Cardiometabolic disease in men: an integrative medicine approach to managing hormonal risk factors

This article reviews the known pathophysiology of cardiometabolic disease (CM) and discusses methods of diagnosis and evaluation of male patients who may be at risk for CM disease. The usefulness of integrative medicine treatment is also reviewed.These topics are illustrated by means of an actual case of a 55 year-old Caucasian male with no significant past medical history who presented to an integrative medicine clinic complaining of generalized fatigue and weight gain of 30 pounds during the preceding 4 years. After a comprehensive work-up, the patient was diagnosed with metabolic syndrome and advised to begin an exercise program, improve his diet, and lose weight.The patient was prescribed various supplements in addition to testosterone replacement. He was also advised on stress management techniques.After 3 months, the patient had successfully lost 25 pounds through dietary modifications, recommended dietary supplements, and exercise. He reported less daytime fatigue, particularly after meals, and improved sleep at night. His stress levels remained unchanged but he felt ‘more even’ and less susceptible to stressful events on the l-theanine. He had no adverse side effects from the medications or supplements and PSA levels remained unchanged. He was scheduled to return to the clinic in 3 months for re-evaluation.