Age Management Medicine
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Make an Appointment Marc Darrow, M.D.,J.D. Joint Rehabilitation Services
11645 Wilshire Blvd., Suite 120 Los Angeles, CA 90025 (310) 231-7000

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Age Management Medicine

Getting Started
We have created an experience designed to create a unique Executive Health Program for you.

 

It will take most of your day to undergo all necessary testing, explanation, and prescription. However, if you live close to our office, you can break this up into a few appointments.

You have made a decision to seek out our medical services because you are looking to increase your energy level - including sexual energy, reduce body fat, increase lean muscle, improve cognitive function, lower cholesterol, enhance mood, improve ability to handle stress, and strengthen the immune system so as to remain as disease free as possible.
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Is Testosterone Supplementation Right For You?

MEN
Testosterone levels in men begin to drop after the age of 30.

The recognition that men can suffer from sex hormone deficiency just as women do, and be treated for this deficiency in the same manner as women prescribed hormonal supplementation have lead to an explosion in the demand for testosterone supplementation. Read more


Testosterone for Men Studies and News Items

WOMEN
Testosterone is the male sex hormone, but, it is also an important sex hormone for women.

Signs of testosterone deficiency in women:
1. low or no sex drive
2. obesity
3. hot flashes

Read more

Testosterone For Women Studies and News

 

Is Estrogen Supplementation Right For You?
There is a great deal of fear and confusion when it comes to menopause and hormone supplementation. First, the term Hormone Replacement Therapy or HRT can conjure up the image of a cancer, stroke, and heart disease causing cocktail of synthetic hormones.

Next there is the "alternative," Natural Hormone Replacement Therapy (NHRT). There is no Natural Hormone Replacement Therapy. Hormones for use in humans need to be synthesized from something. 

Sometimes, but incorrectly added to the latter group are the aptly and descriptively named
"Bio-Identical Hormones." Bio-identical Hormone Replacement Therapy (BHRT) is not "natural" hormones and should never be referred to as that. Their sources are natural, being derived from plant sources, but, they must be chemically altered to exactly match the hormones produced in the body. Read more

Estrogen Studies and News Items

Estrogen Levels and Testosterone Deficiency in MEN!
Many of our male patients are surprised to find that they have estrogen levels and that sometimes their estrogen levels, after a certain age, are higher than that of many of their female postmenopausal counterparts.

As a man ages, his testosterone has a higher propensity of being changed, or aromatized, into estradiol. This higher ratio of estradiol to free (unbound) testosterone can cause many cognitive, sexual and physical dysfunctions.

Read more

Progesterone FOR WOMEN
Progesterone is the counterbalance of estrogen and regulates the effects of estrogen in a woman's body. Progesterone and estrogen are designed by nature to work together. This is why many physicians treating hormonal problems include it in their regiment guidelines. We do not prescribe estrogen without progesterone.
Read more

DHEA
Dehydroepiandrosterone

Dehydroepiandrosterone (DHEA) is a naturally produced steroid made by the adrenal glands. It is derived from cholesterol and when metabolized in the liver, a sulfate is added converting it into DHEA-sulfate (DHEA-S). DHEA is made in greater quantities than any other hormone in the body, it reaches its peak levels while we are in our early 20's and then begins a dramatic drop to 20% of those levels by the time we reach age 70. It is this drastic drop in the body's most prevalent hormone that led researchers to conjecture that DHEA may play a very large role in the disease and aging process.
Read more

MELATONIN
Melatonin is secreted by the pea-sized pineal gland in the center of our brains to regulate our sleep patterns.

Our bodies make it from the well known sleep inducing amino acid tryptophan.

As we age we seem to produce less melatonin and this has been suggested as one of the reasons why our aging population has difficult sleeping patterns.

The decline of melatonin centers around age 45. The decline is usually a steep one. By age 60, we produce half the melatonin we did during our twenties and by the late seventies nearly none.
Read more

Melatonin News Items
Melatonin Benefits Touted
Melatonin, Night-Time Blood Pressure and Women Aged 47 to 63
Melatoni for Blood Pressure
Immune Stimulation
Melatonin, Immune Function and Aging

Does Melatonin Protect Vision As We Age?

PREGNENOLONE
Pregnenolone is a steroid hormone synthesized from cholesterol mainly by the adrenal glands and in small part by our nervous system.

What does it do?

There is speculation as to the main role of pregnenolone in the body. Most researchers are now in agreement that the primary role of pregnenolone is as the precursor (the building block) of our other hormones including the estrogens, progesterone, testosterone and DHEA. Read more

THYROID
The thyroid gland secretes the aptly named thyroid hormone. The over-production or under-production of this hormone can cause big problems in the body and lead to a myriad of symptoms that sometimes goes undiagnosed or misdiagnosed.

What does thyroid hormone do?
It regulates:
- heart rate
- metabolism & body temperature
- cholesterol levels
- weight
- vision
- menstrual regularity

As we age, and our glands, including the thyroid produce less hormone, we typically fall into a syndrome of hypothyroidism. Read more

WEIGHT LOSS BLOG
Weight Gain and Thyroid
Caloric Restriction
Menopause and Obesity
Why Can't I Lose Weight?

Medical Research

Aging
Alzheimer's Disease/Memory

Bone Loss
Cognitive Function
Erectile Dysfunction
Exercise

Heart Health
Insulin Resistance and Metabolic Syndrome
Libido
Muscle Mass/Strength

Sleep
Weight, Obesity, Diabetes


Ageless - Suzanne Somers
"As my personal sports doctor, (Dr. Darrow) has never given me a drug for any of my injuries. He is of the thinking that unless a drug is necessary, it is better to allow inflammation to do nature's work." (page 130).


Marc Darrow, M.D.,J.D.,Q.M.E.

Marc Darrow, M.D., J.D.,
is an Assistant Clinical Professor at UCLA School of Medicine. He is a world recognized specialist in many chronic disorders. He has been featured in national publications, and television and radio shows, for his innovative approach to medicine. Dr. Darrow has helped create an age management program for those individuals interested in maintaining a youthful, healthy vigor for adults through “middle age” and well into the senior years.

Patient Information

Joint Rehabilitation and Prolotherapy Information

Marc Darrow, M.D.,J.D.,Q.M.E.
Marc Darrow, M.D., J.D.,
is an Assistant Clinical Professor at UCLA School of Medicine. He is a world recognized specialist in many chronic disorders. He has been featured in national publications, and television and radio shows, for his innovative approach to medicine. As the medical director of Joint Rehab Center, Inc. in West Los Angeles, Dr. Darrow has helped create an age management program for those individuals interested in maintaining a youthful, healthy vigor for adults through “middle age” and well into the senior years.

Why am I so driven to work in the age management field?
Basically it was for my own personal, mental, and spiritual well being. Read what Dr. Darrow has to say about how he got interested in age management!

DISCLAIMER:
Neither Dr. Darrow, nor any associate of JOINT REHAB AND SPORTS MEDICAL CENTER, INC offer medical advice from this website. This information is offered for educational purposes only. Do not act or rely upon our information without seeking independent professional medical advice. The information on this website does not create a physician-patient relationship between you and Dr. Darrow or any associate of JOINT REHAB AND SPORTS MEDICAL CENTER, INC. Neither Dr. Darrow, nor any associate of JOINT REHAB AND SPORTS MEDICAL CENTER, INC guarantees the accuracy, completeness, usefulness, or adequacy of any resources, information, apparatus, product, or process available at or from this website. MEDICAL MODALITIES MENTIONED ARE MEDICAL TECHNIQUES THAT MAY NOT BE CONSIDERED MAINSTREAM. AS WITH ANY MEDICAL PROCEDURE, RESULTS WILL VARY AMONG INDIVIDUALS, AND THERE COULD BE SUBSTANTIAL RISKS INVOLVED. THESE CONCERNS SHOULD BE DISCUSSED WITH YOUR HEALTH CARE PROVIDER PRIOR TO ANY TREATMENT SO THAT YOU HAVE PROPER INFORMED CONSENT AND UNDERSTAND THAT THERE ARE NO GUARANTEES TO HEALING.

Certain studies including the Woman's Health Initiative suggest that hormone supplementation may increase the risk of certain cancers, heart disease, stroke and other ailments. These risks should be discussed with your health care professional while deciding on, implementing, or continuing Hormone Replacement Therapy (HRT)

The option to use Human Identical Hormones or Bio-identical hormones should also be discussed with your medical care provider as there is not sufficient medical evidence at this time to suggest that they are safer than synthetic hormones and may pose equal risk.

If you have or suspect that you have a medical problem, condition or issue, promptly contact your health care provider. The statements on this website have not been evaluated by the Food and Drug Administration. The photos in this Web site feature models for illustrative purposes.