Natesto Use in Men: Monitoring Liver Health and Function

Written by Dr. Jonathan Peterson, Updated on March 26th, 2025

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Introduction to Natesto

Natesto is a testosterone nasal gel approved by the FDA for the treatment of hypogonadism in men, a condition characterized by low testosterone levels. As with any hormonal therapy, it is crucial for patients to understand the potential effects on various bodily systems, including the liver. This article aims to provide American men using Natesto with essential information on monitoring their liver health.

Understanding Liver Function

The liver plays a pivotal role in metabolizing hormones, including testosterone. It is responsible for breaking down and eliminating excess hormones from the body, which is crucial for maintaining hormonal balance. Monitoring liver function is important for men on testosterone therapy to ensure that the liver is functioning optimally and to detect any potential adverse effects early.

Natesto and Liver Health

While Natesto is administered nasally and bypasses the first-pass metabolism in the liver, which is typical of oral medications, it is still important to monitor liver function. Although the risk of liver toxicity is lower with nasal administration compared to oral testosterone formulations, regular monitoring is recommended to ensure overall health and safety.

Recommended Liver Function Tests

For men using Natesto, healthcare providers typically recommend periodic liver function tests. These tests include:

- **Alanine Aminotransferase (ALT)**: An enzyme found primarily in the liver. Elevated levels can indicate liver damage.
- **Aspartate Aminotransferase (AST)**: Another enzyme that, when elevated, may suggest liver injury.
- **Bilirubin**: A byproduct of red blood cell breakdown, high levels of which can indicate liver dysfunction.
- **Alkaline Phosphatase (ALP)**: Elevated levels can be a sign of liver disease or bile duct obstruction.

These tests should be conducted at baseline before starting Natesto and periodically thereafter, as advised by a healthcare provider.

Signs of Liver Issues to Watch For

Men using Natesto should be vigilant for signs of liver problems, which may include:

- **Jaundice**: Yellowing of the skin and eyes.
- **Abdominal Pain**: Particularly in the upper right quadrant.
- **Unexplained Fatigue**: Persistent tiredness that is not alleviated by rest.
- **Dark Urine**: A sign of elevated bilirubin levels.

If any of these symptoms occur, it is important to consult a healthcare provider immediately.

Lifestyle Factors and Liver Health

In addition to monitoring liver function, men using Natesto should consider lifestyle factors that can impact liver health. These include:

- **Alcohol Consumption**: Limiting alcohol intake can help protect the liver.
- **Diet**: A balanced diet rich in fruits, vegetables, and whole grains supports liver function.
- **Exercise**: Regular physical activity can improve overall health and liver function.

Consulting Healthcare Providers

Regular consultations with healthcare providers are essential for men on Natesto. These visits provide an opportunity to review liver function test results, discuss any symptoms, and adjust treatment plans as necessary. Open communication with healthcare providers ensures that any potential issues are addressed promptly.

Conclusion

While Natesto offers a convenient and effective treatment for hypogonadism, monitoring liver function is a critical aspect of managing therapy. American men using Natesto should stay informed about their liver health, adhere to recommended testing schedules, and maintain a healthy lifestyle. By doing so, they can enjoy the benefits of testosterone therapy while safeguarding their overall health.

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