingency amount can vary greatly between lawyers. Also the personal injury victim should know exactly how the contingency fee is going to be applied and calculated. In addition, they should know what expenses can be expected and how those expenses will be handled. NOTE: Some states allow personal injury attorneys to advance litigation or legal expenses for a client. The client will be responsible for reimbursement of those expenses. Therefore, it is very important for a personal injury victim to know what percentage contingency fee will be applied and the approximate amount of the expenses.

2. TRIAL EXPERIENCE:

Many personal injury claims can be resolved without ever having to consider filing a lawsuit or litigation and most personal injury matters where a lawsuit is filed resolve without a trial. Yet, you should not be afraid to ask the lawyer about his or her trial experience in handling similar personal injury matters. The goal in handling a personal injury claim or case is to resolve the matter for a fair amount without having to subject the client to the stress, strain and uncertainty of a trial. While it is true that most civil claims and cases settle without a trial, trial experience is critical when hiring a personal injury attorney. Insurance adjusters and company risk managers know and rate the experience level of the attorney representing a claimant. This is a factor in their evaluation of a claim. It is a sad reality that some personal injury attorneys or personal injury law firms that rely heavily on advertising are nothing more than “claim factories” with very little, if any, courtroom experience. Attorney advertising rules and regulations are very lax in some jurisdictions allowing inexperienced and incompetent lawyers to advertise extensively for personal injury claims. Talk with people in the community about their recommendations. Also, many healthcare professionals who treat injury victims have knowledge about the skill and experience of local attorneys. In addition, lawyers in the community who may practice in other areas of the law may be familiar with local personal injury attorneys with courtroom and trial experience.

3. RESOURCES:

When hiring a personal injury attorney you should also consider the resources of that lawyer and law firm. This includes the financial resources necessary for the expenses of the claim or case and the general resources such as personnel and technology. A lawyer’s commitment to having skilled and qualified support personnel is reflective of an attorney who wants the best for his or her client. Likewise attorneys who want to be efficient and effective for their clients utilize current technology and state of the art office equipment. Simply put, if the lawyer does not want to, or can not afford to, invest adequate resources into his or her own practice, what makes you think he or she will invest adequate resources in your claim or case? Also, remember the insurance company or risk manager for the at-fault party will have access to tremendous resources to use against you and you want to make sure your attorney has similar resources.

REMEMBER CONSULTATIONS ARE FREE:

Personal injury victims should be cautious of attorneys who push too hard to have a representation agreement executed immediately. Most personal injury attorneys do not charge for consultations and this allows injury victims the opportunity to talk with several different lawyers or law firms before hiring a lawyer or law firm. NOTE: There are situations and times when immediate legal intervention may be necessary but the attorney should fully explain such a situation.

CONCLUSION

The hiring of a personal injury attorney is an important decision. Yet most injury victims have no idea how to go about selecting a good personal injury attorney for their case. Having an experienced and qualified attorney with litigation and trial experience is important to achieving a good outcome. Also, just as important, is having an attorney who is truly concerned about your situation and who is committed to protecting your best interest through the legal process. There is a good attorney out there who can help you and I hope this article helps you find that attorney.

About the author: Mark Wolfe is a partner in the Mobile, Alabama law firm of Boteler, Finley & Wolfe. The firm limits its practice to representing insurance claimants, including auto-injury claimants. In addition to being an accomplished trial attorney, Mark is the editor and primary contributing writer of Legally Speaking, a quarterly newsletter for consumers and injury victims. It has been in continuous publication since 1998 and has a quarterly circulation of 14,000. Mark also maintains the BF&W blog, which provides important highway and traffic safety updates to consumers. He can be reached by e-mail at mark@bfw-lawyers.com

Required Disclaimers:

The Mississippi Supreme Court advises that a decision on legal services is important and should not be based solely on advertisements. Free Background information is available upon request to a Mississippi attorney. The listing of any area of practice by a Mississippi attorney does not indicate any certification of expertise therein. See Mississippi Rules of Professional Conduct Rule 7.2(d), Rule 7.4(a), Rule 7.6(a) (1997).
Alabama Rule of Professional Conduct 7.2: No representation is made that the quality of legal service to be performed is greater than the services provided by other lawyers.
General Disclaimer: This information is posted for general information purposes to help those interested parties or persons with potential civil claims better understand their rights and potential causes of action. If readers are currently represented by an attorney on the subject matter of this post then they are encouraged to continue with said representation. No attorney-client relationship is established by this post.