Obesity, Insulin Resistance
Conditions
Keywords
testosterone, insulin, obesity, aromatase, 5 alpha reductase
Brief summary
Subjects will be randomized into 4 study groups: 1. Placebo; 2. Anastrazole and Testosterone; 3. Dutasteride and Testosterone; and 4. Testosterone only. A 2 step euglycemic clamp, body composition by dual X-ray absorptiometry scan, hormone and lipid assays will be performed to monitor metabolic effects of each treatment group. We hypothesize that increasing testosterone levels would increase lean mass, decrease fat mass and improve insulin sensitivity. We further hypothesize that improvements in the metabolic profile would decrease with anastrazole and improve with dutasteride, given in conjunction with T administration.
Interventions
Arimidex 1mg daily
Testim 10g daily
Avodart 2.5mg daily
Acyline 300 µg/kg subcutaneous injections every 2 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* free T level in the lower 25% of the normal range or below * BMI ≥30kg/m2 * waist circumference ≥100cm
Exclusion criteria
* pituitary tumors * HIV infection * Klinefelter's syndrome * Kallman's syndrome * uncontrolled hypertension * diabetes * congestive heart failure * chronic lung disease * acute coronary syndrome * PSA \>4µg/L * aspartate aminotransferase (AST)\> 3x upper limit of normal * use of medications that might affect weight loss, muscle or bone metabolism or androgen metabolism, action or clearance. * involvement in daily resistance training or high endurance exercise * alcohol or drug dependence * obstructive sleep apnea
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| insulin sensitivity | 14 weeks |
Secondary
| Measure | Time frame |
|---|---|
| body composition | 14 weeks |
| lipid profile | 14 weeks |
Countries
United States