Founder and Medical Director of Transcend Clinic in Bangkok, Dr. Panu Sivarapornsakul, MD, is board-certified by the American Board of Anti-Aging and Regenerative Medicine (A4M/ABAARM) and holds a Diploma in Sexual Medicine. He has over six years of experience in men’s hormone therapy, men’s health, sexual medicine, regenerative medicine, and performance enhancement.
Growth hormone plays an important role in muscle maintenance, fat metabolism, bone health, exercise capacity, and general well-being. For a fuller explanation of what growth hormone does in the adult body, see our companion article, Growth Hormone in Adults: What It Is and Why It Matters. When growth hormone activity is significantly lower than expected,…
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When people hear the term growth hormone, they often think only about childhood growth and height. However, growth hormone continues to play an important role throughout adult life. In adults, it helps support muscle mass, body composition, metabolism, bone health, physical performance, and general well-being. What Is Growth Hormone? Growth hormone, or GH, is a…
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Tesamorelin is a peptide best understood by what it does at the most basic level: it prompts the body to release its own growth hormone (GH). Rather than supplying growth hormone from outside, it works upstream—signaling the pituitary gland to do the job itself. Here’s a clear, balanced look at how it works and what…
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Clomiphene citrate (often known by the brand name Clomid) was originally developed to treat infertility in women. Today it has an important off-label role in men’s health—as an oral option for raising testosterone while keeping the body’s own production switched on. For the right patient, it can be an alternative to traditional testosterone replacement therapy…
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Many patients come to us wanting to build muscle—whether for better health, improved performance, or just to feel stronger. But muscle growth doesn’t happen by accident. It’s a process influenced by several key factors that work together. Here’s a breakdown of what really matters: Resistance Training Muscles grow when they are challenged. Resistance training—using weights,…
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PT-141, also known as Bremelanotide, is a peptide therapy developed to treat sexual dysfunction by stimulating the brain’s arousal centers. Unlike traditional medications that act on the vascular system, PT-141 works through the central nervous system—helping enhance libido and sexual responsiveness in both men and women. What Is PT-141? PT-141 is a synthetic peptide derived…
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Many men experiencing fatigue, low libido, reduced motivation, erectile difficulties, or loss of muscle mass assume that one total testosterone result is enough to determine whether they need testosterone replacement therapy (TRT). However, testosterone levels must be interpreted alongside symptoms, related hormones, and important safety markers. A proper evaluation helps confirm testosterone deficiency, identify its…
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Thymosin Alpha-1 (TA1) is a naturally occurring peptide that plays a pivotal role in regulating the immune system. Originally derived from the thymus gland, it has gained significant attention in the medical field for its ability to enhance immune function and help the body fight infections, inflammation, and even certain chronic conditions. Here, we explore…
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