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December 2003

Natural Approaches In the Treatment of Congestive Heart Failure
By Dr. Sergey A. Dzugan

Testosterone therapy has been proposed as an additional treatment for men with CHF.67 Testosterone reduces blood pressure and enhances relaxation of brachial arteries; direct injection of testosterone into the coronary arteries produces dilatation and increased coronary blood flow.68-70 The resulting vasodilator effect may relieve pulmonary congestion and improve peripheral perfusion. Androgen therapy could also improve cardiac function by reducing the stress on the heart muscle both before and after contraction as well as by increasing coronary blood flow. Additionally, androgen therapy is useful in augmenting skeletal muscle strength in CHF patients.71 Androgen replacement therapy could potentially alleviate symptoms by improving cardiac and vascular function as well as by increasing strength and endurance. It may also redress the catabolic-anabolic imbalance of CHF and suppress the cytokine activation that leads to the disease’s progression.

Optimal levels of steroid hormones such as pregnenolone, DHEA, progesterone, estrogen, testosterone, and cortisol are necessary for maintaining optimal health in both males and females. Alteration in these hormones may play a significant role in CHF. In one study, patients received hormonorestorative therapy with hormones such as pregnenolone, DHEA, triestrogen gel, progesterone gel, and testosterone gel for correcting high levels of cholesterol.72 One hundred percent of the patients responded. This is because the human body contains all the enzymes and cofactors it needs to process natural hormones when they occur in their natural human proportions. Hormono-restorative therapy promises to be an important therapeutic protocol in the treatment of CHF, along with supplements that naturally enhance cardiac output.


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