Ask Dr Lim Ming Yee: Face Sculpting

Low testosterone levels can be associated with lower sex drive and fatigue. This is known as testosterone deficiency (TD), loosely termed andropause. Unlike women who have a sudden drop in estrogens when they reach menopause, this is not the case in men. Men with TD have a gradual drop in the peak levels of testosterone. This peak usually occurs in the morning around 7 to 11 am. As a men ages, those who develop TD have a lower peak level of testosterone and in some men no peak at all. This results in the symptoms mentioned above.

Myalgia or muscle pain is a common complaint. Unusually excessive exertion, trauma, and viral infections are among the most common causes. While many causes are benign and self-limiting, myalgia can also be associated with significant morbidity. A thorough review by the doctor of the patient's history and complete physical examination will narrow the list of potential causes of myalgia to a manageable one. For persistent or severe myalgia, selected investigations may be necessary to identify the diagnosis and direct treatment.

Thank you for asking a question on a problem that is commonly reported by patients at the clinic. Oftentimes, persons experiencing mental fatigue report that they have a mental block poor concentration and focus a lack of motivation irritability stress eating or loss of appetite and poor sleep. They report feeling overwhelmed, emotionally and mentally drained.

Gynaecomastia is different from simply being manboobs; there is a glandular component in addition to a fat component. This breast glandular tissue needs to be removed in order to have a complete correction. If you have gynaecomastia, you should be able to feel a firm breast disc. To determine this definitively, your doctor will suggest for an ultrasound.

It is quite clear that diet does play a role in the development of prostate cancer. Japanese men have 3x less prostate cancer than men born in the United States. However, the sons of Japanese immigrants to the United States have a higher rate of prostate cancer that approaches that of Caucasians born in the United States. Much of this increase in prostate cancer is likely from the adoption of the “Western” diet and lifestyle [1]. This is further supported by a recent analysis of the available evidence based on population studies.